The St. John Gazette (August 1947)

Charms against Pain

In anoient Greece, when a partioularly effeotive remedy was discovered for any disease, its formula. was engra.ved on the post!! of the Temple of lEsoulapius, the god of healing, who, before his deification, had himself practised as a physici.&n., 8obout the y88ol' 1250 B.C. He prescribed natural remedies for disease and, in the absence of efficient analgesios, employed soothing charIrul for the relief of pain and magio eongs to increase their effeot!!

Our medical soience of to.day, with its X-rays and its ana.esiihetics, would have appeared quite incredible magic to those early practitioners, whose experiments and progress were based largely on guesswork. To-day progress is based on knowledge, and one discovery leads to another.

Take « Cogene ' for instance.

Modem science has shown that 8 small quantity of a powerful drug will do the work of a large dose if it is backed by the right combination of other drugs in the right prop@rtioIlB.

In 'Cogene ' minute quantities of four eepara,te drugs (three of them pain relievers

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and the fourth 8. stirnulant) are Boienttlic80lly combined in tablet form. Because eaoh is present in such 80 sma.ll a.mount there can be noharmfula.fter.efi'ects,yetthecombination is so effective that' Cogene ' will relieve the most harassing nerve pain in a few minutes. chemist it. Supplies a.re still limited. but he will do his best to soo you get your share. Price l/lid. a tube.

COGENE

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AIDS TO FIRST·AID (7th Ed.)

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COMMON ERRORS IN FIRST·AID

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AMBULANCE COMPETITION TESTa

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No.2. Conduct of Te4m In Competition Room ND. 3. Common Errors In Competit/onl No.4. Further Errors In Treatmentl

No.5. History 0( Competition Taul

No.6. PrePGrat/on of Tests.

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ODe or' other or all of the three races of germs, Strept()C()Cci, Staphylococci and B.pyocyaneull are found in every skin infection common to this country, and ANTIPEOL OINTMENT contains the (antivirus) of germs. Healing expedited by the proved lDgrOOients of Obltment, ?evelopment is stopped or prevented by 1ts antiVIruS sterile vaccine filtrates. ANTIPEOL OINTMENT is unsUFpassE'd for BURNS and SCALDS, for it is microbicid and Boo-adhesive, and dressinp do DOC to be c.hanged e\OeI"Y day.

RH.INO-ANTIPEOl

affords rapid relief of COMMON COLDS AND CATARRH. ContaininK the antibodies of the germs common to infections of the. nose and pharynx (Staphylococci streppneumococci, pneumo· B.Pfeiffer). Rhioo-Antlpeol IS not Just a palliative, but is a remo1'el' of the C4WSt of the infection During epidemics it is the ideal preventive of microbic deve)opmeiit.

OP,HlHALMO-ANTIPEOL

II • ..,mtftuid ointment, more convenient tha!1 u.e en1inary An tipeol oin tmen t for ocular in fectiow and lesions. Eyes affected by smoke and dust are sootBed almost immediately by the application of Ophthalmo-Antipeol, and the antivirus preventa germs from developing.

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Following the early diagnosis of pregnancy, Glne of the more commonly expected minor complications is the train of gastric symptoms usually referred to as morniJilg sickness. Gastric discomfort, nausea, retching or actual vomiting are all too common in the early months. Of particular assistance during this period is a regular dose . of 'BiSoDoL' immediately on waking in the morning. . -

The alkaline composition of 'BiSoDoL' controls excessive acidity; the magnesia present is mildly aperient, while the enzymes, papain and diastase it contains' assist the digestive processes. Pleasantly flavoured with peppermint (gil it IS easdy taken i[1l milk @[" wateF.

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Edited by GEORGB B. CRAFT, O.Sr.,., F.R.S.A.

VOL. 20. No.8.

EDITORIAL

WHAT WOULD YOU LIKE?

The response to the invitation to readers which appeared in the July, 1947, issue of the Gaz ette was not up to expectations; but we do thank those who have written and given their views and suggestions for future issues.

It is apparent that the majority of readers do not wish to read reports of Divisional activities unless those activities contain some interesting data regarding our work; but District, County, or Area reports only should be published. Only one card was received asking for more Divisional reports.

There can be no doubt that the Interesting Case Reports and also Answers to Queries are read each month, and the request for more of these can only be answered if more Case Reports and Questions are received from readers.

Many readers have asked for more articles on the History of the Order, on Anatomy and Physiology, on Home Nursing and on Personnel Hygiene when assisting with cases. It is hoped that all these requests will be carried out.

One suggestion was that a monthly written competition be included, and that a crossword and o.ther such recreation be published. This was not mentioned by many readers, but if the demand for such items is the general wish of readers then, of course, we shall do our best.

The question" 'Vhat would you like ?" is not closed; it is always open to readers to forward their suggestions, and we can assure you that 'we welcome letters containing instructive criticisms.

It might help if this question "vas discussed Divisionally; and we do invite Officers-in-Charge to forward the findings of their Divisions. In forwarding such information, we ask that the mimber of personnel taking part in the discussion is included in the report.

THE ORDEI\ ENTERTAINS J.W.O. WORKERS

On July 18 the Order entertained some Cross), the Receiver-General (Lord 200 members of the Joint War Organiza- Cromer) and Lady Cromer. tion to tea in tihe Chapter Hall O[ St. John's Gate, to show their appreciation Members from all parts of England; of the work done during the war years. Wales, and Northern Ireland were present Tihle guests were welcomed by UThe and conducted tours were arranged to visit Chancellor (Sir Ed'win King) and Lady the Gate, the Museum, and the Crypt of King, the LOFd Ghetwode (Bailiff Grand the P[-iOFY Church. 261

m1]t (irllU!l 'rior!l in t1]e r&ritizb Realm of the ltreutrable @rbtt af tbt 'illzpital af , JJglJn af JItruzaltm

His Majesty The King has been graciously pleased to the following Promotions in, and Appointments to, The Venerable Order oj the of St. john oj jerusalem.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Louise, Mrs. Dare.

Florence Muriel, Dr. Morris, O.B E.

Cissie Beatrice, Miss Golding.

Mildred, Miss Webster.

Marion Louise, Miss Martin.

Sarah Ellen, Mrs. Wil<d.

Lilian Jean, Mrs. Gauld.

Sarah Helen, Miss Haddon.

Barbara Manners, Miss Bolton

Susanna MUldel, Mrs. Cadwallader.

Lily Annie, Mrs. Western.

Edith Mary, Miss Selvester.

Eva Mary, Mrs. Whimpenny.

Annie Emily May, Mrs. Greenfield.

Mary, Mrs. Smalley-Baker.

Alice Grace, Mrs. Pym.

Susan Grace, Miss Sturmer.

Fanny Constance, Miss Mitchell.

Isabelle, Miss Kerr.

Gladys Isabel, Mrs. Body.

Alice Myfanwy, Mrs. Mason.

Joan, Miss Chadwick.

Phyllis CarGooe, Miss Facing.

Leila Philis Eugenie, Mrs. Coldwells.

Eliza@eth Marian Maxwell, Miss Balfour.

Blanch Efuily, Miss Buxton.

Gertrude Marian, Miss Si1cock.

Iris Beryl Lee, Mrs. Warner.

Olga Margaret, Mrs. Gimson.

Winifred Vivienne, Miss Catleugh.

Clive, The Hon. Mrs. de Lacy Crofton.

Elizabeth Rosemary, Miss Laurie.

Roberta, Mrs. Lankester.

Elizabeth, Miss Turner.

Rose, Miss Metcalfe.

Ada Jane, Mrs. Ellis.

Florence Maud, Mrs. Beckwith.

Fhlrence, Miss Fiielding.

Grace, Miss Fielding.

Eva, Miss Alsep.

Amy Florence, Miss Tillson.

Ethel, Mrs. Crow.

Lillie, Mrs. Sumsion.

Gertrude, Miss Hammerton.

Laura, Mrs. Raistrick.

Dorothy Ruth, Mrs. Galton.

Norah Minnie Louise, Miss Skinner.

PRIORY FOR WALES

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Harry Graham Davies, M.R.C.S., L.R.C.P.

William John Saddler.

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Squadron-Leader Edward Methuen Jones.

PRIORY IN SOUTHERN AFRICA

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Sir Ernest 0lilpenheimer.

Albertus Truter van der Poel (on appeintment as Esquire to the Prior ef Friory 10 Southern Mrica while Governer-General of the Union).

262

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Frank Alexander Taylor.

INDIA

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Arthur George Hall. Lieut.-Col. Montague Parker Atkinson, LM.S.

FOR ADMISSION IN THE GRADE OF ASSOCIATE OFFICER (BROTHER)

Rai Bahadur N. C. Ghosh, O.B.E.

Colonel S. L. Bhatia, C.LE., M.C., M.Q.• LM.S.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Zoe, Mrs Browne. Marjorie, Mrs. Small. Edith, Mrs. Willis. Edna May, Mrs. Burnett.

SINGAPORE

FOR ADMISSION IN THE GRADE OF COMMANDER (BROTHER)

Colin Campbell Blair Gilmour, C.B.E., M.B.

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Roydon Brown.

FOR ADMISSION IN THE GRADE OF OFFICER (SISTER)

Ailsa Dorothv, Mrs. West. Bessie, Mrs. Rogers.

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Herbert Norman Balhetchet.

Seow Cheng Joon. Dr. Chia Boon Leong.

FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING BROTHER

Ong Eng Lian.

Dr. P. C. Kwan.

MALAYA UNION

FOR ADMISSION IN THE GRADE OF SERVING BROTHER Joseph Partridge.

HONG KONG

F'OR PROMOTION TO THE GRADE OF ASSOCIATE OFFICER (SISTER)

Dr. Parrin Shroff (from Associate Serving Sister).

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Dr. jeha Bev.eridge Mackie.

Saml!lel Kl!lblic Szeto.

Chung Yung Pi.mg.

Chan Yau Shimg.

Chan Hung Yau.

Lam Wing Kam. Chu Shiu Lun.

Leung Sik Yan. Chin Ting Kwan. Wan Shiu Hon Claeng Tim.

FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING BROTHER

Dr. S. S. Ramler.

A. H. Rum;ahn. Tang Maa Chi. Tang Kwok Fai. Lo Ping Yim.

FOR ADMISSION IN THE GRAOE OF SERVING SISTER Lois, Miss Fearon. Lai, Dr. (Miss) Po-Chuen.

ST. JOHN COUNCILS IN THE COUNTIES

DORSET At the May meeting of the General Purposes Committee it was announced that Capt. J. Docwra Rogers had been appointed Chairmanship of the Council, Dr. Cooper (County Commissioner) reported that he had contacted the County Medical Officer of Health regarding the National Health Act, and that it would not be possible for the Brigade to take over the Ambulance Service: The existing ambulances of the Brigade would, however, work in conjunction with the scheme. Other items discussed included the formation of St. John Ambulance throughout the County, and Social Events for raising funds. It was decided that Mr. Biles (Treasurer) should also undertake the duties of Hospitaller and Almoner.

At the first annual general meeting of the Dorset Council it was announced that there were 55 Divisions of the Brigade now operating in Dorset, with a personnel of 954. Ninety members were still in the Forces. In addition there were 2 mobile V.A.D.s, 2 mobile C.N.R., 10 immobile C.N.R., 3 full time hospital workers, and 23 part-time.

SUFFOLK At the quarterly meeting of the Suffolk Council, it was q.greed to purchase property in Ipswich as new headquarters for the Ipswich Centre to whom the property would be leased conditional upon their being allowed the use of rooms as administrative offices. A grant was also recommended towards the purchase of an Ambulance Station at Becc1es. The Chairman (Lord Cranbrook) reported that the County Council had started a scheme of part-time nursing, and that Miss Miller, the County Nursing Officer, was acting as Organizer of the scheme. Her salary was being paid by the St. John Council for an experimental period of three months, after which time, if the scheme was working satisfactorily, the County Council would reimburse payment to the St. John Council. It was also reported that the Chairman had put forward the proposal to the Secretary-General of the Order that the Nuffield 'Trust, which was trying to organize work amongst old people, might be prepared to lGok upon St. J Ghn as Old People's We1:fialfe C<Dmmittees to o:rganize this work.

LANCASTER The ina1llgural meeting of the County Palatine Gf Lancaster was held on June 18, under the chairmanship of the Hon. H. A. Cozens Hardy. Major J. E. T. Younger (Secretary of the Order) addressed the meeting, and gave a survey of the initiation St. John Councils, and the main duties of such bodies.

It was reported that Lord Derby (President), who was unable to be present, had written wishing the Council every success. Major T. E. Spencer was arpointed. Secretary, and a and General PUlFposes Committee f<Drmed C<D[il,slsibng @f the ChalHnaiIiJ, Vice-chairman (Majo'r E. S. Burt Hamilhm), Mrs. Bi.rley, and' Miss Moore, together with the Chief Cemstable and Si'r J 000 Maxwell. The wbole question of i1llt1llJ!'e activities was remitted to this Committee for examination. 263

OPPORTUNITIES CO-OPERATION AND WITH NEED LOCAL FOR BRIGADE AUTHORITIES

(Med

·ical

By Dr. E. H. GORDON WALLACE

Officer of Health for Weymouth and South DO'Yset, and County, Surgeon for Dorset ' S.j.A.B )

(Lecture given at the Senior Office[,s Conference, Hoddesdoll, June 29, I947·)

We have ,heard from Sir Arthur Rucker how the Health Services are to be organized under the new National Health Service Act-in actual fact these Health Services themselves will not be entirely new-rather will they be the services we have known for some years, expanded in many directions, more readily available to the whole population without payment at the time they are required, and in a number of instances under a different administration than h eretofore.

L et me emphasize straight away that health and medical services are essentially personal services, and without the personal or intimate touch they cannot be satisfactory. As a nation we are somewhat averse to being unduly regimented, disciplined, and" planned for" by centralized authority, and in services affecting us so closely as the Health Services do, and will, it is important that there should be adequate decentralization with a considerable amount of local interest and influence

Do not let us be unduly despondent, however. The local Health Authorities under the new Act 'will still consist mainly of elected representatives of the people as 'vvill also the local Management Hospital Committee; in other words, they will be representatives of the community which members of the St. John Ambulance Brigade, possessing as they do a well developed sense of responsibility towards their fellow men, are anxious and willing to help. Let us remember, however, that the Brigade is a voluntary organization, and the great majority of ambulance and nmsing members have only a limited amount of time in which to undertake any form of duty, being either in full-time employm ent in shop, office, mill, or factory, or being housewives with homes and children of their own to look afteli, which in these stringent times is often not an easy job. Bearing this in mind it is probably better for a voluntary organization not to attempt ta take on too many extraneous duties, but to confine its activities within the limits of effective work, and t o remember that voluntary duties must be undertaken with as great a sense of responsibility as a paid appointment. I know of a number of Medical Officers of Health who are somewhat chary in accepting voluntary help in work and sch emes for which they are officially responsible, but in my own experien ce members of the St . J ohn movement have never allowed purely social occasions and personal convenience to interfere with duties which they have undertaken to perform.

The Medical Officer of Health will be the chief Technical Officer of the local Authority, and it is necessary that he should be fully aware of the actIvitIes covered by the Bngade. I would suggest, therefore, that if you have not already done so, you should invite your County Medical Officer of H ealth to .become a co-opt ed member of your St. John Council, or t o attend other Bngade County meetings, and that District Medical Officers of Health and Assistant County Medical Officers should be asked to talk on their work t o Divisional meetin.gs .. Likewise specialist Medical Officers, Health Visitors, Sch ool Nu.rses, and Matrons. General and Specia l Hospitals be mVIted t o t alk on their at DIVIsIOnal meetings, which may thus be of the drab monot ony whIch tends to develop with only set lectures on First Aid and H orne N ursmg. '

And now us consider some of the responsibilities of Local H ealth AuthoritIes and Local Management which can y sefully incorpomte voluntary serVIces.. Many of .these lIsted 111 excellent circular published by ReconstructIOn on Opportumtles for Service in the post-war penod for members ()f the St. J 011m AI'f!l.bulalJ]Jce and include the 264

Home Help Scheme, Sitters-in, Nursing Aid, Part-time nursing, assistance in w®rk in Sch®()l Clinics, Day a!llci!. Residential Nmseries, and Child Welfare Clinics.

So far as Home Helps are concerned, it is not possible for the average member to take up full-time occupation for two or three weeks in houses with sickness or confinement, but much useful work can b e done in a part-time capacity in homes where a ce'Ftain amount of help, although insufficient, is already available. Nursing members can also do part-time work as Sitters-in, and relieve the anxiety of parents in cases where, say, the mother has h a d to go away 'to 10()K after a sick relative, and father is working late. L ooking after other p eople's children and putting them to bed is a r esponsible duty calling for qualities af tact', resource, forbearance, patience, and perseverance.

'Both ambulance and nursing members can give considerable help to District N urses in home nursing, particularly y,rith h eavy cases, and m ay I say h ere a great many men can b ecorrie r eally interest ed in home nursin g, a qualification wli.ich I always encourage. In particular, nursing m emb ers can" stand in " t o relieve the District Nurse for weekly off-duty, for holiday relief, and can undertake the after-care of patients discharged from hospital. This work sometimes brings unexp ected dividends! At the Brigade final competitions Ambulance Sister NO.4 was called upon to prepare everything for the District N urse who was coming to give an en ema to the patient. As Ambulance Sister No. 4 of the ' Veym outh T eam r ead the card, I saw a broad smile appear on her face, and she r olled up h er sleeves and set to work with confidence. Mrs. Scriven had learnt exactly wh?ot had to b e done when assisting the Queen's Nurse, and I am h appy to say that the Margarette Golding Trophy is now in Weymouth. It is in H ospitals and Institutions that St. John members, both men "tnd women, can probably give most valuable service. It is, of course, highly important that the H ospital staff should properly appreciate the services of St. John members" some of whom have unpleasant recollecti?llS of the attitude of trained nurses towards them. The Matron can very easIly prevent such a tendency on the part of her trained nursing staff, and must h erself appreciate the n eed to arrange hours of duty in accordance with the volunteer's normal work and home responsibilities . I have known a number of ambulance men who have done really useful work in male wards and whose enthusiasm has been encouraged b y their being allowed t () watch operations. Please do not think that the Wards of a General H ospital are the only where .st. John members can h elp, they have also been of great 'ser vice in Children's Hospita ls, Conv alescent Homes, Fever Hospitals, and T.B. Sanatoria. '

While the care of the sick and injured may have a greater appeal to the majority of St. J ohn m embers, there are other ways, probably less dramatic, but nevertheless equally important; in which they can help Local Health Authorities, for instance, in School Clinics and Child Welfare Centres. So far as the youtine inspection of schoo[ children is concerned, volunteers can assist the School Nurse in weighing and measuring children, testing their eyesight, and keeping records. ,They can also learn to treat the cuts, bruises, skin infections, etc., which have to b e dealt with at Mmor Aliment Clinics, in fact , I have one part-time St. John nursing member who is in sole charge of a lowanch Mi'l1l.CHf Clini!c, and anothe['. who rums a Scabies , mept centre. There is room for many more volyntary h elpers at most ChIld Welfare Centres where they can assist in clerical wmk, weighing babies, selling baby foods, making t ea fo[' mothers, and looking after toddlers their mothers attend talks given by the H ealth Visitor, or doctor, on H ealth EducaCbtilllci!. W e1:fiare Cbni!cs aTe iUSi\!lalJ.y ih:eld in t1oJ.e afternoon between 2 aFid 4 p .m ., which is a convenient time for a number of St. J ohn .here I make a ;plea fo[' greater in Child Welfare lectures for Nursmg DlVlSlOns. Student m emb ers should be encourageci!. to help at Child 'iVelfare Clinics and in Day or Residential Ntlrseries, particularly during the school holidays and at week-ends.. May I say that I think Nursing Cadets should be allowed to enter Student Divisions at the age of fifteen? I fe€l that at we lose a great 265

many promising members in that vital year after many girls leave school when they fed more grown ul? and less anxious to appear in the JUNior Cade1i unifor1iil!l.

Experiemced nursing and ambulance members can also give talks in Sec(!:mdary Schools on elementary Hygiene and First Aid. They seem to have the gift of putting across this instruction in simple language and are, therefore, frequently more successful in this work than the average medical practitioner. In addition to the voluntary and part-time duties with a more obvious nursing bias to which I have referred there is other work of a more sodal nature to which a contribution can be made. St. John members can do useful social service by impressing their frie]jids and acquaintamces with the necessity for supporting the National BloE'ld Transfusion Service and by themselves assisting when the Transfusion Unit visits their town or village; by spreading the gospel of Diphtheria Immuniz?-tion, and by taking an interest in the care of children who are deprived of a normal homg life. A Divisional discussion on the recent report of the Curtis Committee, <opened by someone who has a thorough grasp of the subject, may well stimulate some members to act as (( family minders " or even as full-time foster parents, and to invite children from near-by Orphanages OF ]nstituti©ns to spend <'II few hOffirs eaeh week in their own homes.

I have 19ft myself little time to deal with what is perhaps one of the most obvious ways in which St. John members have assistgd and can still assist Local Health Authorities, and that is in the Ambulance Service, whatever form this may take in various areas when the new Act comes into force. Quite apart from paid full-time drivers and attendants, there can still be many opportunities for volunteers to undertake planned long distance journeys, or to stand by for local calls when the Local Awthority Service is depleted by long distance work. 7his is work mainly for members <of Arnbuiance Divisions, but I see no reason why Nursing Divisions should not supply part-time drivers and attendants in suitable cases.

Mr. Chairman, Ladies, and Gentlemen, I am very conscious of the fact that I may have dealt somewhat sketchily with my subject, but I regard it as an to have been invited to come and speak to you to-day. I hope I have It clear that of the Brigade can give some really practical help III the schemes adJ.iil1ilillIstered and organized £or the benefit of their fellow citizens b):' Local Health Authorities, and :may I say how proud I am to be associated wIth the work of the St. John Ambulance Brigade. As a Medical Officer of Health, I. tender my grateful to its members for the fine co-operation and practIcal help they have gIven III the work of Public Health Departments the country. May I express the hope, and also the fum conviction, that thIS co-operation and help will be continued and even further developed in the future.

ST. JOHN AMBUl.ANCE B/<\IGADE · OF IRELAND

to the annual report of the to aid, home nursing, the od' the Brigade hygIene, and child welfare f€)r of Ireland IS 1,19-3, all ranks, this beiNg adylts, and the issue of Linen First Aid some 400 less than at the end of 1945. Certificates to the Mercantile Marine All departments have done well and Reserve, this departmeRt has undertaken during 1946 up to 10,000 cases of accident the arrangement of all Divisional reand sydden illness were by and the organization of members. Public duties lftave lIDeeN eov;e!lie@. iN artificial JfespiratioI!l, at horse shows, raGe meetings, cinemas, and hfe saVIng A Casualties Union Circle and theatres, etc., and cQ)llsiderable has also beel'l formed. During 1946 some seJfvice was at the Fiest Aid iWiim t patients were ;remove@. by the in O'Connell Dublin, where 623 InvalId Tral'lsport Service with a mileage were treated by day and 490 hy of 35,146. Over 400 Invalid Requisites mght and Sunday were loaned (!mt.

The annual competitions for Nursing During Dr. Ella Webb passed and Ambulance personnel were held and away. iFo[' 35 years slnle rendered' lQJyal prGved very success:fiul. The Irish and devoted serviee to the Brigade. She of the St John Ambulance Association was the first District Superintel'lde'nt and was transf€rred to the EducatioRal held office f@r 16 yea['s, after which she Department of the Brigade, amd ilil. became Semi@r District Surgeon.

SENIOR OFFICERS CONFERENCE

after which the Bishop of Kensington conducted evening prayers in The first conference since before the the Chapel. He also held Holy Comwar was heM at Leigh, Hoddesdon, munion on Sunday morning and a Hertfordshire, on June 28 to 30, under the Morning Service after breakfast. chairmanship of the Chief .Commissioner, The collection was takel'l on behalf of Lieut.-General Sir Henry Pownall. Some the Order's Hospital in Jerusalem. 100 members from all parts of the country, Sunday morning was then ·spent in Wales, and Northern Ireland were present, Discussion Groups where many interesting and the verdict at the comp[etion €)f the items were freeJy dis(.1:Ussed, each section conference was that an interesting and summarizing the items of interest. instructive time had been spent by those Lady Dunbar-Nasmith introduced Sir AJfthur Rucker (Deputy Secretary, Sir Henry opened the first session by Ministry of Health) whose talk on welcoming the delegates and especially " National Health Services" did much to colleagues from Wales, Northem Ireland, allay the feeling that voluntary organizaand also from Brigade Overseas. The tions were to play no part in the Goverl'lobjects of the course were (1) to learn, ment's scheme. (2) to heat lectures and discussion, (3) to Dr. Gordon Wallace (Medical Officer of have unofficial discussions, and (4) to give Health for Weymouth and South Dorset, Headquarters an opportunity of meeting and County Surgeon of the Brigade) members and making contacts. He hoped addressed. the conference on " Opportul'lithat when they returned to their counties ties and Need for Brigade Co-operation the members would pass on the knowledge with Local Authorities ". He was introgained It was hoped to prepare duced by F. V. B. Witts further programmes and also to obtain a (Assistant Director of Ambulance) and training centre of our own. He expressed the talk given is reproduced in this issue thanks to the County of Hertford (the of The St. John Gaz ette. County Hosts) and members of Head- After lunch the Chief Commission€r quarters Staff, especially Mr. Guthrie presided for the talk given by Major Moir. A. C. White Knox (Commissioner, No.1

Lady Dunbar-Nasmith (Deputy Super- District) on "Brigade Peace-time Set-up". intendent-in-Chief, N.D.) read a cable' A precis of his talk is also reproduced in from Lady Mountbatten in which s.he this issue. expressed good wishes for the conference. Lady Dunbar-Nasmith was chairman A reply was forwarded from the con- for the debate and general discussion ference. which followed the tea interval, and many

The first talk was given by the Dowager delegates took part.

Lady Reading (Chairman, Women's Volun- Miss C. J. Ensor Sub-Commissioner, tary Service) who expressed her ap- Civilian Relief Commission, Malaya) was preciation at being asked to address the next speaker, who took for her subject members of the oldest voluntary organiza- "Welfare and Civilian Relief Work tion in the world. She took for her Overseas under the Joint War Organizasubject" The Contribution of Voluntary tion ". The Countess of Brecknock (Chief Societies ", and the delegates could well Staff Officer to the Superintendent-rnunderstand why the W.V.S. had been so Chief, N .D .) introduced the speaker who successful under her charge. Her gave a very graphie description of the encouraging words and the methods of work carried out. Her talk was followed action were much appreciated. by a special showing of Friends' Relief County Commissioner H. Langley Jones Sotiety Film Germany Waits ". was chairman for the next speaker- On Monday morning Mrs. Girouard Dame Beryl Oliver (Director of Education, (Assistant Superintendent-in-Chief) preBritish Red Cross Society), who spoke on sided over a s€ries of short talks which " Objects and Work of Joint Committees inciuded" Publicity", by Mr. G. E. Craft and Joint Sub-Committees ". Many points (Publicity Officer of the Order), " Medical n€)t prenoilQs[y UNderstood! exp1aiE.ed.. Comforts Depots" amd "Forms" by Next, Sir James Sleeman (Chief Com- Mr. J. S. Hannam (Assistant Brigade missioner, Brigade Overseas) introduced Secretary), talks by Lady Town and Mrs. the of tltle Order (Sir Edwin on work of the Brigade Overseas, King) who gave a stirring address Gn the being introduced by Mr. Quilter (Secretary, ,,<History of the Order ", includil'lg Brigade Overseas), and "Hints on particulars €)f a Knight's daily activities Organization of Competitions ", by Mr. during the twelfth century. The Chancellor F. A. Trott (Assistant Commissioner, tGld how the men who made the Order Syssex). rnirwed amdi wha:t ifthey alld Nil:al!1Y Miss V. Cunard (Chief Nursing humorous chapters were included. Cadets) gave a talk on Cadets, being A film show was arranged for Saturday introduced by Mr. Guthrie Moir (Staff 267

to Chief Officer Ambulance Cad€ts), whilst Mrs. A. Mears (Principal, Abbey School £or Speakers) gave a most int€resting cli"course on "Hints for Public n. Miss W. E. Longden (Staff Officer to DeJfl1ilty Supe;riID-tenG:lient-]ID!Chief) introduced the speaker.

Finally, Lady Dunfuar-Nasrnit11 summed up the whole of tne confenmce, with impressions of the various speakers and the excell€mt talks that had been given. Lady Reading had started the conference OI'l a high plane; the ChancellOlf and his talk on the Order; the addre"s of the Bishop elf Kensington; Sir Arthur Rucker who had " given us food for thought" ; the praGtical suggestions givem. lby DT. Vila[iCllce; the im.teresting of Dr. White Knelx Cl<aairman @f t11e

Olomfor±s

Training Irrvestigating Committee); the moving talk of Ensor ·; the pleasure at having Overseas members with us; the Cadet Movement which gives responsibility to younger peop[e; and finally, gratefml Hla:m[ks to Head.quarter Staff for affil the taken i<;o rnllake the C@li]so successful, especrually Mr. Guthrie Moir.

Mrs. BirklDeck (Yorkshire) expressed thanks to Lady Dunbar-Nasmith, saying that all delegates were going away fully inspired. This; was supported by a delegate from Wales and one from Northern Ireland.

And so the first conference came to an end, but not before it was freely hoped that more sucln. events would be held.

You have no doubt thought, owing to have not realized the wonderful oppormy laps;e, that I have been eln a long tunities of service that the M.C. D. gives? I holiday. This is not so, my friends, rather think that the last is the real answer. although I must admit I have had one There are now 481 Depots, and before week when the whole of the world the end 0:£ the year I hope we shall reach ([ficlu<il.ing M.C.D.s) drifted by witih myself to the 500 (or over) mark. Wouldn't it be as an oID-lo<:lker and! :mot as; a worker. grand if an these were on the coast?

N@w jl!l!st back fwm tIle week @f IaziiEless Do not for om.e moment think that there life is; different. Work d.oes; not Gome are I'l0 large inland areas without Depots. easily, for the sun streaming trucmgh my Unfortunately, there are many, but I am window and the blue sky both call for hoping that with the grants now available another lazy week. However, a quiet five for new Depots many a large space will minutes; after lunch I spent looking at my have at least one red, white, or yellow pin M.C.D. maps and thinking of all the nice to take off the bareness of the patch. For places to be if only the choice were mine. information regarding these new grants My eye moved around the coast-line and you must apply to your County Comsuddenly it struck me that I had not seen missioner. a little coloured pim for miles. NGt OIDe You should have received by now your Gill the c®ast at Hm!]) from copy of MCDj4; and no doubt you are GGrlest©ID in Sm:£J!olk tG BFidl:iilil.gton in the wondering why, as it has to be completed East Riding. From Bridlington to Whitby, in triplicate, you have only one copy. from §outhend-on-sea- to Dovercourt, The copy yem have is for information only, from TOFquay to Weymouth, from Bude so that at the end of the year you will have (CoTtlwall) to Minehead (Somer"et), from all the figliTes required available. The Minehead to Weston-super-Mare. Just three forms will be sent just before the glance at the map and see the miles of end of the year, so that your good secretary coastLine Rot covered by this; ·$1:. John can complete them on New Year's Day Service. Can it be that nG one is ever ill and start the year really well. on the coast, can it be that tReFe is :mo THE SECRETARY, demand, or can it De that mamy IhvisiGIils lVI.C.D. Committee .

OBITUARY

We regret to annOUNce the death lDf- and other Corps aI'ld Divisional officers W. S. WanstaH, who had been were presemt at the interment. a member of the Bournemouth Division Reserve Corps Officer H. Renton.-After since 1920. He obtained his cedificate in many years; of hard work Mr. Renton, 1917; was awarded the ServiGe Medal who was a Serving Brother of the Order, 1937, and Admitted to the Order as was plaeecl. on the Reserve and was a Serving Brother in 1945. member of tke Leeds Corps Staff. , Priv.ate G. CGrps lwave al"G Corps (R.) J. E. of lost a!lJ!lJotifuJer mea'b>eF in Mir. · G He tke HmddeFsfield Corps, seF'V€@J 1i::lwe was a SerV[!Drg Bl!1lD,1i:ifuer 1i:l\J!e O!lf<die!lf Cllm<i1 Brigade .for 43 years. Assrt::. C([)mmissi@N:eF at t[me his death was a mernibel· H. Harns©:m., Corps S1ilpt. Dr. J. H. Kak:m., of tne iLee@is City ClD)!l.ncH.

268

PUNJAB.

Fo[]owing the dis;turbances i:w. tIDe Rawalpi!1ld.i Dishict i:m. early March, members of the Rawalpindi. NUlising Division rendered excellent service at the Relief Camp, housing 9,000 refugees, which was established in Rawalpindi Cantonment. To fill the need of a severe shortage of nursing personnel, Lady District Supt. Mrs. King· (No. XII District) sent out an urgent call. It evoked immediate response from the Nursing Division, which gave sustained help during the war. About 200 serio'tJls casualties were looked after. In addition to nursing the badly injured, members were able to give comfort to seven to eight hundred frightened people who daily attended the out-patients' department. Furthermore, some 600 infants were served with milk, morning and evening, which meant a fair amount of organizational work. After two days, the casualties were transferred to the Cantonment Hospital, where the members worked with unending devotion. By the end of March, the refugees were transferred to the Wah Camp, about 25 miles away, which la number of workers continued to visit daily as required. Her Excellency the Viscountess Mountbatten of Burma, President-in-Chief of the Nursing Divisions in India, visited the Camp on April 30, and her interest in their work gave great encouragement to St. John member s working at the Camp.

RAILW-AY AMBULANCE N EWS

GREAT WESTERN

The first post-war \iVomen's First Aid Competition was held in the Porchester Hall, Paddington, Col. E. J. Selby being the adjudicator. Five teams competed, the winning team being Plymouth, thus gai.ning the "Florence M. Lean" Cup. as runli1er,,-up, gained it: he "Mabeil. A. Potter" CiI!I p. !Vb. H. Adams Garke Staff afid Establishment Officer) presided, whilst Mrs. Adams Clarke presented the trophies and individual prizes to the first two teams. Many officials of the Company were present ; and Miss E. Brenan (Chief \iVelfare Supervisor for Women) proposed a 'Vote of thanks to the judge, whilst Miss S. Dixon (Swi!O!ciLQ)n9 thanked tille chairman.

Mr. A. D. M@)!Ifga!lJ!, Managers' O!ftt\ioe, Car;@lJinffii, ihlJas lbee!lJl! DiviSeuetaFY to the SOI!]t:lli. Wa[es IDoeiks j)i)ivislml ilil. slllecessilDl!l. to the late Mr. G. H. lIes.

BENGAL.

Wlm.en t he :recent disturbanees broke out in Calcutta o:m. Mardil 25, Red CrGSS ambulances were imlnediately called <:lut and toured the City, picking up casualties, and taking them to hospital. A scheme was worked out to co-ordinate the work of the various voluntary organizations, including the St. John Ambulance Brigade; and areas were allotted to each organization. To enable efficient functioning of day and night ambulance service, cudew passes were obtained from Police Authorities. Two ambulances were kept to serve north and east Calcutta; the remaining ambulances being for "ervice in other parts of the city.

The long curfew made it difficult for people to obtain food, and one week-end Red Cross distriblited in the ambulances 5,700 small bags of milk powder for use of young children. Help was also given to Corporation staff in clearing away debris, disinfecting drains, besides 5,744 cholera inoculations and 7,500 smallpox vaccinatio:m.s. Twelve members of the Brigade, in conjunction with Red Cross members, worked at the F.A. Post and co-ordination centre at the Sealdah Statio:m from March , 29 to April 8 . The newly-formed YOlmg India Ambulance Division opened a static F.A. Post at Vivekananda Road, where some casualties were treated. Members of the Caicutta (Kalighat) Ambulance Division attended numerous cases, one of which was sent to hospital.

ShifnaI.-To mark appreciation of his work as Ambulance Class Secretary, Mr. J. H. Abrahams was recently presented ,vith a ,;vallet of treasury notes by Mr. S. A. Hou"deI'l, a member of Mr. Abrahams' first class, on behalf of the class. Mr. Abrahams organized his fir"t class at Horsehay in 1905. He was Admitted to the Order as a §ervim.g Brother in 1930 DawLish.-1'he anm.ual dinner and :presentatio[J] G] wa.s heM l"eGelOlJtly under the chai.rmanship of Mr. G. Mdchell, Class Secretary, in the una'Voidable absence of Mr. S. C. Connett, Stationmaster.

LONDON AND NORTH EA$TERN

The Scotland v. England competitioI'l was held in the Headquarters of the St. Andr€w's Ambulance Ass;ociation, G[asgow, en July 1i, 'whe:m the two [eading teams in Scotland aI'ld the two team.s i.n Eililgtalil!ciL cO!lJli1;pete0l for the tFolPhy of the O®mpany. The jl!1dges were Dr. Thos. F. Greenhill (Glasgow) who judged the team test, and 269

Dr A. C. White Knox (London) who judged the individual and questions sections.

The Hon. Arthur C. Murray (Chairman of Directors, Scottish Area! pr€sid!ed at the- presentation meeting supipGlrted by numerous ofncers of the CQmpany, the judges, Mr. R. Marshall (General tary, St. Andrew's Ambulance AssocIation), Mr. G. E. Craft Secretary, St. John Ambulance Assoclation), and the Centre Secretaries (Messrs. C. Greenwood, S. Cooper, and A. M. Nicolson, the latter being the C@mpetition Secretary) .

Th€ reshllt was a win for Portobello and District with. 312 marks, beimg followed by March A, Kipps Works, and ham Victcria, in that order. The prevIOUS results showed that English teams had gained the trophy on nine occasions whilst the Scottish teams had been successful on five occasions.

SOUTHERN

Eastleigh W orks.-As a result of garden shows, etc., £1,510 12s. Gd. was raised at Eastleigh Works during the war fm the Red Cross and St. J01iln Fund, and at the end of the war £360 was handecl over to local ho:spitals. 1m the early part of 1946 the Committee decided t ®provide an ambulance with the balance in hand SQ that a vehicle would always be available on the premises. A 14 h p. Morris Ambulance with a canvas body was .obtained and it was decided to provide a new and roomier body. The cost, together with all maintenance charges, is covered by the moneys raised by the Committee and, apart from the provision of a driver during working hours, the Company is not called upon to C0ver any CGsts. The vehide is allocated for the sole use of works' employees, and one of its first long distance trips was to transport an employee's child from Stanmore (Middlesex) to Southampton.

REVIEWS

Aids to Practical Nursing. By Marj0rie HOlaghiron, S.R.N., S.C.M., D.N. (London). Bailliere, amI Cox, 7 and 8 Henrietta Street, London, W.C.2. 5s., postage extra.

This is the fifth edition of this textbook of the Nurses Aids Series; and Nursing personnel of the Brigade will find much information and instruction which will assist them in their hospital work, an0. also with their work with the District Nurse. Extensive alteJiations and additions have been made; and chapters om " Sterilization ", " WaJid Dresslmgs," ali1& " Preparations of the Pati.emt fer Operation ", have been re-written, also the chapter on "Splints and Extensions".

Finally, there is an app€ndix which gives examination ql!Iestions on the chapters of the book which should prove of great value to readers. We can recommend this book to all our readers, male and female, who 'Wish to increase their knowiedge and usefulness whilst assisting the sick.

URGENTLY WANTED

During the war years many members of the Brigade came forward to give their services as Mobile V.A.D.s. Since the cessation of hostilities these V.A.D.s have been demobilized under their age and servioe groups. The Admiralty have in:Eormed the V.A.D. Standing Committee that they n ow urgently need a further number of V.A.D.s in addition to those already employed for service at home and overseas, not only those willing to undertake nursing duties but also members who will work on the clerical side and who have a knowledge of shorthand and typing. Contracts, which are for two years, may be renewed and members with previous nursing experience will be given early opportunity for tlp-grading, which, of course, means increasingly interesting work. Naturally a high standard of physical fitness is essential, and volunteers must pass a medical examination before being finally accepted. Rates of pay, which vary according to grading, range from 2s. 10d. to 7s. 2cl. per day, plus 8d. per day wCj.r pay. Members can obtain all details from their County Commissioner and application should be made to him through the usual channe]s.

A recruiting poster in two sizes, which has been got out jointly with the British Red Cross Society, has been issued to all Nursing Divisions through County Headquarters. It is hoped that this poster will be displayed in a prominent position at all County Headquarters and Nursing Division Headquarters, and it is suggested that the permission of the appropriate authority should be sought to display the poster in the local Town Hall, Public Library, and other suitable places.

Many members of the Royal Navy are still syfierimg from the injuries they received duing the war; they are still paying for their heroism. During the years 1939 to 1945 we, in this country, relied on the Royal Navy to defend us against the invader, to ensure that food supplied reached these shores, and that our armies abroad arrived safely. We are confident, therefore, that the caU :Jior V.A.D.s to seJive in Roya[ Nava] Establishments will ibe answere<il! with the tlil!le St. John Mem10ers between the ages 0] 17 ancil. 45 years are reql!1ired NOW. Will yon help? 270

BRIGADE PEACE TIME SET UP

By Major A. C. WHITE KNOX, O.RE., M.C., M.B" , Ch.B.

(CommissionelJl, No. I (PlJlince oj Wales's) DistlJlict, S.J.A.B.)

(A precis of a talk given at the Senior Officers Conference, Hoddesdon, on June 29, I947)

PRE-WAR SET Up

Standard oj Effic'iency.

Previous to the second Great War it was gel1erally recognized that the standard of efficiency in the Brigade was high.

'\fVe had a straightforward outlook which was confined mostly to basically good first aid and home nursing, and our m embe["s for years had concentrated on real efficien cy in these fundamental subjects.

Whether our t echnique was perfect or not depended on the various opinions of our various experts, but such as it was it was good, and our members knew exactly what they were supposed to do.

WAR-TIME SET Up

During the war many organizations took a hand in moulding the First Aid outlook, and as a result what had been standard teaching became distorted to an extent which left our members floundering amongst a welter of suggestions. This period arrived at a time when we had many new members, few really expert lecturers and trainers, and a mass of work of a very real practical character to b e tackled.

The training in both First Aid and Home Nursing became progressive in character, and was never stable for any long period.

Methods of treatment were continually varying, and the Brigade member was caught between his basic training and the continuous changes that were suggested. ,

It is obvious that this did not conduce to efficiency, and the later stages· of the war found our members undecided amongst a mass of suggested improvements and a vast number of new outlets for their activities.

POST-WAR SET Up

The post-war object is obviously to set a standard which will allow our members to find their feet again and tackle their work with the confidence that will ensure efficiency.

How is this to b e done ?

(a) By the ear ly PlJloduction oj m,odelJln training manuals.

The experience of the war-til1\le p erioashould be sifted and incorporated in new manuals at the earliest possible tin1e. Thelfe has b een very little critiesm of the present Home Nu]"siliiJJg Manual, and I beli.eve that [or some years to come it will successfully cater for this secti.on of our train:ing. The First Aid Supplement is an effort to fill in the interim period of the section, but first aiders ha\!'e found some considerable difficulty in marrying it to the present manual, and the sooner the new First Aid Manual is completed the better our training will become.

There are many fundamental changes suggested, and the Revision Committee may be trusted to present them to ou]" studel1ts in due course as intelligently as may be possible.

By encoulJlaging 'th e 11Jecessiiy fo']! CO (I/(;IJIs es of 1'YbedicaZ Zect'bw es ne0essitates fuvrtbe[" tna,ining of @ur lectme["s, and every possible enshould be given for surgeoI\ls cOI\lferences where the latest suggestions should! be considered and explained.

271

A standard is essential, and (Duly by getting lecturers together can this standard be obtained

We cannot all agree on policy , but let us all agree to abide by the decision of the majority.

Surgeons conferences should start on a high level, but. that does n.ot preclude discussio,ns amongst smaller groups which are much eaSIer to orgal11ze than on the larger scale.

(c) By the introduction oj T1 faining Schools.

The Training School is an admirable idea, because it encourages standardization on the highest level.

FFogress is being made 0111 t he ID!r@ductiJon (Df a syllabus (Df trammg all our activities which will be applicable t o schools large or small. UntIl the larger schools are in exishmce, much can b e .done on a smaller scale 'which will help considerably '

I have already wl'itten in certain p'Mblicah(Dns of the vanous adJUllcts whIch can be used to make training interesting, and I do not propose t o stress this point again, except to say that to make training interesting they must be brought into force on a wider and still wider scale.

The use of competitions, representation of artificial injuries, training of patients to express their symptoms correctly, the Brains Trust, the Quiz, and countless other methods will all contribute towards interesting study.

The day of reading the lecture and pure practise of bandaging and splinting, etc., is past.

(d) By raising th e s tandar d oj re -examination.

I consider this to b e essenbaHy il'IDportant. We are all essentially lazy, and to be compelled to r ead our training manuals once more by occasional failure in reaching standard is good for each and all of us

(e) By tackling n ew and in teres ti ng su bjects clo sely connected with o,/;w work.

Here the new contacts with industry and aviation provide tremendous scope for outlook, and they are b eing pursued with energy and no small amount of success.

No increased scope of training will b e successful unless outlet is provided as a result, an.d here I suggest that search be continually made for the application of our work in all spheres.

(i) Public Duties. -Kee p in contact with your public in 'whatever sph ere you may be. A large section of the public is familiar with our work, and makes full use of our services, but there are many who are not familiar with it, and a little propaganda will increase your opportunities tremendously.

(ii) Ho spit al and Similar Duti es .-The field here is unlimited, and is familiar to most.

(iii) R egular B1figade Services.-These include Medical Comforts Depots, transport 0] the silck and !in.jured, etc.

(iv) New and Hitherto Unexplored D 'uties.-Here service on airfields and in the air, with the National Fire Services, Lifeboat s, Road Transport, special service in industry, all offer opportunities which will open up vistas unlimited fCDf the active al"ld energetic p!lfactit!i@l1!€!r of our a1't.

H ere let me say that the sum total of these suggestions is a skelet on on which First Aiders with outlook may build a body which shall be strong and capable of dealing with all the modern demands which m ay be made upon it.

COMPETITION MARKING SHEETS

It is hoped to include the sheets of the tests set Nos. 2 and 3 of the Dewar and Perrott Competitions in the September, 1947, issue, t0gertrher witk Indivi@luaI Tesm:s of the lnter-Railway Final Competition. 2.72

"DEWAR" FINAL COMPETITIONS

INDIVIDUAL TEST. EEARIlF{ No. L

INTRODUCTION TO TEST.

afternoon yo.u been called to a school playgFoum! and are told that a boy (aged 10) fell durmg race. He IS slttmg on the ground crying and rubbing his right knee with. his left hand. A IS ,I')r.esent; and you have .your haversac. Act as you see fit.

TIme 111;rut 15 mInutes. Warmng at 10 minutes.

STAGING AND ACTION OF TEST.

Arrange open space as playground, and have some chairs available though out of sight. Mark on boy-a wound on back of right hand and a simple fracture of kneecap.' The doctor as test ends, takes report, and arranges for transfer of boy to hospital.

IMMEDIATE ACTiON.

Prompt advance; consoling words to boy

At once tell boy to stop rubbing knee

Ask Master: to keep back other boys

And if he is a first aider (no) . .

Ask if doctor near (already slimmoned)

EXAMINATION OF BOY

Leave boy as found until examined

Establish signs of shock (n0t marked)

Pulse at wrist, breathing, colour of face (normal)

Note wound of hand; ask variety (contused).

Colour of blood (red); how flowing (ooziNg)

If wound obviously dirty or foreign bodies (no).

Apply suitable sized dressing and pad on wound -

Ask Master to compress with his thumb

Examine for fracture 'of metaearp>als (none)

Proceed to knee-cap: ask how boy fell (on knee)

Ask if can lift limb (quite helpless)

Feel for gap between fragments (present)

Examine for swelling of knee (not marked)

Ask if clothing damp or signs ef wound (no)

INDIVIDUAL TEST. BEARER NO.4.

INTRODUCTION TO TEST.

During the luncheon hour when nobody is about you stroll down to the beach at Jonsgate Suddenly to your surprise you see two men dash into tbe sea and carry back a fully dressed man whom they Jlliace face upwards on the beach. Act as you see fit. /

Time limit 15 minutes. Warning at 10 minutes.

STAGING OF TEST.

Arrange open space and place patient on back. If artificial respiration effectively performed patient begins to recover six minutes before end of ust. Otlilerwise he remains unconsoi(!)Us. DoctOF and ambulance do not arrive. No teleph.one is available.

IMMEDIATE ACTION.

Prompt advance: offer to assist

Ask if rescuers are first a;ders (no).

Ask if any wounG! @r !deformity (ne).

Examine patient if breathing (no) If pulse at wrist (no); if heart acting (feebly)

Send one rescuer for doctor and ambulance. '

Do no! 10@seFl clotliling OF use !P'a<li

St<!lOP at side; place arms alongside body

Cross far leg over near; protect face

Grasp clothing at opposite hip>

Pull smartly over into prONe p@sition

Extend patient's arms above hea<li ANa !l!lFn Iilis hea<;l to ONe si<lie EXPIRATION.

Kneel at one side facing patient's head

Sit on heels; p>lace kands in small of back

With lower edges jl!1st clear of pelvis

Wrists nearly touehing; close

With fingers passing over each loin.

Pointing to ground eut not spread out

13em<li b@dy fr@m knees; straightem " ,ips.

Swin& slowly forward, arms' straight aNa ngid

Avoid exertion; flressure by weight of body

INSPIRATION.

SwiNg body slowly backwards

To original position and relax flressure

TIMING OF MOVEMENTS.

Alternate movements by rhythmic swaying

Of body to and fro from knee joints .

Pressl!lre 2 se€onds; Felaxation:B sece>nds When blreathing commences, regulate movements.

To corresplim<li with it, and promotecirculation.

By rubbing limbs vigorously towards

Ask if rug or blanket available (no)

AFTER-CARE OF PATIENT.

Decide await arrival @f doctor

Meanwhile watch lest breathing cease

If it does, recommence artificial respiraticm. . . . Proper use of services of rescuers

" PERROTT" FINAL COMPETITIONS

INDIVIDUAL TEST. SISTER No. I (First Aid).

INTRODUCTION TO TEST.

Your next door meighbour has just called om and asked you to come and see her son (age 12).

She tells you that half an hour ago he erashed down the stairs on his shoulder and that she would like you to do what you can to ease his ll'ain. You have a haversac in your hall. Act as you see fit.

Time limit IS minutes. Warning at 10 minutes.

STAGING OF TEST.

Arrange seene as sitting i:oom and place boy (fully dressed) on couch. Indicate on him irregularities of right scapula and forearm and place rug on floor near couch. Doctor arrives as test ends, takes report, and arranges for transfer of boy to hospital.

I MMEDIA. TE ACTION.

Take haversac, amd accompany m0ther

Ask if she has summoned doctor (yes)

Tactful e0nsoling words to moth@r and boy

Ask if boy responds (pr0mptly and cl€arly)

Ask if el@thing damp 0r signs @fIDlo@@. (no)

Ask boy where pain (right forearm and sh@uldel')

Ask colour of face (pale); how bl'€athing (shallow) •

Test pulse at wrist (weak); skin (cold)

Immediately wrap boy in rug.

Ask m0ther to prepare hot water bottles and tea

EXAMINATION OF PATIENT.

Examine forearm for irregularity

For swelling (yes); if able to move wrist (no).

If any wound or sigm of bruisi.mg (mo)

Examin€ right seapl!lia for il'l'€gl!lladty (marked)

Ask boy if able to move upper limb (no)

If clothing damp or signs of bleeding (no)

Diagnose simple fractures forearm and scapula

Method of excluding injuries (none)

TREATMENT OF PATIENT.

Loosen dothing-neck, chest, and waist

Keep boy warm in blanket. •

Do not remove clothing from boy

Place centre of broad bandage in aTmpit

Cross ends over uninjured shoulder

And tie them in the armpit. . .

Place forearm at right angle to arm.

Thumb uppermost; palm towards body

Apply two padded splints on the front

And back of forearm, from elbow to fingers

Two narrow bandages embracing splints

One above fracture and the other round WTist and

Completed as figure-8 round hand and wrist.

Support limb in large arm sling

AFTER-CARE OF PATIENT.

While awaiting doctor, keep warmly wrapped . . . .

A{;lply e@vered hot water bottles; sips of tea.

Proper use of services of mother

Value of report given to doctor

Total give

INDIVIDUAL TEST. SISTER NO.4 (Home Nursing).

INTRODUCTION TO TEST.

You are 0n duty assistil?-g the District N1!lrse; and you have IDeen asked by her to report at this house to make all necessary for a soap and water enema which she will administer to the patIent wh€n she arrIves in a quarter of an hour.

Th€ tol@. you that the:; patien!, who lives with her sister, .has been in bed for a week suffering and that y01!l will fincilm the house most of the artIcles necessary for the administration

Time limit IS minutes. Warning at 10 minutes.

STAGING OF TEST.

Arrange see.ne as bedroom with op€n window and gas fire turned low. Place two nearly cold hot water. bottles The room th€rmometer read 55° F.

ArtIcles available If small blanket to cover mackintosh; sheet; bedpan; urinal and· :ott<?n wool or paper; flannel; soa.p; 2 Jugs? 2 -tubing, catheter and Ullion, pmt measure, thermoID€ter for solutIon; vaselme; antIseptic; and nail brush.

Mode of appr0ach to Jilati€nt and sister

Exercise ta<;:t amGi reassure b@th

Report instruetions of District N1!lrse.

Take t€mperat.ure of room (55 degrees F.) ; close wmdow

Adjust gas fire to raise room temperature

Decide replenish hot water bottles now

Prepare very hot (not boiling) wat€r

Do not fill completely; expel air

Test washer and other parts for leakage

Dry and cover hot water bottles

Place one at feet and one at right side

Of patient outside the blanket. .

Cover patient with blanket loosely

Place ur:-der patient a mackimtosh sm€€t

Over thI.S a warmed sheet folded in ]@wr

Place UrInal amd bedpan (with covers) under bed

Have cotton wool or paper available.

Prepare bowl of warm water, flannel, soall' And towel for washing buttocks afterwards.

Ascertaim if soall' an@. najJbrush and t@wel '

Are available ifol bath-room for Nl!lrse's hands

Prepare f1!lnmel, tubing, glass union, and catheter.

Test joints for leakage with running :

Prep.are enema solution in a jug.

It pmts of warm water to which add. t oz. thinly sliced yellow soap

Arrange temperature 100 degrees F. when administered. apparatus and solution till required

SterilIze catheter; vaseline ready for catheter. . ' . . . Clean towel iiia,n@.y t@ li'ress aga,imst anus

Prell'are amliiseIl>tie I@M@n fi@l' Nurse. And cfueek clea,niliness @f aU j1!lgs a1md bowls

HEADQUARTER NOTES'

Lay Instructors' Certificate.-The issue and use of this Certificate has been discontinued frGm July I, 1947.

First Aid Lectures to the Public.Officers and members of the Brigade wishing to give lectures to the general public on any First Aid subject must first obtain permission to do so from their County and County Commissioner as it is important that a high standard of instruction is maintained.

Male State Registered Nurses.-A male State Registered Nurse may be appointed Nursing Officer of an Ambulance Division with the rank of Ambulance Officer. His duties are identical with those laid down for Nursing Officers, Nursing Division, namely: " Nursing Officers assist their Divisional Surgeon in Medical and Surgical work of the Ambulance Division but shall hold· no executive rank."

No. I (PRINCE OF WALES'S) DISTRICT

On Sunday, July 20, some 5,500 members of the District paraded in Hyde Park for tihe annual inspection, under the command. of Commissioner Major A. C. White Knox, with Asst. Commissioner Sir George Abbiss second in command.

The Inspecting Officer was H.R.H. The Duchess of Kent (Lady Superintendent-inChief, Wal@s) who was received by the Chancellm elf the Order (Sir Edwin King), the Secretary-General (Brigadier W. B. G. Barne) , the Secretary (Major-General J. E. T. Younger), the Chief Commissioner (Lieut.-General Sir Henry Pownall), ana the Deputy Superintendent-inChief (Lady Dunbar-Nasmith). Her Royal Highness, who was accompanied by the Lady Herb€rt, showed great interest in the parade, especially the Cadets. After the inspection Cadet Shirley Wills (Romford Cadet Nursing Division), aged 12,

presented the Duchess with a IDCllUquet of red roses ©n behalf of the IDistFiet. .

The music for the march past was by the City of London Police Ba1Pl!d. Many tm.@usalllds o:fi thr®iIil.g'ed! the paracle groullld w1J.Jlst malllY IDermfueFs of the Order were among those in t'ln.e special enclosures, including repres"entahves from overseas.

No. 62 (Haggerston) Nursing Division.A/S Mrs. Adams gained first place iIi the " Milburn Cup" competition for first aid and home nursing, followed by A/S Miss Hayes. Supt. Miss Mills was the judge. 56 (Edmonton) Nursing Division.-

For the life IDf a A/S lVIr£. Iilleek has been p!lfesented W!itJ& itl'lJe RVlyal Hl!1IDane Society's Certi:N«;ate. S1l1e carried om artificial :respini.tiGll!.l. on a woman who 1J.ad been overcQ)me by gas, and restored breathing.

LANCASHIRE DISTRICT

Miss H. M. Smith, A.RR.C., who had been Superintendent of the Lytham St. Annes Nmsing Division for 23 years until her recent promotion to Distri«;t Officer, reGeive@ from members of the IDtiws]o!IJ. a silver salver as am. appreciarti@!fi laer work.

Preston torps.-The anlllaal church parade was held " at Stydd Church, Ribchest<5r, a tiny centuries Clld ecl.ifice which -is the (0nly remaining part of- the ancient hospital of the Order of St. John which eJccupied the site amI afferded shelter to knights and pilgrims during the Crusades. Owing to the very meagre accornmGdation t11e service, was · attemded by SQl1ile 300 mem1De!lfs, was conducted 10y the Bishop ®'f '!3la«;[IibQm and the Rev. J. H. Ftirth ]n tlhe ©pen air. Asst. Commissioner W. H. Gastall read the les£on, whilst the Prize Band accompanied the singing. A service for those of the Roman Catholic faith was held at the Church of St. Feter and St. Paul and conducted by Father Burke. Leigh.-Pte. F. Berry the divisional trophy at a recemt s(9(;;ial and presentation of awards, whilst Div. Surgeem MaiJ."w"is was :preseIDr1red! witilm. a cigarette c;:ase as a tQlkelil. 0:1] grat:i!tudle ifQlr his invaluaMe service to t11e Divistion. Morecamhe and Heysham.-A special Honours Night was held when Commissioner Major E. S. B. BurtHamiltl[m presented warrants of Officer (Brother) to Corps Officer C. W. Barnes (41 years' service), and as Bliothers

officers of the C01'pS wh9 held temporary rank.

CQUNTY OF BEDFORD

FaF]s!ln. ClTht!lrch was the sce[!JJe of a S:t. Day Service at whick nl!1merous i1DivisJiol}s, Student and Cadet, were present. The Rev. J. G. Hillam (Rector) conducted the service, Nursing Cadet Pat Donovan and Nursing Student Maude Roberts read the lesson.

COUNTY OF BERKSHIRE

Ascot.-'Fhe first aid services covering the As(;;ot Ra(;;es were in the hands of the BFacknell Division, under Supt. W. A. GFeen, and. the Ascot Detachment of the B.R.C.S. 268 persons received . attenti.on, including four hospital cases and two deaths.

Didcot and Wallingford.-The Divisions were inspe(;;ted by County Commissioner C. A. Poole, who presented War Service Certificates to members and a Service Medal ribbon to Sergt. Mrs. E. M. Ackrill (Didcot).

Twyford.-The County Commissioner, aCeGmpani.ecl by Mrs. Poole, carried out the annual of the Ambulance DiviJsioIi.

COUNTY OF BIRMINGHAM

General Sir Clive Liddell (Director of Ambulance) carried out the annual inspection of the County on July 13 in the University Sports Ground. Lady Dunbar-Nasmith (Deputy Superintendentin-Chief, N.D.) inspected the Nursing pel"SlDnnd. Commissioner Sir Bertram Ford was in «;harge Qlf the parade, Mrs. P. ]I. Lee being in command of the N;mrsing Cmps. Some 2,000 were present and the Inspecting Officers congratulated the members on the general efficiency and smartness. The Earl of Dudley (President) expressed thanks to the Inspecting Officers and referred to the fact that it was the last inspection on which they would have with them theilf County Commissioner, Sir Bertram Fo;rd, whose leadership had proved a 1iea[ inspiratiol'l. to them all.

TlJilQlse jprese;rrnifl ruFlcillude6l the Deputy Mayo:Jf Mrs. GIles, Lady Ford.; and the ViceChaIJ!(;;ello[ of t ilh:e Uftiversit y , Sir Bertram Ford statbJ that on 31 there would be a church parade III the Town Hall which would be his last appearance as Commissioner. He hoped members would be present that he sax g'<:e>d-bye amid the splendid lfehgl<!)1J.s IdealIsm upon which the Brigade was fouIid!lSd. to C?rps Edmondson (20 years' serVice) and DIstnct OfficeF Dr. W W. M. McKinney. Warrants of were also ]Dresemte<il to C0:tJ1N1'¥ ([)!F BUCKINGHAM

Hodge, President Mrs. McKinney am<il! The CQlunty Pamcle a].\!@J Inspe(;;tiJm.il! was Vice-.President MFs. Hodge. Perm:anent helcl. on July, @at Camp, Welll@.oV€\1i, appomtments have betln granted to r.naIiY the Officer being General Sir 276

Clive Liddell (Director of Ambulance) who was 3lccompanied by Lady DunbarNasrnith (Deputy Superintendelllt-in-Chief, N.ID.).

C<Dl!llil!ty Co]om's were ded:iJcateol 19y the Rev. J. F. Cox: ClnJ,apffia],lll-inChief, RA.F.j and p1iesented by The Lord Cottesloe (Lord-Lieutenant of the County) on behalf of the St. John Council for Buckinghamshire, of which he is Chairlnan.

County Commissioner Major P. G. Darvil-Smith was in charge of the parade assisted by Asst. Commissioners A. E. Bishop, F. H. Schooling, J. R. Col1ins, and, R Stewart Mil1elf. Distinguished visitms included Air Commodore J. F. Titmas (commanding the R.A.F. Station) , . members.. of the Order, representatives from neighbouring counties, and County Divisional Presidents. The Halton Apprentices' Military Band provided the music.

Sir Clive Liddell complimented the members on their turn-out and the work carried out during the year. Lady Dunbar-Nasmith commented on the appropriateness of having the dedication of the County Colours on the National Day of Prayer.

Cippenham and Burnham.-Corps S'l1r-

geon Maxwell Summers, on behalf of the AmbulanGe and Nursing Division, presented to Supt. C. R. Nanc(011is a six-day stFikilllg doek as an expression (0f their tliJ.a1l!ks alUQ glfatitm:de for lhis se!l'vic:es to tlJiJ.e IDtivisruolU tits in 1932.

COVNTY OF CAMBRIDGE

The County is very proad of the success gained by the March team in competitions during the season. Having won the County Competition they were sQccessful in the Regional Finals and in the Brigade Finals gained second place. In the LGndon and Nmth Eastern Railway Competitions (Great Eastem Sectionj they gained first pbce, alt1cd in t ilil!e Group Final were placed second., thl!ls 'being one of the teams to represent the Company in the InterRailway Final. Although they were n(l)t placed in this competition they were not disgraced, and in the Scotland v. England L.N.E R Competition, held at Glasgow, they gained second place.

Camhridge Corps.-County Commissioner Dr. Maurice-Smith inspected the Corps before a distinguished ExceUent unrehearsed demonsbations were by AmIDulance, aRd Cadet personnel which impressed thelse watching.

COUNTY OF CORNWALL

At the Royal Cornwall Agricultural Show, held at Truro on July 9 and 10, first aid arran'gements were made by the Brigacle under Corps Supts. Eddy and Mrs. Rodgers of the Falmouth Corps. Over 60 members were present and they dealt with numerous accidents, incll!lding two persons taken to hospital with concussion.

Penzance.-At a recent Divisional Meeting Supt. H. Mayceck presented Mr. W. J. Hichens and Ex-Supt. T. C. Cooper with th({ir badges as President and Vice-President respectively Truro.-Nearly 400 mermbers, representing Ambuiance an@. NUl1sing Diivisions from all over the COl!lnty, attended a special service in Truro Cathedral, where Canon H. R Jennings was the preacher. The Mayor (Alderman J. B. Lodge), who took the salute at the march past, and members of the Corporation were among those present.

County Commissioner Lieut.-Col. W. Blackwood presented Serviice Medals to Supt. J. J ory, Ptes. W. H. Inch, and F. R. Taylor (of Camborne), CorpI. W . H. Hopkins (Falmouth), Cadet Supt. Mrs. V. Stevenson (Falmouth), and Amb. Officer Miss F. Tamblyn (Redruth). Mrs. L. Plaice (former of the Falmouth Nursing Division) was presented with a Vellum Vote of Thanks.

COUNTY OF DORSET

The Earl of Shaftesbury, on behalf of the Order, accepted the deeds of the new of the Weymel:lth Brigade and pald tnbute to Alc!lennan Biles who through his indomitable efi6rts raised the necessary funds to purchase the building and at the same time to hand over a bank balance of £126 14s. 2d. The cost of the building was £3,935, and in accepting the deeds on behalf of the Ambulance and Nursing Divisions, Supt. Fanner referred to the fad that it was 25 years ago in that the Brigade was first formed m Weymouth. The fcmndatiion stone was laid in August, 1938, all!d the Earl ot opened 'the building in April, 1939. Dunng the war it was used as a clinic.

COUNTY OF ESSEX

St. Osyth.-County CommissiOlier Col.

J. L. Hamilton carried eut the annual inspection for the Nursing Division.

Wivenhoe.-County Surgeon W. ,Radcliffe and County Supt. Mrs. Smellie annual meeting of the Nursmg DIVlsHDn. PlfesideElt Mrs. Racd-cliffe (w.bJ.o until recently was dent of the Division) was presented with ' her badge of office.

278

COUNTY OF HAMPSHIRE

Basingstoke.-Ambulance, Nursing, and Cadet members recently met to pay tribute to the Rev. B. S. Lombard' (Chaplain and Vice-President) and to present to him a silver lighter and pencil on the eve of his leaving the disbict for South Africa.

COUNTY OF LINCOLN

Asst. Commissioner M. C. Lavin recently inspected some 250 Brigade personnel at Grimsby. The parade was under the command of County Officer W. Gott, whilst the Cleethorpes Borough Silver Prize Band headed the procession. The Inspecting Officer took the salute at the march past and expressed his appreciation on the excellent bearing of all members. He also presented the" Fisher Cup" to the Cleethorpes Divisional team and Service Medals to Officer T. Cummings and Corp I. H. Fell, of Louth. Civic and other representatives were present.

COUNTY OF NOTTINGHAM

Members of the Order accompanied by members of the Brigade attended the annual pilgrimage to the ancient church of the Order at Winkburn. This church was attached to the independent Commandery of Winkburn which was held by the Hospitallers until about 1540, a period of over 200 years. After an absence of 405 years the Standard was once again carried into the church, and the last three yeal1s has seen an annual pilgrimage. Those present included Sir John Jardine (Vice-President of Nottinghamshire), Acting Commissioner G. E. Hardy , County Supt. Gibson, and 32 Serving Brothers and SIsters. An interesting link with past history was the attendance of Mr. A. Craven Smith-Milnes, head of the of the Burnell family who receIved th.e Commandery and holdings of the Ordet at the dissolution of , the IDonastries.

Nottingham.-Nearly 300 members of the Corps attended the church parade, with Corps Supts. S. Ibbotson and Clow in charge. The officiating mmIster was the Rev. J. Drinkall, whilst the Lord Mayor, accompanied by the Lady Mayoress and Sheriff, took the salute at the march past.

Robin Hood Division.-Corps Supt. F. Wilson Moulds, on behalf of the members of the Division, presented Amb. Officer J. R. Gooding with a case of as a marik of esteem for ms work as IDiV'i!sional Secretary 22 yeaFS. Corps Surgeom J. Cohen presented the Dr. Taylor trophy to Sergt. Fielding.

COUNTY OF NORFOLK

III members of the Brigacil.e acted jointly with the B.RC.S. and dealt with over 200 cases during the two-day Royal Norfolk Show. Letters of appreciation have been received from the Chief Constable and from the Hon. Secretary of the B R.C.S.

About 50 officers from all parts of the county attended a one-day training course at the Nursing Headquarters of the Hevington Division. This was the first officers' training course held in Norfolk and it is hoped to follow with others. County Supt. Dr. May Rutledge opened the :proceedings and the speakers were County Nursing Officer Royle (Sussex) , and County Supt. Mrs. Smel1ie (Essex).

COUNTY OF OXFORD

The annual inspection of Ambulance, Nursing, and Cadet personnel was held on July 6 in the University Parks, Oxford, when County Commissioner Dr. C. Ga:-diner-Hill was in charge of the parade whIch numbered some 600. The Inspecting Officer was Sir James Sleeman (Chief Commissioner, Briga:de Overseas) who was accompanied by Lady Sleeman, and he made a very thorough inspection, having talks with many members who had served in H.M. Forces. He noted with pleasure that some six nursing personnel were wearing the Grand Prior's Cadet Badge. Sir James had ·wi.th him his famous cane on which is engraved every tour he has undertaken abroad since his appointment as Chief Commissioner, Brigade Overseas. He congratulated the members on their smartness and on the work they had carried out, an@. asked for greater effort in the days to come. Those present included the Mayors of Oxford and Banbury, County Vice-president Mrs. Beckwith Smith, and Civic and other representatives.

Banbury.-The first post-war dinner of the Division was held recently at which some 100 persons were present. County Commissibner Dr. Gardiner-iHm presided, those present including Sir Miles Thomas (Chairman, St. John Council in the County) and Lady Thomas, the Mayor and Mayoress (Mr. and MEs. G. D. M. Braggins), the Town Clerk, Supt. F. G. Hartland, and other officers.

COUNTY OF SUSSEX

Bryce. Asst. Commissioner W. J. B. !rotter was in charge, and those present mcluded Lady Pownall, County President Lady Bessborough, County' Supt. Miss Hubbard, the Mayor and Mayoress (Alderman and Mrs. C. S. Green), and 0ther Brigade and Civic officials. A service was held in the Assembly Hall, cemducted by the Rev. F. J. Humphrey (Mayer's Chaplain), assisted by the Rev. H. \V. Janisch, who preached the sermon.

Horsham.-County Commissioner D Bryce carried out the 21st annual inspection and , paid tribute on the members' excellent work during the past year and their successes in National competitiens. Supt. G. 'YVheatland, in thanking the County Commissioner, said that it was fitting that he should take the 21st inspection as he was one of the founder members of the Brigade in Horsham.

COUNTY OF WARWICK

Coventry.-At the dinner of the Ambulance and Nursing Divisions and thg Three Spires Nursing Division, County Cemmissioner Major E. S. Phillips and County Supt. Miss C. Orton made the following presentations: "Runners-Up" County Competitions, Coventry Nursing Division; Third Service Bar, Cadet Supt. W. W. Goddard and Amb. Officer W. Clark; First Bar, CorpI. J. L. Baker; Service Medal, Ptes. G. A. Hazlehurst and J. W. Sloan. Other members had already received the Service awards whilst others are entitled to them but they had not arrived. Other awards presented included Special Service Certificates, First Aid, Home Nursing, and Hygiene certiFicates, etc.

COUNTY OF WILTSHIRE

Some 600 members of the County paraded outside the Cathedral at Salisbury for the annual inspection which was carried out by General Sir Clive Liddell (Director of An;J.bulance) and Lady Dunbar-Nasmith (Deputy Superintendenttin-Chief, N.D.). County Commi.ssioner A. R. Towerzey was in command assisted by Asst. Commissioner Lieut.-CoL L. V. Thurston. The service in the Cathedral was conducted by the Rev. P. Nourse (Succentor) and the Dean of Salisbury and Canon R. QuiGk read the lessons. Chancellor C. T. Dimont (Chaplain of the Order) gave an inspiring address. Those

More than 1,000 members paraded at present included the Mayors and MayorWorthing on July 6 for the annual esses of Salisbury, Wilton, and ChippenCounty Inspection which was carried out ham, Cmmty President Lady Janet by Lmew:it.-GeIl!eral Si.!li PowIl!all Bailey, C€)Unty PFesident Si,r (Chief C0>I[Dlmissionelf). 1('fuIf€e ifulands lead HGmee de C. Martelli and Lady Martelli, membeEs who were uIl1@.er the eol'l!l- Col. F. G. G. Bailey, and other Brigade mand of County Commissioner David officers.

279

COUNTY OF WORCESTER

The last County Final Competition for the season was held recently for the CbristophtH' Darby Shield. Two lfeprese1'l.iLatives [rom t he @[ t fue and two from the SOil!ltilrJ. cGlmpeteGill, wIth the following result: 1st, H /Sergt. F. Cardy (Redditch); 2nd, H/Sergt. F. H. Hingley (T. W. Lench); 3I'd, A/S Mrs. Russell (Malvern); 4th, A/S Mrs. Downes (Oldbury). The winner was the holder .of the trophy, and County MIss Jeakes (who was shortly rehnng from active service) presented the trophy. .

Supt. J. H. Watkllls was in Gfiarge of some 135 memb@rs who paraded' for the annilia[ cthurcfu warade, held at St. J olm's Church, whe!F@ the Vicar (the Rev R. E. A. conducted the service and gave an ll'lSplrlllg address. The lessons were read by Corps Supt Watkins an9- A/Supt. D. F. Sawtell.

WEST RiDING OF YORKSHIRE

The annual competition for the Grundy Cup resulted iIi a win for Saddleworth A team followed by SadGlleworth B team. Seven entlfies were received and judges were Corps Surgeon Lieut.-Col. C. lB. Ba.ll (Worsboro) and Corps Surgeon SmellIe (Brighouse). The Deputy Mayor of Brighouse presented the cup to the winning team.

Colne Valley and District Corps.-Asst. Commissi<;mer H. Harrison carried out the

THE VALUE OF

annual inspeGtlon of the Corps which :-vas held at . Uppermill. Warrant of ment was presented to Corps Officer W N. Wood.

1Irhe Sa<i@lleworth Division heM. ItS di.!I.Ol.mler O!l.Ol. Jul.y ] 1 durmg wl.Thlctllli a bar@meter was presented 'to Supt. VV. H. Wood on his promotion to Corps Brighouse Corps.- The annual lllspection of ·the Corps was taken by Asst. Commissioner Harrison, who was acompanied by Area Cadet Mrs. Balden and Corps President "'vV111teley.. Castleford.- The annual competItwn attracted 14 teams and six individual entries. New Stubbin Colliery gained the Cup, fl1:st .team, a:nd Nos. 1 and 3 llldlVIdual whIlst Pontefract Colliery No. 1 gam ed the second prize and 2 prize. Manvel'S Main CollIery gamed the No. 4 Individual prize. County SU.rgeon Harand Corps Surgeon vVhlte were the judges

COUNTY OF LEICESTER

Melton Mowhray.-Asst. Commissioner nr. L Duncan Porteous carried out the insiJDection of the Ambul.ance and Nursing Divisions in the unaVOIdable absence of the Commissioner, in the New Park. The parade, headed by the Leicester Cadet Band, was under the command of C. Towell. County Supt. Miss Partndge inspected the Nursing personnel.

Numerous Divisions of the Erigade Education. 1m some cases free issues are have been askt;!d to co-operate with Local available; in others the charges are but .Authorities in staging Health and other a penny or two. such exhibitions. In some instaNces the Then there are the Health Posters. arrangements have been left eNtirely in These help to attract attention to some the hands of the Brigade; whilst on other subject, such as diphtheria imoccasions the Brigade have been asked to munization, and in connection with the arrange a stand and possibly a demonstra- pamphlets on the subject gives a compJete tion of some sort. story.

Such events have proved of great value In addition to the above display to present to the geneilfal the material it i:;; an excellent idea to have activities 0] the Briga@le and to make Textbcooks on F irst Aid. Horne known the assistance Brigade personnel Nursing, Hygiene, and Child VVelfa:re, render to the commhlnity. From reports together with particulars of classes bemg received it is also apparent that ExhibiJ- ru.Iil. in these suj;)jects. Forms should be tions of this character are splendid available for those interested to fill in, recruiting and many persons have or, where no classes are being run, a slip enrolled in the Brigade as the result of on which ·members of the pubhc can place them. their name and address 'and indicate the If asked to run a Health Exhihition it subject in which they are interested so must be "borne in mind that the closest that particulars can be sent them later. co-operation with the Local Me@i!i:al FU!l.'ther literah!Fe dispbyecl sh.Gldd Officer 0] Health and! his departiOOlemt is that O[ Ute B'!'igade, as A Call to essential. The Medieal Department Sh01,Ila You, A Zo etc., partieu[ars of be asked to obtain certain Health Publica- Brigade Service. the undertakings expe!i:ted tions as are issued by the GoveFl'l!ment o,f members, ete, most O[ which cam fue and by the Central Council :fior Healtll obtaiIOlecli througk t he CO'ulilty Office.

280

These exhibitions have also proved an excellent medium to advertise the Medical Comforts Depot Posters should be displayed sho'wing the ,type of utensils availaMe, the cost O[ hire, the fum address 0] the D€J!ilot, the ifd!l1U!es tke De[pG>t ]S open, the naJ[li!Je a1'l.d ao:<i'kess of the officer im charge, and the method of obtaining any article required.

To interest the general public a film show can also be arranged either through the Central Council for Health Education .or through the Central Office of Information. Films on Health subjects can be obtained free of charge and it is also possible to obtai.Iil. free use of a projector and projectiGlj.ists. The local Health. Autkorihes can supply the aa<ihress 0;[ RegiQi/1J.al Office of body. .

Finally, demonstratwns by Bngade personnel should be arranged in conjunction with the su bjects covered by the Exhibition. It is very essential whenever the Brigade assists at these Exhibitions that -there is present at all tim es officers who are well versed in Brigade matters and are able to answer any question put to them by a visitor. Some questions will be qlJite straig11tforwarcl, bUtt others may require a diplomatic answer. contact with the general publIc IS an excellent method of recruitment, and it is possible to increase membership by just that answer which "clears the air" of so me misunderstanding

HOSPITAL SATUR.DAY FUND CENTRE

:NIr. Joseph Ash, who has been Hon. Secretary O[ tke Centre since has n ow retired am.ciI. is siUlcceeded by Mr. Erllest It Gee who win have the assistance of Mr. Ash. Old students of the Centre will be pleased to learn that Mr. Ash has recently been promoted in the Order to the Grade of Officer (Brother), having been Admitted as Serving Brother in 1920

The Centre had to close d own during the war owing to its headquarters being damaged by enemy action, but during last year repeated attempts were made to get going. Classes in Child WeHare and Hrst Aid (mixed) were held and all students satisfied the examiners. Classes in Adult Mygiene were also attempted but lack of support caused them to be cancelled.

The Centre is ready to run classes in any subjects sponsored by the St. John Ambulance Association, at 29 Museum Street, Holborn, London, and inquiries should be addressed to the Hon. SeGretary at 112 Manor Place, London, S.E. 17, or to Mr. Ash at 59 Park Lane, Wallington, Surrey.

MAKE SURE OF YOUR COPY OF THE ST. JOHN GAZETTE BY PLACING A DEFINITE" ORDER.

Headquarters: for Priory 4 Cathedral Road, Cardiff.

ANNUAL f>RIOI\Y FUNCTIONS and it is to· be hoped that the higher offices of the Brigade will

The Earl of Powis presided, as Pri©r, attract competent leaders, qualIfied m over the annual meeting of the Chapter other walks of life, as well as offer adof the Priory' for Wales held in the vancement to the rank and file. The Council Chamber of the City Hall, Cardiff, future rests with the spirit of our people on June 19. Canon T. M. Hughes, an in discharging the functions of citizenOfficiating Chaplain, read the Prayers, ship in conformity with the Voluntary and the Executive Officers submitted principle." reports. Viscount Tredegar, AlmoI?-eF, The Chapter was entertained to lunch summarized the work of the MedIcal by' the Lord Mayor of Cardiff (Alderman C©mf0rts Depots, now numberimg 146, George J. Ferguson, J.P.), those present operating under .Priory, from :which including, in addition to 14,971 medical reqUISItes had been Issued above, the following :-Mr. Damel Damel during the past year. The. Librarian, Sir (Commander of Slebech), T. Leonard Twiston-Davies, reported olil. Richards (Director of Ceremomes), Ii1S aifts to the Priory' Library aml Museum, Honour Judge Temple Morris (Honorary referred to a History' of the Order in Counsel), Mr. Norman M Wales and the Marches, by Professor (Honorary' Solicitor), Mr. T. Edgar SmIth William Rees, which will be published as (Honorary Architect), Lt.-Col. C. G. Colesoon as possible. Dr. D. Rocyn Jones, Hamilton, Major A. W. Anderson, Director of gave d@tails of Urban Marks, Dr. S. McCormac, SIT the first aid anol h0me nursi!lfrg €lasses in R©loert \¥ebber, Dr. J. M. Wilson, Dr. which 12,460 successful examinees gained Edgar Llewellyn, Mr. Hugh S Cann, awards during the year. Brigade member- Mr. J. H. Davies, Mr. T. Gibbins, Dr. C. ship totalled 15,642, and the first aid Armstrong, Capt. W J. Canton, Mr. F. treatmeI1l.t of 59,390 cases was in Llewellin Jacob, Alderman G. F. Evans, 1946. The report of the Director of Trans- Sir Michael Duff, Mr. G. E. Aeronport was presented by' Alderman W. J. Thomas, Capt. J. McLeod Carey, Mr. H. Saddler (Assistant Director of Ambu- Eyans, Capt. C. G ,Traherne, and Dr. G. lance), who stated that the total of Roc}rn Jones. 2G,655 patients removed was 3,299 more Over 800 men and women, reprethan the 1945 :ffi,gure, the mHeage for the sentative of all branches of the Priory's year being 481,393. The es1i:aibliskment of work in. the various counties of Wales, tw0 new StatiGlThs at PenrniwGei'iDer and were present at an impressive ceremony Swansea broug1J.t the to 22 main- held in the dignified setting of the tained by 28 ordinary type and 4 limousine Assembly Room of the City Hall in the ambulances, the latter being used tor long afternoon, when the Prior held an investidistance journeys. The Treasurer, Mr. ture of members of the Priory promoted Bernard E. Brown, F.C.A., submitted a in or admitted to the Order during the statement on the financial p©si'tion, and war years 1943 to 1945. Chapter Members, the adoption of the accounts was seconcl.ed in their picturesque black mantles emby the Assistant Treasurer, Mr. H. B. blazoned with the badge of the Order, Meredith, and carried. Certain matters were conducted in procession to the of policy were introduced for discussion platform, the Right Rev. the Lord Bishop by the PrinciFal Secretary', the Hon. John @f Llanda:fff, a Sub-Prelate, who read the H. BFl!llte. p:rrayelt's, wea¥il!l.g the mag!ID.dioero.t PJ11®FY

The Prior expressed sincereST gratihade oope which Lady C.B.E., had for tb.e contribution made by the nad made at the Royal School of Needletive Officers and Chapter Members to the work, for the use of the first Officiating cause ef ambulance during the past year. Chaplain and his successors in office. " Taking the long view," he said, "the After the playing of the National position of the Priory is well assured: Anthem, the Prior addressed the gathering the prospects for progress were never more in the following words :encouraging. There is great need of " I have pleasure as Prior, on behalf of leadership; and we are on the look-out the Chapter here assembled, in welcoming for fresh adherents with the energy of to General Assembly all members of the yomth, new ideas, and the whlling dedica- Order UpOlil. t.he Ron of the ;f!©r tiGliI. of spare time 'to th.e service ©f others. witih wID.®m are a:ss€)clateciJI Fel)lwe-

Admission to and prGmoti0n il!l. the Order sentatives o[ the 20 CeIl!tires c9veri!ll1g itrlM!e affords scope fet recruitment to our ranks, Counties and County' Boroughs of the 282

Principality; and I esteem it a high privilege to have present the Lerd Mayor and CorpOlfation 0] the City of Cardiff, whose hospitality we are enjoyimg in the spacious accommodation of this dignified and beautiful City Hall."

The Venerable Order derives its title not oEly from the ancient order of Chivalry in Christendom, but is also recognized as one of the Orders in the British Realm established by Royal Charter.

"The Lady Superintendent-ill-Chief for Wales, the Duchess of Kent, is a Dame Grand Cwss; and," continued the Prior, "it will doubtless be your desire to send to Her Royal Highness dutiful greetings and an appreciation of thanks for the services which she has rendered to the St. John Ambulance Brigade in England and Wales.

" The death of the Dowager Marchioness of Bute, following so closely upon that of the late Marquess, is a sad blow and a real loss to the Cause of Ambulance, which memorable functions at the Castle served to promote.

The number of Dames Grand Cross is so strictly limited that the Admittance of the late Marchioness of Bute, some years ago, to the highest Grade of the Order was a signal honour to the Priory, as also a token of warm appreciation of her unfailing interest in the affairs of the Priory since its inception- and in particular of

her generosity, and that of the late Lord Bute in pla(S:ing at the disposal of the City of Cardi.;ff Centre· premises in the Castle Grounds as a Headquarters, free elf all eosts.

"Besides the above honour, a further !honour was Gonferred on the Priory last year by the promotion of the Countess of Plymouth, Assistant Lady Superintendentin-Chief for Wales, to be Dame Grand Cross, who we trust will continue to represent the Priory in that Grade for many years to come.

"Death has taken a tragic toll of our supporters eiuing the past twelve rnemths, and our thoughts revert to the gap in the ranks of the Chapter occasioned by the lamented death of the Sub.-Prior, Lord Cope. It was his expressed intention to devote himself to the work of the Priory once his wartime commitments and other responsibilities had been laid aside, and this was no perfunctory dedication to a task.

"We are in touch with all the Overseas Establishments of the Order, with whom we excham.ge Annual Reports, pu blications, and greetings on appropriate occasions.

"The keynote of our work is voluntary service, which is characteristic elf the British race wherever the flag flies. The magnitude of the cOI,ltribution made by volunteers throws into relief the great saving to the State by comparison with

the cost of such services as the Constabulary, National Fire Service, and other necessary ' paid establishments.

"The cost of equipping the Brigade is not fully appreciated by the public, Ror t!lae saving to the State loy the voluRtaFY provision of uniform and first aid material, which must to-day be valued at £100,000 in Wales alone. If Brigade service was not gratuitous, provision would have to be made by the State on a wage-earning basis to cope with accidents and sudden illness in the home and on the road, and wherever crowds collect fer sport and pleasure, in and out of doors" and on ceremonial occasions.

"The instruction, examination, and qualification 'of First Aid students under the St. John Ambulance Association rules, afid their enrolment in organized, disciplined, uniformed, and officered ranks under the St. John Ambulance Brigade regulations, facilitates the work of the official First Aid staff on railway and read, in factory and mifie, above' and undergrQufid, on the sea and in the au'.

" First Aid and Home Nursing are subjects anciHary to the practice of Medicine, Surgery, and Trained Nursing; and t.hese great and beneficial professions acknowledge a debt to lay men and women for their preparedness in the preliminary stages of the easement of suffering and the task of healing. A knowledge of the means to deal with personal injuries and to render assistance to others in distress cannot be too widely diffused.

"There is an obvious advantage in learning the !rudiments of any s1rlbject whem young, aID.@. the hope (!)f maintaining interest rests largely with the attractiveness to Cadets of subjects of such admitted usefulness. The depletion of Brigade ranks as a result of war-weariness, a reluctance tel don uniform again, and the, lure of so many pleasurable distractions will best be countered by the enthusiasm and persistence of youthful supporters of the Cadet Movement. All honour is due to th@se who persevere and tun). to account tfueir Cadet in the ranks.

" An Qutstanding feature of the work of the :priory is the Ambulance Transport Service in the South Wales Coalfield, which employs some 60 drivers and mechanics to service 32 ambulances at 23

stations, carrying over 26,000 patients nearly halif a million miles a year. Negotiations are in progress to fit this indispensable fleet and highly trained staff into the framewor[k @ f the National Health Serviees Act, 194@; and all over Wales the Welsh Home Service Ambulance Committee, St. John and Red Cross, will also provide up-to-date cars in surprising numbers as agent of the local Authority.

"The acquisition of a Training Cefitre in Wales-serving South-West England as well-will give a new impetus to our aspirations, the prospect of which affords a present incentive in spite of indefinite deferment for very adequate reasons. '

"Fundamentally, a successful service to the c01mtry-the sole ground for existence of a voluntary organization-depends upon a public-spirted devotion to duty on the part of our membership, sharing the traditions of the past, the life and action of the present, and hopes and ideals of the future ."

Those to , be invested stood while the Prior read the "Exhortation", ail'a 'a'B their names were a'nnounced ,by the Principal Secretary ' stepped on to the platform to receive the insignia of their respective grades, soft music being played by a string Grchestra at the back of the hall throughout the investiture.

Vellum and Priory Votes of Thanks were presented by the Lord Mayor, who was accompanied on the platform by the Town Clerk of Cardiff (Mr. S. Tapper Jones), and spoke in terms of highest praise amd a ppreciation of the work carried elU in the name of the Order of St. John.

Recipients of the Grand Prior's badge during the past year had the honour of receiving this award at the hands of the Prior, the Ambulance Cadets being introduced by Sir Michael Duff, and the one Nursing Cadet by Lady Twiston-Davies, Chief Cadet Officers Wales.

W AN1'ED, by member of Staff at St. J ohm's Gate: :fl!at, house, or unfurnished apartments for family of three. LQ!I!ldon or , near. Full particulars shOlald be forwarded to the Editor, St. John's Gate, London, E.C 1

NOTICE TO READERS

THE ST. JOHN GAZETTE is published on the 15th of each O1onth. The An,nual Subscription is 5S. post free; single copies 4d by post Sd. REPO,RTS AND PHOTOGRA.PHS should. be addressed to The Edi1tiGI'. St. John's Hate, London. E.C.I, and should. reach hi01 not later than the 28t,h of the O1onth. aod ADVERTISEMENTS should be forwarded to British PeriodicaloS, Ltd., 46-47. Chancery Lane, London, W.C. 2 • 284

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D' E T T 0 L' T H 'E ' MOD ERN 285 Regcd ANJiISEPTIC

INTERESTING CASE REPORTS

CASE REPORT No. 327.-Tfie Officer-in-Charg€ 01 \Vestern Area, No. I of Wales's) District, S.J .A.B., repGilits the JI?erio't'mance of ':101 by two members of tile No 194 D ivisrnon in the fo1}owmg ell'Ctilmstanc€ls:

Ofi the morning of February 21 , Privates Judge and Walton were called t o a house in Kingsbury, and Wl'oceeded forthwith in the ambulance to the scene of the accident On arrivifig at the house they found the patient ly ing on the floor and suffering from S€lvere burns of back and thighs with great shock She had apparently beefi stafiding vvith her back to the electric fire while feeding her baby, when her clotfiifig caught fire. The baby was unharmed. Without rem.oving the pieces of clothing, Privates J and Walton covered the burns with siE€lrile dressings and C0)UGl]j)j wo<vl, wrapjJDed t b e patient in bl.ankets with hot water b ottles, 2md conveye@l.heF im. it'l]e am'b1ll1amce to 'hospital, where she was detained , and subsequenHy made a reccilVery .

r eport stresses a warning that lad ie s, es pecially w h en oc cu pi ed wi th domestic duti es , should nCit stand with their backs to th e fi re; an d it w ins fo r Pri vates Judge and Walton cordial congratulations on g oo d w O'l'k we ll . don e . -

N. CGRBET FLETCHER.

CASE REPORT No . 328 -The Officer-in-Charge of Western Area, N o I (Prince of Wales's) District, 5l .J reports the effLciertt performance of first aid by two members of the No. 6J (Twickellham) Nursing Division in the following circumstances :-

At 6. :» 0 p.m. on \Vhit-M0!llday '(May 26), Sergeant Slade and Ambulance Sister Deakin were returning from ambulance duty at Hampton Court Palace, when they called to a child (aet. 7) who had been crushed on a roundabout in the Fair Ground, and was stdfering from compound fractures of the left tibia and fibula, with severe hcemorrhage and shock. Finding their patient seated on a chair, they at once placed her recumbent em their overcoats, applied a tourniquet, and removed a dirty handkeFchief from the gaping wound on the front of left leg. Next th€y dressed the wound with sterilized gauze, controlled the fractured leg with splints, and!. escorted neil" in the ambulanoe to hospital, where the patient was adm iU€d at @. 45 JJD m Slade was complimented by th€l surgeon on the way ilOl whi!ch the i'lilj 1il!ry had been treated. It was later ascerlai11led that the child! was making good piFogress, and that the limb had been saved, although at first it was feared to the contrary.

CClMMENT.-Sergeant Slade and Ambulance Sister Deakin (who ha s on ly r ecently transferred from Cadet t() Adult Division) merit cordial congratu lations on th e dexterous and exp editious manner in which they dealt with a g'l'avely injured ch i ld, w hereby they p'Yevented !u'Pther agg'Y6wation.-N . C. F.

QUESTIONS AND ANSWERS

Artifk:ial Respiratial'l

G. C. (Surbiton) .-1 notice in a photograph of a Bearer NO. 4 in Dewar Shield Fin3:1 C?mpetition is the patient whilst performing artificial respiration. Surely thIS IS a mIstake? I await y@ur ruling with interest.

The marking sheet r eads: "Kneel at (me side facing the patient'S hefltd."N. C. F.

I'-h.l lfli'lat!!r im First Aid

M. B. (Cambridge).-1!'wo CDf lllS we!lfe r€celil!iMy t<v a !I![ii),®itm." acei!cderJiifr in which patient sustail11ed multiple iNjuries. My colleague was som€wfiat over-anxIOUS, and suddenly Siaid to me: "Look out! I think that the patient 286

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ha,s stopped breathing." He was., therefore, relieved when the patient replied, " No! I have not ! ! }}

Good! Next please 1 !

Removal of a Boot

D. S (Home County).-At a recel'lt Divisional Practice the members were disctlssing with me, their Surgeon, the treatment of fractures of the lower limb; and I was asked lilly op:inion as to wihletheF @r [filO the ib@ot sl1ou]d be removedJ with fractures of leg, thigh, and patella. Of course, I based my replies on the Textbook, but after discussion the members considered :-

(r) That with a crushed foot it would be wiser to keep the boot on the foot, as this would give more support, whereas its removal might cause more damage; and /

(z) That with a fractured pat ella the boot should be removed as padding c(mld more easily be piaced the heel, and would keep the foot vertical, since with a boot left em the foot, there is a t endency for the foot to turn either outwards or inwards.

As regards fractures of thigh a[lld leg, I SClJiJd tlilat removal of the boot might cause the fractures to become compound if this was done clumsily. \Ne shall be inerested to read your cQmm€)nts.

On the general q'lltes tion of the removal of clothing the Textbook (p. Z5) lays it down that clothing shr;mld be removed as little as possible and that, if it is necessary to remove a boot, this can be done with the lace completely 'lItndone, and with the ankle steadied.

With a cntshed foot th ere is always a possibili ty of a wound or wounds being present, for which 1'eas on the Textbook (p 93) tells 'lItS to 1'emove the boot and s to cking in order that the instr'lltction on pp. roB, rZ7, and rz8, respecting the immediate covering of wO'lltnds may be P'lltt into effec t.

In the tr.eatment oj fract'lltres of patella, tibia, ftb'lltla, and femur, the makes no suggestion that in any case the bo ot should be removed. In short, I have no reason fo r thinking that the instructions of the Textbook in this connection require any modiftcation.-N. C. F.

Application of Triangular Bandage

G. P . .(Clapton) .-At a recent prad:ice the instructor was demonstrating the application of the triangular bandage, and when showing the class the bandage for the scalp, shoulder, hip, etc., he emphasized the importance of folding a hem mwards Would you be so kind as to give the reasons for the inward hem?

The instructions to fold th e hem of the triangular bandage inwards is very old standing, and aims at neatness, especially as many bandages will be f01ltnd to have f1' ayed hem.-N. C. F.. !.

Scalding by Tar

A. C. (Dagenham) .-A discussion arose recently as to the best method of treating a person whose hand had been splashed by tar. Some thought that it should be treated as a straightforward bU'fID, whilst CDtlilers suggested the immersion of the in cold water t o " harden}} the then cover and convey t o doctor or hospItal. We shall b€ pleased t o have your decision on the matter. Thank you :for your continued help. :1

T ar on to th e skin q'lltie kly GQBls and adheres to the injured parrt. Consequently there 2S no nsk oj fur- ther aggravation; and in my opinion no advantage wO'lltld result from imm.ersing the parrt in co ld water. OJ course, no attempt sho'llt ld @e made by the first a'bd err rremove tar, a12d the patient should be rem(Jved to doctor of hospital withQ'lItt de lay.-N. C. F. '

Trreatment ef CemcllIssi,em

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Championship Competition. Consequently, I would much like your opinion on two points which have cj"opped up at practice.

First with reference to the application of cold to t1m.e lrlead in the treatmem.t of concussion of the brain as the result of a blow on the bead, I have been warned that if Gold is aprlied bef@iJfe sets iN, t fue team will be peNalized, the reasons given being: (I) that c@M t @iIleaQl (2) that c@flIcmssrn©iIil is not an injury, but only shock to the hrai'lJil, and (3) tlrlat the Textbook (p. 16 4) is wrong in its interpretation of the treatment of injmies)to the head.

The instructions on p 1@4 of the Textbook relate to the treatm ent of cO'Y.J,cussion and compression; and you will see on pp 163 and 164 the statements: (I) that compreJJsi([Jn is frequently preceded by concussion, and (2) that cases of h ea d injury are not" to be regarded lightly ". In these circumstances it is strictly in accordance with the instructions of the Textbook to apply cold to the head for all cases in which the patient sustains 'severe bl@w tI'J the head. In other words, the Textbook seeks to minimize (and if p@ssible to prevent) the risk of de1Jelopment of compression of the brain. Consequently if the State Championship Competition is conducted on the Textb(;)ok, the members of your team should lose if they Jailed to apply cold to the head in aU cases of injuries to the head .-N. C. F. of Spine

J. M. (Victoria, Australia) .-Secondly, if a patient, suffering from fracture of the spine, is in the face-downwards position, is the patient turned over on his back before pads and bandages aFe applied or are the pads and bandages applied first. Meanwhile, I thank you for your kindness in answering my queries

The Supplement to the Text'b@@k on p. ]0, answers yOU?' query. There you will find Jive separate which ar'e to be carried out bejore the patient is tU'Yned on to his back in preparation for his removal to shelter. Includ ed among these are the placing of pads and the application of bandages -N. C. F.

Hands in Patient's Pockets

P. B. I took my first certificate, thirty years ago, our lecturer used to say that It was no part of a mst aider's duty to put his hands into the patient's pockets. To-day the Supplement to the Textbook on p. 10 tells us to empty the imside and back pockets of the patient. I await your cmnl1'lent, amd! thank y(i)i\!l fm it.

Times ehange J J-N. C. F.

OLASSIFIED ADVERTISEMENTS

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!l".Zbers should be forwarded). Rate 3d. per word, tmmmum 4$. 6d. Box numbers IS. extra. Trade advertisements 4d. per word, minimum 6s.

O VER 300 separate p0inters to sueeessful comp>etdti0n w0Fk are givem im M0l't0n's First Aiid COffiJiledtiom Trainimg. Ti<le pFactical guide for all Fiirst Aid CeInJiletdt0rs. F'riee postage 2lii. (8s. a dozen, ISS. two FOUNTAIN PRESS, 46-47 Chamcery Lame, Lendon, W.C.2.

SADDLEWORTH Division Annaal Open Ambulam:e Comp>etitien, te be hela on Saturday, 20th SeJiltember, 1947, Mec;hanies 11).stitute, UJilP>ermill. Entries and inquiries to J. D. Chew Valley Road, Greenfield,

A M.ONEY for all EffoFts: our • Mlle of Pemmes" or "Fe0t ef Pennies" Cards. Also Memdimg COI'JlJ!lacts, ana Diary alf h>eaati€ully pnnted yoar ew.n wording. NetJiung JilRe tmem for suecessful results. SamJilles 3d.-F'ER€Y E. AnDY, LTD., Grattan Press, Bradferd (only address).

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