tf'mprrat/lrf' and all too IrrrJ."ently precipitate a sudden rhill. Tr ith prompt mrdirlltion the sel'e rit,Y of th e ch ill cnn oJtcn be m iti',!(I/n,l.
'Anadin' Tabl ets ron/ninin" a pi rin ph enacetin, caffeine and quinin!'. prol'icle a :;nJe Gnd rap i d treatment Jor the condition.
Tu.'O or thr ee tnbi ets sh ould he ta/;rn at thl' on of mptorTI s followed by one tabl et hOllr! ' for the n ert four hours.
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one or other or all of the three races of germs Streptococci, Staphylococci and B.pyocyaneus found in every skin infection co=on to this country , and ANTIPEOL OINTMENT contains the antibodies (an ti virus) of these germs. Healing is expedited by the proved ingredients of the ointment, and septic developmen t is stopped or prevented by its antivirus sterile vaccine filtrates. ANTIPEOL OINTMENT is unsurpassed for BURNS and SCALDS, for it is microbicide and non-adhesive, and dressings do not require to be <:;hanged every dar.
RHI NO-ANTIPEOL
affords rapid relief of COMMON COLDS AND CATARRH. Containing the antlbodies of the germs common to infections of the nose and pharynx (Staphylococci streppneumococci, pneumo- ba<:illi, B.PfeifIer), Rhino-Antlpeol IS not Just a palliatIve, but is a of the During epidemICS It IS the Ideal preventIve of microbic development.
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R ep l a c es Bandag es and Plastics
"P ORTEX " PLASTIC SKIN was originated for use a s a dres sing after blood transfusion . Later, surgeons discovered its special qualities made it an ideal preoperative surgical barrier. To-day it is superseding bandages and plasters as a dressing for cuts, abrasions, and small burns. Not only is it neat, flexible, waterproof,
transparent, and self- sealing, but because of i t s high p heno l content it als o greatly acce lerates healing " Portex" P la stic Skin i s now avail abl e thr ough ali ch emists. In t ub es, p rice I S. 8d. , including t ax, and in larger siz e bottl es In case of difficulty, write dir ect to the p r oprietors, giving th e name of your pharmaceutical suppli er s.
FORMULA
Ph enyl Salicylate 10 %, Resorcinol '5 %, EUJ!enol '25 % , Chloroform 10% in a base of poly-methyl methacrylate and solvents.
«U' Cllllh:ial A JJ onrrcal of tU. Q1ranb JriarJ! in V tlJ. it.alm of fLue lJ' £1t£rahlt Ollrbtr of tue 'josp-ualof Joun of Jerusalem &lieu"" GBORGB B CRAFT, O.St.:1 , P.R.S.A
VOL. 20. No. 3. THE MONTHS AHEAD M AR CH, 1947.
EDITORIAL
At th e ti me of writ ing th ese n ot es t he co untry is in th e thro es of t he co ld es t spe ll w h ich h as cause d such h old-ups as never befor e exp erienced . Th e h eating and lighting r estricti ons hav e acc o mpli sh e d someth ing w hi ch even Hitl er in his w orst period co uld not do- and that is th e h o lding up of pr o duction of th e Gaze tte. During the war ye ar s w e may hav e exper ience d s l ight d elay s , but we never exp erienced a c omplete shut -down as has b een r ecently thru st upon us
H owe v er, th ese obstacle s are ones which we must ove rc ome if w e are to co ntinue to take our p lace, an d o ur r ightful place , in th e wo rld at large.
So it i s with our own particula r activit ies We have at tim es exp erienced diffi culties in covering duties; we h ave bee n hard presse d to carry out all the duti es exp e cted of u s ; we h ave sometime s t h ought that things would never go right But in the end we have m a n age d t o s cramble through.
To obviat e any s u ch diffi culties , it is v ery n e cessary to plan in advance "Wh ether t he activities a r e nation a l or ju st loc a l, the same principle is involved; and it is t herefore th e duti es of all Officers-in - Charge to make arrangements now f or th e mont hs a h ead .
In th e matt er of a few wee ks East er will be with us , and the commencement of s u mmer-t ime acti v itie s . Hav e y o u pr epare d y our rota for the roadside firs t a id hut ? H ave yo u ov erhaule d yo ur e quipm ent at your Seaside First Ai d Hut? H ave yo u a s c ertaine d wh eth er y our members can assist the staff of th e l oc al ho spita l durin g their lea ve p eriod?
T h es e , and many oth er such items, should be put in hand at once. To de l ay m ea ns chaos; but s y stematic organization means smooth running .
VISCOUNTESS MOUNTBATTEN
As has already been announced, Viscountess Mountbatten of Burma will continue to be Superintendent-in-Chief of the Nursing Corps and Divisions of the Brigade AtHome during her absence abroad whilst her husband is Vic eroy of India. Her D eputy, Lady Dunbar-Nasmith, will act for her.
We take this opportunity of expr e ssing on behalf of all members of the B r igad e our very best wishes to Lord and Lady Mountbatten on the task whic h l ies ahead of them. They will be missed from this country, but their presence in India may do much to bring about peace ful settlement of the question in hand .
<iranll leriarIl in tIre :ltcalm of @rb"er of tIre 'lltas}1ital of JIaIrn of ]eruzalent
His Majesty the King has been graciously pleased to the Promotio ns in, and Appointments to, The Venerable Order of the Hospttal of St. John of Jeru salem
PRIORY FOR WALES
FOR PROMOTION TO THE GRADE OF KNIGHT
The Lord Aberdare (from Officer ).
FOR ADMISSION IN THE GRADE OF DAME
Augusta Emily Selina, Lady Curre.
PRIORY IN SOUTHERN AFRICA
FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)
Colonel Cornelius Godfrey Lodewyk van Dyk, M B. (from Serving Brother ).
FOR ADMISSION IN THE GRADE OF SERVING BROTHER
Arthur Hopewell.
Dr. Ke=eth Ma= Rodger.
FOR ADMISSION IN THE GRADE OF SERVING SISTER
Helene Marie, Mrs. Whyte.
PRIORY OF THE AUSTRALIAN COMMONWEALTH
FOR PROMOTION TO THE GRADE OF
Colonel Allan Robert Stanley Vickers, M.B. (from Officer).
FOR PROMOTION TO THE GRADE OF COMMANDER (SISTER)
Frances Christina Burrell, Miss McKay, M.B. (from Officer).
FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)
Noel Hayton (from Serving Brother)
FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)
Colonel George Grafton Lees Stening, M B.
John Douglas Lesingham Gaden.
FOR PROMOTION TO THE GRADE OF OFFICER (SISTER)
Winifred Mary Mount, Miss Steele (from Serving Sister).
FOR ADMISSION IN THE GRADE OF SERVING BROTHER
Alfred Christopher Ternes, M.B.
Leslie Samuel Woods, M.B.
Oswald Ray.
Walter Joha Gearside.
COMMANDERY IN WESTERN AUSTRALIA
FOR PROMOTION TO THE GRAD E OF COMMANDER (BROTHER)
Captain John James Henry Airey (from Offic er)
Robert Co=ell, O.B.E. (from Officer).
FOR PROMOTION TO THE GRAD E OF OFFICER (BROTHER)
Frederick William Gerhard.
Charles Clark Parker.
John Faulkner Tomlinson.
Albert Francis Noonan.
John Patterson Myers. (All from erving Brother.)
FOR ADMISSIO IN THE GRAD E O F OFFICER (BROTHER)
The Hon. William Henry Kitson.
FOR ADMISSIO I THE GRADE O F SERVI G BROTHER
A lfr ed Josepb Collins.
Charles Samuel West.
Vernon Thomas Treloar.
Hector Kevin Keevil.
John Colin O'Rourke.
Ernest Robert Beech, M.B.
Bert Wilfred Butlswonh, M.B
Frederick William Meadows.
Lindley David Hodby, M.B.
Alfred Nailer Jacobs, M.B.
Ronald Barrington Knight, M.B.
Harold Henry Rushton as h, M.B.
FOR ADMISSION IN THE GRADE OF SERVI G SI TER
Margaret Ellen, Mrs. Hyde.
Agnes Jessie, Mrs. Bennett, Edythe, Miss Perkins.
R oberta Henrietta Margaretta, Mrs. Jull , M.B.
INDIA
FOR ADMISSION IN THE GRADE) OF COMMANDER (BROTHER)
Major-General Ian Macpherson Macrea, C.B., C.LE., O B.E.
Major-General Sir Gordon Wilson, K.C.S.l., C.B., C.B.E ., M.C.
FOR PROMOTION TO THE GRADE OF ASSOCIATE COMMANDER (BROTHER)
Major Shiavax Ardeshir Paymaster, L.M. & S., F C.P.S.,l.M S. Khan Bahadur Sheheriar Dadabhai Contractor, M.B .E. (From Associate Officer.)
FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)
Lieut.-Colonel Jordan Constantine John, O.B E., M.B., M.R.C.S., LM.S. (from Servmg Brother).
FOR ADMISSION IN THE GRADE OF FOR ADMISSION IN THE GRADE OF SERVING SISTER OFFICER (BROTHER)
Georgina, Mrs. Farquharson.
Lieut.-Colonel Claude Innes Shepherd, O.B.E., Matilda Christina, Mrs. de Vere. D.S.O.
78
FOR PROMOTION TO THE GRADE OF ASSOCIATE OFFICER (BROTHER)
Ph y lli s Blanche, Mrs. Metcalfe. Wilfreda Louise, Mrs. Buchan.
BURMA
FOR PROMOTION TO THE GRADE OF ASSOCIATE OFFICER (BROTHER)
Thiruchandurai Srinivasa Naga Rajan (from Associate Serving Brother).
FOR ADMISSION IN THE GRADE OF OFFICER (SISTER)
Helen McLaren, Mrs. Heath.
FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING BROTHER
U. Maung Maung.
CYPRUS
FOR ADMISSION IN THE GRADE OF SERVING SISTER
Audrey Joyce, Lady Jackson.
MALAYA UNION
FOR ADMISSION IN THE GRADE OF SERVING BROTHER
Lloyd William Spragg.
FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING BROTHER
Ong Ewe Siang.
HONG KONG
FOR PROMOTION TO THE GRADE OF COMMANDER (BROTHER)
Edward Maurice Raymond (from Officer).
FOR PROMOTION TO THE GRADE OF ASSOCIATE COMMANDER (BROTHER)
Abbas el Arculli (from Associate Officer).
FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)
Dr. Chau Wai Cheung.
Dr. Tseung Fat In
FOR ADMISSION IN THE GRADE OF ASSOCIATE OFFICER (BROTHER)
Lawrence Kadoorie.
FOR ADMISSION IN THE GRADE OF SERVING BROTHER
Chak Po Tin.
In reply to a letter of good wishes sent to His Majesty, Col. Sir James Sleeman (Chief Commissioner, Overseas), has received the followmg :-
"I am commanded by the King to thank you for your lett er of good wishes on behalf of the St. John Ambulan ce Brigade, which His Majesty was most pleased to receive his ?ep,:rtur e to South Africa. TheIr MajestIes l ook forward to seeing the members of the Brigade in the Union of South Africa. Yours sincerely, Edward Ford."
MALTA, G.C.
When H .R.H. the Duke of Glouce ster (Grand Prior of the Order) calle d at Malta on his way back from Australia , he was gracious enough to autograph the Brigade Visitors Book there, which pl eased the Commissioner and the Brigade in Malta very greatly.
The first Medical Comforts D epo t in Malta has been opened at 50 Parallel Street, Sliema. It is hoped to open others on various centres in the Island.
NEW ZEALAND.
The annual inspection of the Bri gade in Whangarei was carried out by District Supt. Dr. S. H. Ward (who has now been promoted to District Surgeon). He thank ed members for past wo rk and urged them
OBITUARY
We regret to announce the death of the following :-
Dr. R. B. Duucan. - Known to many first aiders in London and southern England, Dr. Duncan passed away o n February 24 . H e was one of the officia l lecturers and examiners at the Metropolitan Police Training School and a regular judge at Railway, Police, and other competitions.
Miss Mary Elizabeth Chaffer.-Miss Chaffer joined the Brigade in 1904 and was appointed Treasur er of the Hudd ersfield Central Nursing Division in February, 1928, a position she held until December, 1942, when she resigned ow in g to ill-health. Her death, on January 27 , has lost the Brigade an excellent worker.
Mrs. G. A. Ward.-Wife of President George A. Ward (Harborne Division, Birmingham "C" Corps), Mrs. Ward passed away on February 15 a:fiter a long and serious illness. She di.d much to help the work of St. John through her interest and encouragement to her husband.
to remain staunch, reminding them t.h at. their work could n ot be as essed in money He stressed the ne e d [or t.he Cadets t.o carryon their ambulance work b ecau se it dev e loped character. M embe rs on parad e includ ed t.he \\' hangarei (y' l\I.C .A.) Ambul ance, Nurs in g, and adel mbulance and Nursing Divisions, Huakaka and PorUand ursin g Divisions . Up t.o lhe t.ime of the inspeclion, \\' hich t.ook place on Decemb er 2, members had treaLed nearly 1,000 cases during the year, and aU nded nearl y 2000 t.imes wilh lhe ambu lance. A Medal was presen l d to ergt. C. Knew, and Ambulance Officer J. i,Y alker received his fir t. Bar. Five year certifi, cales were presented Lo :.'I1c-. Cotterill, 1\1rs. Pomen', and :.'IJi s Lawri. Dislrict Officer G. T. \\ '. r('en read an apulogy from the olllmi 'iune r, Dr. E. M cKay. It wa proposed to eslabli h an II osp it allers' Club in ,\ 'hangar i. and Miss Carmichael was nominated inlerim secretary.
VISITORS
Among recent vi ilors lo Sl. John' s Gate we ha\'e been pI ased to welcome Lhe follo\\'ing from o\erseas: 1\lr·. Brown, 1\1r. T. P. Saug('r, and. Irs. P. Gerrity. of India; :.'Il r. II. Evane:;. of Canada, and Mrs. Ong, of Penang.
THE HOSPITALLERS' CLUB
At th e February meeting, und er the c h a irmanship of the Pre icl nl, :.'Ilr. C. Bower. Mr J Stanclingforcl. who was treasurer of the ' lub fo r many y ars, gave a ta lk o n " The Knights of L. J ohn " He ga\'e parlicu lars of the initial training which pro p Cl i ve Kni g ht s had to undertake, an d th eir lif under the rule of various Grand illaslers. The memb ers exp r essed their appreciation of a very int er es ting and in s tru c tiv e talk. It was announc ed' that the annual dance wou ld be held on April 18
THE LADY HOSPITALLERS' CLUB
It is hoped to resume activities of the above, which were suspended during the war; and a meeting has been arranged for March 22, to be held at Inn s of Court Mission, 44 Drury Lane, W.C., commencing at 3.30 p.m. The Hon. Secretary, Mrs. V. E. Woolford (15 Tyrone Road, E. 6), hopes that all who intend to attend will let her know as soon as possible, so that arrangements can be made.
2Ilff£uical QInmfnrlz £fuz
It is, my friends, the busiest time of the year for the Medical Comforts Depots. The cold weather, snow, and in many cases a complete lack of fuel have taken their toll of young and old and I suppose few Depot assistants have a great deal of time on their hands. However, by the time yo u read these notes Spring may be with us and better times for all. Then, I s upp ose , you will turn your attention to " swotting up " the little " Black" and " Mauve " books in anticipation of the annual re-examination. Even this will come to an end and the quiet evenings with little to do will be with you again. I y attention has been drawn to an excellen t method of passing these odd h o urs t.hat will greatly help a really magnificent body of workers in a great cause. I am advised that many members of the Queen's Institute of District Nurses would be glad of assistance in making up maternity dressings. If you would like t o help this good work all you have to do is to get in touch with your local representative who will be only too pleased
to give you all the necessary information and supply the material. I feel sure that · many of you will help.
The number of registrations of new Depots so far this year has been very disappointing. If you are in difficulty or cannot make up your mind on a knotty problem drop me a line. I will do what I can to help.
My map shows many large areas without a single Depot and it would be very nice to fill up these blank spaces by the end of the year. Every new Depot means that assistance is available to more members of the general public in times of emergency. Every new Depot means that the work of St. John is brought more fully before the general public. Every new Depot brings more publicity to the work which we all love so much. If you have not already discussed the question of a Depot in your Division, why not do so NOW?
THE SECRETARY, lVI.C.D. Committee.
SENIOR OFFICERS WEEK END CONFERENCE
High Leigh Hall, Hoddesdon, Hertfordshire, has been booked for the Senior Officers Week End Conference, which is to be held on June 28 to 30, for Ambulance and Nursing Delegates from all Counties, and Cadet delegates from Regions, also from Northern Ireland, the Priory for 'Wales, and the Channel Islands. Further details will be issued later. High Leigh Hall, a large attractive house standing in its own ground&l, and less than a mile from the centre of Hoddesdon, has suitable conference rooms in the house, various well-furnished lounges, and a dining-room, and the majority of the comfortable bedrooms are single ones.
It is hoped to arrange an interesting and varied programme of lectures by able speakers on subjects covering a wide neld of Brigade activity (i.e. National Health Services, work of the Joint County Committees, etc.), with opportunities for debates and discussions.
Our illustration shows the terrace view from High Leigh House, looking out over the extensive grounds, which include a private chapel,. pleasant gardens, and tennis courts.
OUR BLOOD
By GUY BO USFIELD , M.D., B.S.
(County No. I D is trict , T he St.
John AmblllaJlce Brigade)
BLooD-that red st icky st uff th a t fl ows out of our when we make ho] l's i n th em :-th a t comes from our w ound s eith er as bnght reel or da rker r e d fl ow, b right red drips, or ju st as a flow of moderately hrIght red fhu d.
Our b ooks h ave told us all ab o ut it s properties as a conveyor of food to t issu es , th e carrier of oxygen t o burn u p t he foods in the and It. functi on of r emoving the wast e matter b y pu shing it out through .the ]m1neys, th s\\ cat g la nd s, and in the bre ath Y et , w h oever, in everyday heanl of on(' ':let of pip e li n es acting as a food suppl y or ganization: a Ela.nt. a fr h Wal ( r m a in , a n d a sewage farm at on e a n d t he same tIme. TIll I sufflcI nt Iy \\ cmu
B ut in addit ion it is th e first aid man that tries to stop wounds fmm hl('cdlIlg a nd ' ger ms from' getting into th e b ody, by forming a ,., ' 11 'n ''' r c ir cum stan ces perm it . Th e numb er s of different It COI1taIl1S I. :Jmp l.amazin g, t he amounts of th es e var ying in health and dIsease. One may ll1l'lltl nJl
a f ew : Sod iu m Chlorid e , or co mm on sa lt. That is '\'hy our 11loocl taste salt y w h en we apply th e d epl or a ble tr eat ment of sucking a cut thumh! C;luco t: 01 su gar is pr esent in certain am o u n t s which yary considerably wlll'I1 "L' an ; hUI1 E4' r v o r a ft er a good m eal. If we have t oo little sugar in our hlood, W' are apt tn faI1l t. If t here is t oo much , it is u su a lly a symptom of d iabete Then the r ' ar' llU m lJ "rs of ot her chem i cals such a s iro n, uri c acid, urea, phosphorus (111(1 so forth, a II (If which sh ould b e pr esent in th eir correct amounts.
When t he proportion s of th ese su bst ances vary much, it i.. llsllally a of some definit e dis eas e
St ill, we haven ' t g ot mu ch b eyond thinking of the blood clS <lllything mun' lIl<1 ll a r e d-ink-like fluid.
If we could r e ally s ee it, w hat is it like? \ Vhat is it mad ' of? \ \ '{'II, first of a ll there is the l iquid part of it, a p a le straw-coloured fluid or plasma. 1n thi flo at millions upon millions of little t iny round flattish cclls, tile reel bloo d co rpu scles, which giv e th e bl oo d its co lou r. A very tiny drop of this hlood, such a s co m es from a prick in the fin ger w it h a sewing need Ie, conta ins no Ie. s tha Il a b out fi ve m ill ions of these r e d ce ll s . T his is the correct figure in h 'a Ith ror th ' numb er p r esent in each cubic millime t er of our blood In \'C'rc anOCl11ias \\ e m ay find only one -fifth t h e prop er nu mber of cells in this tin)' drop of blooc!.
Oh yes-we can co u nt th em q u ite e a s il y in the laboratory llud r th microscopc, w ith speci a l apparatus, bu t that is outs i de the scope of this sma l l chat. Then a g ain th er e may be as many cells as th er e s h ould be in the blooel, hut each may n ot cont ain the proper amo u nt of rich m ater i a l or hcemoglobin, wh ich is partly up of iro n. T hat is another f orm of ancemia. So one might go on, t a lking of dI seases wher e t h es e r e d cell s are t oo l a r ge or t oo sma ll in size anel so f orth. It is int er est ing t o speculate upon the billions of t hese tiny litt le ce ll th a t must b e contained in a ll the blood in our b od y.
But th er e are oth er types of cell s in our bl oo d b esid es t hese litt le r ed f ell o ws; the l a tter are mainly co n cern e d w it h carrying th e oxyge n r o un d th e b o el y . But th e oth er ce lls are called th e Whit e Corpuscl es or l e u cocyt es . These ar e th e soldiers of th e bl ood and b o d y, and th ey l eave th e blood-str eam a nd co m e o ut the t in y thin walls of the capillary blo od ve ss els , t o fi g ht ge rms whi ch may IJ?-v ade th e b.o d y "Y'hen yo u have a boil or a wh itlow, yo u ca n se e th e yellO WIsh matt er m SIde It , or wat ch it coming o ut wh en th e pl ace h as b een l a nce d . Th is matter is co m posed of white c ells from the bloo d. Th ese c ell s act:rally en g ulf th e germ.s and d estr oy th em, and wh en an absces s is o p en e d, th e w hIte cells come o ut of It as p u s, or matt er , bringing n u mb er s o f ge rms ou t of the w ound t oo
Normally. th e s a m e tiny dr op of bl oo d that cont ains 5,000,000 r ed ce lls h as only som e SIX th ousand o.r so white cell s in it . Wh en ce rtain germs ge t int o th e body , and matt er forms ill an abs ces s , th e numb er of t h ese w h it e ce lls in cr eases trem endou s ly in the blo o d, and ther e m ay th en b e t en or twenty times as many
82
white c ells present as is fo und in norn::a1 h ealth. S? h ere is another property of t he bloo d w hich we hav e the help of the marrow rn our bones, it is actu a lly a ble to alter Its composItIon to h elp the body to fight sept ic d isease.
If one t akes a d r op of bl oo d and plac es it on a glass slide, and makes it into O· .' O · .0°0 ' 0000 o 0
I L L UST R ATI ON No. 1
Th e p l a in cir cl es ar e the red blood w hic h a r e ac1. u a lly rath er flat d l scs.
Th e 1.wo l arge r ce lls are white blood cell s, 1.h e so ldi er s w hi ch fi g ht against ge rm s that e nt er 1.he b ody.
ILLU ST RATIO N No . 2.
This i s a di a grammatic drawing of a p us s m ear (matter fr o m an Th e little black d o ts are germs which are in the ab cess
a v ery th in sm ear with anot her slid e, th e dri es, not but pale br?Wll. y\ e c a n now st a in it with specia l l a b or a t ory starns , and .It the mIcros co p e . \Vha t w e shall s e e, u nder a powerful l en s , is shown rn lllustratlOr: I, where b o th th e r ed ce ll s , and certain of th e w hit e cells are sh own . Illustratl?n 2 sh o ws s o m e matt er from a boi l. Noti ce th a t the w hit e cells or pus m It are exactly th e s ame t o l ook a t a s th os e in bl oo d illustration. It is all very v er y fascina tin g , an d even a s a d o ctor, one can not cease to marvel at th e wond ers of our life bl ood.
At an y rat e , if this is b ut a sm a ll a n d s ket ch y acc ount of the natu::e blood, we have pr ogress ed beyo n d th e st age o f r egarding it as a kind of red mk .
EXAMINER'S HEADACHES
The f ollo wing have bee n se nt t o us by the Chief Commiss i o n er, Brigade Ov erse as wh o assures us tha t th is d oe s n ot the standa r d of t h e B r igad e Overseas :-
Q How wo uld yo u t r eat a fra c ture d fem u r?
A. I wou l d app ly th e splint and ban dages A . B.C .D .E. F.G .H.
Q. Describe the cir cula t ory sys t e m in fu ll
A I am sorry, b u t I t hou ght the exam. was to -morrow.
Q. What is h ysteri a and how is it tr eat e d?
A. A p eculia r fi t c all e d a convulsion wh en a yo un g g irl d oes Rot get her own w ay. T re a tment , le t alone in a bucket of wate r.
Q. Wha t i s a n irrit a nt p oison?
A. An irrit a nt pois o n is nettle rash . Gi ve o n e pint of cast er oil
Q. Name the b on e s of the b ody. .
A . The bones of the body all have Latin names, viz. scullus, s er vi ce v ertabus, dorso- v ertabus, Lumbo- v ertabus, seral, and ann ex e. Th ere is the scapulus, cla vicus, humorous, radius, and ulnus, wri s t and flan g es or fin gers. The pelvus, fe m o rus tibulus, and fibulus, ankle and flanges, 'only they are not There is also th e sp a tula or kneeling cap.
HONOUR
B.E.M.-Pte G Lucas (Steyning , Bramber and Beeding Division) has b e en the B.E.M. in recognition (j)f his services , which consisted chiefly of fl y ing pati?nt s fr?m ' Casualty Stations to Hospltals, WhIlst serving in Africa, in 1942 .
DIAGNOSIS BY OB SERVATION
By R. G SOUTHERN, M.B.
(D i vi si on al S u rgeon, East H orsley Nursing D ivision, S. J. A .B.)
Extracts from a talk given at a Surrey Co u n t y Tr aining Course.
I want to impr ess upon you r ight a t the beginning, t he great va lue of accurate notes on v arious signs in accid ents and ear ly illness; signs which will be of real help to those w hose task it is , at a la ter date perhaps, to make an. accurate diagnosis . Further , it is not safe to concentrate your observations upon one sign alone to arriv e at w h a t is us ually t ermed a " snap II diagnosis; it will lead to mistakes Alw ays r e m emb er t h at for every mistake made for not knowing-ten are made for not loo king Y ou, a s perhaps the first to see an individual after an accident or to nurse a sick person in the first days of illness which doesn't seem very serious to start with- y ou m ay h e lp to unravel a difficult problem later, if your notes can b e r elie d upon. I wou ld, therefore , give you two rules to remember.
I. To make a mental picture of t h e sick person and his surroundings: Totice his position , c o lour , re spiration, eyes, and whether he is twitching or not; look also for an y injury t o the surface of his body. You use your EYES for this ; and p erhaps also yo u r h an d s to TOUCH a part by running your hands gently over the cl othing in the case of a su spected broken limb. Your other senses of smell, taste, and hearing a r e not so important. Common sense is al'ways an asset of v alu e.
2. TOJe cor d on paper as soon as conditions allow, your observations and to make others at regular intervals; a n d t o continue to make them even on a sign w hich may remain n ormal. The fa ct t h a t a sign does remain normal may be of great v alue later. L eave the ass es s ing of the signs to the expert.
CO MMON SIGNS
N ow let us turn to some commo n s igns.
Re gu1c:r of th e T emp erature, P u lse , and Respiration are of great help SIck nursmg Imagme taken suddenly ill with acute pain round the mIddle of the body, making It v ery d iffic u lt at first to be certain whether the inflammation is in the chest or abdo men. Accurate records of T.P R will help enormously to solve th is problem. In b oth, at the start all three will be raised ; the is in the ches t , such in pneumonia or ple unsy,. the shortly increase more than t he temperature and pulse, ill prop?rtIon. If ill the abd omen , as in acute appendicitis, the may nse, but the pulse esp ecially will, 'with little or no increase m resprratIon .The. alteration of the ratio b etween pulse and respiration 4 to I) IS a SIgn looked .for by doctor s fa ce d with this problem. Further, If It IS pneumoma the person WIll tend to breathe more with his abdomen t h an chest ; while in abdGminal disease the breathing i s mor e wit h the ches t th an with. the abdomen. So I do hope you see the r eal v a lu e of yo u r com m on T P R readmgs.
The can give you valuable information If a p erso n is found u nco nscio u s and later IS proved to have cerebral hcemorrhage (ble e ding i n to th e b rain), t h e hea? and turned and fixed to one side. Th e siz e of th e pupils and to hg.ht ill person should n ever b e n e gl e cted.
!illY Pill-P0D?-t occ:lT m pOlsonmg and also in cer ebral h cem orrhage m one certam pOSItIon m the. with a very high temp erature. us look now 8:t a few dIstmgUlshmg features of some common fractur e s. It IS here that one SIgn can be relied a number of cas e s to help us. A Colles fracture of the radIUS wIthm one inch of the WTist-joint-is a aCCIdent from a fan on the hand. The important point is that the WTist and. hand are forced upwards and backwards towards the shoulder with the lower broken fragment If you hold up such a broken limb and look at it 84
from t he side, you get t he appearan ce of a d inner-fork- t he finge rs b e ing th e prongs, t he break the neck of the fork , and t he f or earm abov e t h e handle. .A. of the neck of the femur is very c ommon in eld erly people from a tnvIal such as tr ipping over t he carp et e dge The bre ak h ere means t hat. t he weIght. of the wh?le l ower l imb ha s no prop er support no w from the t he actIon of graVIty th erefore t u rns th e f e et o u twards (eversion), and thIS SIgn always be looked for . The Coll ar -bone , alth ough it lies only just the. Skill, nearly always breaks as a simp le fra ctur e. The w eight of th e upper IS slung from the by the collar-b one and sh o uld er-blade by a sort of a gu:dle; and here agam :when the collar-bon e bre a ks gr avity pulls upon the upper 11mb, so the person supports it with the oth er han d place d below the elbow.
The shoulder-joint is the commonest one to see di sl ocat e d . If yo u strip the person to the waist and stand behind , you will n otice tha t the nicely rounded contour of the shoulder has gone and that t he u pper arm on t he dislo cated side is flattened below the bony processes a t the point of th e should er.
A dislocation of the joint behveen the upper en d of th e lower j aw and th e base of the skull joint) ju s t in fr ont of t h e e ar prevents the person closmg the mouth and t he lower j aw h angs down a n d protrudes . Let me gIVe you a few words on fracture of th e base of the skull I kno w it is diffic';!lt for first aid workers to appreciate that they a r e mo stly comp ound and not SImple because of the rather complicated anat omy of the parts Think of the skull as a seat of a box which is not equally t hick all ove r the bottom; imagine suspended from it perpendicu larly the p assages leadin g t o the stomach for food and lungs for air; then imagine the p assages p erforated horizontally to the top for the mouth, nose, and inner passage fo r th e ear. All th ese passages are covered with a red membrane which is i n direct co ntact w ith th e outside air brought in through the nose and mo u th. If th en th e b ottom of the box (skull). is broken, it is practically certain that it s coverin gs w ill b e t orn and bleed. Bleedmg, therefore, from the nose, back of the mo u t h and e ar is a very important indirect sign of a fractured base of the sku ll-ind irect, beca u se the blood does not come from the skull itself . I t is the same as expecting t o fi nd a bo x broken because its wrappings are torn.
It is fairly easy to diagnose a fracture of t h e lower jaw be caus e the teeth become uneven and perhaps l oose , and the bite is irregular ; the gum membran e is broken, so it also is a compound fracture.
COLOUR OF FACE
The colour of a person , particularly t he face, s h ould a lw a ys b e note d. Pallor or sweating are present from any cau se of sho ck. I sh o uld like h er e to issue a warning about thinking that all pale face d peo ple are ancemic. The complex ion is very much dependent upon the texture of t he skin a n d w h a t is ter med natural c olo u ring, quite apart from a rt ificial aids . If y ou t h ink a p er s on is ancemieand I am referring now to il lness and n ot t o a c cid ents, a s in such cas es blood los s p roduces s h ock, have a lo ok a t t he r oo f of the mouth and soft palate and the co lou r of the fingers beneath th e n a il s M an y p a le people go through life getting m uch sympathy f or t he ir so- c a ll ed a ncemi a, w hich in fact is their natural c o lo uring-a b lood exam ina ti on is th e on ly r e al test in such cases. In coal -gas poisoning it is th e gas c a rbon m ono x ide which is the chief poisonous ga s, a n d it forms with th e r ed ce lls in th e bl ood a ch erry-re d compound which is quit e distin ctive
I exp ect y ou can think of many mo r e exampl es of signs which appear to b e diagn osti c o f on e co ndition in parti cular-the smell of " new mown hay " (ac etone) in th e bre ath of the p erson in diab etic coma, or the" urinous" smell of the breath of th e person dying from ad v anced kidney disease. I dQ not want to damp en w our enthusiasm, a s I admit that looking for these" single" signs give s a spice to one ' s work, but do remember that it is rarely permissible to diagnose on on e sign only-it is much safer for the patient to review them all and weigh up the possibilities.
THE OPHTHALMIC HOSPITAL , JERUSALEM
When th e first Crusad er s ent er ed J eru sal em in 1099, they f oulld a hospice for pil grims in ch a r ge of a body of monks; and to-day the Ophthalmic H os pita l of th e Or d er of St . J ohn contmues to carry Oll.t the in stitut e d s o m a n y year s ag o. This H ospi t a l is t h e only Ophtha.1m I o f its typ e in P a l estin e an d th e Midd le and treats pah nts Irr spech v.e of rac e, class , or creed. Fr om a ll over Palestme and almost all East rn 1\Icclttcrr a n ean co u n tri es pati ent s travel t o the hospital for consultation and treatmcnt. In 1 94 5 , the t ot a l a tt en dance was over 100,000; the number o( op b eing r, 66 r. Of t he n ew cases seen, r6,480 'were Moslems, 3,05 0 hnstians , a nd 2 ,976 J ev,rs. I n th e Annexe Clinic for Children, 3,775 mfant and chlldren wer e treat ed.
Medical Offi cer s fr om d ep a rtm ents of Health of Trans-Jordan, ypru., and Palestine att end th e H ospital f or r efresher courses, whilst a number of nuT. es from the s am e a r eas und er go co ur ses of ophthalmic nur ing. Like s imjla r in stituti on s in this co u ntry, the Ho pital 'taf[ has b come d epl et e d; e quip me nt , dru gs , a n d i nstru ments difficult to obtain; maint nanc e to buildin gs a nd fa bri cs a lm ost impossible to carry out. The ncw outh Block , complet e d b efor e th e l ast "var , was neither furnished nor quipped; the hildren 's Clinic in th e Annexe co u ld not f u nction to full capacity owing to la k of cots and st a ff.
All th es e items a r e now occupying the attention of the lIo pital ommit.tee, w ith the H ospit a ller, Co l one l S ir A lfred Webb-Johnson (Pre id nt o( the Royal College of Surgeo n s) , a t its h ead. Some mOl1ths ago a g neral rec n truction plan was start ed , a nd it i s h oped that the number of cot. in thc 'hildr n's Clinic will b e in cr eased; t hat war ds which have been shut do\\ n owing to lack. of staff will a ga in re-ope n , that improvements "'ill be possibl in th' out-pati nts ' d epartment, a n d th a t oth er imp r ovements will be possible.
Th es e impr ove m en t s, a lte r a ti ons, and increase in stall ha\ 'e entailed the 'p nclin g of a cons id erabl e amo unt of money which is neces. ar)' to bring th rcler '.., H os pital into lin e w ith th e m ost modern British Ophthalmic 110 ·pita]". s ubscriptions h ave b een r eceive d from practically every part of th and the Pri or y in So uth ern A fri ca have endowed a bed. Indi"icluRI tions, both l a r ge a nd sm a ll , h ave a lso h elped to s\\' 11 the total.
N o doubt m a n y r ea d er s of th e Gazette wou l d like to contribute towards the upke ep of th e H ospit a l. Th ey a r e co r dially invited to forward any amount, n o matt er h ow sm a ll , to th e H on Tr eas ur er , t he St. J ohn Ophthalmic Hosp ital, St. John's Ga t e , Clerk en we ll , L ond o n , E.C. I By so doing they \"ill be h elp ing th e poor w h o r ece ive fr ee tr eatment , and assist t he Orc1 r to carryon its humanitari a n work.
BRIGADE ILLUSTRATED REVIEW, 1946
The abo v e publication is now r ea dy, a nd co pi es can b e o bt a ine d fr om th e Stores D epartment , St. John ' s Gat e, Lond on , E.C. I , pri ce I S. 6d., plu s po stag e
This contains r e ports of the v ari o us activi ties of th e Briga d e, also partIculars of the J oint Co mmitt ee of th e Ord er of St J ohn and Bntish Red Cr oss S oci et y.
It i s full y illll: strat e d, containing s om e fort y phot ograph s showing, among oth er duhes, that of the Victory Parade assistanc e r end ered at football occupationa1 therapy , Gas and Air' S ervic e , and with th e HospItal Llbrary SeFvice.
YOI/ II JUST NAKllT.1
Hurry! Tilne is getting very short for you to get 15 / - National Savings Certificates at their present high rate of interest. Each one becomes 20 / 6d. in 10 years' time. But you've got to buy before April 1st. You can hold up to 500 Certificates. Buy all you can - and hold on to them !
HEADQUARTER NOTES
Charms against Pain
In ancient Greece, when a particularly effectiv e r e m e dy wa discovered for any dis eas e, its formula w as c n g raved on tho post s of the Temple of iE s culapius, the god of h oalin g , who, before hi s deification, had himself practised as a physi c ian, about the year 1250 B.C. He prescrib e d natural r emedies for dis ea e and, iu the absence of efficient analgesics, employed Boothing charm for the relief of pain and magic Bongs to incr oase Lheil' effects .
Our medical science of to-day, with its X.rays and its anaesthet ics, would have appeared quite incredible magic to those early practitioners, whose experiments and progress were based l argely on guessw ork. To.day pro g r ess is based on knowle d ge, and one discovery le ads to anoth e r.
Take' Cogene ' for ins tan ce .
Modern science has sb o wn that a sm a ll quantity of a powerful dm g will do th e work of a large dose if it is bac k e d b y Lll e ri gId t:ornbinaLi on of oL11 e1' drugs in t h e rig ll t proportions.
In ' Cogene minute quantiti es of f o ur separate drugs (three of them rain r oli e v e rs
S.J.A.B. Uniform
Will be made by a tailor-service which gives style and durability combined with strict con for mit y with SJ.A.B regulation If you order
U n If 0 r m, to selfmeasures from N.O.A.
Write for details to
(LONDON), Ltd. FOUNDED
in Uniforms for St. John Ambulance Brigade JACKETS, TROUSERS, GREATCOATS, CAPS, GLOVES, HAVERSACKS. PRICE LIST AND PATTERNS ON REQUEST • All enqulrle5
Dress Regnlatiolls.-All ranks of Ambulan ce and N ursing Divisions may now wear the worsted " St. J ohn" flash. N.C.O.s, Privates, and Ambulance Sisters of the following Counties, who do not at present wear the County metal shoulder title, may now wear the County name under the "St. John" flash: Warwicks; Worcester; Staffs ; Lancs; Derby; Notts; W.R. of Yorks; Kent; Surrey; Sussex; N. Ireland; Jersey; Guernsey.
Competitions.-The Brigade Finals will be held on June 13 at the Victoria Halls, Bloomsbury Square, London. The Cadet Finals will take place in October.
No. I (PRINCE OF WALES'S) DISTRICT
Central Area.-The Annual Social took place at the Finsbury Town Hall on January 31. During the interval a presentati o n was made to Mr. T. McBride , who for 22 years had been District Officer of the Ar ea A sst Commissioner Capt. Ru ss ell Stee le, supported by his Area StafI, eulogiz e d the work of Mr. McBride, and handed him a cheque which had been su bscribed by all Divisions of the Area. He thanked him for his encouragement and advice during his years of service , and wished him good health in the future. Mr. McBride. responding, said th at he had held office under five Assis tant Commissioners, and he was pleased that the Central Area had been the fi r st to commence an Area Gazette, the first to hold an Area Church Parade, and the first to hold au annual social. He hoped that · the Central Area wou ld contin ue to lead the District.
Northern Area.-The Annual Social was held at St. Pancras Town Hall on February I, when a large crowd enjoyed the dancing a nd social events arranged by the Social Committee. Asst. Commissioner G. Hart welcomed all present, including the Mayor of St. Pancras, District Supt. Miss Workman, Asst. Commissioner Dr. Wrangham, members of District and Area Staffs. Dancing was interspersed with games and musical items to the enjoyment of members and friends. District Officer S. Collins was the energetic M C., being assisted by members of the Social Committee.
Western Area.-The annual competition finals were held at Wimbledon on February 22, when County Surgeon Selby presided in the absence of Asst. Commissioner Dr. Wrangham on professional duties. District Officer Strattan announced the results which were:89
Ambulance; Harrow and Hounslow tied, but the former took first place with higher individual marks " Osborne ", Kensington; Drill-B.T.H. Nursing: Harrow Division; Bedmaking, Richmond; Drill, Ealing. Cadets: Seniors, Harrow Nursing; Juniors, Harrow Nursing with Southall Ambulance as runners-up The awards were presented by the Mayoress of Wimbledon. The judges were: Ambulance tests: Dr. E. S. Abraham (team) and County Surgeon Carter (individual). Nursing Tests : Asst. Commissioner F. A. Trott, of Sussex (team), and County Cadet Officer Miss Trill, of Sussex (individual). Cadets: Messrs. V. Williamson (team) and W. G. Pithybridge (individual). Those present included the Mayor of Wimbledon (Councillor C . W. Black) who is Vice-president of the Wimbledon Division.
Ealing.-Mrs. Fife Schaw (Vice-president) presided at the annual meeting of the Ealing Nursing Division, when Su'pt. Mrs. Claridge, in her report, stated that 856 duties had been carried out at local cinemas, 151 at hospitals, and 159 other public duties. Cases treated numbered 176. Cadet Officer Miss Hutching reported on the Cadet Division, which had increased in membership. Mrs. Fife Schaw asked members to take a more active part in competitions, training for them and meeting other teams being the best method of making the Division 100 per cent efficient.
Lewisham.-To welcome Mrs. Bernadette Brown, of the Bombay Railway Nursing Division, and to give her some idea of the way in which Brigade work is carried out in England, a display of first aid and stretcher work was given by the Lewisham Ambulance and Nursing Divisions, and the No. 74 Cadet Nursing Division. Mrs. Brown, accompanied by County Surgeon King-Brown and District Officer Hullock, inspected the parade, under Supts. R. Gaze and Miss C. A. Pearce, and presented awards to the Nursing Division, and a Service Medal award to Supt. Gaze. Finally, Mrs. Brown, who is Nursing Officer of her Dilvision, l'eceived from the Nursing and Ambulance Divisions a greetings scroll to take back with her to Bombay .
Peckham.-During a recent social, Mrs. F. Corbett (Member for N W. Camberwell) received her Badge as President of the Peckham Division from Asst. Commissioner Major A. C . White Knox, who was accompanied by County Surgeon King-Brown. The Division was pleased to accept a cheque from Mr. A. R Pettinger towards their Funds, and a
valuable field first aid box fr om friends of Div. Surgeon Rowe. On a subsequent occasion a grand concert was given by th e " Fryvolities " Concert Party (employees of Fry's Die-castings of Merton) to whom the Div. President extended thanks for helping to raise funds by giving not only an excellent show, but also their services free of Ci:harge.
Ruislip.-At the annual dinn er o f th e Ruislip Ambulance and Nursing D ivis i on s , County Surgeon Selby pres ented to Mr. C. Saywood his warrant of a ppointm ent a nd Badge as President of the Ambula n ce Division. Those prese nt included Di st r i ct Officer Miss West, Mrs Sa ywood, Councillor F. S. Gibson (Chairman, RuislipNorthwood Council), and Mrs. Gibso n . Mr. Gibs on took the opportunit y t o express thanks of the public for th e goo d work done by the Brigade, m or e especially when it was d one v oluntaril y a n d in the spare time of the m e mb ers.
COUNTY OF BERKSHIRE
At the quarterly m eeting of County Officers and Superintendents of Nur sin g Divisions in Berkshire, County Supt th e Hon. Mrs. L eslie Gamage congr atulated and thanked all officers and personn el for th eir splendid and untiring efforts in t he cause of St. John. Every Nursing Division w as represented, and those pres ent included County Officer M iss D. T. Gibbon s, County Officer Lady Spicke n a ll, and County Cadet Officer Mrs. Puckle
. These quarterly me etings, held at Foxhill, Earley, the h ome of Mrs. Gamage, d o
m u ch to increase the efficiency of divisions; a n d t h e officers are grateful to their Count y Su perintendent for. the opport unity given them to diSCUSS many m atters on Brigade activities.
CO U NTY OF B U CKIN GH A M
Beacon sfield. -A large wooden hut has bee n presented to the Division by Messrs. Wakefiel d and Co., Ltd., from their wart ime premises at Enotty reen. In making the presentation on behalf of his Directors, the secretary stated that the gift was a mark of the appreciat.ion f It b y the Staff of the Company towards the res idents and organizations of t.he area for ki n d n esses and consideration received f r om them during their stay in the l ocality.
Eton .-At the annual meeting of t.he Division, Sir Henry Marlen, K.C.V.O., Provost of Eton, was invit.ed t.o become President of the Division, which invitation he kindly accepted.
South Bu ck s Cor p .-The High Duly A ll oys (Slough) held its annual supp rand social evening in the Staff Canteen. i\Ir. L. R oss , General ranager and Yice-preside n t, presided; guest.s included Ofnc rs of the Corps and senior members of the H.D.A. Corps Surgeon :'1. II. Summers presented the annual awards.
The annual inter-di,-isional first aid l eague competition has been completed, and the cup goes to Imperial Chemical I ndustries Ambulance Division with 12 vict ories in 14 contests. The retiring Corps Supt., W. H. Druce, has generously
presented a cup for the runners-up , this being won by the A team of t h e High D u ty Alloys Ambulance D ivisio n . Led by Corps Officer W. G. Orcha r d, the energetic organizing officers are deserving of the highest praise for setting a n d j udg in g 5 6 contests.
The resignat.ion from the post of Corps Superintendent of Mr. William H. Druce means the virtual r tirement of a faithful veteran who has devoted 34 years to public service. He qualified in 1912 and joined the lough Town Division. In 1923 he founded the Slough Town Cadet Division and became Ambulance Officer the following year. It is noteworthy that I\Ir. Druce trained the first holders of the Grand Prior's Cadet Badge in the world. As Cadet Su perintendent he commanded and organiz d 10 annual cadet camps between 1925 and 1935 ; and was elevated t.o rank of Corps Offlcer. He commanded t.he Cadet Ballalion in the Cent.enary Re,'iew by II.M. King George V in Hyde Park, and was Admilted a Serving Brother of the Order in 1932. In 1942 he became orps uperinlendent of the Sou th Bucks Corps, being responsible for 27 Di,rlsions. As I\Ir. Druce has been placed on th Brigade Reserve his help will nol be entirely lost to the Brigade.
On February 20 the wedding took place of upt. Mi s Phyllis Parker to 1\1r. Dudley Owen, late of Jobore tate Yolunteers. The'romance began when the bride was on Brigade sen·ice as vVel£are Officer at the 114 General Hospital, Bangalore, and Ir. Owen came under her care when he ·was released from Japanese hands in 1945, having been a pri oner of war since 1942. The joined the Brigade in 1933, and since 1941 has been Superintendent of the Slough Olga Serena Jursing Division.
COUN T Y OF CAMBRIDG E
E ly -Pte. S. H Taylor, of the E l y Division , who was working at the Army Command Ordnance Depot during 19 46, attended to 845 first aid casualties during the year. He is a keen a n d efficient memb er of the Brigade, who p u ts in many ho u rs of hard work.
Camhridg e -The Cam bri dge Boro u gh D ivision are making great strides in the ir return to normal str ength. Man y old members are now ab l e to re j oin, a n d new can didates are coming a lon g 'Nell Competitio n s and practices h ave been fixe d fo r the year.
Cou nty Officer J J ackman (team) , Coun ty Offi ce r T C. Tresid der (indivi dual), a n d N ursing Officer Mrs. Lake man (Bedmaking) . T he t est s were kee nly contested, a n d the res ult s were g ive n as follows :Nursing.- 1st a n d " K ernick Silv er Cu p ", R edru t h; runn ers -up, Illoga n. Ambulance - 1st a nd " T he Redruth Divisio n Silver Cu p" , Ca rnmen e llis and Stithian; runners -up, Redr uth Mrs G. P. O'Donnell presen t ed the trophies and congratulated the teams. Those present included Asst . Commissi on er ' 1-,T. W. Johnston, Co u nty Sup t. Miss E. H. P. Grylls , and man y Co unt y Officers. The competitio n s were or ganize d by Co rp s Supts. C C Pellows a n d Miss F. W. Pau l, assisted by their officer s
NOR T H , E A ST , and MID·DEVON Barnst apl e.- I n the County Co mpetitions held on February 15 , Barnstaple gained the Marcus Hare Cup and qu alified to meet teams from Plymouth a n d Co rnwall to decide which team e n te rs the Regional Final. Newton Ab bo t as runners-up gained the Hoerman Cup. The Mayoress, Mrs. Killiar d -Leavey , pr esented the pri zes, the j u dges b eing the Mayor, D r. M Killiard -Leavey, who presided, Drs W. B. Boo n e a n d C. J. Hollingshead. The teams were co n gratulated by County Commission er Dr. Morton Pal mer and Asst. Co mmis sioner Dr. K. G. W. Saun ders County Offic er E. A. Bowden inspected u n ifo r ms. Dar t mouth . - At a soci a l h eld on February 4 by t h e D artmouth Divis ion, Cou nty Comm ission er D r. Mo rton Palmer presented a Pres ide n t's Badge t o Mrs. Stork, wife of t h e H ead Master of Dartmo u th Royal Naval Co llege Ex eter.-A first a id qu iz was held on February 3, when the competin g t eams consisted of represe n tatives of the Exeter a n d H eavitree Amb ulance, N ur sing, and Amb ula n ce a n d N u rsin g Cadets and t h e Exmou t h Divisi on s. T h e for m er were s uc cessful in gainin g t h e c u p giv en b y the late M r. Gla n fie ld by a mar gin of 8t p oint s. Supt P. G Ch orley (Cit y of Exeter Div isi on) was qu esti on-master , w hilst the Chief Con st a ble of Ex et er, Mr. A E. Ro wsell, in presen t in g the troph y t o the winning t eam , stated th a t he w a s par t icula rly impressed b y the high stand a rd of kn owl ed ge sh own by the cont est a nts. Th ose present includ ed Ass t Co mmiss ion er D R. Gray, a nd Mrs Gray, County Officer Bow d en, Corps Supt. J. L. Greet (Deputy Chief Constable ), Corps COUNTY OF CORNWALL Supt Miss Ma rtin, V ice-presid ent Mrs. Redruth.-Th e annual comp etitions of Kirk Gatey, Dr. Laird (Medical Officer, the Redruth a nd District Corp s wer e held City Hospit a l) also attend ed. He 'will on F e bru a r y 7: when Ambulance <\ond take the place of Div Surgeon M. Y. Nursing Divisions competed before Paget, who has been appointed County County Surgeon R. E Hadfield and Surgeon.
91
COUNTY OF HAMPSIDRE
Andover.-At the annual meeting of the Andover Nursing Division it was reported that members had attended 1,133 duties, and that a very successful year had been recorded. President Mrs. A. Jenkins presided, being supported by County Officer Mrs. J. Mackenzie, who congratulated members on their work, County Surgeon A. A Cockayne, and Supt. Mrs. W. A. Wilson. Amb. Officer Mrs. U. Sainsbury presented the Treasurer's report, which was very satisfactory, whilst Nursing Officer Mrs. Evans revealed that more people were taking advantage of the Medical Comforts Depot. Cadet Officer Miss Hedderley reported on the Cadet activities.
COUNTY OF LANCASIDRE
The annual Competitions for Nursing Divisions were held at Southport on February 8. Those present included District Supt. Miss M. R. Moore, District Surgeon Capt. W. Rawlings, County Surgeon Dora E. Wheeler, District Officers Dr. Marion Maxwell-Reekie, Miss 1. N. Sutcliffe, Miss J. Eccles, Mrs. A. C. Owen, Miss K. Lamb, and Miss H. M. Smith. The Commissioner, Major E. S. Burt-Hamilton, was unable to be present owing to illness. The judges were District Officer Dr. Marion Maxwell-Reekie (team), Dr. Muriel Haigh (Individual), and Dr. Adam (oral). Dr. Shaw and County Nursing Officer N. Livesey judged the Individual Officers competition.
The results were: 1st and Trimble Shield, Didsbury Nursing Division; 2nd and Southport Cup, Bury Nursing Divisian; 3rd, Todmordon Nursing Division. Individual Team Test: 1st and A. Howard Rose Bowl, Todmordon; 2nd, Blackpool; 3rd, Todmordon No.2. Officers Peace Trophy: 1st, Cadet Officer Miss Taylor (Bury) ; 2nd, Supt. Mrs. Thompson (Didsbury); 3rd, Cadet Officer Miss Walton (Didsbury).
The Mayor and Mayoress of Southport presented the trophies, and a vote of thanks was extended to the Southport Corps for use of Headquarters.
Blackpool.-The first competition for the Victory Cup, given by Amb. Officer Mrs. Slater, was held on February 1, when four teams of Nursing personnel were judged by Corps Surgeon R. J. Clarke. District Officer Miss Smith presided at
it to the winners and was thanked for her gift. Supt. Mrs. Monks, together with officers and members of her Division, was responsible for the arrangements.
When the R oad Hut of the Blackpool Division situated on the Preston Road was broken into , the ",rindow shutters were torn down, windows smashed, and first aid equipment strewn about the place. A haversack and the telephone were among the articles stolen.
Nelson.-A "vVelcome Home" to their ex-service members was recently held by the Nelson Brigade. Some 250 guests were present, and after speeches by Corps Supt. H. Bannister, Corps Officer J. H. Smith, and Supt. 1I1iss 11. Rodgers, supper was provided for all, with dancing to follow. The proceedings also provided a variety concert.
COUNTY OF LINCOLN
Lincoln.-The Mayor and Mayoress of Lincoln (Councillor and Mrs. H. H. C. Kerry), and the City heriil J. Cochrane) and Mrs. Cochrane, were present at the 50th Anniversary celebrations of the Lincoln Corps held on February 17. The Mayor propo s ed the toast of the "St. John Ambulance Brigade and Lincoln Corps " and recalled that the Lincoln section was formed in 1897, under the leadership of the late Col. F. S. Lambert. To-day the strength was something like 200 (as against the original 13), which was progress indeed.
County Surgeon J. A. Hadley, replying, said it was amazing how ignorant the people were in an emergency if there had been no first aid training. He urged that the young boys would enrol in the Cadet Corps, where they would be taught a useful service to the community.
Corps Officer H. S. Chantrey recalled that the Lincoln Corps sent stretcher bearers to the Sou th African War. At the present time the Corps attended between 2,000 and 3,000 cases each year, and much of the work was done unknown to the general public. Corps Supt. F. F. Gibson gave an official welcome back to members from the Forces.
Other speeches included one from Corps Supt. W. T. M. Trafford, one of the original 13 members of the Corps.
COUNTY OF
NORFOLK
the distribution of awards and Asst. County Commissioner Sir Thomas Cook Commissioner W. H. Gastall announced presided at the County Conference helcl in the results: 1st, Blackpool No.1; 2nd, Norwich on February 8. He was supported Blackpool No.2; 3rd, Cleveleys; 4th, by the Lord Mayor of Norwich (Mr. W. O. St. Annes. It was stated that three Copeman), the Lady Mayoress, Lord and members of the St. Annes team were Lady Albemarle, the Bis):l.Op of Norwich, suffering from influenza amd their places County President Lady Cook, Sir Basil taken at the last moment by thlree other Meyhew, Asst. Commissioners Dr. W. E. members. The donor of the Cup presented Rutledge, C. B. Andrews, County Supt. 92
Dr. May Rutledge, County Cadet Officer Mrs. G. E. Portal, County Cadet Officer H. C. Denny, County Secretary Mrs. J. H. Yu ll, and County Organizer Major C. E. V. Sams. The proceedings opened by a civic welcome from the Lord Mayor, to whom a vote of thanks was proposed by County President Lord Albemarle, and seconded by the Bishop of Norwich.
Sir Thomas expressed appreciation of the support he had received from members 'which had resulted in progress being made by the formation of new units. He appealed to employers to interest themselves in their work, pointing out that a basic knowledge of first aid was a great asset to all.
Several important. decisions were taken by the conference.
Fakenbam.-Having reached the age limit, Supt. R. Hipkin has been placed on the Brigade Reserve at his own request. He joined the Brigade over 40 years ago.
Thetford.-Amb. Officer R. H. Hubbard is among t.he newly-appointed Magistrates for t.he Thetford Bench.
Mr. C. \V. Brown, a member of the Brigade, has been appointed a Magistrate for the Borough.
SwaITham. - The Ambulance and K urs ing Divisions held a successful social and dance last month, the arrangements being in the hands of Cadet Corps Supt. H. It. Cocker and Cadet Officer J . Hay. Supt. \Y. B. Ri.x greeted t.hose present.
COUNTY OF OXFORD
Barton.-Major P. Fleming presided, being supported by County Surgeon T. F. Briggs, Lady Dashwood, the Rev. W. Lindsay, Div. Surgeon Wollaston, and Div. Secretary R. H. Stickland, at a .. \¥elcome Home" dinner to ex -service members. The company stood in silence in memory of \i\'alter Boffin, \vho lost his life at Dunkirk.
COUNTY OF SOMERSET
Bath.-On February 4 Mr. Ernest Tovey, a member of the firm of opticians, gave an mterestmg lecture to members of the Brigade on t< Health and the Eyes". The talk was illustrated by slides and charts.
Minehead.-The second annual ball held by the Minehead Division, in aid of their Building Fund, was an unqualified success, thanks to the able organization of Mrs. G. K. Croote and Mrs. G. H. Hawkins, with the very helpful co-operation of Miss Smith and Miss Johnson. Nearly £150 was added to the fund for which the Division is most grateful. It is apparent that the public of Minehead are fully aware of the good work undertaken by the Brigade in their vicinity.
COUNTY OF SUFFOLK
The Nursing Competitions were held at Ipswich on February 10, when Miss Thompson (Matron of the East Suffolk and Ipswich Hospital) and Miss Melia (Matron of the Isolation Hospital) judged the work done. The former holder retained the Rose Bowl with the Student Division as runners-up, gaining also the Mirror for the bed-making. Warrants of appointments were presented to Div. Surgeons Mrs. Morrison (St. Augustine's) and Patton (Student Division); President Miss Bines (who was superintendent of the Broadwater Division until her retirement), and Mr. Francis Smith as Hon. Auditor to the Ipswich Nursing Corps. Dr. Malcom MacEwen, in handing the Rose Bowl to Moka Division, said the trophy was given by the late Dr. J. F. Hossack when Hon. Surgeon to the Nursing Divisions in 1907 ; the candlesticks presented to the Student Division were given by Miss L. Haggar, then Corps Supt.; and the Mirror was presented by the late Miss Bohen CoulCher who introduced St. John to Ipswich. Nursing Officer Mrs. Fryer proposed a vote of thanks to the Competition President, County Nursing Officer Miss M. H. Miller, which was seconded by Nursing Officer Mrs. Burton. Thanks were also extended to the judges and all who had assisted.
COUNTY OF SURREY
ByHeet.-The Byfleet and Woodham Division recently received a very good write-up in the local paper regarding the work carried out by members. It referred more especially to their ambulance work which is considered the most efficient for many miles around. The ambulance station has recently been equipped with modern eleotric heating apparatus so that the 'engine, stretcher, and ambulance interior are kept at a steady temperature.
Chertsey.-Increasing need for new recruits was emphasized at the annual meeting of the Chertsey Division by Supt. R. J. Gristock. It was reported that d unng the past year cases had been dealt :w1th and duties performed at sports meetmgs, and on Saturdays and Sundays members had attended at St. Peter's Hospital.
COUNTY OF WORCESTER
Highley.-Althoughinaugurated in July, 1946, the Highley Division has now established itself and funds have been raised by a series of social events. A Comforts Fund has been started and Mr. J. W. Whitehouse, of the Castle Inn, has. kindly placed a club room at the c:f the Division. Mr. W. 1. Came, ASSIstant Manager, AlveJey Colliery, is with Mr. G. E. Holford and Major D. G.
93
Lyman as Vice-president s . The Division a l Surgeon is Dr. E. W. Wilkins. Malvern.-A Ball orga nized jointly by the Malvern Ambulance and Nursing Divisions was held in the Wint e r Gard ens on February 5. Those present includ e d County Cadet Officer Mrs. Hugh Robin s on, President Mrs . D. E. Baker, Vice-president Mrs. Elliott, Div. Surg e on s J E B. Elliott and S. Macd o n a ld , Supt. A E. G. Stannett. and Amb Offi ce r M rs Dr ew. Det.-Inspector Gib so n was th e M .C. A cabar€t was pres ented by Mi ss Ch ate r 's School of Dancing.
Stourbridge.-Supt. C. Dav ies has r elinquished his appointment and tr a n sferred to the Brigad e Re ser ve. H e h as an association with the Briga d e of over 32 years and has been one of the main stays of the Division since it s formation in September, 1914. He h olds th e Service Medal and three Bars, and was Admitted a Serving Bro ther of the Ord er in 1937.
WEST RIDING OF YORKSHIRE
Castleford.- The ye a r 1946 pr ove d a satisfactory one for the Cas tlefo r d Div ision. Supt. G. Day and Amb Office r T. G. Smith unfortunatel y tran sferre d to the Brigad e R eserve wh ile Amb. Ofiice r M ort o n r etire d owin g t o ill -health . A ll three are Servin g Brothers of the Or der , h avin g served a n d worked hard in tIle Di visio n since its inception i n 1907. Pr omot ions included Sergt. R. Dixo n to Corp s Officer , Am b . Oilicer 11. Schofie ld to S u perintendent , Se r gt. H. Addine ll io Amb. Officer and Treasurer, Sergt. H D ibb to Amb. Officer, and Corp l. E. Farmer to Div. Secret.ar). During last year 582 duiies were performed, 1,269 cases treaied, and good progrcss is being made with a joint effort with lhe Nursi n g Division for a Building Fund Sp en Va ll ey Cor p. - orps Supt. J Saville, after 40 ycars' scn ic , has now retired and at the annual Corps mceting he was congratu lated by \ ·st. COI11m issioner H. Harrison, who presid d. II j oined the Cleckheaton Divi ion in 1907, appointed Corporal, 1909, erg-cant, 1910, Amb. Officer, 1914, and Superint ndenl in 1920. He gained the en Ie :'IIedal in 1921 and in 1927 was Admitted a Sen'ing Brother of the Order. In 1933 he was appointed Corps Superinlend Ill. Supt. \ V. Slitiingfleei of lbe Gom rsal Division has been appoint d \ ./Corps Superintendent.
GRAND MASTER SIR JOHN KENDAL , 1489-1501
The illustrations show the first medal stru ck in memory of an Englishman which bears his portrait and an inscription whi ch r e a ds : " J 0 Kendal Rhodi Turcope ll rius, Tempore ob sidi onis Turcorum M CCCCLX XX " T he Arms are .Argcnt, frett.y gu les, on a chief azur e, thr ee esca llops of the first.
(From a Portrait Medal in the Bri tis h M 'us eu m .)
1'11 First iel in Mines ub-Committee set up,by lhe Priory, with the conc u rrence of the Ministry of Fuel and Power, a n d r presentati\'e of all concerned in the :Jlining I ndustry , met on February 17, 'when a report was made on the specia l series of I cLurcs which had been given at Cardiff and Neath for coll iery first aid workers in ihe South \ Val es coalfield pening in :JIarch, 1946, with an inaugur al J ciure by Dr. T. E. Howell, of the l\Iines Medica l Depart.m nl, Iinistry of Fue l and 1'0\\ er, the serie included lectures on "Fraclure and Rehabilitation" by J r. T. 110\\ ell E\ 'ans, " New Ideas for 'Iran . port of ,ick and Injured" by Dr. :\Ielbourne Thoma, "Infection" by Dr. Jethro C.;ough, "Carbon ::'Ionoxide anel Other :Jline Ga es " by Dr. J. Trefor \\" alkins, and" :J l ult.iple Injuries, Shock, and Burn " by Professo r Lamb er t Roger, which completed the course on F bruary J - The altendances at each of 1..h l wch ' e leclu res averaged 200, everyone receiving subsequent ly a synopsis of the leclure and discus ion notes to enabl e them imparl as much as poss ible of t h e knowledge gained to their local ambu laIl:ce colleague. The Committee's great mdebtcclne 5 to the lectu rers for the valu ed
m et to consider the instruction laid down in the Supplement to the First Aid textb ook in r el a tion to the First Aid in Coal Min es textb oo k, their c o n sid ered o pinion be ing a d opted for t ra n s mi ssi o n t o H e a dq u art er s
A small s ub-c o mmitt ee, to be knm'ffi as the Transp ortation Sub-Committee, was set up t o in ves ti gat e and report on all new ty p es of apparatus f or ambulance transp ort ati o p. fr o m the fa ce outb y e.
AMBULANCE COMPETITIONS, 1947
T h e t e ams s ucce ssful in the first postwar fi nal comp etiti on s for the Brigade in Wales , h eld l a st Oct ober, w ill be represen t in g the Pri ory in th e Brigade Champ io n ship Co mpetit i ons in L ondon in June.
To r ed u ce th e int er v al b etwe en the Welsh F in als a nd thos e for the whole of the B ri aad e a t H o m e , t he Priory contests will in b e h eld in th e spring of the year, w hich m e ans that no competition ""rill be h el d in 1947 f o r t he " Llandinam Shield " a n d "Arthur Griffiths Me m o ria l" Cup. In view of thi s , ambulance teams will be int e re s t e d t o kn ow that ambulance comp e titi ons will be on e of the main features of t h e Nati onal Eisteddfod of Wale s , wh ich t a ke s pla ce this y ear at Colwyn B a y, D enbi gh shire. The greater part. of t he thre e da ys , Au gu s t 4 to 6, are belllg a ll ocat e d to c o nt ests for the Lady Lewis Cup, open to teams of in. possession of a r ecognized first aId certIficate, tl?-e L a d y Bute Cup open t o of wOI;nen III p ossess ion of the r ecog m zed first aId h o m e nursing ce rt ifi cates, the Trevethm, Silurian , I sc a , and Gwent Shields f o r t eams of men , w o men, b o y s , and girls, r esp e ctiv ely, in ,Val es and Monm?"?ths hire , a nd in addition, f our competItIons f or seni o r and junior b o ys and girls to be c on d ucted in W els h.
enricc they had rendered to the cau se of lir l aid underground was p laced on r corel. I rofessor T David J ones, C.B. E , who was warm ly thanked b y t h e Ch a irma n , nI r. F. LI well in Jacob, J. P. , M. E., for all he had done in drawing u p the syllabus and securing the .services of expert lecturers, said that I t was t h e u nanimous wish of all who had attended l h at t h ere sho uld be an ext en ded cou rse ; a n d h e h oped that if th is wer e. a rr a n ge d , t he l' prese n tation of each co llie r y .could be in creased so that l a r ger a udIen ces OBITUARY mi gh t ben efit. It r eso lve d call a The passing of Lady Lewis, O.B.E., m ee tin g in Jul y , the obJ ect Dame of Grace, widow of the late Sir o r g anizin g a fur ther senes of lectu res to H e rb ert Lewis, which on b e g ive n in t h e m on t h s of F e bruary 15, severs a long .J: ove mb er , D ece mb er, 19 4 7, a nd J a nu a ry, with the Priory for V\Tales. As the wife Fe bru ary , a n d Mar ch, 194 8 of the first Principal Secretary and ComDr. G . S . Ph illips , w h o is r epres e ntin g missioner for V\Tales, Lady Lewis was th e Pri o r y f o r Wale s o n the T extb oo k intimately concerned with th€. early R ev isi o n Co mmittee , in L ond on, a nd activities of the Priory, and partIcularly Dr. T. V\T. D a'v id, Chi ef Me dical the nursing side of the Brigad e in V\Tales, Amal g amat e d Anthr a cit e Collieries, in which sh.e held office as ASSIstant Lady undertook c ert a in preliminary work. III Superintendent-in-Chief for untIl conn e ction with the revision of the FIrst her retil"cmemt in. 1939, after WhICh she Aid in Coal Mine s T e xtbook. continued to give the Priory benefit Medic a l Members of the Committee had of her long experience by servlllg on the 95
Ambula nce Com mit t ee and Council. H er death will be mourned by Priory H eadquarter Committees a nd a ll r a nks of Brigade, and n ot l east b y the Nursm g Divisions bearing her name at Devynoch, Brecknockshir e, form ed in 1937, and a t Narb erth , Pemb ro k es hir e, establish ed 1938.
CENTRE REPORTS
GLAMORGAN
The Pri or y su st a in ed a g ri evo us l oss on January 30, in t he d eath of Cap t ain Sydney Booth Turn er , M.R C.S , L.R C.P , A ss istant Sur geo n -in -Chi ef fo r Wal es, a n d Assist a nt Co mmiss i on er, Caerphill y County Area. F or over twe nty years
Dr. Turner h a d b ee n intima t ely a ssocia t ed with Ambu lan ce wo r k , a nd r en dered valuable servi ce on t he P riory H eadquarter Brigade Staff during t h e World War in the capacit y of A. R. P Staff Officer He w as a m e mb er of Ch a pter , Council, and Amb ula n ce Committee, a n d will be sad ly misse d b y a wid e circl e of friends within the Prior y In ref errin g to his death at a m eeting of th e A mbula n ce Committee, it w a s st ate d that his l os s was irreparable in no co n venti on a l s ens e , a n d that th e de vo tion of t he D octor and the late Mrs. Turner, wh o was an outsta ndin g personality in th e B ri gade u ntil her lamented deat h three y ea rs a go , w ould never be for gotten.
Dr L. E. J on es , Divisional Surgeon, presided over t he a nnu a l socia l a n d presentations t o Bargoe d A mbula n ce a nd Nursing Divisions h eld a t the B ri t ish Legion Hall. L a d y County O ffi cer Mis s E. Gravenor presented Ser v ice Med als to Ambulance Offic er W. P errins a n d Pri v at es W. G. R o b erts and R. Butla nd , emphasizin g the v alue of an award which signified 15 y ears' effi cie nt ser v ice in a voluntary organizat ion. These l a t est recipients bring the total number of Brigade memb e rs in possession of the Medal to 14, of w hom four have qualifi ed for Bars. To mark their achie v ement in obtaining the highest marks in an individual competition, Priv ates J. Hurst and D. Jenner received f ountain pens. The Chairman, on behalf of the members, presented Ambulance Officer W. Perrins with a fountain p en in appreciation of his services as Acting Superintendent during the absence of Supt. J. H. Jones, whilst serving in the Forces. Mrs. Baldwin and Mrs. Mortimer received their warrants of appointment as Secretary afid Treasurer respectively 8Jt the han clis of Lady Corps Supt. Mrs. M. A . Deacon. A varied programme of e ntertainment was much enjoyed.
CIT Y OF CAR D IFF CENT R E
T he Car diff a n d D istrict Corps he ld a s ocia l even ing on Febru ary 24, whe n the Capta in R obathan CuP. was awarded to Su perintendent G . LewIs, leader of the R oyal Ordnance Divisjo.na l .team, w hi ch had gained hlghest posItlOn m the A mb ul ance League Competition. The contest terminated for the season 1946- 47, on J anuary 26, 'when the final positions of the Divisional teams were as uneler :-
1 Royal Ordnance Factory
2 Cardiff General G.\V.R } 2. Cardiff Transport 3 Cardiff Corporation Electricity 4 . Cardiff City 5. Ely and Fairwater 6. Cardiff Dowlais Works } 6 . Edward Curran .
'When presenting the Cup, Captain Robathan said the League, which was well organized by the Secrelary, Supt. Richard Davies, under the direction of the Chairman, Corps Supt. J. Macdonald, had stimulated keenness and enthusiasm for efficiency among the units. Superintendent Lewis said that the two factors to which he attributecl their success were the loyalty of the team and the cooperation received from the managem nt of the RO.F. Dr. C. A. Bence was presented with his Warrant of Appointment as Corps Surgeon by the Commissioner, Captain C. G. Traherne, who gave an interesting account of the activities of the Cardiff and District Corps during the period of the War. There had been a slight falling off since the end of the War, but the Cardiff membership now numbered 1, 0 15 Captain Traherne presented County Officer J . Pepperell with a fifth bar to the Service Medal, a third bar to ex-Corps Sergeant-Major E. Edwards, a second bar to Divisional Superintendent H. T. Allcock, and Service Medals to Ambulance Officer 1. Callard and Corps uperint endent J. Macdona ld. Assistant Commissi on er B. E Maber ley proposed a vote of than ks t o Mr. E . J on es fo r the u se of the Ca r diff Corpor ation E lectr icity D epartm ent Showroo m s fo r t h e meeting a nd for the D ep a r t m e nt 's assistan ce at a ll t i m es. Mr. J on es , in res p on d in g , said th a t th ey had b en efit ed co n si dera bly b y h avin g m emb ers of th e staff tr a in ed in fir st aid work
Ambula nc e and N ur sin g Me mb er s h a d a busy tim e at Cardiff Ar m s Park, w h ere the Int erna tional Ma tch w as playe d on Janu a r y 18 Alt ogether, 27 p ers ons w ere for faintin g (6 ) , colla ps e (4), sprams (3), distressed condition fr om b eing crushed (4), cuts and a brasions (10).
The Whitchurch Nursing Division, 96
having res olved to make some contribution each year to anoth er charity , has undertaken to raise £ 100 in 1947 to wards the building of a b l ock of fia t s for the blind. T owards this end a Nat ivit y Pla y was prod u ced at the Rea r do n Sm ith Lecture Theatre , at whi ch Mr. H. J. Peacock , O.B.E. , preside d , realizin g a sum of £26 l Os 8d. Lady D ivis ion a l Superintendent Mrs . Griffiths is hoping to organize a concert to be given by ju ven iles R H ONDD A CEN TRE
An interesting ceremony took place at i'lIardy on ] anuary 25 , when the n ew ambulance headquarters (kind ly presented by irs. M Davies, Maesyffrwd) were officially opened by Lady Co u nty Superintendent Mrs. E. Morris Thomas, J.P. The Chairman for the evening was County Officer T. Evans, who welcomed the presence of the Hon. ] . H. and Mrs . Bruce, Principal Secretary and Commissioner for \ ales, and Assistan t L ady Superintendent for V\' ales respective ly, both of whom addressed those present. Other speakers inc l uded ex-County Commissioner Captain T. E. Richards, J .P. , M.L, and Mr. J. H Davies, i\1r W. Danie l, and Corps Su perintendent W. Morgan. A vote of thanks to. Mrs M. Davies was proposed by Superm tendent ]. Reynolds, and by intendent VV. Bevan, while Mrs. Williams and her friends were thanked for kindly providing refreshments by Corps Officer B. Adams and E. G. Pugs ley . The Hon . ]. H. Bruce proposed a \'ote of thanks to the chairman, which Lady County Su perintendent Mrs. Morris Thomas seconded .
FORTHCOMING EVENTS
MARCH
21. Un grouped Railw ay Competition, Macnaghten H ou se , Judd Street, L ond on.
22 . Sussex County Brigad e Competitions , Worthing.
29. All-England Cad et Conf eren ce, 11.
APRI L
. Drap ers Hall , Lon d on.
Southern Railway Final Competit i ons, Borou gh P olyt echnic, Lond on.
H os pitaller s ' Club Dan ce, Bonnington H ot el, Lond on . Kent County Con st a bulary First Aid Competition, Ma i ds tone. L ond on, Midla nd a nd ScottIsh Railway Final Comp et iti ons, Manchester .
MAY N o . 12 R e gi on Fin a l Comp etiti ons, Brighton H osp itall er s' Club Mee tin g, Bonnmgto n H otel, London 50th Anni versary Cele brations of the Keighley Corps 50th Anni ver sary Cel ebratlOns of the B a rn oldswick Corp s. Inspecti on of the South ern W.R. Y orkshire, b y the Chief Co mmissi oner, Wentw orth Woodhou se . D edicati on of Sussex County Briga de Col our, Brighton.
THE ART OF DIAGNOSIS
Wheneve r a person is calle d to attend a c<1:se of. sudden illness or it is necessary t o carry o ut certain procedure wh:ch WIll enable a dIagnOSIS of the case to be mad e. First aiders must not Jump to they be s u re t h a t th eir treat ment is correct. They must als? ? ear m theIr real j o b is t o gi ve such a id as w ill n ot aggravate the illJUry until such time as me dical a ss istance i s ava ilable. . It sho uld b e r e m emb er e d that the patient rr:ay be suffenng from one in ' uries cau se d by an initial condition To gIve an example: a man su y h1s a fainting fit In f a lling he strikes his !he hard ground and con cussion and a wound on the head. Two InJunes caused by one con 1 IOn.
INITIAL ApPROACH
Wh en called to a case the first aider should note whether there is any danger ' whether there are any signs which assist in obtaining the hIS of the wh eth er there is any material avaIlable; .and an l y PQSSk , I. , A h th patient qUIetly and qUIck y, rna mg a ssistance is n ear at hand. ppnuac e . alon ) This sure that th ere is no danger in your path (and none likely to comebeen k®eked is to be seen in road accidents, more espeCIally when a pers®: conditions down b a motor car at a corner It would be nece ssary un er os.e to ensuie that further traffic comes around the corner whilst the patient IS lymg, 97
possibly, in the road. If you have first aid material at hand, take it wit? you but do not waste time collecting bandages, sp lints , etc., before procee dmg to a case . If possibl e detain any p erson who might b.e able to .give either by t elephoning t o the doctor, obt ain ing first aId matenal or by glvmg the history of the accident.
Speak to the patient and ask whether he i s in any pain and the pain is situated. This is a common-sense thing to do, because It WIll tell you immediately if your patient is conscious (he cannot answer if h e is not) and at the same time informs you of the possible places at whIch some hurt has been sustained.
GENERAL EXAMINATION
H aving spoken quietly and encouragingly to your patient, relieving anxiety, carry out a general examination commencing with the parts in which the patient complains of pain. Remember, however, that there may be bleeding which the patient c a nnot feel because of greater pain in other parts. This is more so in cases of burst var icose veins where the patient has knocked himself in falling and whilst he tells yo u that his shoulder hurts, having fallen on his hand, the pain in his shoulder numbs other sensations.
After examining the places in which pain has been experienced just make sure that there are no hidden injuries before feeling that the case has been we ll and truly treated.
UNCONSCIOUS PATIENT
With an unconsciou s patient it will not be possible to obtain any information from the injured person. Therefore, the good first aider will immediately carry out a general examination of the whole of the body.
Firstly , we must make sure that th ere is no severe bleeding present. "\Vhilst the patient is unconscious the bleeding may be very slight but as the patient begins to recover this bleeding may increase in severity . Therefore, whilst treating your patient do not overlook this fact.
Next, we must note w h ether the patient is breathing. If not, then artificial respiration is our first consideration. Here again, if there is no breathing there will be little ble ed ing, so as we do our artificial respiration we must be on the alert for any severe bleeding which may recommence.
Having ascertained that the patient is breathing we should note the character of the breathing This will indicate to us certain signs which will help us to diagnose our case. The breathing may be slow, quick, deep, or shallow; all of which may t ell us something. In this connection it is well to point out that because a patient's breath sm ells of alcohol it must not be assumed that he is suffering from alcoholic poisoning (or that he is (( drunk "). Even if this were so the condition is a serious one.
Next we take the pulse and note the colour of the patient's face. If pale it must be kept low; if .:flushed it must be raised.
Next comes a general examination for signs of injury t o the body. Commence with the top of the head and go down all over the body. Thi s should be done to a plan; and it is best to take the following lines. Head, including ears, nose, eyes, mouth, should er girdles, upp er limbs, spine, ribs and sternum, pelvis, lower limbs . In this way all parts of the body are covered. If you jump from one place to anoth er it is quite easy to overlook one part which is injured.
When this is completed you should have enough d etail t o make a diagnosis which will enable you to treat the case efiiciently and well.
Just one further point; keep Y01!!lr patient well covered whilst making the examination.. Do not place a blanket !Dver him and then take ti t off again. Expose the patient as little as possible; and Femember that heat is nec e ssary und erneath your patient as well as on top.
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MANY SERIOUS LEG TROUBLES INFLAMMA TJO. RASHES, BURNS, CUTS
INTERESTING CASE REPORTS
CASE REPORT No. 3I7.-The Officer-in-Charge of t.he .County of S.J.A.B., reports the efficient performance of first aId m the followmg CIrcumstances. . . f b
At 1.20 p.m. on September 26, a boy (aet. was gIven a pIece 0 carrot y his mother, and then went out into the roadway play. 1!e returned a few minutes later gasping for breath and nearly chokmg. It bemg aJ?parent the piece of carrot had stuck in his throat, the father at once pIcked up hIS son and ran across the road to the house of Harry Hawtin, whom he knew to be a member of the Brigade.
The latter, with the help of his brother, Frank, happened to. be m house, at once took the child from his father, held hIm head dO'wn Wlth feet m the air, and smacked his back, but failed to the. completely. As the child was in an advanced state of asphyxIa, they laId hIm on the fioor, where Frank Hawtin at once commenced artificial respiration by Schafer's method, while Harry put the handle of a spoon iD:to t?e child's mouth to keep it open. After some time air could be heard gomg .m and out of the lungs, and this encouraged the two brothers to persevere unbl a doctor (who had ?een summoned at the outset by Harry Hawtin) arrived to take charge of the pabent, who was later removed in the police ambulance to hospital, where in due course he made a complete recovery.
COMMENT.-The first object of first aid is to save life. Th e Hawtin brothers, therefore, merit cordial congratulations in that on this occasion they accomplished the heart's desire of every first aider, and by prompt and effic1-ent treatment saved the life of their young patient.-N. CORBET FLETCHER.
CASE REPORT No. 3I8.-The Officer-in-Charge of the County of Surrey, S.J .A.B., reports the efficient performance of first aid by the Superintendent of the Godstone Division in the following circumstances :-
At 12.45 p.m. on January 18, Superintendent R. J. Symonds was just leaving his office, when a business acquaintance rushed in and told him that there had been a bad accident at Orled Corner, and that an ambulance was required. Supt. Symonds at once contacted Driver Rice, and within three minutes reached the scene of the emergency. On arrival h e found that a motor cyclist had been knocked off his machine by another motor cyclist, and was lying in the middle of the road, his head being supported by the District Nurse, who happened to be near by. On examination he diagnos ed a 1:Jadly fractured jaw; and after satisfying himself that there was no hcemorrhage from the teeth or loose teeth in the mouth, he treated the fracture in the usual way. He was about to load patient on .stretcher when a doctor came on the scene. So he reported fully to the latter, who supervised the loading on to the stretcher and complimented Supt. Symonds and Driver Rice on th eir very prompt arrival and treatment of the patient.
COMMENT -Words of praise ljrom the doctors who charge of their patients are always pleasing to first aide'Ks. Such being the case, it only remains cordially to congratulate the above named member of the Brigade fO 'y good work well done.N. C. F.
QUESTIONS AND ANSWERS
Doctors and First Aid
D. B. have with much interest your booklet The Appointment of SurgeQns and thew and shall endeavour to carry out its suggestions. Incidentally, you state tneFeinthat first aid is not taught in medical schools. You will be interested, therefore, to learn that at the Bristol University first 100
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Acton Hospital First Aid
Finals to be held at the Hospital Fete, Saturday, 21st June, at Acton Park Competition in two sections: A and B. A Section for Police and Other First Aid Teams ; B Section for Other First Aid Teams only.
Entrance Fee for each section, 10/Entries definitely close on 26th April and must be sent with entrance fee to the Secretary, Acton Hospital, W.3.
'Over 300 separate pointers to successful competition work are given in HORTON'S FIRST-AID COMPETITION TRAINING
The practical guide for all First-Aid Competitors Price 9d. Post 2d. (8/- a dozen: 15/- two dozen) Published by THE FOUNTAIN PRESS, 46-47 Chaneery Lane, London, W.C.2.
aid is to-day a compulsory subject in th e 2 nd M .B. Co ur se: and t h a t no stu de n t is allowed to take the examination in Ana t o m y and PhYSIO l ogy u n less h e h o ld s the first aid certificate of the St . John Ambula nce Ass o ci a ti on .
Your letter is m uc h apprecia ted, an d esp ecially the inf ormation which it supp lies Tim es hav e changed sin ce the booklet wa s w1Iitte11J .-N. C. F.
Dressing Bandage for Skull
M H . (Acocks Gre en) -Is it p ossible for you to make more clear the explanati on of the Dressing Bandage for th e Skull p u blished under above heading i n t he D ece mb er, I 9 46, issue of the Gazette? The part that puzzles the membe r s of m y Divis ion (e v en our surgeon) i s « Pl ace the centre of a narrow bandage over th e for ehead and pass this bandage r o u nd head and tie on pad on top of head."
We cannot quite s ee h ow this is d on e, a n d thank you for an explanation
Yo ur diffi cu lty wi ll d is app ear if you alt er the final sentence in OUI' correspoJldent's descr i pti on of th e ban dag e an d m ake i t read : « pass the ends of this bCl?ldage
r oun d th e h ead an d tie th e en ds of th e fi1 1 st bandage over pad on top of head."- T '. 1'
Compound Fracture of Leg
J. S (Weston -s up er -M a r e).-I sh a ll be greatly obliged if you "uulcl Hie a controversy whi ch arose a t Divisional Practice this \\. ek.
It concerns th e tr ea tmen t of a frac t ured leg with broken cncl 01 bone protruding throu g h the skin . What I v.rou ld like to know is whether we shou td or should not apply ext e n s ion o f th e li mb with this injury. My cliIfi.culty arises from the fact that som e doct or s say « Yes" while others prcf r the limb to he se cured against th e oth er , as it i s p rov i d ing, of course, that it is mad secur '.
Th e Te x tbook so lves your prob lem in Rule 4 oj the Gelwral Rule s fOY Treatment of Fra cture s whe re on page 67 in black typ e it tell s YOIl 1101 to attempt ('x te ll sio n. -
N . C F.
Sloan's Liniment
A . !1. (Le nham) .-I wo nd er if you could spare time to let us know ho\\· to treat the followin g cas e :-
We were s ent t o a m a n w h o h a d dr u nk a bottle of Sloan 's Linim nt , wiih instructions from a do ct or t o take him at once to Hospital. On arriva l at the hous e , at midllig ht, we found that n o d oct or had been to see him; that he had been sick, and that wbat h e h a d br ou g ht up had been thrown away. \\ ' h en we r each e d the h ospital we wer e a sked by t h e doctor what 'loan's Liniment contain ed . W e told him that a s fa r as we were a ware, turpentine and ammonia, but could not say w h a t e ls e. I sh o ul d be g lad if you cou Id ass i st us by tc lli. ng us w hat tr eatm ent w e sh o uld have g i ven in this case, as it is the first ti me v. e have had a cas e of S loa n 's Linim e n t t o deal with. Thanking you in aclyance f or y o ur a dvice.
Sloan 's Lin imen t is re p u ted to consist of st'l'o'ng amlllonictolutioll, oil of tllJ'PCIlti li e, methyl s ali cylate (or oi l of wi nter gr een ), aromatic oa of pine, and capsicv(,Jn (or cay enne pepper). Con se qu ently, if taken in ternally it will give 'rise to sig1is and symptoms of irritant poi soning .-N C. F.
Strained and Ruptured Muscles
.J .. P. (Houn slo w ) .-A fo ? tb a ll suggest s tha t , while it might be permI SSIble to allow a player WIth a stra m e dmu scle t o r es u me play in a m a t ch i f t h e play er so d esires, it i s mo st d esirable in the case w h er e a ru pt u re o f a mu scle i s suspected that the play er b e warn ed n ot t o a tt empt t o do so. Oth er wise h e might be off the active list for months. Pl ea se t ell m e h ow we, as fir st a i d e r s, can differentiate between these two njurie s.
First aiders cannot be ex pected on ev ery I!Jc casion to differ ent i ate betwee n a s tr a i ned or mu s cle Reference to the T ex tbook (p. 98) SUPP011 t S thi s since it g i v es the same s2gns and symptom s for both inju r i es In brief the k ey to the p11 0bl em i s , 102
SKLEN
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First Aid Fracture Chart
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Fint Aid Dislocation
as the trainer sugges ts, th e reac tion of the to consequent on the pain involved, he i s no t like ly to be anx1,QUS to conhnue pZaymg a rupture d muscle.
-N. C. F.
RAILWAY AMBULANCE NEWS
INTER-RAILWAY COMPETITION FINAL
The above w ill be held at the Borough Polytechnic, Borough Road, London, S E I, on Friday, June 20. The Jud ges will be Maj or A. C. White Knox (team test), Dr. Wm. Duncan, of Liverpool (individual tests), and Dr. W. Bigby, of Southampton (v iva voce).
Admission will be by ticket, obtainable from the Competition Secretary, St. John 's Gate, London, E .C 1. Applications will not be entertained until the first week in Jun e.
LONDON, MIDLAND AND SCOTTISH
The 21st Annual Rep ort of the ambulance movement in England and Wales has recently been issu ed by Mr. Gilbert S Hill (General Ambulance Secretary).
Examination Results.-Th ese show a slight increase in the number passing examinations, particularly in the first and second years. The total number of awards gained was 6,268.
First Aid.-Many instances of exceptional first aid have been reported, and the a ward of the Meritorious First Aid Certificate has been made to Messrs. B. L. Freeman and N. Seabridge, of Saltley, for services rendered to S. J. Webster on Novemb er 29, 1945, and Messrs. F. J. Skidmore and J. Robinson, of Derby, for services rendered to J. Nicol on November 13, 1945.
Long Service Medals and Bars.-Since the formation of the Centre, 4,956 -Long Service Medals have been awarded, and the following Bars : 2,421 for 20 years, 1,158 for 25 years, 536 for 30 years, 202 for 35 years, 51 for 40 years, and 7 for 45 years' service.
Order of St. John.-During the year seven Medical Lecturers received honours from the Order of St. John, and twentyone members of the staff were likewise honoured One member received the Vellum Vote of Thanks, and one the Welsh Priory Vote of Thanks.
Conclusion.-The General Ambulance Secretary extended thanks 1..0 members of the medical profession, to Hon. District and Class Secretaries, District Committeemen and Instructors; and to the Railway Company for their generous assistance. Thanks are also extended to the St. John Ambulance Association and the Priory for Wa l es.
London District.-The annual competitions were held at Southend-on-Sea on February 10 and 11. On the first day Division 2 tests were held, and Poplar Docks gained first place, followed by Euston Clerks and St. Albans B. J\lr. Carter (Goods Agent, Poplar) pres n1..ed the trophy and prizes.
On the second day, Divis ion 1 teams competed. After a full day, Camden Goods A were declared the winners, with Somers Town 2nd, and St. Pancras A 3rd. Mr. Jones (Goods Agent , St. Pancras and Somers Town) presented the trophy and prizes, and expressed the hope that the London representatives would go o n and gain the highest award on the L.M S., and then the Inter-Railway Competition.
On both days Mr. S A. Purves (Chairman of the District Committee) presided at the prize presentations, whilst Mr. C. Hopkins was the energetic competition secretary.
SOUTHERN
Basingstoke.-A most successful individual competition open to members of the Basingstoke Class was held on February 4, when Drs. MacLean and Romanie s judged the work. After a keen contest, the res ult was announced as follows: 1st and" Francis Cup " , Mr. P. Hocking; 2nd and" White Cup ", Mr. A. Garrett. Beginners prize, Mr. A. Hobgen. Mr. A. Francis (Class Secretary) arranged the event.
Ramsgate.-Over 700 persons attended the Ambulance Party of District No.3. Mrs. Chitty presented ambulance awards and the guests included the Mayo r and Mayoress of Rams gate, the May oress of Deal, Mr. W Palme r, Deputy Chief Constable for Kent, Mr. J. H. Welfare Officer, Mr. F. A. Trott, Centre Secretary, and other officers of the Company. District Secretary G. Pointer was congratulated on his organization.
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For tbis reason' Alasil' can be C?nfidencein all the conditions in wbich sucb an agen t 15 mdicate<!-, :,,:,hiJe Its use affords the aovantage of greater freedom from the posSibility of unpleasant gastroin testinal sequelae.
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hints on the Drum and Flute. alsoParadeFormations. use of Parade Cane. staff. etc.. 6d. post paid
(Broken.) Po. t flesh hoop. Ready lapped head returned .ame day as received. Henry POTTER & Co. 36/38 West St., Chari"g Cross Rd. LONDON, W.C.2.
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METROPO LI T AN (L.P.T.B. )
T h e a nnu a l competitio n for the Ch a llen ge Cup (presented in 19 07 by the D ire cto r s a n d Officers of the Metropo lita n Railwa y ) w a s hel d at Baker Street o n March 1. Three t eams competed b efore D r. M. M. S cott (team), Dr. E S. Abraham (indi v i d u a l ), and Dr. B. Rosefie l d (viva voce). At the cl ose of the competitions, 1\1r. J. A. Gravestock (Centre Secretary) annou n ce d the results as follows: 1st, Act on Works; 2nd, Operating Managers (Railways) ; 3rd, Chiswick Works .cV\Tomen) Individual prizes: 1st, vV.
Weekes (capta in of seco nd team), 2nd (tie), R. F. Thurlow and A. Pearce (Acton ' Norks).
The three ju dges gave a s h or t criticism of t h e work done, and Dr. orman (Chief Medical Officer) proposed a vote of thanks to them. Mrs. Va l entine, ,, ire oC Mr. A. B. B. Va lentine (Pl' s ident of the Centre), who presidecl, pres ntect the prizes and also first aid awards gained by members at the Decemb er examinat ion
The ·winning team will represent the Company in the Ungrouped Railway Competition to be held o n March 21.
THE ST. JOHN AMBULANCE ASSOCIATION
E x mouth. -At the annual meeting o f the Exmo u th Branch, the completion of 21 years of ambu lance work was marked b y the presen tation of an Illuminated Add r ess to Mr. Harry Law, who had been ch a ir man of the Branch since its formati on in 1925 . Mr. Be l sher, Chairman of t he U rb a n District Counc il , in making th e p rese n tation, said that Mr. Law's bu sin ess a bili ty, h i s regular attendance at m eetin gs, and h is general interest had c on t ribut ed t o the success of the Branch, a nd h ad made possible the position vvhich t h e Asso ciatio n hel d in the d istrict Mrs. H asl ett , on b ehalf of the members of the Brigade , p rese n ted Mr. Law with a fo unt a in p en Mr. Law, in rep l y, said that hi s wo r k h ad b een of the most pleasant d escription , and h ad been characterized a b ove a ll b y harm ony . H e fel t t hat the bulk of th e wo rk had b een carr ied out by m emb er s of the Brigade , a n d h e h oped tha t th e Association wo ul d r eac h their target of £ 5 ,000 (of which £ 3 , 200 had alr ea d y b een r ecei ved), in order t o rep l ace th eir pr esent a mb u l ances and extend the A mbula n ce H a ll
M r. P erriam, Hon Secretary, t hanked m e mb er s of th e A mbula n ce a n d N u rsing Di v is i on s f or th eir assist a n ce in stafiing t he ambulanc es , w hich durin g t h e p as t y ear had ca rri e d 733 pati ents , atten de d 119 a ccid ents, a nd a n swe r e d 16 fire call s. T hi s work ent a il ed t ravellin g 14 , 409 mil es. Since t h e ab ove meeting , we r egr et to a nn o unc e t h e d eath of Mr . Law , which t ook p l ace th ree days later.
Kings b r id ge.- A new ambu lance Jor the King s bridge Branch of the A ssociatio n was dedicated by the Vicar of Kingsbridge, Dr. F. ' V. Camfield, outside the Town Hall, where the vehicle, presented by the Hon Mrs. J. Peek and l\1i s E. El li s, was accepted by Ir. II. Anthony, Chairman of the Association in Kingsbridge. A service was held at St. Edmu nd ' s Church, the L esso n being read by County ommissioner Dr. F. 'Y. Morton Palmer.
Lou g hborou g h -According Lo the 31 t annual report of the Loughborough Centre, the number of patients carried numbered 2,023, involving over 27,000 miles, being an increase of 474 over last year's figures. The Medical Com forts D epot has been re-equipped and contains s uch articles norma ll y required in 11 o l11e nursing n o t readil y available in the average h o me.
Three trophies were presented during th e year by Mr. and Mrs. George Bowley, Mr. and Mrs. B. P Cooper, and 1\1r. and Mrs. H. P. C. Brown. Appreciation is extended to the driver. and attendants of the ambulan ces, and it is anticipated that a new vehicle, the gift of Mrs. Mary L. Nevi so n Cross, will be deli vered in the near f u t u re Classes o£ instruction have b een h eld, bu t t h ere h as been a pron o unc ed decrease i n the n u mber of stud en ts atten d ing and certificates issu ed.
T h e Committee have expressed their sincere gratit u de a n d thanks to those who have contri b u ted to the F unds
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 5d.
REPOR.TS AND P H OT(llGR.APHS should be addressed to The Editor, St. John's Gate, London, iE.C.I, and should reach him not later than the 28th of the month.
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to t h e St John G azette, 46-47 Chancery Lan e, L ondon, W C 2 ( to wh ic h addr eu replies to Box N umb ers should be/orwarded). Rate 3d. per word, minimum 41. 6d. Box number, II. extra. Trade ad ve rtisem e nts 4d per word, mim mum 6,.
SE V ER AL NURSING CADET GREY FELT HATS, in goo d co ndi tio n Write Burton, 25 Surrey Road, Harrow. Te l. Harrow 2378.
F O R S AL E.- Ladies' uniform, greatco a t, 2 dr esse s , 26 waist, 34 b u s t ; 2 ap r ons, 4 cuffs, size 8; 2 co ll ars, 14 in.; 2 belts, capalinc, hat small; nearest £8.-BURCH, I Brunsw ick Hill , Reading.
T RE A T M ENT A ND REMEDIES FOR POISONING.-A handy q ui ck re fe r ence chart which shows at a g lance the tr ea tmen t fo r 30 different types o f po isons Com pil ed b y D iv. Supt. A. E. Hawkins. Signs a n d S ymptoms; Immediate T r eatme n t; Eme tic s; Pur gatives; Stimulants; Demulcen t D rinks; Arti ficia l Re s pir atio n; Lat e r Treatme nt . P ric e 9d., pos t free IId.-F o UNTAIN PRB SS, 4 6- 47 Cha n cery Lane, Lo ndo n W.C 2.
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PRA C TI C AL BO OKS
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WH Y & WHEREFORE IN fiRST -AID (6th Ed.)
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COMMON ERRORS IN FIRST-AID Errors in First-Aid Detailed and Explained. Price 1/ 3 (Post 2d.)
AMBULANCE COMPETITION TESTS
Stretcher, Individual and Question
Each Fold e r co nt a ins speciol orticle 011 Competition
No ' 0Train in g of Competition Teams :
No 2. Conduct of Team in Compe tition Room
No 3. Common Errors in Competit ion:
No.4 Further Errors in Treotment:
No.5. History of Competition Testsl No 6. Preparation of Tests
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NOP THERN (OPEN) AMBULANCE C O MPETITIONS, Ma y 12-17, 1947, for the "J ean P latt en " Troph y for Ambulance Te a m Work T he "Visitor " Troph y fo r Indi vid u al A mbu la nc e W o rk, and the "Frank P eek" R ose B ow l for Nurs ing Teams d ay, W edn es da y, May 14), and o ther prizC3. All ent r ies mu st r eac h the Comp eti tion Secretary, A m b ulance Hall, Alice Street, Morecambe, not later t han A pril 21, 1947. Application forms a n d details of th e C o mp e titi ons may be had from th e Co mp etitio n S ecre ta ry The first 48 Amb ulance T ea ms and the firs t 12 N ur si n g Teams t o enter, will b e a cce pt e d. FOR SALE.- S J .A.B. O fficer's uniform (tunic, tro
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S.J.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; O S , £5/1 4/6.
STOCK SIZES-Women's :
Bust: 32, 32, 33, 34, 35, 36, 36, 36, 37
Lgth. : 44,46,44,46,45,44,46,48,47.
Bust: 38,38,39,40,40,40
19th. : 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 : 6t, 6i, 61, 6*, 7, 71, 7t, 7i. Storm Cap 17/11. Box and postage 1/4.
REGULATION DRESS for Officers and Ambulance Sisters. Made from good quality Sanforized-Shrunk washing material. Bodice unlined.
Women's, 29/6; O.S., 31/6; X.O.S., 31 / 6.
REGULATION BLOUSES for Officers and Ambulance Sisters. In Ivory Tricoline, 22/4! (4 coupons). extra cGllar, 3/6 (1 coupon) Sizes: 13!, 14, 14! ins. 0.S.,23/4!. (Civilian coupons must be surrendered for blouses.)
SJ.A. REGULATION APRONS for Ambulance Sisters. Made from hardwearing linen-finished apron cloth. Price includes cross.
Waists 26, 28, 30 ins. 8/11
Waists 32, 34, 36,38 ins. 9/11
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REGULATION CAP (or Ambulance Sisters, 27 by 18 Ins. or 28 by 19 Ins 3/3
GARROULD LTD.
PRICES OF OFFICERS' UNIFORMS AND OTHER ITEMS NOT MENTIONED IN THIS ADVERTISEMENT SENT BY REQUEST
150-162 EDGWARE ROAD, LONDON, W2 All price, are liable to advanc.t: without notice. Telephone: PADdlngton 1001 Numeral. obtainable from headquartera.
