Golden Rules of Surgery Especially Intended for Students General Practitioners

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RIBS.
Always examine all the ribs when called to a pa- tient unconscious after an accident.
Be sure you are palpating the same rib in front of as behind the fracture remember the natural slope, downward and forward.
If the patient cannot feel the crepitus and you can- not elicit it in the usual way, the stethoscope may aid you.
If you suspect a fracture treat as one.
Eemember that pneumothorax may develop, and unless soon relieved, kill your patient.
Also bear in mind that, if pneumothorax pers
...ist, it is very likely to give way to pyopneumothorax.
Watch for signs of internal bleeding after even simple fractures.
You may fix the chest either with an adhesive swathe or plaster-of -Paris jacket.
It is certain that unless the adhesive goes at least two thirds around the chest -it does little good.
Take off your fixed dressing at once, unless it im- mediately makes the patient more comfortable. .
Always be careful about immobilizing the chest in elderly or emphysematous patients.
FRACTURES.


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