MEDICAL HINTS. 
209 
relaxed. If, after the removal of the pressure, the haemorrhage seems to 
have ceased (as judged by the pad which has been kept in position not 
trickling with blood), apply a large pad of wool over the original dressing, 
and bandage this firmly. Dress the wound very carefully on the third 
day. 
If, on the other hand, in spite of the treatment, the bleeding continues, 
the pressure must be re-applied, and the cut ends of the bleeding vessel 
looked for in the wound itself, and either twisted or tied with a silk 
ligature. 
Fig. 3. 
Method of Compressing the Main Artery of the Thigh. 
To twist a vessel, seize the bleeding point between the blades of the 
artery forceps, then, by twisting the instrument round three or four 
times, the vessel will become blocked or closed, and the forceps may be 
taken off in the course of ten minutes. The other method is to tie the 
vessel with a silk iigature (previously boiled), making a reef or sailor’s 
knot, to cut short the ends of the ligature, remove the forceps, and let the 
vessel fall back into the wound. In any case cleanse the wound, and 
dress in the manner previously described. 
The traveller who has taken the trouble to learn something about the 
treatment of wounds and severe haemorrhage will, before his journeys 
VOL. II. P 
