COUGH DUE TO REFLEX IRRITATION IN THE UPPER AIR-PASSAGES

FRANK S. MILBURY
1901 Journal of the American Medical Association (JAMA)  
treatment is only to be applied as a temporary measure, and is not satisfactory when continued over any length of time." These writers are correct in regard to the poor fixation furnished by a plaster-of-paris bandage. They omit to mention, however, the chief cause for the poor fixation, and that is the swathing of the limb and body in cotton batting before the application of the plaster bandages. » With wood-plastic material an efficient fixation of the hip-joint can easily be produced. The
more » ... be produced. The technique is as follows: A piece of strong paper is cut so that it embraces the side of the body above the affected hip and the thigh, the pattern extending from just below the axilla to the knee. The posterior edge of the pattern should lie against the spine, and cross over the buttock and pass along so as to lie over the inner aspect of the thigh. The anterior edge should lie almost to the middle line of the body, and pass over the middle third of Poupart's ligament, and pass somewhat inward and along the junction of the anterior and inner aspect of the thigh. This paper pattern can be laid flat upon a sheet of wood-plastic material and the correctly shaped splintblank can be cut from it. In splinting the hip a double splint-blank is advisable. The two blanks can be moistened with water-not soaked-and laid together and then bandaged snugly upon the body and thigh, thus producing an efficient fixation of the hip-joint. The manner of banding this splint form upon the body is important. The roller should be applied first so as to embrace the body around both hips for several turns; then in figure-of-8 style around the splinted thigh and body ; then down the thigh ; finally a bandage should be applied around the body and upper part of the splint.
doi:10.1001/jama.1901.52470210025002h fatcat:ocljovx475cr3lwvqqrag4esba