Societies' Proceedings

H. J. Banks-Davis
1919 The Journal of Laryngology Rhinology and Otology  
April, 1919.] Rhinology, and Otology. 123 large, tender swelling extending well down the neck. After feeling for a soft spot I opened the quinsy with a pair of StClair Thomson's forceps. A little pus came out as the forceps were introduced, but their withdrawal was immediately followed by a gush of blood, like the bleeding one occasionally gets when enucleating a tonsil. The patient, greatly alarmed, sat up and coughed and spat mouthfuls of blood over the bed and all around. I made her lie
more » ... I made her lie down, and, introducing my finger into the mouth, easily stopped the bleeding by quite gentle pressure on the incision. As soon as possible I replaced my linger, which the patient naturally could not help biting, by a swab on a long holder, and kept up the pressure for about twenty minutes. On removing it then, the bleeding had ceased. About three-quarters of an hour later the patient complained that her throat was swelling up inside, suddenly sat up in bed, and began to pour blood from the mouth again. I again applied a swab and stopped the haemorrhage. After ten minutes of this pressure the haemorrhage had again ceased. The question then arose as to what should be done to prevent a recurrence. Tying the carotid was ruled out by the septic condition of the neck ; plugging the wound, of course, was quite impossible. The only practical plan seemed to be to have one of us or a nurse sit beside her ready to re-apply pressure if it should be required. As a matter of fact no further bleeding took place, but the patient gradually sank, and died of syncope during the night.
doi:10.1017/s1755146300019399 fatcat:aeansbdarvce3k3e4ea72v4oky