The St. John Gazette (July 1947)

THE HOUSEHOLD PH YSICI

A few of the Subjects treated

First Aid Lessons

Influenza, Colds, etc.

Sick Nursing from A to Z

Measles, Mumps, Catarrh

Corns and Warts

Physical Culture

Beauty Hints

What to Do in Emergencies

Treatment of all Skin

Diseases

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EDITORIAL

ANNUAL REPORTS

It was pleasing to hear, at the Annual Assembly of the Ord€r, reports from the Chief Commissioners of the Brigade that although membership has dropped since the cessation of hostilities the number of personnel is some thousands above the pre-war figure.

With the Brigade at Home there are some I40,000 members as compared with I20,000 in I939; whilst Overseas there is an increase of nearly 40,000.

These figures are very encouraging, more especially as it has been reported that since the beginning of the present year new members have fully replaced resignations received since the annual report.

The call for voluntary service is still an essential part of the activities of this country. Without such service the country would indeed be in a very poor plight; and in no case can there be better voluntary service than in the St. John movement with its high ideals. Service to one's fellow men pays its own r€ward, and it would be a very sad day for this country if such s;ervice was to disappear. Tbe ass;istance rendered by Gur melTilbers in hospitals;, to those in distres;s, to those who by sudden illness or accident are in need of help, is of the high€st possible importance, and is much appreciated generally by the public.

Some members of the Brigade feel that with the introduction of the National Health Bill next year their services will not be required and that many of th€ir duties will pass into other hands. This is by no means true. Those in authority, at the very highest level, are fully aware of the activities of Brigade pers;onnel and the excellent work which is being, had been, and will continue to be done, by its members. The Ambulance Service is but one item of activity contained im the new Act; and. one whiGh must be nm propeFly if it is to be of use to the general public. In many counties the Brigade have been asked to carry out work; in others the Brigade have been asked to co-operate with the Service; in others, unfortunately, the Brigade has not been asked to assist. Wh€ther the Brigade has been asked to assist or whether it has been ignored, the assistance of the Brigade is required in many ways.

There are still public duties; there are still hospital duties; there is the Blood Transfusion Service; the After-Care Service; and many other activities in which the :Brigade personnel can, and do, give necessary assistance. Some of thes;€) duties; might not appear as; interesting as ambuJance transport; but it is the Caluse of which <Wlflnts.

Let Service to Others·stiU be our watchword; alnd let our work in new spheres of seFvi<>:e replaoe those which may be taken from us. 221

ANNUAL FESTIVAL OF THE ORDER

COMMEMORATION SERVICE

h G and Priory Church, the Service was impressive

Held m the rums of t e r f Cha ter-General walked in procession from and in black mantles, on which is emblazoned the ar:cery 0 f St J hn The Band of the Royal Artillery headed the the WhIte 0 o. ir of the Chapel Royal. The Cross of procession, bemg W. W. Dove (a Commander of the the Order was carrIe y leu. I' I d' the Rev W H Order) and immediately following were the Chap au?-s, mc u m1z C p' . . . ' V Rev E Rogers the Bishop of Kensmgton, the ev. erowne, the Th Standard of the Order was carne Y up. ., . (M C H Pirie-Gordon) led Chapter-General. In the processlOn and Knights, and Bailiffs Cross followed ; the Executive Officers. The Sword of the Orde:-, whIch preceded the Sub(the Earl of Clarendon), was carried by J. Rsogers. The Service was conducted by the Bishop of Kensmgton, whIlst the ermon given by the Rev. W. H (Sub-Dean of H.M. Chapel Royals and DomestIc Chaplain to H.M. the Kmg).

GENERAL ASSEMBLY

The Chancellor presided at the General Assembly at which Officers, in accordance with usual custom, submitted reports of the.lr

The Chancellor (Sir Edwin King) welc0rr:ed to the gathenng M. MIles de Wachenfelt a representative of the Swedlsh Order of St. John, and read telegrams df greetings from the Warden of the Hospital at J and also from Malta. The Chancellor conveyed to the the apologIes of the Sub-Prior and his deep regret that he. was unable to l?reslde. He had been able to attend the service but other dutIes compelled hIm to be absent from the Assembly. h G d

The Chancellor in his report referred to the welcome back gIven to t e Prior on completion of his period of office as Governor-General of AustralIa, and the Special Chapter held recently at which the and the C.hancel.lor were able to render to him personally an account of thelr stewardshlp, which was followed by a luncb.eon in the Hall of the Drapers Compa.ny.

Sir Edwin announced that His Majesty the King, SovereIgn Head of the Order, has graciously been pleased to approve the appointment of Her Highness the Princess Elizabeth to be a Dame Cross of the Order. he said, could give greater pleasure and sabsfactlOn throu.ghout the Orde.r ill the British Empire than the knowledge that Her Royal Hlghness, the heIress to the Throne, had been pleased to enter our Sisterhood.

Sir Edwin reported that Sir Clive Liddell, who held the double appomtment of Director of Ambulance and Chief Commissioner of the St. John Ambulance Brigade Home, has been replaced in the latter appointment by Sir Henry Pownall. The Order owed a very deep debt of gratitude to SIT ClIve for all that he had done for the Brigade, and it has prospered under his commaD:d . The Order were fortunate in securing the services of so distinguished a soldIer as General Sir Henry Pownall.

It is sometimes a prevalent feeling, contimaed the Chancellor, that the serVIces rendered to our Order by its members are not alway's fully appreciated. I am happy to tell members of the Order that in the last two Honours Lists no fe:-ver than 107 members of our Order appeared. Some of these were for serVIces rendered, quite apart from the Order, yet a large number were the names of those whose services to the State had been rendered in the carrying 'Out of the work of the Order.

The Chancellor then referred to the developments and progress of the Order during the last year. Relations with the Sovereign Military Order remained most friendly and cordial; and Sir D'Arcy Osborne, until lately Minister 222

Plenipotentiary to the Holy See, had recently been appointed our Liaison Officer at the Court of the Grand Master, as Count John de Salis, who had previously held that position, has now left Rome. In Holland relations are most cordial, the Foreign Office having approved of the appointment of one of their Attaches at The Hague to be Liaison Officer of this Order.

Last year, after the meeting of our General Assembly, a mission led by Admiral the Viscount Mountbatten of Burma, visited Sweden, and re-established our l"elations with the Swedish Order on the same basis of cordial fraternity that had always existed in the days before the war. The Foreign Office had again approved the appointment of an Attache at the Legation in Stockholm to represent our Order. An outward sign of these happy relations with Sweden is the presence here to-day of one of their representatives.

The work of the Order in Canada, in Australia, and in New Zealand progressed to such an extent that H.R.H. the Grand Prior, on the recommendation of Chapter-General, felt justified in raising the Commanderies in these Dominions to the dignity of Priories. Fortunately, Lord Bledisloe, one of the Senior Knights of Justice, was proceeding to New Zealand and Australia, and he was able to take with him letters patent creating these Priories, and present them to their own Chapters.

The Ancient Priory in Scotland has also been revived. The Order in Scotland fell in abeyance five years after the Order in this country during the Reformation. The Order in this country was called out of abeyance 100 years ago; in Scotland, 100 years later, the Priory is revived. In two days' time H.R.H. the Grand Prior in Chapter-General in Holyroodhouse will call the Priory in Scotland out of abeyance to follow those charitable and humanitarian labours which so distinguished it in days gone by.

The creation of the Priory in Scotland brings the number of Priories under the control of this Order to six. Those bodies we term Subordinate Establishments; and there is no doubt that at no distant date we shall bring our organization into line with the feelings of the Brigade in the Dominions, and that just as the British Empire consists of a number of separate states with the Crown as the connecting link, so our Order will consist of a number of Priories, each managing its own internal affairs in accordance with the Statutes of our Order with His Majesty the Sovereign Head as the connecting link.

The Chancellor dealt with the developments of the Order in this country, especially the new County Organizations. /

Before calling upon the Executive Officers to render their aocounts, tIDe Chancellor made reference to the plans of the Church Committee. It was hoped that at St. John's Gate we would have a Church that would be one of the gems of London, a Church that will be the pride of our Order for many generatiONS to come. This couid only be achieved by the support of every member of the Order.

The Director of Ambulance (General Sir Clive Liddell) reported that the number of certificates in the first ·year after the second World War was being maintained at the rate of pre-war-time level. Under new Regulations made by the Government, aU Prison Officers in their first year of training are required to obtain a certificate in First Aid, and classes have al;ready been arranged at H.M. Prisons at Parkhurst, Holloway, Walton, and Armley, and at more than one Borstal Institute. Most of the Police Training Colleges throughout the country have been holding classes regularly, while classes for the National Fire Se!lfvice personnel fuave beeliil more fFequent. Classes have fo[' some time been arranged by the Air Ministry, whose example is now being followed by the War Office. The first class arranged by the British Overseas Airvvays Corporation assembled a fortp.ight ago, and will be followed regularly by others. Similarly the Director of Civil Aviation in the Bahamas arranged a course of l,eGtljres First for c!lfasn G!few perS'OliJ.ii.liel.

Among the other interesting classes abroad may be mentioned a number which have been held in Austria under the auspices of UNRRA for the benefit of Ukrainian, Latvian, and Russian Boy Seouts and Girl Guides. '223

I b t to be published by the Two new manua s are a ou H N sing for the Housewife First A id for the Ho.usewie Miller respecti:vely:

These have been d bt d' A supplement to the manual, A to .arte Am?dc the supplement to the Adult T extbook, was C(Jurse 0) 1"

Published a fortnight ago. d' F' t A'd d . t f d to the enthusiasm which still eXlste III Irs I, an

The Drrec or re erre . . Id J h' h instanced the Finals of the Inter-Railway d dut:e J had been in abeyance since I939. The ASSOCIatIOn III e e Maxwell for her continued kindness in placing for at d · 1 and to Mr. Grossman for his collaboratIOn. It was ope 0 reVIve Isposa, .. the National Police Competition next year.

The Hos italler (Colonel Sir Alfred Webb-J Ghnson) reported. on the work of the Hos0tal and referred to the repairs and improvements whIch had taken lace The Ladies Linen Guild, under the Chairmanship of Lady Cromer, most valuable service, and has provided for many .of the s 't' f beddlll'g and for extra bed coverlets embroIdered WIth the reqUlsl IOns or badge of the Order.

d' bI' t'

The Librarian (Major R. Williams) reported that no outstan lllg pu lca IOn relating to the Order had been brought to notice during the P<l:st year. The number of visits to the Library and Museum had been 2,695, bemlS more than one thousand more than the previous year. . .

The Chief Commissioner, Brigade at Home (LIeut.-General Srr Henry Pownall), in his report, stated that mfilmbership had dropped about 20,000, but that there was some evidence that the influx of new members may suffice at least offset further resignations. The preseJ?-t figm.:e of approximately I40,?00, It w3:s hoped, would be stabilized. An lllterestmg feature was that despIte competition with other organizations, the total number of Boy Cadets no:v greater than it was twelve months ago. The fact that the Cadet OrgamzatIon has a total strength of over 50,000 was a good augury for future. .

Sir Henry referred to the future of the Se:VIce, and to the J?-egotIations which were now going on in every county wlth a VIew to the establishment of a co-ordinated scheme in which the personnel and the ambulances of the Brigade shall playa full part.

The Order has allowed a sum of money for the provision of a Training Centre, probably in or near London, and it is the intention that when a suitable house has been obtained, personnel shall be drawn fmm the Counties for short courses under a centralized scheme.

The Military Hospital Reserve was still in abeyance; but steps had been taken for the reconstitution of the Royal Naval Sick Berth Reserve to take effect as from January I, 1948.

There were 458 Medical Comforts Depots now in operation with ISO operating in Wales.

A provisional scheme had been put into operation for the provision of specially trained men and women to act as nursing attendants to patients travelling by air. An experimental unit was in process of formation in Berkshire, with the co-operation of Miles Aircraft Company, the training being under the guidance of the Chief Medical Officer, British European Airways. A scheme was also in operation under which local Brigade Divisions undertake services at British Overseas Airways Corporation establishments, either by provision of full-time ambulance and nursing personnel, or by assisting with first aid training of airport staff.

Sir Henry also referred to the Services Hospital Welfare Committee and the Civilian Relief. Reference was also made to the assistance rendered by Brigade personnel during the heavy floods, to part-time nursing, and the request of the Admiralty for 400 V.A.D. members for service with the Royal Navy.

The Chief Commissioner, Brigade Overseas (Colonel Sir James Sleeman), reported that although there was a reduction in the strength, he was glad to report that this had not reached the proportions expected. The Brigade Overseas numbered some 68,500 members as compared with 25,800 in 1938. Some 10,000 members served in the Forces or as V.A.D.s, and in addition members supplied the only Voluntary Ambulance Service in Malta, Malaya, Hong Kong, and Burma. He expressed his thanks to the Viscountess Mountbatten of Burma for her highly successful tour of 1946 in Australia and New Zealand, for no one had done more to help forward the work of the Brigade and h er interest had been highly appreciated overseas. In India the future of the Brigade was necessarily obscure, but the example set by the Brigade in unity of action in the cause of humanity cannot but be of the highest value. He referred to the unfortunate occasion when two members of the Parsi Division in Bombay (Amb. Officer G. N. Gazdar and Pte. J. A. Navda) were stabbed to death while on Ambulance Duty. Sir James thanked Lord and Lady Bledisloe for their encouragement of the work overseas in Australia and New Zealand.

In the Priories in Australia, Canada, New Zealand, and South Africa the Brigade continues to maintain its strength, activity, and prestige at a high level, and Sir James was proud to report that the Brigade personnel performed outstanding service during the Royal Visit to South Africa. New Zealand continues to maintain its supremacy in the number of Cadets and Grand Prior's Badges, but South AfriGa and Canada had shown a great increase in Cadet Divisions, South Africa forming more Cadet Divisions during I946 than any other Dominion.

The revivai e:lj the Brigade im BUilima, Malaya, and HO'!'lg Kong continues to progress, many pre-war members have rejoined, and valuable Public Duty undertaken.

At the request of H.E. the Governor of Malta, Sir James paid an official visit to Gibraltar and Malta during April and May of this year. The Brigade in Gibraltar is still suffering from the effects of three major evacuations of its civil population ' during the war; but the Gibraltar Police had formed two Divisions of the Brigade.

In Malta the Brigade position was excellent, and one of the few places where its streJill!gi:l1 ihald al<CtuaUy

Sir I ames iliejJported tfuat t ihili€ilhlgJm, t ilwe inteiliest of the Governors concerned, it is a possibility that the Brigade Overseas may be established in Mauritius and the Seychelles, where untii now it has no existence.

225

BRIGADE FINA L COMPETITIONS

Victoria Halls, Bloomsbury, London, were fined to capacity throughout the on June 13 when the first post-war Brigade Finals were held. . Although the old Great Central Hetel Days" were not available this year, the functlOn proved a great success.

Members from every part of the country were there, from Wales, and fro,If1 Ireland, watching, critically, the work of the competItors. There were some old missing; but it was pleasing to welcome again many c<;>lleagues from the proVlnces

Throughout the day the two main halls were thronged Wlth personnel, and some good work was to be seen.

The Competitions were under the .direction ?f Chief Commissioner (Lt.-General Sir Henry Pownall) assisted by the Surgeon-lll-Chlef N. Corbet .FI.etcher), the Brigade Secretary (Major P G. Darvil-Smith), and AssIstant CommIsslOner J Wrigglesworth. Assistant Brigade Secretary H. J. was the CompetItlOn Secretary.

The Competitions were honoured by the :presence of The of Gloucester (Deputy Commandant-in-Chief, NurSlllg Corps and DIvIslOns) w.ho delighted all present by appearing in her Brigade uni.fo.rm Clarendon met Her Royal Highn€lsS on arrival and after receIvlllg SIr Henry Pownall she mspected the Guard of Honour drawn up under Assistant Commissioners Dr. Wrangham and G. P. Hart.

In the vestibule the following were presented to Her Royal Highness :-Brigadier W. B. G. Barne (Secretary-General), General Sir Clive Liddell (Director of Ambulance), Dr. N. Corbet Fletcher (Surgeon-in-Chief), Lady Dunbar-Nasmith (Deputy Superintendent-in-Chief, N.D .), Lady King, Major-General J. E. T. Younger (Secretary of the Order), Dr. W. C. Bentall (Assistant Surgeonjn-Chief), Mrs. Girouard (Assistant Superintendent-in-Chief), Major A. C White Knox (Commissioner, No.1 District), and the Judges and Principal Stewards.

Her Royal Highness then witnessed a team at work in the Nursing Team Test before proceeding to tea.

PRIZE PRESENTATION

The Chief Commissioner announced the results of the Competitions as follows :Ambulance Team.

1. Wolverton

2. March, L.N.E R.

3. Camden, L.M.S. . .

4. Coventry Morris Engines

5. Bentinck Colliery

6. Tredegar .

7. Ashford S.R. Works

8. East Belfast

9. Middlesbrough Central

10. Crewe" B "

11. Hull Docks . .

12. CarmeneHis and §tithiafls · Trophie s Dewar Challenge Shield : Wolverton.

Symons Eccles Challenge Cup (runners-up) : March, L.N E R. Kong Trophy (third team): Camden L.M.S.

Tn?1ble Trophy (highest in I.ndividual and Dual Practical Section): (team leader gammg hIghest marks in Practical): Supt. G. Kirkham, Nursing Team.

1. Harrow

2. Weymouth

3. MQlseley " A "

4. Harrogate" A "

5. Vaughan College (Leicester)

6. Plymouth Co-operative . 226

Team.

7. Blackpool

8. Middl.esibrough Central

9. Luton Town No.1

Perrott Challenge Shield : Harrow. Region No.

10. Redhill and Reigate 11. Newport.

Trophies

Corbet Fletcher Trophy (runners-up): Weymouth.

Chalmers Trophy marks ir: Individual and Practical Section): Harrow. Cup (hIghest marks m Bedmaking Test, Sisters 2 and 3): Vaughan College, LeIcester.

Golding Nursing 'Tests) : Weymouth. EllIs Cup leader gammg hIghest marks in Practical): Sergeant J. Fernside (Blackpool) .

Royal Highness. presented the Trophies to the winning teams and individual to each competItor, and complimented each on their work. The Chief CommISSIOner proposed a vote of thanks, which was seconded by Lady Dunbar-Nasmith, to Duchess, who m reply expressed her appreciation of the work carried out by the Bngade and her pleasure at seeing so many members present. are to be on again winning the Dewar Shield. They were successfulm the CompetItIons of 1937, being also runners-up in 1929.

To goes the honour of bnngmg the Perrott Shield to London for the first tIme Slllce 1926.

THE TESTS

prepared, as usual, the tests for the Competitions, being assIsted by DIstnct Officer Mrs. Rayner (No.1 District) in the Nursing Section.

The Judges were :-

Ambulance

Referee: Major A. C. White Knox (Commissioner, No.1 (Prince of Wales') District).

Team Test: County Surgeon E. R. Weaver-Adams (Buckinghamshire). County Surgeon H. R. Wynne (Oxfordshire). PractIcal Tests.

Leader: Divisional Surgeon F. Barrett (W.R. Yorkshire).

Bearers 2 and .County Surgeon D. J. Nicol (Birmingham).

Bea.rers, 4: 1?l.stnct Surgeon Capt. N. W. Rawlings (Lancashire).

Unifor;ns: SIr Bertram Ford (County Commissioner, Birmingham) and Assistant Commlsswner F. H. Schooling (Buckinghamshire).

Nursing

Referee: Dr. W. C. Bentall (Assistant Surgeon-in-Chief).

'Team Test: County Surgeon C. P. Craggs (Hertforcl.shire) (First Aid Section).

Corps :,urgeon F. H. Stuttaford. (Sussex).

Nurslllg SectlOn: MISS A. E. Rea@. (Prmcipal Matron, Q.A.I.M.N.S.).

Corps Surgeon Kenneth Watson (Surrey).

No.4: Dame Em.ily Elair (Matron-in-Chief, B.R.C.S.).

Nas. 2 r:nd 3: MIS.S M. Broadley (Assistant Matron, LQlnd0>n Hospital).

Uniforms: MISS M. (Secretary, Nursing Corps and. Divisions) and. District

OriceF NElrs. RaY-ReF (No.1 (pnmce of District).

In each Section the limit was 15 minutes. Although possibly the work was not lllJi'> ittQl srta:mdards, .it was, nevertheless, quite good and it was evi<tent that teams had put Ie a lot of practlce to make themselves efficient.

The mark[ng sfueets for the team tests w<1re as follows :-

THE " DEWAR" CHALLENGE SmELD

INTRODUCTION TO TEST.

Y0U fOlir have met at tIDe Firstead Jonsgate, and as you Flass through the Dance Hall you see a porter at work on the platform and a k1tchen-maid assisting I'lim.

S\!lddealy Y!D\!l I'lear, a er,asl;i. Y01!1 knew tnat tl'le lilesFlital is two miles away and that the al!1thorities on :,\,111 sen.d an ambulam:e. You have no equipment with you. Act as you see fit Time lumt 15 mlOutes. Warning at 10 minutes.

227

AMBULANCE BRIGADE FINALS.

ACTION OF TEST.

A porter and kitchen-maid are at work on the platform, the former being on a ladder and the latter assisting him. As the team enters the p0rter falls off the ladder with a crash, pulls down the ladder, and lies flat on his back with right foot everted; and the kitchen-maid falls on extended right hand and sits down holding her right elbow with her left hand. The patients (or the Hotel Manager) will, if asked, tell the team that there is a stretcher and haversac behind the platform.

STAGING OF TEST.

Arrange platform in Dance Hall. Behind it conceal full equipment amd near it an ambulance. On a small table near the platform place telephone.

The porter is suffering from simple fracture of right thigh and an incised wound on forehead, while the kitchen-maid has sustained a simple fracture of right clavicle and a sprain of left ankle. All injuries to be reproduced on patients.

IMMEDIATE ACTION.

Mode of approach of members of team

Two of whom proceed to each patient

Establish at outset both patients conscious

And not exposed to further injuries

Tactful and consoling words to patients

Ask Staff if equipment available (yes)

And if doctor available forthwith (no)

Later when injuries have been diagnosecl

Arrange telephone call to hospital

Report cases and ask for ambulance (s minutes)

EXAMINA TION OF PORTER.

Note right foot lying on outer side

Ask if in pain (right hip); if swelling (yes)

If can lift foot (no); if signs of wound (no)

Note. w,?und on forehead; ask variety (mcIsed)

If bleeding (freely); kind of bleeding (mixed)

If signs of fractured skull beneath wound (no).

Method of excluding injuries (none) . . . .

Ask €0leur of face (pale); (shallow) : .pulse .at wrist (weak); and skin (cool)

DIagnose sImple fracture thigh and wound forehead

EXAMINATION OF KITCHEN-MAID.

Note patient supporting right elbow

Ask how she fell (on out-stretched band)

Ask if pain (right shoulder); character (severe)

Tes.t fer irregularity of collarbone (marked)

If wound in upper limb (no)

Ask if pam elsewhere (left ankle).

If able te meve l!lnkle (yes, rout paiF! worse)

If marked swellmg (yes); if discolorati0n (1'10).

Establish sigfls of shock (not marked)

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

Diagnose ·simple fracture and sprained ankle

TREATMENT OF PORTER

Wound of Forehead.

Keep P!ltient flat; warn not to move

Immediately.place pad on wound

And pressure with thumb

Later WIth spirit and prepare . dressmg

WhIch appl'Y well over wound; cover with pad

Fractured Femur.

Steady lower limb; hold ankle and foot

Gently pull foot into line with fellow

Figure-8 bandage round ankles and feet

Pass bandages under man at chest; pelvis

Ankles and feet; thighs above the fracture

Thighs below fracture: both legs and knees.

Long splint from armpit to below feet

Fix splint with bandages tied in same order

Loosen clothing-neck, chest, and waist

Keep head low and turned to one side

Wrap warmly-ask for and give sips of hot tea

Ask if hot water bottles available (no)

More reassuring words to patient

TREATMENT OF KITCHEN-MAID.

Fractured Clavicle.

Support upper limb; large pad in armpit

St. John sling; broad bandage to body

Check pulse if present; tighten sling

Sprained Ankle.

Support ankle in comfortable position

Expose joint; apply firm bandage.

Wet bandage. with cold water; keep wet

Reassure patient; warn her keep quiet

Wrap warmly; ask for and give sips of hot tea

TRANSPORT AND AFTER-CARE OF PATIENTS.

Test for changes in condition of patients .(none)

DecIde remove both patients to hospital.

Method of blanketing and loading stretcher

Method of lifting stretcher off platform

Method of carrying and lowering stretcher of loading ambulance

AssIstmg kitchen-maid to ambulance

General observation of patients in transit

Proper use of service of Hotel Manager

Value of report given to House Surgeon.

Competency of Leader of Team.

penalties, if any

PENALTIES.

Fix with narrow bandage 4 Use of Brigade ufliform as Govering Unnecessary verbal explanation 4 Redundant Illuestions to Judge Each Offence.

Other penalties (if any)

THE "PERROTT" CHALLENGE SHIELD INTRODUCTION TO TEST. , you are members of the Jonsgate Nursin Divi' d domg ambulance duty to-day Two young ( an are on your way to the beach where you are and stretcher. As are turnin into 13 0 are not first aiders) with you and are carrying he dIsappears, you note that his cycle has r cychst passes you; but, before You know (I) that the Jonsgate Cotta e H eep. mvo ve a recent smash. has taken a patie,nt to London and will bf SItuate two miles away; (2) that its ambulance Surgeon IS at thIS moment seeing patients at hi ha e for several hours; and (3) that your Divisional ¥. an accident act as you Ime lfilt 15 mmutes. Warning at 10 minutes.. ACTION OF TEST •

The patient just come out of his house When h m the roadWay, is fully conscious and was dey.rn. by .a motor cycle He is rea lze. d that his lefe trouser leg is saturated with blo d of pam IF! nght hip and does n0t an aCCI em. o. IS WI e does not know that there has been

In reply to a call the Divisional tells members of the team that they should treat ami remove to hIS that he will meet them there at the earliest possible moment.

In fact he arnves Just as test IS firushmg, takes report and arranges for transfer of patient to hospital.

STAGING OF TEST.

Divide sta?e i,nto two pf!rts-stre;et an.d house--with front door intervening and opening into bedr00m, WalCl?- IS J?ilost and In.whIch place a teleJilh€me.

Mark on patlent IrregularIty 0f pelVIS and varicose veins on left leg, one of which hilS burst Ilnd saturated left trOl!lser leg.

IMMEDIATE ACTION.

Mode of reading card and of approach

Ask if traffic likely in street (no)

Consoling and tactful words to patient

Ask what happened (cyclist hit me)

Ask him if he lives in house opposite (yes)

And if anyone in house (my wife).

Tell patient that he must be taken home

Till ambulance available for hospital

Ask patient if bedroom ready (no)

When injuries diagnosed phone Surgeon

Report case and ask for instructions (carry on-meet at house)

At early moment release two meml;)ers

And send them to contact wife and tidy bedroom •

EXAMINATION OF PATIENT.

Do not alter position of patient yet

Ask colour of face (pale); breathing (shallow)

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

Ask patient where is pain (right hip only)

Discover dampness of clothing and signs of blood

Pull up trouser leg and locate burst vein

Ask colour of blood (dark red)

How it flows (steady continuous stream)

Ask if wound dirty or foreign bodies (no)

Diagnose burst varicose vein •

Do not elevate patient's leg yet

Look for constrictions of leg (none)

Apply suitable sized dressing to vein

Ask friend to compress it with his thumb

Note that lower limb appears normal

Ask patient if able to lift heel (no)

If pain is made worse by such attempts (yes).

•

Feel for irregularity of pelvis (marked)

Diagnose fracture of pelvis.

. .

Method of excluding injuries elsewhere (none)

TREATMENT OF PATIENT.

Burst Vein.

Quickly prepare suitable pad

Waich projects above level of skin

Place on dressing which is not disturbed

Fix firmly with narrow bandage

Ask if bleeding controlled (yes)

Fractured Pelvis.

Ask patient if comfortable as found (yes)

Gently attempt to flex lower limbs

Ask result (pain in hip much worse)

Decide keep lower limbs extended.

Broad bandage round pelvis at hips

Tight emmgh to support the llIarts

But not to press broken bone inwards

Figure 8 Bandage n;)und ankles and feet

And l;)roaa l;)anda¥e round b0th knees

Wl1alll warmly: gIve sips of cold water

REMOVAL OF PATIENT.

Ask if changes in face, breathing, pulse (no). ' 6

If dressing shows signs of saturation (no) 4

Decide remove patient to his house 6

More consoling words to patient 4

Method of testing and blanketing stretcher

Accuracy of instructions with reference to Loading, lifting, and carrying stretcher

Careful observation of patient in transit

CompetenGY of Leader of Team

Grand Total. Deduct penalties, if any Net

Use of uniform as covering or

Unnecessary verbal explanation 5

Redundant questions to Judge . 5

Other penalties (if any)

AFTER-CARE AND NURSING OF PATIENT.

Preliminary Action.

Two members proceed to flat early

Explain members of Nursing Division

Tactful disdosure of accident

And comforting words to wife

Ask if she feels fit to assist (yes)

Method of straightening bedroom

Place bed suitable position, easy of access

Have fire lighted and kettle on to boil

Preparation of 'Bed

Ask if piece of sacking available (no)

Mattress correctly placed in position

Under-blanket smoothly and firmly tucked

Under-sheet similarly tucked in position

Ask if macintosh sheet available (no)

Place draw sheet correctly prepared

Two pillows in slips correctly placed

Top sheet tucked under mattress as necessary

Two light and warm blankets similarly placed.

Light counterpane placed over bed dothes

Correctness of tucking in bed clothes and corners

Method of turning back upper bed clothes

Place temporary blanket to protect bed

And hot water bottles (in covers) in @ed.

Reception of Patient.

Seek co-operation of patient's wife

To have hot blanket and hot tea ready

Encouraging words to patient on arrival

Tell bearers to place stretcher beside bed

To take posts on side further from bed

And to lift patient on their bended knees

When patient lifted, push stretcher under bed

Tell Bearers to rise, SUPlllort ll'atient OF! forearms

'Then to step forward and to llIlace him on bed

Wrap warmly; watch till Surgeon comes

Value of relllort given to Surgeon. .

Proper use of services of wife and bearers

The Individual Tests were varied and in the Ambulance Section included treatment of a fFacbared Pat,ella and grazed hand, fractured ribs, and fractured right forearm, and perfmming artificial respiration. The N1:lrsing tests included treatment of fractures of forearm aNd scapula, preparing bed for a patient who had unexpectedly Feturned fIi(9m aHer ,an. tow thie not haviNg beeIil. rem(:wed, am@! maki.'l!lg ipwepamti;@ilil!s ®!eGessary fm a soaiJD and wateF eiilema t® a [)atient suilffiering fr€).lIDl! tOIil.sHliltis.

It is hoped to include marking sheets of the Individual and Practical Tests in subsequent issues of the Gazette.

RECONSTITUTION OF THE PRIORY OF SCOTLAND

An impressive ceremony took place in the Chapter Hall of the Palace of Holyroodhouse on Thursday, June 26, when The of Gloucester, Grand Prior of the Order, representing H.M. The K111g, Soverelgn Head of the Order, occupied the throne of the oak panelled hall. Order in Scotland was founded in the twelfth century, but was sUl?pressed during the reign of Mary, Queen of Scots. Thus it is over 400 years smce the Order was represented in Scotland.

After processions had taken place and the Chaplain-Designate, The Very Rev. Charles L. Warr, Dean of the Thistle and Sub-Prelate of the O:-der, had offered the opening prayers, the Grand Prior said: "On this occaslOn? for time in the history of our Order, Chapter-0eneral 19-' meetmg 111 Scotland; this in response to a petition from the CommIttee for the ?rder, for Scottish Affairs, which can now appropriately be rehearsed and publIshed.

The objects for which the Priory is to be revived th.e of Medical Comforts Depots, classes in instruction and exammatlOn m craft and Home Hygiene, operation of travelling clinics the foundatlOn c:nd maintenance of the Order of St. John Foundation HospItal m Glasgow. Havmg presented the petition, the Vice-Chairman withdrew and the Order then announced that the Priory of our Venerable Order hav111g ]UnsdIctlOn throughout the ancient kingdom of Scotland had recalled into. existence. Following a fanfare of trumpets, the Lord Lyon Kmg of Arms, SIr Thomas Innes of Learney, delivered the appropriate documents to the Lyon Clerk, who read aloud the arms and bearings of the Priory in Scotland.

Next the Prior-Designate, William, Earl of Lindsay, was presented, and the Grand Prior invested him with the mantle and saying: "We install your I Lordship as Prior of the Priory in Scotland." Thus the Earl of Lindsay succeeds his ancestor, Sir Walter Lindsay, after 414 years.

Then followed the installation of the Sub-Prior, Colonel Sir Colin MacRae of Feoirlinn, who was proclaimed by Sir Francis Grant, Alnaby Herald of the Lyon Court. ,

After the Act of Chapter-General had been presented to the Prior, His Royal Highness took the Sword of Jurisdiction, which is an old Crusader's Sword, and presented it to the Earl of Lindsay; and this was followed by the presentation of the banner of the Priory in Scotland.

H.R H. The Grand Prior then invested the postUlants on the list of the Priory.

On the completion of the investiture His Royal Highness and his retinue withdrew from the Chapter which completed its appointments with the Prior on the Throne.

A cordial welcome to the Duke of Gloucester was extended by Lord Provost, Sir John Falconer, when His Royal Highness and members of the Order were entertained te luncheon in the City Chambers. 'The Lord Provost recalled that in the early days of Ecil.inburgh the HospdaUers of St. John of Jerusalem were said to have had quarters in the Lawnmarket in proximity of the old house of the Duke of Buccleugh. In Scotland, they recognized the aims of the Order as worthy of the highest commendation.

The Duke of Gloucester in reply expressed his pleasure in being in Edinburgh on an .occasion. He expressed the hope that the Order would work 111 co-operatlOn wIth the St. Andrew's Ambulance Association and the Cross and endeavour to work in fields not already covered by these organizations.

The Earl of Clarendon (Sub-Prior Clf the Grand Priory) orought greetings from the whIlst the Prior the Ordier in Scotland, the Earl of Lmdsay, thanked those who had bwuglilt about its revival and! proposed the toast of His Royal Highness and the Guests.

232

A new Ambulance by A 11 S TIN

Whichever way it is looked at the new Austin 'WELFARER' ambulance is impressive, for in design, comfort, safety and efficiency it is right, down to the smallest detail-the culmination of forty years practieal

experience of ambulance

COMFORT The interior is sound-proofed, and eutside noises will not disturb the patienns-no road shoeks .can jar them for the body is mounted on and large section tyres-a heating and ventIlatIOn urnt with therrmostat control keeps fres\iJ. air citculating at an even temperature.

[FF I ClEN CY. The forward control cab and short wheelbase ensure maximum driving visibility and easier manceuvring. Wide-opening rear doors and flush-fitting step give easy access to the interior while the extra nearside door is very convenient for the attendant.

SPECIAL FEATURES I,NCLUDE: Steel body with composite doors • Hygienic moulded /fON covering • Purdah glass windows for lilrelcher comfJortmen.t • Fu.ll and officially approved equipmenl • Extra door on nearside • All door-handles recessed for safety • Forward conlrol with integral body and cab • Sofl semi - elliptic Isprings and hydraulic dampers. Large 16"x 9" R.H.S lyres.

DEPENDABILITY. The new O.H.V. 16 h.p. engine has high performance, low fwel and oil c?!lsumption, easy maintenance and, above all, dependablhty.

THE NEW AUSTIN JWELFARER' CONVERTIBLE

AMBULANCE

AND HOSPITAL TEN D E R

B"

Attointflletll (c11.M. Ihe

As

noted for

bighesFcks for Uniform

c utUrs ..

prlncipJ. Pro-cincial

Ask., f'or ",.;u.J ?J'Cerns.

12,11Sruton c'itteet, & 4,£;1. QgeOT!3e £>1.(2 min•.walk), 1Umb'ott.:m.l.

CLOSED ON SA'lUJlDAVs

Chat work to,eeher-

.' pool rCIiIOUI"ce-"elp one another, can move mountain.. That Is • truth old the hill.. It I. one "'.;;:',lAllU"f of tho reaton. for the outitandln.

• success of 'A S PRO' In many health emergencies 'A S PRO ' WORKS WITH NATURE-not against it. Coldll- 'flu attack_ headache_neural,la-rheumatic pains, etc., are signs that Nature needa help. 'ASPRO' alves that help - &top' the painfeveri&hness - T URN S THE S CAL E It h..;lps to set the natural heallne In motion. Before you realise it you are wed a&,aln. Furthermo"e, there 'are no harmful after-effect. for' ASP R 0' i ABSO LUTElY PURE- ·

A BELGIAN SOLDIER SENDS GREETINGS

MOENS JULES, of the C.IU. a.11faft '''''''-' wrlt :-'" ASPRO 'I,stlll mr friend and y. ,.t ,reat relief f"om them. am only too ,.. d to r.commend th.m wh.n.vor I can w. are all ttlooklng forward to the tim. wh.n .tiall b. VII ad onc. more with our _III

Even a splinter can bring trouble! Sepsis often starts this way. All breaks in the skin need instant cleansing

No. I (PRINCE OF WALES'S) DISTRICT

Ealing.-Alderman A. -J. E. Chilton (Deputy Mayor) opened the Garden Party of the Ealing N ursing Division on June 21 and paid tribute to the work undertaken by members. President Alderman Mrs. C. J. T aylor presided, being supported by the D eputy Mayoress, Vice-Presidents Mrs. Fyffe-Schaw and the Rev. RailtonBax, Supt. Mrs. Claridge, Capt. Claridge; others present included Asst. Commissioner Dr. '\iVrangham, District Officer Miss West. Mr. Chilton, as Vice-President of the Greenford Section, 'knew of the excellent work performed by the Brigade and it was comforting to know that men and women were available in case of need. Thanks were extended to Lady Skinner who allowed her garden to be used.

Peckham.-On J une 2 Mr. Don Ward and other members of the Peckham British Legion Club gave a variety show in aid of the Peckham Ambulance Division. During the interval Div. Surgeon Major C. K. Row thanked Mr. and Mrs. Cairns, of Nunhead, for their gift of a Sparklet R esuscitator and asked County Surgeon Major G. Bousfield to present the gift to the Division. This he did and expressed his appreciation. County Surgeon Lieut.-Col. King-Brown expressed thanks to the British Legion Club.

Specials) judged the test. Following the event Amb. OffIcer Spalding presented to Leyton and Leytonstone Division a sjlver cup for efficiency as a memorial t o the late Pte. S. White who was killed in action. Lewisham.-The first annual first aid team test of the Lewisham Nursing Division was held recently when six teams competed for the Webb Silver Cup which was won by the team captained by A/S Holland. Corps Supt. A. J. Green judged the team section and Corps Officer G. Butler the individual part. Supt Miss Pearce congratulated all teams on their work and hoped that the same enthusiasm would be forthcoming for the Drill, Bedmaking, and Individual competitions to be held in September next.

LANCASHIRE DISTRICT

The Nursing Divisions of Lancashire have been presented ,'lith a silver cup by Mr. and Mrs. E. W Lord in memory of Dr. J. Lawson Russell. Dr. Russell was Hon. Surgeon in the Brigade from 1903 to 1945 , forming the To'dnorden Divisions After thg 1914- 18 war he went to Chester a.nd later to Southport. The cup is for annual competition among teams of four but no member of the teams must have ever entered for a District Competition before. The first competition will be held next year.

Port Sunlight Corps.-Bromborough Harlesden.-Staff Sergt. Gibbons and Margarine '\Norks Division gained the first Cpl. Treadwell recently staged an excellent place in the annual Corps Competitions demonstration of the effects of various opened to Ambulance teams. The" B " poisons on human beings. Sergt. Gibbons t eam of the same Division were runnerswas made up to give the impression of up This is the third year in succession his having t aken a poisonous substance that Bromborough teams have won the and he then enacted with startling realism trophy. the resultant sufferings of the presumed Haslingden Corps.-The celebrations of patient. A member of the Division had the Jubilee of the Haslingden Corps to diagnose the poison taken and then commenced wit h a parade to King Street give the appropriate treatment. Asst. Methodist Church, where members of the Commissioner Dr. Wrangham insp ected Nursing Division and also of neighbouring the Division on June 5 in the presence of Corps and Divisions also attended The the Mayor of Willesden (Alderman S. Jubilee Dinner was well attended, and Scott) who expressed his that the f<;)Jet that the Jubilee coincided with the first aid needs of the district were the Mayoralty of Councillor J. Moran, a well provided for, but stressed the need Divisional. Superintendent of the Corps, for more Cadets. was of great interest The guests wenil Leyton and Leytonstone.-As an out- received by District Commissioner Major come of a challenge made by Cadet OffLcer E. S. Burt H amilton and by the Mayor Wilkie (Borough of Kensington) to Amb. and Mayoress. Corps Supt. Graham, in Officer Spalding (Leyton and Leytonstone) responding to the t oast of the Haslingden a competition was held on June 11, when Am bulance Corps, said it had been a great the former Divisi,on gained first place by h onour to him to have been associated three marks. As this was the first competi- with the Corps from its inception in 1897 'tion since the war for the losers, and as and t @ have been Superintendent since tfue wimnJers had gai)])eci the Wes;{J;em Area 1898. Speaking of the proud record of Ch.ampionship, Leyton and Leytonstone the Corps he said that during the South are looking forward to the future. Sub- African War 23 members had served in Inspector 'Foulger (J Division Met. the campaign and that during the two 235

world wars every fit mgmber served overseas, some being decorated for .distinguished services. The celgbrc:tlOns were brought to a close with a.reulllOn of past amI present memibers; tlillS was held in the Ambulance Hall and proved most successful.

NORTHERN IRELAND DISTRICT

The District was honoured by a visit from the Chief Commissiongr, Lieut.Gefleral Sir Henry Pownall, from May 21 to 24 He was greeted on arrival by Asst. Commissioner W. A. Ryan and District Supt. Mrs. G. N. Wal.lace, and later in the day, accompanied by District Commissi@fler Dr R W. M. Strain and othgr SgI'lior Officers, he proceeded to Portadown, Co. Armagh, where he inspected Adult and Cadet AmlDulancg and Nursing Divisions.

Ofl May 22 the Chief Commissioner carried out an inspection of Ambulance and Nursing Divisions of Londonderry City, County Londonderry, and Co. Tyromg which was held in the Guildhall, Londofldgrry Those present, in addition to the District Commissioner and District Shlperifltgfldent, were the Mayor (Sir Basil McFarland, Bt.), Asst. Commissioner Sir D . M'Corkell, District Surgeon Murigl J. L. Frazer, and Asst. Commissioner Wilfred M. Brennen.

May 23 saw Sir Henry inspecting a parade of Co. Antrim Divisions at Ballymena Town Hall, the parade being in charge of Supt. R D. Nash (Lame), Asst. C<Dtnmissioner D. Parker being present.

On May 24 the Belfast ElimiI'lating Compgtitiems were attended by thg Chief Commissioner, after which he inspected the Belfast Divisions and the District Transport Section. In ' the evgning a dinner in honour of Sir Henry Pownall's visit was given in the Grafld Central Hotel, B€'lfast, by Asst. Commissioner W. Allen and members of the Belfast Social Committee. The function was hOllGmrgd by the presence of Their ExcellenGies the Governor of Northern Ire]and and Countess Granvi1[e, and the Minister of Health in Northern beland (Mr. W. Grant, M.P.) and the Minister of Education (Col. Hall-Thompson) wgre also present. After dinner the Governor presented the awards gained earlier in the day at the Gompetitions.

COUNTY OF BEDFORD

B. 'Smith, in the women's sectiofl, and Mr. R. J eeves first in the ambulance section followed by Mr. F. Pearce. Mrs. Seymour Lloyd presented the cups.

COUNTY OF BERKSHIRE

Reading.-A combined flag day held in Reading by St. John and Red Cross realized £539 19s.

At a meeting of the Readmg N ursmg Corps, Sergt. Miss E. <;linch the cup, which she had glVen to the wmners of the recent child welfare competition, to the Reading East Nursing Divisional team.

COUNTY OF DORSET

Fifty-three Divisions of the Brigade in Dorset paraded on June 8 for the annual inspection which was carried out by County Commissioner C A Poole (Berkshire and Regional representative) who was accompanied by the Mayor of Weymouth (Alderman C. H. Kaile), County Vice-President Lady Ellenborough, County Commissioner Dr. R. V. S. Cooper, County Supt. Mrs. Cooper, and Asst Commissioner Jarvis (Berkshire) who inspected the Cadets. Bristol St. John Band provided the music.

The Inspecting Officer congratulated the parade and expressed his delight at being present. He told the Cadets that without them the Brigade w('mld die and it was up to them to take their place in the Adult Divisions and to make themselves thoroughly efficient. The Mayor welcomed the parade, which was under the command of County Officer J. O'Hara, and paid his tribute to the movement. He took the salute at the march past when the parade proceeded to· Holy Trinity Church where a short service was conducted by the Rev. C. A. Plaxton, Vicar, and the Rev. J. J. Clarredge, of Hope Congregational Church.

COUNTY OF HAMPSHIRE

One of the largest parades in the Eastern Area was held on June 15 when County Commissioner Brigadier F. B. Hurndall inspected members of the Area. On parade, under Asst. Commissioner O. J. Fraflcis, were representatives from Portsmol1th, Gosport, Fareham, Lee-onthe-Solent, and included many veterans of the local blitzes. The Portsmouth Caclet Band led the parade, the County Commissioner, who was accompanied by the Mayor and Mayoress of Gosport (AI.derman and Mrs. A. R Nobes), the Luton.-The annual first aid c©mpeti- ChIef Constable of PGlrtsmoutih (Mr. A. C. tioms for the" Stevens" Cups wgrg held West), Major-General H T. Newman, recently h>y the Luton Wardown Ambu- RM., Col. P. H. Marsha][ (Chairrnalfl!, laflce and Nursing Divisions. Dr. T. E. Portsm.outh. Ambmlallloe Centre), anCl! Seymour and County Officer W. H. Mr. J. Alexander (Chairman, Fareham Judged the tests and placed Council), taking the salute. AddFessing Mrs. M. Bncknell first followed by CorpI. the parade, Brigadier Hurndall recalled 236

the work of 200 members who turned out on duty for the departure and return of the Royal Family, and referred to the good work of the Portsmouth Police Corps, of whom 22 members held the Sgrvice Medal.

Those present included the Deputy Mayor of Gosport (Alderman J. R Gregson) and Mrs. Gregson, Lady f'aley, Mrs. A. C. West, Surgeon Rear Admiral and Mrs. J . A. O'Flynn, Commodore and Mrs. D. M. L. Neame, Mr. Flanders (Chairman, Havant U.D.C.), Alderman V. T Keen, Councillor and Mrs. A. J. Owens, and Councillor and Mrs . O. Glover. Prayers were conducted by the Rev. L. G. Forrest.

COUNTY OF HERTFORD

Welwyn Garden City.-The competition for the Dr. H. J. B. Fry memorial cup was held on June 15, when Pte. E. R Daniels gained first place, followed by CorpI. D. T. McLellan. Dr. D. H. Kinmont (St. Albans) and Dr. J. Clay (Letchworth) judged the work, whilst - County Commissioner H. Langley Jones presented the cup and also awards gained during last year. Occasion was also taken to present to Supt. W. L. R. Palmer an engraved silver cigarette case. Amb. Officer E. A. Rusch, speaking on behalf of the Division, referred to the wor:k undertaken by Supt. Palmer. Through his efforts the Division obtained very fine headquarters, he had established one of the finest Medical Comforts Depots, and he had originated the Divisional News, a divisional library, and had organized a panel of interesting lecturers. Amb. Officer Rusch asked President G. S. Lindgren, M.P. (Under Secretary of State for Civil Aviation), who is an old member of the Division, to make the presentation.

COUNTY OF ISLE OF WIGHT

Ryde Division are this year's winners of the Spicer Challenge Cup. The trophy is awarded annually to the Division awarded highest marks in the first aid competition together with marks gained during the year :fiO!lf efficiency and keeping of :r.cecords and equipment. Div Surgeons C. N. Burnham-Slipper and F. Keene judged the competition and placed Cowes and East Cowes first. This team, however, had to take second place to Ryde on the aggrggatg number of marks gained during the year.

COUNT}" OF LINCOLN

their achievement in the repairs. and redecorating the Hut The Rev. Bretherton, of Epworth, conducted a dedication service whilst Mrs. Crowden, widow of the late Corps Surgeon. Crowden, l.u6J.veiled a memorial plaque. Those present included Corps Supt. and Mrs. J. H. Theaker, Corps Supt. Mrs. Doughty, Corps Officer and Mrs. S. Staniforth, and other Corps Officers. Owing to business, Supt. R. Runham was unable to be present.

COUNTY OF NORTHAMPTON

The first post-war annual inspection was held in Northampton on June 15 when the Chief Commissioner (Lieut.-Gengral Sir Henry Pownall) was the inspeGt[ng Officer. Some 1,500 members werg on parade under County CCldet Officer C. W. Curtis, afld accompanying the IflspeGting Officer were County Commissiofler Dr. Eric Shaw, County Surgeon G. Gibbons, and County Supt. Mrs. G. Gibbons. The visitors included County Officer and Vice-President the Hon. Mrs. MaGdonaldBuchanan, Capt. R H. D . Bolton (Chief Constable of Northamptonshire), Lady Grant-Lawsom, and Mrs. 1. J ennimgs (recently retired County Superint:<mdeflt).

COUNTY OF NORFOLK

North Walsham.-At the annual meeting of the North \ iValsham Division, Mr. G. B. Fuller, who retired last year from the post of Superintendent, received a chequg for one hundred guineas and a book containing the names of the subscribers from President Dr. C. H. \iV. Page. Mr. Fuller had 38 years' service in th.e Brigade and Dr. Page stateGl th.at tihe spirit of service carried out practically by Mr. Fuller was for the benefit of all. Asst. Commissioner Dr. K. F. Lund endorsed Dr. Page's remarks afld paid tribute to Mr. Fuller's enthusiasm.

Mattishall.-The sum of over £3 1 was raised for funds when the members of the recently formed Nursing Divisiem held a bring and buy sale. County Supt. Dr. May Rutledge performed the opgn.ing ceremony.

Norwich.-County Comm.issiom.er SiJ; Thomas Cook presided at the Officers' Meeting held on June 9 at the ngwly acquired Area Headquarters. Those present included Asst. Commissioner Dr. W. E. Rutledge, County Supt. Dr. May Rutledge, County Officer Mrs. G E. Portal, and County Officer H. S Denny. The future administration of the property Was d[scussgd, t0gether with various aspeGts of Brigade activities throughout the city and surrouITIiding locality.

NORTHUMBERLAND AND DURHAM

AJthorpe and Keadhy.-After a long peFi<Dd' orr: oeWipatioilil H.M. FOFGes t bie !Hilllt of the Divis]@!lil was officially reopened by Alderman Mark MOligan, who paid high tribute to Amb. Nearly 3,000 Ambhllance, Nursing, amd Officer G. E. Fuller and his colleagues in Cadet personnel paraded on Duke's 237

Moor, Newcastle-on-Tyne, on June 7, for the inspection by General Sir · Clive Liddell (Director of Ambulance). The parade, under County Commissioner Stanley Embleton, presented a splendid picture, and each section was well represented.

Sir Clive, after inspecting all officers on parade, then inspected the Ambulance personE.el, whilst Mrs. Girouard (Asst. Superintendent-in-Chief, N.D.) inspected the Nursing personnel, and Major P. G. Darvil-Smith (Chief Officer Ambulance Cadets) inspected the Ambulance Cadets. Sir Clive and Mrs. Girouard also inspected the Nursing Cadets.

Sir Clive took the salute at the march past and compliment€d the parade' on its smadness. He paid tribute to the work carried out by the members during the war F>eriod and state@. that to-day there was more to do than ever before. He also reminded the spectators of the voluntary efforts of the Brigade, whieh was worthy of any assistance which they could give. , Mrs. Girouard also addressed the :parade and congratulated the Nursing personnel on their bearing.

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

The annual inspeGtion was held on June 8 on Plymouth Hoe where the Chief Commissioner, Sir H(mry Pownall, was the Inspecting Officer. The Rt. Rev. The Lord Bishop 6f Plymouth conducted a short service, whilst the Band of the Royal Marines from H.M.S. Raleigh aCGompanied the singing and played for the march past.

Those present included the Lord Mayor and Lady Mayoress (Mr. and Mrs. W. Harry Taylor), County President Lord Roborough, and Lady Roborough, Brigadier Carson (O.C. Troops, Plymouth), Capt. Leggatt, R.N. (representing the Commander-in-Chief), Supt. Hingston (representing the Chief Constable), County Commissioner Dr. F. W. Morton Palmer (N.E. and Mid Devon).

County Commissioner C. S. C. Pam.ce was in charge of the parade, being accompanied by County Supt. Mrs. Balsdens and other members of the County Staff.

Following the inspection the Chief Commissioner had tea with the Officers at County Headquarters and gave an informal talk in the lecture room

COUNTY OF SURREY

paid tribute to those who had played their part in shaping the structure of the Brigade. During 1946 the ambulances had travelled 47,913 miles in transporting 4,596 cases and 347 accident cases. Ambulance members had given 1,008 day and night services whilst Nursing personnel had been on duty 5,563 hours. Reports of the various divisions were given by the officers-in-charge, and the Mayor, in congratulating the members on their work, expressed the hope that men and women would be recruited to serve the Brigade in the same way in which others had done in the past. He presented Amb. Officer Miss Reeves with a Service Medal which had actually been due in 1939.

North-West Area.-The first Area social was held at the Airscrew Works Canteen, and advantage was taken to present. Service Ribbons and certificates to Sergt. Balchin, Corpl. J. Duke, and Pte. W. C. Billing (Chertsey Division), and Hon. Sergt. T. A. McQuillian, formerly of Chadderton Division, Lancashire, and now' of Walton and Weybridge. The presentations were made by Asst. Commissioner J. P. Flavin, who was thanked by Asst. Commissioner Capt. P. H. Ellis.

COUNTY OF SOMERSET

Bath.-Thirty-six members of the City Nursing Division have received War Certificates from the County CommlSSlOner, whilst Amb. Officer Mrs. Sumsion, who had completed 35 years with the B:6gade and was to have been made a Serving Sister of the Order, hq.,s died.

Hospital Duties.-Members 9f the Bridgwater, Wells, are assisting with Nu:(sing at General and Mental Hospitals. T wo members of the Long Ashton Division have taken up general nursing.

Public Duties.-Members have carried out duties at Beaufort and Wolvershill races.

Clevedon.-Mrs. M. Andrews, former Superintendent and founder of the Clevedon Nursing Division in 1934, has now become its President, and Dr. Lorna Hylton is the newly appointed\l1cePresident

COUNTY OF WORCESTER

Halesowen.-The Nursing Division was lllspected by CorF>s Supt. Miss Feamside and Corps Officers Mrs. Northwood and Miss W{J;kefield, during which a team test Guildford.-At the annual meeting of was staged by the newly appointed the Guildford Corps the Mayor (Mr. A. W. Divisional Dr. Newton. Graham Brown), who presided, said that Lye.-Th€ same officers carried out the by its service over a period of 56 years inspection of the Central Lye Nursimg the. had up a very honoured Division. Also present was County positlon III the hfe of the Borongh. Be Officer Miss Ashtom.

238

WEST RIDING OF "YORKSHIRE

Castleford.-On June 15 Asst. Commissioner W. N. West-Watson inspected the Castleford Corps with Corps Officer H. Moore in charge in the absence of Corps Supt. A. Addinell through indisposition. Members of the three Ambulance and the three Nursing Divisions were on parade, whIlst District Officer Baker accompanied the inspecting officer. A message of good wishes was sent to Corps Supt. Addinell who was undergoing an operation.

<(1HI£

No.2 District, Bengal.

The report for 1946 shows how the Brigade has suffered by the departure of several members for this country; however, a course of lectures in First Aid and Home Nursing were held in the latter part of the year and it is hoped by this means to maintain the personnel of the Nursing Divisions.

In March the last patient left the British Troops Convalescent Hostel, and in April the building was officially handed over to another unit. From November, 1942, until it closed, St. John members were entirely responsible for the running of the hostel, with assistance financially and in kind from the Bengal Joint War Organization. During this period the hostel, which had over 100 beds constantly occupied, admitted over 6,000 patients.

Humberside Corps.-The annual St. John Day Church Parade was held on June 22 when, headed by the Cadet Band of the Hull Corps under Bandmaster Cawthorne, with Colour Party and escort, the parade marched from Headquarters to Elloughton Church where a service was condueted j®imtly by the Vicar, the Rev. Bursey, and the Congregational Minister, the Rev Alan Wright. Corps Supt. H Rankine read the lesson, and the Vicar gave an address on the cardinal virtues of the Order.

During the day, she was able to contact the Acting Lady District Superintendent and next morning five St. John members and four American ladies with musing experience drove to the hospital in the Sisters' Mobile Canteen Van, one of the members driving. A team of St. John members with six American ladies, four being trained nurses, and two Nurse's aides, two members of the A.N.S. and one V.A.D. worked at the hospital until it closed, leaving their homes before 8 a.m. and sometimes not returning until 6 p.m.

"The 1st Caleutta City Nursing Division came in for the major part of this work and their courageous, conscientious, and untiring efforts have been placed on record. Trained personnel worked in Operating Theatres and twenty-two members were on duty in one Indian Hospital and nine members were on duty at another Indian Military Hospital.

"Work in connection with the Leper Homes and the St. John AmbulanGe Sisters' JDaby CliniG has been maintained."

Between March and August, members assisted with the meeting and greeting of troops returning from the Far East, and in August were called upon for duty during the riots in Calcutta. In this connection the following are extracts MALTA, G.C. from the Report received from the Lady A very pleasant party was held on District Superintendent :- board H.M.S. Liverpool, when Commander-

" Owing to the lack of armed transport in-Chief, Admiral Sir Algernon U. Willis, and the difficulty of contacting members entertained the Commissioner and Officers during the first two days of the riots, of the Malta District, of which the Commembers were able to render aid only in mander is President. Those present their own locality, for three days three His Excellency the Governor members helped at the Sambhu Nath (Patron of the Brigade), Officers of Fand!it Hospital, and OIae member wor,-kecl Ambulance Units and Brigade Surgeons. for several days at the Medical College Also present were Lady Willis, Major Hospital. Abela, Mrs. Gulia, and Mr. J. Axisa.

"A call came from 119 Hospital, For the first time im the history of the , Alipore, and eight members went to the Brigade in Malta, members took part in a assistance of the overtaxed regu[ar staff. C<Dmbined Servil\:es Parade in h.®nour of the For the first week members were on duty King's Birthday. The Brigade · was every day, working lor at least 8 h.ours, represented by a contingent of fifty, made and one member stayed on at the hospital. up of an equal number of Ambulance anm "Help was also needed at the Nursing personnel, under Corps Supt. Emergency Hospital in Dhakuria Lakes, C. Gatt. Their turn-out was good and their one member immediately answered this bearing om parade and. during the marchcall by going out in her own car and was past c@mpared favouraUy with th.e armecl on duty for a stretch of 12 hours. forces

239

THE INTER-RAILWAY FIRST AID COMPETITION

SOUTHERN AGAIN SUCCESSFUL

• On Friday, June 20, the first post-war" Inter Railway II was held at Borough Polytec1uuic, London, where a large gatheFing witnessed t'hle work done by the teams throughout the day. It was indeed a gathering of " the Clans "; and a happy reunion day for railwaymen and wome1'1 interested in first aid.

For the first time for many years the Competitiori was in three sections: Team, Individual, and Viva Voce; and each Section fully extended the competitors One Gompetitor, Captain of the Crewe L.M. S. team, gained full marks in the Viva Voce test; and this was the only" possible II obtained throughout the day.

In the Team Test the Judge (Major A. C. White Knox) acted the part of a signalman on a setti1'1g which represented a level-crossing on which a car and a train had collided

The Individual Tests, judged by Dr. William Duncan of Liverpool, included acid burns, treatment of a case of stuFlor, and rendering assistance to a boy who had become impaled on railings, one spike having pierced the floor and the roof of the mouth.

PRIZE PRESENTATION

Brigadier W. B. G. Barne (SeGretary-General of the Order) presided at the prize presentatio1'1 and called upon Major-General F. V. B. Witts (Assistant Director of Ambulance) to announce the result, which was as follows :-

1. Horsham (Souther1'1)

2. Swindon (Great Western)

3. Crewe Works" B II (London, Midland, and Scottish)

4. Wolverton "\i\Torks (London, Midland, and Scottish)

5. March" A II (London and North Eastern) .

n. Waterioo No.1 (Southern)

7. Melton Constable (Midland and Great Northern)

8. Nottingham Victoria (London and North Eastern)

9. Cardiff Docks (Great Western)

Loud applause greeted the announcement that the Southern had again procured the premier award, the first time since 1937. This is the third time that Horsham have gained Inter-Railway Shield; their previous successes being in 1932 and 1935. !fl.e th.e Corbet Cup (awarded to the runners-up) and the individual were by SIr Robert Burrows (Chairman of the London, Midland, and ScottIsh RaIlway) who had a wond of praise for each competitor.

In reply to a of thanks pFoposed by the Secretary-General, Sir Robert expressed hIS pleasure at belllg present and paid tribute to the excellent work fostered by the Order of St. John. He hmmorG<ll!l.sly .referred to the" signalman II on the team setting and suggested that he should be exammed on the rules of signalling by a Railway Official and that he should be asked for his cards. '

. Brigadier Barne, who also.proposed a vote of thanks to the judges, expressed appreciatIon of th.e encourageJ?ent gIVen ?y the Railv.:ays t? their employees to take up the work of ald As a raIl traveller It was a satIsfactIOn to him to know that, should an accIdent oecur, there 25,000 railway employees ready to give assistance. He would be even more satIsfied If the number were 50,000 or even 100000.

Tille judges gave their criticisms 01'1 the work done and each stated that the standard of work was g?od but that little items only separated the teams. General WItts tha!ID.king Mm-s. J oliam Maxwel1 a.rnd Mr. J <De Glfossmam for theIr co.nbflued aSSIstance m staging the tests, and to those who had acted as stewards and patIents throughout the day.

THE TESTS

In the Team (judged by Ma)or A. C. White Knox) the competitors were told they were approachmg a. level-crosslllg when a driver of a car passed them going very fast. a appwaching .in distance and gradually drawing near, soundmg Its whIstle, a crash as the curtain of the stage was raised. On the stage a set of. ralls set WIth the tall end of a train on them, crGssina smasl?-ed, and the dnver plJ.llnedi under the wreckage. A signalman (the judge) was very mterested but he could not leavehis box. The injuries were com @und fractme both. nght forean[i, miolJelj]e of [orea],[mI!, b[@od gl!lsihi.ng Q)!ID.f WiiitJ4 bone prot.rudmg, sll1!1ple fracture left thIgh crushed between damaged parts f c

The markings were as follows :_ 0 ar.

Rapid approach to railway lines

Look right and left for any signs of trains

Call to signalman to control trains by signal or phone

Cross quickly to remaiEls of car

Spellk to patient (patient states he is badly hurt; and blood gushes from arm; he is veTiY frightened).

Note blood on right sleeve and torn sleeve.

For noting quickly

Quickly examine for fracture; note broken bone in wound

Do not elevate limb, but steady and support

And maintain support

Immediate digital pressure on bleeding point

And maintaining pressure

Ask signalman if he can help; and has he any first aid material •

(Signalman states that he cannot leave his box but he has some kit, which he passes out to the team.)

Inquire of driver if he has any other pain apart from his arm.

(Patient states his left leg hurts badly.)

Note the leg is caught between parts of car

Realizing possible damage detail member to support. ,

Note pale face and beads of sweat on forehead

If asked patient states he feels cold and shivery.

If examined skin over radial arteries marked " 95 "

If asked patient states he feels weak and rather giddy.

Cover patient with blankets as far as possible

Inquire if signalman or driver has any bicarbonate of soda

(Patient states he is a dyspeptic and carries a small tin of powder which he takes when his stomach feels bad.)

Ask him if it is bicarbonate of soda

(Patient states he does not know but prescription is in his pocket.)

Find prescription; note it is " soda bic."

Note also name and address of patient on , prescription •

Ask signalman if he can get a doctor quickly

(Signalman states he has already tried but one is not available immediately.)

.Ask if there is one on the train.

(Signalman states" No. It is a goods train ")

Prepare alkaline solution level dessertspoonful to pint of water. as much of solution as patient can take

(Alternatively, if bicarbonate of soda is not discovered, give water freely.)

For giving solution before limb is released.

Get signalman to telephone for ambulance as condition is urgent

(Signalman states ambulance will come.)

Ask signalman if any shelter available

(Signalman states none near; and as ambulance is coming he is sending on the train.)

Layout blankets ready for patient clear of railway lines.

Release the trapped leg, taking great care to steady it

Cal1efully lift patieFlt 0ut 0f <ca); aEld caHY to blankets.

For pressure on bleeding point al!ld steadymg lower limb.

Wrap patient in blankets and keep hUR covered as much as possible

Layout dressings on clean triangular bandage.

Carefully remove coat, sound side first •

Expose w0und and note no foreign bodies 0nly broken bone in wound

Substitute dressing and pad for thumb on bleeding lDoint and maintain pressure

Build up dressimgs and pads r0und l'lr0truding bone in wound and on skin round wound well above level of bone

Bandage firmly in position

Watch carefully for blood soaking through dressings

For care in handling dressings

For gentleness in handling injured part

Gently straighten the limb and lay it against chest.

Hand just touching opposite shoulder

Looped bandage round wrist and tied round neck

•

See that wrist is not constricted

Padding between limb and chest wlolere necessary

Bind firmly to chest by broad bandage

Check dressing again for any signs of blood soaking through . . . .

Replace coat and button over fractured limb

Examine area 0f crush in lower left limb

Find deformity and irregularity middle thigh

Note there is no wound

Note foot is everted feet with figure-of-eight bandage

Pad between limbs where necessary

Broad bandage round both knees

Bandage above and below fracture

Quick examinati0n for further injuries (No further injuries.)

For not raising lower limbs on account 0f fracture.

Inquire for hot water 1;>ottles. . .

(Signalman states he has ordinary bottles and hot water available in signal box.)

Fill and cover bottles and apply to side 0f body . . . . Ensure patient cannot be burned

Inquire if hot drinks available. . (Signalman states he can proviae hot tea.)

Administer frequently

Do not worry patient with too many questi0ns. ....

Ambulanee arrives; obtain stteteher, prepare and test

Correctly blanket, aFld piace h'ead of patient.

Lift by rolled blanket method and move over stretcloler.

Lower patient and wrap up correctly •

For special care in moving owing to lack of splints.

Carrying streteher to ambulance

Loading ambulance . . . .

Check injuries before departure

Send member of team with patient in ambulance •

Collect all first aid material and return it to signa1man

.Ask signalmaFl to lieleph0Ele message li0 hospital to say case on way

For conduct of case and allotting injuries to members of team

Total

In the Individual Tests, judged by Dr. William Duncan, of l:iverpool, Nos. 1 and 3 ' were told they were watching a boy in a Railway Garage removlllg a battery whe? he slipped. The acid in the battery splashed both legs and the battery Itself fell on hIS left big toe causing a fracture. . . ...

No.2 was in his home and k!ID.ew th,at hIS son was expenmentmg WIth a chemIstry set in ike baitM<DOoJ!Il. Hearing a aJS if someone hatd' falle:u-, the" father" investigated and found his son lying on the floGr in a state of stupor; a smell of eggs

N@. 4 had to dearu with a case of a ifuoy who had become ]mpaled on a sp[ked railmg, the spike having penetrated the floor of the mouth and the roof of the mouth. first aid equipment was available but the boy was wearIng a scarf and a bystander (If asked) had two clean handkerchiefs. 241 _

The Viva Voce Tests, judged by Dr. W. L. M. Bigby, of Southampton, were :-

1 It vVhat are the Functions of the Body? "

2: "Describe the signs and symptoms and the treatment of a case of Phosphorus Poisoning." h f th

3. "Describe in detail the treatment of a patient suffenng from a severe crus 0 e right thigh." . f l' t d

4. "Describe in detail the treatment of a patient who is su.ffenng rom a comp lca"e fracture of the lower right ribs, with injury to the nght lung and the hver.

ANALYSIS OF MARKS GAINED.

IBearers

I. Horsham

2. Swindon3. Crewe Works B

4. Wolverton Works

5. March A

6. Waterloo No. I

7. Melton Constable

8. Nottingham Victoria

9. Cardiff Docks

Maximum marks

INTER-RAILWAY

COMPETITION. Left: Horsham, winners of the Shield. Right: Swimdon tealil9. at work.

LONG AND FAITHFUL SERVICE mittees of the Order and is a member of Mr. S. W. Malkin has intimated that Chapter-General. This is definitely a case of outstanding service in the cause of he is about to retire from the Hon humanity which is much applauded. Secretaryship of the North Staffordshire Centre of the St. John Ambulance Mr. E. 'Lakin, of Tipton, Staffs, has Association He first took over that office also a good record tin first aid cirdes. in 1884 and in all the long years which He took his certificate in 1897 and now followed he carried out his duties holds the med!aUion am.d 37 Bars Q;(tliler assiduously and efficienUy, cornbiniFlg awards. He joimed rtme St. JohFl Ambuthem over much of the time with his lance Blrigadle im 1912 aiil!d has comt[!ili1!lled duties in charge of the No.5 District of since that date ' and now holds the rank the Brigade. He has served on Com- of Corps Superintendent.

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GENERAL INTEREST

OPEN AMBULANCE COMPETITIONS

Entries are invited for First Aid competitions to be held in connection with the Bedwellty Agricultural Society's Show at Blackwood, Monmouthshire, on Monday, September 1. The programme includes contests for teams of four men and four women, competitors being in possession of senior First Aid Certificates of a recognized Society, and a First 'Aid in Mines competition for teams of four men. Monetary prizes are awarded to the first and second teams in each event and a special award-the Bedwellty Agricultural Society Challenge Shieldwill be presented to the best Ambulance team. Fuller details can be obtained from the Secretary, Mr. \¥. T. Davies, Post Office Chambers, Pontllanfraith, lIIon.

CENTRE REPORTS

CARMARTHENSHIRE

The Llanelly Corps attended All Saints' Church, Llanelly on Sunday, June 22, when a service of re-dedication to the work of the Brigade was held. Commissioner D. Cecil Williams hopes to make this an annual event. By the generous co-operation of the Vicar, a special order of service was arranged for the celebration of the Feast of St. John, at the same time meeting the particular needs of Brigade worship.

, It was a unique occasion inasmuch as the Brigade Colours were carried with due ceremonial for the first time; and after the service His Worship the Mayor of Llanelly, with the Deputy Mayor in attendance, inspected the parade, subsequently asking the Commissioner to convey to all present his extreme pleasure orr the nu mbeFs on parade and the smartness and bearing of all, especially od' the very large contingent of cadets.

GLAMORGANSHIRE

kindly lent by the M.C.D. Secretary, whose articles are a regular feature of this journal.

MONMOUTHSHIRE

Bedwellty County Area -Ambulance, Nursing, and Cadet Divisions in' the Ishvyn Corps, which has a combined strength of 456, presented a fine spedacle in the Bedwellty Park, Tredegar, on May 31 , when they were inspectecl. by Assistant Commissioner for Wales, Sir Leonard Twiston-Davies. Sir Leonard was accompanied by Lady TwistonDavies, J.P. (Chief Ofiicer Nursing Cadets, \iVales), Dr. Gwyn Rocyn J ones (Commissioner for Monmouthshire) , Assistant Commissioner Walter Price, County Officer J. H. vVilliams, Corps Supt. J. Wilcox, Councillors \ ¥. M. Clarke, A. Baines, and A. Tillings. A welcome visitor was Mr. A. Bear, President of the Mayfield (Lysaghts) Ambulance Divisicm, New South \¥ales, Australia, on a visit to this country, who kindly associated himself with Brigade activities whilst resident in Newport. The salute was taken by Sir Leonard, the parade marching smartly past under the respective officers h eaded by the Tredegar Town Band. Divisions from the lower part of the valley were entertained to refreshments by the combined Tredegar Divisions. Another event likely to prove of benefit to Bedwellty County Area and Tredegar in particular was the Nursing Exhibition-the last of the series arrangecl. in South \ ¥ales by the CentralOffiGe of Information on behalf of the Minis;try of Labour and National Service. St. J ohn activities were assured of dye n otice as Lady Div Secretary Miss E. Kinsey (Tredegar Nursing Division) was appointed local Secretary of the Exhibition Demonstrations weFe given at differemt times during the course of the Exhi1Dition by parties ot ambulam.ce and nursing members as well as cadets. Lady County Officer Mrs M. Hughes and Lady Corps

Supt. Mrs N. Phillips were in charge

Lady Corps Ofiicer Mrs. L. Dale was each day and many inquiries were reGeived responsible for a " St John" stand at a for details of Brigade enrolment, a strong Nursing Recruitment Exhibition arranged appeal having been made by :Dr. David at Pontypridd from May 28 to 31, at Rocyn Jones (Director of Ambulance), which aU aspects od' Brigade work were and Dc Gwyn RQcyn J ones (Commissioner demonstrated. With the co-operation of ':tor McmmouthshiJ;e). Already a Frornising Lady § !M!]Dit. M. if[j)oibbs aw<!il Lady devd@pment <!;a.n be lFepoFted, Miss P Cadet Supt. Mrs. G. Stearn, a realistic Hurd, M.P.S., a visitoF to the St. Jofii!iJ. disp[ay of first aid treatment was g[veN. Stand, having called together a numbetr

A most attractive exhibit on t he stand of girls who have now decicl.ed to form a was the model Medical Coniltorts Depot, Cadet Nursing Division at New Tredegar. 245

Corps Inspection at Abergavenny.-The Annual Inspection of the SQuth Wales Border Corps was held on June 7 in the Bailey Park, Abergavenny '(by permission of the Abergavenny Borough Council), where 353 members were on parade under the command of Corps Supt. R. G. The Inspecting Officers were Captain Sir Leonard Twiston-Davies (Assistant Commissioner for Wales), and Lady Twiston-Davies (Chief Officer Nursing Cadets, Wales), who were supported by County Commissioner Dr. Gwyn Jones, County Surgeon Colonel J Powell Jenkins, Asst. Commissioner John Gibbs, County Area Surgeon G. W. Parry, County Officer H. ]. Lewis, Lady Cmmty Officer V. Simpson, Mr. A. E. K. Cull, Hon. Divisional President, and County Cadet Officer T. Plummer. The Mayor and Members of the Council the Inspecting OffiGers, with theIr County Staff, at the main gates of the Park. After the inspection Sir Leonard Twiston-Davies presented Service Medals and Bars to of the Corps, warraJ?-ts of appollltment being presented by SIr Leonard and Lady TwistonDavies. On behalf of the Corps, CoriJPs Surgeon A. P. Brown proposed a vote of thanks to the Inspecting and vi.siting Officers, also the Mayor and Council of their cordial help and assIstance m making the parade possible. The parade was re-formed by the Marshall, Corps Cadet Officer Terence Donovan, for the March Past, the Salute

being taken by the Inspecting Officers. The proces;sion, with the Divisional Bands, i.e. Abergavenny Cadet (Drum and Bugle), Beaufort Cadet (Drum and Bugle), and Ebbw Vale Cadet (Drum and Fife), continued the March through the main streets of Abergavenny and returned to the Civic Restaurant, where the members and visitors were entertained to refreshments.

ABERDARE

All ranks of the Brigade in Aberdare deeply deplored the sudden death of Dr. Gwilym Pierce, who served the Brigade with outstanding loyalty and enthusiasm since 1928 when he was Di?isional at Penrhiwceiber, belllg promoted to County Surgeon in and Commissioner in 1945. During hIS short tenure of office as Commissioner Dr. Pierce had done much to stabilize work and was responsible for special lectures dealing with FIrst AId as applied to mining which had attended by large numbers of the mllllllg community. Dr. Pierce served as an ex-officio member on the Ambulance CC!lmmittee Qlf the Priory and was a member of the First Aid in Mines SubCGmmittee; and his devoted services to the Order on the point of being further recogmzed by promotion to the grade of Commander (Brother). ArraJ?-gements pending for the annual mspectlOn made the immediate appointment of a successor desirable; and it was

Ambtllance

to the Llandilo Am

246

fortunate that Mr. Emrys James, an Assistant Commissioner with 32 years' efficient Brigade Service to his credit, was ready to fill the vacancy. The warrant of appointment was presented to Mr. James at the Annual Inspection of the Cynon Valley Corps at Duffryn, Mountain Ash, on June 19, when Dr. Howel B. Pierce, who has held Brigade Office since 1929, was appointed Assistant Commissioner and Mrs. Phyllis H. Roderick received her warrant of appointment as Lady County Cadet Officer. The Inspection was conducted by Sir Michael Duff, Bt., Chief Officer Ambulance Cadets Wales, and Commissioner for Caernarvonshire, who was accompanied by the Hon. John H. Bruce, Principal Secretary and Commissioner for '.Vales.

CITY OF CARDIFF

First Aid Duties at Cardiff Fete.-Ambulance and Nursing members of the Cardiff and District Corps dealt with 70 cases at the Conservative Fete held in the Cardiff Castle grounds on May 17. In addition to the first aid treatments, members on duty in the First Aid tent were kept closely occupied with- the care of lost children who were brought to the tent from time to time, 60 being restored to their parents in the dense crowd by means of the announcement of names through the loudspeakers.

Civic Reception.-The Lord Mayor of Cardiff (Alderman George J. Ferguson), who is ex-offi cio president of the City of Cardiff Centre of the Priory for '.Vales, . and the Lady Mayoress (Mrs. Ferguson) received officers and members of the Brigade at a social evening at the City Hall, Cardiff, on May 23. This was the first occasion on which the services of the Brigade workers have been marked so

signally by a CIVIC ceremony. Officers present included Commissioner Capt. C. G. Traherne, the Centre Chairman, Alderman G. F. Evans, the Honorary Centre Secretary, Mr. B. E. Brown, Assistant Commissieners Capt. F. P. Robathan and B. E. Maberly, Dr. Edgar Lleweli.yn and Mrs. Llewellyn, Assistant Surgeon-inChief for Wales and Centre Vice-Presi.dent respectively, and Lady County Supt. Miss G. Richards.

BOROUGH OF NEWPORT

A "Welcome Home" dinner held at the Westgate Hotel was presided over by Mr. W. J. T. Collins, the President, who said he was sure it was areal joy to the members of the Brigade "Eo be reunited. Mr. W. Baines, in proposing "The Newport (Mon.) Corps ", told members that during the war the Newport Centre had played their part and the Brigade had done their work in Newport well. He spoke of the splendid work done by the youth organization of the corps, which now included 130 boys and girls. It was recognized in Newport that Brigade me-mbers would be on duty to rencler aid wherever there were crowds In response, Acting Corps Supt. A. r. Cresswell said the Newport Corps had 30 members serving with the Fe>rces. Mr. Wilmott proposed "The Visitors", and thanked them for their interest in the Newport Corps. Mr. Basson responded. "Absent Friends" were toasted by Assistant Commissioner J . Rowlands. Mr. Hallett, Corps Treasurer, thanked the artists, Mr. Wall and Mr. Stephens. Th.ere were 67 members pFeSe'lllt. The Social Committee responsible for the arrangements had as Chairman Mr. A. I. Cresswell and Secretary, Mr. T. A. Griffiths.

ST. JO'HN COUNCILS IN THE COUNTIES

KENT The inaugm;al meeting was held at Maidstone on May 29, when Lord Cornwallis (Lord-Lieutenant) presided, supp0rted by Sir R ©loeFt Gower (Chairman), County C€>mrnissioner Day, and. Q)the:fs. The President welcomed Brigadier W. B. G. Barne (Secretary-General of the Order), who addressed the meeting on the activities of Councils and the reasons why .they were instituted. Many questions were asked by members, and the PreSIdent expressed the opinion that a useful discussion held. He a meeting between himself and the County Co.mmIssIOner, that dIscussIOns could be held on the lines on which the Councl1 could functIOn

HAMPSHIRE At the quarterly meeting of the Hampshire Council, Brigadier F. B. H1J.rndall gave particulaFs ©:fi the Conference of Chairmen 1reIDd at St. JObill'S Gate, and it was dedded .that the !post of Hon. and Hospitaller should be combined Sir Maunce .Hallett agreed to act In thIS capacity. A General Purpm;es and Fmance Commlttee was set 'hlp, also a Committee for Propaganda and First Aid Encouragement.

247

BIRTHDAY HONOURS U$T

The following members of the Order, the Association, and the Brigade were honoured by His Majesty the King:-

Baron.-Sir Arthl,u- Fred@rick Richards, G.C.M.G.

P.C.-The Hon. Sir God.fr@y Martin Huggins, C.H., KC.M.G., F.R.CoS. Knighthood. Thomas William Meagher, M.B.; Colonel George Reid McRobert, C.I.E.

G.C.B.-Admiral Sir Algernon Usborne Willis, KC.B., KB.E., D.S.O.

ViGe-Admirral Henry

St. Clair Colson, C.B., C.B.E., M.B., B.S., D.P.H.

C.B.-Major-General ,¥illiam Foot, M.C., M.B., KH P.

G.C.M.G.-The Hon. Sir James Mitchell, K.C.M.G.

C.I.E.-Arthur George Hall, M.B.E.; Colonel Lloyd Kirkwood Ledger, O.B.E., M.R.C.S., D.O.

G.B.E.-Lieut.-Colonel Sir J ohm RQlDert Chancellor, G.C.M.G., G.C.V.O., D.S.O.

Commander Edward William Bingham, M. B.; Stanley Embleton; Reginald Ernest Franklin; Mrs. Olive Sibella ; Mrs. Prentice, M.B.E., A.R. R. C.

M.B.E.-Henry Thomas Ferrier; Viscountess Suirdale; Miss F. M. Tutte ; Mrs. L. Seeley; Krishnalal Vithaldas Adalja, M.B., B.S.; Mrs. E. Attfield; Miss A. M. Keyser, A.R.R.C.; LaurestonHawley\¥harton,M.R.C.S., L.R.C.P.; Edward James Rose; Lady Hall; Mrs. C. Thomson; J. E. McKee; Mrs. D. Elphith; Miss C. J. Ensor; Miss V. M. Leather; Miss Cedly Campbell

No.4 REGIONAL COMPETITIONS

These were held at Ipswich when the County Representatives competed tI:e hOTho1!1r of representing the ReglOn In the first post-war National of th.e Brigade. Ambulance and NurSlllg teams were represented, and some excellent work was witnessed by a large gathering.

County Commissioner Lord Cranbrook (Suffolk) presided at . the presentation of results, being supported by the Mayor of Ipswich, County Commissioners H. Langley Jones (Hertfordshire), Dr. K. S. Maurice Smith (Cambridgeshire), and Col. Hamilton (Essex). Also present were County Officers of all counties. The results were :-

Ambulance -1st, March (Cambridgeshire); 2nd, Deford Town (Bedfordshire); 3rd, Letchworth (Hertfordshire) ; 4th, Felixstowe (Suffolk).

NU1 sing.- 1st, Luton Town No. (Bedfordshire); 2nd, Welwyn Garden City (Hertfordshire) ; 3rd, Chelmsford (Essex); 4th, 1st Ipswich Air Duties (Suffolk).

The Mayor presented the awards whilst County Commissioner Langley Jones proposed a vote of thanks which was seconded by County Supt. Mrs. Smellie (Essex).

W ANTED, by member of Staff at St. John's Gate: fiat, house, or unfurnished apartments for family of three. London or near. Full particulars should be :fiorwarded to the Editm, St. John 's Gate, London, iJE.C. 1.

REQUIRED for a sIllall country house, 20 Illiles froIll London, a Illarried couple, gardener-handYIllan and working housekeeper. Help given; own flat provided with hathroOIll. Wages by arrangeIllent. Good references essential.-Full particulars to The Editor, St. John Gazette, St. John's Gate, London, E.C I.

ANNUAL CONFERENCE AND DINN!:R. OF SURGEONS

The Surgeon-in-Chief has received many requests that th.e annual Conference and Dinn@r be held this year; and thterefore arrangements hav€ been made for both. these functions to be held on Saturday and Sunday, September 27 and 28, at the Bonnington Hotel, London.

District/County/Area Surgeons are asked to advise all Surgeons, including those on the Executive Staff, of these arrangements, and forward to the Surgeon-in-Chief, as early as pessible, the approximate number of Surgeons who will attend (1) th€ full course, and (2) those who will attend Saturday only, including the dinner and dance.

It is anticipated that the cost for the full week-end, indmCi1i1il!g Ccmterence, iIDii'ill[i1er, Dance, accommodation, and all meals will ·R@t exceed $Os.; and for the Saturday Conference, Dinner and Dance, 25s. Ladies will. be at the Dinner and Dance. (

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is a aemifiuid ointment, more canvement th.an the erdinary An>tipeol ointment fer ocular Ulfectiocl and lesions. Eyes affected by smoke and dust are soothed almost immediatelf by the application of Ophthalmo-Antipeol! and the antlVJrus pr-events germs from developmg.

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INTERESTIN G CASE REPORTS

CASE REl"ORT No. 325.-The Officer-in-Charge of Northern Area, No. I (Prince of Wales's) :District, S.lA.B., reports perform,:"nce of first aid by a member of the No. 16 (Hampstead) Nursmg (who IS at present attached to the Cheltenham Nursing Division and hvmg m a hotel m that town) irJ. the following circumstances :_

At 9 30 a.m. on March 14, Ambulance Sister Kathleen WIllIams was told that an old man in the hotel was in bed unconscious, and that he had the gas turned on in his room. She at once hurried to the room, turned off the gas and, with the help of two maids, hauled the patient on to the landing, where she immediately commenced artificial While thus engaged, she sent one maid to summon a doctor and the ambulance with Novox apparatus and instructed the other maid t@ 0pen aU the windows. When after some delay the doctor arrived, he examined the patient, said that the pulse was absent, and gave him an injection. Then, as there was further delay in obtaining an ambulance, Aj S Williams continued artificial respiration, with which she pers,evered in all for thirty minutes. As the condition of the patient had imp.ro:red com;iderably by the time the ambulance arrived, the doctor ordered hIS Immediate removal to hospital, A j 'S Williams accompanying him. He returned to the hotel four days later and, after a further period of one week in bed, fully recover€cl.

An amusing sidelight on the case is that the patient after recovery complained that the landing outside his bedroom had not been dusted before he was placed on it, amd that in his pyjamas were filthy!

COMMEN T.-Asphyxia is one of the conditions in which fir st ai ders can (and often do) save lives. A mbulanc.e Sister Kathleen Williams, therefo re, is cordi ally congratulated on the skill and persever.ance with which she successfully applied artifici al respiration, and so saved the life of a dying patient.-N. CORBET FLETCHER

CASE REPORT No. 326.-The Officer-in-Charge of the County of Lincoln, S·lA.B., reports the efficient performance of first aid by a member of the Stamford Nursing Division in the following circumstances :_

Ol'l Friday, March 28, Ambulance Sister A. Worrall was motoring home from Corby, Northants, when on a lonely stretch of the road she came across an accident at 10.30 p.m., the night being very foggy and bitterly cold. A motor-cycle was in the middle of the road, and near by a man was lying unconscious with severe head injuries and profuse hcemorrhage from scalp wounds, Aj S Worrall promptly treated the patient (whom she diagnosed as suffering from severe shock and fractured base of skull), by controlling hcemorrhage, by dressing the wounds with improvised dressings, and by wrapping him in her car rug.

When Aj S Worrall had made this patient as comfortable as was possible, she heard groans coming from somewillere in the area, and with the aid of her fog lamp she discovered a secCimd man witilnt his thnnlgh S0me :railiIO]gs, and with his legs under the railings. This man was bleeding profusely from scalp wounds. By this time a had arrived, apd was sent to telephone for doctor, ambulance, and polIce, and a young lady with first aid experience also arrived at the scene of the accident. With heL' help, AjS Worrall attended to this man, dressing his head wt;>unds and stopping the hcemorrhage. Then, them, they managed to get patient away from the railings, and so found SIgns of fractures of right humerus and right patella. This patient was conscious, but presented signs of fractured base of skull, and also of severe shock with vomiting. While waiting for the ambulance, AjS Worrall and iIl@r asSIstant controlled the fliactulies with mat€rid, and treated patient for shock. ,

The doctor and ambulance arrived at I I.30 p.m., and after examination of both patients, the doctor complimented AjS Worrall and her assistant on what 250

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Charms against Pain

In anoient Greece, when a particularly effective remedy was discovered for any disease, its formwa was engraved on th€l 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 in the a.bsence of efficient analgesics, employed soothing cnarms for the relief of pain a.nd magic 80ngs to increase their €lifects.

Olitl' medical science of to-day, with its X -rays and its anaesthetics, have appeared quite incredible to those early practitioners, whose experIments and progress were based largely on guesswork. To-day progress is based on knowledge, and one discovery leads to another.

Take' Cogene ' for instance.

Modern science has shown that a small quantity of a powerful drug will do the' work of a large dose if it is backed ?y the right cGlmbin ati®D! of @theF cirugs -111 the right preportions.

lIil ' C0gene minlilte four separate drugs (three of them rehevers

and thef@urlhastimulant)arescientfiicall! combined. in tabiet form. Because eaeh IS present in such a small amount there. can. be noharmfulafter-effects, yet thecombmatIQn is so effective that' Cogen e ' will the most harassing nerve pain in a few

Ask your chemist for it. Supplies are still limited, but h€l will .do his best to S€l6 you get your share. PrlCe l / ltd. a tube.

COGENE

they had done, and ordered the immediate removal of the patients to hospital.

A/S Worrall e:rentually reached her home nine miles away at 2.30 a.m. Saturday mornmg. -'"

COMMENT.-This report speaks fo'Y itself; and all that remains to be done is Jp tender cordial congrq,tulations to A mbulance Sister A. Worrall and her assistant on good work well done in difficult circumstances.-N. C. F.

QUESTIONS AND ANSWERS

Causes of Epilepsy and Coma

N. T. (Hackney).-The Textbook, on p. 160, tells us that Epilepsy is a condition associated with sudden loss of consciousness and, on p. 154, that in coma the patient is c©mpletely uncom;cioilfls. Please tell me, therefore, if a patient in an epileptiG fit is to be regarded as being in a state of coma.

The conditions are totally difje'Yent, and resemble each other only in the fact that each is accompanied by complete loss of consciousness. Coma is usually seconda'YY to some othe'Y cause (e.g. apoplexy, high fever, diabetes, kidney disease, narcotic poisons, etc .) ; it is more or less gradual in onset; it may last fo'Y hours; and it often ends in death. On the othe1' hand, epilepsy is the term applied to a nervous disorder characterized by disturbances of the functions of the b'Yain and by complete loss of consciousness " it is always sudden in onset; its duration is measured in minutes; and of itself it is rarely, if ever, fatal.-N. C. F.

Danger af Hernia

M. U. (Plaistow) .-Recently we discussed the treatment of hernia, and as we could not agree ,what is the outstanding danger with this condition, we decided to submit the point to your kind ruling.

The danger of a hernia is that the protruding bowel may be constricted by the abdominal muscles, and result in obstruction to the circulation (with subsequent strangulation) of the bowel. To guard against this complication the Textbook tells us (I) to keep patient recu111,bent with knees bent and head and shoulders raised to relax the abdominal muscles, and (2) to apply a cold cDmpress to the swelling with the oOJ'eet of limiting the locaZ supply of blood.-N. C. F. '

Treatment of Fractured Leg

P. M. (Finchley) .-Some friends and I have heen discussing the treatment of a fractured leg when we are and we are divided in opinion as t? we should use five or SIX bandages. The majority consider that the mstruchons on p. 92 of the Textbook tell us to use five bandages. In view of this disagreement, we decided to put our problem to you and to ask for your ruling.

If you re-read the instructions on p. 92 of the Textbook, you will realize that six bandages are to be used when tlve first aider is single-handed, and has to treat a patient for a fracture of the leg. The extra b(j/,11,dage tS used to t'b8 the patient's feet and ankles together at the outset oj treatme11;t, and when this has 1;;een applied, the instructionsl on p. 92 of Textbook teU you to (( pass the (five) bandages round both legs in the order shown in Fig. 51 ".-N. C. F. r

Compression of Brain and Apoplexy

M. (Finchley) .-Recently we have been discussing compression of the bram and apoplexy, and we wondered how far the former condition resembles the latter. As we could not agree, we decided to refer this problem also to you and we thank you in advance. '

I Except in mode of causatir;Jn the :esemblance betw.een c@mpwessi@n @j tihie 'br,(f{;in and apoplexy complete. Both condttwns result from the bursting of a blQod vessel' both cause a rtse of pressure within the skull; both produce the same signs and 252

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Leading dermatologists in their published works pay high tribute to the effectiveness of Wright's Liquor Carbonis tOAL l: Detergens. 0'

IDEAL FOR TOILET & NURSERY

My:algia, with accompanying stiffness m the muscles, is a distressing symptom familiar to the experi enced nurse. Often of rheumatic origin, it also arises from strain, postural cramp and extreme cold, requiring for its relief, warmth, rest and an appropriate anodyne.

'ANAD IN,' an accepted analgesic, free from opiates and barbiturates, is particularly effective in relieving myalgia of ' rhelltmatic origin.

Two or three tablets can be relied upon as an initial dose, followed by two tablets at four-hourly intervals.

symptoms,' and in fir st aid both call for the same treatment. I n compression, however, accident (in apoplexy, diseas e) is the cause of the ruptured vessel - N C. F.

Crushed Hand with Hremorrhage

J. P. (Hounslow) .-1 would be grateful if you could the m embers of our Division with solutions to two queries of which the first IS as follows :-

For a case of crushed hand, with severe hcemorrhage from the palm, the Supplement to the Textbook appears to make no provision for maintainin.g indirect pressure while the wound is being examined and treated. What IS the correct treatment in such a case ?

Experience has shown that in the past there have been many. instances .of misuse of the tourniquet which have resulted in the condition of pahent becom'tng worse It has also been found that with fe w exceptions the dressmg, 1!a.d, and bandage w1,ll control any variety of hcemorrhage. For these reasons the Rev'tswn Comm'tttee would seem to have decided to limit the cases for which a to'f;wniquet is to be applied.

In the case which you quote y@u could, in my opinion, apply the dressing, pad, and bandage as quickly as you could obtain or improvise a tourniquet. I n brief, the new treatment as set out in the Supptemen t aims at speed combined with efficiency in the treatment of wounds and h cemorrhage.-N . C. F.

Fractured Leg without Splints

J. P. (Hounslow).-Next, the Supplement to the Textbook stipulates that, when splinting facilities are not available, a fractured lower limb must be bandaged above and below the fracture. This is contrary to the instructions at foot of p. 92 of the Textbook. Is it the intention that such bandages shall be applied only in cases where there is padding between the legs ?

You will note that the Textbook makes no specific reference to the absence of splints in the treatment of fractured thigh, and the possibility is that the instructions at the bottom of p. 92 were intended to cover the treatment of fractures of thigh and leg. Obviously, then, these instructions are incomplete, and the Supplement to the T extbook corrects this by telling you to bandage above and below the fracture, in addition to placing bandage round feet and ankles and knees. Further, it is quite clear that this treatment is to be followed even where there is no padding available for application between the legs of the patient.-N. C. F.

OBITUARY

We regret to announce the death of the following :-

Dr. Lucy Simpson Davies.- For fourteen years Dr. Lucy Simpson Davies rendered service to the Brigade in the City and County of Leicester, especially with the Arthur Faire Nursing and Cadet Divisions During the past war she was Medical Officer for St. Philip's First Aid Post; and her services to the first aid movement was recognized this year by the Order admitting her as an Officer (Sister).

Dr Henry Dundas McCall.-Dr. McCall enrolled in the Worthing Division in May, 1928, less than six months after its formation, and in a few months was

appointed to Superintendent, which post he held until appointed Divisional Surgeon in September, 1933. He continued in that position until his death. H e was Admitted to the Order in July, 1944 ; and he served in the R.A.M.C. during the two 'forld wars.

Captain R C Dickinson.-Captain Dickinson's death occurred in rather tragiC circumstances on April 22. After rendering assistance to a woman whQ had fainted in the business premises at which he was employed, he suddenly collapsed and 'died on the spot. He was nearly 70 years of age and had given long service to the Order in Southern Africa, the Association and the Brigade, latterly with the Non-European Sections.

NOTICE TO READERS

THE ST JOHN GAZETTE is published on the 15th of each month The Annual Subscription is 5s. post free; single copies 4d., by post Sd. REPORTS AND PHOTOGRAPHS should be addressed to The Editor St. John's Gate London, E.C.I, and should r ea ch him not later than the 28th of the SUBSCRIPTIONS and ADVERTISEMENTS should be forwarded to British Periodicals, Ltd , 46-47, Chancery Lane, London, W.C.2. 254

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A dvertisements with remittance should be sent La the St. J ohn Gazette, 46-47 Chancery L ane, L ondon, W.C .2 Cto which address replies to Box Nun:-bers should be forwarded). Rate 3d per word , mlmmum 4S €J d B ox numbers IS. Trade advertisements 4d per word, minimum 6s.

F OR SALE.-St. John Gazette. Sept. 1939 to Sept. 1946. F ew missing. Offers.-MASON,67 H alsbury Road East, Northolt Park, Greenford, M iddlesex.

A GREAT M O N EY RA ISER for all Efforts: our " Mile of Pennies" or " F oot of Pennies 11 Cards. Also Mending Compacts, and Diary Calendars, all beautifully pn nted your own wording. N othing like them for successful results. Samples 3d.-PERCY E AnDY, LTD., Grattan Press, Bradford (only address).

WANT ED.-Officer's Black Costume; no coupons; 36 bust 38 hips, or nearHART Blue Stile, Royston, H erts.

F OR SALE - No coupons, Ambulance Sisters Greatcoats ; various sizes; what offers.H ART, Blue Stile, Royston, Herts. T el 2100.

FO R SALE - Brigade Greatcoat aml St@rm Cap (medium size); 2 dresses; 2 aprons; £ 2.-Apply, K EEN, 4 Shlrley Church Road, Croydon, Surrey.

N o COUPONS - Small Ladies' Ambulance Officer's Greatcoat, hat, shirt 13t (only once worn), 3 belts, 2 collars, cuffs ; £5 ICDS.S. J., 71, c/ o Publish ers

RAISE FUNDS Q UICKLY AN D EASILY by selling Perfumed Cards and Sachets printed with your own wording Samples free to secretaries - THE AIRBDALB PRBSS Bradford. Yorks

250 CONCERT T IC KETS 7s 6d , 1,000 25s. M emos., Rubber Stamps, Fund Raisers Samples free.- " J " TICES, I I Oaklands Grove, L ondon, W. 12.

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FOR SALE.-Greatcoat, 34 in bust; length 48 in Han 7, 2 stiff €oHars I4! in., dress, et€. £'/>TEAGLE, 54 M arshfield Road, Chippenham, Wilts.

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Permit or official headed paper must accompany every order.

SJ.A. REGULATION COAT

Cut and tailored from fully shrunk and showerproofed material. half lined with grey Italian cloth. An official order for H.Q. to supply us with badges and buttons must be sent with every order. Stock sizes only.

Women's Sizes, £5/0/0; 0.5., £.5/14/6.

STOCK SIZES--Women's I

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

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

Bust: 32, 38, 39, 40, 40, 40.

Lgth. : 46, 48, 48, 44, 46, 48.

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

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: 6!, 6f, 61, 6·h 7, 71, 7!, 71. Storm Cap 17/11. BQX and postage 1{4.

REGULATION DRESS for Officers and Ambulance Sisters. Made from good quality Sanforized-Shrunk washing material. Bodice unlined.

W0men's. 29/6; 0.5.. 31/6.

REGULATION BLOUSES far Offieers and Ambulance Sisters. In Ivory Tricoline. 25/- (4 coupons). extra collar, 3/4t (1 coupon). Sizes: 13t, 14. 14! ins. 0.S.,2€J!-. (Civilian coupons must be surrendered for blouses.)

S.J.A. REGULATION APRONS for Ambulance Sisters. Made from hardwearing linen-finished apron cl0th. Priee includes cross.

Waists U), 28, 30 ins.

Waists 32. 34. 36. 38 Ins.

All In lengths 26, 28, 30, 32 Ins.

• 8/11 9/11

REGULATION CAP for Ambulance Sisters, 27 by 18 Ins. or 28 by 19 Ins. 3/3

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