IND];X TO VOLUME II 



i67 



Crust of clot : carbolic acid and limb in treatment 

 of compound fracture, 5, 6, 7. 

 wound closed by, in compound fracture, 30. 

 Cruveilhicr : experimental production of suppura- 

 tive phlebitis of femoral vein in dog by intro- 

 duction of piece of wood, 132. 

 experiments showing how readily liquids intro- 

 duced into bones pass into circulation, 132 

 (footyiote). 

 experiments on phlebitis, 285 (footnote). 

 Culture, plate of bacteria : 502 ; demonstrated by 

 Koch, 502 ; description of method, 503 ; its 

 importance recognized by Pasteur, 503. 

 Cyanide of mercury. See Mercury, 

 Cyanide of zinc. See Zinc. 

 Cyanide of zinc gauze. See Gauze. 

 Cysts, sebaceous, of scalp : dressing of cyanide 

 gauze applied after removal of, 322. 

 hair made into antiseptic dressing by application 

 of carbolic acid before removal, 371 (footnote). 



Dauer- Vevband (permanent dressing) : Esmarch's, 



291. 

 Davy : lever for compression of common iliac artery 

 in amputation at hip joint, 415. 

 cases in which it has failed, 415. 

 Davy, Humphry : discovery of anaesthetic pro- 

 perties of nitrous oxide, 491. 

 Dead bone. See Bone. 

 Dead tissue : in itself unirritating, 49. 



materials of wliich it is composed may be 



absorbed, 40. 

 protected from jMitrcfaction, does not of itself 



disturb surrounding parts, 66. 

 shown by antiseptic system to be not necessarily 



thrown off by suppuration, '8>7. 

 unless altered by putrefaction absorbed by sur- 

 rounding hving parts, ^7, 

 Decomposing substances : produce suppuration by 



chemical stimulation, 40. 

 Decomposition : of organic substances, due to liv- 

 ing germs in air, 2. 

 illustrated by difference between pneumo- 

 thorax caused by puncture of lung, by fracture 

 of rib, and external wound penetrating chest, 3. 

 a self-propagating and self-aggravating poison, 



4'- 

 spreads from surface into recesses of wound 



where it acquires energy of a caustic, 41. 

 caused by air dust, 47. 

 without putrefactive fermentation of discharge 



in antiseptic dressing, 184, 188. 

 without putrefaction, example of, in stench of 

 discharge under vulcanized caoutchouc pro- 

 tective, 184; another example in stink of 

 serous discharge soaking into antiseptic gauze, 

 187. 



Decomposition in fermentable substance : charac- 

 ter of, determined by nature of organism, 47. 



Decomposition in wounds : prevention of, by ex- 

 clusion of air, T,-;. 



Deformity from contracted cicatrix treated anti- 

 septically, 20(i. 



Deltoid, effusion under : .uitiseptic opening of, 

 256. 



Dc Morgan, Campbell : pa])er on the use ol chloride 

 of zinc in surgical ojjerations and injuries, ^2. 

 use of chloride of zinc in dressing of ojieration 

 wounds, 131, 214 (footnote). 



DEMONSTRATIONS OF ANTISEPTIC SIR- 

 GERY BEFORE MEMBERS OF THE 

 BRITISH MEDICAL ASSOCIATION (1875), 

 256. 



Demonstrations, surgical : more instructive in 

 theatre than in ward, 448, 450. 



Dc Ruyter : experiments with Behring on chemical 

 changes produced on toxms of bacteria by 

 iodoform, 356. ? 



Dieffenbach's treatment of ununited fracture, 16. 

 danger of amputation ' rises by inches ', 2>^^ 

 (footnote). 



Dietz : excision of wrist for caries, 417 



Diculafoy's aspirator. See Aspirator. 



Diphtheria bacillus : discover^' of, by Loeffler, 508, 

 secretes toxin which poisons system, 508. 



Diphtheria : toxin of bacteria in false membrane, 

 507, 508. 

 use of antitoxic serum in, 509, 510; difficulties 

 of problem, 510; overcome by Roux, 510; 

 results of antitoxic treatment, 511, 512. 

 complicating scarlet fever, 511; results of anti- 

 toxin treatment in such cases, 511. 



Discharge : must always occur in certain cases, 

 such as contused wounds, septic sinuses, 

 abscesses, 338 ; in such cases chemical anti- 

 septics must be used, 339; double cyanide of 

 zinc and mercury most useful for purpose, 339. 



Disinfectants, other than carbolic acid, may have 

 same effect if used on antiseptic principles, 52. 



Dislocation of both shoulders: two long-standing 

 cases of, 324. 



Dislocation, compound, of ankle : treated anti- 

 septically, 127, 137, 141, 152. 

 recoveries from, formerly exceptional, 137. 

 appearances of wound after five weeks, 153. 



Donkey : reparative energies of tissues greater than 

 in man, 290 (footnote). 



DOUBLE CYANIDE OF MERCURY AND ZINC 

 AS AN ANTISEPTIC DRESSING, NOTE 

 ON (1907), 329. 



Double cyanide of mercury. See Mercurj*. 



Dough, carbolic acid : wound in compound fracture 

 closed b}^ 28. 



Douglas's space : adhesive inflammation of peri- 

 toneum a barrier to spread of bacteric develop- 

 ment, 285 (and footnote). 



* Drain ' : use of hnt steeped in carbolic acid solu- 

 tion as, 183, ;i,6j. 

 must be drawn out under antiseptic spray, 183. 



Drain, catgut : used by Chiene, 444. 

 inferior to horsehair, 445. 



Drain, horsehair : method of introduction, 443, 



444- 



first used by White (Nottingham), 444. 



used by author in clironic bursitis of sheaths of 

 flexor tendons at wrist, 444. 445. 



its superiority to catgut. 445. 



used in case of transverse fracture of patella, 

 446 (footnote). 



method of reintroducing, 446. 

 Drain for wounds : horsehair as, 441. 

 Drainage tube : caoutchouc steeped in solution of 

 carbolic acid as means of exit for serum, 1S3. 



atlvantage of, in antiseptic treatment, 216. 



mode of use, 210, 217. 



great importance of, in antiseptic treatment, 217, 



advantages of, in treatment of wound after liga- 

 ture of femoral artery, 219, 



