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The indications for treatment presented in wounds 

 of whatever nature, may be briefly stated thus: 

 To relieve shock ; 

 " arrest hemorrhage ; 

 " remove foreign matter; 

 " approximate and retain the parts; 

 " limit the resulting inflammation. 

 Amongst the most important of these indications are, ist, 

 To arrest the current of blood, which may be either arterial, 

 or venous, or both, slight or profuse, external or internal. 

 The scarlet color and saltatory jet will inform us when it is 

 arterial, the purple hue and steady flow when it is venous. 

 Internal hemorrhage is more dangerous than external, be- 

 cause it is generally inaccessible. 2d, To remove foreign 

 matter; this must be done at once and effectually with a 

 sponge and water ; not a particle of matter, not a hair, or 

 the smallest clot of blood must be left behind, or it will be 

 sure to provoke and keep up the irritation. 3d, To limit 

 the inflammation ; this is done by the usual antiphlogistic 

 treatment. 



The 111 consequences of Wounds and Injuries.— 

 The bad consequences to be apprehended after these in- 

 juries are 



Traumatic fever ; 

 Hemorrhage ; 

 Excessive suppuration ; 

 Gangrene and Tetanus. 

 Traumatic Fever usually sets in within the first few 

 hours after the injury, or soon after reaction has been fairly 

 established. 



Secondary Hemorrhage must be steadily kept in view, 

 and the proper means used to prevent its injurious effect. 



Profuse Suppuration may be looked for in nearly all 

 bad wounds, whatever their character, and its exhausting 

 effects counteracted by supporting remedies. 



