Identifier: completehandbook00masorich (find matches)
Title: A complete handbook for the sanitary troops of the U. S. army and navy
Year: 1917 (1910s)
Authors: Mason, Charles Field, 1864-
Subjects: United States. Army. Hospital Corps Medicine, Military First aid in illness and injury
Publisher: New York. W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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ontinuous saline infusions by the drop method have re-placed to a large extent the subcutaneous infusions. Any ordinaryirrigating apparatus may be used with a special nozzle and cut-ofif. Intravenous saline infusions are done when quick action isrequired. The median basilic or median cephalic vein at the bend of the (476) MINOR OPERATIONS, CONTINUED 47: elbow is exposed by a short incision, after which an aspiratingneedle may be inserted direct or the vein opened and a canula tiedin ; wiien a needle is used the preliminary incision is usually small.The danger is the introduction of air or any foreign body into thevein which might cause embolism or death. Intravenous injections of sakarsan and neosalvarsan for syphilisare given in the same way as saline infusions with the use of needleinstead of oanula. The injection tube and needle should be filledwith salt solution before the prepared solution is poured into thereservoir, so that salt solution only will escape into the tissues if the
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^^5s?S;?^ Fig. 257,—Subcutaneous Saline Injection. vein is missed on the first trial. In most cases it is unnecessary toexpose a vein by incision. Injections of antitoxin for diphtheria are usually given betweenthe shoulders; the procedure is the same as for hypodermic injec-tions, the syringe used being of the same type, only much larger.The usual antiseptic precautions are observed. Syphilis is now usually treated by intravenous injections of sal-varsan. Mercury is often used in conjunction with the salvarsan andpreferably by subcutaneous injections of metallic mercury in the 478 MINOR SURGERY form of gray oil. The ajipliances needed are a hypodermicsyringe with a large caliber needle, the gray oil, an alcohol lamp, andcollodion, or adhesive plaster. The injections are usually made in a vertical line on either sideof the spinal column and about an inch and a half from it and aninch and a half apart. The syringe used should preferably be ofa half or one Cc. capacity, and graduated

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