In exceptional
cases you find a tourniquet or the Spanish windlass applied. This,
when applied by a surgeon, may answer very well, but when applied by a
non-professional person it is invariably screwed up so tight that the
pain produced thereby is so great and intolerable that the patient
prefers rather to bleed to death. This is a great objection.
Therefore I will call attention to the method of forcible flexion; and
though extreme flexion has been practiced by surgeons in isolated cases,
still to Professor Adelman, of Dorpat, is due the credit of first having
systematized the following method:
BLEEDING FROM THE UPPER ARM (ART. BRACHIALIS).
Bring the elbows of the patient as near as possible together upon the
back, and fasten them with a bandage. From this point let a doppelt
bandage pass down to and over the perineum; separate the bandages again
in front, let one end run over the left, the other over the right groin
back again to the elbows (see Fig. 1)
[Illustration: Fig. 1.]
"The illustrations will explain at a glance."
BLEEDING FROM THE ARTERIES IN THE UPPER THIRD OF THE ARM.
Acute flexion of the elbow, simple bending of the forearm upon the upper
arm, will suffice. But if there is bleeding from the arteries near the
joint of the hand or from any part of the hand, then the hand must also
be brought into flexion, and secured by a bandage.
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