ermanently put the joint out of business. Until the physician
arrives the part should be kept absolutely at rest.
Wounds of the Scalp.--Children frequently get injuries of the scalp.
These wounds bleed freely and as a rule they occasion a great deal of
unnecessary worry and apprehension. Usually they are not of much
importance. We must keep in mind, however, the probability of fracture
as a consequence of severe injury. The first thing to do when there is
bleeding from the scalp is to cut or shave away the hair surrounding the
wound. This should be done for an inch around the wound so that thorough
disinfection may be possible. The wound should now be cleansed as
previously instructed and an effort made to stop the bleeding. The best
method is to first apply pads of gauze wrung out of very hot water. When
success is evident a pad made of boiled cotton should be placed on the
wound and held tightly in place for some time. If the wound is of such a
character as to demand stitches a physician should of course put them
in.
Run-Around: Felon: Whitlow.--When pus germs enter around a finger nail
and lodge in the soft tissue a "run-around" is the result. It is
accompanied with pain, swelling, redness and inflammation. The loss of
the nail may follow.
A felon or Whitlow is a more extensive and a more serious condition. It
is not always possible to trace the cause of a felon. The fact that
germs gain an entrance, however, is soon established. Sometimes a
bruise, or scratch, or a wound is the primary cause. The last joint of
any of the fingers may be the seat of a felon. A end of the finger
becomes hot, tense, swollen and very painful; the pain is intense if the
hand is held down. The surface may or may not be red. There is as a rule
some fever. If the felon is on the little finger or thumb the condition
is worse than on the others as a rule,--the inflammation extending to
the hand and often into the arm. The condition affects the palmar
surface of the fingers. If the felon results in the "death" of the bone,
the last joint will have to be taken off and the hand may be distorted,
crippled, and rendered permanently disabled. Blood poison may set in and
death is possible as a result of this complication.
Treatment.--Every effort should be made to abort a felon. Continuous
application of equal parts of alcohol and water night and day may abort
it. Tincture of iodine applied to the entire end of the finger may be
effective. Th
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