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Boots.-Rubber Soles, 2s. 6d., post, etc., 1/-.
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PRACTICAL BOOKS
by N. CORBET FLETC ER, M.B., B.C., M A.(Cantab.), M.R.C.S.
WHY & WHEREFORE IN FIRST·AID (6th Ed.)
Difficulties solved by Question and Answer
Price 113 (Post 2d
AIDS TO FIRST·AID (7th Ed.)
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AIDS TO HOME·NURSING
Heme Nursing Simplified and Tabulated, with Aids to Memory Priee 11- (Post 2td.)
COMMON ERRORS IN FIRST·AID
Errers In First-Aid Detailed and Expl a,ined P"iee III (Fest 2d.)
AMBULANCE COMPETITION TESTS
Stretcher, Individual and Questien.
liach Folder contains special artie/e on Competition No I. Training, o( Competition Teams: No 2. Conduct of Team in Competition Room; No.3. Common Errors in Competition; No.4. Further Errors in Treatment; No.5. History o( Competition Tests : No.6. Preparation o( Tests. 6 Felder-s. Price 6d. each (Post 2d.) Obtainable ("om
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NEW PLASTIC SURGICAL DRESSING
Replaces Bandages and Plasters
"PC)RTEX" PLASTIC SKIN was originated for use as a cir@ssing after blo0 di traIDlsfusi<m. Later, surgeens discovered its special qtl.alities made it an ideal preoperative surgical barrier. To-day it is s\\lpel1seru.ng bamlages and plasters as a dresstng fQ! cuts, ab-rasions, and small burns. Not Qnly is it neat, flexible, waterproof,
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FORMULA
Q;IJe C!&lIidal
nf t4, <!Ornttb 'rillr!1 in . 'V tlJ.lIlritisb It,.im of 1tl£nuahlt of tUi 1jos}Jitai of Jobu .of J£rusa12m
BtIited byGBORGB B. CRAFT, O.S,.,., F.R.s.A..
EDITORIAL
GREETINGS Once more we are ap pr oach in g that season w h en goodwill and fe ll owship should abo u nd Although t o -d ay th a t fee lin g of o ld is to a certain deg r ee absen t , yet we feel that th ose w h o wear th e White Cr oss of St. J o hn can do much to foster and improve no t on ly this co untry of ours, but also the well-being of the whole world.
If only we cou ld imbue th e tr aditions of th e Order of ·St. John into all men and women; th a t" Service t o Mankind" is th e mos;t important und ertakin g at the present time; th a t " it is better t o give than t o r ece ive"; then we co ul d look forward to the future wi th ou t misgivings . Unfortunate ly, ther e is a reverse fee liIl.g abroad There is that uncertainty; that feeling of distrust which breeds s u spicion , th a t misunderstanding w hi ch causes fricti o n. All this can be overcome by stud ying th e iss u es more fully a nd wi th ou t bias.
The Order of St. J ohn carries on its vvork witho ut th o u ght of class or cr eed, witho ut thought of political party. Providing th e work und ert aken means th a t mankind as. a who l e beIl,efits, th en th e Order i s r ea d y t o assist. This is th e mean ing of its motto" Pro U tilit ate Hominum ".
Let u s therefore make a so lemn resolution that durin g th e coming year , we, as members of th e Oldest Order of Chivalry in the World, "vill do o ur bes;t t o make this wo rld a better place in wh ich t o li ve.
Finally we extend t o all our readers at home and th ose with in th e Commonwealth of the B ritish Empire
$i ncere <Breeti nge for anb
<Boob \lUlishes of for tbe coming Wear
/ FLAG POSTER
A n ew Poster has just been issued in words" The Sun Never Sets on the ·\ iVhite double crown size, which can b e obtained Cross" A b order is made up w ith the from the Stores D epartm.ent , St. J ohn's names of various Dominions and Colopies Gate , Londo n, E.C. 1, at Is. 2d. each, where St. J ohn p er son n el can be found. 12 s. ip€ l' @!oz€n, post extra. Space is le;ft at the bott 0m of the poster
This poster is i n colour, an d shows the for l ocal announcements. The n ew sta m p Flag of the O rd er flying frO'lll the flag st ic ker is in fact a reproduction, in mast coming out of the wor ld with the miniature, of the new poster.
40£
Oiranb Jrior1J in l&ritislJ E.ealtn of tbf (!])rher of tbe 1iospital of JJobn of 3ltrusa:ltm
His Majesty The King has been pleased to sanction the following Promotions in, atnd Appointments to, The Venerable Order of the Hospital of St. John of Jerusalem.
PRIORY IN SOUTHERN AFRICA
FOR PROMOTION TO THE GRADE OF KNIGHT
Captain George William Nelson (from Commanaer).
FOR PROMOTION TO THE GRADE OF COMMANDER (BROTHER)
ReIDert J.'j)Quglas Argyll Douglas, M.l'3.E., M D., l".:R.<e.S.Ed.
Colonel J (!)hannes Jacob Kruger.
Lieut.-C0Ionel John Mitchell Watt. (From Officer.)
FOR PROMOTION TO THE GRADE OF ASSOCIATE COMMANDER (BROTHER)
Ivan SolQmon (from Associate Officer).
FOR ·PROMOTION TO THE GRADE OF COMMANDER (SISTER)
Priscilla Mary, Miss Fowkes (from Officer).
FOR PR.OMOTION TO THE GRADE OF OFFICER (BROTHER)
Colonel GeoFge Gl'lY EweI', ID.S.O., 1".:0.
Alexander Hadaow Hutton. (Prom ServiFlg l'3rother.)
FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)
General J(!)hannes Jacobus Pienaar.
FOR PROMOTION TO THE GRADE OF OFFICER (SISTER)
Elizabeth Harriet, Miss Morgan.
Caroline Magdalen, Lady Oppenheimer.
Mary May Newton, Mrs. Wyly. (From Serving Sister.)
FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING SISTER
Sherene Behramjee, Miss Rustomjee. Jayammal, Mrs. Ananthachari.
MALTA
FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)
Lieut.-Colonel Victor Charles Micallef, O.B.E. (from Serving Brother).
ST. JOHN COUNCILS IN 'THE COUNTIES
A Conf rence of Chairmen and Vice-Chairmen of St. John Councils was held at St. J oh. n's Gate, London, 0n November Jig, when the Chancellor (Sir Edwin King) presided, supported by the Secretary-General, the Directo r of Ambulance, the Chief Commissioner Brigade at Home, the Secretary of the Order, the Assistant Director of Ambulance, and The Lord Wakehurst.
The fGllowing counties were r epr ese nted: Cheshire (Captain P. Devonshire (Mr. C. C. Prance), Dorset - (The Earl of Shaftes bury Ca ] Docvn-a Rogers), Gloucestershire (Dr. A. Barrett Cardew), HampshIre F. B. Hurndall), Lancashire (The Hon. C. Cozens-Hardy), Som.erset (SIr Somerville), Worcestershire (Dr. F. L. Newton), StaffordshIre (SIr Joseph and Dr. F. L. Richard), Sussex (M1". David Bryce), and West RIdmg of Yorl{sfuire (Sir Franlt BFook ).
'Fhe in his o,enJiing FeiJi!t!1(fu['ks stated tbat th e Councils that had been estabhshed the counties were developing on the lines that had been hoped and he considered they would prove of the greatest possible value to the Order.
407
Reports were received as to steps by St. John Councils to co-ordinate and extend the work of the Association. Subjects discussed included the raising of funds in the counties, the possibility of participation 6f St. John Councils in sGheme£ for the care of old people, and other interesting it ems
It was resolved that the next conference be held in May, 194 8
The Confeu:ence conc1uded! with tfue ChancelloT extending thanks to those present for attending the meeting w hich h e felt had been most h e lpful in bringin g to light some of th e problems with which Councils were fac ed.
NORFOLK A nleetillg of th e Counci l took place at the Sh ir e Hall, Norwich, on October 4 , , vh en Sir Thomas Cook presided. Mr. H. C.
D en n y was el ect ed to fill th e vacancy ca u sed by the r es ignation of Sir \ iV illiam Gentle.
MALTA.
Wllen Their Royal Highnesse s the Duke and Duchess of Gloucester went to open Malta 's new Parliament, they al so made an inspection of the Brigade.
were nearly 300 Officers a nd members, excluding 100 of the Police, who were em duty elsewhere. Their Royal Highnesses were received by the St. John Pn;)s;iciel'1t; Admiral Willis; Major Abela and Mrs. Gulia were then presented. The Duke asked a number of questions, and the Duc;:hess showed great interest in th e Nursing Members who had seen war servic;:e overseas After the inspection the members lined the drive out of the Palace, and cheered as the Royal car drcve past.
This is the first time that the Brigade in Malta has had the honour of b e in g inspected by the Grand Prior.
There are already two St. John Me dical Comforts IDepots ;n Malta, two more have just been opened, and it is hoped that there will b@ yet another two before l on g. These Depots exist to store s uch articl es as are normally required in home nursing, and for the loaning of these articl es to those who are in need.
The articles are those not re ad il y available in the average home, alild for th e purc;:hase of which for a limited period adds to the fi].J.ancial burden of sickness. The services of these €lep@ts is availalDll@ to all. A small charge is made for these loan s, but to those wIDo cannot arfford tG pay, the are lent free of c;:harge on the productIon of a rlOte from the doctor or district nurse.
The Malta Racing Club has sent the .donation of £ 25 to the Brigad e , WhICh WIll enable St. John to improve the service given at the Marsa on rac e meetililg days. Last seaSOlil the phlibli c ctuty was performed by members of NG. 1 Valetite) Corps, cihieFJ!y by tn@s@ of ;the Val etta Am bulal1J.ce and Nursing Diva.sions ; they have proved themselve s t o oe ke e n and efficient workers.
Two ne w Nursing Divisions have b een formed; they total 56 Officers and Ambulance S isters .
INDIA.-No. 3, DISTRICT.
A. .r eport from the Dadar Nursing DIVIsIOn shows that the members inincluding the Cadets, have their efficiency by regu l a r attendance at parades and drills. One member worked fo r four months during 1946, as a welfare worker at the Indian Military H ospital in Oharavi.
The Bombay (Muslim) Nursing Division a lso r eports that its efficiency is being maintained. During 1946 two new members were enro ll ed . One member was in strumental in sav in g the lif e of a child by g iving it immediate first aid, at a time when the child was pronounced dead by the parents, and a ll hopes were l ost.
A Cadet Nursing Di v is i o n is reported t o be under formation.
Among the public duties of the Bombay (Pars i) Nursing Di v ision, were attendances with the Ambulance Division on the occasion of the Subas Day riots and R.I.N. Ratings Riots, and also attendance at the d ocks on th e arrival of troop s from theatres of war. Members collectively gave about 800 hours o n these serv ice s .
News has reached this country from man y Di v isions who have rendered excellent service during the pres e nt disturbance s il'l India and Pakistan. As soon as it is possible to do so, a report will be made of these se r v ices.
MORE
COPIES . lit is n GW possible to supply more copilles of The Gazette. Divi sions requa.ring paiILce!s, a ]sG memoers requirIDiF1g c Ojpies senrt: by posrt: each m@nillID, sJrwl!lI[d se nd their orders to the Publishing Office, 46-47 Ch.ancery L a ne, W.C. 2 . 408
SHOCK
By SIR HENAGE OGILVIE, K.B.E., M.Cr., F.R.C.S.
(Extrar;ts from talk given at the St. John A ml;;ulance B'Yigade Surgeons' Conje'Yence) (Cantinuedj'Yof},n page 378, November, 1947, issue)
The treatment of primary shock is by comfort, warmth, fluids, and above all, by reassuranc e. W et clothing should be r emov e d with th e l east possible di£turbanc e to o r dressings, and the p a ti ent should b e wrapped in warm blankets and given hot sweet drinks and a cigarette if he wishes it. Above all, he must be mad e to feel that he is out of dang er and in safe hands. If he is suffering fr o m Primary shock he will soon respond to th ese simple measures, and if he fails to improve, more serious injuries must be suspected. It is important to diagnos e primary shock, but it is even more important to det e ct at the earliest possible moment those who are not improving, for they are the ones who are passing into secondary shock and. need more active treatment.
The of second<il:ry shock has two aspects; th e preve ntion of further loss of blood or plasma, and th e r eplaceme nt of that which has been lost. The pr eve ntion of furth er lo ss may mean an op eration as soon as the patient is fit to stand it, but everything possible should be done to stop any ble e ding as soon as th e pati ent is seen. Local press ure, prop erly applied, will stop bleeding from n ea rly every wound. W e must teach our classes the use of the tourniquet; but we must t each th em to look on it as a necessary evil, always evil, seldom n e cessary. A tourniqu et is an emergency instrument that should be used only when local pre ss ur e by a well appli e d dressing cannot stop hcemorrhage, that should nev er b e left on longe lf than half an hour without loose ning, if only for a few minutes , and that should b e r emoved at the earliest opportunity and r eplaced b y a pr ess ure dr ess ing.
A shocked patient should b e k ept flat. The foot of the bed may · be raised to assist th e circulation, but he should seldom be allowed to r ea ch a state when this is n ecessary . H e should b e covered with one or two blankets, but he should not b e artificially warmed unless he complains of fe eling cold. The cold skin of shock is due to contraction Of th e skin capillaries, a purpos eful mechanism designed to rais e the pressure of th e blood by increasing the p eripheral resistance, and to divert mor e of it to th e vital organs. Heat frustrates this mechanism, and is usually resiste d by the shocked patient.
Morphia is th e best, and the only really valuable drug in shock. It r elieves pain and gives r est to body and mind . It should b e given early, it shouid be given in ad e quate doses-anything less than t grain for an adult is uselessand in most cases it should be given into a vein. Morphia injected hypodermically is absorb ed slowly if at all, while th e patient is in shock because the circulation in the subcutaneous tissu es is at a standstill. There is a danger that two or three doses may be given without effect, and, when the circulation is restored by transfusion, the whole amount is absorbed and may send the patient into coma.
Other chugs are o:li litHe valu e . Pressor sub£tances like adrenaliine, and cardiac stimulants, are useless because the circulatory mechanism is doing its best. The engine is first class. It is only £pluttering b ecause the tanks are running dry, and all it needs is more petrol.
Transfusion, to restore the circulatory volume to its form er leve l, is the most important and th e only curative tre a tment of shock. Transfusion should be given early, it should b e given rapidly for the first two pints if the shoGl{: is profound, it should be adequate in quantity, and as far as possible correct -in quality, that is lost blood should be replaced by blood, and plasma by plasma.
A transfusion apparatus constant sup ervision, and nurses and ord erlies sillGl'1!1M be trained t() det ect the things that may go vTrong. It is usually set to run at about 40 dTOps a minute, a rate that wm deliver a pint in four hOlUS. [f the :£low sl()ws or stops ru n the first few hours, the trouble is usually mechan ical; the needle has angulated so that its b eve l is agaimt th e 409
wall of the vein, the tube is kinked or pressed on somewhere, there is a block in the air inlet or an air lock in the delivery tube. If none of these faults are found, the pre£sure on the column of blood may be increased by pumping air into the bottle and diJE>ping the inlet tube, but air must never be blown into a bottle that -is nearly empty, or it will enter the vein when the blood is finished, and kill the paHent by air embolism.
Rigor£ ,during transf[1sio[l faU into two groups. A m.ild rigor coming on after half an hour or so has usually some mechanical explanation, that the blood is cold or is running in too fast; slowing the stream, and coiling the tube between hot water bottles will usually stop it. A severe rigor in the first few minutes means that the blood is wrong, either mismatched, infected, or hcemolysed by rough transport; the flow must be stopped at once, and the \,,' hole transfusion set taken down.
CONFERENCE OF REGIONS 1 & 2
A most successful Week-end Conference was held. ail Hanogate for GffieeFS in RegioIlls 1 and 2, which was organized by County Commissioner H. L. Th0rnton and members of his staff.
The first function was that of a Civic Eeceptiem and dance given by the Harrogate COFporation on Friday, October 31, in the Lounge Hall. ,
On Satmday morning, November 1, the Mayor of Harrogate, Alderman H . HesselwQod, extended an official welcome to delegailes, and expressed regret that between two wars support for the Brigade was inclined to lag. It was wrong that we needed. a war to find out just how important the Brigade was. Possibly, he said,we do not appreciate to the full extent what the Brigade's voluntary service involves Commissi<Dner Thornton, who presided, thanked the Mayor for welcome and words of encouragement.
SiF Re:my Pownall (Chief COIDmissioE.eI") expressing his appreciation to th.e MayOT, stated that the Brigade received support from eivili: authorities because the Brigade was really useful to them. He commented on the fact that the general position of the Brigade was much superior to that in 1938, when membership was under 100,000. He hoped that the membership lost since the cessation of hm;tilities would soon be made good, and although the membeFsfiiJp had decreased, the wCDrik had mcreasecil..
The Conference th.en had a talk OID, "Brigade Forms" fwm Assistamt Brigade Secretary, J. S. Hannam, and a talk on " Accounts and Balance Sheet " from Ccmnty Treasurer (N.R. YOTks) J. Pearson. County Commissioner S. Embleton was chairman of this session. A most interesting talk was given on " !n,dustrial First Aid" by Nursing Officer MISS Dunamt 1 IDistriet) mnder the ch.aiTmanshi:p of County MFs. Krrkup; County CommissioNer Th@mton presided, whilst Major A. C. Wfu.ite KBJ<l>x (Commissioner, No. 1 District) spQ)Ke on
410
" Brigade Peacetime Set Up ". This was foUowed by " Rehabilitation" by County Nursing Officer Miss Barraclough, with District Supt. Mrs. Birkbeck presiding, and District Officer Mrs Lodge presided whilst Asst.-Superintendent-in-Chief Mrs. Girouard gave a talk on "Blood transfusion and After Care ".
Sunday commenced with a short service by the Rev "",.T. F. Vernon, Vicar of Christ Church, Harrogate, after which delegates listened with much interest to Lady Dunbar-Nasmith (Deputy Superintend ent-in-Chief) who address ed the gathering on "The Present and Future Work of the Nursing Divisions". District Supt. Mrs. Birkbeck presided over this session. The Conference then heard Asst. Commissioner Dr. West Watson on "Infantile Paralysis" (chairman Asst. Commissioner H. C. Else), after which delegates formed themselves into discussion groups, County, Co rps, and Divisional.
After the lunche o n interval, Sir Frank Brook (Chairman, W.R. Yorks St. John Council) presided, whilst Dr. Frase r Brockington (M.O.H., West Riding of Yorkshire) gave a -talk on "National Health Service". Mrs. Girov:trd then greatly interested the members with her " Wartime Experiences," taking the hme when she accompanied Lady Lemis Mountbatten (Superintendent-in-Chief) to the Far East, after the surrender of the J apalJilese. County Supt. Mrs. Edwards presided for this session, and Colonel ([ormer County Commissioner) preSIded for the final session, which was given by Mr. G. E. Craft (Puhlicity Officer of the Order) who spoke on "Brigade Pu blicity ".
County Commissioner Thornton in summing up the Conference, thanked all those who had assisted, and felt that the functioID. had beeD! most successfuL
I t is @f illli't:eFes't to mote th at t1te C@Dference received a visit from DT C. H. wiolJo was Commissio!Fler of the No.6 District of the iBrigade in 1902.
STANDARDS OF MARKING
By FRANK H. EDWARDS, F .R.C.S.(Ed.), O.St.].
(County Commissioner, Shrop-shire)
(Extracts from talk given at the St. John Ambulance Brigade Surgeon's Conference) (Continwed from page 38'8, N@vembe1', 1947, issue)
Now :for the patient and 'the method of examining him and the acting, er lack of it, by him.
Here I do beg of a standardization.
We all know the old story-a boy scout who. has been nm over. A fractured f emur and arterial hcemor-rhage somewhere.
The team dashes in, the s;cout grins all over his face, the skipper of the team rapidly and inefficiently runs his hands over each limb, down the spine, "any swelling, irregularity, defmmity about the scapula, etc ." ad lib.
The judge solemnly answ@rs " yes" or" no " as; the case may be, and equally solemnly jots down marks on his sheet so that the team is credited with diagnozing, through coat, waistcoat, shirt, braces, and vest, the fact that there is no injury to the spine.
The skipper says, " I would send a message for the ambulance, I would do this or that ." I feel inclined to say, "Well, for God's sake, do it, and don't talk so much."
The boy scout, in the meantime, still
What possible relationship is there between that and the real thing? None. It is useless from the training point of view, beGause those conditions do not prevail in the finals, and teams; which really could be, and are, good, Slink badly.
Let us not only have our standard and standards of marking good at the top but good throughout, and also the method of competing for those marks standard throughout.
I want the boy scout, gill guide, type of patient to be stopped. I want the patient to be adults, stone in weight-suitably clad in "damageable" clothes , blood-stained if need be, with the injury marked as realistically as circumstances will permit.
I want the patient to be ' trained to act the part, to complain of the correct symptoms, and to be able to say very rude things if handled badly. I once shocked a Home Guard team to the core when they mishandled me-they didn't know I knew the words I-but the sk ipper £aid, « Jove, sir, yam made that 'realistic'."
In other words I want to see competitions lower down the scale run with the « accidents" nearer to the actual fact, so that candidates learn while they compete, and so th?-t the winners come up to the final with a better idea of the value oJ the different parts of an actual test.
And now the Judge.
Time and time again, when I have met a team which has clearly been trained on the « many question system" and who have never met made-up, acting patients, I stop them and tell them that I am a ghost-a friendly one, not a bightening one-and that )l see and heaF al l tiblat they d<o and that they must obey the instrudions I always iJDlllt on my card to tl1e team. "Act as you would in real life." I point out that they would not ask a spectator what they are asking me. I pull their legs to stop their nervousness, and on we go. But that should not be necessary. I would like marks to be deducted for unnecessary questions, but we cannot do that if the teams are trained to ask them, therefore we must start at the bottom and see that Divisional teams training is uniform and standardized.
May we, therefore, aim throughout the to produce more realism in our patients by training them for the purpose, as is done already in some counties who trained casualties, and! by asking our judges to insist upon s1J!ch patients being pit"€nri!€tediJ.
To ask t r ai1lers of teams to stop the "many method and to use " trained patients" in practices.
411
I know that it may be dangerous to use atropine to pro.duce a dilated pupil, and that therefore the Judge must be asked about eye reactIons, pulses, temperatures, etc., but he may on ly be asked about things which cannot possibly be reproduced
If a skipper tlrue jJi udge to note a:nythmg, .or If he feels the Judge may have missed anything, I always advIse the slnpper to make hIS remark to another member of the team. For example, in an unconscious patient the skipper could tellllis team that he has not found in a limbin a voice l oud enough for tl>1e Judge to hear and to realIze that the 11mb been examined to the satisfaction of the team. If a fracture has been realIstIcally marked and has been missed, then it is the team's loss.
So if Judges universally dissolve into ghosts, again we would g et standardization of training. . .
If, as l' said just now, we could have a standard whereby the ImmedIate stopping of hcemorrhage could have very high credit and the d e la7 of that arrest be penalized very much mOire than it is now, I sure that efficIency be increased. The minimum of rna!rks for telephonmg kmd messages to relatIves, the maximum for efficient artificial respiratiorJ., hcemorrhage, and shock-and how the latter is skimped in competitions-while the sp e ctacular splinting and bandaging should be given the marks in proportion to th eir importance in the patient's total well-being. "Better a live man with one leg than a .corps e with two" i$ my teaching motto, and I suggest that marks be standardIz ed accordingly.
I hope this small paper of mine will now start you talking.
CADE T FINA L CO M PETI T IO N S
The first National Competitions were held at the Royal Hmticultural Hall, London, on November 28, when winners of Regional Competitions vied' for the honour of gaining the new Championship trophies.
Throughout the day the Hall was well packed with spectators, who watched with much interest the work performed by th.e yowng competiJtors. There was much. cOffiJ¥>arison with adult teams, and many 'thought that some of the Cadet teams wOlilJd give their Seniors a 'ery close competition.
The highlight of the day was when H R.H. the Duchess of Kent (Lady Superintend(mt-in-Chief, Wales) arrived to witness the tests and to present the trophies and individual prizes. Weymouth Senior Cadet Team demonstra:ted before Her Royal Highness, who watched with much interest the wO'rk performed.
The o:f the l€)ur se <l: ti€)i1ls were as follows :AmbuZance Seniors.
"Dunbar-NasTl1irth Cup" (Championship award): Ipswich "Cunard Cup" (Indiv idual Te st s) : Warwick Town.
" The Tweedale Trophy" for the team g aining highes t number of marks in the Home Nursing Section was won by "\i\Tarwick Town Junior Team; whilst the "Bedmaking Tr ophy " was gained b y South Wigqton.
V'le extend congratulations to aU winners, and losers, on their splendid efforts, with a special word of praise to "\i\Tarwick Town Juni o r Team who beat the senior and junior teams in the Home Nursing Sectio n.
A full report of the competitions will appear in the next is sue of the St. John Gaz ette, dated February 1, -1948.
DEAT H OF D R. W. C. BEN TA LL
We regret to announce the death of Dr. W. C. Bentall, O.B.E., F.R.G.S., who passed away on November 16. Dr. Bentall had a long career in the Brigade and with the Association. In 1910 he was Divisional Medical Officer for Southport and Hon. Lecturer to the Association. He was District and Staff Officer in No.4 District and later Assistant Commissioner for that District, after which he transferred to the then No.8 District. In 1936 he wafS appointed Assistant Surgeon-inChief of the Brigade and when gas lectures were undertaken he became A.R.P. Staff Officer to the Chief Commissioner. Many will remember the Ga s Courses held at the Great Central Hotel, London, where Dr. Bentall was the very active and interesting chairman and lecturer. He was· a Knight of the Order and a member of Chapter General. In addition he was Chairman of the St. J olm Council in the .County of Sussex, a position he resigned just before he died.
The Surgeon-in,-Chief (Dr. N. Corbet Fletcher) has sent the following apprecia -
tion :-
(Championship Cup" : Wey-
be remembeFed by the many thousands ' who, drawn from all parts of the Brigade, took part in those contests. Although in failing health, he insisted on being present at the 1947 Finals, and on taking his part in the parade of Surgeons at this fULlction. He will be sadly missed, and it will be no easy matter to replace him.
O BITUARY
The Rev. Arthur SewelI.-England's oldest clergyman, and the oldest Chaplain of the Order, died at Cambridge, aged 106. He was appe>inted a. Chaplain of the Order on Decembe'r 15, 1871, and therefore nearly completed 75 years' service in the Order. He was a very active man for his age.
Sergeant Emily Winter died while undergoing a serious head operation. She joined the Welwyn Garden City Nursing Division in October, 1938, and held a rec;:ord of well I)ver 2,000 hours duty assisting the District Nurses School Clinics and local hospital.
Corps Superintendent J. J . Dexter died suddenly on Oc;:tober 17. He joined the Brigade in 1907 and passing through the ranks "became to Superintendent of the Great Central Railway Division In 1926 he was promoted to Corps Superintendent of the Leicester Corps. On July 17 last he was the guest of honour at a dinner when he was presented with a wallet and ch€cjue as a token of esteem from his fellow members. He was Admitted a Serving Brother of the Order in 1929 and held the King George Jubilee Medlal. He was Chairman of the Leicester Centre from 1938 to 1940 and Vice-Chairman from 1932 to and 1941 to 1944.
Supt. Miss C. D. Whittingham, of the Stourbridge Nursing Division, who passed away on October 18. A guard of honour was formed by Officers and members, and members of the County Staff attended the funeral.
H O N O UR
Priv ate vViHiam Mauric;:e Nash
The passing of Dr. vVilliam Charles (Haggerston Ambulance Division) has Bentall, O.B.E., K.St ]., who in 1936 "vas r e ceived from the King of Norway the promoted to Assistant Surgeon-in-Chief Haakon VII Liberty Medal and Diploma of the Brigade, has caused deep regret to for s er v ices rendered to Non-vay durifig his v€ry wide circle of friends. In all my the war. Pte. Nash, who vvas a leading dealings with him, I found Dr. Bentall a telegraphist in the Royal Navy, had m€)st loyai aN e[,lergetic c€)l[eague; and previously been awarded the D.S.1\[. for N®itlOJi i!Ng w1ilich !Ii asked. to was ever brave!If Y wlm.ilst serving on th'ree little refused . He was present at (and assisted ships, the Q 101, Q 102, and Q 103, me) in ail the Final Competitions, and his probably the first coastal forces to efigage cheery £mile and bright conv€rsation will the enemy and last to fil'e a shot.
413
THE ' ROYAL ' WEDDING
November 20 was a very busy day for members of the No. 1 (Prince of Wales's) District ra1 the Brigade. Over 1,000 amhndaBce and Iili\!l!Fsing peFsGl IDiID.€l W€lre elJ!l dtity fn;>m $.30 until after the drive to Waterlrao and their pres€nee was very mecessary. Directly personnel report€lci they were called int? action, dealing with persons who had fallted collapsed. Fortunately, the more senous cases were very few, but even so some 49 patients were sent to hospital in St. J Qhn ambulances.
Tfi€l 1J.eaviest task was in the Trafalgar S<iJJuar€ area wh€re OV€lr 800 cases were attEmd€cl.. Around the Abbey and along tfue MaU, where €Towds we:re ve:ry heavy, tke ll1Jlil'lber of cases treated were over the six hundred mark, and altogether 2,502 cases r€lceived attention in addition to thos(;) c0D.veyed to hospital.
The route was divided into five sectors, each in charge of an Assistant Commissioner, with 15 first aid stations and five dr€lssing stations. St. John ambu- ' lances were in attendance and l'lumerous ' DivisioID.al Surgeons gave their assistance.
Eig1l.ty members of the British Red Cross Society did duty along th(;) Mall and co-operated well with members of the Brigade.
_
Major A. C. White Knox (Commissioner) was in charge of the duty, with Assistant Commissioner Sir George Abbiss as his assistal'lt.
F@r the first time stretcher squads were ran duty at the Abbey; fOUF special squacils, one at each entrance, being pres(mt to attend to any casualties which migM e>Gcur in the Abbey itself Fortunately, their services 'wer€l ID.ot required.
THE HOSPITALLERS' CLUB
and entertainment was held, and thanks expressed to the Social Secretary, Mr. J. Kemp, for an excellent and enjoyable meeting.
THE ABBEY SCHOOL FOR. SPEAKERS
Many members of the Brigade who have attended Day and Week-end Conferences will have heard the splendid talks given by Mrs . .Mears on "Public Speaking" and many hints on chairmanship and other subjects. It is therefore a pleasure to give notice of "a Speakers Resident Week-end Course which the Abbey School for Speakers (of which Mrs, Mears is the Principal) is running at High Leigh, Hoddesdon, Herts, on March 19 to 22, 1948, and to which members of the Brigade will be welcome.
This is the first Speakers Week-end held in this conntry; and w e are sure that having seen the programm e it will benefit · those who have to g ive talks in public, preside over m e etings, and also lecture to students, Lectures are interspersed with Group Discnssions, whilst a Dram;:ttical Recital (by Marjorie Hellier of the Old Vic and Embassy Theatres Companies) should be of special interest.
Readers who wish to attend the course should , make application as early as possible to the Abbey School for Speakers, 36 Victoria Street, London, S.W. l. The inclusiv e fe e for the cours e is £ 2 175, 6d. plus a 55, booking fee; and a c opy of the programme will b e forw a rded to all those interest e d .
HOSPIIAL SATURDAY FUND
CENTI\E
The 23rd annual dinner was held on Owing to unfores een circum stances the Nov(;)mlDer 22, with the President, Mr. class intended to run from October to C. G. Bower, presiding. Major-General December did not materialize, but it is F. V. B. Witts (Assistant Director ot intended to run a refresher course early AmlimlaJ!lee) ipFoiposed th€ toast @ f the in J anuaFy, 1948, to enable holders of outClub aT1@. Fe1€lUeGi to the excel1€lID.t w@rk of-date certificates the o pportunity to carried out by members on the Royal become efficient Students who in the W€dding day, and to the [act that past have enjoyed and benefited. by the inadequate publicity was given to the lectures givel1l. by Dr. Albert Ehrman, work. The President, in response, recalled which he has given voluntary for over 30 the obj(;)cts of the Club and paid tribute years, will be interes ted to learn that to t1l.ose who started the Club 26 years ago. the Order has recommended he be proVice-Pr(;)sident A. E. Turtle proposed moted to the Grade of Officer (Brother), " Our Guests" and welcomed General and It is suggested that a testimonial to show Mrs. Witts on their first visit to a Club appreciation of his ungrudging efforts fun€:tiraJ!l, and other guests. 'Ehe r€lply be giveR him, and su bseriptioID.s and dOID.awas made by Mrs. C. G. Bower. Past- tions, not eXG€leding 2s. 6d. eacn, are Fresidel'lt Mr. .T A. G:ravesto'ek proposed invited 'from tillose former stucilemEs. These " Tb.€ President" m en logistic 'ter ms, to sihc @m l.G1 IDe fQrwar@!ed to MF. J osep!bJ. Ask, which the President replied with sincere 59 Park Lane, WallingtoJ!l, Surrey, who thanks. Following the dinner, dancing wiil acknowledge all monies received. 414
"Why I support the
SILVER LINING Savings
by Dame Sybil Thorndike, D.B.E.
"Although I have been fortunate enough to have a very busy life, the Stage does not provide an income for each of the 52 weeks in the year.
So I came early to respect, even if not always to carry out, the idea of personql savings, both as a moral and a physical suprort, and as a valuable exercise in self-discipline when things were going well.
Since those early days I have toured many countries and I h.ave learned to see Britain-and understand her greatness-from the outside. For she is great, our Motherland. If our Savings, then, are needed to
help her thrnugh a difficult time, we, her children, must help her. No hand is too weak, no effort too small-r€member the good friends in the gallery and the pit make th€ success of a play."
Ncttional S .avings for National Prosperity
THE ACTIVE PRINCIPLE UNDERLYING
Wright's
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Containing all the non-irntant peutically active substances of coal tar, Wright's Liquor Carbonis Detergens applied in theform ofW right's Coal Tar Soap, provides health protection for the skin. W right's Liqu or Carbonis Detergens, uniform and stable in composition, is indicated for many kinds of scaly or parasitic skin diseases. Leading dermatologists in their published works pay high tribute to the effectiveness of Wright's Liquor Carbonis tOA1l:1-9 Detergens.
W]!e J\ttthUletUtt
HEADQUARTER NOTES
Appointments.-H.R.H. The Grand Pdor has approved the [OUowtilllg apPGintments :-
County Surgeon Francis Henry Edwards, M.B., F.R.C.S., as County Commissioner for Shropshire, vice Lt.-Col. C. W. Eames, resigned.
Corps Officer Lt.-Col. Sir Myers Wayman, O.B.E., as Acting Assistant Commissioner, County of Durham.
V.A.D. Memhers for the Royal Navy.Vo lunt eers for nursing and clerical V.A.D. duties with the Royal Navy are still urgently needed. A booklet giving full particulars of this service has been compiled, and all Nursing Divisions shou ld be in possession of a copy. - This booklet should be sent to any likely recruit, and additional copies can be obtained from the County Commissioner.
No. I (PRINCE OF WALES'S) DISTRICT
A Surgeon's Conference, called by District Surgeon M. M. Scott, was held last month, when, the Commissioner, Major A. C. White Knox, gave particulars of the Brigade activities and the service expected of Surgeons. Dr. Scott put forward methods of increasing efficiency among members, and also among Surgeons, and a general discussion on these methods and on other subjects proved of great interest.
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 cha.rms . for the relief of pain and magic songs to increase their effects.
Our medical science of to-day, with its X-rays and its anaestkethlls, w<l>u1d have appeared quite incredible magic to those early practitioners, whose experiments and progNss were based largely on guesswork. To-day is based on knowledge, an d one discovery leads to another.
T ak€l ( Oogene for instance.
Modern science has shown that a small quantity of a powerful drug will do the work of a large dose if it is bruek€ld by the right combination of other drugs in the righ t fn·<l>portions.
In ( Cogene ' mmute C!fl'l!amtiti€ls (j)f f@ur separate drugs (three of them pain relievers
and the fourth a stimulant) are scientfiicaliy c@mbined ion tablet form. Because each is present in such a small amount there can be noharmfulafter-effecl:,s,yetthecombination is so effect ive that ( Oogene ) will relieve the most harassing nerve pain in a few minutes.
Ask your chemist for it. Supplies are still limited, but he will do his best to see you get your share. Price 1/ 1 tri.. a tube.
eOGENE
H. Nash. The Mayor of Wimbledon, who was accompanied by the Mayoress and s upported by Vice-president Councillor C. W. Black, presented the tropnies. No. 53 (South Metropolitan Gas Company) Nursing Division.-Having been founded in 1922, this Division is celebrating its silver jubilee by a recruiting drive. A reunion has been arranged so that many past and present members can get together to remember" old times". No. 58/5 Ambulance and No. 115 Nursing Divisions.-The 3rd combined officel-s mess night was held recently. District Surgeon M. M. Scott, late Div. Surgeon of the 58/5 Division, presented President W. E Seddon (District Postmaster, \iV.D.O.) and Vice-presidents Asst. Postmaster Co l. W. M. Mackenzie and Sir WaveH vVakeiield with their warrants and badges of office. Sir Wavell after presenting Nursing Officer Mrs. Scott (wife of the District Surgeon) with her warrant, expressed the hope that the good wo rk of the Brigade in general, and especia lly that of the 58/5 and 115, would always be maintained. Those present included Lady Wakefield, Mr. Garrard (Hon. Secretary of the Local C.D. As!;)ociation), District Staff Officer Burton, District Officers McBride (R), H. Dunford, and Mrs. Tapply, and Area Cadet Officer Miss Milne. In charge was Supt. W. V. M. Allan and Supt. Mrs. A.llen. No.2 (Haggerst on ) Division.-The 58th anniversary dance was held on November COUNTY OF BERKSHIRE 14 at Shoreditch Town Hall. The visitors Tne first post-war cQlmpet ition for the included the Mayor (Alderman F. James), Porter Rose Bowl was arranged on unDistrict Officers Dunford and McBride usual line!;), the competing teams being (R), Vice-president VV. Elby, Supt. and chosen at random at ordinary divisional Mrs. Jaggers. Div. Surgeon Capt. S. meetings. The test was set and conBiswas, and other officers. A most ducted by County Officer Miss D. K. enjoyabl e time was spent, and Corpl. W. Gibbons, and 14 divisions competed. Perrin presen,ted spot prizes. Competition, was very keen, an,d o nly three Corpl. W. Perrin has been highly marks separated the first three teams. complimented by the Matron, of the St. The winners were Reading PO!;)t Office Leonards Hospital, Shoredit€;h, for his with Reading- South and Maiden.hea9. as vo luntar y work in assisting in the wards. runners-up. · The trophy and keeper
The Sisters-in-charge or tihe Wards have silver spoons were presented to Supt. also praised tifue asstistance reGeived. Miss Coombs by County Supt. the Hon. No. 17 (Wimbledon and Merton) Mrs. Leslie Gamage, in the absence of the Division.-The annual divisional first aid don,Gr, Dame A. F. Porter, at the quarterly competition was held on November 18, meeting of Nursing Divisional Officers held the judges being Supt. H. \ iV. Gladwin, at Fokhill \iVhit eknights, Reading. British Thomson-Houston Divis ion (team) Reading Corps.-In connectio n with the Corlil s Officer C. Bowden (pairs), and above competition, a brief ceremony took Distr ict Officer F. E. Stratton (individual). place at the Read-ing Post Office
The Hambro Cup for team work was Division Headquarters, where PresIdent gained iby Corp I. F. P. WiUiams, Privates C. R. Fright presented the silver spoons l Allsi!;Gn, H. Nash, a nd H. G. Wyeth; to individual members of the wIDflin.g the RichaiTd Sennett fm- the team. Corps Supt. Miss Sudul anaBg.ed a i@est pair, Sergt. F. G. Tucker and demonstration of the competition test. Pte. F. R. Frewin; and the Richard On November 6 the Reading Southern, Sennett Cup for In dividua l work by Pte. Railway Ambulance Class in conjunction . 417
with the Reading S.R. Ambulance Division of the Brigade, held theiF annual of awards. Mr. J. H. ChItty (Welfare Officer, S.R.) 'Wliesided, stressed the importa.mce of the w0JJ:k, WhIlst County Commissioner C. A. Poole, who was accompanied by Mrs. P(')(0le, expressed pleasure at the attendance -o[ the Mayor (Mrs. P. Cusden). Mr. O. Cromwell (Chief Officer for Labour and Establishment, S.R.) presented the awards, and his at being present, havmg been associated with the rmovement .b.imsel'f for over 40 years Those present inclyded Mr. F. A. Trott (Centre Secretary), Mr. A. Barrow (IDistrict Secretary)! an@' Mr. L i1Pa[iB, (Class of the S0)uthem Railway, allld Asst. Commissioner F A. C. Jarvis, County Supt. the Hon. Mrs. Leslie Gamage, and Div. Surgeon C. A. Boucher of the together with other officers of both organizations.
COUNTY OF BUCKINGHAM
On the morning of November 14, when a rocket at Westcott Experi· meNtal killmg three amQ injurimg 9 of the SCIentists, and their assistants ambulances from Aylesbury were on spot. witkin te:m, minutes of the call being receIved, and conveyed the injured to the Royal BYGks Hospital.
Chetwode Cup.-The annual competitIon, open to Nursing Divisions of the South E:hJ.cks Corps, was held em NclVembeT 8, w4en. Slough Town Nursing Division adjudged the winning team. Corps Surgeon Maxwell. was the judge, 3lad. a very test was set. ]'ifie a .cioctGlr, was found tin consultul'g room, and after being revived It was apparent that he had given himself a large dose of mell;phia. Everything
necessary for treatment was available, and in the waste -p aper basket was the remnants of a morphia-containe.1i, but no teams fOUllld it. Mrs. Gregory, President of the Cippenham and Burnham Nursing IDivisioa, presented th.e cup to the winning Jeam.
COUNTY OF CAMBRIDGE
March.-A most successful chrysanthemum, fruit, and vegetable show was recen,tly by the Social Committee of the March Brigade, and nearly 400 entries weTe received. County President Lord Fairhaven performed the opening ceremony, being supported by County Commissioner Dr. K. S. MauriceSmith, Mr. H. H. Truman, who presided, Mrs. E. E. Truman, and Mrs 'iV. A Noble. All money raised will be devoted to the Divisional and Building Funds.
EAST, SOUTH, AND NORTH DEVON
Exeter.-A tableau entitled " St. John through the Ages, 1099 to 1946 ", which was followed by the new ambulance, gained first place in a class of 17 entries for the most spectacular tableau, at the Heavitree Carnival, Exeter. The entry was made by the Exeter Ambulance and NUJ:sing Corps, under the leadership of Corps Supt. Mrs. Inch, and other officers. Previously the same tableau had gained third place in another carnival. The suits of armour were loaned by Dr. Gladys Danby (County Supt, Somerset), whil s t the Ambulance and Nursing Cadets also entered a fine tableau under the direction of Cadet Supt. Miss Howe and Cadet Officer Barber -
COUNTY OF DORSET
Weymouth.-The beach First Aid Hut at Weymouth had a very busy season, Manned every day from July 1, the
statistics show that some 886 cases were C C dealt with, ranging from small cuts to those requiring hospital treatment. "Lost Slilpt. W. Stokoe, Dr. W. C. Murray section was very necessary; Messrs. W. Irwin, and R. Hawke. 642 bemg returued to their worried County Commissioner presented a nmrnber paFemts. ;f S o. A:wards, and congratulatelii the LANCASHIRE ·DISTRICT DIVISIOn Oill Its good J:ecord. He reminded LiverpooL-During the month of the audience that the Division had been October, duties covered by the Liverpool registered as far back as 19'01. Div. Corps was a record, and some 861 were Secretary Norman Holmes was responsible undertaken. Over 700 of these were at for the arrangements. or theatres, whilst special duties COUNTY OF STAFFORD mcluded H,?usewives League, Gymnastic ' Tipton and Distl'ict Corps.-Great inDemonstratIOns, and special arrangements terest was taken in the competitions of were made when the film "Birth of a the Corps, which were in charge of Corps ' Baby" was shown. Supt. E. Lakin, assisted by other Corps . Southport.-On November 3 presenta- amd DtivisiOt'lal Officers. The results were: tIons were made ' to Corps Supt. Miss Ambulance and Nursing Divisi(}Jns.Bro':Vn on. her retirement 37 years' M.E.C. Trophy: Tividale Ambulance; wl,th the Corps "'Supt. Parker Trophy: Tividale Ambu lan ce . MISS G. and in making a President's Trophy: Revo Nursing; presentatIon of a "nreless set and bag, Jeffery Trophy; M.E.C. and Ocker Hill C,?rps Surgeon R. R. M. Porter paid Nursing. tnbute to the work carried out by Miss Junior Cadet Trophy.-M.E.C. and Brown, who would be greatly missed. On Ocker Hill Nursing, runners-up Tividale behaJf of the June Dyson pre- Nursing. . a MISS Brown, in reply, Seni.w Cadets.-A Chatwin Trophy: saId she had enjoyed every minute of her M.E.C. and Ocker Hill Nursing; TUanerswork, and she appealed to members to up, Tipton Ambulance. bring others into the Brigade. Individual Ambulance. MurdockCOUNTY OF NORFOLK Hamilton, Trophy: Pte. K. Beavon (Tividale). \
Mr. G. Kybird, a member of the Thet- Individual Nursing.-George Baker ofAtmhbulanllcetDthivision, wals returned Rose Bowl: AjS D . Ashmore (M,E.C . e po a e recent e ections for and Ocker Hill). the Borough Council. This Division also Finals.-Ambulance, Nursing, and has two Justices of the Peace. Cadet Divisions, Heathcock Memorial East Dereham.-At a meeting of Trophy: Tividale Ambulance; runnersmembers of the Divisions, County Com- up, Kemp Trophy, M.E.C. and Ocker missioner Sir Thomas Cook anl10uneed the Hill Nursing. acquisition of a property in Norwich Corps. Supt. Laken has Gomp l eted 50 Street for the use as local headquarters. years with the He obtained his NORTHUMBERLAND AND DURHAM certificate ' in 1897, and holds the Service Officers Fraternal Meeting.-The last Medal and 4 bars. He assisted in. the Fraternal Meeting for the year 1947, was formation of the Tipton Division in 1916" held on November 15, when 120 Officers and passing through the rankcs became from the two counties made a record Superinhmdent in 1923. In 1935, he was attendance. The party- visited the offices pTomoted Corps Officer, and in 1941 Corps of the Newcastle Chronicle and Journal Superintendent. He is a Serving being welcomed by the 'iVorks Manager: of the Order.
The Moreton Am®u laID'!@e 'f eaJilll, wilii1neFs odi ;the " John Orm, wood" Cup Compehtiol1.
Mr. F. H. Parsons, on behalf of COUNTY (i)F SURREY the Directors. Thevario'l!ls prc:>cesses in CheFtsey.-The aNnual inspection of the the of newspapers were fully Chertsey Divisiol'l, was carried out by explained, and Corps Supt. J. R. Logan Asst CommissioneT Capt. P. Ellis, who was (Chairman) expressed thanks to the accompanied by County SeTgt.-Major H. S. Chroncile management. After tea a Smith. The inspecting Officer expressed general meeting was held in County his satisfaction, and also the hope that he Headquarters and officers eleGted for 1948. would find them going from strength to The Lecture Room was packed to hear an strength as the years went by. He stressed excellent report of t11e Officers' Con- the fact that tlley belonged to the Order ference, held at by of St. J olm, which was devoted to service G@[Il:iJ.lilll.issi@ner Slian[ey of lRl::J!3lnkimd, alll<d they were Ohlt to help in a['lNUlal di'0.lil.er ®f any way they p0ssibly could. Mr. A. T. t.he Ambulance Division was held on Ledger (Chairmq,n of the Urban Council), 22, Supt. W. C. Elliott pre- thanked the members, on behalf of the SIdl11g. The guests of honour included to'wnspeople, for the splendid work they 419
were undertaking. Tho se present included Co rps Supt. R. ]. Gristock, Supt. L. Hedges, and A llnb. Officer L. Hampshil1e. Guildford.-Fou1'l!ded iJTh 1890, No. 1 Ambu lan ce Division of the Guildford Corps lout for tl1J! e war, 11J! ave receivea a jubilee certificate in 1940; but at theiF annual inspection, rec ently undertaken by County Commissioner W . G. Pape, the Mayor of Guildford (Mr. A. W. Graham Brown·) pres ente d the certificate, and spoke of th e practical service nmdered by the Brigade in Guildford. Supt.] E. Cheshire received the award. The parade was mndrer the command of County Officer <C E. Chap lil1l , and those ]present included Asst. Commissioner ]. P. Flav in and Capt. P Ellis, County Sl!lpt. Mrs. Lion d Heal @! , the Mayor-e l ect . (Ald . Arthur Williams) , Dr. F. A. Belam (M.O .B .) , County President Lady Lind say, Vice-president Mrs. F . H. Cook (No. 1 Div ision), and Corps Supt. Mrs. H enr y. Service a wards were also presented. Walton and Weyhridge.-On No ve mber 25, a First Aid Quiz attracted entries from neighbmuing div isions. The question master was Co rps Supt . GFisto eik, a ss isted by CouIrty Sergt.-Major Smith; the jud ges b eing Supts. A. L. Rob ert s (Cobh.a1l'!J, and H. L. Coughlin (Airscrew) The winning te a m was from Addlestone, and consisted of Amb. Officer Stokes, Cadet Supt. King, and Amb. Sisters Bristowe and West. They gained 22 marks out of a po ss ible 22.
COUNTY OF SUSSEX
Easthourne.-The annual in spection of the DiJvisimrr was !held re Ge nidy, when Asst. Commiss ioner C Heywood conducted the in spectioI'l., and also presented awards. County Officer A. ]. Burnage was in charge of the parade, supported by Div. Surgeons H R. and W. McAleenal1l, Amb. Officers Boniface and Hurd The members were congratulated on s martne ss and efficiency, and th e In s pec1ung Officer expressed the wish to see more and more n ew members joinin g the Brigade.
COUNTY OF WARWHt:iK
Nuneaton.-The fir st pos t-war "Get Together" evenimg was held on November 20, when some 80 members and! friends partook of a most enjoyable evening. The Ladies Committee d e corated the hall and 'the entertainment was a mixed variety to suit all tastes. Those present includ ed Div. Surge on D. W. Hemdryand Mrs. and! Mrs. Fitzroy.
([;(t)UN'FY OF W(j)[RCES'fER
Watkins propos ed the " Lye Div ision" to which Supt. T. Pardoe replied. Those present included Pres ident H. Perks, T ransport Offioer H Barlow, Amb. Officer H. Cooper, and a number of other officers.
WIEST· RIDING OF YORKSHIRE
Brighouse Corps.-At the recent H ealth Exhibition, the Brighouse Co rp s was represent ed at one of the stalls. Posters, literat ure, equ ipm e nt was displayed, and a number of inquiri es from members of the general public were answered.
Heckmondwike.-Seventy-e ight past a nd present members atte nd ed are- union dimner held rec ently to welcome b ack m e mb ers from H .M. Forces. Supt. H. Berry expressed pl eas ure that a ll members of the Di v is ion who were called t o the Forces had ' returned safel y. Amb Officer A. ] a rr att stat ed that the re-union was the ou tcom e of funds which were in hand from the Comforts Fund. Assistant Commissioner H. Harrison said h e was glad to l earn that all members had r eturned safely. First Aid was needed more now than ever b efore, and he urged all members to stick to the work. He has two pleasant duties to perform. One was present Mrs. ViTa lk er, l ate S up ermt endent , a toast r ack a nd bowl, a g ift from the Nursing Division; and the seco nd was to hand to Supt. Berry the Roll of H onour so we ll designed by Mr. D. Ratcliffe to whom he expressed thanks Spen Valley Corps.-The annua l competition for the B l ackburn Cup was held on Novembe r 1, when five teams comp eted, and after a very keen fig ht, Clecikheaton was d.e clar e d th e winning team. Only 14 marks separated the first and l ast team Cou n cill or W. H Coope r (ChaIrman, Spen Bo r oug h Distr ict Co unc il ) presided, and spoke in appreciati ve terms of the d onor 01 the c u p. Cap t . Blackburn, in pr ese ntin g his trophy t o the winnin g team, congratu l ated the competitors, and hoped that more teams would enter next year. Dr. H. Stansfield, who jud ged the work, said that there was littl e between the team s, and they must p mt :in sO!l!lie very l1ard worik.
Royston.-The annual te a of the Ambulance and Nursing Di vis i on s was held om November 8 , w hen Mr. H E Holmes, M.P., said it was obvio u s, from the number of awards ga ined, that progress had been mad e during the year. As.st. Commissioner Dr. K. H Beverley sa Id that one thing which pleased him was the llum @er Gl f Y0l!lng girls who had gone from Royston to the Teehnical a t Bamsl ey an d had passe d their S.R.N. exaffiJ1Fl!ait;io'l1l:s bei@ re Lye.-At the of the L:y:e iJ:!'>'rocee di!img iIDto h Q)sp itals. He hoped. D!v ision, CorJ?s ]. A. Harns before long to see the formation of a Corps pr ese nted award.s. whIlst Corps Sl!lpt. ]. H of the Bdgade in Royston. They had 420
s u fiic ien t material. There were many other speakers , includin g Co uncillor G. H. Cooke (Chairman of the Urban Council.) Mr. Holme s presented a biscuit barrel to
I\AILWAY AMBULANCE NEWS SOUTHERN
Redhridge Cup Competition.-This was held at Totton on November 8, when 16 teams competed before Dr. L. M Maybury (team) , and Drs. B. A. R. P itt a nd Sheila Niall (in dividual ). The standard of work was quite good, and the results showed that Basin gs t oke A had gained first place with East l ei gh No. 4 (a comparatively new team) runners-up. Mr. A. D ean (Asst. Chief Civ il Engineer) ' presided at the presentation ceremony, and sp oke in high praise of the work carried out by members of the S .R. Amb ulan ce Centre. He also paid tribute to the great assistance the movement received from Mr. F . A. Trott, the Ambulance Centre Secretary. Mrs. Slater, wife of the Works· Manager, presented the Redbridge Cup to t he winning team, the Robert Gillin gham Cup to the runner-up, a nd th e Key of Fr i endship to Basingstoke E team which occupi ed l ast p l ace. In the team t est no questions were answer ed by the judge , but every assistance was availabl e from bystanders
Nine Elms.-The Goods Class held their presentation of awards on November 8 wh e n Mr. H. L. Cooney presided at the smoking concert held' at B run swick Hall.
Di v . Surgeon D. Vining on behalf of the members, whilst MJ;". F. W Gill (Manager , Monckton , Collieries), presented first aid a nd other awards.
Mrs. Coon.ey presented the awards. Mr. Chitt y , the Welfare O fficer , was prese nt and thanked th e memb ers for th eir interest in the work.
REVIEW
Additional Hints on First Aid and Home Nursing. By Florence A. Knope. The Fountain Press, 46 - 47 Chancery Lane, L o ndon, \ TV.C. 2 . Is . 3d. net, plus postage
This book of additional hint s, contains a preface b y D r . N . Corbet Fletcher (S urgeo n-in-Chief of tRe Brigade), who co n s id er s that it w ill appeal to a wide c ircle of a mbulance workers, and especially to members of the Brigade. The book is not intended t o b e a first aid or nursing man ual; aE.d the a uthor has drawn up on her many years' experience to place before her colleagues some int erest ing and ins ug gestions. There are some t hirt een ch apters, including those on slin gs, hcemorrhage, stimulants, bones and fractures, poisons, bed making, r oller bandagi n g , answers to certain health questio n s, equ ippin g a small fir st aid case for pu blic duty, eq u ipp in g a fact ory ambulance room, and adviCe for the factory fir st aid roo m, a l so hints for divisional practices.
Opening od' the Birkellhead Corps Hieadqmaliters. Lord Leverhulme, who declared!! the bil!liJkling ®pe n, is seen standing next to County Commissioner Capt P. R eay.
THE SUPPLEMENT TO THE TEXTBOOK
By M.- M. SC(V1[1[, M.R.C.S., L.R.C.P.
(Member of Textbook Revision C(J.mmittee a.nd District Surgeon, No. I District, S.J.A.B.)
.This ccmtribution is based on th e talk I gave at the recent Surgeon's Confe.renc.e. It is written at the suggestion of the who .feels that It WIll serve to bring a closer and more sympathetIc understandmg between th e Supplement and the average first aider. The substance matter of the is now £tandard teaching and I therefore propose to confine mys e lf .to Its hIstory and policy , a11LQ. to give some indication of the r easo ns for the mam changes.
Let me .say at once that both my colleague, Major White r (who were jointly responsible for the Supplement, under th e chaIrmanshIp of :vrr. w. E. Lazemby) have a hearty dislike to Supplements generally. We only too well the confusion to which th ey give rise and are fully aware of th eI r limitations; and had it b ee n possible to produce a new edition of the" BlackBook" we most certainly would have done so. May I th erefore remind readers that the Supplement is of necessity an interim publication, pending full revision, produced during the latter stage$ of the war, when it was to assemble a full Revisio>ll Committee, and at a period when condItIons m London were not really conducive to calm, calculated revisi on! Moreover, th e final first aid policy arising €lut of the waif had not b een finally se ttl ed, and ideas were altering almos;fr from day t o day, e.g. a£ i11L the treatment of burns.
Many first aiders have wondered why a Supplement was necessary, espec ially in view of the fact that th e original A.R.P. Handbook No. IO appears to have been based on the 39th edition of the" Black-Book". I need hardly say that our primary object was to bring the first aider into contact wi th the most modern conceptions of first aid t eachings There were, ho wever, a series of factors which necessitated the production of the Supplement at the earliest possible moment. The market was becoming flooded with num erous first aid books, mo£t of which were written by well meaning writers who unfortunat e ly produced a of standard works, or else devised treatments which were mechanically ingei"lious but failed t€l appreciate that the human body is not a machine. 'Th ese resulted in a fi <D<D d of letters from the counties, and it apparent that unl ess the Supplement was pH)duced forthwith our Textb<Dok was in danger of being considered antiquated. Moreover, the medical press became" first aid" mind ed, and many medical men made th e same mistake as numerous of their lay colleague£: they utterly failed to realiz e that the" Black-Book" is not a bible but an indication of average injury, average signs and symptoms, und er average conditions, .and with average fir$t aid appliances available; that common sense i£ the guiding factor, and that t['eatment may have to b e modified or adjusted to meet thg needs of particlillar circumstanoes. Ind eed, the British 111[edical J ourv,al doubtfully honoured us with a leading article entitled " First Aid for ' Fil1st Aid" !
The most potent extraneous faetOF was, however, €lur relationship with the Hom e Office, whose were quite content at firs t to accept th e standard first aid manuals as the basis of first aid teaching but who gradually accumulated a mass of modern first aid data, based on their unparalleled information resulting from air raids and other war circurrui;tances. They had ;the o p portunity of working in close co-operation with the Medical Research C<Duncil, and introduced a pliable, as epposed t o a rigid, first aid policy, as may be appreciated from the varying i11Lstructions which call1.1le out frQ):m time to time, as [n "burms" and "crusltl sy11Lcd rmne ". E v entlil aHy., tit W2ll$ Haat they we roe lliJ'\l; <ill to a settled p @iilc y and it was officiJa[]y inh liil1JJated t<D t\lie On:ilelf aillJ!@. to the ]DFitiisn. Red Cross S9ciety that they contemplated the prorluction of their own First Aid Manual for Rescue -Parties.
422
In order to r eg ulariz e the position and to clear up any possible misunderstandings, a meeting was arranged with the Home Office experts, and Dame Beryl Oliver, repr esenting the Society, and I, representing the Order, had a genera[ discussi@n with Sir Francis Fraser (the Director-General oJ Medical Services) and his colleagues, includi11Lg Sir Ernest Rock Carling and Colonel Goss, the latter of whom was r esponsible for the official First Aid Instructors ' publications. The general outcome was that we agreed to collaberate much mor e closely, to exchange ideas, and to introduce a policy which would be acceptable to all. As a result Major White Knox and I succeeded in making very close and p ersonal contact with Colonel Coss, who unhesitatingly placgd at our disposal all th e information we required. We had several frank discussions with him, although we felt it necessary to modify or amend some of the ideas expressed. The outcome of this was the Supplement, and it is interesti?g .to note that just a year ago Colonel Coss addr ess ed the Su;rgeons of No. I DI£tnct on " Modern Advancements in First Aid". I followed him with a talk on the " Supplement" and was able to pOInt out that the Supplement had faithfu.lly provided for all the points he had raised The Home Office book was never published owing to the cessation of hostilitie s, although Colon el Gos£ presented me with a copy in manuscript form . I am able to assure my readers that ?ad the propos ed book been issu ed , our Suppleme nt would have prove d suffiCIent to enable us to continue to use our own manuals.
R ea d er s may be interested to know that Colonel Coss honoured our Revision Committee by submitting his manuscript to us for comment and opinion. It may th er efo re taken Supp.lement r epr esents the most modern conception of first aId techmqu e m th € lIght of present kfiowl@dge. Time and experience may prove that modificat ion will be necessary, n ow that first aiders have got accustomed to some of the revolutI?nary changes, there is no doubt that its value i£ being apprecIated. The Surgeo ns Confere nce gave the book an excellent rec eptIOn and greatly e ncouraged the Revision Committee.
(To be continued)
THE BRIGA1DE rnN NEW ZlEAll.AND
The aijb(we pID.ot€lgl'ClJph shows a St. J ohn Hospital whieh been put into operati0n by th€ Bl'igClJde in. N.ew Zealand. We a re llldebted to th e High Commissioner for New Zealand for penmsslOn to reproduce. 423
A$SISTANCE RENDERED
Many instances of good work weli done by Brigade have been received, but it is not PQs£ible to inGlude all thes e under "InteresHng Case Reports" which are pu blished each month
From Northern Ireland comes the r eport of work done on the occasion of the disaster em R eina del Pac ifico On Thursd ay, Septemb er 11, a shijIDyard employee lllif@rmecd Supt. ALexander (O IC Belfast Fleet, Transport Section) that a n explosion h a d occurred in the AjN lin er at the m o uth of the Belfast Lough, and casual t ies were belie ve d to be heavy It was a scertained that the am@u l ance£ Gf tliLe Centra l Fire Station had be en summ oned, and immediatel y Dunmerry Brigade ambulance was in strn<::ted to proceed to the Fire Station with f ull crew, and at the £ame time three crews from th e Belfast 1'lfansport were detailed to r epo!Ft to the Fire Station with full equipm ent and vehicles. Four vehicl es and 22 St J ohn personnel, a ll ranks, were £tanding by for ove:r..two h ours when they r eceived Olfders to proce e d to Victoria 'iVhar:fi. At 2.45 a.m. the temder D uchess of Abercorn alJ.Tived with 34 injured, thr ee cases died o n this sh ip, and stretch er squads were formed. Owing to cramp ed spac e, it proved very diffi cult in gett in g the in jured off the slrn ip , hut as fast as the lnjl!lred @e (wmfortably lo a d e d into the ambu l ances they were to hospital. I n addition to St. John ambulances, those of the Army, Air Force, and Red Cross wer e a lso presen t, an d numb er ed 15 in a ll. No further casualties were l ancd!ed u mtil g a .m ., wheiUl. Supt. Al exander was detailed t o take charge of the seven ambu l ances n ow availabl e. Twelve b odies were l oaded int o the ambulances and conveyed to the City M ortuary . As thr ee - members of 1tl1e crew welie st ill missing, three St. John m.eiIil, wruth aElJ amTh>'l!lbnce, were instructed to remain, and aHhough a search was made on th e lin er, no b odies were found, but pieces of flesh, shoes, and t orn overalls were noted. At 5 .3 0 p .m. al'l!other St. J oib n crew to ok CDver 1!l:IDhl 8.30 p.m., wlOl.en an@!. Wolliff took over the duty, wh icR had commenced at 9 p.m the pr evi ou s evening.
Two interestin g sto ri es have been
r ece i ved from the-County of Buckingh am At 8 a.m. on 10, Transport Sergeant J Trace (S outh Bucks Corps), received a call t o· proceed with the ambul ance to an accident which had occuned at OM Co l nbrGok. Arriving at the scene, ,;vit h Mrs. Brench, h e found that a man had been knocked off his bicycle b y a l orry, the rear wheel of which h ad passed a l ong hi s body from foot. On. examination the fo llowmg dIagnOSIS was m ade-s u s pe cted fracture of scap ul a, fracture or rib s, comp licated fracture of pe l vis, and simp l e fractures of tibia and fibula. The examinati on. and treatment to ok Sergt. Trace and Mrs. Brench 20 minut es, fu ll use being made of bystanders. On asking the patient h ow he fe lt, Sergt. Trace received the following reply: "Thanks chum, I am very comf017table, and whenever I see anyone in that uniform I sha ll a lways raise my h at."
The Cas ualty Officer a t Slough E.M.S. also thanked the two St. J ohn worker s, who were pleased to l earn later that their diagnosis had been correct. The second case occurr ed on Aug u st 26, when a boy, aged 10 , had fa ll en trorn a tree. He had a contused wo und above the right eye, a lso a few cut s and ab r asio n s. He was in a state of stupor, and was much shocked. Sergt. Trace and Miss McDonald , who accompanied him, treated his injuries, and conveyed him to Slough E.M.S. Hospital.
From the West Riding of Yorksh ir e comes a serv ice of a different kind. It concerns a member of the Brigade who acted as an escort to a patient. Miss Tinniswood , who is a member of the Scs:ho l es Nursing Division, and is at present actin g as Cadet Su perin tendent, escorted to Switzerland b y train and plane one of the patients in the Leeds Genera l Hospital, a Sister who was very seri o u s ly ill, and for whom a stay in Switzerland was the on l y h ope. Miss Tinn iswood undert ook this formidab l e task (t h e L. G. I. Authorities now say that the p atie nt might eas ily ha ve passed o ut o n the way) w ithout a moment's hesitatiion, and had won th e inten se gr at it1!ld e of patient, patient's parents, and t l1€ h osp it a l a uth orities, not t o mention the B.R.C .S., to w h om the Almo n er appea l ed fOT he lp in t lue fi r st p lace.
NOTICE TO READERS
THE ST. JOHN GAZETTE is published on the 15th of each month. The Annual Subscriptian is 5S. post free; single eopies 4d., by Rast 5d.
REPORT S AND PU0T@GRAPRS should be aac;bessed ta Th e ilEdioter, S t Ja ha's (ia t e, London, E.G. I, and shauld reach him. not later than the 2 8th of the manth.
SUBSCRIPTIONS and ADVERTISEMENTS should be forwarded to Briti sh Periodkals, Ltd., 46-47, Chancery Lane, London, W.C.2.
424
HOW TO ORGANIZE A FIRST AID BEE
By Divisional Superint endent Miss E. JO NES (Meyrick N ursing Di v ision, Bournemouth Corps)
A First Aid or Home N ursing Bee mak es a good Divisional programme and is also exce ll ent f o r combined practices when one Division can compe t e agains t another. The previ o u s week th e m emb ers are asked to prepare at l eas t thr ee qu estion s each. (One is not e n o u g h , as others may choose the same.) An umpir e and a tim ekee per are then ap pointed, th e form er be in g provided with a marking sheet (o n a stiff car d) ru l e d off into (( Left" and (( Right ". The timekeepe r shou ld have a st op -wat ch if possib le
Members are divid e d into two t eams, and sit facing each other on t wo rows of chairs. Th ey are th en numb er e d off, th e t wo No. l'S drawing lots t o decid e w hich side shall ask th e first qu es tion, and. this priority is carried through to th e end r egardl ess of whether questions can be answered or not. Thus if " Left " w ins th e draw th e procedure i s as follows :
L eft NO. 1 asks Right NO.1.
Right No. I asks L eft No . I.
L eft NO.2 asks Right NO.2.
Right NO.2 asks Left NO.2.
A fixed time is gi ven for each answer (2! or 3 minutes), after whi ch the umpire asks th e questioner if th e answer is satisfactor y, and if not, what has been l eft o ut Each member, th er ef or e, must know th e full answe r t o his or her ques ti on, and thi s n ecessar ily encou rages stud y Th e umpir e d ecid es on the maximum numb er of marks for each answer and awards th e p ercentage which h e or she cons id ers t o have b een earn ed.
\ iVritten note m ay b e nlade of each questi on if desired (but not of the answers i), and in every case th e number of page in th e T ex tbo ok should b e not e d so that sho uld any que r y arise the umpire is able to check th e answer withou t d elay.
Many members are timid about a n swering, but th ey gain confidence w h en th ey h ear o th er s in difficulties, a nd they should a ll be encouraged t o speak up in ord er th a t both question an d answer Ga n b e h eard all down th e lin e.
AN ALTERNATIVE PROGRAMME
Anoth er good pr ogramme can be arranged b y h a n g in g number e d cards round th e room, each a q u estio n which can be answered il1l. a few wOiI'ds . A paper with c orr espo ndin g numb ers is g iven to each competitor a nd, a t th g word " Go " , all s tart to ge th er T en or fift ee n minut es are allowed, after which th e answers are checked and marks awarded accordingly. To th e question" VVhat do es th e numb er ' 212 ' make yo u think of ? " one answer r ece i ve d "vas" A h o t bath". It wou l d b e HOT!
(Reprinted by kind permission of th e Au th or and of th e Editor of The liVh ite Cross (Hampshi r e Co unty Magazin e)
BRIGADE HEADQUARTEI\S TELEP-HONE NUMBER
Mem ibers aTe r eq u es t e d t o alter th e ir r eco rd s of th e t e l eph o n e numb er of Brigade H ead quart ers, "vhich is now SLOANE 9861.
FOIREIGN STAMPS
If any r eader has any foreign stamps to give away Mrs. ?andall of 27, H o lm ewood Road, Seven Kings, Essex, wou ld be pl ease d t o th em on of a chi l d, who w ill be in a plaster cast for about 12 months 111 a country hospIt a l. 425
frittrt! for
lMeadquarters: Prlo ry House, 4 Cathedral Road. Cardiff.
GENERAL INTEREST
Welsh RaHways Ambulance Competition.-In the first post-war competition for the Harry Webb cup organized by the Priory for Welsh Railways at the City Hall, Cardiff, on November 6, Cardiff Bute Docks Team won the trophy for the Western Railway for the tw€lfth time. There were five teams represenHng areas in South aned North Wales, three coming from the Great Western Railway and two from the London Midland and Scettish. The judges were Assistant Commissioner C. Armstmng, Assistant County Surgeon C. G. Mackay, and Corps Surgeon T. J. Davies, whose adjudication placed the teams in the following order :-
1st, Cardiff Bute Docks G.W.R., 215 ; 2nd, Newport High Street "A" Team, G.W.R., 205; 3rd, Cardiff General" A " Team, G.W.R., 185t; 4'th, Mold Junction L.M. and IS]; 5th, Abergavenny L.M. al1l@ S.R., [7[.
Th€ Lord Mayor of Cardiff (Alderman George J. Ferguson) presented the cup to th€ winning team, paying tribute to the spirit of service -which actuated ambulance workers to devote so much time to achieving proficiency in first aid with the sole object of fitting themselves to render help to their fellows in times of accident or and eXPJiessing the gratitude of the Cardiff City C([lUncil to the Brigade for their services on all pu blic occasions.
Tha1'1iks tt) the Lord Mayor frDr presiding,
to the Priory for orgalllzmg the competition, and to the Doctors for their services were proposed by Mr. H. H. Swift, Divisional Superintendent of the Line, G.W.R., and seconded by Mr. J. Cunningham, District Engineer, L.M. and S.R.
The Hon. J. H. Bruce (Principal Secretal'Y and Commissioner for Wales) thanked ' all who had assisted in the organization of the Competition and the Cardiff City Council for the amenities of the City Hall.
Cadet Officers at Priory House.- There was a good attendance of Higher Cadet Officers at Priory House on November 10 when Lady Twiston-Dav ies, J P., Chief Officer Nursing Cadets ';Vales, presided over a meeting of the Cadet Ad visory ComIItittee. The meeting was fortunate in ha v ing the presence of one Officer from as far Rorth as Flintshi.re, but difficultie s of securing a representative attendance from the whole of Wales at anyone venue were fully appreciated and two Executive Committees were set up to work in North and South Wales, reporting back to the Cadet Advisory Committee which will meet once or twice a year as a main Committee in Cardiff and Shrewsbury alternately Subjects referred to the Executive Committees for further consideration included Training Courses and Camping. Cadet Officers were asked to bring to the notice of School Teachers in their areas details of local Cadet Classes.
CENTRE REPORTS
CAERNARVONSHIRE
Llandudno Members Entertained.-Capt. R. Clare Baxter, Divisional President, presicd!ed at the first post-war social gatherimlg <DFga[JJ]z€d by Uam.liiu@IDJ® Division. Tliwse ;PFesent inchaGielii C®rps Surgeon 1. H. Lloyd and Div. Surgeon C. C01'1yngham and Mrs. Conyngham; Lieut.-Col. W. J. Williams, C11ief Com.stable, Assistant Commissioner for Caernarvonshire, presented first aid
The Llandudno Division, being the oldest in the County, has several members with long records of service, while a number of the original members have passed on to OCCypy COl"pS and County ranks. In common with Brigade units in all popul,ar seaside resorts, the Division finds ample scope fm: maintaini ng efficiemcy by pu blic servace.
CARMARTHENSHIRE
awards and service medal ribbons; and Llanelly Ambulance and Nursing a presentation of particular interest was Divisions are to be congratu}ated upon a smitably i1'1scribed cup awarded by the their enterprise in organizing a successf111 President for tl1e most meritorious Orchestral CO[JJcert at the Odeom Ci1'1ema over a period of years. The mem.ber on November 2. It was the first time for selected as most deservimg (i)f this rlis- the B.Re Weish Orchestra tinctiom was Private J. iF. WiID.sitaJrl![ey, u[i1der its cOilildimctm Mr. Mansd Th @rn.as, who has reililQ]ered ifaithiiu[ s€!I."'V[<1:e 150 the to visit Llam.eHy; and the was Division and district :£or twemty-two years. marked by the broadcasting of a part 426
of the programme of classical music with Mr. Tom Williams (Bass). It is most gratifying, particularly to Div. Supt. D. J. Jones and Lady Div. Supt. (Mrs.) E. Jones, that not only will the funds bene;f!it materially, but recruits have come forward to Ambulance, Nursing, and Cadet Divisions, the efficiency and olignity of all members who assistecl in the organization of the venture having been the subject of comment in many quarters.
GLAMORGAN
Barry County Area.-Officers and Members of the Barry and District Corps had the sad duty on November 15 of attending the funeral of M1'. F. R. Hortop, a former Assistant Commissioner, who held this offic e from 1928 to 1940 when he resigned on account of ill health. Mr. Hortop's services are fresh upon the memory of all interested in Ambulance "Work in Barry, which owes its origin to his pioneer work in 1909. In the truest sense Mr. Hortop was a Serving Brother of the Order, and th ere was no ambulance activity in the Barry area to which he did not lend his valued aid. A lasting memorial to his initiative is the First Aid Station at Barry Island where an average of 5,000 treatments are g iven to holidaymakers every s ummer seaso n by Brigade personnel who voluntarily staff the station.
For many years Mr. Hortop served upon the Ambulance Committee of the Priory, and following his admission to the Order his services had been recognized by the Vellum Vote of Thanks of the Order and the Priory Vote of Thanks . The funeral parade was under the command of County Officer C. Lennox,
who represented the Commissioner, Mr. H. Gethin Lewis. Dr. Edgar L1ew€llyn, Ambulance Surgeon i1'1 Chief for Wales, the Hon. J. H. Bruce (PrinCIpal Secretary and Commissioner for and Capt. C. G. Traherne, CommISSlOner 10lr Cardiff.
Caerphilly County Area.-At a social organized by the Bargoed Nursing Division, presentations were made to Divisional President Mrs. G. Hirst to mark her departure from the area. Lady Corps Supt. Mrs. Deacon and Mrs. Limbrick handed the tokens to ·Mrs. Hirst, tributes to whose services was paid by Mrs. Bruton, who presided. In acknowledging, Mrs . Hirst recalled many in the history of the Division a1'1d referred to the outstanding services of the late Dr. and Mrs S. B. Turner around which the Ambulance Movement in Bargoed had been built up, the memory of which should always be an inspiration to their successors i1'1 the work.
MONMOUTHS HIRE
Bedwellty County Area.-Great efithusiasm was displayed at the Tredegar Ambulance Hall during the competition for the" Jesmond Dene" Trophy-the gift of Councillor William Clarke, which is open to ambulance cadet teams throughout South Wales. Mr. D. M0lrgan, Tredegar Divisional President, presid€d, and was pleased to welcome teams and spectators from distances as far as Kenng Hill, Aberdare and Trelewis. The jl1dges were Corps Smgeon T . J. Davies a1'1d Div. Surgeon T. H. Bryant, whose awards placed the teams in the following
Capt. R. Clare Baxter, President of the Llandudno Division, handing the cup presented b y him for meritorious First Aid Service ito Private J. F. Winstanley. ,(Baxter's Ph(Jto Service)
order of merit: 1st, Trelewis A; 2nd, Ebbw Vale A; 3rd, Buffryn Amman A ; 4th, Duffryn Amman B; 5th, Kenfig Hill; @th, Bargoed; 7th, Trel@wis B; 8th, Ebbw Vale B; 9th, Newport; 10th, vVaunlwyd; and 1 Oakdale.
Tl1l!an.ik£ we1'e expJ:essed by Ute Cli1!aiiil.'!J.illa!lil. to Cadet Supt. C. J. Parry and Cacil.et Officer T. J. Harding, who were jointly responsible for the organization of the event:, and to all who had assisted in the competition.
Tredegar Nursing Cadet Divisional Team was honoured at a social function to mark their success in winning the Gwent Shield at the National Eisteddfod fGr tlThe £ecellld hme. Lady Cadet Supt. Mr£. B. M. Pl1llillips pres](I]ed GVel' a large gatheriflg which included Asst. Commissioner "Waner Price, who said that Monmouthshire Centre was proud of the team and of the Officers responsible for their ac:hievement. He congratulated Miss E. Kinsey on her promotion to County Area Cadet Officer. Div. President Mrs. \fIl. D. Woolley pres(mted each member of the team with a photograph taken at the Eisteddfod, a copy being given also t<D Mr. Emlym in for all his selfvice imll! training the team. Reference was made to the absence of Cadet Officer Miss Inez Edwards, to whom was sent a message oi good wi£hes for a speedy and complete recovery.
Pontypool Division, and particularly its competitive squad, ranked among the finest in the Kingdom. First aid knowledge, Dr. Rocyn J Gnes said, was of service to the community and in the nome; it gave a man pleasure to be able t<D l'e[1]Jcil.er service, a!J.ildl it gave 'him happy memmi.es for the future.
Mr. W. Mogford, captain of the winning team, replied, and paid tribute to the sac rifices made by members of the medical profession in fostering the first aid movement.
In spector A. Bowkett conveyed the good wishes to Supt. Casey and the whole Police Division, and handed to Div. Supt. W. J. Belch a framed photograph of the team to be hung in the Ambulance Hall for the encouragement of future members. A similar photograph was presented on behalf of the Division, by Mr. C. H. Gray, J.P. (Chairman of Pontypool Council), to Dr. Siddons.
Dr. Gwyn Rocyn Jones, CountyM.O.H., who succeeded his father as County Commissioner, expressed the thanks of the v isito rs to the Chairman, and Mr. Grey seconding re:fierred to kindness he had -received from ambulance workers in fitting himself for his war-time po £ts as Chief A.R.P. Warden, and later Divisional Warden.
BOROUGH OF MERTHYR TYDFIL
Saturday, November 8, was a proud Trevethin County Area.-To c:elebrate day for the Dowlais Division, which the ,;vinning by the Pontypool Division celebrated fifty years' service at a social Ambulance team of the Lady Lewis Cup gathering at the Ambulance Hall. The at the National Eisteddfod at Colwyn guests of the evening included the Mayor Bay, a!llbbulance n1en, with Blfigade and Mayoress (Alderman D J. Morgan SurgeQrt£ an@. guests, took din lil!e r together and Mrs. L. Mayo), the Commissioner at th@ Clarence Hotel at the invitation for Wales (the Hon. J. H. Bruce) and of Div. Surgeon Bertram Siddons. Assistant Lady Superintendent for Wales
MEDICAL practice at home and overseas throws great emphasis on the need for a form of concentrated nourishment-a perfect invalid food. This is interpreted in day-to-day practice as the necessity for a liquid food which completely meets every metaboliG need, is readily accepted by the patient and is immediately assimilated.
Ovaltine' meets this necessity in a highly satisfactory manner, both as an emergency measure and as a regular routine. The nutritive and energizing constituents of Ovaltine' are rapidly assimilated, providing every dietary essential and, at the same time, allaying nervous tension in a most helpful manner.
• Ovaltine' is a natural food tonic prepared from milk, eggs and malt extract. Supplies are available to hospitals in special packings and at special prices,
A liberal suPPly for clinical trial sent free on request.
A. Wander, Ltd" 5 and 7 Albert Hall Mansiens, S.W.
The Waterproof Elastoplast First Aid dressing keeps cuts clean and dry while hands are wet and dirty. The IT!edicatt'd pad promotes rapid surface closure; the base is a new plastic skiD - it's oiJproof, greaseproof too.
Waterproof Elastoplast won't ruck up, catch or peel off ; stays clean. IN THE RED TINS WITH THE WHITE BAND S- d at d1emists A SMITH & NEPHEW PRODUCT 429
Try Germolene Y<ilUrself-ancl you will be convinc@d@fits power to soothe and relieve skin com!!>laints. Under the healing mand of Germolene many skin afflictions vanish in a few days - or even hours. Make a tria.! of GeFmolene to-day! 1/ 6 & 3/ 8 per tin, includi ngPurchaseTax.
clears up
MANY SERIOU'S LEG TR DUB LES INFLAMMATION RASHES, BURNS, CUTS
INTERESTING CASE REPORTS
CASE REPORT No. 335.-The OfficeF-in-Charge of the County of Che£hire
S.].A.B., r:eports the efficien t p@rformance of firs;t aid by a member of the Wallasey Division in t !ln1e foHowing drcumstanoes :-
On 26, Plivate Beechitlg was duty at the First Aid p()st on the Egremcmt Promenade and wa£ attending to a boy who had sustained a wound of the foot. As he considered that the boy should be sent to hospItal Pte. Beeching sent for an ambulance. As this was not available, a sitting case car was £ent; and as this was descending the steep hill leading to the First Aid Post the driver lost control and the car ran into a woman who was pushing a containing t wo children, ypset the pram and then knocked over a man. A large cYe>wd soon gathered at th e scene of th e accident so that there was considerable noise and excitem en t.
Private Beeching at once J1Y>nDceeded to the scene and partially cleared the crowd. On examination he asce'lftained that the man had sustained a fracture of l eg aifild was suffering from severe £hQ)ck; that the woman had a lacerated wound of th e le g above the knee; and that th e babies had £ustained no obvious injury. He immediately asked the driver of the car to obtain an ambulance and proceeded to treat the injuries sustained by the man and woman and at the same time to pacify th e children who were most excited. While he was so engaged, a police officer arrived and assisted by keeping the crowd und er control but did not take part iILthe actual treatment of the cases except to obtain hot tea for the patients from a Police Hut nearby. Shortly afterwards an ambulance arrived in which all patient£ were,removed t o hospital.
COMMENT.-Private Beeching well and truly merits cordial cong'Jlatulations o'n the coo l and efficient manner in which he handled a difficult emergency and protected his patients from further injuries.-N. CORBET FLETCHER.
CASE REPORT No. 336.-The Officer-in-Charge of the County of Jersey, S.J.A.B., reports the efficien t performance of first aid by two members of the J e rs ey Division in the following circumstances :_
WILL NOT TURN SEPTI( IF TREATED WITH ANTIPEOL OINTMENT
BECAUSE
one or other or all of the three races of germs, Streptococci, Staphylococci and J:l.pyocyaneus are found in every skin infection co=on to this country, and ANTIPEOL OINTMENT the antibodies (antivirus) of these germs. Healing is expedited by the proved ingredients of the ointment, and septic development is stopped or prevented by its antivirus sterile vaccine filtrates. ANTIPEOL OINTMENT is unsurpassed for BURNS and SCALDS, for it is microbicide and non-adhesive, and dressings do not require to be changed every day.
RHINO-ANTIPEOL
affords rapid relief of COMMON COLDS, INFLUENZA AND CATARRH. Containing the an tibodies of the germs co=on to infections of the nose and pharynx (Staphylococci strep- tococci, B.pyocyaneus, pneumococci, pneumo- basilli, enterococci, M.catarrhalis, B.Pfeiffer), Rhino-Antipeol is not just a palliative, but is a remo ver of the of the infection. During it is the ideal preventive of micrebic development.
OPHrHAhMO-ANTIPEOL \
is a semifluid ointment, more cenvenient than the ordinary Antipeol ointment for ocular infec;tions and lesions. Eyes affected by smoke and dust are soothed almost immediately by the application of Ophthalmo-Antipeol, and the antivirus prevents germs from develeping.
CLINICAL SAMPLES ON REQUE$T FROM MEDICAl.-BIOLOGIGAL LABORATO,RI ES, LTD. CARCREEN ROAD, SOU'fH NORWOOD, LONDON, 5.£.25
The most compact Binoculars made. Weigh only 7 ozs. Absolute crystal clear lenses. Ideal for holidays & in particular
COMMENT -Sergeant$ Le MOn11Jier and Cooke a11e c01ldiaUy congratulated on the coo l and efficient way i1,1, which they dealt with a d-i.fficuZt s<itl,bat'ion and thus du;l j1ttstice to thei11 t1'aining as members of the B1Iigade.-N C. F.
QUERIES AND ANSW ERS
Treatment of Heart Failure
E. H. (S h effie ld ).-1 have b ee n in th e S t Jo h n Br igade. r i g h t thr o u gh th e l a t e war , but h ave neve r been ca lled to a senous case u n b l one evening l as t week. . . .
I wa!') a t ChUlfc h Gat iliile[" i!IThg when th e gen.tl elii.\!lan w h o h ad pr ese nt e d a re brm g minister wi th a p a rtin g g ift s ud den ly co ll apsed a n d in a few m inu t es d i ed, ow ing t o a h eart a ttack. So m e p eop l e n ear im med i a t ely dragged him up and on to a ch a ir.
I h a d him lai d d OWll a n d hi s co ll ar loosene d and commenced massaging t he insi d e of h is limb s up ward s ; and I a lso sent fo r a doctor. One gent leman vigor o Willy massage d hi s h eart w h ic h I th o u gh t pri vat e ly was wrong.
N mv 'th er e i s n othin g a b o tlt thi s in th e It B lack Book JJ; and we h ave never b ee n t old w h a t t o d o in thi s t y p e of case . I was t err i bly disappoin t ed when t he pati ent di e d ; a nd spe nt a s leepl ess nigh t t h inking t hat ther e might have been some th in g else I co ul d h ave do n e.
If yo u eo uld l@t me kn ow w h a t I sho ul d h ave done I should be gra t eful. Do yo u think dragg in g th e p a tient t o a ch a ir acce lera t ed his death and was the m a ssage ove r th e h eart the rig ht thing t o do ?
J?lea$ e fo r give m e f or b ot he rin g yo u b u t I l eft t he Brigade l ast year owing t o incr eas ing h om e duti es, th o u g h I am st ill a tt en d ing an evening class devoted to fir s t a id instru cti on .
P a tients suffe11ing f rom h eart disease are sometimes mo're comfortable in the sitting p osition because they are able to breathe more easily. It is unlikely, therefore, that the condition was aggrava ted by placing the patient in a sitting position, especially if signs @ f relief were quieMy evident. Your que11y does not provide sufficient inforwbation to enable me to comment on the use of massage ; but it is unlikely that the attempted massage ove11 the heart would produce any result as this treatment requires specialize d knowledge. You h ave no need for a11Jxiety as it is evident that, whatever trea tment had been adop1Jed, this patient would h ave died.-N. C. F.
Tl'eatment
of Carbolic Poisoning
J. H. (H or w ich) .-In th e t r eatmen t of car bo li c acid and lyso l poison ing, d oes t he me di cin a l para ffin o r th e Salts (Epsom or Glauber) act as an antido t e or sh o uld on e of the a lkali es which a r e named on p 171 of t he Textbook be a ft er th e firs t n a m ed r em e dies ?
The genera l ins truc tions in Chapter X I V of th e tex t apply morye particula11ly to th o$e ca$es in w hic h the actua l poison is not known When this infOlJlmatiou is avaiZable , special treatments can be given f or certain poisons ; and these sUpp le11'bent the instruc tions in 1'espec t of an tidotes and eme tics
I n carbolic an d lysol poisoning the me dicina l paryaffin is the accepted antidote; an d the Textbook suggests Epsom Ory Glauber Salts as an alternative if no medicinal paraffin is avai lable.-N. C. F.
Tl'eatment of Phosphorus Poisoning
J. H (l-ior wich) .-I n the treatm en t of p hosphor u s p oison ing do Epsom. or Ghub er Salts take t h e p la ce of th e eme ti c or of th e cas t o r oi l as s u gges t ed in Rule 4 (a ) o n p. 1 72 of th e Textb oQk ?
T he answer to th is query is to be f ound in the last line of the descriptieJn @ f phosph ewus p ois oning on p. 17 4 of the Tex tbook, where i t tells yO'lrt th a t oi l or fat in any f orm must no t be given . I n these circums tances the Epsom Ory Glauber Salts are to be used in place of the cas tor oi l .-N C. F. 4 32
AD DITION A L HINTS ON FIRST A ID
AN D HOME NU R SING
By Florence A . Knope
DR. N. COR8ET f LETCHER writes in the Preface :-
" This book of Additional Hints on First Aid and Home
Nursing will appeal to a wide circle of ambulance workers and especially to members of Ambulance and Nursing units of the St. John Ambulance Brigad€ .
" It is an expression of ripe experience both on the teaching and on the practice · of first-aid and home nursing ... it gives most helpful suggestions whereby full treatment of cases of sudden illness and accident, as la id d(Jwn in the Textbooks, can be effected."
LIST OF CONTENTS-Preface by Dr. N. Corbet FletcherForeword - a Word on Slings - Hints on HcemorrhageStimulants - Bones and Fractures - Tables of PoisonsBed-making - Roller-Bandaging Listed for Easy Bandage Practice - How to Answer an S.O.S. on a Certain Health Question - Suggestions for Equipping a Small First-Aid Case for Public Duty - Instructions for the Efficient Running of an Ambulance Tent at Large Public FunctionsSuggestions for Equipping a Factory Ambulance RoomA Little Advice for the First-Aid Room - Hints for Divisional Practices.
Pressure Points
J. H. (Horwich) .-The Supplement to Textbook in Rule r2 on page 26 that only three pressure points shall now be used. In a recent competItIOn, however, the Surgeon examiner required cGlmpetit€lrs tGl grasp the artery as the first step in the treatment of a lacerated wrist.
In the hands (Yf an expert . (suc;h as a doctorj on the brachiaZ artery is easi ly obtained, and would result in the immediate control of escaping blood. It is realized, however, that th e average first aider has difficulty in finding this pressure PQint. The Supplemen t, therefOj'e, wisely teaches th e immediate and direct application of dressing pads and bandage. Further, in my experience at examin ations, these dressing s could have been applied in less time than that taken by the students in finding the pressure point.-N. C. F.
Building up Dressings
]i. H. ] fin@! tilm.at there is IIiUilcn discl!1ssion among first aiders over the correct way to (( build up dressings and pads" as taught in the, Supplement to Textbook in Rule 8 on page 25. Could your artist, therefore, sket<;:h the methods of treating (r) a broken tibia with fragments protruding and (2) a wound in which glass is embedded?
Meanwhile, I thank you mm;t sincerely for your kindness in solving the problems which are included in my six queries.
A sketch could not show the building up of the dr essings and pads in the treatment of wounds associated with foreign bodies. or protruding fragments of fractures.
y (J1!f; have the clue in the inEtruction as laid down in ,the Supplemen t, w here you are t(Yld that this has the effect of making a ring of pads A II you have to do, therefore, is t(Y exercise your ingenuity and to place the pads around the wound in suc h a way that when the bandage is applied the re sulting pressure will be continuous and ci1 cular.-N. C. F,
Choice of Arm Sling
P. S. (Dalston) .-Rec@ntly Wf& were discussing the various indications for the large arm-sling .. As we could not agree, we decided to put our problem to you.
The best way to answer your query is to se t out in detail the conditions which control the choice of all the arm-slings. The St. John sling is indicated j011 use wi th fractures Bf davicZe and scapula; the small arm- sling is indicated for use with fractu1 es of the humel'u s and those involving th e elbow joint; and the la11ge armsling is intfliwted for us e with aU other injurie s of th e upper limb (wounds, di slocation s, and sprains), and also with fractures of ribs.-N. C. F.
Treatment of Burns
H. M. (New Ferry).-At a recent Divisional practice the following extract from an artide in, a contempofary a m bulance ]€mrnal came under discussion :_ " If the burn involves only ;parts of the body which can be easily exposed and is this Gall ®€st ib e !\ie he-ved by tlliwe 'hlWldeF a cold waiEellf tap for a $hoFt time "
vVe are completely at a loss to understand this application of cold water as it appears cemtrary to all the instructions given in our Textbook and its Supplement; and we are of the opinion that th e sudden application of ,cold water would in all probability increas e the onset of shock.
We would very much appreciate your comments on this point; and we thank you in aIil ticipation of them.
As you rightly state, the suggested treatment is not in accordance with the teaching of the (J(;nd Supplem'ent. Frurther a burn which in'&Ql'I!J es a lary,ge ar-ea js likely i@ !!ead 'tJ(j) seri@us res'lJ{jcis; and for t'his re(J(;son flbe S upplement teacJies- that burns sh0.uld n(Yt be exp(Ysed; that cZoihing -should @e saturated with au,kaZine soluti@n " and that t'fw pati ent should @e re;moved at the ea1'liest jJ(Yssible 111,(3)me nC ,t@ hospital where expert m edi&cil aid is immediately available.-N. C. F. 434
CLASSIFIED ADVERTISEMENTS
Advertisements with remittance should be sent to the St. John Gazette, 46-47 Chancery Lane, London, W.C.2 (to which address replies to Box Numbers should be forwarded). .Rate 3d. per word, minimum 4$. 6d. Box numbers IS. extra. Trade 4d. per- word, minimum 6s.
F OR SALE.-Lady Superintendent's Coat (almost new). Bust 38 in , l@ngth 43 in.; new hat 7!- in., collars I4 t in., cuffs 8t in , belts 34 in No coupons. £4 I5s.-Miss ELLI SON, Vale Royal Hotel, Tunbridge Wells.
FOR SALE.-Neady new Ambulance Sister's uniform: greatcoat, hat, dress, aJjlron, cap. Bust jl4 in. £5 complete. No coupons.-Apply Div. SUlPt : Mrs. TUDOR JONES, M@adley Rectory, Bord<'-lJ'l, Hants.
P ERFECT CONDITION.-Div. Supt. uniform co mplete with sam browne Chest 42 in., leg 32 in., waist 39 in. £8, no coupons.S.]. 80, c/ o Publi s hers.
AMBULANCE SISTER'S GREATCOAT, 34 in ., hat 6k, dress, collar, belt. Hardly worn, no coupons. £6 or near.-S.J, 81, c/@ Publishers.
BAND GUIDE
Giy/nll hints on the BUllle. Drum and Flute. alsoP-aradeFormatlons. use of Parade Cane. staff. etc.. 6d. post paId.
F OR SALE.-S.J.A.B. Officer's Uniform 48 in. chest, 47 in. waist, 29 in. inside. No coupons.-GoRE, 17 Lawrence Way, Dover.
W ANTED Greatcoat in good condition by Officer, S ft. 7 in. in height. ParticUlars to S.J. 79, c/ o Publishers.
RAISE FUNDS QUICKLY AND EASILY by selling Perfumed Cards and Sachets printed witll your own wording. Samples free to secretariea.- THE AIREDALB PRBSS, Bradford, Yorks.
T REATM'ENT AND REMEDIES FOR POISONING.-A handy ql!lick reference chart which shows at a glance the treatment for 30 different of ey Div Supt. A. E. Hawkins. Signs and SymlPtoms; Immediate Treatment; Emetics; Purgatives; Stimulants; Demulcent ; Artificial Respiration; Later Treatment. Price !ild., post free III1i.-FoUNTAIN PRBSS , 46-47 Chancery Lane, London, W.C.2.
RAZOR BLADES FOR FUND RAISING.Etch@d (printed) your own brand "S.J.A.l3." New slotted type. We are e€luippeJ to supply very small q uantities. Best quality British. Sample, price, and partkulars free.R0BERTS BR@s. & Ce., 143 Town Street, ]llleston, Leeds, II.
DRUM
HEADS
(Broken.) Po. t flesh hoop. Ready lapped head returned lam. day .1 recelyed.
Henry POTTER & Co.
36 / 38 West St., Charing Cross Rd. LONDON, W.C.l.
Flag Day Emblems, BuHons and Badges
Price Lists on application
For all supplies write: the Universal Button (0., Lid.
Surat St., Bethnal Green, E.l.
:Phone: Advance 2254 Tel.: U nibutco ,Edo ,London 435
Over 300 separate pointers to suceessful competiti®n work are given in HORTON'S
FIRST-AID COMPETITION TRAINING
The practical guide (or all First-Aid Competitors Priee 9d. Post 2d. (8/- dozen: 15/- two dozen)
The P(l)CKET Quick-Reference CHART the TREATMENT and REMEDIES for POISONING
Shows at a glance the treatment for 30 different types of poisons , Signs and Symptoms Immediate Treatment Emetics P'Jrgatlves Stimulants Demulcent Drinks Artificial Respiration, bater Treatment
Essential to the First-Aid Worker 9d. (by post 11d.)
One d0zen post free 8 / - : two dozen 15/-
THE fOUNTAIN PRESS 46/47 Chancery Lane, W.C. 2
SUPPLY THE REGULATION UNIFORM
The cut, style, and fine workmanship always distingmishes a Garreuld Uniform from any other. Great care and attention is given to every detail.
Permit or official headed paper must accompany each order.
S.J.A. REGULATION COAT
Cut and tailared from fully shrunk and showerproofed liFlateriall. malf lined with grey Italian <doth. An official order far H.O. ta supp>ly us with badges and buttons must be sent with every order. Stock sizes only. Women's Sizes. £5 / 16/ 11 ; Buttons. 3/ 8 extra.
S.J.A. REGULATION HAT for Officers. Wool Felt. 18/ -. Ambulance Sisters, Felt. 18(. Box and postage 2/2. Badges are only obtainable from H Q. Sizes: 6t, 6>i, 6>1, 6i. 7. 7t, 7t. 7l Storm Cap 17/11. Box. and postage 1/4.
REGULATION DR6SS far Officers and AmbUlance Sisters. Macle from good quality Sanforized-Shrunk washil1lg material. Bodice unlined. Women's size. 33/-.
REGULATION BLOUSES for Officers and Ambulance Sisters. fn Ivory Tricoline, 28/11 (4 coupons). extra collar, 3/9 (1 coupon). Sizes: 13t, 14, 14t ins. 0.S.,29/ 11. (Civilian coupons must be surrendered for blouses.)
S.J.A. REGULATION APRONS for Sisters. Made from hardwearing linen-finished apron c1etlil. I1'rriee i1mellildes (ross. Waists 26. 21il, 30 ins. 8/11 Waists 32, 34,36,38 iAS. All in lengths 26, 28. 30. 32 ins.
REGULATION CAP for Ambufance Sisters, 27 by 11il ins. or 21il by 19 ins. 3/3.
