The St. John Gazette (December 1946)

VOL. 19. No. 12.

fhc Aygiene

BBETSON

S T EVE NAG E HER T 5

"P ORTEX"

MEDICATED PLASTIC

SKIN

PRICES

(inc. tQx)

TUBES AND BOTTLES

SMALL 1/8

BOTTLES

MEDIUM - 3/ 4

LARGE - 10/-

HOSPITAL

SIZE - 23/4

IMMEDIATE RELIEF FOR CHILBLAINS CUTS BURNS

ABRASIONS

IMPETIGO

NSECT BITES ETC.

GERMICIDAL and SELF-STERILISING

WITHOUT THIS NO FIRST-AID KIT IS COMPLETE

AVAILABLe AT AI,.L LEADING CHEMISTS '

PROPRIETORS: PORTLAND PLAS'T'ICS LT.D .! HOUSE, WESTMINSTER, LONDON 342

Q;ut 09ffu:ial :jJanrnal of tire <13nmb in tire Realm of ij!;be !T enerable @rber Df tbe 1jD.5JJitai Df Jobn of Jerusalem

Edited b:tI GEORGE E. CRAFT, O.St.J., F.R.S.A

EDITORIAL

GREETINGS With the last issue for the year 1946, we take this opportunity of extending best wishes to all readers at home and overseas; and to extend greetings for the year ahead. During th e present year, the first full peace year since 1938, the work of the Order in all its Departments has shown increases in many spheres of activities; and although Joint War Organization has now ceased, there is still the Joint Com mittee of the Order and the Society which needs our continued support.

It is not always realized that some of the work carried out to-day under the J oint Committee was instituted during or immediately after the 1914-1918 war, and was continued during the years of peace between the two wars. There is the Hospital Libraries, the Home Service Ambulance Service, and the like, which is ever needing assistance.

We can, without doubt, look forward to even greater activities in the coming year; but as usual, members will give that ever-ready assistance which is so characteristic of St. John.

THE GAZETTE Since the cessation of hostilities, the Gazette has increas e d its pages from twenty-four to thirty-two; and with the January, 1947, issue, it will be further increased with a special cover. There is, however, one item which must of necessity govern th e increase in pages, and that is cost of production. Unfortunately, another increase in printing charges has just been announced, which necessitated reconsidering the whole matter. It ,vas felt, however, that members of the Order in all its Departments would be better pleased if the improvements which ,,,ere in hand were carried out; and this will mean a slight increase in the cost of the Gazette. From the January , 1947, issue, therefore, the price will be 4d. per copy, with subscriptions at 55. per year, post free.

Opportunity is taken to thank readers who have supported the Gazette during the past years; to Divisional Secretaries who have undertaken the distribution of copies; and to others who, by their sustained interest, have done much to increase the circulation.

OPHTHALMIC HOSPITAL, JERUSALEM

The Matron, Miss A. C. G. Hayes, resigned on November 2, and returned to England. Miss M. D Millman, who has been appointed to fill the position, has been at the Hospital for about six years, and is therefore conversant with the work and understands the numerous difficulties.

343

Dr. J. Graham Gillan, M.B., D.O.M.S., has been appointed Registrar, and taken up his duties in Jerusalem.

Five new Nursing Sisters have been appointed, and four have already arrived at the Hospital; the fifth will be leaving England early in 1947.

THE ROLE OF THE DIVISIONAL SURGEON

By K. CORBET FLETCHER, O.B.E., E. t.]., M.A , 1\1.n., l\1.R.c.s. (Surgeon-in-Clzirj, S.J..l .B. At-HoJlle)

(An address given 011 November 10 at Ct Confe11ence of Surgeons and Nm' sing Officers in Northern Area, No. I (P1'ince of Wales's) Distyict)

'\iVhen your County Surgeon-Colonel Norman Hammer-notified me that it was his intention to call a Conference of Surgeons and Nursing Officers in I orthern Area, I felt that he "was initiating in No. I District a procedure which would be far reaching in its effects.

Further, I remembered how successful in contacts and results were the Annual '\Veek-end Conferences of Brigade Surgeons which we held before vVorld War No.2, and ,,'.'hich enabled those who attended to get to know each other. 1y great regret IS that, consequent on catering and accommodation difficulties, \ \,e were not able to revive the Week-end Conference this year. In these circumstances, I am happy to accept Colonel Hammer's invitation, and to give the opening address of this Area Conference.

COMPOSITION

OF THE BRIGADE

The Brigade, as yon lmow, is a public medical service which is worked bv volunteers, and .-which is of hvo sections: (I) technical, consisting of su:geons gIve the necessary mstruction, guidance, and supervision in all thmgs medIcal, and (2) executive, consisting of trained and certificated persons who serve as administrative officers and as members of the rank and file. Further each sectior: is dependent on the. other, since without the surgeons there would be no effectIve personnel-and wIthout an effective persOlmel there would be no call for surgeons in the humanitarian mission of the Brigade.

SELECTION OF SURGEONS

.O.f the grades of Surgeons, none is so essential and important as that of the Surgeon, to whom the Brigade owes so much and on whom falls the bIggest share ?f the task of instructing the lay members. whIle no one can deny with which the majority of the DIvIsIOnal Surgeons carry out theIr dutIes, experience proves that all too is a tendency on the part of some of them to come and go .0:- .alternately to hold office without taking part in the of DIvIsIOns which suffer from this neglect.

Th.ls state of affairs, in my opinion, takes its origin from the m whIch these were first approached. Some Divisions seem content a. surgeon who is only a figurehead and who, contrary to Brigade RegulatIOns, IS that the. duties are negligible or perhaps that one course of lectures each year IS all that IS required! of the Brigade rests on the happiness and prosperity of each umt; and the strength of the Division in its turn rests on the cordial of the surgeon with superintendent, the former being the techmcal and the the executIve head of the Division. Further, while the surge?n may posts, the lay individual cannot; and the Brigade as. a. I?-edlcal nghtly ranks the surgeon as the senior officer of the DIvIsIOn By thIS .arrangement the surgeon can concentrate on tuition while the :s left fre.e to deal with the administration, discipline, and of DivIs.lOn. IncIdentally, rumour has it that Surgeons are usually slow m attentIOn to correspondence!

Such beu?-g the. case, the. surgeon should be told at the outset what are hIS dutIes and pnvileges. me back thirty years to the day when, though not long establI shed 111 practIce, I was interviewed by an Ambulance Officer who was very frank, and said that he was afraid that I could not take on the job and insinuated that I was too busy! Twenty years later I took revenge by getting him appointed to Headquarters Staff as my Secretary! !

344

In this connection the two main duties of the County Surgeon are to make contact with the Divisional Surgeons in his command before and after appointment, and to test the instruction given to the Division by conducting the annual reexamination.

BRIGADE EFFICIENCY

Before I detail the special duties of Divisional Surgeons, I would like to deal with the term" efficiency" which figures prominently in Brigade Regulations. The root meaning of the word is " power to produce the result intended"; and it is used to cover" the faithful performance of specified duties". Further, it applies to all ranks; and failure to be efficient for two years may involve removal of surgeons and lay persons from the Brigade Roll, whereas, if efficiency is maintained for fifteen years, it qualifies the individual for the Service Medal of the Order. Moreover, Brigade Regulations require the accurate records of all duties to be kept on Form BF I, which must be checked personally by the surgeon and the other members of the Division before it is forwarded each year to County or District Headquarters.

To the Divisional Surgeon, Brigade efficiency includes the proper control of the instruction given to members of the Division and the proper supervision of the treatment of casualties when on public duty. Further, Brigade Regulations differentiate between these duties which are" required of Surgeons" as essential to efficiency and those which are" expected of Surgeons" but not essential to efficiency.

DUTIES ESSENTIAL TO EFFICIENCY

(1) Attendance at Divisional Practices

First the surgeon is required to attend during the year at least twelve Divisional Practices-that is, meetings at which first aid (and in the case of Nursing Divisions, home nursing also) are taught and practised. Some ten years ago, under B.O. 637, the Divisional Surgeon was allowed to count towards this total up to six attendances as judge in competitions or as examiner in an annual re-examination.

(2) Instruct ion of Members of Division

Secondly, the surgeon is required to accept responsibility for the instruction of the members of the Division in first aid, home nursing, and (if asked) in hygiene. This reminds me that only once have I given a course of lectures in the last-named subject!

Incidentally, first aid is a special science which, though based on the same .fundamental principles as are medicine and surgery, is not taught in medical schools. Hence there is the need for surgeons and lay persons alike to study the subject. The angle of approach, ho"wever, is different, since the surgeon must bring his kno "wledge of emerg e ncy treatment and transport down, and the lay individual up, to the standard required by the science of first aid. In these circumstances it is imperative that the Brigade Surgeon should concentrate on the official textbooks on the basis of which all examinations and re-examinations are conducted.

(3) Attendance at Annual Inspection

Thirdly, the surgeon is required to attend the Annual Inspection of the Division or, if unable to be present, to send to his senior ofucer an explanatory letter which will cause him to be excused.

DUTIES NOT ESSENTIAL TO EFFICIENCY

Apart from the duties just named which count towards the efficiency of the surgeon and must be accurately recorded and checked, there are others of great importance.

(1) Attendance at Public Duties

First, the Divisional Surgeon is expected, as opportunity allows, to undertake 3-1-5

the medical charge of Public Duties-that is, of the official occasions when under police (or other competent) authority first aid is rendered to sick and injured patients.

These constitute the primary object of the Brigade, and vary widely in different localities. They are chiefly centred on emergencies which may arise in London and other big cities when crowds collect, and in the provinces in accidents on the roads or in the transport of patients by the ambulances which are worked by the Division. When on Public Duty, surgeons are required to wear Brigade uniform, without which they cannot enter into the full life of Brigade activities.

(2) Attendance at Meetings of Division

Secondly, the surgeon is expected to attend Divisional l\Ieetings which may be held occasionally for sundry purposes, and also Committee Meetings, as the senior member of the Division, he is the accredited chairman as is laid do\-vn in Brigade Regulations. Incidentally, experience taught me that the latter are best held on an evening other than that allotted to the Divisional Practice, and that the surgeon's own house in the most suitable venue, since he/she is immediately available for any sudden emergency associated with medical practice.

(3) Attendance at Social Meetings

the surgeon is expected to attend all Social }Ieetmgs of the Division, especIally those which are of semi-official importance, such as the annual dinner, dance, or concert of the Division, at which the wives (and husbands) and the sweethearts foregather.

By so doing the surgeon will make yet better acquaintance with the members of the Division, and thus he will cement the friendship and cordial co-operation without which no Division of the Brigade can be truly happy and prosperous.

INDIA. No.3 DISTRICT.

A most interesting report has been received, including an account of the )l"ursing Division's work for Released Civilian Internees from prisoner camps in the Far East. It was the biggest job they had ever tackled, and they were responsible entirely for all the work in connection with the internees in transit or residence in Bombay, with the exception of the issue of monetary allowances or passports. The first request for aSSIstance came from the Chief Commissi?ner for India to run a Camp HospItal of the Malayan Transit Camp to be opened in Mahableshwar. A house was requisitioned in Bombay, which was in a shocking state of dilapidation. With only , five days in which to make the accommodation as comfortable as possible, no expense was spared. Members of the Bombay and Poona Nursing Divisions and Cadets, were put in charge of different Six rooms were converted mto dormitories, with separate dressingtables and stool, bedside tables and lamps. The sitting-room was re-decorated curtains added! and chair covers, ligllt rugs, etc., whilst a grand piano was loaned. The house was sufficiently ready to accommodate forty people by the date asked for; but it was a fortnight later that the first arrivals were sent.

Another house was also used, and later a six storey block of fiats, recently vacated by the Army, was taken over.

The two held some 130 people. The houses were fully staffed and a Nanny and two aYc: hs were put in charge of the top floor, WhICh made excellent nurseries; and two members gave morning lessons or took the children swimming, etc. The catering was difficult, as there were seldom more than a few hours' notice before the arrival of from 7 to 70 people; added t<;> this the snags of rationing, dI.fferent dIets, the cl osing of markets WIthout warning, and strikes.

Transport was another i tern that had to be provided; the Red Cross and the R.N. kindly lent trucks whenever possible and one from the Polish refugees was borrowed. A dilapidated IS-seater bus was .hired from the Government Transport serVIce, and used to take guests in and out of town for shopping, etc. One truck was used. for those a ttencling St. George's HospItal, another for the dentist, and one for household demands, supplies, etc. Added t<;> this, transport had to be found for meetmg and seeing off planes at both and ?anta Cruz aerodromes, and at VIctoria Terminus and Central StatIOns throughout the day and often most of the night. Members' 'cars as well as those belonging to friends were used.

3-16

The Red Cross supplied a large quantity of clothing and medical comforts; the latter were handed over to the appropriate members in charge and a "shop" was opened for the clothes: It w.as, of course, a Gift Shop, everythlllg bemg free, stocked with clot.hing for both sexes m every size and shape, and thin, toilet necessit.ies, cosmetlcs, etc. Two cubicles were made in the shop, and several of Bombay's leading hairdressers were persuaded to give a day a week in the shop so that free trim, shampoo and set, manicure, or beauty treatment could be had for the asking. There could be no question of someone passing through quickly not being able to find what they needed-it had to be there--or produced fron1. some:vhere, <l:nd invariably was. Ships in tranSIt up to 400 internees were a large dram on the resources; they could not be fully, but they always left Bombay WIth a reasonable outfit to carry them on as far as Suez where they were As each new arrival was fitted out theIr measurements were taken, and on their departure these, with the mode of travel, were signalled to the RA.P.W.I. Supply Centre, Mid East, so as to ensure a complete outfit of warm clot.hes at either Suez or Cairo.

YrSITORS TO ST. JOHN'S GATE. Among recent visitors to St. John's Gate we have been pleased to welcome the following :-Mrs. Walton, and :Mrs .l\Iollergreen (South Afnca) ; JUr. S. A. Wright (Rhodesia); Mrs. B. A. Walker and ]\lrs. Heap (New Mrs. Monk (Burma); Mrs. Miller Kong) ; Miss f\I. (JamaIca); 1\1r. B. M. Ganter (Tnmdad); Capt. Hymer- Jones (Palestine); Major G. B. Thomas (India); and f\lr. D. Doulet (Canada).

• HEATH MEDAL' GAINED BY ST. JOHN MEMBER

At the prize distribution to nurses at .J: ewcastle General Hospital, Nurse Doris Walker, a member of the North Shields Nursing Division, received the" Heath" :\1edal, a cheque and a certificate from Mrs. C. M. Stocken, formerly secretary of the Student Nurses' Association. The Heath" Medal is the coveted trophy competed for each year by nurses at the Newcastle General Hospital; and presented many years ago by the late Dr. Heath, an eminent Newcastle physician.

It is said, my friends, that the" best laid schemes of mice and men go oft away", and how true this is. My best laid scheme for 500 Depots by December, 1946, has slightly miscarried, and. the total will not exceed 450. I am a lIttle disappointed, but I do feel we have made real solid progress, and that our registered Depots are worthy of the cause. Here is the latest list of the progress of the Counties :-

Bedfordshire 5 Northampton 28 Ber kshire. 4 Northern Ireland.

14

You will notice that Hampshire still holds a substantial lead, but Cornwall have put on a magnificent spurt, and hold the record for new depots (13) registered this year, while Leicester is a newcomer. My grouse of a month or .two ago h.ad led to a number of interestmg and mce letters. One from Hampshire suggests I ought to lead the way in advertising, an.d have my photograph at the head of this column. This cannot be done, but there is no secret involved in my identity. I am usually referred to as the Assistant Brigade Secretary. sent a rep<;>rt of some speedy first ald. At 12.30 mIdday, a very urgent call for some vital articles for a patlent too ill to be moved to hospital. A certain had just arrived home for lunch, and hIS car was commandeered, and by 12.50 the the articles were delivered. The report did not say whether ': Pa" had lunch or if he had to walt, but the patIent recovered. The Craig Court House (London) Division had a bring and buy sale, and sent me a copy of the handbill. A useful innovation was a map on the back Owing to heavy pressure on space many of the" bill " giving the exact location. of oews items have had to be omitted. the Depots, bus numbers, and stoppmg 3-17

places. "\Yhy not a similar map on the back of yo ur Depot advertising? The Officer- in-Charge of the Acle ( orfo lk) D ep ot has sent me an i nt eresting letter a n d specimens of certificat es he issued, a n d the simple system of book-k eepin g wh ich he finds adequate. When I have compared his 'with a simi la r system sent by Miss lVWler, of Suffo l k, I hope by amalgamating the best of both to find a really simplified system for the use of the smaller Depot.

I take this opportunity to wish you all a Yery happy Christmas and a prosperous l-ew Year.

THE SECRETARY, JI.C.D. Commdtee.

CHILD WELFARE

The first examination in the Preliminary Course of Child 'Welfare took place in September, 1944, and in the 24 months which followed 290 examinations were held, at which 3,594 candidates passed for certificates. All of them except 181 were J:\ursing Cadets, and 17 were Ambulance Cadets at Aldershot.

Some ten months later the Adult Course of Child \Veliare was introduced, the first examination taking place in July, 1945. In the twelve months which followed 94 classes were held, and 1,242 students were examined.

These figures, together with suggestions and criticisms received from various quarters, were brought to the notice of the Ambulance Committee of the Order at its meeting in Oc'=ober, as well as to the notice of the Association Sub-Committee and the "\Vomen's Advisory Committee.

All these Committees are agreed that tJ:tese courses are popular; that they proVIde some very useful knowledge; that every Nursing and Cadet ""ursing Division should be urged to arrange classes, but there may be some difficulty in doing so III the more remote parts of the country. The main difficu lty may b e to find Lecturers or Examiners who hold the requisite qualifications, but the Committees are of the opinion that it wo uld be detrimental to the value of the Certificate to relax those qualifications, It has been found that in the majority of cases lectures have been given and examinations conducted by Doctors and Health Visitors, but in some cases the co-operaof Nurses has been sought. It is in this category that organizers of classes have met with difficulty, for they have not always made sure that the Nurses are State Registered, and that they a l so hold one of. the additional q u alifications laid UO">I1 III the Regulations. Organizers of classes are therefore urged to bear i n mind that the names of urses whose co-

operation is sought must appear in the current Register of Nurses published by the General Nursing Council, either in the part for General-Trained Nurses, or as Sick Children's Nurses, and that they hold one of the additional qualifications l aid down in the Regulations.

As regards these additional qualifications, the Ambulance Committee has decided to recognize the National Nursery Certificate of the :\linistries of Health and Education in common with the Nursery Nurses Diploma of the National Society of Children's Nurses, which it supersedes.

Another modification of the Regulations which the Ambulance Committee has agreed to is that persons employed as Health Yisitors by County and County Borough Councils will be accepteu as Examiners and as Lecturers even if not in possession of the Health \ 'isi tor's Certifica te

The Ambulance Committee has als o decided that Registered and Qualified Medical Practitioners with experience in the care of and Children, Health Visitors, and those State Registered Nurses (with Sick Child or General Training) who hold the additional qualification s laid down in the Regulations, will in future be recognized as Lecturers on the complete AdUlt Course, and also as Examiners on it.

Those who are thinking of organizing classes in Child \Yelfare should, unless they are within the area of a registered Centre of the Association, obtain copies of the Regulations from the Headquarters of the Association at St. John's Gate, and make a point of writing to the Chief Secretary on any matters on which they are in doubt, especially as to the qualifications of proposed Lecturers and Examiners.

HONOURS

The Chief Commissioner Brigade \tHome, is pleased to the following :-

M.B .E - :\li ss :\1. A. Todd (Di\'. upt., \Yinlaton and District Nursing Di\ ision) , which has recently been announced.

Miss Monica 1\1. Crosbie (St. :\larylebone Nursing Di\'ision) "vhu served as a Civilian Relief "\Yorker in Italy and Austria.

B.E.M.-Pte. C. H. Kerruish (Douglas No. 1 (Isle of Man) Division) for work with the Home Guard.

. ]. Chambers (1Iiddleton Park for outstanding work in the of Normandy.

It .1S also announced that Miss M. Chalhs has been awarded the Certificate of Good Service in recognition of her work as a V.A.D. in the "\rmy.

348

ST. JOHN COUNTY COUNCILS

An informal meeting was held at St. John's Gate on November 12 to discuss problems connected with the work of St. John Councils in the counties. The Secretary of the Orcler (Major-General J. E. T. Younger) presided supported by the Assistant Director of Ambulance, the Chief Secretary of the Association, the ,\ssistant Secrctarv of t.he Order. Counties represented inch{ded 13uckinghamshire, Devonshire, Dorset, Gloucestershire, N 01'folk, Staffordshire, Sussex, Birmingham, Guernsey, J erscy, Lancashire, Leicestershire, ancl OxIordshire.

to the 10th Civil Resettlement Unit at Daglingworth.

Rehabilitation of Disabled ]Jersons ..-Thc principle on which this scheme worked was explained.

Other items included the Brigade activities, Auxiliary Hospitals, Examinations at the Police Training College, Falfield, Flag Day, whilst Col. Sir] ames Sleeman reported on the Order Overseas. A vote of thanks was extended to ::\Iiss Jackson who had carried out the duties of Acting Secretary prior to the appointment of a permanent secretary.

" THE REAL HEROIN ES

At the Royal Command Film Performance, held on November 1, the Brigade personnel on duty once again pwyed their \\-orth , and received from all sides congratulatio ns on the excellent work done under trying conditions . Outside the Empire, Leicester Square, there were thousands of persons endeavouring to obtain a glimpse of Their :\Iajesties and the film stars. The police had a hard job to hold them, and many persons broke through the cordon Brigade personnel were kept busy, anc1 their assistance was much appreciated by those in need.

The l\'ational Press paid many tributes to the work done, and the follo\ying appeared in the Evenillg Standm'd :" The first aid sen'ice in the lounge and foyer functioned admirably. The St. John nurses 'were the real heroines of the e\'ening, exciting far more genuine admiration than the fur-clad stars themselves."

THE ST . JOHN EX H IB ITI ON

The Chairman welcomed. the delegates and stressecl the fact that Headquarters did not wish t.o int.erfere 'with the management of the Cuuncils. He referred to the County Organization of t.he Priory 101' \ \ -ales which carried out much t.he same kind of work as was visualized for the Councils. A memorandum from t.he Priory had been recei \'ed and ext.racts from tbis were read to those present. In this it 'was stressed that the primary object of the County Councils in \\Tales was to bring the work of the Order into touch with the public life of the County, by associating with it those who ha\'c the widest possible points of contacts with County affairs. The keynote of the Councils was that of a planning authority WIth supen'isory responsibilities in respect of the complete development of a County as a St. John C'nit of administration within the framework of the Granel Priory. Three excellent points were made: (1) that Councils can fill in gaps and avoid o\'erlapping; (2) that while County Commissioners were entirely responsible for Brigade planning they have every reason to look to the Councils for assist.ance and advice; (3) that the Councils form a co-ordinating This has now been shown in many body the interests of which are not towns since its first opening in Bedford in limited to any particular activity of the :\Iay, 1945; but no further bookings can Order but rather upon the production now be entertained. of a well balanced 'whole. The Chairman of the Exhibition ComEach representative gave a short report mittee, 1\1rs Hugh 11cCorquodale, wishes of the work being carried out in their to report that from a recruiting and own County and possible activities in the publicity point of view, the Exhibition future. has been a great success, and that the Glou ces t ers h ire Cou nc iL -At the last financial results were also good on the meeting of the Council numerous items whole. Mrs. McCorquodale and her Comwere discussed. 1l1ittee are extremely grateful to the Publicity.-All local papers had carriecl County Commissioners and all those who the report of the previous meeting except worked so hard ill the Counties conone. cerned, and also to Staff Officers :\Irs. Travelling H ealt h Exhibition.-It was Camden for her most yaluable work in reported that the Gloucestershire County setting up the exhibits . Council Health Exhibition was touring A new exhibition on a large scale is in the northern part of the County and that preparation, and it is hoped that when the Brigade was taking part in it. ready to be shown, the Committee will Civil Resettlement of Ex-P.O. W.-Con- have the same kindness and co-operation tact had been made with all ex-P.O. "\iV. from the Counties as has been shown in in ·the County; visits had also been made the past.

349

RAILWAY AMBULANCE NEWS

Captain W. Goodley, O.B.E., M.C.Owing to indifferent health Capt. W. Goodley has resigned from the Secretaryship of the Great Eastern. Great Northern. and Great Central Ambulance Centres of the L.N.E.R.. and the Midland and Great Northern Ambulance Centre. Capt. Goodley has done much to further the cause of ambulance work during his many years of activity. He obtained his certificate in 1895 and captained the March (G.E.) Railway team winning the Great Eastern Railway Challenge Cup seven times between 1903 to 1910. He also lead the team to victory in the Inter-Railway Challenge Shield Competitions in 1903. 1904. and 1907. In 1932 he was appointed Centre Secretary of the Great Central Centre. and in turn the Centre Secretaryship of the Great Eastern (1935), Midland and Great Northern (1937), and the Great Northern (1938), and thus became the Ambulance Secretary of the Southern Area of the L.N. E.R. We extend to Capt. Goodley our sincerest wish for better health and the hope he will soon be again a leading figure at Railway Ambulance functions.

LONDON AND NORTH. EASTERN North.Eastern Area.-During the period ended September 30. 1946. forty-three members of the staff qualified for the

ceremony was held in t.he Bl'unswick Hall. Vauxhall. at which Monntbatten. Superintendent-in-Chief. St. John Ambulance Brigade. presented awards to some 150 members of the staff. all grades. men and women,. David Hatt of Redhill received a MerItorious First Aid certificate for 35 years of service to the movement. whilst others received 30. 21. 14. and 7 year certificates Before entering the hall Lady Mountbatten inspected a guard of of Brigade personnel (all Southern RaIlway staff) under Corps Supt. A. J. Green. and the doctors present were presented to her.

Long Service Medal. six for the 20 year VISCOUNTESS MOUNTBATTEN PRESENTING Bar, two for the 30 year Bar. and one MERITORIOUS CERTIFICATE TO MR. D. HATT. each for the 35 year and 40 year Bar. making a total of 43 Medals and 17 Bars. Mr. Richards. who presided. welcomed SOUTHERN Lady Louis (he stating that that was how On November 12 some fifty doctors they would always think of her) and paid from London and all parts of southern tribute to her work during the war not England were guests of the Southern only at home but overseas. He also Railway at a luncheon given in the referred to the excellence of the Command Charing Cross Hotel. These doctors for of her husband. and to the recent marriage many years. particularly during the war of her daughter. period. have given thei.r services in Mountbatten expressed her educating thousands of Southern Railway for the wonderful welcome and mentioned employees in first aid. Mr. R. M. T. the fact that the railways had been among Richards. Traffic Manager. presided, the first to assist the St. John Association deputising for the General Manager. in 1880. She congratulated all members supported by many of the principal of the Centre and thanked them for their officers of the company and District work in furthering the ambulance moveAmbulance Secretaries. Dr. F. H. ment. She had a special word of gratitude Suttaford of Brighton proposed the toast to the surgeons and doctors present. of "The Southern Railway". to which At the conclusion of the presentation the Chairman responded. Major A. C. Lady Mountbatten was herself presented White Knox (of London) proposed" The with a bouquet by Barbara Chitty, Southern Railway Ambulance Centre", daughter of the Southern Railway Welfare to which Mr. J. H. Chitty. Welfare Officer. and also a coffee table by Mr. Officer, suitably replied. Reference was Richards on behalf of Sir Eustace made to the good work which Mr. E. A. Missenden. (Dickie) Richards started. to the regret- Eastleigh.-At a recent informal gathertable death of Mr. E. Uzzell. and to the ing Mr. S. L. Furnivall. Div. Engineer, splendid first aider the Southern now have presented Mr. H. Warren, Sub-Inspector. in the Centre Secretary, Mr. F. A. Trott. with a meritorious certificate for services Following the luncheon a presentation rendered to first aid for over 21 years 350

The active principle in Wright's Coal Tar

Soap

Wright's full, rich lather contains an antiseptic which leaves the skin fresh, soothed and heal th-ptotected. This safeguard is Liquor Carbonis DetergensacknO\vJcdged by eminent dermatologists as the foremost antiseptic, antipruritic for skin diseases. The incomparable antiseptic efficiency of Wright's 1 iquor Carbonis Detergens today is t!le result of unremitting research and continuallyimpto\ing methods of manufacrure.

COAL TAR SOAP

IDEAL FOR TOILET AND NURSERY

treatment.

The patient is irritable, has no desire for food, and is often incapable of digesting his prescribed dietary. An antacid sedative, devoid of constipating effect. and which is, above all things, palatable and easy to take, is the medicament of choice.

'Bisodol' is an ideally balanced antacid containing valuable enzymes which aid the assimilation of protein and carbohydrate, and is particularly acceptable to the neurotic patient. It is given in doses of one or two teaspoonfuls, twice or three times a day. in water or milk.

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GR EAT WESTERN

Acconling t.o the annual report lor the year ended June 30, 1946, some 5,309 awards were gained by members of the Staff during the year. The Athlone Bo\\ l , awarded to the Division gaining the highest percentage of new members in proportion to the total was won by Bristol" B ", Gloucester bemg runners-up. Competitions ?uring the year on a di\ 'isional baSIS, It bcmg felt that the time \yas not opportune to arrange the All-Line Finals.

::\Iedals and certificates for meritorious first aid rendered by members of the Staff were awarded as follows: Gold l\1edal, S. E. Budd, Old Oak Common; Silver ;'1edal, C. Cutts, Paddington; Bronze ::\Iedals, "Y. ).1orris and A. L. Swaffield, of Swansea Docks; Certificates, J. H. Rowe, Old Oak Common, C. E. T. \Yinsor, Cornwood, S J. Hatton, ).Iaidenhead, and L. C. Hancock, Laira

A total number of 460 members qualified for the gold efi1ciency a ;wards.

In appreciation of services rendered three members were admitted Serving Brothers of the Order, whilst 17 other members recei\'ed recognition.

)'1r. P. Anstey, Centre Secretary, expresses thanks to divisional and class secretaries, committeemen, and class instructors for their excellent work.

Swindon. -At a recent meeting of the Divisional Ambulance Committee, 1\1r. \Y. H. Bodman, Staff Assistant to the Chief ).1echanical Engineer, presented a testimonial cheque to )'1r. G. Culling on his retirement after 42 years' sen' ice to the movement. He obtained his certificate in 1901, elected member of the Divisional Committee in 1913 and was Chairman for 20 years. In 1927 l\Ir. Culling was Admitted a Serving Brother of the Order and promoted to Officer in 194 5 . He is the holder of the Company's Gold Efficiency award for 40 years' service.

)'1r. Payne was also presented with an electric toasting rack as a parting gift from the Divisional Committee . He joined the movement in 1909 and passed 35 subsequent examinations. He had been a member of the Committee for 24 years, and was Admitted a Serving Brother of the Order in 1941.

YeoviI. -).Ir. R. G. Pole, Divisiona l Superintendent, Bristol, presided at the presentation of awards, a tribute being paid to the late Dr. C. \ \T. Gee, former l ecturer and examiner. ::\1r. G. Payne, secretary and instructor, recei ved a syringe and wheelbarrow i n a ppreciation of hi s l ong a n d faithf ul service to the Class and Mr. Po l e co n gratulated hi m on his A dmissio n as Servi ng Brother to the Order of St. J01111.

THE HOSPITALLERS' CLUB

The a n nual dinner was he ld at t he Donnington Hote l on 16, w h en some 14 0 members and fne n ds w ere present. loya l "Th e Hospitall ers Club was proposed b y Mr. A. J. W ebb (President of t he L.P.T.B. Corps). the President, 1\1r. J. A. Gravestock replying. "C?ur was by Vice-PresIdent C. E: BO', el? " ho referred to the mutual aSSIstance gI:,en to the first aid mo\' ement by the Railways and Police. Superintendent J. L u cas (City of London Police), paid tribute to the work of the Bngade on important occasions before , during , and since the l ast war; and referred to the great assistance rendered to the police and general pu blic. also t he members for the aSSIstance renclerecl lIl the competition world Past. President T. \Yalsby proposed " The President" and ;\fr. Gra\' estock, in reply, stated after years the membershIp of the Club ",as stIll growing. He thanked the the service they rendered by al1owll1g theIr menfolk to attend Club meetings and Brigade duties. He referred to the presence of r.Ir. S. B PlCrs, wh<;> had made a special j oumey from H.ast.ll1gs t.o be present. )'1r. Piers, who IS over eIghty years of age, was a Following the dll1ner, dunng whIch musical items were gi\ 'en, a dance was held. A special vote of thanks was extended to ::\1r. J. Kemp, the Social ecretary, for a most enjoyable evening.

OBITUARY

\Ye regret to announce the death of :Sup erin t endent R J Ha yes, of the Hackney Division, which occurred suddenly on i{oyember 22. ::\1r. Hayes joined the Brigade in 1894, the division at that time being known as the Children's Homes Division. He held the 7th Bar to the Service Medal of the Order. Am h u la nce OfficeI' Miss E. MooI'ing Alddd ge of the Bournemo u th N urs ing Division, of which she was a founder member. She gained her Service Medal i n 1926 and was one of the first Brigade members in Bournemouth to be adm i tted as Serving Sister of the Order. She was instrumental in starting the first Beach Post; and during the 19 14- 18 \ Var carried out nursing duties at Boscombe and the Boumemouth St. J ohn A u x iliary Hosp ital s. Although transferred to the Bri gade Reserve in 1936, he r int erest r emain ed a n d when the Bo ur ne m ou th Corps proposed t o provide a Co n v al escent Home she star ted the f u nd w i th £ 300 of Savings Certificates.

352

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353

No. I (PRINCE OF WALES S) DISTRICT

Su rg eon s' Confer e n ce.- T h e co n ference a r ranged by County Sur geo n Lt.-Col. N . W Hammer (Northern Area) , held on November 10 and 17 at the Bonnington H otel, proved a great s u ccess Asst Commissioner Hart opened the proceedings and on the first day the speakers were the Surgeon-in-Chief (D r . N. Corbet Fletcher) who spoke on " The Role of the Brigade Surgeon" , the chairman being Mr. Hart. Col. E. S. Goss (formerly A. D .G.E.M.S.) spoke o n "First Aid Lessons of the War" (chairman being County Surgeon Hammer), whilst Dr. 11. M. Scott (member o f the Revision Committee) spoke on the" Revision of the Textbook " , the chairman being Div. Surgeon M. Oster.

On the second day Asst. Commissioner Hart gave a discourse on how the surgeons can help in fostering and maintaining interest and efficiency in the Brigade (chairman, Div. Surgeon Fau lkner), and ;,Iajor A. C. Wbite Knox (Asst. Commissioner, Southern Area) gave a talk on competitions and later demonstrated faking of injuries. The chairmen were Div Surgeon Shaw and District Officer Collins. The final talk was by Commander Ivor B. Franks on the probl ems and effects of bombing on the civilia n population.

After each talk a discussion e n sued and some interesting and instructive information was given. The Northern Area are to be congratulated o n ho l ding this Conference and extend in g invitations to all Areas of the District. Over fifty Surgeons and Nursing Officers attended each session.

a united effort could the Brigade b e b rought back again to pre-war efficie ncy. Those also present included Co unt y Surgeon Lt.-Col. Hammer, District Officers Collins and Mrs. Rayner, Area Ca d et Officer Mrs. Dove, and many other well·wishers No . 3 0 (East Lon d on) a n d No. 182 (Tower Hamlet) Divisions -The first fi nal competitions since 1939 were hel d o n November 12 when Pte. I. Shames , recentl y demobilized from the Ar m y , gained first place in the "Preside nt 's Cup" competition, being followed b y Pte. J. Senchal, founder member of t h e No . 182, as runner-up.

Pte. S. Cohen, another recen tly demobbed member, gained the" Hayman Challenge Shield " ; J. H . Potter, another ex-serviceman, being but one point behind.

After the competiti ons Supt. D. Stitcher thanked the judges (District Officers E. W. Haines and H. Dunford) and also District Staff Officer T. V\'al sby and Supt. :Mrs. Lionel de Rothschild, who had judged the preliminary tests. Asst. Commissioner Capt. R. V. Steele presented the trophies and congratulated the competitors on their keenness and efficiency. Amb. Officer J. Spanjer (President No. 30 and Vice-President No. 182) thanked the Assistant Commissioner and his Staff for their presence and encourageme nt. No. 100/1 (Borough of Lewisham ) Division.-A presentation of awards gained by members during the past six years was made on November 21 by President Alan Milner Smith (Town Clerk of Lewisham). District Officer Hallock and Corps Officers Green and Butler were a l so present. A display was given by members followed by refreshments and dancing.

LANCASHIRE DISTRICT

No. 2 0 (Ham pstea d) Di vis io n.-To celebrate the fiftieth anniversary of the Division a socia l evening was held on November 23 at which many former members attended. During the interval Supt. H. vV Bailey expressed thanks to Irlam and Cadishea d Div i s i ons -Div. those present; he was honoured to be the President District Officer J. Sinclair Kerr Su perintendent of the ol dest Division in made an appeal for recruits at a presen tat h e Northern Area. tion of awards ceremony at wh ich

The Surgeon-in-Chief (D r. N. Corbet Councillor A. Briggs (Chairman of the Fletcher) referred to his early days in the Irlam V.D.C.) made the presentations to Di vision , which he joined in 1916 , and the Irlam and Cadishead Ambulance a n d pu blic duties carried out on Hampstead Nursing Divisions and also to Irlam H eath. I n competition work the Division vVorks Division. All present stood in h ad always been to the fore , and he silent memory of Pte. H. Darbyshire and 'wished the D ivision" God's Best" in the Amb. Officer T. Hazlehurst. Mr. K err fu ture. Mr. Osborne , a l so a founder congratulated Supt. Weston on his m ember and an ex -D istrict Officer, Admission to the Order as a Ser ving expressed p l easure at b e ing p resent and Brother a n d paid tribute to the mem bers t o see so many o f th e o ld m e m bers still on remaining faithful to the work of St . s u p p orting t h e activities o f t h e D ivision. John. President Mrs. Sinclair Kerr Asst Commiss io n er H ar t after con- praised the work of members overse as. grat.u lat.ing the Di\ision said that only by Mr. Edwin Jones (Vice-President), as 354

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Cont.roller of t he ldam A RP Sen ice:;, wished to record his thanks to the Brigade for the excellent work t.hey had done . Councillor Briggs "'as much impressed with a ll he had l earned that eve n in g. He would do eyerything poss ib le to he lp them and he was sure that the Counc il would do so also.

l\Jo l' ec amb e and Heysh am Corp s -To mark the Jubilee year of the Corps some 130 past and pre:;ent members were present at a dinner at which the :'1ayor (Councillor :'Irs. :'1. J. Platten) presided. Corps Supt. E. H _ Torman ga,-e a hearty "-elcome to returned members from H.:'I. Forces and guests, to "'hich A ldermcn C. IIowes and :' L Benson, who were pioneers of t.he Brigade in l\ 1orecambe, replied. :\1any amusing incidents of their j1rst years ,yere recalled and both speakers clearly remembered the very first meetings when a mere handful of interested l ocal men met Dr. H. F. Oldham and discussed the possibilities of commencing first aid. From that meeting the present Corps O\yes its origin. A shield is competed for annually within the Corps in memory of Dr Oldham. District Officer 'Y. W. :'I. :\1cKinney then presented an illuminated address to District Officer C. Turner and Supt. :\Irs. Turner of Colombo, Ceylon, in recognition of the ,-aluable and splendid work they so willingly performed during the \yeek of competitions held in September. The toast of Absent Friends was proposed by Corps Treasurer C. , Y. Barnes. The dinner was followed by dancing, t.he music being supplied by Cl arence Pickford, a member of the :\lorecambe Division, and his band.

NOR THERN IRE L AN D DI STRI CT

"\ bout 160 Officers and members of the -orthern Ireland District attended the fourth Annual Re.sldential Training for Xursing Diyisions, which was held in the Slie,-e Donard Hotel, X e,,-castl e, Co. Do,,-n. The course was under the superyision of County Officer ;\Iiss O. K. Xeill (Co. Do,,-n) and a "-arm welcome was exlended to ::\Iiss \'. B. Cunard (Chief Officer Xursing Cadets) and ::\liss 1\I. ·Wat.son (Staff Officer to Supt.-in-Chief) who trayelled from Headquarters to atiend the course. :'Iiss \\'atson addressed the members on "The Brigade and the FLlture ", whilst ::\Iiss Cunard spoke on fhe Qualifications of a good KC.O.". Other speakers included Commissioner Ian Fraser, who told of his medical experiences during the ,,-ar, Asst. Commissioner J. Harris Rea who discoursed on ., The Insignia of the Order", and District Surgeon ::\luriel Frazer who took as her subject" Winning 'Yays". Prior to the course :\ [iss Cunard inspected a parade of Xursing Caclets at Lonc1ondern- and Belfast. -

356

COUNTY OF B E RK SHIRE

R e ading.-The Readir:g Southern D iyision, in con j unction wIth the So u thern Rai lway Ambulance Class , he l d a prese n tation of awards on November 21. M r. F. A. Trott (S.R. Ambulance Secretary a n d \ sst. Commissioner, Sussex) presided a n d appealed for new members for bot h the Association and Brigade. He had intended to present Association awards but the members had had the honour of receiving these from Yiscountess :'lountbatten in London recently.

County Commissioner C. A. Poole, who ,yas acco-mpanied by :'.lrs. Poole, presented Brigade awards, anel expressed p l eas ur e that the County of Sussex had copied t he County of Berkshire by making Mr. Trott (a rallwayman) their "\ssistant Commissioner. The Reading S.R. Class though small was strong in Brigade membership, including an Assistant Commissioner, a Corps Superintendent, three Div. Superintendents, an Ambulance Officer, and one sergeant and corporal. He wou l d be interested to know of any other class on the Southern Railway wiiich could equa l that record. 2\1r. Poole presented en'ice Medal Certificate to Amb. Oflicer \ ' -. Barton, the Challenge Cup and cigarette light.er to Sergt. A. Baugh, the \ \'ell \Yisher Cup and sha,-ing set La CorpI. P. :'leads, and congratulated the members on gaining a 100 per cent pass at the re-examina tion.

COUNTY OF B I R MINGHAM

G.E.C and Ass o cia t e d Di visi o ns -The first annual competitions were held at the :\lagnet Club, six teams competing for the two challenge cups ,,-hich had been given by the Hon. :\1rs. Leslie Gamage (County Su pt., Berkshire). Dr. C. C. aml ::\Ir. J. J. Gracie (Joint General :'lanagers of the Company's Engineering 'Yorks) were present. At the close of the competitions all present were entertained to tea, :\1r. Gracie presiding and having as guests of honour the Hon. 1\1rs. Leslie Gamage, County CommiS!:)ioner Sir Bertram Ford and Lady Ford.

The bvo challenge cups were won by G.E.C. Witton" B" Division and G.E.C. '\'itton Nursing Di\-ision. Mrs . Leslie Gamage presented the trophies and each member of the 'winning teams received a sih-er penci l on which was engra"ed the Cross of St. J ohn.

COUN TY OF B U CKI NGH AM

Ame r s ham. -The :t\ursing Division celebrated fifth anniversary with a party. A large bIrthday cake, decorated with the St. J ohn Cross, 'was made by Amb. Sister :V1iss Betty Smith.

Bu ckin g ham. -A ' Yelcome Back from the Forces d inner was held recenth'.

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the Forces, and all returned safely. Asst. Commissioner E. A. Bishop extended a welcome to the members, and paid tribute to the work carried out during the war by the members who had been left behind. Stories, grave and gay, were given by the returning members from all parts of the world. Corps Supt. A. J. ·Williams arranged the function.

COUNTY OF DORSET

Poole Corps.-The annual competition for the Heigham Cup and Bowl was held recently. The judges were Corps Surgeon R. J. Maule Home (team), County Surgeon L. Maule Horne, Corps Surgeon H. C. Lanchester, Div. Surgeons E. Stanley Bompas, and Ian Curr (individuals). Poole Division gained first place with Parkstone team runners-up and winners of the Heigham Bowl. The Mayor, !tIr. W. D. Simmonds, presented the trophies.

COUNTY OF ESSEX

CheImsford.-Pte. vVilfred G. Taylor, who has returned from service with the R.A.F., has been decorated with the American Medal for Bravery. When an American aircraft crashed in flames near Brussels, Pte. Taylor, who is just five feet tall, jumped a w"ide ditch and went to the aid of the unconscious pilot, and succeeded in dragging him from the burning machine. In jumping the ditch, Pte. Taylor slipped and got wet, which, he considers, probably saved his life.

COUNTY OF LEICESTER

Hinckley.-On the occasion of the Royal visit to. Leicester, Corpi. Mrs. Crow, of the Hmckley Nursing Division, was selected to represent the County at the Presentation and Address of Welcome.

An was received recently for a case reqUlnng blood transfusion to be co.nveyed from Hinckley to Leicester, 14 miles away. The resident driver of the Hinckley Division responded at 1.20 a.m., and got the patient to hospital in 12 minutes. The patient's life was saved by this action.

THE SUPERINTENDENTIN-CHIEF INSPECTING NURSING PERSONNEL DURING HER TOUR IN NOR T HUM BERLAND AND DURHAM.

(Photograph: Newcastle Chronicle and Journal.)

NORTHUMBERLAND and DURHAM

Viscountess Mountbatten (Supt.-inChief N.D.) paid a two-day visit to the North-East, and carried out five inspections. The first was held at Arcade Hall, Ashington, where the officer-in-charge was County Officer D. Hindson. Lady Mountbatten here went down a coal mine for the first time in her life, descending the Duke Pit to inspect the boys training gallery in the Plessey seam.

Newcastle was the next place of call. Here County Officer J. vv. Stobbs was in charge, and the St. George's Drill Hall was crowded with Brigade personnel. Both these inspections took place on November 2, and comprised Northumberland Units.

On November 3 three inspections were carried out of Durham Brigade personnel. The first was held in Sunderland (with County Officer H. S. Grace in charge), the second and third at Newcastle, where County Officers W. Mather and P. S. Blunden were in charge.

Throughout the whole tour, Lady Mountbatten was accompanied by County Commissioner S. Embleton, County President the Countess of Scarbrough, County Secretaries Mrs. L. Curry and C. A. Morton, whilst the following County Staff were present at several of the inspections: Vice-presidents Lady Appleby and Mrs. Webster, County Supts. Mrs. Ritson and Mrs. Anderson, County Surgeons 'Vhitley and C. Russell Corfield, County Officers Mrs. Kirkup and Miss Dillon.

At each point Lady Mountbatten expressed thanks to the members for their great help during the war years. She knew of the great troubles that they were now facing, but the courage, devotion, and public spirit of the members goes on in war and peace alike. At Sunderland, Lady Mountbatten recognized two exService men she had met in the Far East, one in Siam and the other in Singapore, after he had been 3i years a prisoner of war.

Charms against Pain

In ancient Greece, when a particularly effective remedy was discovered for any disease, its formula was engraved on the posts of the Temple of lEsculapius, the god of healing, who, before his deification had himself practised as a physician, about the year 1250 B.C. ' He prescribed natural remedies for disease and, in the absence of efficient analgesics, employed soothing charms for the relief of pain and magic songs to increase their effects.

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CADET FINAL COMPETITIONS

.\i the City IIall, Cardiff, on atUl'day, Tovember 16, the 11rst post-war competitions organized by the Priory for Cadet Teams took place. There 'were entries for three of the four sections into which the Cadet finals \yere arranged and it was particularly interesting to ha"e entrants from as far north as Denbighshire. The Principal Secretary' ane! Commissioner for \ \'ales (the Hon. J. 11. Bruce), who was accompanied by the Hon. TIll's. J. H. Bruce, Assistant Lady Superintendent for \ \'ales, presided over the presentation and expres ed thanks to the follO\\'ing judges: Dr. Urban ::\Iarks anel Dr. J. ::\1. \\'ilson (Commissioners, H.etired), County Surgeon \\'. Garra,yay Smith Assistant County Surgeon F. ]. l\'ees (Blaengarw), Lady County Superintendent ::\liss G Richards, and County Officer Major A H. G. Field. ::\Ir. \\'. ?lIabon A.braham, Brigade Secretary, announced the results: '] wiston-Dnvies Cup, Senior Boys.Awarded to Dyffryn ClwycI (West Denbighshire) team, the onfy other entry being disqualified.

1 wiston-Davies CliP, Junior Boys.1, Duffryn Aman (Aberdare), 165 points; 2, Ebbw Yale (:\Ionmouthshire), 153; 3, Bargoed (Glamorgan), 1441; 4, Newp,ort (Borough of Xeyport), 136!; 5, I ylorstown (Ehondda), 123; 6, Ely and Fairwater (Cardiff), 117!; 7, Dyffryn Clwyd (West Denbighshire), 95. Lad)' (Herbert) Lew?'s Cup, Junior Glrls.-l, Treharris (Borough of l.\Ierthyr Tydfil), 124 points; 2, Aberdare '(Aberdare), 109; 3, Gly'nneath (Glamorgan), 4, Tredegar (:'\Ionmouthshire), 94; .I. ewport (Borough of Xewport), 92.

The Deputy Lord :'\Iayor who, with the Lady. Mayoress, presented the and pnzes, e. 'pressed his admirabon for the work. and the part being p layed 1:>y the Bngade m mteresting girls 111 r:urs111g and preparing a good proportlOn of them for hospital training

Thanks to the Deputy Lord Mayor ancl Lady ::\Iayoress, Councillor and :;\irs. L:rank Ecl\Yanls, wen' prc.lposed by Capt. C. G. Traherne, CommlsslOner for Cardiff .seconded by ::\lajor H. \\Tare , 111lSSIOner for Xe"port.

FIRS T AID IN MINES

The lecture lllustrated by l antern sl.iJes by Dr. Jethro Gough on " Infection 111 ,\ oU!lds " on Saturday, l-o"ovember 9, at ancl on the following Saturday at eath, was regarded hv many as ()ne

of !he most interesting and he lpful in th e senes arranged by the Sub-Committee of the Priory of which Professor T. David J ones is Chairman. Dr. J. B. Atki n s, Eegional l\Iedical Olncer, presided o,'er the gathering of ambu l ance workers representing the 160 collieries in th e Careliff :\Iines Division, and at Kea t h where those responsibl e for first aid work in the 156 collieries i n the Swansea Mines Dh'ision at,1 ended , the Chairman was Dr. D J. W illiams, M.P. The Co ll ie r y ::\Ianagements are sel ecting up to four men from each mine, whose trave lling and incidental expenses are met by the companies. Invitations are issued a lso fr<?m Priory House to County and Corps Officers of the Brigade in South \ \'a l es Coalfield, and all who attend the lectures receive subsequently a synopsis of the lecture and copy of the discussion noies to enable them to pass on the information to l ocal ambu lance co ll eag u es. Arrangements have been completed for two further lectures to be given by Dr. J. Trevor \\'atkins on " Carbon ::\Ionoxide and other l\lines Gases" on December 7 and 14, and by Professor Lam bert Eogers on "Multiple Injuries, Shock, and Burns" on January 18 (Cardiff) and January 25 (Neath).

CENTRE REPORTS

A ngl esey .-Sir Michael Duff, Bt., Chief Ofhcer Ambulance Cadets, inspected the and Cadet Div isions in the neighbouring county of Angl esey at on November 16. Cou n ty Comm1ssIOner E. H. Prothero (Chief Constable), Lady County Supt. Mrs. 1\1. S. Lowe, County Officer J. F. J ones, and Secretary S. Eichardson, together w1th :.\Ir. \ Y. T. Davies, secretary of the Caernarvonshire Centre, were present. For the Cadet Divisions, wh ich were para.eled separatel y, Sir had a :peclal word of praise and encourageme n t ad?ressing the parade after the 1l1SpectlOn. An informa l tea followeel. Cardig a ns,hi re -Twenty members of the J\berystwytll i'Jursing Division have taken up .nursing as a career, one hav ing quahfied as a doctor. Formed i n 19 3 3 this division's future is ensured b y Unit over 30 stro n g formed in 1942, :vhile a class is now b ein g 1l1structed. Th1S D1v1sio n during the war too.k charge of A .R. P F i rs t A id Po s t s, aSS1sted at the B lood T r a n s fus i o n Centre s and helped the recept i o n and care or evacuated children.

360

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361

Try Ge r molene yourself - and you will be " co nvin ced ofits pow er to soothe and relieve skin complaints. Under the he alin g hand of Germ ole ne many s kinaffii c ti ons v anis h in a few da ys - or ev e n ho urs. Make a trial of Germol e ne t od a y! 1 / 4 & 3 / 3 per tin, inducting Purchase Tax. clears up MANY SERIOUS LEG TROUBLES INFLAMMA liON RASHES, BURNS, CUTS

Denhighshire.- The \\'rexham Vi\ isio11 has lost a beloyed and highly respected Officer by the death of Amb. Officer Thomas Clayton, 1\1.1\1., which occurred on October 19 when he collapsed only a few hours after returning from duty at a football match. Mr. Clayton joined the Division in 1936, being appointed Ambulance Officer 3 years later. Throughout the "var he was in charge of three A.R.P. classes and gave voluntary services as first aid instructor to a number of other classes. A Priory Vote of Thanks was presented to him by H.R.H. Lady Superintendent-in-Chief for vVales at the Investiture held in Cardiff on June 25 last. Members of the Vhexham, Cefn, and Brymbo Divisions and of the Denbigh/32 B.R.C.S. Detachment attended the funeral service, Brigade Officers acting as pallbearers.

Commissioner Dr. G. Pari Huws recently attended a meeting at Abergele which has resulted in recruiting a number of new members to the Abergele Division. He gave an interesting address on the history of the Order, whilst Divisional YicePresident D. B. Jones and Mr. G. Owen urged all present to support the Brigade. Glamorga n.-Barry County Area organized a successful" Parents Night" for the Barry Cadets on November 8. Assistant Commissioner H. Gethin Lewis enrolled 12 members. The result of the Boys Individual competition was announced, prizes being presented to Cadet l\1. Clemo and the runners-up, Cadets J. Prosser (2nd), and Incledon (3rd). During the evening the :film Cadets of the White Cross was shown and the boys demonstrated their first aid training.

The well merited recognition of the services of Lady Supt. Mrs. H . Wright (BridgeBd Nursing Division) evoked a pleasing tribu te to her work by the Clerk ,

to the Local Council which typifies the support of the Bridgend councillors for all Brigade activities in that area. Mr. H. A. E. Gardner wrote: "The Council have l earnt with much pleasure t h at yo u have been appointed a Serving Sister of the Order of St. J olm of Jerusal em, and at their last meeting they passed a resolution congratulating you on the honour, and directed me to convey to you their congratulations and good wishes. I would like to take this opportunity of associating myself with the resolution of the Council, especially as I feel that it is an honour which you have really and truly earned after having given so many years of valuable voluntary service, not only in the Order, but to many other deserving cases and to persons in need of he lp."

The three Corps in the Caerphill y County Area can report a good year's work. In the R ich es Corps the Ambulance Units have run competitions for senior and cadet teams, and a Deri Di"visional team was successful in the final of the Rhymney Valley Area contests for the Powell Duffryn " Ogilvie" cup. Deri and Bargoed Nursing members have given good service at the Scabies Clinic. The Li ndsay Corps cup was won by the Nelson Ambulance Division; competitions for senior and male cadet teams having been continued throughout the war period.

Cefn Hengoed Nursing Division gives a good example of the value of a Nursing Unit in a comparatively isolated village, maintaining a 1\Iedical Comforts Depot and assisting the District Nurse. The interest of the Cadet Movement in the CaerphiI1 y Corps is fostered by an annual Cadet Rally. The Abertridwr Ambulance and Nursing Divisions have a fine ambul ance hall, while the Caerphilly Divisions look forward to a visit from the Han.

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Even a pinprick can ,turn septic! All grazes, cuts and burns need cleansing at once. Keep MILTON handy to kill the germs and help healing

J. 11. and :\Irs. Ilrllce at the .eJ:d uf December to stimlllale future acilnl:. Pemhrokeshire.-Good progress is belllS made in connection "ith the provision of ?-ledical Comforts Depots in this county.

Commissioner Capt. \Y. H. C. Daniel attended a meeting called by the Baroness de Rutzen at I1ayerfordwest on XO\'ember 15 at which oflicers-in-charge of the following Depots renc1ered reports: Fishguarcl, ::\hlforcl Ha"en, Xarberth, TIayerforclwest, -'- -e\\port. It has been decided to open three further Depob to co"er the county adequately.

City of Cardiff.-.\'lderman G. Fred Evans, J.P., presided at the meeting of the Centre Committee held on October 29. ::\1r. \Y. J. Price, Chief Constable, ,vas welcomed on his first appearance. In the course of his report Commissioner Capt. C. G. Traherne summarized the act:i"ities of the Brigacle during the ,yar years. J30th at home ancl abroad Carcliff members sen'ed with distinction and ha,'e now settled dmyn to an expanding programme of peace-time duties. An Ambulance league has been formed for the male teams for which 1\sst. Commissioner Capt. F, B. Robathan presented a cup, and ::\Ir. A. Hauser has promised a cup for a league competition for nursing teams in the Centre. i\lembership has fallen slightly but the present strength of 1,015 can be relied upon for efficient service, Commissionel' Capt. Traherne presented awards to senior and cadet members of the Ely and Fairwater Di,ision, and congratulated the ;:ecipients, with a particular word of praise to Cadet John Lev"is who gained a certificate of merit in the Cadet Author's Cup competition.

The Hon. TIll's. J. H. Bruce, Asst. Lady Superintendent-in-Chief for \Vales, Yisited the Cardiff offices of the General Electric Company, by arrangement with the manager, l\1r H. B. Duce, and addressed a number of the female staff with a view to the formation of a class and in due course a Nursing Division of the Brigade. ::\Irs. Bruce stressed the advantages of first aid instruction, 'whilst Lady County Supt. Miss G. Richards explained Brigade adminisira tion.

Borough of Swansea.-Nursing membership of the Brigade in Swansea has sustained an irreparable loss by the death of Lady Corps Supt. ::\lrs. Ethel l\lay Bennett \\'ho was indefatigable in her efforts for the Brigade and had played a great part in assistance rendered to Service patients in hospital under various \\Tar Organization schemes. Tl1rs. Bennett joined the Brigade in 1925, was in possession of the Serv ice Medal, and was Admitted a Sening Sister of the Order in 1941.

COUNTY OF L1RREY

'1'\\ 0 important functions ha, e recently been helJ in the County. The first was tllii)- holding o( the BrigaJe Exhibition in (;uildford, which \\'as opened by Air Chief Marshal of the RA.F. Lord Newall, on October 30, in the presence of a large and representati,'e gathering. The ExhiOilion \\as open for fnur days, and attracteel people from surrounding districts.

On XO\'embcr 3 the County Standard, su bscri bed for hy members of the Brigade in Surrey as a memorial to their colleagues who died during the war, was dedicated at the Cathedral Church, Guildford, where the J3is11OP of Guilclford conducted the service, and the Yerv He". Ronald Sinclair, PrO\'ost o( Guilclford, gaye the address. The parade, under the command of County Commissioner \\'. G. Pape, marched to the Cathec1ral Church, Deputy Chief Commissioner Henry Pownall taking the salute in 1\ortl1 Street. The Standard Bearer \\lth an escort from the Borough of Reigate Corps, sloW' marched to the Altar; anel after the sen'ice, the escort was comprised of members of the Borough of Guilclfonl Corps.

County Staff present included AssL Commissioner J. P. Fla,in, County Supt. :\lrs. Heald, County Officer Capt. Ellis, :\liss Stables, Mrs. Henry, ::\liss BarlO\\', and Tllr. Chaplin. County President the Countess of Lindsay and many local dignitaries were also present.

COUNTY OF WORCESTER

The final rounel of the County Competitions for the present year was held on November 9, when Redditch (representing the North of the County) beat RO'wley Regis in the Lechmere Cup Final. Halesowen Cadet Xursing beat Redditch Cadet Ambulance in the 1\ewton Cup.

County Commissioner Dr. F. L. Newton announced the results, and congratulated the winners on their success. He was particularly pleased with Halesowen Cadet :L\ursing team, which represented the County in the Regional Finals, and finishecl equal first with Birmingham County.

WEST RIDING OF YORKSHIRE

Leeds Corps.-At a reunion and presentation, i\1r M. B. Fenton, former Corps Superintendent, recei,'ed a scroll signed by all the Leeds Officers who had served under his command. 1\1r. Fenton joined the Brigade in 1910, and served in the 19 14- 18 war with the M.H.R In 1919, he assisted in the re-forming of the Burley and Kirkstall Division, and l ater became Corps Secretary. During 1938, he was promoted to Corps Superintendent, a rank he held until his transfer to the Brigade Reserve in 1937 , after 36 vears' service:. 364 '

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

RHINO-ANTIPEOL

affords rapid r elief of COMMON COLDS, INFLUENZA AND CATARRH. Containing the an tibodies of the germs common to infections of the nose and pharynx (Staphylococci strep' tococci, B.pyocyaneus, pneumococci, pneumo, bacilli, enterococci, M.catarrhalis, B.Pfeiffer), Rhino-Antipeol is not just a palliative, but is a remover of the cause of the infection During epidemics it is the ideal preventive of microbic development.

OPHTHALMO-ANTIPEOL

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INTERESTING CASE REPORTS

CASE REPORT No 3 1 I.-The Officer-in-Charge of County of Lancashire, S J.A.B., reports the efficient of first aId by a member of the Golbome Cadet Division in the followmg cIrcumstances :-

At S p.m. on Monday, September 2, Cadet T. Clayt<:>il (aet was passing the Hillingford Brook which was flooded owing to mten.se ramfall when saw a small boy struggling against the current. He ImmedIately threw off hIS coat and jumped into the water but was not able to get hold of the boy. On a second attempt, however, he was successful and brought the boy safely to the river bank.

Testing the pulse he found it very weak and he also found it hard to whether or not breathing had ceased. So he at once commenced artIficIal respiration and persevered until breathing was restored to normal. then wrapped the child in his dry coat and took him home where he adVIsed the parents to send at once for their doctor. This d.id, and Clayton after being thanked by the parents for his splendId serVIce to theIr son left the house confident that his work had be en of value.

COMMENT.-This report teUs a story of pluck and perseverance which is in accord with the highest traditions of the Brigade, and it wins for Cadet T. Clayton cordial congratulations on good work well done in difficult circumstances.-N. CORBET FLETCHER.

CASE REPORT o. 31z.-The Chief Constable of the Southport Police reports the efficient performance of first aid by a certificated member of the St. John Ambulance Association in the following circumstances :-

At IO S a .m. on \IVednesday, March 13, an accident occurred in Rufford High Street, Stockport, opposite St. John's School, when a boy (aet. S) ran out of the school yard and was knocked down by a lorry which was overtaking a van. Mr. James Littl eford, who was sitting in a stationary omnibus 100 yards a,,·ay. sawall that happ ene d and immediately ran to the scene of the accident.

On arrival he recogniz e d that the boy had sustained serious injury to his left leg and immediately applied digital pressure to the femoral artery 'vvhereby he arrested the severe hcemorrhage which was taking place. He caused the ambulance to be summoned and had the boy covered with several coats while he kept up pressure on the artery.

At IO IS a.m. a police-sergeant arrived, and though the morning was bitterly cold, with a keen wind, it was decided that Mr. Littleford should still maintain pressure. At 10 .2 5 a.m., when the ambulance arrived, a tourniquet was applied to the artery and splints to the broken l eg. This done the boy was removed forthwith to the h ospital where he mad e a good recovery after his leg had been amputated below the knee.

When Mr. Littleford relinquished his hold on the boy's thigh it was apparent to the bystanders that he was suffering intense pain owing to numbness of his hands, the circulation of which took some time before it was restored. It also transpired that this \'vas his first day out after a serious illness.

Modern Surglcal practice avours an undisturbed dressing and for this purpose C Elastoplast' is used extensively in hospitals. It stays in place, protecting the wound while permitting uninterrupted healing. C Elastoplast' Bandages and Plasters can be used with confidence for all minor injuries.

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COMMENT.-Beyond all doubts Mr. James Littleford merits cordial congratulati ons on. the prompt and efficien t action which he displayed in his treatment of this gravely boy and w hich went a long way towards preventing a fatal issue.-N".

QUESTIONS AND ANSWERS

Treatment of Burns and Scalds

A. (G3:insb?rough).-y!e have read with interest your lucid explanations of pomts raIsed m connectIon with the Supplement to th e Textbook and would now appreciate your kind ruling on the following points :-Under" Treatment of Bums and Scalds II the- Supplement on p. 29 tells us :366

PRICE LIST AND PATTERNS ON REQUEST • All enquiries to: 154 -164 TOOLEY STREET LONDON BRIDGE,

(I ) D o n ot r emove cl othin g ; (2) saturate ar e a w ith w<;Lrm alka line so luti o n ; and (3) cove r a r ea wi t h lint, et c . , soak ed in simil a r so lut IOn.. . . .

No w in th e case o f a burn o f th e arm should w e leave Ja ck et m poslti o n , so ak area, app ly dress ing ove r the s leeve and includ e th e latt er w ith the ?

If, h owever, th e in j ury w a s a s ca l d of th e arm should we r e I?ove th e Ja cket on t he grounds t hat we we r e r e m ov in g th e th e pati ent?

In t his latter instance a me mb e r o f o ur Dlvl sIOn co nt en d s th a t the effect s of the scald would be made wo r se b y a ll owi n g th e li m b t o be exposed t o th e a ir. ' Ve offer our best thanks in ant ic ipati on o f yo ur r ep ly.

To me the instruction" Not to remove clothing" in Rule I on p. 29 of t he Supplement is less clear than that in the Textbook. Doubtless the Revision Committee wished to emphasize the danger of wholesale removal of clothtng from the burned or scalded m'ea, and you emphasize my difficulty w h en you imagine a burn or scald of the arm with the jacket sleeve still in position on the patient. H ad the instructions read" Do not remove adhe1' ent clo thing" I could have understood better the inten tion of the Revision Committee.

I t is incorrect to suggest that the clothing would constitute a cause of scaldi ng as by the time you took charge of the patient the1'e would be no heat f 1'o111, the satura ted jacket sleeve

Since the above reply was written I have discussed the point wi t h a m el'nber of the Revision Committee He strongly supported the view that the jacket should be left in position on tJl pahent, but he had no effective answer when I asked him. w hat beneficial action lint soaked in alkaline solutions have on the burned or scalded area if it was applied on the top of the jacket.-N. C. F. Administration of Drugs by First Aiders

1. H . (H a rrow).-At a rece nt p ubli c d ut y me m bers of our N ursi n g Di v i s i o n were informed by a District Officer th a t it is quit e in order fo r th em t o g ive up to 10 grai ns of aspirin-p r ovided t hat th e p a t ient h ad asked for it , and t hat they had the assurance of th e pati ent tha t h e/sh e was no t s u ffe r ing fro m a weak heart . I s this correct ?

Your reply in The Gazette will be est eemed a n d until then no permiss i on will be given to members of our Nursing Div i sion t o provide aspirin for s ick or in j ured patients.

Beyond aU doubt the pre s cription and ad1ninistration of drugs f alls " within the duties and responsibilities of a doctor" (Principle No. 13 on p. 26 of the Textbook) even though certain drugs are regarded as " h ome rem,edies " . Tru t h to tell , even these so-called simple drugs may have undesirable effects-e.g . aspirin may cause profuse perspiration when taken by some individuals.

In these circu1]lJ,siunces i t is wiser to a dhere strictly to the instructions of the T extbook and to leave the prescription of all drugs to t h e doctor Perhaps, however, )'01£ might occasionally-as has been suggested to you-make an exception in the ca se of a patient who asks for a couple of aspirin tablets and who assures you (I) that they always 1 ' elieve the h eadache from whic h he/she is suffering, and (2) that he/she is in the habit of taking aspirin for such a tt acks.-N. C. F.

Dressing Bandage for Skull

T. P. (Stroud) . - For man y year s as a class instru ct or I have been demonstrating a met hod of securin g a d r ess in g or ri n g p a d o n th e t op o f th e as .follows :-

Place the pad or r ing I?ad .over th e wound; p l ace th e ce nt re of a tri angula r bandage over the pad w lth ltS t wo f r ee ends hang ing down over t h e s id es of the patient's face; instru ct the patien t or a byst a n de r t o pu ll fi r mly o n th e ends of the bandage, t her eby appl y ing pressur e o n pa d dr essing o r ri ng p ad; place the centre of a na rr ow bandage over the f oreh ea d an d pass thi s b a nd age round head and tie on pad o n t op of head.

I b.elieve b a nd age i s m or e co mforta ble f or th e patie nt a nd m o r e efficlen.t m p urp ose tha n a b a n d a ge pla ce d on p ad a n d t ie d und er t h e chm I wonder If lt can be includ e d in th e n ext r ev i s ion of the T extb oo k.

Congratulation s on a nea t and comfortab le dressing bandage for sku ll Your lett er has been pa ss ed to the Revision Co111,111,ittee.-"i:J.. C. F. 368

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Treat ment of Fractured: Pelvis

M. Y. (V,Tellington, New Zea land).-In a recent test I had to treat a patient for fr ac t ure of pelvis and was t old by the examiner that I had placed the above the limits of the pelvis. Please be good enough to tell me how next tIme I can avoid this mistake.

Experience teaches that student s often jail to appreci,ate th e limi ts of the pelvis and often misapply the bandage If a wdl then the top of the mouth of a man's side-trouser pocket usually With the crest of the haunch-bone and the bottom with the prominence on the head of the fen ,zur. If we apply the broad bandage firmly between these parts we shall control the fractured pelvis and the patient will know that his trouser pockets are tightly closed.-N C. F.

T reat ment of Fractured Ribs

O. P. (Harlesden).-Please tell me why in the treatment of fractu r ed ribs we have to apply a large arm sling even w h en the p at ient is recumbent.

The muscles of the arm and ribs are so interwoven that any change in position of the former will pull on the ribs. Consequently, just as when splinting a fracture we apply the upper bandage first, so in this case even when the patient is recumbent we put on a 'large armsling which helps to keep the ribs at rest by controlling the muscles attached to arms and ribs.-N. C. F.

Art ifi ci al Respiration

G. S. (Alfreston).-vVill you please supply the answers to the following questions 'with reference to artificial respiration?

(r) In Schafer's method we do t he full movement twelve times per minu t e, whereas in the Rocking Stret cher Method we are told t o do this some ten times per minute. vVill you please tell me t h e reason for t his difference ?

(2) Brigade Orders, March, r946 (2), t old us that in Rule 4 on p. 32 of the Supplement the words" and two seconds feet down 11 should read" and three seconds feet down ". Head down four seconds plus feet down three seconds amount to 70 seconds at ten times per minu t e. This being so I wonder if the r e should be another amendment of Rule 4. Meanwhile I eagerly await your reply.

(r) It is immaterial whether the full movements should be carried out twelve or ten times per minute, since the important poin t is that the movements should be efjective. I n practice it is realized that in the case of the Stretcher Method must be allowed for the abdominal contents to move and so exert pressure on the diaphragm, whereas in the Schafer Method this movement is produced by downward pressure in the lumbar region.

(2) You set me a mathematical problem which I cannot solve. There is, however, ",!-O need for you to worry because I cannot imagine anyone doing artificial respiration 'm an actual emergency to the timing of a stop watch.-N. C. F.

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F O R SALE·-3 Greatcoats (one Ga be r di n e), .1 4 Frocks (worn-n o ch ange), 2 C aps, I pa lr Frills,. 3 AproI?-s, 5 White B e lts , 13 W hit e C ollars In.), 8 palrS C uffs. Large size (heig ht 5 ft . 7 ill.). For £6 Ios - H SKID MORE, 43 Park

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TRAINING

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Art ificial Resp irat ion Later

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STOCK SIZES-Women's :

Bust: 32, 32, 33, 34, 35. 36, 36, 36, 37.

Lgth. : 44, 46, 44, 46, 45, 44, 46, 48, 47.

Bust: 38, 38, 39, 40. /i.0. 40.

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O.S.: 42, 42, 42, 44 44, 46, 48, 46.

Buttons, 3/8 extra.

REGULATION HAT for Officers, Wool Felt, 18/6. Ambul,mce Sisters, Felt, 18/6. Box and postage 2/1. Badges are only obtainable from H.Q. Sizes: 6!, 61, 61, 6 f.-, 1', 7 i, 7i, 7i. Storm Cap 17/11. Box and postage 1/4. .

REGULATION DRF.SS for Officers and /,mbulance Sisters. Made from good quality Sanforized-Shrunk washing material. Bodice unlined. Women's, 29/6; 0:1. 31/6; X.O.S., 33/ 9.

REGULATION BLOUSES for Officers and Ambulance Sisters. In Ivory Tricoline, 22 /4t (4 coupons). extra collar, 3 / 6 (1 coupon). Sizes: 13i, 14, 14t ins. O S., (Civilian coupons must be surrendered for blouses.)

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Waists 26, 28, 30 ins. . 7/11

Waists 32, 34. 36 , 38 ins. 8/11

All in lengths 26, 28, 30, 32 ins.

REGULATION CAP for Ambula.nce Sisters, 27 by 18 ins. or 28 by 19 ins. 3/3

GARROULD LTO.

150-162 EDGWARE ROAD, LONDON, W2 Telephone: PADdlngton 1001

PRICES OF OFFICERS' UNIFORMS AND OTHER ITEMS NOT MENTIONED IN THIS AD VERTISEMENT SENT BY REQUEST

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