Fulton, J: Canada Lancet, 1884, Vol. 16

Excerpt from The Canada Lancet, 1884, Vol. 16: A Monthly Journal of Medical and Surgical Science, Criticism and News

Dr. Little, Professor of Clinical Surgery in the University of the City of New York, has adopted and extensively used a modification of the Lister dressing, especially applicable to the treatment of small wounds, in which he has met with gratifying success it is easily applied and admirable in its results. He says I have been for several years surgeon to a large factory in this city in which three thousand hands are employed, and where injuries by machinery are very frequent. These injuries are chie¿y of the hands and fingers, caused by being caught in cog-wheels and other parts of the machinery. In many cases the fingers are torn ofi, tendons are pulled from their sheaths, joints are opened, and the hands are often severely crushed and lacerated. In all of these cases I have for the past six years been using the follow ing simple antiseptic dressing Having put the parts in a condition for dressing, I wash the wound in a carbolic solution (1 to I then cover the parts with a thick layer of borated cotton, and then snugly and evenly apply a simple gauze bandage These thin bandages distribute the pressure more evenly over the cotton, and are more easily satu rated with ¿uids than those made with unbleached muslin. The patient is instructed to keep the out side of the dressing wet with a solution of carbolic acid (1 to The dressing may be left undis turbed for several days unless there is pain, rise of temperature or discharge through the dressings; these conditions are always to be considered indi cations for redressing. My experience with this dressing covers a period of six years, during which time I have treated nearly three hundred cases of open wounds - no! One of file number has been fol lowed by in¿ammatory symptoms. Extensive la cerated wounds and dead tissue has sloughed away without giving rise to any of the so-called symp toms Of in¿ammation neither pain, redness, heat.

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