“ - -loewe 
turns, be brought down near to the end of the st , of such a tight-. 
compressing them so much as to prove painful or impede the circu. 
lation: — Here the roller should be fixed with a pin, while as much 
of it is left as will pass two or three times round the stump, as will | 
be hereafter directed. fe SoS ag ea at 
The ends of the divided muscles being placed with asmuch equali- 
ty as possible over the bone, the edges of the skin must be laid ex- 
actly together so as to form a straight longitudinal line across the ~ 
centre of the stump. When only one or two arteries have been se-. 
cured, the ligatures should be left out at the lower angle of the wound; 
but when there are several, they should be divided between the two 
angles, Kis 2 2. Ses pet Wists fo cik i<d fb ose i 
eae 
tha Tet FZ 
-of the divided skin in con- 
tact, two or three slips of adhesive plaster should be laid across the 
face of the stump to preserve them in this situation ; and the whole 
surface of the stump should now be covered with a large pledgetof 
soft lint covered with some cooling ointment. Over this there should 
be placed a soft cushion of fine tow with a compress of old. linen. 
For the purpose of retaining them, as well as with the view of maki 
a gentle pressure upon the stump, a slip of linen of three inches in 
breadth, should be laid over them, so as to pass directly across, and _ 
not from above downward. On being properly placed, the remain- 
ing part of the roller should be employed to fix it, by passing ittwo. - 
or three times round the stump. = a ee 
In applying the roller, the tourniquet should be removed, and re- 
placed immediately when the stump is dressed. — If left loose it gives 
no uneasiness ; and it enablesthe attendant to check any hemo: 
that may take place ; a circumstance that merits attention for seve- 
' ral days after amputation. ‘al 
The patient should now be carried to bed; and the stump laid a 
little lower than the rest of his body ; for this purpose the bed should» 
be previously made witha gentle declivity from head to foot, and~ 
fine tow should be put beneath the stump. A hoop frame should be 
placed over the stump to keep off ‘the bed clothes; and to guard 
~ against spasms, and prevent the limb from being moved inadvertent- — 
ly, it may be wéll to confine the stump to the bed with slips of an- - 
Re Whether the patient complains much or not, we should give - 
man anodyne, by which he will remain quiet and easy through 
the remainder of the day. ase ti Se 
_ Hemorrhages will sometimes happen, even many hours after the 
operation ; thé attendant should therefore examine the stump fre-. 
quently with the utmost €are; and on any quantity of blood break- 
ing out, he should twist the tourniquet sufficiently tight till assis- 
tance is procured. This can seldom happen, however; unless through — 
- the fault of the practitioner, in not searching for the arteries with 
sufficient care, and taking them up in the time of the operation: © 
‘When there is only a trivial oozing of blood, we need not» be rm- 
ed; nor will it be necessary to remove the dressings ; but whenever. 
the discharge is so great, that we may suspect it proceeds from a lar, 
tery, nothing can be depended upon but tying it. E 
The only | ther symptoms that we have reason — 
