Medical Education and State Boards of Registration

1918 Journal of the American Medical Association (JAMA)  
Morison in his recent book en "Bipp Treatment of War Wounds" (Henry Frowde Hodder and Stoughton, London, 1918) gives the following directions for its use: 1. Under an anesthetic, usually open ether, cover the wound with gauze wrung out of 1:20 phenol (carbolic acid), and clean the skin and the surrounding area with the same lotion. 2. Open the wound freely and, if possible, sufficiently to permit of inspection of its cavity. A guide-a finger is the best if the size of the wound permits of it,
more » ... nd permits of it, and if not a thick probe-should be introduced to the bottom of the wound and held there and fully exposed. In doing this special regard must be paid to nerve trunks and muscular branches of · nerves, since the division of blood vessels, excepting the largest, and of muscles themselves does little harm as compared with that of the disability following nerve damage. Cleanse the cavity with dry sterile gauze mops, Volkmann's spoon, etc., and remove all foreign bodies. 3. Mop the surrounding skin and the wound cavity with methylated spirit and dry it. 4. Fill up the whole wound with bipp, and rub it well in with dry gauze. Then· remove all excess, leaving only a thin covering over the wounded surface. Dress the wound with sterile gauze and cover all
doi:10.1001/jama.1918.02600300065021 fatcat:ytdnzbpwhjas5bieufgdtugmwy