The St. John Gazette (April 1948)

PRACTICAL BOOKS

by N. CORBET FLETCHER, M.B., B.C., M.A.(Cantab.), M.R.C.S.

WHY & WHEREFORE IN FIRST·AID (6th Ed.)

Difficulties solved by Question and Answer Price III (Post 2d.)

AIDS TO FIRST·AID (7thPriceEd.)113 (Post 2d.)

EFFICIENCY IN FIRST·AID (lrd Ed.) Price III (Post 3d.)

AIDS TO HOME·NURSING

Home Nursing Simplified and Tabulated. with Aids to Memory Price 11- (Post 2id.)

COMMON ERRORS IN FIRST·AID

Errors in First-Aid Detailed and Explained Price III (Post 2d ) AMBULANCE COMPETITION TESTS

Stretcher. Individual and Question.

A ' POPULAR CONVERSION by PILCHERS

T HIS Is the NEW APPROVED HOME SERVICE AMBULANCE converted from the AUSTIN W D. AMBULANCE.

We solicit enquiries from all who need a conversion of this or any other description. Our service is backed by 35 years' experience in all types of ambulance construction and we can undertake dellvery In all parts of the

NURSES OUTFITTING ASSOCIATION

BEll TENTS f8 .15. O. CARRIAGE FREE

Complete for use. Sectional centre pole and all accessories Thoroughly reconditioned Sleeps 8. Height, 9 ft. 6 in Circ., 44 ft. GENUINE EX-RAILWAY AND SHIP TAR. Most compact Binoculars. Only70zs Absolute crystal PAULINS, 70 sq. ft., 20/ -, 2 for 39/ -, 4 for 77/ 6; clear lenses. Ideal holidays and sporting events. Price, 140 sq. ft., £2 lOs.; 280 sq. ft., £5 50/ -, post. etc., 1/ -. W D model full size Binoculars, SHIPS' TARPAULINS, approx. 360 sq. ft., £6; complete in case. leather slings, £3/ 10/ 0, post, etc, approx. 720 sq ft., £12, all incl. carr. 1/_. Very special 6-lens Achromatic model, £5/ 19/6, MARQUEES k 30 ft. by 20 ft., height 14 ft , £38 ISs. complete. Also complete in case, etc., post 1/-. Electric Alarm Cloc s, larger sizes. A.C. 200-250, guaranteed, 59/ 6, post, etc., 1/ 3. HEADQUARTER & GENERAL SUPPLIES, LTD. (Dept. S.J.A.) 196-200 COLDHARBOUR LANE, LOUGHBOROUGH JU NCTION, LONDON, S.E. S. 66

St. John Ambulance Brigade JACKETS. TROUSERS. GREATCOATS, CAPS. GLOVES, HAVERSACKS. PRICE LIST AND PATTERNS ON REQUEST

HUMAN

OSTEOLOCY, ANATOMY, ETC.

Made Under the Newl Supervision of Just Professor IssuedC. F. V. SMOUT, Birmingham University.

use

IBCOL for hygiene

. h itals and institutions

/ Already in extensive In Ibcol. the safe. effective I art of every first-aid should also form an essentla P equipment.

use IBCOL

ijtb£ ®ffitiat JIournal nf tb£ Qi)ranb' Jriot1J in tbe 1:§ritizb Realm of ijtb£ 1i£nerahl£ ®rb'er of tbe 1!tozpitlll nf JJobn nf 3Jeruzlllettt

Edited by GEORGE E. CRAFT, O.St J., F.R.S.A.

VOL. 21. No.4.

* Non-irritant and oes n . d non-corrosive.

* Deadly to germs d ot stain.

* Non-poisonous an al dilutions.

f Ibcol added to warm a few drops 0 For cuts and grazes - tes quick healing. water disinfects and promo & INDUSTRY HYGIENE PRODUCTS FOR HOME IBBETSON, STEVENAGE, HERTS.

Somehow, I don·t feel so good. need a course of Benger·s Food.

When your digestion is out of order, practise what is known as Rest-Therapyrest your digestion for a while and take a course of Benger's Food at night. "Bengers" is rich nourishment, pre-digested. It soon soothes and strengthens the digesti()n hack to normal.

Keep a tin oj' in the house.

From 2/- a tin at all Chemists and Grocers. "Bengers" is a regd. trade mark of Benger's Ltd., Holmes Chapel, Cheshire 100

EDITORIAL

STILL WORK FOR ST. JOHN

Some members are under the impresslvD that when the Health Act comes into operation, the work of St. John will no longer be required; that the many voluntary duties so readily undertaken will, in a flash, disappear; and that the services, the voluntary services, carried out over a number of years will be taken over by the State.

This is far from the truth. In fact, in one respect only will the State interfere with our work. This is in the ambulance service. It is laid down that an ambulance service shall be available to all and sundry day and night; but even in this direction the Brigade personnel are, in many instances, to be the backbone of the local services. 'Where an ambulance service is now being run by a voluntary organization the local authority is advised to use the existing organization supplementing where necessary. Thus it is that in some counties and in many local areas the Brigade is fulfilling its work by running the ambulance service for the State.

There are, however, many other voluntary services whjch members of St. John can, and will, carry out. In addition to the street duties, hospital duties, nursery duties, seaside duties, and the like, there is the very important work which is being carried on under the Joint Committee of the Order of St. John and the British Red Cross Society. From a talk given by Sir Ernest Burdon (ReceiverGeneral of the Order and Chairman Finance and General Purposes of the Joint Committee) at the recent Senior Officers "Week-end Conference at Ashridge, we quote the following :- " The Order of St. John and everybody connected with the Order must look upon the Joint Committee as a very potent instrument in an extra field not covered bv the old established activities of the Order and its recognized Foundations." There will be plenty of opportunity for voluntary service, especially when it is realized that the Joint Committee activities cover an immense amount of humanitarian sphere. There is the Emergency Help Department and After-Care Department, the Hospitals and l\Iedical Services Department, the Home Service Ambulance Department, which was started in 1919, the Hospital Library Department, the Training Scheme which provides training for members in various specified branches of the l\Iedical Auxiliary Services and of Social Welfare.

Carefully consider that list. It is very necessary that the Order of St. John plays its part in the carrying out of the work of the Joint Committee. It cannot be left to others; they might leave it to us! Each and every St. John member must play his or her part. There is enough, and more, for all members. 101

ijtIJt Oiranb Jrinr1J in tbe mritisb !ttaLm of {@rbtr of tbt 1!Jn.spital of flu " '.' JDbn of }trusaltnt

His Majesty The King has been graciously pleased to the following Promotions in, and Appointments to, The Venerable Order of the HospJtal of St. John of Jerusalem.

FOR PROMOTION TO THE GRADE OF KNIGHT

Captain Harry Frederick Comfort Crookshank, P.C., M.P. (from Commander).

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

The Rev. Reginald Andrew Haysom (SubChaplain).

Harold Edwin Butler, C.LE., O.B.E.

Arthur Louttit Castleman. FOR ADMISSION IN THE GRADE OF KNIGHT

The Lord Leconfield, G.C.V.O. Major Sigismund William Trafford. The Earl of Iddesleigh.

FOR ADMISSION IN THE GRADE OF ASSOCIATE KNIGHT

Major Gilbert Walter Riversdale Monckton, M.C.

Colonel William Malcolm Oxley.

Lieut.-Colonel Henry Laurence Wolfe.

The Very Rev. Hedley Robert Burrows, Dean of Hereford (Sub-Chaplain).

Colonel Hubert Francis Grant-Suttie, C.B E., D.S O., M.C.

Colonel David Cope Harris, T.D.

Professor Dr. Wlodzimierz Koskowski. Brigadier Lionel Arthur Fanshawe, O.B.E., D.S.O.

Sir Henry Hewey Francis Macdonald-Tyler, K.C.I.E. FOR ADMISSION IN THE GRADE OF ASSOCIATE CHAPLAIN AND APPOINTMENT AS SUB-PRELATE

Captain The Rev. Richard Whincup (SubBishop William Thomas Manning.

FOR PROMOTION TO THE GRADE OF COMMANDER (BROTHER) Chaplain).

Seemampillai Francis Chdlappah, O.B.E., M.R.C.S.

James Johnston Abraham, C.B.E., D.S.O., M.D.,

Colonel Frank Lionel Pardoe, D.S.O.

Major Percy John Powell.

Richard Henry McCoy.

Major George Rutherford, M.C.

Lieut.-Colonel Victor Douglas Gordon.

FOR ADMISSION IN THE GRADE OF ASSOCIATE OFFICER (BROTHER) F.R.C.S.

Geoffrey Nickless Bullock.

Captain Albert John Collins.

Sidney Cooper.

Edgar Scott Bowes, M.R.C.S., L.R.C.P.

Thomas Welch Clark.

Richard James Blamey. James Arthur Thompson.

George Henry Walker.

Ernest William Gale.

Robert Fall. Eric James Gordon Wallace, M.B. Cuthbert Laws.

Edward Robson.

William Gerald Denholm, M.B.

Thomas Blenkinsopp.

Kenneth George McVean.

James Forrest.

Ralph Stoker.

Lancelot Charles John Edwards, M.R.C.S., L.R.C.P.

Rev. Ernest James Morritt Eldridge, O.B.E. (Assistant-Chaplain).

Benjamin Charles Hawker.

Norman Austin Carter.

George Francis Leighton.

Walter Henry Hieron.

John Edward Hawkins.

Ernest Butterworth.

Herbert Fisher.

Charles de Courcy Cuff.

Harry Chapman. Donald Hindson.

Herbert Murfin.

George William Rallings.

William Henry Beacher.

Charles Kenward Relph.

Ernest Henry Honeyman.

Alfred Ernest Bingley Oxley.

Horace Carr.

William Edward Brown.

Charles Francis Redican.

Arthur William Kelsey.

Bernard Sampson.

Herbert Middleton.

John Rhodes.

James George Bremner, M.B.

Charles Edwin Hall.

Leslie Clare Banbam.

James Banner.

Major Gerald Kingston Wood, R.A.M.C., M.B.

Robert James Hill.

John Adshead Gosling.

Alfred John Savage.

William Thomas Bryant.

William George Carter. Robinson Walker.

John William Cope. William Skipsey. Arnold Blackburn.

FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING BROTHER

Captain Montague Solomon, M.D., D.P.H., R.A.M.C.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Annie Catherine, Mrs. Richards.

Valerie Joyce, Mrs. Rothery.

Annie Tweena, Mrs. Carrick. Louisa Jane, Mrs. Sutcliffe. Elizabeth, Mrs. Murphy.

Irene Julia Hewett, Miss Osborne. Mary Ellen, Mrs. Richards. Maude Ella Victoria, Miss Le Blanc. Minnie, Miss Hinchcliffe. Florence Blanche, Miss Long. Margaret Rosina, Miss Peach. Ida Moore, Mrs. White. Laura Katherine Maule, Dr. Horne.

Edith Annie, Mrs. Cobb.

Charlotte Grace, Miss Mullen.

Margaret Jane, Miss Joyce.

Ethel Irene, Miss Teasdale.

Mary Ann, Miss Todd, M.B.E.

Carrie Elizabeth, Mrs. Matthews.

Florence Mary, Mrs. Harris.

Chester Arthur Craddock.

Harry Johnson.

William Walkden.

Oonah Kingsley, Miss Neill.

Kathleen Arnold, Miss Kennedy, A.R.R.C.

James Thomas.

Edward Soar.

Major Harold Hemingway.

Margaret Lady Ramsden, M.D. (from Serving Sister).

FOR PROMOTION TO THE GRADE OF OFFICER (SISTER) (All from Officer.)

FOR ADMISSION IN THE GRADE OF COMMANDER (BROTHER)

Brigadier Francis Joseph O'Meara.

FOR PROMOTION TO THE GRADE OF COMMANDER (SISTER)

Rosina, Mrs. Balsdon, O.B.E. Anne, The Dowager Lady Brocket.

Alys Anne Wilson, Mrs. Luttrell. (All from Officer.)

FOR ADMISSION IN THE GRADE OFFICER (SISTER) Clara, Mrs. Langworthy. Nancy Meade, Miss de Mierre. Lady Jaqueta Williams. Alice Gertrude, Miss Murrie, O.B.E., R.R C. Pauline Victoria, Mrs. Morland. Mary Hilda, Mrs. Wilson. The Lady Bruntisfield.

FOR ADMISSION IN THE GRADE FOR ADMISSION IN THE GRADE OF SERVING BROTHER COMMANDER (SISTER) Charles William Jones.

Minnie Findlay, Lady Douglas. John Francis Eustace, M.B. William Dixon Dyson, M.B.

FOR PROMOTION TO THE GRADE OF Eric Waldo Caryl Thomas, M.D., M.R.C.S. OFFICER (BROTHER) Frederick William Moffitt, M.B. Lancelot Etherington Bolton

Oliver James Francis. Vivian Royston Murray. William Megaw, M.B. Edward Charles Huskisson.

Captain Charles John Evers, M.D., M.R.C.S. Theodore Veevers-Thompson.

John Henry Wileman. William Logan Jack, M.B. Desmond David Claude Swayne. Norman Dunn.

John Colin Dixon Carothers, M.B. Henry Lambert. Rupert Victor Samuel Cooper, M.B., M.R.C.S. Norman Gibson, M.D. William Frederick Wills. Richard Worrell.

Joseph Otho Ibell. William Thomas Bown. Thomas Claude Tresidder. Edgar George Teagle. Walter Frederick Rigley. Robert Boulton Biggs. Archibald George Green. Arthur John Rosewarn. Clifford Reynolds de Clifford Sadler, M.R.C.S., Thomas James O""en Beynon.

L.R.C.P. Henry James Stephen King. William Hindle Gastall. Walter Thomas Ralph Searle.

James MacKenzie, M.D. Brigadier William Leslie, M.C., T.D., M.B.

Major Albert Ehrmann, O.B.E., T.D., M.R.C.S. John William Lambourn, M.M. Frederick Wilson Moulds. Thomas William Wilks. Frank Braithwaite. John Ellis Marsden.

Edmund Harvey Lodge, M.B. Harold.Douglas Wallace, M.B., D.P.H. (All from Serving Brother.) Jack Gllbert. 102

Jobo Thomas McCormick.

Leonard Root.

Albert Edward Clarry.

Surgeon Captain Charles Thomas Baxter, R.N. (Rtd.), M.R.C.S.

Fred Hubbard.

Alfred George Doughty.

Henry Colin Geldard, M.R.C.S., L.R.C.P.

Henry Staff.

Walter John Lawn.

Flora Margaret, Miss Ray.

Alice Elizabeth, Miss Wilson.

Emily, Miss Abbott.

Gladys Kate, Miss Smith.

Gladys, Mrs. Clow.

Florence Agnes, Mrs. Cracknell.

Ethel May, Mrs. Pannell.

Winnifred Marie, Mrs. Stuttaford.

Emily Elizabeth, Mrs. Hewitt. Gertrude Emmeline, Mrs. Moss. Evelyn, Miss Brough.

Margaret Kate, Mrs. Green. Joan, Mrs. Marshall.

ST. JOHN EXHIBITION AND FAIR

Her Majesty the Queen has graciously consented to perform the Opening Ceremony of the Exhibition and Fair to be held at St. James's Palace on Monday, May 3, to Wednesday, May 5·

H.R.H. The Grand Prior (The Duke of Gloucester) has given his Patronage, whilst the President is the Sub-Prior (The Earl of Clarendon). Chairman of the Fair is the Marchioness of Carisbrooke, whilst Mrs. Hugh McCorquodale is Chairman of the Exhibition Committee.

The Exhibition and Fair will be open from II a.m. to 7.30 p.m. each day.

Tickets (with Lucky Numbers) cost: May 3,5/-; May 4,2/6; and May 5,2/6. Period tickets can be obtained at 716 each Applications should be made to the Marchioness of Carisbrooke, 25 Charles Street, London, VV. I. Admission at Entrance after 5.30 p.m. each day will be 1/-.

The object of the Exhibition and Fair is to show the various activities of the Order; and visitors will be able to purchase many useful and interesting gifts.

103

SENIOR O FFIC ERS' W EEK-E ND CONFERENCE

Held in the beautiful house of Ashridge, Berkhamsted, from :March 12 to 15, the Conference was one of t.he most successful arranged by Headquarters. With the exception of two or t.hree, each County was represented and, in addition, representatives from the Priory for vVales and Northern Ireland were also present.

After dinner on Friday, l\Iarch 12, the Chief Commissioner (Lt.-General Sir Henry Pownall) presided at the opening session and gave a welcome to all delegates. The first discussion of the Conference was on " Many Cadets are unwilling to transfer to the Adult Divisions-\\'hy ? ", and this proved both instructive and interesting.

On Saturday morning the Conference had the pleasure of listening to General Sir vVilliam Slim on " Leadership". For one hour the delegates were held by the speaker, and this talk was indeed one worth repeating. It is hoped to reproduce the main points in a subsequent issue of The Gazette. The Countess of Cromer gave a lecture on the Hospital of the Order in Jerusalem and members heard much of the happenings during the present unrest in Palestine. "Discipline of the Brigade" was the title of Lt.-Colonel J. E. MccGwire's talk and in his position as Investigating Staff Officer Brigade Headquarters, he was able to cover the subject well. During the evening the Central Office of Information showed films on Blood Transfusion and Handling and Care of the Patient.

Once again Headquarters had been fortunate in getting the Bishop of Kensington to attend the Conference and to conduct the evening prayers and the Sunday morning services.

The first lecture on Sunday morning was on " The First Year's Work of the Joint Committee". This was given by Sir Ernest Burdon, who is not only ReceiverGeneral of the Order but also Chairman of the Finance and General Purposes SubCommittee of the Joint Committee. Sir Ernest dealt with the work of the Joint Committee, the reasons why it was in being and the reasons why St. John should be prepared to carry out its half-share of the work. So many important points were brought out that a synopsis of his talk will appear in The Gazette.

ment, Selection and Training of OJhcers and Finance. The findings of the were given at t.he end of the conference Two short talks on Standardization Plan for County Records, and Judging Uniforms were given by Assistant Brigade Secretan J. S. Hannam and County Supt. Smellie (Essex) respectively.

Owing to the fact that the Chief Commissioner had to leave the Conference during Sunday afternoon, Lady Dunbar:l\asmith (Deputy Superintendent-lllchief) summed up the Conference after the last discussion had taken place.

It was very evident t.hat the delegates were of the opinion that the time spent at Ashridge had been most instructive and that such Conferences were very necessarv for the good of the Brigade. The social side was not forgotten. There were breaks in the time t.able when delegates could, and did, discuss Brigade items between t.hemselves; and the beautiful surroundings added to the amenities of the Conference.

The sincere and eloquent votes of t.hanks extended to Brigade Headquarters by various members well repaid t.he trouble taken by those in authority who organized the Conference.

"FI RST A I D COMPETITION TRAINING "

The abo\"e is the title of a new booklet recently written and published by nIr. F. A. Trott, who is Ambulance Secretary of the Railway Executive, Southern Region and Assistant Commissioner, County of Sussex, S.lA.B. Many readers ":ill recall that Mr. Trott was, for many years, one of the leading competition team captains and lead his team to victory (Horsham Railway and Brigade) on numerous National Finals. This booklet is extremely instructive and is well worth the 2s. 6d. asked for it. It contains useful and necessary data, not only for t.he competitor but also for the organizing secretary_ Throughout there are many illustrations in the lighter vein which adds to the usefulness of the book. Specimen competition marking sheets are also given. CopIes can be obtained from the author, at 16, Hurst Road, Horsham, Sussex.

Miss 1\1. F. Hughes, Chairman of the Council of the Royal College of Nursing gave a lecture on " Nursing Services in the Future-the Brigade Contribution" which MORE COPIES interested not only the Nursing personnel It is now possible to supply more copies present but also the Ambulance personnel. of The Gazette. Divisions requiring Throughout the Conference discussion mor:thly parcels, also members requiring :vere and these proved most caples sent by post each month, should lI:terestmg lDstructive. The subjects send t heir orders to the Publishing Office, dIscussed mcluded P ublicity, Recruit- 46-47 Chancery Lane, W C.2

POLICE NAT IONAL FIRST AID COMPETITION

The first post-war National Competition among Police Forces in England, Wales, and the Isle of Man was resuscitated this year by the Association, and it was very evident at the Final Round, held at the Borough Polytechnic, London, that the enthusiasm of the members of the various Forces has in no way diminished from pre-war standards.

March 12 saw the nine finalists fighting hard to win the coveted " Pim " Trophy, and throughout the day spectators witnessed some very interesting and excellent work.

In the preliminary rounds, held in the nine Police Districts, 98 teams competed, which number is an increase of 6 over the 1939 figures. It is, however, hoped that when the next preliminary rounds are held the number will increase further. Of the finalists the Birmingham City Police have represented on eight previous occasions, having gained first place in 1930, 2nd in 1938 and 1939, and 3rd in 1936 and 1937. The West Riding Constabulary have been finalists on seven previous occasions.

For the year 1948 the honours go to Brighton Borough Police who gained a splendid win over the Police by 11 marks. It is of interest to note that on the previous occasion when the Brighton Borough Police won through to the final, in 1938, they gained first place.

At the prize presentation The Lord \Vakt'hurst presided. He congratulated the teams and pointed out that every team had a fine record behind them.

The Secretary-General of the Order of St. John (Brigadier VV. B. G. Barne) announced the results which were greet.ed ,,,,ith loud applause.

The Rt. H an. J. Chuter Ede (Secretary of State for H ome Affairs) presented the awards, and expressed his pleasure at being able to be present. The little he had seen of the competition had filled him with the greatest admiration. The close association between the Ambulance Organization and the Police was a matter of gratification to both sides. The work which each had to do in the respective spheres they covered was greatly helped by their general association, and particularly by such events as those they had just witnessed. On behalf of the Police, he expressed their thanks to the St John Ambulance Association for the interest they had taken in this particular work. He hoped that association would continue for many years to the increasing benefit of both sides.

Lord \Vakehurst thanked the Home Secretary for his presence and for his encouraging words.

Sir Clive Liddell (Director of Ambulance) proposed a vote of thanks to the Judges, to Mrs. John Maxwell, the Associated British Picture Corporation, and JlvIr. Joe Grossman for their continued kindness in staging the set pieces, and to the patients and stewards.

The judges in reply said that the standard of work was very high and that the work of most of the teams was beyond criticism. The quiet efficiency and ease with which the competitors dealt with the situations must have given confidence to the patients.

THE

RE SU LT S

The

marks gained.

THE TESTS

In the Team Test Nos. 2 and 3 received the following card :-

" You two have met in the street on the completion of a tour of duty. Yon are fifty yards from your Station where your reliefs are waiting. "With the help of your reliefs deal with any emergency which may arise. Time allowed 20 minutes; warning at. 15 minutes."

The action of the test showed a house in course of erection with a workman climbing up the ladder with a hod of bricks, whilst his pal was sawing a piece of wood on ground level. They were chatting a"way when the first workman's wife arrived with his lunch. He swings round and slides down the ladder upsetting the bricks and colliding with the carpenter. The wife was of a somewhat hysterical nature.

The marking sheet for this test was :Max. Marks.

Appreciation of accident, quick approach, take charge. 4

Appreciate non-injury of carpenter. 2

Dispatch him to Station for help and first aid material 2

One member to control wife; one to Bill. 4

Speak to Bill; he responds intelligently. 2

Immediately note blood-stained sleeve 4

Expose wound freely, note size, 6 inches. 4

Is it bleeding freely? (yes, very freely) 2

Grasp whole wound area and squeeze firmly. 4

Does this control hremorrhage ? (yes) 2

(Arrival of other two members of team with first aid material.)

Give details of accident to No. I who takes over control 4

Inquire for pain; Bill gives details 2

Allocate member to steady right leg 4

Allocate member to steady right arm . 4

For continuance of immobilization on both 4

Turn him carefully on to blanket and cover him. 4

For maintaining adequate cover. . 4

Note pale face; keep head low and to one side

The Home Sccretary (The Rt. Hon. J. ChuteI' Ede) presenting the" Pim " Trophy to Brighton Police Team.

Are there beads of sweat on forehead? (yes).

Test condition of skin (cold and clammy)

Take pulse at wrist (100 and feeble).

Inquire if he feels weak and giddy (yes)

Diagnose presence of shock.. 2

Layout dressing material on clean triangular bandage 4

Care in handling. 4

Further examination of wound area. 2

Examine for signs of fracture in limb (no signs)

Elevate limb 2

Gradually releasing grip on wound can bleeding point be found? (yes)

Apply pressure with thumb.

Is there any sign of foreign body? (no)

Temporarily cover wound

EXAMINE RIGHT LEG.

Is leg shorter than left? (yes)

Is the foot everted? (yes)

Can the patient raise heel from ground? (no)

Are there signs of swelling and irregularity? (yes, near hip). 2

Carefully examine rest of leg for injury 2

Also left leg (no further signs in either) 2

Is there any sign of wound? (no).

Diagnose simple fracture neck of right femur. 2

For care in examination and maintenance of immobility 4

EXAMINE RIGHT SHOULDER.

Is arm helpless? (yes) ; head inclined to that side? (yes). 2

Signs of irregularity on clavicle (yes) 2

Careful examination for signs of injury to shoulder and rest of arm (none) .

Is there any sign of wound? (no). 2

Diagnose simple fracture of right clavicle 2

For care in examination and maintenance of immobility 4

EXAMINE BRUISE ON FOREHEAD.

Any sign of fracture? (no).

Any signs of concussion or compression? (no). 2

Dispatch member to Station with list of injuries 2

To telephone for doctor and ambulance. 2

If hysterical wife does not behave take her with you 4

Quick examination of rest of body (no further injuries) 4

TREATMENT WOUND.

Replace thumb pressure with dressing and pad . . . . .

Adequacy of pad, and bandage sufficiently firmly to stop bleeding.

Does blood soak through dressing? (no).

Support in buttoned-up coat.

Care in handling dressings and care of dressing material

TREATMENT FRACTURE NECK OF FEMUR.

Draw foot down to other foot and bandage 2

Place seven bandages in position and wellpadded splint 4

Tie in correct order. 4

Adequacy of padding, correct tension of 4

TREATMENT FRACTURE CLAVICLE.

Lift coat from shoulder and undo brace. 2

Correct pad and arm in correct position. 4

St. John sling and secure limb to side by broad bandage

Check pulse and adjust sling.

Care in handling and support of left upper limb.

TREATMENT OF BRUISE.

Is spirit available? (yes) Apply compress equal parts spirit and water

TREATMENT SHOCK.

See that clothing is loosened .

Obtain hot water bottles from Station, cover and apply.

Keep careful watch for overheating.

Give hot, strong, sweet tea.

Encourage the patient and do not discuss his injuries.

Identify and arrange for message to wife or family

Tactful dealing with wife. 2

Carefully collect all first aid kit. 4

Prepare, test, and blanket stretcher. 4

Loading of patient 4

Carrying of patient from platform to ground level 4

Loading of ambulance 4

Final check-up of injuries, especially wound and head. 4

For general handling of case 10

Total 240

In the Individ ual Tests competitors had to deal with the following cases :-

forcarm. Lat.er intcrnal hccD10rrhage developed. On the whole this was well done, but compctitors did not observe very readily the fact that tbe boy was [rom a chemist (and had a parcel of cCluipment with him) and in some cases handled the injured forearm carelessly.

. No. 4 had to answer numerous questIons, aIl;d although they were straightforward It was very su rprising to find that competitors omitted most. obvious and elementary items.

OBITUARY

'""Ie regret to announce the death of the following :-

Private John Morgan, who for many years was a member of the Haslemere and District Division. 111'. :\Iorgan died in "Vales where he did a tremendous amount of work for the Brigade, especially in the mines. He was a Serving Brother of the Order and held the Service Medal and 4 Bars.

Corporal William George Scarfe, who died on March 4 at the age of 29. He had been a member of the Del'by and District Corps (Rolls-Royce Division) for nearly seven years.

Sergeant W. Rich, an original member of the Southwick Ambulance Division. He joined the Brigade in 1929 and was the holder of the Service Medal.

Ambulance Officer A. W. C. Blake, of the Milton Division. He joined the Brigade in 1903 and during the World " 'ar I served with the R.A.l\I.C. becoming an Instructor for Class A Reserve. In the recent war he enrolled in the Portsmouth C.D. but had 1.0 retire owing to jIl-health. He kept up his Brigade work and at his death was Divisional Secretary Ambulance Officer Mrs. Ethel M. Bailey, of the l\laltby Nursing Division, which joined in 1930. She acted as Treasurer for many years and had qualiJied for the Service Medal.

Corps Officer (R) J. W. Bellamy who rendered long and faithful sen-ice with the Central Ambulance Division and the Leeds Corps. He was a Sen'ing Brother of the Order.

Nos. 1 and 2 were walking past their Technical College one evening "when a man rushed out and told them that the caretaker had fallen down and was crying for help. He was found to be lying on his right side with his left leg bent under him. There were red st.ains on his right trouser leg and on the carpet; and patient was found to be suffering from nitric acid burns and fractured patella. Many competitors lost marks because they touched the trouser leg before making sure of the Ambulance Officer W. E. Pemment, an contents of the broken bottle which was acti"e worker with the Armley aDd close by. \ Vortley DiYision for 30 years. A Serving NO.3 was patrolling along a side street Brot.her of the Order; he will be greatly in a residential area and witnessed an missed by his friends and colleagues. elderly lady knocked down by a delivery Dr. Matthew Hunter, Divisional Surgeon bicycle, which was ridden by a boy from of the Chilton Ambulance Division, had a chemist's shop. The patient was found to been a member of the Brigade since 1928 be suffering from a graze in the palm of and had taken an active part in the work the hand with simple fracture of right of the Order. 107

Burma.

The Report for 1947 shows that the Brigade has been re-established: there are Branches or Divisions in the following towns :-

Mandalay, Kyangin, Hlawga, Thaton, Myingyan, Henzada, Pyuntaza, Tavoy, Magwe, Twante, Toungoo, Dedaye, Myanaung, Insein, Pyu, Kungyangon.

There are 64 Ambulance Divisions with a total membership of 1,909; 11 Nursing Divisions with a total membership of 243 ; 2 Cadet Divisions with a total membership of 57.

There is every prospect of expanding the activities of the Brigade in the coming year; it has never been more popular than it is now. The people of Burma have realized what good work the Brigade has done, is doing, and can do for them in future. The Shan Sawbwas (Chiefs) are also willing to extend their help so that branches can be established in their States during 1948

Members attended several public demonstrations, rallies, conferences, and public meetings. The usual routine work

during the year was to atlend at race meetings every week and at football matches. The noteworthy duty which some of the members performed was to arrive at the scene with an ambulance car soon after the assassinations of Bogyoke Aung San and his colleagues and to cany some of the Ministers to the General H ospital straight away. Malta.

Cadet Ambulance and Kl1rsing Divisions are being formed in Cotlonera, Pawla, Tarxien, Rabat, Sliema and Valletta. The first Cadet Division was registered on January 1 of this year.

The Commissioners of the Boy Scouts and Girl Guides have given permission for their members 1.0 join the Brigade; these members will continue to wear their uniforms with the addition of the distinctive armlet of the Brigade. Other approved youth organizations who wish to enlist as Cadets in groups, whilst continuing to wear the uniform of their present organization are asked to communicate with the Officer concerned.

RAILWAY EXECUTIVE AMBULANCE NEWS

EASTERN REGION

Great Eastern.-The final of the G. E. District Officers' Ambulance Shield Centre was held in London on March 17 was held in the Headquarters of the t. when Dr. G. E. B. Payne judged the work John Ambulance Brigade Corps, "'orwich, of the six finalists. The individual tests where District Ofhcers \"alsby and were held the morning followed by the Haines (No. 1 District, S.J._\..B.) judged team test m the afternoon session. the work of nine teams, including one of C. K. Bird, Chief Regional Officer, women from Melton Constable. This presIded at the prize distribution and year, owing to the "'ationalization of the referred to the resignation of Sir Ronald Railways, a team from the old 1\1. & G. Matthews as President of the Centre. The entered and gained fir t place. This team, Great Eastern Centre was formed in 1893 from Melton Constable, recently gained and since that date over 23,000 awards first p.lace in the M. & G. N. competitions. had been gained by members of the Staff. NorwIch A followed two marks behind Mr. Bird appealed for a greater number with Sheringham a good third. The Lord :percentage of personnel to take up this Mayor of Norwich, Mr. \\T. G. Cutbush, Important work; and expressed thanks to who was accompanied by the Lady those who had given up their time to Mayoress, spoke of his pleasure at renewing become proficient in first aid. acquaintance with competition work, He presented the trophies and prizes as because he gained his St. John certificate follows: 1st. (Championship Cup), March nearly years ago and had spent several A; (Tom Mien Cup), Bishopsgate A ; years m competitions. Lady Cook 3rd BIshopsgate B. Other teams in order presented the shield and prizes and was of merit were Stratford Printing Works by Mr. H. G. Rampling (District vVivenhow and Stowmarket. March A Supermtendent). Sir Thomas ook spoke will now represent the Centre at the f th fi Group Competition to be held ? e ne ,":ork of the railway companies May 14. on 1D .encouragmg staff to form ambulance

The Annual Competition for the Norwich tuomts and he appealed to other employees follow their excellent example. 108

LONDON MIDLAND REGION

The 44th Annual Competition of the Cheshire Lines Committee was held at Liverpool where eight teams competed. Dr. W. Duncan judged the team work and Dr. G. L. Love the Individual and Oral tests. The Silver Challenge Cup was won by Liverpool Central with 267 marks, the second Silver Cup going to Northwich team. Hartford were third. Mr. Geral Leedam presided and called upon Mr. T. W. Royle (Deputy Chief Regional Officer, London Midland Region, to make the presentations. Mr. Royle paid tribute to the first aid work done by members of the Railway and to those who undertook first aid training. Mr. W. H. Hall, Centre Secretary, reported on the work accomplished during the past twelve months, which was warmly received, and thanked 1'.Ir. Leedam for his personal interest and support. Mr. Leedam spoke of the keenness existing among the ambulance members and thanked the Centre Secretary and District Ambulance Secretaries for the work they were doing.

London.-In an endeavour to increase interest in competition work the London District of the London Midland Region instit,uted a " Pairs" Competition run on league lines. Each member of teams gaining a prize last year would enter with a partner who had not taken part in a competition before. In the Second section members of teams who had competed before but had not gained prizes were invited to enter pairs. Fifteen pairs entered and the final round was held on March 22 at Euston House. The results were: Division A (for cup presented by the members) Marden and Ward of East Ham; Division B (for cup presented by Mr. E. S. Hunt, District Goods Manager), Dite and Shorthill of St. Pancras; and the Willesden Cup (open to those who had not competed in a competition before) Yarnell and Hooper of Willesden. Mr. Hunter (Goods Terminal Superintendent) presided at the prize distribution and congratulated not only the competitors but also those who had thought out the arrangements.

WESTERN REGION

Chester Division.-Two functions have taken place for the purpose of presenting long service medals and bars to members o£ the Staff in this Division. At the Social Club, Birkenhead, a social gathering was held to cover the Chester and Birkenhead areas. Mr. E. J. Smout, Goods Superintendent, Birkenhead, presided and the awards were presented by Mr. N. H. Briant, Divisional Superintendent, Chester. At the Staff Association Institute, \Vrexham, Mr. Briant presented awards gained by members of the staff in that area. He was supported by Mr. A. Higginson, District Goods Manager, Liverpool, Mr. E. J. Livesey, Assistant District Goods Manager, Shrewsbury, and other local officials.

Redruth.-Mr. J. S. P. Pearson, district

Traffic Manager, Plymouth, presented awards which included a number for long service. He was supported by Mr. F. 1\1. Davis, Assistant Traffic Manager, Mr. Sherman, Station Master, and Mr. J. H. Tippett, Divisional Ambulance Secretary. Swansea Docks.-Mr. E. V. Swallow, Dock Manager, presented a number of awards to members of the Swansea Docks Class, and also medals and certificates to Messrs. A. Swaffield and Vol. Morris for exceptional efficient first aid rendered. Mr. W. A. C. Morris, Assistant Docks Manager, presented gifts to the Lecturer, Dr. L. W. Hefferman, and the Secretary, Mr. F. Saunders, on behalf of the Class, in appreciation of the services rendered to the movement in the area for a number of years.

LONDON TRANSPORT EXECUTIVE (RAILWAYS)

The annual competitions were held on Mr. A. J. Webb (Chairman of the March 6 for the Challenge Shield presented Centre) presided at the prize distribution in 1907 by the Directors and Officers of the ceremony, the Shield and Prizes being Metropolitan Railway. The judges were presented by Mrs. Norman, wife of the Dr. M. M. Scott (team), Dr. E. S. Abraham Chief Medical Officer, who was present. (Individual practical) and Dr. Olive S. The chairman was supported by Mr. H. S. May (Viva Voce). Acton Works gained Gordon (Chief \ Velfare Officer), Mr. iirst place with Operating Managers (Rail- Anthony Bull (Staff Officer), Dr. J, ways) runners-up. vVybourne (Medical Officer) and others.

PAGEANT PLAY-KNIGHTS OF ST. JOHN

A Pageant Play, which has had many successes, can be obtained from Dr. Gladys A. Danby, M.B.E., Flook House, Station Road, Taunton, Somerset, price 1/6 eacb, plus postage.

IDEAS FOR NURSING DIVISIONAL PROGRAMMESl

By Divisional Superintendent Mrs. C. H. VERNON (Southbourne Nursing Division, Hampshire)

(Cont'tnued jt'om page 74, March, 1948, issue.)

Here are some different ways of teaching practical work :-

(r) lUistakes Competition.

For this you will need pencils and paper. Get each Officer (and N.C.O. if you like) to demonstrate a small piece of practical work, such as treatment of rigor, pneumonia, or fractured femul, making a number of deliberate mistakes. Members try to spot these mistakes and make a list of them. Of course, it is just too bad if they spot some unintended mistakes. When I tried this on my Division it was meant to be a serious competition, but I am afraid it was a most hilarious occasion, and by the time the" nurse" had fried a kipper in the patient's bedroom and sat on the patient's bed to eat it, I had to close the meeting hurriedly.

(2) Nurses' Practical Demonstrations.

A number of these will doubtless be given by your own Nursing Sister, but do not forget to call upon the services of the Sister Tutor or nurses at your local hospit.al, the. Nurse or Midwife, I have always founel them most willing to assIst by mstructmg, and very helpful eyenings have been the result.

(3) T eal'n Tests.

These ca?-. either be plaJ?-ned in advance and attempted by teams who have and workmg together, or you can give no warning and just pIck teams on the evening in question. vVhen you have a sufficiently expenenced team, challenge another Division to a team test or send them in for a local or County Cup competition.

(4) Prog11 essive Games in First Aid and H01ne Nursing.

a pencil and large sheet of paper for each member. A large hall with screens WIll be needed (or a number of small rooms); in either case, set out a number of small card tables, each one numbered and giving instructions what each member has to do when she reaches that table.

Here are some suggestions :-

A t?-ermometer to read. (Instruct," Do not shake down".) down the of uses of a triangular bandage.

(lll) \Vnte down the constItuents of milk.

(iv) down the complications of Chicken pox. (None !)

(v) vVnte down a message to a doctor asking him to come at once to a case of suspected poisoning.

This was a revelation; hardly one member wrote a perfect message. Many forgot to gIve the address to which the doctor was to come. It is essential they should state poisoning is suspected, name of poison if kpown; If. n.ot whether the mouth b.urned. These details are far more important than gIVmg the doct?r ChrIstIan and surname of the patient, the doctor's full name and quahficatIons-ab?ut 'which most members were most meticulous. Remember the messenger find the doctor out, and <Yo on to another whose name was not John SmIth, M.D. b

(The following tables will need an Officer or nurse in char<Ye to give the test and mark the result.) b

Lash together two splints for fracture involving the elbow

Do the roller bandage for a fractured collarbone.

(Vlll) Measure a dose of medicine (say one ounce in a medicine glass marking tablespoons) .

1 {Reprinted by kind of the author and also of the Editor of The White Cross, County of Hampshire Quarterly Magazine.)

(ix) Prepare r in 40 Dettol. (Bucket, water, Dettol, and measures required.) When each member has visited each table, correct their papers, give marks and a small prize for the winners.

(5) Home Nursing Test Cards.

To ensure that no member misses a vital piece of Home I ursing practical work through absence, make out a postcard for each member. On the address side write the member's name; on the reverse, prepare a list of Home ursing practice which you wish your Division to cover in one session or one year.

Here are some suggestions which you may like to put on the postcards :-

(a) Thermometers and charts.

(b) Mix Enema and practise with Higginson's and funnel, tube and catheter.

(c) Linseed poultice.

(d) Hot fomentations.

(e) Measuring medicine.

(f) Make beds and varieties of beds.

(g) Change sheets and drawsheets.

(h) Clean wounds and dress.

(i) Put on l\lanytail, T bandage and stump bandage.

These cards should be kept in the store cupboard and brought out every week; each section to be signed by the Ofncer who supervised that part of the practical work. In this way, it can be seen at a glance that" So-and-so has not made a linseed poultice". Incidentally, it ;s necessary to do it all properly, not using cold ,vater and imagining it is hot!

To TEACH MEMBERS TO tt GIVE OUT" THEIR KNOWLEDGE

The average member seems quite incapable of explaining accurately what she knows quzte well (especially to the doctor at exams., or if called upon to speak in front of others). She falls back on such phrases as " It's a sort of --er-" or " A kind of-cr ", and simply infuriates the doctor by replying to a question, " \Vell, 'would you do so-and-so?" To which he invariably replies, " I'm asking what you would do." CONSTANT PRACTICE is the only way of overcoming this difficulty. Vie have annual competitions, vl'ritten and oral. They are quite voluntary, but hardly anyone evades them and most members enjoy them. Vie have First Aid and Home Nursing questions set by a doctor. After he has corrected the papers, he comes along and criticizes the answers-the papers are anonymous. Last year's howler was" Shock is a sudden depression of the vital organs!" The following week we have our Divisional Surgeon and two nurses, who ask questions in different rooms on First Aid and Home ursing, and ask for two roller bandages to be done for criticism. Prizes are given for these competitions at our Christmas Party.

Competitions may also be arranged for YOUNG versus OLD (age or service), BLONDE versus BRUNETTE, and so on.

110 , I

(6) Speeches.

Sometimes I put a number of subjects in a hat; members in turn pick a subject, and then have to stand up and speak on that subject for two minutes. Use a watch with a second hand and appoint a timekeeper. You can have half the speeches on serious subjects connected with First Aid and Home Jursing, and the other half comical, such as tt Kippers ", " Kissing ".

As an alternative you can have all serious subjects; let every member pick one and give ten minutes during which they may look up the subject. The books must then be closed, and each member called on to speak. Whichever speech is judged by voting to be the best can be rewarded with a small prize.

(To be concluded.)

HEADQUARTER NOTES

Male S. R. Nurses may be appointed Nursin<Y Officers of Ambulance Divisions with the rank of Ambulance Officer. His duties are identical with those laid down for Nursing Officers Nursing Divisions: Dress Regulations.-The leather portIon of the water bottle carrier, as used by Ambulance personnel, will in future be black.

Nursing Personnel Service.-Persons enrolled in a Nursing Division who hold only a First Aid Certilicate are permitted to count their services from the date of enrolment provided they obtain a Home Nursing Certilicate within the calendar year following the year of e.Drolu:en.t. Failure to qualify in Home ursmg w1thm the stipulated period entails cessation of membership.

Brigade Final Competitions will be held at the Central Hall, Westminster, London, on Friday, September 10. Cadet Final Competitions (Senior and Junior) will be held on October 22.

Stars for Service Medal Rihhons.-The following alterations have been approved and all future issues will be as follows: 20 years one silver star; 25 years two silver stars; 30 years 3 silver stars; 35 years one gilt cross; 40 years 2 gilt crosses; 45 years three gilt crosses; 50 years four gilt crosses.

NO. I (PRINCE OF WALES'S) DISTRICT

Deputy Commissioner.-Sir. George Abbiss has been appointed Deputy Commissioner with effect from March 1. City of London Division.-Mr. S. H.

serving in the Brigade Reserve. Ferguson thanked all for theIr kind thoughts and good Wlshes! <l:nd expressed the hope that the DIVlsI.on would continue its fine record of serVIce under the leadership of Amb. C. S. Cavell. The Division has been ill continuous existence since its formation in l\Iarch, 1890.

.

Harlesden Division held a soclal recently at which the Mayor of Willesden (Ald.erman \V. A. Stilton), who was accompamed by the Mayoress, awards to members of the Dlvls10n. Asst. Commissioner Dr. G. R. H. \Vrangham presented the Mayor with the badge of Office as Divisional President, which the Mayor said he was proud to accept.

In addition to labels, pendants, \Var Service Certificates and Efficiency Service awards the l\layor presented the " 'Wright" Shield ,(for individual nursing) to CorpI. Treadwell; the sons" Efficiency Cup (most effiCient member) to Corpi. Treadwell (for the third year in succession); the It Brooks." Cup (for advanced indi\"idual first aId) tu Private Bond.

Malden and Coomhe Nursing Division gave a party for 40 Ex-Service men and women recently. The guests were conveyed from the Queen Mary Hospital, Roehampton, to New Malden in two coaches. Tea, entertainment and supper were provided, the entertainment being arranged by the Ambulance Division assisted by Nursing Cadets. The Mayoress of Malden, Mrs. E. W. Jones, the Deputy Mayor and Mayoress (Councillor and Mrs. E. Gordon), Div. Surgeons Desmond de Launay and Morgan, District Officer Miss A. West, Area Cadet Officer Miss Ayres were among those who welcomed the guests.

LANCASHIRE DISTRICT

Cooper, a member of this Division, was presented with a Royal Humane Society Certilicate by the Mayor of Southend for his part in the rescue of three girls from the sea at Shoeburyness and Southend during June and July last year. Mr. Cooper was accompanied by two other The" Mrs. A. Slater Cup" competition men who had assisted with the rescues. for first aid was held on March 6 at Hackney Division.-At the 58th annual Thornton and was won by the general meeting, held on March 15, a team. The judges were Doctors Nell presentation of an electric clock was made F-aulkner and J. Barrie-Brownlie. The to ex-Staff Sergeant Major Ferguson to Chairman of the Thornton-Clevelys U.D.C. mark his retirement after 49 years con- and Mrs. Chadderton were present, the tinuous service to the Division. He joined latter presenting the cup and mementoes. the Division in 1898, when it was known A Nursing Cadet presented Mrs. Chadderas the It Children's Homes Division ", and ton with a bouquet. Those present Dr. F. A. Tunstall, co-author of Warwick included District Supt. Miss Moore and and Tunstall's "First Aid Handbook" District Officers Eccles and H. M. Smith. wa.s the Divisional Surgeon. His services Supt. Mrs. Horburgh and members of the to the Brigade were acknowledged by the Thornton Nursing Division made all the Order in 1935 when he was Admitted a arrangements. Serving Brother. The presentation was Morecamhe and Heysham Corps held made by Amb. Officer S. J. Fisk, who a Fashion Parade on March 3, at which joined the Brigade in 1894, and is still the" New Look" was well to the fore.

112

Three sessions were held at Messrs. Studholmes of Lancaster, the first being opened by Mrs. F. H. R. Maclean, wife. of Brigadier-General Maclean, M.P., Wlth Miss P. Hyde, Matron, Queen Victoria Hospital, in the chair. The afternoon session was opened by the Mayoress of Lancaster, with District Officer Mrs. G. Normanton presiding, whilst the evening session was opened by the Mayoress of Morecambe and Heysham (Mrs. N. L. Nevison) with Corps. Supt. E H Norman in the chair. Unfortunately Dlstnct Supt. Miss Moore was unable to reach the display owing to fog. A record crowd of 3,qOO attended the Fashion parade WhICh realized .£239 towards Brigade Funds. A committee composed of the Mayoress, Presidents and Vice-Presidents, superintendents of Nursing Divisions, together with Mr. Bradley of Studholmes and Corps Supt. E. H. Norman were in charge of the arrangements.

NORTHERN IRELAND DISTRICT

The following is taken from the log of one of the Ambulance crews of the Northern Ireland District:

" The above crew were returning from town duty by tramcar and when one tramstop distance from the St. ] ohn garage, a run-away tram about 40 m.p.h. with no lig.hts no one in control. "\Ve lmmedlately alighted and Pte. Semple ran after the runaway tram whilst I and Pte. Malone ran to the garage and collected an ambulance and when the runaway tram crashed into rear of another tram, near the CapItol Cinema we were on the scene with our within half a minute. About 10 minutes later three N.F.S. ambulances arrived but as the seven patients were already in the St. ;?-achine their services were not requrred.

The patients included wh? were taken to the Royal Victona HospItal for spine and skull x-ray, three suffermg from slight cuts and shock, and two others suffering from shock. The excellent ,,:ork carried out by the St. John crew ensured that the patients receIved Immediate attention.

and thus competed in the Brigade Finals, and Ampthill Nursing Division the Cadet Competitions.

COUNTY OF BIRMINGHAM

At the close of last year the County of Birmingham had a total personnel of 3,118 and 176 divisions. These figures show a reduction on those of the previous year being 646 less personnel and 13 divisions. In spite of these decreases the voluntary ,,,"ork carried out shows no abatement. Over 20,000 cases were carried by the Ambulance Transport Service to which 1,025 attendances were made by voluntary drivers, 1,007 attendances by voluntary orderlies, 2,639 attendances by voluntary Ambulance Sisters. Col. Sir Bertram Ford ill his last report as Commissioner for the gives a clear picture of the work carned out by the personnel. In addition to the ambulance duties already quoted 2,955 voluntary duties were undertaken with Smethwick Corps Ambulances. ursmg personnel attendances at 'Welfare Clinics, Nurseries, Nursing Aid, etc., numbered 631, whilst the number of cases (Ambulance and Nursing) reached 26,264. Public Duties totalled 2,574, whilst Ambulance Cadets carried out 830 duties and Nursing Cadets (at hospital and Nurseries) 5,201 hours. At the three l\Iedical Comforts Depots nearly 600 articles were loaned. Competitions were re-established; and Moseley "A" Nursing, and St. Huberts, 'Warley Nursing Cadet teams represented the Region at the Brigade and Cadet Finals. Sir Bertram Ford in his farewell message pays tribute to the devotion, and courage of the personnel and theIr unfailing loyalty to him.

N.C.O. '8 Cluh.-The newly reVlved N.C.O.'s Club ended its first year, holding a children's party as in pre-war years. The guests included County Secretary ::\11"s. F. Frew, Corps Officer A. \V. Drew (former President) and others.

COUNTY OF BRISTOL

Bristol "A" Division. - County President His Grace the Duke of Beaufort, accompanied by the Duchess of Beaufort, presented the Jubilee Certif?cate the COUNTY OF BEDFORD Division, which can trace lts eXlstence Accordinb<Y to the annual report. of continuously since February, 1891.

V C K ht Ambulance Officer Lane, who has been County Commissioner Capt."\ mg , a member of the Division without a break personnel in the attended 4,491 since 1902 was presented with his sixth public duties dunng 1947, and tre<l:ted ServI'ce Bar,' and Private G. N. Iles, 1 050 cases. Personnel now numbers Just 01 1,000, there being a slight decrease who joined the Division in 19 was over the previous The. County among those present. The Presldent Competitions were rev.lve.d dunng the warmly congratulated on A b the fine record of his DlvlsIOn dunng the year Bedford Town wmnmg the m u- F (Ki d Luton Town the Nursing, who also past 57 years. Cadet Pat ox ngswoo , hR' I Competitions Cadet Nursing Division), the youngest came first in t e egIOna 113

Cadet in the County presented a bouquet to the Duchess of Beaufort.

Kingswood Nursing Division.-Two members of this Division are deserving of praise for the they have. ';Inde!taken since they ]olDed the DivlslOn ill 1943. Amb. Sister Mrs. Favell M. Bennett has never missed a Divisional meeting and has never been late. She holds the record in the Division for the highest number of duties, having attended 358 during her five years' membership. Amb. Sister Mrs. Dulcie Parker has n.ever been late and, except for three weeks when. she was ill, has never missed a drill. She regularly undertakes two afternoons' voluntary service every week in a local hospital and gives a third afternoon to voluntary service at a Child Welfare Clinic. This she has done regularly since she joined the Brigade.

COUNTY OF BUCKINGHAM

Two minutes after the Dakota airliner from Brussels crashed and burst into flames at London Airport, with the loss of nineteen lives, an emergency call for ambulances was received at the Serena Headquarters of the Brigade, Slough. Fortunately it was the Nursing Division's Drill night and the call for volunteers met with a rush, so that three ambulances rushed to the scene of the tragedy ninety seconds later. Reaching the Airport they found that nothing could be done. The three people who escaped were taken to Hillingdon Hospital by the airport ambulance; but the Slough contingent were thanked for their speedy arrival in the fog.

Princes Rishorough Divisions held . a joint annual general meeting on March 7,

Counh- President the Duke of Beaufort presenting the Jubilee Certificate lo Bristol "A " Division.

when President W. Walker (Ambulance), accompanied by President Mrs. 'Walker (Nursing) County

Major Darvil-Smlth, Asst. C?mmlSSlOner R. Stewart Miller, County 01hcers C. Day and Miss Mitchell were also present. On behalf of all members a handbag, cigarette lighter, and cigarettes ,v:ere presented to Miss Burchett on her retIrement from the Secretaryship of the Nursing Dh ision.

COUNTY OF CHESHIRE

Romily Division held its annual general meeting at Headquarters where Dr. J. Boardman, who presided, presented Service Medals to Privates \V. Rider and H. Oldham. Votes of Thanks on Vellum were presented to Private W. Birchenough (Divisional Storekeeper for 14 years) and Private H Oldham (Di,-isional Secretary).

COUNTY OF CORNWALL

The \Vestern and E astern Area COIllpetitions were h eld at Falmouth and Liskeard respectively, the results being :W estern A rea,' l\mbulance-lst, Penzance; 2nd, Illogan (five teams competed). Nursing-1st, Budock; 2nd, Redruth.

Eastern A Yea,' Ambulance-1st, St. Blazey; 2nd, Liskeard (three teams competed) Nursing-1st, Launceston; 2nd, Newquay . The first two teams in each area will compete in the County Competitions.

COUNTY OF DORSET

Poole Nursing Corps annual general meeting was held on 1arch 3 when President Mrs. Bright presided. She was supported by Corps Surgeon Lanchester,

Corps Supt. Miss Timbury, and other Corps Officers. After her opening remarks, Mrs. Bright plesented warrants of appointment to Cadet Supt. Mrs. Dickerson and Cadet Officer Miss M. Burden. Corps Secretary Mrs. Galton reported that public duties during 1947 numbered 2,059, and over 3,000 hours had been given to local hospitals. Members of the general public to receive first aid treatment numbered 1,700, including 800 cases treated at the Beach Hut during August. The Cadet Division had gone well ahead and had now over 100 qualified Cadets in the Borough. Report on the Medical Comforts Depot was submitted by Mrs. Cobb, whilst Dr. Lanchester spoke of the First Aid League Competition. which had proved most popular with the divisions.

COUNTY OF DURHAM

Brandon Colliery Division held a supper and social, organized by the Cadets, at which County Commissioner Stanley Embleton presented Ribands of the Order to Div. Surgeon \V. H. Denholm, Supt. T. Blenkinsopp and Amb. Officer K. G. l\fcVean.

COUNTY OF ESSEX

The County Competition for the "Langley Jones" Cup was held at Braintree. Chelmsford and Colchester tied for first place, but after a further test Colchester were declared the winners with 157! marks against I56! marks scored by Chelmsford. Lady Courtauld presented the Cup to the winners and congratulated the competing teams on their splendid show. The competition was under the direction of County Commissioner J. L. Hamilton; the judges being County Surgeon W. N. Booth (Herts), County Surgeon P. \Veiner (Suffolk), and County Officer VI. E. Norfolk. County Officer J. S. Smith organized the function.

COUNTY OF NOTTINGHAM Worksop.-\Vhen the Worksop Nursing Division was formed in 1914 Miss A. A. Schofield enrolled with the intention of serving only for the " duration". That was nearly 35 years ago; but it was only last month that she retired from her office as Superintendent. A dinner was arranged at which County Officer L. \Vard \;Valter presided. Many were the words of praise spoken by numerous members and visitors, and it is of interest to note that among others who joined at the same time were included Miss R. S. Greaves (now County Officer) and lVIrs. M. A. Bartle (now Superintendent). The presentation of a silver salver to Miss Schofield was made by former County Supt. Miss Gibson, who

eulogized the work carried out by Miss Schofield. The recipient warmly thanked the members for their gift, which she would treasure for ever.

COUNTY OF NORFOLK

A conference for Officers of No.4 Area was held at King's Lynn, where County Commissioner Sir Thomas Cook presided, supported by Asst. Commissioner Dr. W. E. H. Bull, Lady Howard, Mrs. R. Otter. Various aspects of future organization were discussed, including public duties and competitions.

A conference for No.8 Area was held at Great Yarmouth. County Commissioner Sir Thomas Cook presided, supported by County President Lady Cook, County Supt. Dr. May Rutledge, County Cadet Officer Mrs. G. E. Portal, County Officer R. C. Hannant, and Chief Officer A. lVIoxley (N.F.S.). Many future activities for the District were discussed and good progress was reported.

No. 1 Area Conference was held at Torwich.

Sheringham.-Supt. E. C. Turner presided at the annual meeting of the Sheringham Division., being supported by County Officer S. E. Day, Div. Surgeon H. C. Geldard, and Divisional Officers. Satisfactory reports were presented by the Treasurer, Mr. H. S. Plummer, the Secretary, Mr. E. A. Stolworthy, and on the Cadet DiVision. County Officer Day congratulated the Division on the reports and, on behalf of the Sheringham Town Ambulance Committee, thanked the members for their time spent in manning the town ambulance. Tribute was paid to Amb. Officer J. Forsdick for the way the competitions teams were going ahead under his instruction. The Sheringham team had gained the No 6 Area competition.

At the annual dinner held last month, County Commissioner Sir Thomas Cook reminded the public that despite the fact that the State was ever-increasing its re ponsibilities, St. John still remained a ""holly voluntary body and would continue as such so long as they proved themselves capable of fulfilling their obligations. Divisional Cups were presented by Lady Cook as follows: Individual Challenge Cup, E Rix, runner-up, P. Bill, consolation, J. Horne. Team Challenge Cup, " A " Team leader, Pte. Bill, runners-up, " D "Team, leader Pte. Rix. Cromer.-Ambulance Division gained a narrow 3 point vict0ry over Holt in the opening test for the" ].T.B. " Social Cup (presented by A/Supt. T. J. Briggs, Holt). The competition, on league principle, is confined to teams from Holt, Cromer, and Sheringham. Div. Surgeon H. C. Geldard (Sheringham) judged the work.

Swaft'ham Ambulance, during the past year, carried 197 patients, attended 18 road accidents, and travelled 7,537 miles.

COUNTY OF NORTHAMPTON

Wellingborough.-Members of the Wellingborough Headquarters Division have a remarkable record of service.

Corps Sergeant-Major J. vV. Francis went out to South Africa with the Brigade contingent during the South African War, and he has been a member of the Brigade for 55 years. He holds the Service Medal and eight bars, and is a Serving Brother of the Order. Pte. Horace Barrick has been in the Brigade for 33 years, and has served with the RN.A.S.B.R for over 30 years. Amb. Officer G. C. Powis has 25 years' service, Sergeant T. H. Roberts, 33 years, Supt. J. S. Parker has served 20 years, Staff Sergeant W. J. L. Gotch, 30 years, Corporal L. C. Gotch, 29 years, Pte. R F. Gotch, 18 years, Pte. A. E. Plowman, 16 years, and Pte. C. Sturgess, 15 years.

COUNTY OF OXFORD

Banbury Division reports another year of progress during 1947. The three Divisional ambulances answered 1,491 calls, including 1,357 removals, and travelled over 20,000 miles in so doing.

Barton Division held its annual dinner recently, when President Major P. Fleming presided, supported by Vice-President Lord Sandford. The Chairman proposed "The Order of St. John", to which County Commissioner Dr. Gardiner Hill replied; whilst Lord Sandford submitted "The Barton Division ", paying tribute to the achievements of the Division. Secretary R H. Strickland replied and thanked the members and volunteer drivers for their continued support and Supt. Mrs. Cross and the members of the Nursing Division for their valuable assistance. Seventy-three cases had been removed by ambulance, and the mileage covered was 2,283. Nearly 60 cases were treated at Fox Lane Headquarters.

PLYMOUTH, S.W. DEVON, AND E. CORNWALL

company by County Commissioner,C. C. Prance, who outlined the activities of the County under his comman,d. The Lord Mayor said he had very poignant memories of the work of the Brigade in the city. One of the monuments to its work was the effect it had upon the extensive A.RP. organization. Before unveiling the Stone ' the Lord Mayor presented a Jubilee Certificate to the Millbay Railway Division, and a Service Medal to Pte. K. H. Rice (Saltash Division).

Those present included the Earl and Countess of Mount Edgcumbe, Asst. Commissioner Col. G. Thomson, and County Supt. Mrs. R Balsdon.

COUNTY OF SOMERSET

Minehead.-The annual competition for the" Luttrell Cup" was held on March 8.

The test was set by County Surgeon \V. Bain and judged by Mr. H. B. \Valker, F.RC.S. The result was a win for" C " Team, leader Sgt. L. \V. Harrison, with " A " Team, leader Corporal K. A. Bailey, just one point behind. In the absence of County President Mrs. Luttrell, the Cup was presented by Supt. Mrs. D. Clarke. The judge complimented the teams on the excellent work, the difference in marks being the attention to detail and care in handling the patient. Supt. F. A. Tarr thanked Mr. Walker and Dr. Bain.

COUNTY OF SURREY

Airscrew Division gained first place in the competitions open to teams in N.W. Surrey and held in the main hall of the Airscrew Co.'s premises. McLaren's" A " Team were second, and vVeybridge No.1 third. County President Countess Lindsay presented the Billing Shield and individual prizes, congratulating the winners and expressing the hope that they would eventually go forward to the Brigade Finals in London. The judges were Dr. H. F. Sparling (team), Dr. J. R. Robertson (dual practicals), Dr. J. W. Milligan, and Surg.-Capt. G. O. M. Dickinson (individuals), the latter arranging the tests.

Chertsey.-At the annual meeting it was reported that work of the Division had An interesting sequel to the visit to been well carried out, but that more Plymouth of Major J. V. Abela, Com- members were required. After 17 years a missioner, Malta Brigade Overseas, took Superintendent, Mr. R J. Gristock has place recently when at Prysten House been appointed to Corps Staff. The (County Headquarters), the Lord Mayor of floods had damaged their headquarters Plymouth (Alderman H. J. Perry) unveiled but members had made the place prethe "Malta Stone". This stone was sentable. Duties had been performed at recovered from the blitzed Malta Infirmary St. Peters Hospital and at the football and sent to Plymouth by Major Abela. ground. Sgt. R Balchin gained the Canon Norman H. Clarke, Vicar of " Gristock" Cup and Cadet Corporal St. Andrews, dedicated the Stone. The Groom the " Dr. Vaile" Cup for Lord Mayor, who was accompanied by attendances. Over 1,500 miles was the Lady Mayoress, was introduced to the travelled by the ambulance.

116

COUNTY OF SUSSEX A special presenlaLiun was a Grand Brighton.-District Officer W. J. Noble Prior's Cadet Badge to Cadet Sergeant presided at the annual meeting of the Butt. Brighton Corps, held at Headquarters on March 4. He was supported by Corps Surgeon and Supt. Dr. F. H. Stuttaford, Corps Secretary R G. Winder and Corps Treasurer R. F. Carter. The Corps now has a membership of 341 members, and during the past year 7,543 duties, an increase of 3,654, had been performed.

In addition, 318 duties had been performed at hospitals. Cases treated reached 2,541, this number being four times greater than in 1946. Nearly 2,000 cases were treated at the Beach First Aid Posts.

The Cadet Divisions had done well. Nine Grand Prior Cadet Badges had been gained; and in competitions the Brighton Senior Nursing Cadets gained second place in the National Finals. Over 230 articles

COUNTY OF WARWICK

Rootes

Group

Division.-The annual dinner-concert was held on March 5, when Mr. B. B. Winter (Rootes Group Director) presented awards. He stated that the first aid work being carried out by the Division was greatly appreciated by the Directors. With Supt. Taylor at its head the new Factory First Aid Hut was pleasing to the Directors. Those present included Asst. Commissioner G. Fowler and Mrs. Fowler, County Officer J. H. Harris, and many Corps Officers, also Dr. Samuel (Group Medical Officer), and Mrs. SamueL

WEST RIDING OF YORKSHIRE

had been loaned from the Medical Hebden Bridge Corps celebrated its Comforts Depot. Jubilee on February 28, when a Certificate

Horsham Nursing Division annual was presented to the Corps by Asst. Commeeting was held on March 8, when missioner Dr. VV. N. West-\Vatson. The President Mrs. B. Denny presided, award had been delayed owing to the war, supported by County Officer Mrs. A. P. the Corps having been formed in 1895. Scott. Supt. Miss M. E. Young reported Many of the present members have that 260 transport duties had been carried lengthy periods of service, and Dr. West out, first aid rendered to 48 patients, Watson stated that the occasion was nearly 50 hours given to hospitals and unique because it was the first in the a like number to Blood Transfusion Midland Area. Corps Supt. Naylor Service, public duties numbered 551. accepted the Certificate, whilst Councillor Mrs. Sayers won the Divisional Fred Barker (Chairman of the Hebden " Lancaster" Cup competition. Cadets Royd U.D.C.), in giving a civic welcome, had attended the Horsham Hospital, said the Brigade had served the district where eight Cadets had put in 1,799t faitWully since 1895; and he felt that the hours. Three Cadets transferred to the residents did not fully realize the value of Adult Division, whilst two are probationer that work, and the extent of leisure time nurses at the Horsham Hospital. Two devoted to it. As a railwayman he knew members gained the Special Service Shield. the usefulness of the Brigade; two Worthing.-A First Aid Quiz was recent accidents had brought. that home recently organized by the \Vorthing to him. President Councillor J. W. Ambulance Division at which Worthing Cockcroft, who presided, gave the history Police, Lancing Railway \i\Torks, two of the Corps, and many speakers referred teams from 'Northing Ambulance, and two to the excellent work carried out by from \iVorthing Nursing Division com- members. A dressing case was presented peted. Div. Surgeon H. Rosenberg was to lYIr. H. Needham, formerly secretary Question Master. He also provided the for 23 years, by Corps Supt. Taylor. prizes. The judges were Div. Surgeon New Edlington Corps.-On February 2 W. O. Pitt and Dr. B. A. R Pitt. Worthing a display and inspection was held at the Nursing Division "A" Team gained Drill Hall. County Nursing Officer Miss first place. Barraclough, accompanied by County Officers Mrs. LeBrun and Mrs. Rogers, COUNTY OF WILTSHIRE was the inspecting Officer. In addition to Salisbury Division annual meeting was Nursing personnel and Cadets of the New held on March 15, with County Surgeon Edlington Corps, members of the H. S. Taylor-Young in the chair. He gave Doncaster Collieries Nursing Corps also particulars of the Ambulance Service attended and joined in the demonstration which would come into operation with the of work. Mrs. LeBrun expressed thanks to Health Service Act, and which the Miss Barraclough for her attendance and Brigade would carry out for the local interest, and also Corps Officer lYIrs. So.ar authority. During the past year 1,670 on making the arrangements. MISS journeys were made, but under the new Barraclough, who was thanked by scheme there might be a big increase in Mrs. Soar on behalf of the Officers and calls. Supt. Kirkbride gave details of the members present, gave great credit to all Division's busy year with public duties. who had taken part. 117

MO DE RN TR END S IN T H E TRE ATMENT OF ACCI D ENTS

(Senior

By RUSCOE CLARKE, F.R.C.S.

Surgeon,

Birmingham Accident Hospital)

(A Synopsis of Lecture given at the Shelley Hall, Pontypridd)

The country and the profession have a responsibility to apply the. recent advances in the treatment of the injured which have been developed c1urmg the war to all injured, ,,-ith special attention to injuries occurring in dangerous industries like mining.

On the one hand there are the severe dramatic major injuries requiring emergency and special handling. On the other hand there are the general run of so-called minor injuries.

At the Birmingham Accident Hospital we handle about 30,000 patients ""rith injuries every year. Of these we get about 300 from one particular works, which in turn are selected from 50,000 minor cuts and abrasions which are handled by the factory surgery. , i',Te have to learn how best to handle the general run of these relatively minor problems and yet be prepared to do all we can for the more isolated severe case.

The chief causes of trouble in a severe case are hcemorrhage, shock, and sepsis, which may be fatal, and local damage which may produce deformity and incapacity. In addition, if badly handled, patients may develop psychological troubles.

The recent war taught us much about the treatment of hcemorrhage and shock.

Blood and plasma are invaluable but their use must be combined with expert judgment and timing of surgery to take advantage of the improvement these methods of resuscitation can produce.

Sepsis is more easily controlled by penicillin in association with adequate surgery, exploring the wound and removing dead tissues. These pave the way for reparative treatment by suture and grafting of skin, tendon, and bone. During the war, owing to the necessity of evacuation of patients from the battle zone, this surgery was done in stages. The surgically cleaned 'wound ,vas left open under a dressing and in plaster. The suture or graft was carried out later, at the Base.

To-day we attempt to do the whole job in one. This means getting the patient early and having a skilled team constantly available. We are able to do things with penicillin that we dared not do before. For instance, a severe open fracture of the leg may be given blood, taken to the theatre, ancesthetized, and the wound cleaned. It is then explored and dead tissues and dirt removed. The bone may be fixed by a metal plate and a large area of lost skin replaced by a graft transferred by stages from the other leg. Within a few weeks the bone is in position covered by healthy skin and recovery is likely in months rather than years.

We are repairing many injuries to fingers and thumbs by similar immediate grafting from the other arm, especially where a man's 'work or other interests make the retention of the full length of the fingers essential.

In severe burns the principles are similar-plasma 'will handle shock, protection of the wound from an secondary contamination will enable penicillin cream to preserve asepsis, and early grafting reduces the amount and duration of incapacity: We believe industrial centre should make special provision of first aId for the occasIOnal dIsaster where a number of burnt patients require treatment at one time.

<?ur war. taught us many lessons about the way in which patIe.nts wIth. dIfferent of vvounds stand up to ambulance journeys of vary.mg At the ACCIdent Hospital we are experimenting with a mobile surglc,:l u,rnt held ready to take a surgeon and surgical team with facilities for resusCItatIOn and surgery to the site of an accident. How often this will be of use we .do not yet know well be that its chief use in this country might ?e. m relatIon to the mdust:-y. An expert decision taken when a badly lIlJured ?lan the plthead mlght save lives that would be lost by routine evacuatIOn to an mcompletely equipped local hospital.

(To be continued.)

118

for

Headquarters: Priory House, 4 Cathedral Road. Cardiff

GENERAL INTEREST on account of indisposition, the chair was taken by Mr. D. C. Williams, CommisThe Late Chancellor.-By the passing sioner for Carmarthenshire. The Hon. of the late Viscount Sankey, G.B.E., K.C., John H. Bruce, Principal Secretary and the Priory has lost an eminent Chancellor, Commissioner for Wales, welcomed those who has held the office of High Chancellor present; and a recording was played of England. A resolution expressing the extending greetings from officials of the Priory's deep sense of loss was recorded New South Wales Centre to members of in the minutes of Council, on the motion the Order throughout the Grand Priory. of the Honorary Solicitor, Mr. Norman The Chairman said he thought Cadet Ingledew. Officers would welcome the opportunity New Appointments -The Prior, the afforded by the Committee for meeting Earl of Powis, has appointed Mr. D. M. colleagues from other counties, as in his Evans-Bevan, J.p., the former Vice- view there was considerable scope for Chancellor, to the office of Chancellor, and more co-ordination of interest Mr H. S. Capt. Geoffrey Crawshay, J.P., D.L., as Cann strongly supported the idea, quoting Vice-Chancellor. instances of exchange visits with his Road Transport Ambulance Competition. neighbouring centre; and Miss E. Kinsey -The first post-war ambulance com- urged the desirability of encouraging petition for road transport teams to be co-operation between counties particularly held under the auspices of the Priory for with a view to impressing upon cadets a \Vales is to take place on December 5 at due sense of their relationship within a vast the Reardon Smith Lecture Theatre, organization and an appreciation of the Cardiff. The report of the Executive immensity and dignity of the Order. Committee set up to explore the possibili- The Commissioner for Wales said it was ties was adopted at a meeting of represen- tatives over which nIr. Trevor Morgan, a cause for regret that training courses K C., the Traffic Commissioner, presided on were not yet being held in \i\Tales, but that March IS. He congratulated Mr. A. Oram, there was always a welcome at HeadHon. Secretary, on the progress made by quarter Courses for Welsh representatives. the Executive Committee under the The Priory was represented by its two dire·ction of the Chairman, Mr. Lee Wilkes, Chief Cadet Officers on the Headquarter and considered it most satisfactory that Cadet Ad' isory Committee which was six Undertakings had already signified legislating for the whole country. It was their intention of entering teams. Mr. finally agreed, as an interim measure, to h organize a one-day conference on a Trevor 1\1organ stressed the fact that t e Saturday at Newport, Cardiff or Swansea object in view was th0 promotion of First to which all Cadet Officers in South \i\Tales Aid instruction and training and that will be invited. every means of encouragement should continue to be afforded to Undertakings The Chief Film Officer for \i\Tales came which had not so far found themselves in from the Central Office of Information, a posit.ion to enter teams. It is hoped also 2 Cathedral Road, Cardiff, to advise on that steps will be taken to bring in the the mobile film units available for hire Goods Section; and in the event of the free of charge. Mrs. Simpson had gone entries becoming too numerous to compete through the Cadet curriculum and gave in one afternoon the Executive will details of many films of particular interest. 'consider the question of dividing the She referred also to the Meetings Branch county on a geographical basis. Any which could provide speakers to attend difficulty experienced in regard to class meetings for the purpose of speaking on instruction can be reported to Priory various subjects.

House with a view to assistance being An interesting report was made on steps offered, while details of the competition taken to link up certain Cadet Units with can be obtained direct from the Hon. German Youth Groups; and an extract Secretary, Mr. A. Oram, the Institute of from the January, 1948, Bulletin of the Transport, the Corporation Department, Standing Conference of National Volun\Vomanby Street, Cardiff. tary Youth Organizations appealing to Cadet Officers at Priory House.-The organizations in this country to set up first meeting of the Executive Committee German correspondence groups to meet for South Wales was attended by higher the overwhelming demand for "penCadet Officers from eight Centres on friends" from thousands of young GerMarch 4. Lady Twiston-Davies, J.P., mans. Any Cadet Officers interested are Chief Officer Nursing Cadets, being absent invited to write direct to the Secretary of 119

S.C.N.V.Y.O. at 26 Bedford Slluarc, London, W.C. 1, at the same time informing Priory Headquarters of their action.

CENTRE REPORTS

CA RM A R T H ENS HIRE

Members of the Ammanford Division and their guests spent an enjoyable evening on March 8 on the occasion of the annual dinner, over which Mr. D. J. Thomas, 1\1.E., presided. The visitors included County Commissioner Cecil \ Villiams, Llanelly, County Cadet Officer Handel Rogers, 1\1r. Idris James, Drs. Harper and Ambrose Morgan, Police Tnspector Jones and Sergeant John.

The chairman said how fortunate the Division had been in securing the services of Dr. Morgan who had maintained an unflagging interest on the part of the class members not only by his excellent lectures, but also his presence at every meeting. Tributes of praise for the Division's past record, and words of encouragement to proceed to greater achievements in the future, were expressed by Commissioner Dr. Harper, Mr. Idris James, Inspector Jones, and Councillor T. Morgan Jones. In the course of his address, Mr. Williams gave a brief outline of the history of the Order; and looked forward to seeing in the near future a Cadet Division at Ammanford ready to take up the torch of service when it was handed on by the older members. He presented service chevrons and first aid awards gained during the past year. Dr. Harper made the interesting statement that the first

hospital ull U1C Cuntinent was eslablished by the Order of St. John of Jerusalem.

A vote of thanks to everyone who had contributed i.owards making the function such an unqualified success was proposed by Corps Superintendent Dr. Morgan, and seconded by Corps Treasurer Stanley Davies.

FLINTSHIR

E

The dedication of the new mOLor ambulance acquired by the Rhyl Division was conducted by the Ven. Archdeacon R. H. Roberts, M.A., Vicar of Rhyl, at St. Thomas' Church, on Sunday, March 14, when the large congregation included Lord Mostyn (County President), the Dowager Lady Kenyon Howard, C.M.G., D.S.O., J.P., D.L. (ChaIrman), Dr. J. Wells (Commissioner), Lord Kenyon and Mr. C. Higgs (AssistantCommissioners), Admiral R. G. RowleyConwy, C.1\I.G. (President, Rhuddlan Nursing Division), Mr. Llewellyn Edwards, J.P. (President Rhyl Division) and Officers and Members of local and neighbouring Divisions. During the service the Vicar, accompanied by Officers of the Order, walked to the ""est door of the church outside of which the new ambulance was standing. The Chairman of the Rhyl Council, Mr. P. T. Trehearne, praised the work of the Rhyl Division and on behalf of local subscribers said he had pleasure in handing over the ambulance to their charge. Dr. 'Vells responded and Divisional Superintendent J. H. Scrowcroft expressed the hope that it would enable the Division i.o increase their service in relief of suffering.

MONMO UT H S HIR E Dr. L. C. Colpel, S1.. Mellons, with Assisi.Cad e t Camp Arrangements.-At a well ant Commissioner l\Iajor A. H. G. Field attended meeting of Cadet Officers in judging uniform. Capt. C. G. Traherne, Monmouthshire held on March 6 at Commissioner for Cardiff, who was unable Cru mlin , sixteen Nursing Cadet Divisions to remain for the presentations, congratuwere each allotted six places at the Nursing lated the teams on the high standard of Camp at Llanmadoc on the Gower Coast efficiency shown and thanked the Judges to be held this summer under the charge of for their services.

Area Cadet Officer Miss E. Kinsey. It was Assistant Commissioner Field presented decided at the meeting to arrange regular the Commissioner's cup to the Dowlais meetings for Cadet Officers at various Cardiff Works Division, which achieves places in the county, with a view to its 21st anniversary this year. The cup affording opportunities for an interchange presented by Assistant Commissioner of ideas on Cadet progress. Capt. F. B. Robathan, M.C., for the Gwe n t Cou nty Area.-A noteworthy Ambulance League Competition was instance of First Aid was reported to handed to the League winners, the Cardiff Priory Headquarters by Mr. E. O. Transport Division; and Mrs. A. Hauser, Williams who represents the L.M.S. Vice-President of the Cardiff and District Centre on the Ambulance Committee. At Nursing Corps, which has the distinction the direction of the Committee the Princi- of being the first formed in 'Vales, handed pal Secretary has sent a letter of commen- the cup given by herself for the Nursing dation to Superintendent VV. J. vVilliams, League contests to Cardiff Nursing Abergavenny Di,ision, for the excellent Division No.1 Team.

Presentation to Mr. G. J Rowlands on retirement as Assistant Commissioner, Newport (Mo.n.) Corps after 42 years. Those present include Corps President W. J. T. Collins, i\sslstant Lady Supt. for Wales The Hon. Mrs. J. H. Bruce, Principal Secretary and Commissioner for Wales the Hon. J. H. Bruce, Mr. and Mrs. Rowlands. (P hotograph by courtesy South Wales Argus). 120

manner in which he rendered service, RHONDDA CENT R E assisted by Messrs. Prosser and Stockham The Mid-Rhondda Corps is to be conof the Engineering Dept., on the occasion gratulated upon the enterprise of its of a railway accident in which a woman Officers in deciding to organize a series of sustained serious injuries. The doctor lectures for ambulance workers, along the who attended the patient 'wrote: "I had lines of the lectures arranged by Priory occasion to treat this patient on her arrival Headquarters for colliery ambulance at Abergavenny Hospital on March 8, workers. The first lecture took place at 1948, and observed with pleasure that not the Ambulance Hall, Penygraig, which only had all necessary first aid steps been was filled to capacity, ambulance men taken to arrest the severe hremorrhage travelling from as far as Treherbert, from which she suffered and to combat Gilfach Goch, and the Pontypridd area. the resulting shock, but that they had The Lecture on "Fracture Treatment" been carried out in a very workmanlike given by Lt.-Colonel Charles Bryan, and efficient manner. The promptness F.R.C.S.(Ed), President of the Llwynypia with which these measures had been Ambulance Division, was illustrated by applied and their efficient execution, a film showing in detail the work of a together with the speed shown in con- combined hospital and rehabilitation veying her to Hospital under shocking centre. 1\1r. Levi Phillips, M.E., B.Sc., weather conditions, minimized what would General Manager of o. 3 Area, N.C.B., otherwise haye been very grave injuries presided and in his address expressed and rendered my subsequent task much pleasure in having the opportunity to easier. The whole circumstances of the make himself known to the Brigade case reflected the greatest credit on the il1embers in the area, whose valuable work first aid men concerned and I have great in the mines was highly appreciated. pleasure in testifying to that fact." Mr. Tudor Powell, Agent, N.C.B., moved B e d we llt y Co u nt y Area -Corps Super- a vote of thanks to the Lecturer, which intendent Wilcox and Miss Kinsey was seconded by l\Ir. luchard Richards, visited Wattsville on March 25 to present Manager of the -Lewis Merthyr Collieries, preliminary First Aid Certificates to 20 Trehafod; and the Area First Aid Officer members of the Social Service 'Welfare (Corps Secretary 'V. McTiffin) was called Centre, and it is yery much hoped that upon by the Chairman to explain to the some Brigade development may result. audience the N.C.B. proposals to sponsor T rev ethin Count y Al'ea -The Pontypool Ambulance Competitions within the SouthDivision mourns the loss of a beloved 'Western Division. Mr. }IcTiftin appealed member, the late Private Benjamin to ambulance workers in the area to rally vVatkins, who e sense of loyalty and round in his efforts to bring the Rhondda sincerity in service were an inspiration to back to its pre-war strength. His policy all his colleagues. would be to try and establish a virile CITY OF CA RDIF F CEN TR E colliery ambulance division at every Ambulance Teams of tbe Cardiff and colliery in the area, which he felt was the District Corps competed on March 20 for most effective means of ensuring an the "Commissioner's" cup, the Judges efficient first aid senice in the mines of being Dr. T. Bryant, of Tredegar, and South vVales.

121

INTERESTING CASE REPORTS

CASE R EPORT No. 343.-The Officer-in-Charge of the Western Area, No. I (Prince of Wales's) District, S.lA.B., reports the efficient performance of first aid by a member of the Ruislip Cadet Division in the following circumstances :-

At 6 p.m. on January I3, Cadet Officer W. E. Willins was called to an in Royal Lane, Hillingdon, where a young lady had been knocked off her bIcycle. The night was very dark, and it was raining heavily. On arrival, Cadet Officer 'Villins found the patient in a distressed condition, lying in the roadway, and complaining of pain in her right leg, and of not being able to see. On examination she found that the patient was from severe concussion, with an extensive laceration of the head, from compound fractures of the right tibia and fibula, and also from numerous abrasions. The only materials available for first aid treatment were blankets. Consequently, as the weather was bad and the patient gravely shocked, she decided not to wait for more suitable equipment, but t o use some of the blankets rolled up to immobilize the fractured limb and to support and maintain the patient's position. With the assistance of bystanders the patient was loaded on to a stretcher and conveyed in an ambulance to Hillingdon Hospital, where she arrived at 6.IO p.m., was admitted, and subsequently made a rapid and complete recovery.

COMMENT.-By the proper use of her qualifications as a first aider, Cadet Officer TV E. Willins was able successfully to treat a gravely injured patient in difficult circumstances, and so wins cordial congratulations on good work well done.T CORBET FLETCHER.

CASE REPORT No. 344.-The Officer-in-Charge of No. I (Prince of Wales 's) District reports the efficient performance of first aid by a member of the Westminster Division in the following circumstances :-

At II a.m. on January q, Pte. E. Newman was called to a fellow workman, a butcher, who had accidentally cut his right femoral artery with a knife. Knowing that the doctor could not reach the scene of accident for at least twenty minutes, Pte. Newman promptly made patient comfortable and applied digital pressure on the femoral artery. When the doctor arrived and took charge, he found the patient in surprisingly good condition, thanks to the efficient first aid treatment administered and maintained by Pte. Ne·wman. The patient was removed in an ambulance to hospital, where he underwent immediate operation, and ultimately made a complete recovery.

COMMENT.-Cordial congratulations are tende'red to Pte. E. Newman, who by his skill and perseverance accomplished the first object of first aid, and thus was able to preserve the life of a patient who, if untreated, would have speedily bled to death.-N. C. F.

QUERIES AND ANSWERS

Fracture of Arm

E. G. (Sidmouth).-For the past thirteen years I have been a member of the Brigade and a reader of the Gazette, and the first pages to which I turn are always the Queries and Answers column and the Interesting Case Reports.

This month I was very interest ed in the query whjch was published under the above heading in the February, 1948, issue of the Gazette, and dealt with the treatment of fractured humerus; and I thought that you might like to know the tip which our ex-Transport Officer taught us long ago in this connection.

To treat a humerus, simply apply the two narrow bandages fairly firmly (but not too bghtly) round the arm, and then slide the three splints under the bandages. This done, tighten the bandages. This method does away with all the fumbling of trying to hold the splints in position while applying the bandages. Now I awajt your comments with interest.

122

FIRST CHOICE IN FIRST AID

'Iodex' is the ideal form of iodine for cuts, bruises, painful muscles, sprains, and swollen joints.

It is thoroughly bland-even on open woundsand its soothing, healing, antiseptic qualities have for long rendered valuable service in first aid.

Since' Iodex' dressings do not adhere to broken surfaces, they can be renewed without causing fresh bleeding and with minimum discomfort.

'IODEX'

IODINE OINTMENT

Obtainable from all Chemists

2/9 per jar

MENLEY & JAMES, LTD , LONDON

PRACTICAL

experience both in civil and military hospitals throws in great relief the need for a true physiological tonic. This is interpreted in day-to-day practice as the necessity for a liquid food which completely meets every metabolic need, is readily accepted by the patient and is immediately assimilated.

, Ovaltine ' is a delicious food beverage which meets this necessity in a highly satisfactory manner, both as an emergency measure and as a regular routine. The nutritive and energizing constituents of ' Ovaltine ' are rapidly assimilated, providing every dietary essential and, at the same time, allaying nervous tension in a most helpful manner.

'Ovaltine' is a natural food tonic prepared from milk, eggs, malt extract, cocoa and soya. Supplies are available to hospitals in special packings and at special prices.

For further particulars write to-

A. Wander, Ltd., 5 and 7, Albert Hall Mansions, London, S.W.7.

11

"fillst tlte JIlethod suaaested by you seems easy when at practice and wtth a patient who has not f1'achwed humerus, it is one which, in my ?pinion, is liable to cause ncreased pain alld possibly aggravation of the fracture an actual case. Furthe11 I remind you, that the methods taught tn the Textbook are those which can easily and safely be put 1'nto practice even by a first year student.-N. C. F.

Fractures of Upper Limb

G. 1\1. (EweU).-The Supplement to Textbook on p. 8 us to "remove the coat if possible" a ' part of a general method for treatmg fractures of the upper limb.. .,

Do you not conslder that thIS IS a dangerous practIce an? lllvolvcs unnecessary handling, and that it should apply only to fracture of clavlcle? Your comments will be most ·welcome.

You will note that the instntctions turn on the w011 ds " if possible"; and you know that in many cases of fractu1 1es of upper limb the coat can be easily and safely 1'emoved. Further, the removal of the coat facilitates the emergency t1'eatment of the fmctllre, and makes the work more easy whe11 the patient arrives at hospital. Should, however, the1'e be reasons to suspect that the re'tnoval of the coat in any given case might cause complications you would, of course, make no attentpt tn remove it.-N C. F

Fractures

of Lower Limb

G.1\1. (Ewell).-Also in the treatment of fractures of the lower limbs" if no splinting facilities are available", the Supplement to Textbook on p. 9 differs quite a lot from the instructions in the last sentence at foot of p. 92 of the Textbook. This being so, I suggest that there should be another deletion from the Textbook.

The inst1'uctions on p. 9 of the Supplement to Textbook refer to cases for treat'ment of which splints are not available They are, therefore, supplenzentary to those in the sentence at foot of p 92 of the Textbook. I n these czrcU1nstal1ces, I do not see that there is any need for deletionfrom Textbook. Incidentally, did YOIl overlook the se11ience in italics at top of p . 8 of the Supplement ?-N. C. F.

Treatment of Scalds

E. C. (Fulham).-In a recent competition the practical work was the treatment of a foot scalded with boiling water. The patient was wearing a thin light-coloured silk stocking. Many competitors did not remove the stocking, but treated the injury with a compress soaked in an alkaline lotion and placed over the stocking as per instructions for Burns and Scalds on pp. 28 and 29 of the Supplement t o Textbook. However, in her remarks after the competition, the Surgeon-Examiner said that the stocking should have been removed in the case of a scald, though not in the case of a burn. As Rule A.I on p. 28 of the Supplement under "Burns and Scalds" tells us definitely" Do not remove clothing "-I should much like your ruling on this matter.

I ag1'ee with your reading of the inst'ructions in the Supplement.-N. C. F.

Fractured Ankle

N. 1. (Colchest er).-Please tell me what is the correct first aid treatment of a patient suffering from fracture of the ankle and if the boot should be removed

Fracture of the ankle is the term given to a f1 1 actu11 e of the tibia and/or the fibula in the region of the ankle joint. Consequently its treatment is as for a fractured leg as set out on pp. 91 and 92 of the Textbook, whe1'e no suggestion is made that the patient's boot 11'tust be removed.-N. C. F.

Fractured Jaw and Artificial Dentures

M. R. (Wellington, New Zealand).-We have recently discussed the question whether or not we should remove dental plates if these should be worn by a patient when we have t o treat for fracture of lower jaw. Some of us are of the opinion that in such a case artificial dentures should only be removed if these are broken or cracked on the grounds that they afford additional support when 124

WILL NOT TURN SEPTI( IF TREATED WITH ANTIPEOL

OINTMENT

BECAUSE

one or other or all of the three races of germs, Streptococci, Staphylococci and B pyocyaneus are found in every skin infection co=on to this country, and ANTIPEOL OINTMENT the antibodies (antivirus) of these germs Healing is expedited by the proved ingredients of the ointment, and septic development is stopped or prevented by its antivirus sterile vaccine filtrates. ANTIPEOL OINTMENT is unsurpassed for BURNS and SCALDS, for It is microbicide and non-adhesive, and dressings do not require to be changed every day.

RHINO-ANTIPEOL

affords rapid relief of COMMON COLDS, INFLUENZA AND CATARRH. Containing the antibodies of the germs co=on to infections of the nose and pharynx (Staphylococci strep · tococci, B.pyocyaneus, pneumococci, pne!1ffiobadlli enterococci, M.catarrhalis, B.Pfeiffer), Rhino'-Antipeol is not just a palliative. but is a remover of the cause of the infection. During epidemics it is the ideal preventive of microbic development.

OPHTHALMO-ANTIPEOL

is a semiBuid ointment. more convenient than the ordinary Antipeol ointment for ocular infections and lesions. Eyes affected by smoke and dust are soothed almost immediately by the application of Ophthalmo-Antipeol( and the antiYlrus prevents germs from developm,. ...(:

George B. Ritchie & Co

First-Aid Equipm ent and Dressings 249 Buchanan Street Glasgow

Stretchers, Tourniquets, First-Aid P ouches and eaSel Splinting, &c.

BAND

GUIDE

hInts on the Drum and Flute. alsoParadeFormatlons. use of Parade Cane. ltD"'. etc.. 6d. pcul paid.

DRUM

HEADS

(Broken.) 0 t fte.h hoop. Ready lapped head r turned .ame day recelyed.

Henry POTTER & Co.

36/38 West St., Charing Cross Rd. LONDON, W.e.l.

THE 'Healing Hand'

Try Germolene yourself-and you will be convinced ofits power to soothe and relieve skin complaints. Under the healing hand of Germolenemanyskinaffiictions vanish in a few days - or even hours. Make a trial of Germolene to-day! 1/6 & 3/ 8 per tin, includingPurchaseTax

OF clears up MANY SERIOUS LEG TR DUB LES INFLAMMATION RASHES. BURNS, CUTS

DUNICAL SAMPLES ON REQUEST FROM () & MEDICAL-BIOLOCICAL LABORATORIES, LTD. 'I'IA CARCREEN ROAD, SOUTH NORWOOD, r;,11114I I&t;, LONDON, S.E.15 ASEPTIC OINTMENT

the fracture is controlled by bandages. Your kind ruling on this point will be much appreciated.

Complete absence of teeth in the upper and lower faw would prevent the proper control of a fractured lower jaw. So, provided that the patient is fully conscious, and provided that the dental plates are both intact and also firmly in position, I would not regard them as "foreign bodies". Consequently, I would not remove them before applying the treatment for fracture of the lower jaw . The dangers of artificial dentures are not so urgent with c01l2plete dentures as they are with plates ca1'rying one or two teeth.-J. C. F.

Snake Bites and Rabies

H. P. (Redruth) .-Please tell me why the Chapter on Snake Bites and Rabies is retained in the Preliminary Textbook for Cadets after being withdrawn from the Textbook for Adults.

The facts are as stated by you, but from inquiries made, it would appear that the apparent inconsistency will be amended at the earliest opportun1 ty.-N. C. F.

Use of Supplement in Cadet Competitions

H. P. (Redruth).-Please tell me why the Supplement to the Preliminary First Aid Textbook is not to be used in Cadet Competitions in the Junior Group. In this connection it seems to me that members of the Senior Groups who are allowed to use the Supplement (vide BC/C, para. 5, as amended by BC/7/47) have an easier task than the members of the Junior Groups who have the additional task of learning all the pressure points, etc. Also for competition purposes, the Juniors apparently have to discard the Supplement, but when it comes to re-examinations its teachings have to be included.

You:: valued opinion in regard to these two questions would be very greatly apprecIated.

Your been to the Brigade Secretary, who informs m e that after w'Lth the Chatrman of the Cadet Competition Committee it has been dec1,ded that the Supplement shall apply equally to both Senior and Junior Cadets, and that an amendment to R egulations of Competitions will go out shortly to this effect -N. C. F.

CLASSIFIED AD VERTISEn-lENT8

Advertisements with remittance should be sent to the St. John Gazette, 46-47 Chancery Lane, London, W.C. 2 (to which address replies to Box N!ln:zbers should be forwarded). Rate 3d. per word, mInimum 4$. 6d Box numbers IS. extra. Trade advertisements 4d. per word, minimum 6s.

RAISE FUNDS QUICKLY AND EASILY by s.elling Perfumed Cards, Sachets and other nove1ues. Samples free to secretaries.-THB AIRBDALB PRBSS P.O. Box 60 Bradford.

TREATMENT AND REMEDIES FOR POISONING.-A handy quick reference chart which shows at a glance the treatment for 30 different types of poisons. Compiled by Div. Supt. E. Hawkins. Signs and Symptoms; Treatment; Emetics; Purgatives; ; Demulcent Drinks; Artificial Respuaoon; Later Treatment. Price 9d., post free IId.-FoUNTAIN PRBSS, 46-47 Chancery Lane, London, W.C.2.

BOUND: VOL. I, CHIVALRY; Vols. 4-5, S.J.A. Gazette. Unbound complete, Vols. 6-7 \rnd Nos. 1-3, Vol. 8; sell as a lot, offer pleasePlaisance," Hailsham Road, Heathfidld,

W ANTED.-S J A B. Uniforms in good condition, state size and price -LESLIE E. COTTRILL, 216 Bromsgrove Road, Redditch.

FOR SALE.-Cadet Superintendent's Uniform, wlth cap and S.B. belt. Good condition, suit man 5 ft. 6 in -5 ft. 8 in. £5.-46 Tuns Lane, Slough, Bucks

O VER 300 separate pointers to successful competition work are given in Horton's Aid Competition Training. The practical gUIde for all First Aid Competitors. Price 9d., postage 2d. (8s. a dozen, ISS. two dozen).-THB FOUNTAIN PRBSS, 46-47 Chancery Lane, London, W.C.2

RAZOR BLADES FOR FUND RAISING.Etched (printed) your own brand "S.J.A.B." New slotted type. We are equipped to very small quantities. Best quality Bnush Sample, price, and particulars free.ROBBRTS BROS. & Co., 143 Town Street, Beeston Leeds II.

W A N!ED.-Battledress Suit in good condition. EIther black, blue or khaki colour. Sizeacr<;>ss shoU:lders 18 in., sleeves 19t in., waist 44 outslde leg 45 in., inside leg 3 It in , seat HUGHBS, 12 New Road, Littleport, 126

SKIN CLEAR AND HEALTHY

"After years of trouble"

"lI'lIlIdeljul Va/d erll/a 11ll! scpt ic (Jilltll/ ellt made my s kin ab solutely clear of p imples all ;l ro ugh skill, dry skin, etc , w hi ch I have had s illce I wa s in school and I am now twe llty-one. I .' Imply had to show my appreciatioll. "

Miss B lV , Ne wport.

DOUBLE-POWER ANTISEPTIC

A stnde has been made in the sCientIfic hcalin;.; n skin troubl"s. British scien tists have perfected il completely different kind of skin balm called \'alderma. .\ nel the secret of Valden na's amazing antlseptic action is a new ingredient never before used in a shin oUltment. This new wonder antiseptic, Polyridin (contained only in kills off the germs that cause most SI(1I1 trouhlrs ltc-hlng and soreness disappear. That's becallsc Valderma's oil-in-water emulsion ba e enables poisons to filt er away Valderma is white, non-greasy and invisible on the skin NOII'-laining- agreeable to lise, it Gill1 be applied ilny· \\here, <l il y lime. At Chemists, 2/2!, dOllble siz(' 3/ 10 fhe larg('r Jar saves ),011 money. T ry to-day [ or VOII Y Skill t rllll I>le_

Flag Day Emblems, BuHons and Badges

Price lists on application

For all supplies write: The Universal BuHon (0., Ltd.

Surat St., Bethnal Green, E.2.

Phone: Advance 2254 Tel : Unibutco,Edo,London

A.F.M. Drums, Bugles Flutes and Equipment

Will bring your Band up to Service Standard A.F.M. INSTRUMENTS

Are of the hIghest quality, and desIgned for Active Service." They are Economical too, beIng supplied direct from Factory Officers are invited to send for list Band Instruments and Equipment and/or List of 9 complete Band Formations. each price twopence.

A. F. MATTHEWS (Drums) Lid

t7 AYLESBURY ST., LONDON, E.C.t

Phcms: Clerkenwetl 601 Z DIrect Contractors-The Admiralty, War Office Air MInistry. India Office

The RILEY ROCKING STRETCHER SELF·CONTAINED BREATHING APPARATUS and all types of RESPIRATORS GAS MASKS AND MANY OTHER SAFETY AND PROTECTIVE DEVICES

TOLWORTH, SURBITON, SURREY

ADDITIONAL HINTS ON FIRST AID AND HOME NURSING by FLORENCE A KNOPE

DR. N CORBET FLETCHER writing in the Preface says" This book will appeal to members of Ambulance and Nursing units of the St. J ohn Ambulance Brigade It gives most helpful suggestions whereby full treatment of sudden illness and accident, as laid do wn in the Textb ooks, can be effected."

Price Is. 3d (post 2d.)

THE FOUNTAIN PRESS 46-7 Chancery Lane, London, W e. 2

ANATOMICAL DIAGRAMS AND OSTEOLOGY for LECTURES 127 BOOKS FOR AMBULANCE WORKERS H. K. LEWIS & Co. Ltd. 136 GOWER STREET, LONDON. W.C. I EUSton 4282 (S lines)

SUPPLY THE REGULATION

UNIFORM

We have In the making of women's Uniforms for 100 years and have a reputation for good quality materials and superb workmanship.

You can order your St. John Ambulance Uniform with confidence, knowing that every detail will be in accordance with regulations.

We shall be pleased to send full details upon request

E. & R. GARROULD LTD.

EDGWARE ROAD, LONDON, W.2 efficiency

• In emergency

The germicidal efficiency or 'Dettol' remains high even in the presence of blood, pus and wound debris. This property, coupled with its wide margin of safety, makes 'Dettol' invaluable [or use in emergencies, not only by you, but in the less qualified hands of others who in emergency might have to render first aid.