The St. John Gazette (May 1949)

HOBSON &SONS

(LONDON), Ltd.

FOUNDED 1850

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•

CONTBNTs-Preface by Dr. N Corbet Fletcher; Foreword; A Word on Slings; Hints on HlI!morrbage; Stimulants; Bones and Fractures; Table of Poisons ; Roller-Bandaging Listed for Easy Bandage Pracuce; How to Answer an S.O.S. on a Certain Health Question; Suggestions for Equipping a Small First Aid Case for Public Duty; Instructions for the Efficient Ruoni ng of an Ambulance Tent at Large Public Funcuons; Suggestions for Equipping a Factory Ambulance Room; Some AdVIce for the Factory First Aid Room; Hints for Divisional Practices.

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Q;be C!&lfuial A )Journal of tbe <ilranb Jlrior1! in V tbe l!!riti.b lite aim of lTtntrahlt ®rb'tr .of tlJt 'j.os]1ital .of J.olJn .of Jtrttsalem

Bdited by GEORGB B. CRAFT, O.St.,., F.R.S.A.

22. No.5. MAY, 1949

EDITORIAL

COMBINED During the late war the words « combined operations" were OPERATIO S well to the fore; and they stood for operations in which all the fighting services played a part.

Such an outlook can be, and should be, part of the St. John Organization. Although there are three Foundations oHhe Order-the Hospital, the Association, and the Brigade, each should ensure that the other Foundations are a"ware of the activities which are taking place.

At the Brigade Finals held l ast year, the Chief Commissioner referred to the fact that more first aid certificates were being issued by the Association, and that it was up to all members of the Brigade to endeavour and persuade the recipients to join the Brigade.. Some Officers have carried out this suggestion with excellent results; but others have yet to try.

The figures for the first two months of this year show that the Association has issued nearly 650 more first certificates than in the first two months of 1948. Here, surely, is the answer to the question which is often asked to-day: « Is there much interest being taken in first aid these days?" And here, surely, is the answer to thos e who wish to obtain new recruits for the Brigade.

It is certainly true that many students of first aid do not wish to join a uniform ed body, but take their training either because they feel that the knowledge they gain may be of service in times of emergency, or because they are encouraged to do so by their employers . In spite of this, there are many men and women who would enrol in th e Brigade if particulars of membership were available at the time of the courses. This is where (( combined operations" enter. When an Association Class Secretary is running a course, why not advise the local Division of th e Brigade and ask the Officer-in-Charge to send along a few members to assist with the practical instruction; and later give ju st a few minutes for that Officer to give particulars of the work of the Brigade? There need be no interference in running the class; just a few minutes at the end of the last instructional night. In the same manner, it would be an excellent idea for Officers-in-Charge of Divisions, when running a course of lectures, to advise the Association Class Secretary that such a course was being held. This would enable the Class Secretary to inform possibly one or two members of the general public who wanted instruction that such a course was available.

Do not l et the fact that you are a Brigade member blind you to the importance of the Association; and do not let the fact that you arrange classes solely for Association members m ean that the Brigade is not interested. The Association and the Brigade must work together side by side in close harmony. Then the fruits of combined operations will be apparent.

ST. JOHN COUNCILS IN THE COUNTIES

HAMPSHIRE At the ninth meeting of the Council, the Chairman, Sir :\Iaurice Hallett, w e lcomed l\Ir. Bennett, Chief Constable of Bournemouth as a new member. The need for bringing the work of the Order and its Foundations to the notice of the public was discussed.

The resignation of Lieut.-Colonel P. H. l\1arshall from the Council, owing to the fact that he is leaving the County, was received with regret by the members.

Colonel :\Iarshall has given many years' service to the Order as an Officer of the Brigade, and he has been a member of the Council since its formation.

1 TORFOLK At the meeting of the Council, Sir Thomas Cook, who presided, stated that St. John was now functioning at 40 centres for men, 23 for I ursing personnel, 38 for Ambulance Cadets, and 28 for I ursing Cadets. He had addressed Rotary Club meetings at Cromer and Dereham on the history of the Order, and other similar engagements were pending. Area Conferences for Officers had been held in each of the eight County districts. Medical Comfort Depots were being established throughout the County. Interest in the Brigade continued its upward progress, which had been a marked feature throughout the County during the past few months.

BRIGADE SENIOR OFFICERS' WEEK-END CONFERENCE

For the second year, Ashridge, members to ignore the Cadet Movement, Berkhamsted, was the venue of the which was to be deprecated. The Cadet Conference; and delegates 'were definitely l\lovement would be the main recruiting agreed that Ashridge was the ideal place ground for the Adult Divisions; and every for such an event. It was unfortunate assistance possible should be given to the that many Senior Officers found it impos- Cadets before they reached the transsible to attend; and some Counties were fer ence age. not represented at all. After lunch the Earl of Shaftesbury

The opening session was on Friday (Bailiff of Egle, Order of St. John) spoke evening, April 1, when the Chief Com- on "The Rebuilding ofthe Priory Church". missioner (Lieut.-General Sir Henry After a free period the delegates were Pownall) welcomed the delegates and gave privileged to hear the Prior of the Order particulars of the Conference. (The Lord Wakehurst) speak on "The Saturday morning, after Chapel, the Brigade as a Foundation of the Order of Chief Commissioner introduced the St. John ". The fact that Lord Wakehurst question of "The New Brigade Regula- had found time to visit the Conference and tions". There were many changes pro- to pay tribute to the work of the Brigade posed, and these would be placed before was in itself much appreciated by the Commissioners and their staffs in due Officers present. He expressed his pleasure course, but three major changes were at meeting so many Senior Officers of the described by Sir Henry. These referred Brigade and also how much he is learning to (1) Courts of Inquiries divided into to admire the spirit and the achievement (a) a Committee of Appeal, and (b) Com - of the men and women under their committee of Investigation; (2) ritles, such mand. He felt it was vital for him as Company for Divisions, and Groups Prior of the Order to be in close touch mstead of Corps (to be more in line with with the Brigade Although the Brigade military divisions) ; and (3) Organization. an command run by the The latter matter referred to ranks, and ChIef CommlssJOner, the links with the clearly defined the position of various Order were intimate and close. Officers.

The Prior then gave a short history of The Conference then split up into Dis- the Order, bringing out many facts which taking for their subject were not generally known. He referred to the pomts gIven by the Chief Commissioner the visits paid and the contacts made with on the new Brigade Regulations. branches of the Order in other countries. The Deputy Chief Commissioner One interesting item was the fact that (Lieut.-General Sir Otto Lund) was the when Sir John Phillipart was relieved of next speaker, and gave a lecture on " The his office as Chancellor he refused to Cadets and the Brigade". The Cadet deliver up the papers and records entrusted Movement was, he said, now established to his care, but later confessed to having as one of the leading youth organizations sunk them in a dispatch case beneath a in the country; and figures showed that in his garden in Hammersmith. membership was increasing. There was ThIS pond was later filled up and is now a tendency on the part of some adult part of the Hammersmith Broadway 134 '

whence it would be rather difficult to retrieve the documents.

The British Order of St. John is not just an interesting survival, a museum piece, or even just a romantic restoration. It still carries on in the spirit of the Order's motto "pro fide et pro utilitate hominum "-" For the Faith and for the Service of mankind " We still minister to those in need, we still wear the eightpointed cross, we are reminded constantly by our badges and our ceremonies that we are members of a Christian brotherhood. Our army is the St. John Ambulance Brigade. It is an army anyone may be proud to belong and which is doing work that cannot be too highly praised.

The last session on Saturday was an open discussion on Brigade finance to which it was noted Sir Ernest Burdon (Receiver-General of the Order) took much interest.

Holy Communion was held on Sunday morning, and after breakfast a service was conducted by the Rev. Canon A. L. E. Williams (Sub-Chaplain of the Order).

"Civil Defence Training" was an important contribution given by WingCommander Sir John Hodsoll (DirectorGeneral, Civil Defence Training Branch, Home Office). In the early days of Civil Defence it was, he said, largely due to the St. John Ambulance that the scheme worked, and a great debt of gratitude was due to the Organization. Civil Defence was, to the permanent part of the country's defence, a kind of National Insurance. In the main, it would be a voluntary service with a static force (Wardens, etc.) much on the same lines as before; and mobile forces, in which the army would assist.

The part to be played by voluntary organization was dealt with rather fully. He was anxious that all C.D. volunteers should be first aid trained, either on a basic principle or the full-blooded course.

Two textbooks had been prepared to cover both courses, based on lessons learned from the last war plus the atomic bomb. Voluntary organizations have been asked to undertake all first aid training, and this request had been accepted. It was an enormqus relief to know that this work had been taken off his shoulders. Rescue parties would receive full first aid training; while First Aid parties would be on a mobile basis, with static posts attached to hospitals. Sir John was very keen to have training as realistic as possible, and faking of wounds and inj uries and acting as patients was most essential for good training. There were many problems to be settled, and we have to be ready for all and not be surprised. In training, it would be necessary to take into account high explosives, incendiary bombs, gas, atomic warfare, and biological warfare. Sir John then gave some particulars of the action of the atomic bomb as far as was known.

The speaker was asked many questions by the delegates; and Wa!: thanked for a most instructive and interesting discourse. Group Discussions on the talk were then held, both before and after lunch.

The last session was Group Discussion Findings. This was followed by a summingup by the Chief Commissioner, who expressed his grateful thanks for the views expressed on the proposed new Brigade Regulations. He stressed the importance of the talk given by Sir Otto Lund, and stated that Cadets will flourish according to assistance given the Movement. It had been very useful to learn that the Brigade was running its finances in an excellent manner. The findings by the Discussion Groups on Civil Defence were most useful. Sir Henry referred to the fact that it was the first time the Prior had attended such a Brigade function and his presence, also that of Lord Shaftesbury and Sir Ernest Burdon, was much appreciated by the members In conclusion, the Chief Com-

mISSIOner expressed thanks to l\Ir. Guthrie }loir, 1\lrs. Vaughan, and Ring, of Headquarters, who were responsible for the run.ning?f the Conference.

Deputy Surgeon-m-Chief F. H. Edwards

CEYLON.

The report for the year 1948 shows that in spite of depleted th.e Nursing Divisions have maintamed therr public duties. First Aid Posts have been held throughout the year and, with the assistance of the Red Cross, posts were staffed for eighteen days for the Exposition of the Sanchi Relics.

Twice a week Diversional Therapy 'was undertaken at the Military Hospital, this was in charge of St. John members assisted by the Red Cross. Approximately 500 toys, flowers, etc., were made during the year and a splendid sum of money from the sale of these was handed to the Hon. Treasurer of the Joint Council. A large number of the toys were given to the Civil Hospital.

A very good library had been collected together and was in charge of the Brigade, with Red Cross members assisting.

The Brigade presented vases and crates for flowers for the :'IIilitary Hospital. These flowers are sent from planters' gardens and met at Colombo Station by members of the Brigade, conveyed to the hospital and arranged in the wards. This IS much appreciated by patients and staff.

A mobile canteen was organized and attended at the Eye Hospital each morning to dispense tea to out-patients. This was most welcome to people awaiting attention.

All ursing Divisions carried on their work quietly and steadily during the year. A splendid number of Cadets had recently commenced lectures and it is hoped that eventually they will take the examinations.

NEW ZEALA::--:D.

The statistics in t.he report for 1948 show that there were 76 ambulances in operation which attended 66,187 calls during the year and covered a mileage of 581,016. 25,043 cases were attended by the eight District Nurses, and calls for night medical service amounted to 1,963.

All Districts were represented by both Ambulance and r ursing Divisions at the Dominion Competitions held in Dunedin in June.

It was found that the calls on members for public duty had greatly increased during the year, and in some centres Senior Cadets had assisted.

voiced the thanks of the Delegates to the Chief Commissioner and other Senior Headquarters Officers for giving up their time to be present throughout the Conference.

Although it was feared that several Divisions would have to be disbanded, 19 new ones were formed with a personnel of 245. This number included six Cadet Ambulance and eight Cadet Nursing Divisions.

I t was decided to hold a Dominion Conference in February of the present year of all officers in charge of Brigade Districts, together with District and Lady District Supe.rintendents. This Conference was to follow a Dominion Cadet Conference.

HONG KONG.

r ews has been received of two outstanding Public Duties performed by members in Hong Kong.

When the Canton Express was derailed at Shumchun, causing many casualties, which were sent into Hong Kong by train, arrangements were made for St. John personnel to be at Yaumati Station to receive the injured who arrived at 9.20 p.m. After dealing with the transport the St. John squads re-assembled at 11 p.m. at the main station at Tsimshastui to meet and transport further batches of wounded. Altogether 5S people were conveyed to hospital.

For nearly 12 hours some 50 members of the Brigade were on duty on the occasion of a large fire which broke out at 'Wing on Godown. More than 20 persons perished in the fire, and Brigade members attended over 170 casualties, 70 of whom were removed to hospital. Letters of appreciation have been received from the Deputy Colonial Secretary of Hong Kong and the Commanding Officer of the Fire Brigade, who complimented the Brigade members on their "great courage and endurance ".

INTER - RAILWAY FINA L COMPETITIONS

These will be held at the Central Hall, Westminster, London, S.W. l. on Friday, May 20, commencing at 9.15 a.m. Two teams from each Region (excluding the Scottish Region) and one from the London Transport Executive will compete fo r the Inter-Railway Shield, whilst one team from each of the Regions (excluding the Scottish Region) and one from the London Transport Executive will compete for the Burroughs Rose Bowl.

The Marchioness of Caris brooke will the .championship trophies and ll1dlViduai pnzes at approximately 4 p.m. 136

THE STORY OF UNIFORM RATIONING

By J. S HANNAM , As sistant Bri g ad e Secretary

The first intimation that the St. John great strain on the County CommisAmbulance Brigade were, as a uniformed sioners and following representations to body, entitled to special concessions the Board of Trade they agreed to a quickly followed the Government scheme whereby the Brigade Office in announcement of Clothing Rationing. It London undertook to issue all Equivawas issued in the form of a Commissioner's lents, collect all coupons and be responCircular dated 3rd November, 1941, by sible to them for the returns they reqUIred. Sir John Duncan from the temporary At this stage an agreement was reached Headquarters at Birfield. This was the whereby the Brigade Office in London result of negotiations with the Board of became responsible for the issue of all Trade, by the Brigade, and the British equivalents, etc., for the Priory for Wales. Red Cross Society. On N ovem ber 14 a further circular was It covered the categories of uniform issued advising Commissioners of this wearers that were to remain throughout change of procedure. the Rationing Period, namely Full and Early in December U.C.E./C.1 was Part-time Personnel with special con- issued, and Headquarters took over the cessions for Male and Female Ambulance whole of the work of Uniform Rationing. Drivers. The scale of allowance was Full A scheme was quicldy completed, index Time :-Nursing personnel Initial Outfit cards devised, and a system of accounting 126 coupons with annual replacements of set into motion that stood the test of the 40 coupons; Female Ambulance Drivers whole rationing period almost without and Administrative Officers, Initial 56 change. coupons, replacements 27; and Male The first major change in the Schedules Ambulance Drivers and Civil Defence took place early in 1942 when all workers, Initial 43, replacement 19. These collars, and ties were deleted from the lIst full-time personnel were required to of articles available and the system of surrender 12 coupons which could be paid collecting coupons by instalments disin quarterly instalments. The part time continued.

personnel received in the case of Nursing A meeting of all interested parties took member and other persons 54 coupons and place in July or August, to prepare Ambulance 44 coupons but were not Schedules and alterations for the second allowed replacements. Among the articles coupon year which commenced on Sepallowed were shirts, collars, and ties. tember 1, 1942. The U.C.E.jC.2 issued as The order went on to state that the a result of that meeting showed many Brigade was empowered to issue a coupon changes. The coupons required from the equivalent or " Order to purchase ", and full-time personnel was reduced from 12 from November 1 uniform would only be to 9 but the number of coupons allowed supplied on the production of either to Nurses was reduced to 94 with a civilian coupons, or such an "order to replacement of 28. Administrative Officers purchase ". The Brigade was made 25 and 12 respectively. vVomen Amburesponsible for the collection of the lance Drivers 36 and 16 and men Ambu12 coupons per member due, and respons- lance Drivers 39 and 19 respectively. ible for seeing that no member exceeded The Part-time workers were reduced to the al10wance laid down for his or her 43 for women and 28 for men. A concescategory. Then followed a copy of the sion allowed members joining the Scheme proposed Permit or Coupon Equivalent. during the year to surrender a decreasing This was followed on November 6 by number as the year passed. Newly proa further circular giving more information moted Officers at this time had to surrenon the persons covered by the previous der coupons for their uniform. order and stating that until Books or U.C.E./C.3. issued in December, 1943, Permits could be issued by the Chief showed no change in the number of Commissioner, draft Permits on the lines coupons allowed, but there was a gene.ral of the previous circular could be issued tightening up with a view to reducll1g by the County Commissioner for" essen- calls on supplies. Only 6 coupons were tial uniform" only The Divisional now required from the full-time personnel. Superintendents were instructed how to Greatcoats were no longer allowed on the collect the coupons and what information replacement issues and instead of allowing was required when these coupons were any number of one type of garment so sent to the County Commissioner each long as the coupons value did. not exceed quarter. the limit, it was now only pOSSIble to have

It was quickly realized that the collec- the number of garments laid down, even tion of coupons by individual units, and if the full number of coupons allowed were the returns necessary, would impose a not required

137

September, 1944, saw the issue of. U.c.E./C.4. The two great changes were, first, in the number of coupons to be surrendered by the full-time personnel. Those having already surrendered 12 were not required to surrender more, but those who had surrendered less than that number were required to make them surrender up to 12. Thus a member who had surrendered 10 coupons in previous years had now to give 2,9 coupons give 3, and so on dO'wn the scale.

The second great change was the granting of a stocking concession for full time personnel working in Hospital \Vards. These were allowed three pairs of stockings in addition to the full number of coupons on the Schedules. Further, in this year members were allowed replacement of greatcoats out of their allocation of coupons.

U.C.E./C.s issued in September, 1945, was notable for the fact that it was the first time that coupon-free replacements for full-time personnel was allowed. The exceptions being members who, joining late in 1944/45, had to surrender balances of coupons to make up the 6 or 8 required. There were no changes in the Schedules or coupon values.

U.C.E./C.6 issued September, 1946, showed the effect of the end of the war and return to more normal conditions.

For the first time part-time personnel were allowed a replacement of uniform and, though the full time Schedules for initial outfits remained unchanged, the replacement issues were greatly increased.

The Nursing personnel replacement was increased from 28 to 46; Administrative 12t031; Male Ambulance Drivers from 19 to 36, and so on.

(To be cOl1tinued)

HEADQUARTERS IN LANCASHIRE

(Can tribll te d)

First Aid classes were commenced in Bacup, a Rossendale industrial town, in 1884 and held in St. Saviour's School, with Dr. Harris as lecturer, and later under Dr. John Brown in the \Vesleyan School. A Police class followed in February, 1891, with Dr. Barclay in charge, and later instruction was given in the Co-operative Hall and Railway Station.

At a meeting held in the Mechanic's Hall, on February 12, 1891, it was decided to form an Ambulance Corps, membership of " 'hich increased so rapidly that the rooms in Tewgate pro,-ed too small so a move was made to Barker's Foundry. Change of ownership necessitated a further removal, so Yictoria Hall became the new home. Here, unfortunately, the rent proved too much, so the :l\Iayor, Alderman Harry Salmon, obtained accommodation for the unit at the Technical School.

On the formation of the :l\ursing Division, April, 1898, the headquarters was transferred to the School Board Offices, but more convenient premises

were secured through the good offices of Alderman George Shepherd, a generous supporter of the organization. Continued growth necessitated further development and eventually the beautiful and commodious headquarters was erected at Lanehead and opened on N ovem ber 29, 1930, by District Supt. Mrs. Tweedale who deputised for the Commissioner, Colonel C. J. Trimble, who was indisposed. The main hall, recently tastefully decorated, is 60 feet by 40 feet, and prominently displayed therein are the Memorial Tablets to the memory of the members who gave their lives while on active service in the South African and First \Vorld wars.

LONDON TRANSPORT AMBULAN CE CENTRE

The annual competition for the Challenge Shield was held at Baker Street on April 2. Representative teams from Acton Works, Chiswick Works, and the Railways Operating Departments took part; the Acton \Vorks " A " team being the winning team.

Prizes for the three best individual scores were gained by Messrs. J. Mitchell, A. Pearce, and R. F. Thurlow all of the winning team.

The judges, Drs. G. R. H. Wrangham, E. J. Selby, S. Mackenzie, gave some useful advIce for future occasions.

lYIr. H. S. (Welfare Officer) presented the pnzes; others present being Dr. L. G. Norman (Chief Medical Officer), Mr. Alex J. Webb (Chairman of the Centre and General Superintendent (Staff and Training), Railways), Drs. J. T. Wybourn

P. A. B. Raffle, and Mr. F. Sad l er (DIV. Supt., Railways).

A cup was presented by Mr. Alex J. Webb to MISS E. Hunt, winner of a 138

previous competition for the Webb Trophy open to women members

The winning team will represent the Centre at the Inter-Railway Final, while the leading Road Services team will compete for the "Stirk ': Trophy Competition organized by the National Road Passenger Transport Association.

ARTIFICIAL RESPIRATION

As Performed by Unciv ili::ed Africans

Captain M. T. Kifford (Hon. Secretary, St. John Ambulance Association, Atbara, Sudan) writes as follows :-

" I wonder how much thought is given as to how the natives of the 'Dark Continent' cope with the many emergencies which occur in their villages. Anything may happen-from attacks of unfriendly tribes to being bitten or trampled by hippos.

" It was my fortune to witness first aid rendered by these chaps to a colleague who was apparently drowned.

"The method was simple, sound, and effective.

"The drowned man was placed in a dug-out canoe, face down, and the whole was placed over a tree trunk some 3 feet off the ground. The' first aider' began rocking the canoe to a chant performed by the other natives nearby. This chant intrigued me and, as I timed the beats of the chant-to which the ' rocker' responded-I found that they were indeed some ten to fifteen tilts per minute .

"Breathing recommenced while I watched and the only shock treatment I observed was that the ribs were vigorously rubbed.

"Subsequent inquiries revealed that they have a shock treatment-and a very good one too; the patient is covered with freshly-cut grass. This grass is anything up to 15 to 20 feet in height and being exposed to the sun is naturally quite warm.

" It was most unfortunate that I could not speak their dialect, neither had I my camera with me.

"The performance was carried out without any preliminary discussion and the operator had quite obviously done such a thing before.

"I think I managed to make understood as to how long this operation would go on, and was told until sundown.

"Whether they resume again in the morning or what happens to a chap pulled out of the river just before sundown, is quite beyond me ! "

ST . JOHN HOUSE

Social evenings have been arranged and Club members are invited to attend and bring friends with them.

The following even ts have been arranged :-

May 31.-Brains Trust on subjects connected with St. John (questions will be welcomed).

June 23.-Lecture: "Cape to Cairo," by Miss Dorothy Neville-Rolfe, Principal of the House of Citizenship.

July 22.-Dance.

The charge in each case is 2s. 6d. per person including buffet refreshments. All functions commence at 8 p.m. and applications for tickets should be sent well in advance to the Warden, St John House, 15-16 Collingham Gardens, London, S.W. 5.

Writing in the White Cross (the quarterly magazine of Hampshire County), Ambulance Sisters Joan Stevens and Betty Dovey (both of whom attended the Publicity Course) state: "We were very impressed by the warm welcome. we received (at St. John House), especIally in view of the fact that we were mere Ambulance Sisters, whereas the majority of the delegates were senior officers. St. John House is all that one could wish for. In spite of extremely cold weather one became oblivious of the fact inside as all the rooms were well heated, either by coal or electric fires. We were overjoyed even to find hot-water bottles in our beds! "

RE-UNION OF RAWALPINDI NURSING DIVISION

An in t eresting inforInal f u nction was held at St. J ohn House recently, when the r e u nion lunch of the Rawalpindi Nursing Division, India, wa.s held: Many members of this Division are now resident in various parts of the Ulllted Kmgdom, and t hrough the initiative of Mrs. Pauline Gerrity the reunion ,:"as to give those who had been associated with the Rawalpindi Nursmg DIVISIon an opportunity of meeting together

A fter luncheon special messages from the Hon. Mrs . Superintenden t -in-Chief) and Sir Patrick Spens, at one bme ChIef of the Brigade in I ndia, which emphasized the exce ll ent record of the D IVISIOn, we r e r ead t o the member s . L etters were a l so read from many members of th e R awalpindi N ur sing D ivision who we r e u nable t o be p resen t on t his H eadquarter s w a s r e present e d a t the re u nion by Mr. G: F. QUI lte r , t he S ecret a r y of t he Bri gad e Ove r seas , an d Mr. G. E. Craft , th e EdIto r of t he Gazette

MODERN TRENDS IN FIRST AID TRAINING-WITH SUGGESTIONS AS TO HOW THESE CAN BE UTILIZED (2)

By F. H. STUTTAFORD, L.R.C.P., .l\I.R.C.S.

(Corps Surgeon and Superintendent, B"ighton Corps, S.j.A .E.)

Before turning to the question of marking sheet, the acting, faking, and make-up outfits and their cost the treatment. By these means, knowsubject of acting should be discussed, ledge of first aid can be interesting and and for this the practical interest of complete. A summary of procedure the Divisional Surgeon should be up to this point can be set out in the enlisted, since he has a sound know- following terms :ledge of what symptoms are associated (I) An initial meeting of Divisional with various diseases and injuries. Surgeons and Superintendents called In the past doctors have been by the County Surgeon and addressed approached by Divisional Superin- by a Brigade Officer with some knowtendents with a view to appointing ledge of modern methods, on the lines them Divisional Surgeons. They have of the subject-matter of these articles been informed that" there is nothing and setting out a scheme of operation much to do-just a course of lectures which must be flexible. occasionally". This is a serious error, (2) The enlistment of help from for the new sl1rgeon accepts his amateur theatrical groups, together appointment as an honour to himself, with props. whereas the true conception should be (3) The inclusion of teams in Drama that of service to the Division, and Festivals. ultimately to the Brigade. (4) The division of members into an It is a good practice for the surgeon elementary group, catered for by an to train his members by acting as Ambulance Officer, and an advanced patient himself. For example, simu- group, with the Divisional Surgeon lating the catchy breath of injury to and Superintendent in charge. ribs, the turned-out foot in fractured (5) The subdivision of the advanced femur, the sighing and restlessness of group into trios and audiences . severe shock and bleeding, the stupor (6) One of the trio to draw up a test of opium poisoning, the daze of con- and fake on another member and cussion, the excitability of alcohol advise on the acting, while the'third poisoning and hysteria, the fixity of member, or a team, treats the casualty. dislocation, together with adverse (7) Alternation oftrios and audiences symptoms occasioned by faulty or week by week. rough treatment. Here, valuable assis- (8) Attendances at competitions in tance can be rendered by amateur the vicinity. theatrical groups. In fact, members (9) The training of each member of can enter teams in drama festivals. the team or group in the duties of all This has the added advantage that the members of the team, from leader to proper lay-out of " props" on the set reserve. can be studied correctly, so that the (10) The compilation of an accident vision of the audience in competitions and test sheet on the blackboard by can be preserved. It is essential for suggestions from the class. instance, that furniture such as (II) Periodic meetings ofthe surgeons should be so disposed that the centre and. superintendents on a county level of the set is left unobstructed. to dlscuss, amend, and criticize methods. Following on this, the judge should (12) It is essential that all test sheets remain at the back of the set as far as should be drawn up in accordance with possible, giving an unobstructed view the latest Textbook; for this purpose of the proceedings. the Textbook must be open and ready. ).Iembers of divisions should be Memory must not be trusted on any encouraged to work out an accident account. and draw up a marking sheet. The (13) Quiz methods between teams test could then be faked, and acted, and in local areas. treated. Afterwards a post mortem (14) Brains Trusts between teams in could be held on the suitability of the local areas.

140

OBITUARY

Mr. Henry Amy, late superintendent of the Barton Hill Division, Bristol. In spite of being placed on the Reserve in February, 1946, after 38 years' service, Mr. Amy continued to give voluntary service to the transport section. During his service with the Brigade Mr. Amy performed over 30,000 hours of voluntary service.

Ambulance Officer Thomas Chinnick, of the St. Annes Board Mills Division, Bristol, after a short illness. He enrolled in the Brigade in 1938.

Sergeant Miss Elsie Lucassi, of the Bristol No.1 Nursing Division. She was a very popular member and had a wonderful influence on other members of the Division.

Miss Phipps, who, although actually retired from the Brigade for a few years, continued to take an interest in the Brigade and especially her colleagues in her old Division, Bristol No.1 Nursing.

Corps Surgeon P. N. Grinling, of the Sheffield Corps. He joined the Pitsmoor Division in 1938 and in 1946 succeeded Dr. Hardy as Corps Surgeon. He will long be remembered by the Sheffield Corps for his untiring energy and enthusiasm and particularly for his work in connection with competitions, in which he showed outstanding ability. At the time of his death he was Chairman of the Building Fund Committee which was formed to raise money for the new Corps Headquarters on a site already secured. A large contingent of Brigade personnel, men and women, under Corps Supt. W. A. Browne, attended the funeral.

Superintendent Henry Ward of Birmingham, who enrolled in the Brigade in 1915 and on the staff of the Great "Western Railway. In 1939 he was transferred from Snow Hill to the Tubes Limited Division where he was officer-in-charge until his death. He was an excellent competition l eader and his division retained the " A " Corps Cup for 1946, 1947, and 1948.

Ambulance Officer Miss Edith Shaw of the Mossley Nursing Division, whose death after 34 years' service is much regretted. She joined the Division in 1914 and was promoted Ambulance Officer in 1930. She was a member of the V.A.D. and served in hospital during the 19141918 War. She was Admitted a Serving Sister of the Order in 1948.

Transport Officer Leonard Threddler, 0.£ the Dunmow Division, who would have completed 19 years' service just six weeks after his death. Members of the Division attended the funeral.

Dr. Alice Burn, who was Division Surgeon of the Harrow Nursing Division from 1923 to 1942. She was a Serving Sister of the Order and held the Service Medal. The death took place in Bangor, Co. Down. District Officer Mrs. Jemima Rogers, of the West Riding of Yorkshire. Mrs. Rogers took her first aid certificate in 1900 and was an outstanding worker for the Brigade for many years. During the 1914-18 war she served at Arnolds Hospital, Doncaster, and was twice mentioned in dispatches. She also received the Belgian Medal in 1918. She was assistant commandant V.A.D. from 1912 to 1939, being Superintendent of the Doncaster Nursing Division from 1926 until 1935 when she was appointed Corps Officer. In July, 1939, a further appointment took her to the rank of District Officer. Mrs. Rogers was an Officer (Sister) of the Order, having been promoted from Serving Sister in 1948.

Superintendent (R. ) Edward A. Stott, of \Vb.itworth Ambulance Division, in 91st year. In spite of advancing years he was, unt.il about a year ago, still on the active list of the Brigade. He was a Serving Brother of the Order and a very active man until three weeks before his deat.h.

POLICE AMBULANCE NEWS

METROPOLITAN SPECIAL CONSTABULARY

The annual competitions were held on April 24 at Trenchard House. Seven teams entered for the " A " Section (which was judged by Dr. G. R. H. Wrangham and Dr. Russell Steele) and six for the" B " Section (judged by Major S. Mackenzie and Dr. H. L. Selwyn). There was a goodly number of spectators present, including many senior officers of t.he Force.

Major Vivian Rogers (Commandant-inChief) presided and referred to the fact that these competitions had been running for 20 years, during which time the London District of the St. John Ambulance Brigade had supplied all the judges. He also expressed thanks to Commandant Brown and his staff for the excellent arrangements made.

The result of the competitions were :Section A.-1st and Gollin Cup, "N" Division (for the first time); 2nd and St. Clair Cup, " Y " Division (last year's winners).

Section B.-1st and Ritchie Cup, " R " Division; 2nd and Munro Cup, "V" Division.

The Brown Efficiency Cup was won by " P " Division.

Each judge gave a short talk on the work done and expressed their views on the standard exhibited by the competitors.

GRAND PRIORY CHURCH REBUILDING FUND

Speaking at the Senior Brigade Officers Conference at Ashridge on April 12, the Earl of Shaftesbury took his listeners through the various stages of the settingup of the Church Appeal Committee. The choice of a good architect was the first consideration, and l\Ir. IJinian Comper, the very well-known ecclesiastical architect who was renowned for his beautiful work, was selected. If the Order was able to carry out his suggestions the Church will be one of the most beautiful in England and one to which the members of the Order in all parts of the world will always turn to love and pride. The new plans are founded on the design of the old Church of the Templars at Thomar, in Portugal, thus preserving a continuity with tradltion, and in keeping with the old Church

of the Order.

Although the Appeal, which now stood at £10,000, had gone only to the Order and its Foundations, the Committee were encouraged by a recent unsolicited generous donation from one of the City Livery

Companies to extend the Appeal to those persons and bodies who were interested and friendly to the Order and its work, and it was hoped that Members who were taking an active part in assisting with the Appeal would not now feel precluded from approaching the many friends of the Order who might like to express this friendliness and their appreciation of the work done for humanity by the Order in the form of a donation to the Rebuilding Fund.

Lord Shaftesbury said that those to whom he was speaking could be of material help in pushing the Appeal at home. \i\'hat was wanted was a steady flow of contributions month by month. Rome was not built in a day, and the Committee were fully alive to the amount of time required before it could hope to reap an abundant harvest.

In conclusion he asked his hearers to bear in mind this opportunity of showing what the Order stands for.

Donations received from March 22, 1949, to April 21, 1949.

£100 £44s.

County, Corps and Scarborough Nursing Division DlvlSlons, SJAB. SJAB.

£29 Cardiff and District Nursing £3 3S. Corps SJ AB. Guernsey Centre, SJ AA. £25 ' Central Ambulance Division, Nottingham Corps, SJAB SJAB.. (further contribution). CentTl!-l Nursmg DIYlSlon,. £20 Manrungtree Nursmg DIvIsIon, Westgate-on-Sea Ambulance SJAB. Division, SJAB. £3 os. 4d. £13 6s. 3d. Collection box, Crypt of St. Heywood Ambulance and John's Church. Divisions, SJAB. £3 Wetherby Division, SJ AB. Reeves Northampton Nursing £10 Cadet Division, SJAB. Bury Corps, SJ AB. Mapperley Ambulance Division £9 IS. SJ AB.

Sunderland Centre, SJ AA. £2 195. £7 175. Robin Hood Ambulance Sunderland Corps, Ambulance Division, SJAB. and Nursing Divisions, SJAB. £2 145. 6d. £5 6s.. 6d. City Transport Ambulance Swinton and Pendlebury Divi- Division, SJ AB. sion, SJ AB. £2 lOS. £5 5S. W. D. Cargill Thompson. Colchester Nursing Division £2 85. 6d. SJAB. Wembley Nursing Division Worc,:ester Centre, SJAA. SJAB. Notungham Corporation Elec- £2 5S. tricity Department, Division. St. Ann's Ambulance Division, £5 SJAB.

Miss K. E. Bradford. Mrs. W. P. King. Stretford Nursing Division £2 2S. SJAB. 'Mrs. A. P. Scott. DOSdJdin A ' Bgl on Ambulance Division Basford Ambulance Division, SJAB. Ambulance Division, Reigate Corps, SJAB. Hythe and Seabrook Nursing Drs. R. S. and J. Margaret Division, SJAB. Adam. Lancashire Constabulary. £2 IS. 6d. Reeves Northampton Nursmg Staff, H M Inspector of Taxes, Division, SJAB. 3rd DIstrIct, Nottingham. Launceston Division, SJAB. £2 Diyision SJAB. Dr. H. S. Gerrard. Civil ServIce Nursmg Division £1 195. SJAB. ' Carrington Nursing Division. 142

14S. Barnstaple Ambulance Division SJAB. '

7S. 6d. Birmingham SJAB. 5S. A. Straker. Honitcn Nursing Cadet Division. I25.6d.

M. R. Fair.

7S. P. Dover. 35.6d. H. S. Foulstone. lIS.

6s.6d.

Gateshead Borough Nursing Division, SJAB. Richardson Dees Nursing

Correction.-In January, 1949, list J. Henwood, lIS. 6d., should read Launceston Ambulance Cadet Division. lIS. 6d. los.9d.

Robin Hood Nursing Division, SJAB. 11)5. Division, SJ AB. 5s. 6d • R. H. Woollard.

Mapperley Nursing Division, SJAB. Dr. R. G. Sprenger 55. 5d. Nottingham Corps (further contribution).

DIARY OF EVENTS

MAY

Inter-Railwav Men and Women Final Competitions, Central Hall, \iVestminster, London.

Bristol County Annual Inspection. o. 1 District Final Competitions, Hugh Middleton Schools. No. 12 Regional Finals, Dorking. Investiture of the Order, Leeds Town Hall.

Inspection of Cumberland and vVestmorland at Carlisle by the Chief Commissioner and Assistant Superintendent-in-Chief.

£1 17s. Herne Bay Ambulance Division, SJAB.

£1 14S. 6d.

Bulwell Ambulance Division, SJAB.

£1 I2S. 3d.

Basford Nursing Division, SJAB.

£1 lIS.

F. Wilson Moulds.

£1 lOS. 6d. Staff, Ministry of National Insurance.

£1 5S. 6d.

Hazelmere Ambulance and Nursing Divisions, SJ AB.

1.1 5S.

Leasingthorne Ambulance Division, SJAB.

£1 25. 6d.

Manvers Nursing Division, SJAB.

£1 IS. R. C. Hannant. S. Ibbotson.

C. E. West.

£1

Kings Cross L.N.E.R. Division, SJAB.

F. J. Johnson. Miss J. Snaith and Mrs. M Crew.

"In lieu of wreath for Miss Sheila Dinning."

Banbury Nursing Division, SJAB.

18s.

Bulwell Nursing Division, SJ AB. 15s.6d.

Radford Ambulance Division, SJAB.

15S.

Sneinton Ambulance Division, SJAB.

14S. 6d. E. Perry.

In the list published in the March, 1949, issue, Mirfield Nursing Division, £5 5S. should read Miss Gladys M. G. Oldroyd, £5 5s.

CHURCH OF ST. JOHN, LlTILE MAPLESTEAD

On Sunday, May I, the Librarian of the Order (Major Richard vVilliams).

Major-General J. E. T. Younger (Secretary), Colonel "\Voolrych Perowne, and Sir Ronald Storrs, attended at special service at the Church of St. John, Little l\Iaplcstead, in their robes of the Order.

JUNE

Inspection of Shropshire Brigade personnel by the Chief Commissioner and Deputy Superintendent-in-Chie£. ST. JOHN'S DAY. Final Brigade Ambulance and Nursing Competitions, Central Hall, vVestminster, London. County of Essex Church Parade, Backing Deanery Church.

The service was for the restoration of the roof of the Church, to which the Order had contributed. The Bishop of Colchester conducted the service in this ancient church, which was rebuilt in the fourteenth century and remains probably the only round nave ever built in so late a period. The advowson is in the hands of the Order.

Representatives of the Halstead St. John Ambulance Brigade Division were also present.

RADIO FIRST AID AT POINT-TO-POINT

A new feature in public duties at race meetings was to be seen at the Stow Maries point-to-point meeting held on Easter Monday and covered by members of the Chelmsford-Marconi Division of the Brigade.

The Divisional Ambulance had been fitted with a 10 watt very high frequency transmitter and receiver and used as headquarters, while three men were deployed equipped with V.H.F. walkietalkies at the more dangerous jumps. Thus, they were able to keep in constant touch with the ambulance and with each other.

When an accident occurred the special radio" network" came into operation and help was summoned immediately, thus saving precious minutes.

The equipment was loaned by Marconi's Wireless Telegraph Company, Ltd., and the member responsible for the organization is a member of the Marconi fieldstation division, who is a keen ambulance man.

No.1 (PRINCE OF WALES'S) DISTRICT

Annual Inspection.-The provisional date for the annual inspection is Saturday, July 2.

resulting from the proceeds of the Townswomens' Guild" Little l\Iore Fund" were recently presented by Mrs. G. Brown and Mrs. R Piper to Supt. Mrs. A. Sylvester and Cadet Supt. Miss M. Root, for the Medical Comforts Depot.

LANCASIDRE DISTRICT

No. 30 (East London) Division.Another" date" in the Jubilee programme of this Division was the annual Divisional Finals and Prize Distribution, which were held in the new Home (Adler Hall). The Through the generosity of the Governor competitions resulted as follows :- and Head Master, the Technical College, Hyman Challenge Shield.-Sergt. S. Bury, was once again loaned for the Cane, runner-up Pte. P. Leboff. District Competitions, when the Nursing First A1'd Quiz.- IO. 76 Nursing Divi- Challenge Shield was won by Blackpool sion beat No. 30 Division by 11 marks. " B ", Todmorden "B" winning the Corps Officer N. J. \ATare was question Bessie Trimble Cup and Todmorden " A " master and judge. certificates.

President's Cup.-Pte. N. 'Witts, runner- The Officers' Peace Trophy, for indiviup Pte. P. Leboff. dual officers, was won by Miss Hall, David Stitcher Efficiency Cup.-Sergt. Blackpool "B"; Miss Shippen, of D. "'byte, runner-up Pte. M. Rosenburg. Levenshulme, gained the second place and Amb Officer 'V. A. Sheen (.1: o. 13 was awarded the new Tweedale Memorial Division) staged and judged the two cases. Trophy. The Lytham Vase competition ::'IIrs. Lionel de Rothschild presented the for individual members was won by Miss prizes and congratulated the winners, and Riley, of Preston, and the runner-up, paid tribute to the pioneer work in A.RP. Miss Worthington, of Liverpoo l South, carried out by the late Supt. D. Stitcher gained the Lancashire Cup. and Supt. A. Goldstein. At the presentation of awards, ComThe Mayor of Stepney (Ald. T. Aly- missioner Major Burt Hamilton presided, ward), who was accompanied by the and the results were announced by Mayoress), paid tribute to the work of the District Supt. Miss Moore, who thanked Division, while Asst. Commissioner Capt. the organizers, mentioning particularly Russell Steele stated he was proud of the Miss Turner, officers and members of the record of .I. TO. 30. Others present included Bury Corps for their hospitality • Dr. O'Shiel (M.O.H.). Councillor Altman, The Mayor of Bury, Councillor Hardand Mr. l\Ionckton (Stepney Safety First man, who was accompanied by the Organizer), District Officer J. J. A. Mayoress, presented the awards, and spoke Cameron, Corps Officer S. C. Dearmer, and highly of the work performed by the Area Cadet Officer Day Brigade in Bury.

Knightsbridge Di vision is the new name Lytham St. Annes.-In connection with of the old Horseferry Division. This the Nursing Division a Girls' Band has change is caused by the fact that its head- been formed, and its services are now quarters are now at St. Paul's School, available for local parades. The girls are Knightsbridge, and is now an "open" members of both the senior and Cadet Division. Continuing the interesting Divisions and have shown remarkable programme of instruction, members of the aptitude under their instructor, Mr. Division were conducted o\'er the museum Taylor. at St. George's Hospital on April 13 by Manchester and Salford.-At a social l\Ir. T. Williams, F.RC.S. gathering held at St. John House, Salford, Ashford Divi sio n celebrated its fifth mem?ers and friends met to pay tribute anniversary with a dinner, dance, and to DIV. Surgeon H. E. C. Cezair and his entertainment. President E. V. Knight wife prior to their leaving for Jamaica. presided. Assistant Commissioner Dr. Dr. Cezair has been a zealous and \\'rangham, in replying to the toast of the enthusiastic worker for the Brigade for Brigade, referred to and gave particulars the years, and it is largely due of work undertaken. Supt. A. E. Leslie to hIS lllitlabve that the unit obtained stated that the Division had not quite their own headquarters. The remarkable reached the 1,000 mark in public duties of h,is ne:ver missing a drill night but their achievement was outstanding. durmg thlS penod was mentioned, and as He thanked the members for their fine a of esteem he was presented with co-operation and Mrs. Archer and ladies of a pIgskin travelling case, while Mrs. Cezair the Feltham and Ashford Nursing Division received <l: manicure set. His reply was for their assistance retrospectIve of the joint efforts to build Rickmansworth.-::'IIedical Comforts, in- strong and useful units with their own cluding invalid chairs, bed table, etc., headquarters, and, in conclusio n, he

wished them we ll and presented a handsome silver shield to the Manchester and Salford Corps for annual competit i on. Thornton-Cleveleys.- In spite of inclement weather the Spring Fair organized by the Thornton Divisions was very successfu l, the net proceeds being £6 0. Heywood Ambulance and Nursiug Divisions held a social attended by members and friends of surrounding Divisions, the proceeds being in aid of the Grand Priory Church Rebuilding Fund. Among the guests were the Mayor, Councillor C. C. Holt, District Officer G. Halbert, and Mrs. Halbert, District Officers Miss Lamb and Dr. Shaw, and Mr. and Mrs. \"'. A. Harrison. During the evening District Officer Halbert presented a Vellum Vote of Thanks to Pte. L. Iddon, and other a wards were presented by District Officer Miss Lamb. First aid certificates were presented to successful candidates by Dr. Shaw. All speakers stressed the good work being carried out by the members of the Brigade. As a result of the social the sum of £13 3s. was raised.

COUNTY OF BERKSHIRE

Reading.-Great vVestern Ambulance Section and Reading Post Office Nursing Division gained first places in the County Competitions, the runners-up in each section being Maidenhead Ambulance and Nursing teams. County Commissioner C. A. Poole presented the Didcot Shield and Reading Corps Cup for ambulance teams and the County Challenge Cup for nursing teams to the winning teams. The tests were ju dged "b y County Surgeon A. Buchanan Barbour , Corps Surgeon J. V. Shemilt, Div. Surgeon D. J. Turnbull and Div. Surgeon J. Hazelton.

COUNTY OF BIRMINGHAM

they are trained to carry on the fine St. John tradition of service, they would soon realize the great service they can render as citizens to their City ". The Chief Constable said that first aid means much to the Police Force, which relied always on the Brigade for the covering of duties at a ll public functions. They were never disappointed. He paid tribute to County Surgeon icol for the fine way in which he had trained the National winners of the Pym Trophy. Dr. Nico l proposed the health of the Commissioner, and the evening closed with an entertainment Supt. V. Gardiner and Corps VicePresident Mrs. V. Gardiner ably organized the evening.

Trophies.-The Cad bury Nursing Corps Shie l d was won by the G.E.C. (Witton) Division who were congratu lated on their fine teamwork by Corps Surgeon Allan Walker. The runners-up were Sparkhill Division.

The Ambulance "A" Corps Bolton Shield was won by Small Heath Division, followed by Tubes, Ltd. , Division. The judges were Corps Surgeon Fraser Brown and Div. Surgeon E. L. Butler.

Presentation.-Supt. (R) W. A. Roe, of Sutton Coldfield, was presented with an inscribed chiming clock on his retirement from the Brigade which he joined in 1905 Demonstration.-At the invitation of Div. Surgeon N. G. Marr, Supt. L. C. Stansbie, and Amb. Officer J. \V. Brown, of G.E.C. (Witton), went to I.C . I. (Kynoch's) and demonstrated the working of the Eve's Rocking Stretcher. This contact has l ed to friendly competition challenge between the two factories.

Ambulance Duties.-The Superintendent of the Sir Bertram Ford Rescue Division (Shirley) reports that during 1948 the Division treated 119 casu a l ties and attended 165 incidents requiring the use of the ambu lance, in addition to satisfying urgent emergency requests from doctors and from the police. Members put in 1,645 hours of duty at l ocal entertainme nts and 3,176 hours on road service.

COUNTY OF CORNWALL

Annual Mess Dinner.-The Lord Mayor and Lady Mayoress, the Chief Constable and Mrs. Dodd, Lady Rafter, Colonel F. G Danielsen, and Colonel F. H. Lawrence were among the distinguished guests w ho attended the Mess Dinner at headquarters. A/County Commissioner W. E. Ballard presided, supported by Mrs. Redruth.-The ann ual Corps InterBallard, the County and Corps staffs and Divisional Competition was h e ld on their ladi es A lett er of good wishes was April 1. The judges were Asst. Comread from Sir Bertram Eord, and a message missioner Dr. W. L. Stewart (team), of sympathy was sent to Lady Ford who Corps Surgeon H. \Vhitworth (individual), had sustained a severe accident. Mr. and Sister Ride (Camborne Redruth Ballard welcomed the guests and said that Hospital) judged the bedmaking and the presence of the Lord Mayor" set the nursing tests.

civic seal on the work of the. Brigade in Redruth, followed by Redruth "A " , the City". The Lord Mayor, in reply, said gained the R edruth Divis ion Silver Cup, he had heard with great interest of the and the Illogan Nursing Division, followed many public and ambulance duties that by Redruth, gained the Kernick Silver had been done, and added: "This fine Cup. The trophies were presented by work deserves the fullest publicity." H e Mrs. D. B. Lawrence, wife of Cadet was glad to see so many Cadets for" if Surgeon Lawrence.

145

EAST, SOUTH, & NORTH DEVONSHIRE

The Mamhead Shield was won by the Barnstaple Division in the County Competitions held at Honiton, and the Shillitoe Cup, awarded for the highest marks in bed-making, was gained by Ambulance Sisters B. Smale and D. Cooke, thus bringing this cup to Barnstaple for the first time since 1933. The Vick Cup for the highest marks in individual first aid was awarded to the leader of the team. The trophies and individual prizes were presented by the ::'layoress of Honiton.

COUNTY OF DORSET

County Competitions -These were held at Poole Grammar School on April 9 and were organized by County Surgeon E. ]. Gordon \Vallace assisted by County Officer ]. :M. O 'Hara. The results were :Senior Ambulance Teams.-1st and Shaftesbury Cup, \Veymouth; runnersup, Portland. Grant Cup for East Dorset was won by Poole.

Junior Amblliance Teams.-1st and \Veymouth Cup, 'Weymouth; runners-up, Dorchester.

Nursing Teams. - 1st and vVhite Bowl \Veymouth; runners-up and winners of the Grant Cup for East Dorset, Branksome. \Vest Cup for Bedmaking was won by \Veymouth.

County Commissioner Dr. R. V. S Cooper presided at the presentation many, . the Countess of Shaftesbury presentmg the trophies and prizes to the teams. The Earl of Shaftesbury (Presldent of St. John Council for the County of Dorset and Bailiff of Egle of the Order of St. John) was also present County Soci al held at Dorchester Nursing Division presented the Colin Forbes Memorial Cup as wmners of the Dorset First Aid League. The donor of the Cup Supt Charles Grant, of Poole, presentatlOn.

Nursing County Meeting of Presidents, Superintendents, and Secretaries was held recently under the chairmanship of County Supt. :Mrs. M. C. Cooper. County Officer il1rs. K. Martyn reported on the First Aid League and the visiting of the lonely o ld people in Poole, which she undertook on behalf of the St. John Council with the help of a local committee.

It was reported that Divisions throughout the county now numbered 48, with a membership of 714. Of the 6,718 public duties, nursing personnel had contributed 3,069 and treated 2,167 cases out of a total of 3,301. Nursing personnel had given 3,0 14! hours hospital duty, 225 child welfare attendances, 250 hours at child nurs.eries, and 407 hours' nursing aid serVIce. 418 transport duties had also been und ertaken. From the 10 Medical Comfort D epots, 599 articles had been loaned.

Wimborne Nursing Division presentation of pendants and labels was held at a recent social, County Offi..cer :Mrs. K. Martyn made the .. The Silver Cup, presented by MISS Charllck for individual efficiency, was handed to A/Supt. Mrs. Horsey by County Surgeon Laura Maule Corps Surge0n R. J. Maule Horne pald tnbute to the excellent work which Miss had accomplished since her of the Nursing and Cadet DlVIslOns.

Weymouth.-A joint social of the vVeymouth and Portland Divisions was held recently when County Supt. Mrs. A. ]'d. C. presented badges of office to PreSId ent l\1rs. ]. P. Davison and ViceP;esident Miss M Hu.ghes (Matron of the \\ eymouth and Dlstnct Hospital).

COUNTY OF ESSEX

Brentwood.-The Brentwood Division were able to form sufficient volunteers among members and employees of Costain to enable the Blood Transfusion Service to send a mobile team and collect about 32 pints of blood which will be donated to Harold Wood Hospital, where members of the Division do duty.

Halstead.-To mark the occasion of the resignations of Supt. A. E. Toot and Cpl. B. E ley a d i nner and social was held at which Div . Surgeon D. T. Gemme ll presided. The toast "The St. J ohn Ambulance Brigade" was given by VicePresident Sir Ronald Stores, who referred to his experiences as Governor of J erusalem, mentioning that the St. John Hospital was the finest organization of any in the city, and gave treatment without questioning the politica l views of the patients. He also stressed that the Order of St. John was held in the highest esteem in the Holy Land . The presentation of an illuminated address and a fountain pen to both Supt. Root and Cpl. Eley was made by Dr. Gemmell, and Sgt Barker spoke in appreciative terms of their work in the Brigade. In reply Supt. Root recalled the happiness and interest the work had given him, but ill-health had made it necessary for him to resign.

CO UN TY OF GLO U CE STER

Colonel Sir James Sleeman, Chief Commissioner Brigade Overseas, described some of the highlights of his recent Far East tour when he presented the cups at the annual County Ambulance and ursing competitions, which were held at Cheltenham on April 9. He also congratulated the teams on the high standard of work displayed

The results were :Ambulance.-lst and Hebblethwaite Cup, Dursleyand Cam; Cheltenham Town and Gl oucester St. George Divisions tied for second p l ace.

Nursing.-lst and Bledisloe Bowl , Ch eltenham Centra l ; 2nd and Faber Cup, Cheltenham.

County Commissioner Dr. A. BarrettCardew, seconding a vote of thanks to the judges, proposed by County Surgeon C. R. de C. Sadler, welcomed County Commissioner Dr. Hugh Powell (of Somerset) to whose foresight and initiative in the district 25 years ago they owed to annual competitions.

Those present included the Mayor and Mayoress of Che ltenh am (Mr. and Mrs H. T. Bush), Lady Gwynne Evans, Lady S l eeman, Ma j or E. A. McIver and Mrs. Mc I ver , County Supt. Miss D B. Faber, County Cadet Officer Miss Trimmer, and County Secretary M iss E. G Marshall

co-operation ex isting between the Ambul ance and Nursing Divisions wit h regard to the Transport services. T h e am b u l a n ces had conveyed 292 patients over a distance of 9,306 m il es. Mr. Braby congrat ulated the Division on its good work and presented members with re-examination awards.

CO U NTY OF HERTFORD

At the County Competitions We lwyn Garden City Nursing Division gained first place and won the County Cup for the third year in succession, St. A l bans being the runners-up. Each member of the winning team was presented with a plastic and nylon hair brush.

W elw y n Gard en Cit y Nur sing Divi s ion.At a social evening, Mrs. Palmer, who for 15 years had been Treasurer of the Division and had been compelled to relinquish this office due to failing eyesight, was asked to become Vice-President, and was presented with her certificate and badge of office by Div. Surgeon MiallSmith. As a token of esteem and gratitude Mrs. Palmer was also asked to accept a silver rosebowl from the members of the Division.

CO UN TY OF KENT

Seve noak s Di vis ion.-Divisions from Dartford, Chatham, Gillingham, Edenbridge, Tonbridge, Tonbridge V,Tells, and Farningham were represented at a social organized by the Sevenoaks Division. During the evening Service Medals were presented by President Major-General J. E. T. Younger to Corporal J. Boakes and Pte. H . Day, and labels to other members. At another social, President Major-General Younger gave a short talk on the work of St. John.

CO U NTY OF LI NCOLN

The South Lincolnshire Firs t Aid League, formed to give loca l Divisions the opportunity to improve their first aid know l edge , to give more experience in competition work, and to enable them to meet other Divisions socially has recently completed its first season.

A committee was formed from representatives from each Division, and it was arranged that each town in the Leag u e should take part i n a competition consisting of a,. team test and individ u a l test each month during the winter. As twe l ve

Nursing Division WIth the Mayor and Mayoress Of. C.olchester, County CommlsslOner Col. J. L. Hamilton, and County Superintendent Mrs. Smellie.

CO U NTY OF HEREFORD teams entered it was decided to form two Ro ss on W y e.-President T. Braby was l eagues, and money co ll ected at each event in the chair at the annual general meeting was allotted to a prize fund. T h e marks of t h e Ambu lance Division, when the obtained by each team we r e added month report s u bmitted by the Treasu rer showed by month a n d at the fina l compet iti on, t h e finances to be i n a sou n d co n dition he l d during A p ri l, Spa l ding were p l aced Corps Office r G E l tom (Officer-in-Charge) first in the" W eIland" L eag u e w i t h 1, 98 2 drew attent i on to the i ncreased a c t iviti es marks , Stamf ord b e i ng t h e runn ers-up; of the members and to t h e exce ll ent and in the " W i t h am" L e a g u e fi rst pla ce 147

was gained by Boston with 2,035 marks, the runners-up being Spalding. Two interested persons had generously given a shield for each League, and these were presented by the donors to the leaders of the winning teams.

COUNTY OF NORFOLK

Sheringham.-At the annual meeting of the Ambulance Division, Supt. Turner expressed the pleasure of the Division at the presence of President Brigadier A. C. Kent-Lemon. He expressed his thanks to the members of the Division for their support during the past year and congratulated the competition team on gaining fourth place in the National Finals. At the conclusion of the meeting Brigadier Kent-Lemon was presented with his badge of office.

Holt.-Among successful candidates in a recent first aid examination were nine members of the Holt Division orfolk Constabulary. Certificates were presented by Vice-President H. "W. Moulton, who expressed his pleasure in the interest being taken by the Police in first aid. He also congratulated the members of the Division on their increasing membership. Thanks to Mr. Moulton were expressed by Supt. J. T. Briggs.

Cromer.-After 42 years' service in the Ambulance Division, Supt. F. R. Carter has been succeeded by Mr. F. H. Pearce who has been appointed Divisional Superintendent Supt. Pearce has long experience of the work of the Brigade, and was at one time a successful leader in competition work.

COUNTY OF OXFORD

Both the Furley Cup for Ambulance Divisions and the Gardiner-Hill Cup for ursing Divisions were ,von by members of the Pressed Steel Co. Divisions in the County Competitions. In both cases Oxford City were the runners-up. In the absence through illness of lYIrs. GardinerHill, the cups were presented to the winning teams by County Commissioner Dr. Gardiner-Hill.

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

duty programme during the Easter recess. Plymouth Navy Days occupied three days and personnel were also on duty at Plymouth Argyle Football Ground, the speedway, first aid posts at Bovisand, Whitsands, and Roborough Downs. Despite the large crowds and hot weather there were only 45 casualties. Members also carried out their usual duties at the City Ambulance Stations.

The follm,ving signal has been received from Admiral Sir Robert L. Burnett, Commander-in-Chief, Plymouth Command :-

" Once again I would like to convey our appreciation of the work of the members of the St. ] ohn Ambulance Brigade who came forward to assist so willingly in the Plymouth Navy ·Days."

Torpoint Ambulance and Nursing Divi. sions recently held their annual dinner when the chairman was Amb. Officer ]. Humpherson, and among the principal guests were Asst. Commissioner Colonel G. T. Thomson and lYIrs. Thomson. The toast to the Order of St. ] ohn was given by Colonel Thomson who appealed to members to endeavour to recruit at least one member each year.

Plymouth Central Division.-At the annual meeting the Chair was taken by Supt. Doidge, who welcomed members returned from the services and new members recruited during the year. The Division had discharged with credit the many and varied duties which it had been called upon to perform and he expressed the hope that the present high standard would continue. Amb. Officer Short gave a short resume of the amenities of St. ] ohn House and appealed to members to make full use of the club when in London.

COUNTY OF SOMERSET

In the County Ambulance Competitions held at Bridgwater, Taunton were successful in obtaining first place with 192 marks, the runners-up being Bath. Cups and certificates were presented by County President Mrs. G. Luttrell The Acting Divisional Superintendent of the Division donated a cup to be known as the H. G. Eveleigh Cup, which he presented to the Taunton team who had gained the highest marks in the team test.

The Directors of Plymouth Argyle Football Club recently gave permission for a collection to be taken during the COUNTY OF SURREY interval of one of the first-team matches. The annual County Ambulance ComThis was organized by the Plymouth petitions were held at the Airscrew Hall Central Division and ably supported by Addlestone, when the judges, Drs. ",Vard: the Argyle Support.ers Club. All available Southern, and Harmens and Majorcollecting tins were filled in the short time General Finney, placed Airscrew first with allotted, one of the crowd even filling his 290t marks Walton-vVeybridge as hat and passed it to a collector. A sum runners-up WIth 283t. The Shield and of £167 was raised in t.his way. medals to members of the winning team

Over a hundred men and were presented by County President nurses were engaged III fuifilllllg a heavy Countess Lindsay. A Service Medal was 148

also presented to Private Billing, of the Chertsey Division. Thanks to the management of Airscrew, Ltd., for the loan of the hall and for providing the scenery were expressed by County Surgeon Captain Dickenson, and Captain Ellis thanked Countess Lindsay.

Guildford.-Since the inauguration of the Health Service the work of the Guildford ambulance men has been doubled, the miles travelled during the first six months of its operation being almost equal to that covered during the whole of 1947. This was reported at the annual general meeting of the Corps by Corps Officer T. W. Hirst, who stated that members of the Nursing Divisions had put in 534 hours in hospital duties and had carried out 1,010 duties involving 5,978 hours, whilst the members of the Ambulance Divisions had performed 1,048 transport duties involving 1,163 hours. A favourable report was presented by the treasurer.

The Mayor, who presided at the meeting congratulated the members of the Brigade on its achievements and paid tribute to the officers who had worked for so many years to bring it to such a state of excellence. Congratulations were added by Asst. Commissioner ]. P. Flavin, who appealed for men and women recruits, and stressing the need for more voluntary work, he said that they could do with all the help which they could get.

COUNTY OF SUSSEX

Horsham Nursing Division.-The annual report shows that amongst the many and varied duties undertaken by members were 366 transport and 377 public duties.

The Chair was taken by President Major Dempsey, and the guests of honour were County Commissioner D. Bryce and Mr. Masters, Station Master at Three Bridges. After the Chairman had proposed the Loyal Toast, the Brigade and the Division were given by Dr. Nankivell and Div. Treasurer Tilsley respectively. Supt. Oliver replied on behalf of the Division and thanked the officers and members for their loyal support during his term of office. After Mr. Masters had given the toast II Our Guests ", Divisional Surgeon Matthews gave details of the help given by the public in raising funds for the Motor Ambulance. Awards were presented by Supt. Miss P. Matthews of the Nursing Division, and included seven Southern Railway Association Gold Medals, service medals, and others.

COUNTY OF WORCESTER

Hill and Cakemore Nursing Division held its annual meeting when Supt. Mrs. vValker presided. The treasurer presented a very satisfactory report on the finances of the Division, and details of duties undertaken by the members were given in the report of the Divisional Secretary. Supt. Mrs. ",Valker expressed her thanks to the Presidents for their support at the Dudley Exhibition and Fair, and to all the members for their untiring efforts on this account, as a result of which a share in the total proceeds had been allocated to both the Adult and Cadet Divisions, this enabling the Cadet Division to open their own banking account. She also thanked the Borough Council for allowing the Division the use of the room at the Library.

COUNTY OF NORTHAMPTON

During the year many interesting lectures had been given and a very valuable and instructive evening spent at the Horsham Hospital, where the Theatre Sis.ter ex- The principal speaker at a recent plained the uses of most of the eqUIpment. officers' and N.C.O.s' training day held Brighton Corps.-At the annual general recently was Assistant Supt.-in-Chief Mrs. meeting the chair was taken by Corps B. Girouard, who said: «« People often Surgeon F. H. Stuttaford, and it was tell me they think everything connected reported that 3,857 public duties involving with the Brigade is magnificent, but they 11,500 hours, and 456 hospital or clinic are sick at the sight of blood, and they ask duties covering 1,516 hours had been what they can do. Before the war I could undertaken. 1,911 casualties had been only have told them to look somewhere treated, including 1,301 at the beach first else, but now there are things they can do aid posts. Thirty courses of instruction which are just as useful as first aid and had been given and 309 candidates had home nursing." She went on to explain been successful in gaining certificates in that while these subjects were still the first all subjects. During the year the Medical concern, the field of Brigade work was now Comforts Depot had been opened three far wider, and the Brigade now had a very times each week and 237 items of medical real place in the progressive organization comforts loaned. of this country, although it would not get Crawley and Three Bridges Division cele- far if its members stuck in the mud, and brated its 21st birthday with a dinner and they should be receptive to all new ideas. concert, the joint hosts being the Division Emergency help and after-care gave plenty and the Southern Region British Railways sc.ope, as. did the organization of Association Class at Three Bridges Station. hbranes for SIck people and hospital car

service and blood transfusion help. She urged members to concentrate on recruiting new people to the Brigade and to encourage Cadets to transfer to Adult Divisions when they were old enough. Finally, she said: "No organization could stand on its own. vVe must hold out the hand of friendship to similar organizations, particularly our sister bodies, the British Red Cross Society and the W.V.S."

Other lecturers were County Nursing Officer Miss M. W. Williams, Dr. D. A. McCracken, Deputy County M.O.H., and Sister Parker, of orthampton General Hospital.

COUNTY OF SOMERSET

Taunton Ambulance Division gained by half a point the first place in the Competition for Ambulance Teams in West Somerset and North Devon, and was awarded the Lady Forester Cup, and for gaining the highest number of points of any team who had not previously won the cup they also received the Hoerman Cup. The trophies were presented by County President l\Irs. G. Luttrell.

COUNTY OF WILTSHIRE

'Wiltshire has developed a keen interest in competition work, and this is shown by the fact that within five weeks County Adult and Cadet and Regional Adult competitions are being held in the county. To those who know County Surgeon Taylor Young this will be readny understood, and his enthusiasm backed by a of keen ofucers is doing much to Vltabze the work of the Brigade in the county.

Thorough and interesting tests and well-faked casualties resulted in a most County Competition, when the Judges, County Commissioner Dr. Kennedy, Corps Surgeon Thoms, Div. Surgeon Drake, Nursing Officer l\1rs. Evans, and Asst. Commissioner Creech placed Swindon Ambulance and Nursing Divisions first in both sections. These teams were the Towerzey and Tapley Cups respectIvely.

In order to emphasize the importance of the individual tests Dr. and :Mrs. Taylor Young presented two challenge cups for the best individual performance, and these were won by No. 3 of the Swindon Ambulance Team and Supt. Mrs. Cosens, of the Salisbury ursing Team. The trophies were presented by the Mayor of Chippenham, who said he was glad to have the opportunity of thanking the Brigade for the and necessary work they were dOlllg and III particular on behalf of Chippenham to the members of the local Divisions.

WEST RIDING OF YORKSHIRE

Sheffield Corps.-Stocksbridge Division, present holders of the Dewar Shield, and for the last two years holders of the John Smith Shield, competed for annually by Divisions forming the Sheffield Corps, this year lost the Shield to Sharrow Ambulance Division, the runners-up being Shiregreen and Stocksbridge Divisions. The adjudicator was Dr. J. K. Beverley, and Corps Supt. W. A. Browne presided. The Harrop Cup (highest marks for individual work) was won by Cpl. Broadbent, of the Pitsmoor Division.

Keighley Division.-In recognition of 35 years' service with the Division, Cadet Supt. J. Butterfield was presented with a gold watch by Asst. Commissioner Dr. E. H. Lodge, on the occasion of his retirement from office.

A rocking stretcher, for the use of the Brigade and the Association, which had been purchased by the Inner Wheel, at Keighley, was presented by Mrs. Greenwood, a past president of the Inner Wheel. Mrs. Greenwood said that to be of service was a great privilege and one of the biggest thrills in this life. Service was one of the objects of the Inner Wheel and that was why they were showing their appreciation of the work being done by the Brigade. Thanks to the Inner Wheel were expressed by Supt. J. Walton (Ambulance Division) Mrs. H. Wadsworth (Nursing DIVlsIOn) and County Surgeon Prentice.

Morley and District Corps.-The new headquarters of the Corps were recently opened by Colonel Sir Frank Brook (Chairman of West Riding St. John Council), when the Chair was taken by County Commissioner H. L. Thornton.

Frank also presented trophies to the Wlllners of the 1949 individual competitions, and received 12 of the members of the Ambulance and Nursing Divisions who had done outstanding work in connection the new headquarters. The dedicatIon of the building was carried out by the Vicar of Morley, the Rev. A. Gwynne John, assisted by clergy from other denominations. Presentation of souvenirs to Colonel Sir Frank Brook and to Councillor Harry Hardy were made by Divisional Supt. H. Lucas.

Huddersfield Corps.-Corps Supt. Dr. D. F. Barratt presided at the annual general meeting and thanked the members for their past support. He appealed to them to have confidence in themselves and to remember their common cause which was to help those in need. He congratula.ted Central Nursing Division on agalll wmmng the vVrigley Bowl, and appealed to the Ambulance Divisions to enter for competitions. He also thanked Miss Chidd for the presentation of a skeleton. Corps Secretary H. Greenfield 150

referred to the work of Dr. Kahn who had acted as Corps Superintendent for many years before leaving the district.

RAILWAY AMBULANCE NEWS

EASTERN REGION

Police Competition.-The final of the Eastern Region Police Competition took place on April 6 when four teams, winners of District Competitions, competed before Dr. Radcliffe (team) and Dr. James Crook (individual) .

Colonel N. McK. Jesper presided at the presentation ceremony and welcomed the many Railway officials present. This was the second year of the competition and had proved more successful than last year; 17 teams competing against seven last year.

Manchester gained first place, being 42 marks ahead of Liverpool Street.

Sir Daril Watson (a member of the Railway Executive) introduced Sir Bertram Ford (Director of Ambulance, Order of St. John), who presented the Jesper Cup and individual prizes to the competitors.

Sir Bertram paid tribute to the keenness of the competitors and congratulated them on their good work. He also expressed thanks to the medical profession for the assistance rendered to the movement.

Regional Final.-This was held at Railway Executive headquarters on April 22, when Mr. E. MacLellan (team) and Dr. T. W. Herdman-Porter (individual) judged the work of the District winners. This was the first occasion when members of the old L.N.E.R. (Southern Area) had competed as one unit and some good work was witnessed by a large gathering.

Mr. C. K. Bird (Chief Regional Officer) presided at the presentation and welcomed S"rr Bertram Ford (Director of Ambulance, Order of St. John) and Mr. BarringtonvVard (operating members of the Railway Executive). Some 2,000 men and women of the staff were successful in gaining first aid awards, but this number was small in comparison to the total number of employees. Mr. Bird stressed the importance of increasing the number of recruits to the movement. He had great pleasure in presenting to Mr. Bertie Burns the Vellum Vote of Thanks of the Order of St. John for his service to the first aid movement, which had covered 53 years.

Mr. Burns was the oldest active member of the Eastern Region in first aid.

Mr. Bird announced the results which showed that Doncaster Traffic " A " had gained first place followed by New England Loco. These two teams will represent the Region at the Inter-Railway Final. Other teams in order of success were Bishopsgate " B ", Dewsbury, March, Ardwick, Langwith Loco. Clwick Sidings, and Norwich.

Womens' FinaI.-Held at Ranway Executive headquarters on April 20, King's Cross Women Police gained first place, followed by Norwich. The judges were Dr. G. O. Hughes and Dr. E. J. Selby.

LONDON MIDLAND REGION

Womens' FinaI.-Sixteen teams competed in the Womens' Competition held at Derby on April 11 and 12. The judges were Dr. C. Gordon Lewis, who judged the team work, and Dr. W. Duncan, who adjudicated on the individual tests. There was a special competition for the Reserves of the teams.

Mr. H. J. Comber (Chief Officer, Labour and Establishment, L.M. Region) presided at the presentation, and after congratulating the teams, referred to the fact that some teams had split up and so formed more teams.

The result showed that Manchester had gained first place, being followed by Somers Town (last year's winners) just 7 marks behind. Horwich IO. 1 was third, with Crewe Station fourth. The Reserves' Competitions was won by Horwich No. I, followed by Euston, Manchester, and Birmingham Lawley Street.

Mr. W. P. Allan (Railway Executive for Staff Management) presented the trophy and individual prizes. He congratulated the winners on their win and all competitors on their fine work. The Railway Executive were giving every encouragement possible to the first aid movement, and he referred to the fact that the old London, Midland, and Scottish Railway had also given great incentive to the movement.

Men's Final-This was held at Belle Vue, Manchester, on April 29, when the preliminary winners vied for the honour of representing the Region in the Inter-Railway Competition. Some very good work was witnessed by a large crowd, who were not slow to show their appreciatioa •

The team test, which was judged by Dr. J. R. Sutherland, of Glasgow, was unusual in that the captains of each team were not able to assist in the actual work, having hurt both hands, but they were able to direct operations. Similarly, in one of the individual tests, judged by Dr. C Gordon Lewis, of Stoke on Trent, a competitor had to instruct a bystander how to treat a fractured clavicle, which he had sustained by slipping on the ground. Dr. A. Russell, of Preston, adjudicated in the Viva Voce tests.

Mr. H. J. Comber (Regional Staff Officer) presided at the presentation of awards, and stated of the nine teams which had competed, three were appearing for the first time. Results of first aid 151

classes held throughout the Region showed that more first year students w ere being obtained; a very necessary constant stream of n ew blood being ess entiaL

l\Ir. G. L. Darbyshire (Chi e f Regional Officer), who pres ented the trophi e s and prizes, emphasized the importance of first aid knowledge, and gave particulars of some outstanding m eritorious first aid which had been carried by members of the Region.

The result was: 1st Camd en "A"; 2nd, Derby C.l\I.E. Erecting Shop; 3rd, Crewe l\Iachine Shop" A ". Other teams in order were Derby c.nr.E. Boiler Shop " B ", uneaton Traffic "A ", l\Iold Junction Loco, Ystalyfera, Warrington, and Somers Town. Camden and Derby will represent the Region in the InterRailway Competition.

Presenta t ion to Mr. G. S. Hill

During the presentation of prizes, the proceedings were interrupted for a special presentation to l\IIr. Gilbert S. Hill, the Regional Ambulance Secretary. Mr. H. Healey, on behalf of the District Secretaries, the Class Secretaries, and some 700 members of the L.M. Region Ambulance Centre, asked Mr. Hill to accept an antique bureau as an appreciation of the work he had done for the first aid movement for nearly forty years. l\IIr. Hill had been Ambulance Secretary of the old Centre from its inception to the nationalization, and before that on the L. & Y. Railway and the L. & N.W. Railway.

l\Ir. Hill, who was certainly moved by this surprise gift, thanked the members. Unfortunately, he had that day lost his voice, but his few words were none the less sincere. He had no inkling of the well-kept secret, and he would treasure the bureau in the years to come.

SOUTHERN REGION

fracture of right leg, had also to receive attention. This complicated case tested the very best of the competitors, and even the winning team failed to grasp the setting efficiently.

Mr. R M. T. Richards (Acting Chief R egional Officer) presid ed, and in a short sp e ech stated that during the past year 2,593 first aid awards had been gained, an in crease of 272, and 23 more teams had ent e red competitions.

1\1r. A. T. Chapman (Station Master, Vi c toria) presented a cup for District 1 B which had been subscribed to by all station masters in the London Central Division.

Mr. F. A. Trott (Regional Ambulance Secretary) announced the results which were :-

Men.-lst and Challenge Shield, Horsham o. 1, 463 marks; 2nd and Challenge Cup, Exmouth Junction No . 2, 417 marks; 3rd, Ashford '.Vorks "A ", 414 marks. Horsham als o gained the Moore Cup for gaining highest marks in individual section.

Women.-1st and Challenge Trophy Southampton Docks, 447 marks; 2nd, Audit No.1, 424 marks; 3rd, Eastleigh Beginners.

The Sir Herbert Walker Shield was won by District 5A as the Division making the most progress in 1948.

Mrs. R M. T. Richards presented the championship trophies and prizes, and received a bouquet from Miss Judy Dench, daughter of Dr. Dench, of York.

Special presentations were made to l\IIr. C. E. Edwards, Porter, of Ockley, who received a certificate of the SOCiety for the Protection of Life from Fire for distinguished conduct on March 24, 1948, and to Mr. W. Hopkins, Passenger Guard, Brighton, a Certificate of the Royal Humane SOCiety for rescue of a boy from the River Thames at London Bridge.

Once again Horsham No.1 were worthy winners of the Southern Region Men 's WESTERN REGION

Final, held at Church House, W est- W o men's Final Competition.-This was minster, on April 27, before what must held on April 8 with the follOwing result : have been a record crowd of over 800 1st and Florence M. Lean Cup , Swindon interested spectators. " "; 2nd and Mabel A Potter Cup, Twelve teams of men and six teams of Swmdon C.M.E.; 3rd, Swindon Stores. women kept the gathering interested Seven teams competed before Dr. M M. throughout the day, and the judges had Scott (team test) and Dr. E. J. Selby a hard time concentrating on their tasks. (individual tests).

In the team test for men, a bus had Mr. R Boygoyne (Regional Staff crashed into the entrance steps of a Officer) presided; the presentation of station, the driver being trapped in his trophies and prizes being made by Mrs. cab and sustaining complicated fracture of Burgoyne. Dr. H. H. Cavendish FulJer ribs, internal hc.emorrhage, and abrasions (Chief Medical Officer, Railway Execuof forehead. A boy cyclist fell and tive) and many officers of the Western a simple fracture of femur, Region were present. whIlst one passenger had a cut radial Swindon team will represent t h e artery, and a woman, with glass cuts on RegIOn at the Women's Inter-Rai lway face, . and her son (who was verX ill) Competition. Last year they won the suffenng from a compound complIcated Championship Trophy.

Headquarters: Priory ·House , 4 Cathedral Road, Cardiff.

GENERAL INTEREST

New A ppo i ntm e nt on Brigade H e adquarter Staff.-The Priory has filled the offi ce of Cadet Training Officer, which has bee n vacant since the death of Mrs E. D. Hardie in 1946, by the appointment of Miss Zoe D. Druitt, former South Wales Organizer of the Y.W.C.A., who is well q ualified to discharge the . of this important post by speCIalIzed trammg m youth leadership and lifelong devotion to social service. During the course of a period of introduction and training arranged by the Chief C?-det of the B rigade-at-Home, which WIll mclude atte ndance at St. John Courses in London and other regions, and at Cadet gatherin gs of a varied nature in London and e lse where, Miss Druitt will take a reexamination in First Aid. She will be co mmencing full time service in Wales at t h e beginning of June; and Cadet Officers have been requested to notify Priory Headquarters as far in advance as possible of plans for camps, m e nt ceremonies, rallies, and actlVltles of a ll kinds. Miss Druitt will be getting into personal touch with all Cadet Officers a s opportunities arise, and has already booked June 25 for a "Cadet Day" Rally of Monmouthshire units to be held a t Bailey Park, Abergavenny.

The history of the Cadet .m Wales is one of steady progress smce Its inception in 1922, aided ten years ?y a substantial grant from the PIlgnm Trust, and later the Special Areas Fund towards the supply of uniform. The stimulus imparted was so great that the Brigade in Wales can claim .to have become at one time far more mtensely developed on the Boy and Girl side than the Brigade in England and b';lt the remarkable development wItnessed m England in the past ten years has not been paralleled in Wales, due partly to lapse of leadership There is now a WIde field for development; and Cadet Officers can look forward to having better and more frequent opportunities for knowledge and inspiration and for meetmg colleagues from other counties at Courses to be arranged in North and South Wal.es.

best interests of the Priory and had generously placed facilities at its disposal for large scale inspections at Tredegar Park. Many will retain happiest recollections of his Lordship's hospitality at Tredegar House on the occasion of the Ball held in 1946, which was warmly appreciated as the first post-war opportunity for a social gathering of Officers of the Priory, and realized a substantial contribution to Priory funds. The Priory has enjoyed the benefits of an association with the house of Tredegar from earliest times, and the severance of the link is a matter for great regret.

Op en Am bul ance Comp e tition s -The Royal Welsh Agricultural Society has decided upon a resumption of Competitions, which featured regularly 1ll the programme of the Society'S annual Show up to 1939

This year, when the Show is to be held at Swansea, the following competitions, organized as usual under the auspices of the Priory, will be arranged by the Commissioner for Swansea, Mr. Hugh S. Cann, M.B.E., in the capacity of Competition Secretary:-

1. Silver Challeng e Shield, open to Teams of Men in Wales and Monmouthshire the members of which must hold a " Fi;st Aid" Certificate of a recognized Society. First prize, £3; Second prize, £2. 2. Silver Challenge Cup, open to Teams of Ladies in Wales and Monmouthshire, the members of which must hold a " First Aid" and "Home ursing" Certificate of a recognized Society

First Prize, £3; Second Prize, £2. 3. "A 'rnallt Jones" Shield, open to Teams of St. John Boy Cadets in Wales and Monmouthshire, the members of which must hold a "First Aid" Preliminary Certificate of the Order of St. John.

First Prize, £2 lOs.; Second Pnze, £1 l Os.

Mr. Cann will be pleased to supp l y entry forms, which have to be completed and submitted by Ju ly 1, on app lication to him at Holmside, Tavistock Road, Sketty. Swansea.

CENTRE REPORTS

BRECKNOCKSHIRE

Ob i tuar y.-The death is reported WIth deepest regret of Viscount Tredegar, Knight of J ustice of the Order, The Commissioner , Commander A. T. L. of the Priory for Wales , and PresIdent of Wilson, RN., reported an instance of the Monmouthshire Centre In a ll effective first aid rendered by Mr. J. C. capacities as a l so at Chapter Meetings Lockett in connection wit h a .road and Assembly, the late Lord accident at Llanwrtyd Wells on Ap.n l Tredegar laid himself out to promote the in whic h Dr. J D. Robertso n a n d hIS WIfe 153

were involved. Mrs. Robertson sustained a very severe scalp wound, and Mr. Lockett applied a field dressing which controlled hcemorrhage from the temporal artery. The surgeon who subsequently attended the patient, spoke in high praise of the prompt and skilful first aid treatment, and Dr. Robertson, a Serving Brother of the Order, with a long record of service as Honorary Lecturer to a Swansea Class, was pleased to call the attention of the Commissioner to this commendable performance of first aid. Mr. J ames Lockett's first aid services were recognized through the L.M.S. Centre in 1935, by the award of a Vellum Vote of Thanks, and ten years later by admission to the Order.

WEST DENBIGHSHIRE CENTRE

October, 1945, the Llangernyw DIvISIOn undertook responsibility for the establishment of a Home Service ambulance station, by means of an unconverted 'Var Service Austin Ambulance, which was operated until March 6 1949 when it was replaced by a Austin. ambulc:nce was dedicated by the VIcar, who IS also Vice-President of the Division, the Rev. D. Howell Rowlands, B.A., at a special service held at the St. 's Llangernyw, on Good FrIday, Apnl 15, 1949. The service was attended by the Colwyn Bay Division and the local Detachment of the British Red Cross SOCiety, who paraded under Superintendent A. E. Roberts and Commandant G. l\lackison respectively. Ambulance Officer John Hughes presented St. John Flag to the Vicar, accompallled by colour bearers Corporal Pennant Evans and Private R. E. Davies, of the Llangernyw Division. The Lesson read the Assistant Surgeon-inChief for V. ales. Dr. G. Pari Huws.

MONM OUTHSHIRE

Bedwellty County Area -After a long illness patiently borne, Cadet Officer .Edwards, Tredegar Cadet Nursing passed away at Gellygaer HospItal on April 24. Miss Edwards had won the confidence and affection of the cadets, and had undertaken her duties on as Cadet Officer in April, 194(), deep sense of responsibility pnde. m the achievements of this has gained considerable dIstmctlOn in ·Wales. Throughout the period of her treatment at GeUygaer, .Edwards was kept in touch with DIVISIOnal activities through the regular of County Area Cadet Officer MISS E. KlOsey and other Officers, who mourn the loss of a beloved colleague.

Silurian County Area.-Mrs. M E. Walley, Superintendent of the Machen Nursing Division, was called upon to put her knowledge and training into practice

On April 4, when she was hastily su mmoned to treat a child of 12 who had fallen through a glass roof, severing an artery in the forearm. Mrs. Walley controlled the bleeding with a pad on the wound and a tourniquet, keeping the arm elevated until the arrival of a doctor a quarter-of-an-hour later. She then accompanied patient to hospital, releasing the tournIquet every 15 minutes. The doctor afterwards complimented Mrs. 'Valley on her prompt and effective treatment, which he stated had saved the girl's life.

CITY OF CARDIFF

Centre Com p etition.-The annual competition for the Commissioner'S Cup was held at Crwys Road, Methodist Church Cardiff, on Saturday April 2 1949. FIve teams competed, the result being as follows :-

1st, Guest 2nd, British 3rd, R.O.F.; Cardiff " B " ; "B".

Keen Baldwins "A'"

Railwa ys Cardiff "A"; 4th, British Railways 5th, Guest Keen Baldwin

Dr. Garraway Smith, County Surgeon, Newport, conducted the Team Test, and Dr. Clopet (Divisional Surgeon, St. Mellons Nursing DiviSion), the Oral Test.

Corps Surgeon C. A. Bence was in attendand the cup was presented to the team, which will represent the Centre lO the Welsh Brigade Ambulance Competitions, by Commissioner Major C. G. Traherne, who congratulated the G.K.B. team on winning the trophy for the second time. Advantage was taken of the occasion by having the League Cup preby the Donor, Assistant CommIssI.oner Capt. F. P. Robathan, to the CardIff Transport Divisional Team, who also last success, having won all theIr contests m the competition (1948-1949). Arrangements for both the above were in the hands of Corps Supt D. <? Jenkins, and Corps Secretary R: J?aVles, who are to be commended on the bme and. trou ble they took to make the undertakings a success. Special thanks are c:lso due to Judges for giving their se.rVlces. ASSIstant Commissioner A. FIeld, M.B.E., O.St.]., presided. B ritis h E l ectric it y Authority.-It was to the Centre to know that the AId Or9'a.nizer appointed by the Br?bsh ElectrICIty Authority, Mr. E. J Willott, had selected Cardiff for the comthe Authority's first aid orgalllzatIOn m Wales. One good reason (Continued on page 158)

INTERESTING CASE REPORTS

CASE REPORT No. 369.-The Secre- Jarman at once applied digital pressure ta ry of the British Railways Ambu- on the femoral artery while a tourniquet h nce Centre, London Midland Region, was being prepared. This was placed re ports the efficient performance of round the thigh and controlled the fir st aid by a member in the following bleeding, while the mangled leg was circumstances :- secured by bandages. This done, On September IS, 1948, Mr. T. A. patient was placed in an ambulance, Ja rman, Station l\Iaster, Abergwite, and within fifteen minutes of the was called to a farm servant ""ho had accident was conveyed to Carmarthen h is left leg trapped in the drum of a Infirmary, where the in jured leg was threshing machine. On arrival at the immediately amputated. Three land s cene of accident, Mr. Jarman found girls who witnessed the accident that the patient had just been released, suffered very badly from shock, and and was lying on the ground with his were treated by Mr. Jarman, who also left leg (above the knee) crushed, arranged for them to be taken to their mangled, and bleeding severely. Mr. hostel.

COMMENT.-This report is typical of the good work which is being well done daily by members of the British Railways A1nbulance Centres, and wins for lvIr. T. A. Jarman cordial congratulations.-N. Corbet Fletcher.

CASE REPORT No. 370.-The Officer- was seen to be in the water. With the in-Charge of the West Riding of York- assistance of another passer-by, he shire S.].A.B., reports the efficient managed to get the patient on to the canal bank, and at once commenced performance of first aid by a member artificial respiration. Although life of the Heckmondite and Liversidge appeared to be extinct, breathing was Division in the following circum- re-established after half-an-hour, and stances :- the man was kept alive for three-

On October 28, 1948, Sergeant- quarters of an hour. Unfortunately, Major I. F. Cardwell, while on a however, consequent on the extreme business trip to Barnsley, took a cold and shock he again collapsed, and prominent part in a canal rescue at died. The Police and Doctor arri ved Adams Bridge, Wombswell. Hearing later, but the latter could only confirm cries for help, he left his vehicle and that the patient had died. He was 82 ran to the canal bank, where a man years of age.

COMMENT.-No operation tests the patience and perseverance of first aid more than the performance of artificial respiration. In these circumstances cordial congratulations are tendered to Sergeant-lVIajor I. F. Cardwell who, although robbed of the full reward of his efforts, did all that was possible to save the life of his old patient.-N. C. F.

QUESTIONS AND ANSWERS

Humour in Ambulance Competitions.

L. E. (Stockport).-T have been coaching a team from myoId Scout Troop for a Divisiona l Competition which was held at Gorton recently, and which, incidentally, they won My reason for writing, however , was to relate the following humorous incident connected with t he competi t ion :-

One team did n o t discover that the patien t was no t b rea t lling S o when Good I Next please I I-N. C. F . IS S

their time was up, the J udge explained how they could find out more a b out their patient by asking questions. He said, " If you had asked if patient was breathing, I would have said that he was not breathing! Then what would you have done?" After a short silence, one boy bolder than the others, decided to " have a go " and in all seriousness he replied : " I wo ul d ha ve sen t for a Fune r al Directo r. "

Pupil s wit h C ompress io n of Br ai n.

E. C. (Birmingham).-During a dis - common. So want t o know i f , cussion on compression of the brain, 'when signs of iDJury, are not .' inequality of the pupIls wou l d mdl cat e last even1l1g, a query was raIsed 'WhlCh the location of the inj u ry. In o th e r

I could not answer. The. Textbook words, does the eye on the in jured s i de states that with compresslOn of the contract or dilate (and if so, w hich ) brain signs of injury are usually while the other remains normaL Y o ur present. All our experience goes to guidance on this point would b e m u ch show that the unusual patient is quite appreciated.

The pup11s a1'e not affected in all cases of her:d in/ury,. .when they are changed they give an indication of the side of the bratn whtch tS mJured. What happens is that the pupil on the same side of the injury gmdually ?ecomes and as the size of the pupil is governed by muscular power whtch reduces the stze of pupil in proportwn to the amount of light w hich reaches the back of .the eyes,. tt follows that during paralysis the p1,tpil will be enlarged. The othe11 puptl, not bemg paralysed, will still be st£bject to muscular control and will therefore appear smaller than that on the other side. Furth er, the part of the body and limbs affected will be on the opposite side to that of the injury, because the nerves controlling muscular power cross in the region of the neck.-N. C. F.

Treatment of Fractured Pelvis

P. S. (\Vellington, ew Zealand).- said that a patient suffering f r o m

A friend who has devoted many years fractured pelvis should be .removed as to the study and practice of firs t aid, for fractured spine. In these cir c umsurprised me the other day when he stances , I welcome your kind he lp

The treatment and transport of a case of fractured pelvis as for that of a fractured spine went out wdh the 37th Edition of the Textbook. When you remember that the spinal co1'd ends at the second-lumbar vertabra, you will realize that it was a waste of energy to treat a fractu1 'e d pelvis a s for a fractured spine.- . C. F.

Fracture of Cervical Spine.

P. N. (Southport).-With a fracture there be paralysis in the chest muscles of the spine in the cervical region resulting in asphyx ia. Your r epl y on causing loss of power and sensat ion this point would be greatly a pprecia t e d. below the seat of the fracture, co u ld

If the lesion is below the fourth vertebra the musdes of the chest could be para ly s ed, but asphyxia would not result because the diaphragm is not affected. I f, however, the lesion is above the fourth cervical vertebra, asphyxia would result because paralysis would affect chest muscles and diaphragm-P11 0vi ded that the spinal cord is completely severed. Such cases a1'e almost invariably fatal.- . C. F.

Treatment of Burns

. <? P. (Harrovv).-Please t ell me why and accept my thanks in an ti cipation of lt IS that when the air is excluded your kind answer. b u rns often cease to be painful;

With a severe burn the cuticle is de stroyed as are also parts of the skin ConsequentlJ! the tips of the papillae, including the exquisitely sensitive nerve ending s , are latd bare and exposed to the ai" This results in severe pain which is relieved when the burn is covered and the air excluded.- T. C. F.

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THE ST. JOHN is published o n th e 15th of each month. The Annual Subscription is 5S. post free; slDgle copies 4d., by post 5 d • REPORTS AND PHOTOGRAPHS, sho ul d be addressed to The Edit or, St. John's Gate, London, E.C.I, and should reach hIm n o t later than the 28th of the month

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PRIORY FOR WALES

(Continued from page 154.)

for the selection is the existence of the Cardiff Electricity Ambulance and Nursing Divisions, originally sponsored by the Cardiff Corporation Electricity Department, whose experience and co-operation have been of great value in the new scheme.

As an initial move to bring together those already interested in First Aid, Mr. vYillott arranged for four two-day Courses which were opened on Monday, ?larch 28, by Mr. Edward Jones, Deputy Chairman of the South Wales Electricity Board. l\1r. Jones introduced Dr. P. Pringle, Chief Medical Officer, who explained the proposal to establish a Centre of the St. John Ambulance Association, similar to those functioning in respect of the Railways. Dr. Pringle and l\Iiss H. Cousens, Chief Nursing Superintendent to the Authority, specially welcomed the two Divisions. Of the 83 persons who attended from an area covering a radius of twenty miles from Cardiff, about a quarter were already in possession of First Aid CertifiDr. Edgar Llewellyn, Surgeonof the Bngade in '-Vales, gave an mterestlOg talk on Industrial First Aid at each course, which included also film displays, practical demonstrations by tralOed members of the Cardiff staff lecturettes, and discussions. '

ST. JOHN TO THE RESCUE

The following has been received from the Brigade Overseas in Jamaica :_

Members on duty at the First Aid Post at the Horse Races at Knutsford Park on Day were called upon to render first ald t.o one of the horses. During the second race, an English filly, recently ?rought out to Jamaica, unseated the Jockey on acco.unt of the bit breaking, ran round the entlre Course three times and then fell into a gully "which runs alon'gside

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S indoor and outdoor officer's uniform; also two black COstumes and c?mplete ambulance sister's uniform; medium slze.-St. J. I07, c/o Publishers.

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INTERESTING

CASE REPORTS

Case Report No. 367.

vVe have been informed that Pte. H. Tyler, who figured in the rescue of gassed men, has been awarded the Bronze Medal for Life-Saving by the Royal Humane Society, and that the medal and certificate was presented to him by the Mayor of Southampton in the Civic Centre on :\Jarcb 30.

The Mayor, in making the presentation, said that even taking into account Pte. Tyler's courage, the teaching that he received in the Brigade was of the utmost importance in this rescue.

REVIEW

FIRST STEPS IN CHILDHOOD. By G. M. KERR, M.B., B.S.(Lond.), M.RC.S., L.RC.P., D.A.(RC.S. and P.). 35. 6d. London: Clerke and Cockeran, Publishers, Ltd., 72/78 Fleet Street, E.C. 4.

This book is a commonsense guide to the physical and mental welfare of children from the time of weaning to the age of seven. It does not, as is clearly stated in the book, !ivaI the personal advice of a doctor in an individual case, but it does set out to review the small everyday problems which have to be answered. Readers who assist in Vlelfare Clinics and Child Nurseries will find much to interest them.

the race track. The ambulance wagon immediately proceeded to the spot, and members found the filly in a state of exhaustion .with a large gaping wound in her. left hmd quarter, bleeding freely.

ASSIstant Officer Surridge plugged the :vound WIth gauze, applied a dry dresslOg, and secured it with bandages. The horse was then led slowly back to the paddock, and a veterinary surgeon su:nmoned, who found she had two large vems severed, as well as extensive tissue damage.

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NEW WATERPROOF DRESSINGS FOR YOUR FIRST AID KIT

Indispensable protection from water, grease and oil

A 'must' for your First Aid kit is the n ew Waterproof Elastoplast dressing It has a smooth yet tough plastic base which adheres all round the wound, keeping out all moisture, oil and grease, even under the most rigorous working conditions. Tbe plastic "gives" freely with each skin movement and is ideal for " awkward" wounds on joints. Have you Waterproof Elastoplast dressings in yo ur kit? Best way of ordering is to ask for the Medical and Factory First Aid Outfit, containing 120 Waterproof Elastoplast dressings. Make sure you ask for

1:'10 ,

The origin of the common. col.d, like that of Stonehenge, LS sttll obscure. First symptoms, however, such as catarrh, headache, or a sharp rise in temperature are fortunately characteristic. Prompt medication at this stage can do much to cut short the duration of the condition, 'Anadin' Tablets - containing a balanced combination of aspirin, phenacetin, caffeine and quinine - provide a safe and quickly effective treatment. Two or three tabLets at the onset followed by one every four hours while the symptoms persist is a suitable average dose. There is no depression or nausea following the use of 'Anadin' Anodyne Tablets.

I THE ACTIVE PRINCIPLE UNDERLYING

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Containing all the non-lrntant peutically active substances of coal tar, Wright's Liquor Carbonis Detergens applied in theform ofW right's Coal Tar Soap, provides health protection for the skin. Wright's Liquor Carbonis Detergens, uniform and stable in composition, is particularly indicated for many kinds of scaly or parasitic skin diseases. Leading dermatologists in their published works pay high tribute to the effectiveness of Wright's Liquor Carbonis :<.\ toAL '4. Detergens.