The St. John Gazette (November 1946)

19. No. 11.

Ibe hygiene

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fB:hr Q])ffici.l

Journal af tbe (I5nmb lOrio111 in tbe Jilritisb Realm of ijl;be cncrablr ®rber of tnc ].j ospitnl of Jjobn of Jerusalem

Edited bv GEORGE E. CRAFT, O St J., F.R.S.A

EDITORIAL

HOSPITAL LIBRARIES

Since the early days of the 19I4-I8 War a Hospital Library Scheme has been in operation. In the initial stages books were asked for three days after the outbreak of war in 1914 when Mrs. Gaskell and Sir Charle Hagberg, Librarian of the London Library, undertook the appeal. An avalanche of books was expe ri enced; and by the end of the First Great 'Var some six million books had been distributed.

These two persons were joined by l\liss Boyd, who covered th e work during the period between the first and second World Wars. During that time the distribution of books continued and when World 'Var Two broke out the Joint \Var Organization at once set up a special branch at Belgrave Hous e to cope \vith this activity. Bookbinding rooms, repairing rooms were arranged; and the work so increased that it was decentralized to counties to a certain extent. Throughout the "var the work continued; and now that peace is again in our midst a peacetime basis has been instituted.

There is still a growing need for the Hospital Library Service, which is now run under the Joint Committee of the Order of St. J ohn and the British Red Cross Society. The ,vork is ever developing. In addition to repairing books, distributing books among certain hospitals, one part alone, that dealing with books for T.B. patients, is of the greatest service to those who are unable to obtain books from general libraries. There is also a Special Loan Library of highly important and scarce Educational and Technical books so that patients in hospital may study any subject.

To carry out this work a greater number of vo lunteers are required to assist. Can you help? Can your friends help? Just a few hours a week or just one afternoon a week will make all the difference between patients receiving interesting books to react or being allowed to lie in bed wIthout an interest. Particulars of the Service may he obtained from the County Headquarters of the Brigade.

THE SUPPLEMENT

VYe have received numerous letters asking whether forthcoming competitions will be based on the latest edition of the Textbook" First Aid to the Injured" and the Supplement, or whether the Supplement will be ignored.

As from August I last the Supplement has been in operation and all instru ction and classes should be based on the Official Textbook plus the instructions contained in the Supplement. Therefore, all competitions should be based on both, taking into consideration any alterations made in the Supplement as against Textbook instructions.

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INVE ST ITURE AT T HE M A N SION HO U SE

On Friday, October II, the Sub-Prior (the of the Grand Pr i or invest ed some 25 0 members wIth theIr nSlg ma d f thO , M th ,r 'on House was use or 1S By kind permission of the Lord ayor, e J.anS1 . . purpose, the Egyptian Hall being the seen? of the actu.al

The Sub-Prior was supported by ExecutIve Officers, mclud 0 13 ) th (Sir Edwin King), the Secretary-General (Brigadier \Vci :. of Receiver-General (the Earl of CroJ?er), Almoner. a!l al 1 of Earl of Shaftesbury), the Libranan (Major R. WIlllams),. DB' d Ceremonies (Mr. C. H. C. Pirie-Gordon), the Chief nga e 0\ erseas (Sir James Sleeman), Assistant Director of Reachcroft), whilst others included the Earl of or ou au Thomson, the Lord Chetwode, Sir John Duncan (bemg Balhfis Cross), the Secretary (Major-General J. E. T. Younger), and other of haptfrGeneral. The Lord Mayor of London, together with the Shen s, was a so present during the ceremony.

THE SUB-PRIOR (THE EARL OF CLARENDON) INVESTING THE RT. HON. CLEMENT ATTLEE, C.H., WITH THE INSIGNIA OF KNIGHT OF GRACE.

Among those invested were the Rt. Hon. Clement Richard Attlee, Dr. Kenneth Harold Beverley (Yorkshire), and Sir John Colville (Bombay) as Knights of Grace; Mrs. Alice Buckley Rogers (Essex) as Dame of Grace; whilst eighteen members were invested as Commander (Brothers), ten as Commander (Sisters), fifty-five as Officers (Brothers), eleven as Officers (Sisters), ninety-six as Serving Brothers, and forty-four as Serving Sisters. The object of this Investiture, the first to be held outside the Chancery of the Order, except for those which have taken place at Buckingham Palace, is to present the Insignia to those who have been Promoted or Admitted during the War, but who were unable to receive their Insignia at the time owing to war-time restrictions on the manufacture of medallions.

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ST . JOHN COUNTY COUNCILS

Su ssex -At the meeting of the Sussex St. John County Council Dr. W. C. Ben La H (Chairman) reported a steady stream of work which had been carried on in the County since the inaugural meeting in May last. The Countess of Bessborough (Chairman, Propaganda Committee) gave particulars of the Exhibition arranged to be held in Brighton next March, when it is hoped to repeat the St. John pageant. The Brighton Corps will hold its Annual Fair on the opening day.

Widening of the scope of recruitment to the Brigade was discussed and it was recommended that approach be made to the Education Authorities for permission to visit school and so interest young people in the work.

County Commissioner D. Bryce (ViceChairman) gave particulars of the Hospital Library Service which \-vas run under the J oint Committee. During last year 41,000 books were collected, 92 librarians acted in hospitals, sanatoriums, etc., but many more helpers were required.

Bu ck ing ha ms h ire.-Major P. G. DarvilSmith presided at the meeting of the Council for Buckinghamshire, in the unavoidable of Lord Cottesloe, held at Aylesbury on October 22. Eeports were presented, discussed and approved from the Finance and General Purposes Committee, the Joint Committee, and the Financial Statement.

It was stated that the Brigade had approximately 2,000 members in the county and 33 ambulances. ;,Iembers treat.ed an a\ "erage of 10,000 cases per year; and during the last quarter t.he ambulances carried 2,540 cases, travelling over 50,000 mIles.

A Cadet Competition Challenge Cup was displayed. This had been named " The Chetwodc -;\1emorial Cup ", and the chairman referred to the death of both Lady Chetwode and Lady Irving which had occurred since the last meeting of the Council.

Dr. Davis 01 the County Public Health Department addressed the Council. She stated that voluntary help was being sought by the Public Health Department to assist at the Infant \"elfare Centres and Day )Jurseries. This was an important work and would become even more so when the new N'ational Health Service had been inaugurated. Assistance was required not only for minding and attending to children but also for clerical duties. Lady Dawson, moving a vote of thanks to Dr. Davis, assured her that St. John members would do their utmost to co -operate in this work.

EDUCATION FOR FAMILY LIFE

A Conference on "Ed u cation for Family Li fe ", arranged by the Centr a l Counci l for Health Education, was held at B.M.A. Headq u arters in London o n September 30. Lady Dunbar-Nasmith (Deputy Supt.-in-Chief, N.D.) and Co u nty Cadet Officer Mrs. Dames (Hertford shire) attended on behalf of St. John. Sir Allen Daley, 1edical Officer of Health, L.C.C., took the Chair at the morning sessions, when Mr. Griffiths of the ational Union of Teachers was the principal speaker. In the afternoon, Dr. Hill, of the B.M.A. (the Radio Doctor), presided, and Professor Ham ley summed up.

Many aspects of this wide subject were discussed by representatives of over 5 0 Organizations, among whom were Dr. David Mace, representing the Family Planning Association, and Dr. Housden, of the National Council of l\Iaternity and Child Welfare.

The agenda was presented under two headings ;-

(i) Factors tending to weaken fami ly life.

(ii) Factors tending to strengthen family life.

Among the former, it was suggested that in the old days, Industry was kept within the home, instances being cited of bread baking, laundry, household repairs, cobbling, etc., and the home circle was thereby kept together. On the other hand, nowadays, most of these things are sent out of the house, to be done mechanically, and the family scatter each to his or he r own particular task. The mother, too, often leaves her children at a Day ursery, or sends them to boarding schoo l , while she either adds to the family income or follows an independent life of her own. It was regrettable that while muc h could be said on the destructive side, so few factors were put forward towards the strengthening of family life But in this latter field it was felt that the J uveni le Employment Officers have a very defi n ite contribution to make in helping to ens u re that young people find suitable and satisfying jobs which are within t.heir physical and mental capacities. It was a l so felt that the growth of educational facilities for all classes and ages should help to lin k the parent and child, and that a growing appreciation of the cultural side of life, added to increased leisure, would e ncourage the family to enjoy hobbies and interests together.

It was difficult to draw any very definite conclusions from among t he many different aspects and points of view put forward, but the Conference provoked some interesting discussions

3 13

No .9 REGION AL CO MPETITIONS

The first H.egional competition of the ':'Iidland Region took place at Birmingham on October 20, when teams from Birmingham County, Herefordshire, Staffordshire, vVarwick shi r e, and \i\Torce tershire competed.

The judges were: .r.lmb1llance-County Surgeon D. J. Kicol (team), County Surgeon (Individual), County Commissioner Dr. F. L. ewton and County Sergt.-:;\Iajor E. F. Preece (uniforms); Nursing-County Surgeon G. Campbell (team), County Surgeon C. Walker (individual), County Supt. Mlss Orton and Corps Sergt.-":VIajor E. M. Parkes (uniforms)

County Commissioner Sir Bertram Ford (Birmi ngham), who was s upp orted by County Commissioners :"Iajor E. S. Phillips (Warwi ck ) and Dr. F L. :Newton (\Vor ceste r ), expressed appreciation to the Surgeons in sett in g and judging the tests, and thanked the competitors for the time spent in training, and the Officers

who had trained them. lIe also thanked his County Secretary, Mrs. Frew, and all other officers and other ranks for the part they had played in helping to make the competitions such a success.

Staffordshire, represented by J. Sankey and Sons Ambulance and ':V0lverhampton Nursing .DIvIsIOn, first place in both and recel\Te.d the championship tropllles from SIr Bertram Ford amid great applause. County Commissioner ewton voiced a vote of thanks to SIr Bertram, .!\Irs. Frew, and Officers and other ranks of Birmingham County who had the smooth running of the competItIons.

County Commissioner Phillil?s supported the motion. SU' Bertram III reply said that team work had saved our Empire, team work had held our country and team work had ensured whatever success they had achieved in t.he holdings of t.he competitions.

Wire funhurnmt @berstCts

\VESTERN AUSTRALIA DISTRI CT (includin g voluntary service in driving ambulances the Eastern Goldfields Sub-District). controlled by the various country centres of the Association. ;\t Perth, Fremantle, The report frum this District for the Busselton and :\Iidland Junction. year 19-t5 shows that the work 01 the members of Xurstng Divlsiuns again Brigade has been well maintained. Several attended on the ambulances and were a members have return ed from the Forces source of comfort to patients InCldentand rej oin ed their Divisions. Both ally, they gained a deal of experience of A.mbulance and .l-u rsin g Divisions are the condition of patients suffenng from looking forward to increasing their sickness or accident, and in consequence st.rength. are better equipped to render aid to t.hp

At the end of 19-t5 , ther e were -t1 sick and injured than t.hey would otherAmbulance, 23 Nursing, 1 Cadet Ambu- wise be. Altogether, 2,810 cases were lance, and 2 Cadet :Nursing Divi s io n s, treated by members on publlc duty, and although some of these were in recess. It 2,833 cases whilst members ,,"ere not on was, however, hoped to revive them in the public duty. immediate future. The total strength of Inspections uf metropolitan and country the personnel was 972 Ambulance Divisions took place , but. it was found m embers, 5 13 Nursing members, and 71 advisable t.o postpone the annual competiCadets. One Cadet ursin g Divi sion was tions for anot.her year. By 19-17 , all formed during the year. services will be demobilized and all

In addition to performing public duty, members wishing to rejoin their Divisions members of Ambulance Divisions rendered will have been able to do so.

OBITUARY

\\ 'e regret to announce the death of t.he f o ll ow ing :- ,

Mrs. E. F. E . Gibbons.- 1\1rs. Gibbons, whose death occurred on September 16, joined the Haslemere Nursing Divi s io n in 1930 and became the first Sergeant in 1943. She was a hard worker and will be mi ssed by her colleagues.

Mrs. L. La w r e n ce.-Fishponds Nursing Division has lost a keen and enthusiastic worker in the passing of Sergeant Mrs. La'WTence, having heen a member for se"en years.

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Mr. A. E. Spann.-The passing of Mr. Albert Edward Spann suddenly o n October 6, severs a connection with the Brigade which lasted 43 years. He was a member of the Headquarters Division (Warrington Corps) and reached the rank of Corps Officer. He was among those reviewed by the King in London in 1912 ; and was admitted a Serving Brother of the Order some years later He also held the Service Medal of the Order with Bars Members of the Warrington Corps formed a guard of honour at the Hold Street Methodist Church.

The life of the Secretary of the Medical Comforts Depots is, my friends, at least • and varied. Among the many VIsltors who call to discuss M.C.D.s, I was last week honoured by Mrs. Walton, Lady Superintendent-in-Chief, South Africa. She tells me that M.C.D .s are progressing favourably in South Africa, though in so vast a country many more are wanted One Division advertising locally for articles for a new M .C. D. was handsomely rewarded by a large number of articles, great and small. You can imagine their surprise on receiving a complete set of false teeth! I have no record of the number of time s they have been on loan or the hire charge.

r am going to take this opportunity to send to our South African friends greetings and good wishes from you all. You will, I know, look forward to hearin g of their continued good progress.

r have received a very nice reply from Enfield D epot in response to my" grouse".

The Officer-in-Charge tells me they have been in existence 20 years, a fact that draws one's mind to the question" Which is the oldest M .C. D. in the Brigade? " I would like t o h ear from Depots which ca n beat this 20 years. She also rai ses another question. The only article for years that they have n ot been able to s upply was a spina l carriage. Kow those o f you with a flair for orga nization, what is the answer? Many D epots, even if t.hey ca n afford s uch an article, have n ot the space t o sto r e it. On the ot.her hand, perhaps a Depot. ha s one that. has be en idle for months Do you think a list of Depots 111 your county havin g such an article sh o uld b e c irculated ? They travel very easily without a g reat deal of packing if se nt by passenger train. Or co uld you persuade a l oca l garage or Corps and Divisi o ns with r oom t o spare at their Headquart e rs to s tore one for you. r would really like t o know what you think about this.

Another problem is account books. The

anyone system, as in the case of a specially printed book issued by Headquarters, but head the columns according to local variations in your Depot management.

If any Division has tried the system advocated in my Notes on Medical Comforts Depots, r should like to hear from them, as I am now compiling a small booklet to take the place of my" otes". THE SECRETARY, M.C.D. Committee.

THE THREE SISTERS

The accompanying photograph shows three sisters, all of whom are members of the Exeter Nursing Division of the Brigade. They are (from left to right) :.Ui ss lvI. l\IJartin who joined the Division in 1924, becoming in turn Divisional Secretary, Ambulance Officer, and Divisional Superintendent. She now holds the rank of Corps 0 fficer a wai ting appointment as Corps Superintendent. For ten years she was H o n. Secretary of the Exeter and District Branch of the Association, and during the war was captain of a Mobile First Aid Unit and In structor to personnel attached to the Medi cal Services in the City of Exeter. Miss G. H. Martin joined the Division in 1924 and held the ranks of Divisional Secretary and Ambulance Officer. She was Deput y Captain of the M obile First

Stores Manager tells me that it is not an and helped economic proposition to have account personnel during the war. From books specially printed unle ss he can November, 1943, to Dec e mber, 1945, she order a large quantity. The present was J v\'.O. \Velfare Officer in Military number of Depots, 430, is certainly not Hospitals in Iorth Africa and Italy. large enough, even if all purchased b oo ks , ow she is \i\Te lfare Liaison Officer in a especially as the b ooks themselves would Civil Resettlement Unit which deals with last for years. On the other hand, to have repatriated prisoners-of-war. a set printed l oca lly for your Depot would .Miss K. Martin joined the Division in probably cost from £10 to £15 Theanswer 1942 and from 1943 to the end of the war seems to be to purchase one or two was a C.D. Ambulance driver. From analysis books (you can get up to 12 July, 1945, to August, 1946, she was column books at most stationers) and Caterer-Driver in a J .\i\'.O. Civilian Relief write in your own headings. This has the team in North-\i\ est Europe She has nmv advantage that you need not adhere to taken up a post as Youth Leader.

315

PEEPS BEYOND TH E SYLLABUS (III)

THE USE AND ABUSE OF STIMULANTS

By Major H. C. STEWART, M.D.

(Divisional Surgeon, 5 8 /5 Western Postal and St. Marylebone Division, S.J.A .E.)

As an alternative title we might put" When is a stimulant not a stimulant?" which suggests at once that perhaps the subject is a phoney one:, or m fact at the expense of being thought somewhat J oadIsh, It helps to ask, what do you mean by a stimulant?" The crux the wh?le matter then, IS not only when do we, or when do we not, admimster a stImulant, but what stimulants do we give, why do we give them, and what results do we hope to obtain by their use.

To understand this subject it is necessary to conslder a moment firstly, the occasions on which these substances are needed. A stImulant, of course, as a term is rather a loose one because if you take salt and water mustard, on swallowing they stimulate your stomach and make you sIck, but thIS IS hardl y the beneficial result that you hope t.o obtain .by the use of these su If we consider for a moment the underlymg condibons m the body WhICh need stimulating from time to time, the position will become somewh':lt clearer. There are numerous causes of death, but if these are analysed, two mam features stand out above the rest, namely that the mechanisms which fail are, in order of importance, respiration and the heart beat. In m.ost .cases it is failure of the respiratory centre in the brain that controls resplratlO? that IS. most. of.ten responsible for death. If you wring a chicken's neck or loll. a rabbIt by means, it will die instantly and become glassy-eyed, breathmg ceases, therr hearts often beat for some little while after this, so long as they remam warm, because of the property inherent in cardiac muscles to contract on their own, even when severed from the body. Heart failure, of course, as everyone knows, is a not uncommon occurrence, and if this happens the respiratory centre is at once deprived of its blood supply, and thus ceases to function, so breathing stops in these cases almost as soon as does the heart. So you see then, a stimulant in the sense of the normal use of the term is confined largely to those means or substances by which the heart and respiration cC),n be persuaded to continue their normal function when depressed.

There are many different types of stimulant in common use from the application of cold, or heat, or pain, to the inhalation of ammonia and the swallowing of different substances including alcohol. However, as 'was stated at the start, a stimulant is not always a stimulant in the sense that different stimulants must be used in different circumstances. To make this plain, take for the moment the use of cold in this connection. When you have a cold bath or the first bathe in an English summer, the effects of the temperature of the water is to make one gasp, i.e. to act as a respiratory stimulant. If, on the other hand, you have someone who has been rescued from drowning, who is pale and cold from exposure with a lowered body temperature, it is obvious that the further application of cold is quite useless. The body is already in a state of shock induced as t he result of over-stimulation of cold, and therefore this being a protective mechanism against further cold and exposure, effectively prevents the use of this as a stimulant. Similarly, with painful stimulus which in some cases is very effective as, for instance, in getting the extra effort out of a horse near the winning post. If, however, your horse is pulling a heavy load up a steep hill and you beat it too much, it will often cease trying altogether, sit and refuse to move. In other words, the correct use of pain can be an excellent stimulus, bu t it s abuse is useless and unjustified. You will remember in a previous article that I referred to the threshold for pain, which if overstepped leads to shock. I t is not, then, only in cases of pain but with cold, heat, and others forms. o f stimulation t hat if carried to an excessive degree, will in each case defeat ItS own end and lead to shock.

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Now the respiratory centre is the headquart er for the control of breathing, and its normal stimulus in the body is the amount of carbon dioxide in the blood. Carbon dioxide is, you will remember, a harmless waste gas which is breathed out with each expiration, and is derived or iginally from the breakdown and burning up in the body of its various tissues. It is a l so t he gas wh ich aerates the common drinks such as soda water, ginger-beer, and the like. The judicious use, therefore, of CO 2 which is the way we write carbon dioxide for short, can be the best stimulant to failing breathing in those cases where there is a shortage of this substance in the body. Just try taking quickly deep breaths in and out as hard as you can for a few minutes, and you will find after the first few, that breathing becomes more of an effort until finally you cannot breathe i n at all. What has happened is that you have got rid of your store of CO 2, so that there is not enough remaining to stimulate your breathing to restart. In fact, breathing will not begin again until the tissues have made enough of this substance again and the concentration of it in the blood reaching the respiratory centre increases once more. Therefore, in certain cases, respiration can be restored well by giving CO 2 and one of the ways we do this is by using our own breath in breathing directly into the mouth of the unconscious person, in most cases, a new-born baby. Because there is sufficient CO 2 in the expired breath to increase the normal respiration rate considerably, it is useful to remember that this ready source is always available. ow you will see why when oxygen is administered for any length of time to patients, it is usually necessary to give a certain amount of CO 2 with it, otherwise they may stop breathing.

One of the commonest substances used as a stimulant is alcohol, but its use for this purpose is not very straightforward and in fact many say that it is not a stimulant at all. :Most people are familiar with the excitability that it produces if sufficient is taken, and on the face of it, it seems undoubtedly to be producing a stimulant effect. However, this is really not the case, and the excitement is actually due to a depression of the control which we normally have over ourselves. If you sit still with some alcohol in your mouth which is strong, such as neat whisky, it is true that it has a stimulant effect by reason of the nerve endings in the mouth that are stimulated, and if it is swallowed it has a similar effect in the stomach, but only so far as this. Once it is absorbed into the body its action is essentially a depressant one as is seen from its effect on the nervous system when a person is drunk and incapable. Under the effects of alcohol to this extent the body temperature is lowered, blood pressure falls, and the substance is far from acting as a stimulant. That is why something such as sal volatile is much more efficient because it produces the same reflex stimulation of circulation by its action on the nerve endings in the mouth and stomach, but on the other hand does not become a depressant like alcohol after absorption. There are, of course, many other common and useful stimulants. Ammonia can be used in the form of small ampoules which can be crushed when required, or else used in the old-fashioned way as smelling salts. Tea and coffee are both pleasant drinks, but it is because of the stimulant action of the caffeine they contain that we take them as stimulants, and as most of us know, if too much of either is taken too late at night, then sleeping is far from easy.

Lastly, don't forget that stimulants are often contra indicated. It is always unwise to use them in association with internal injuries, particularly if there is any suggestion of hcemorrhage, as this may well be aggravated, and also it is very dangerous to take stimulants by mouth, or fo r that matter anything liquid to drink in cases where there is a possibility of some severe condition involving the stomach or intestines such as the perforation of an ulcer.

Remember especially the danger in giving stimulants to those suffering from head injuries. If, then, you like a drink yourself occasionally, to cheer yourself up by depressing yourself, no one will stop you! But if you want a stimulant for your patient or casualty, don't forget the pec u liarities of alcohol, as t h ere may be other things available which are both cheap er and mo r e efficient fo r th e purpose. 3 17

RAILWAY AMBULANCE NEWS

L ONDO N, MID LAN D , AN D SCOTTI S H

H o n our s.-Among the recent admissions to the Order of St. John the following members of the L.M.S. Railway Staff, together with Dr. 'Wilson (lecturer at the Sheffield L.M.S. Class) haye been admitted as erving Brothers: J. Ash eM an chester) , E. Bramwell (DO\'eholes), H. Lacy (Xormanton), A. Pargiter (Birmingham), and J. Foxcroft (J\lorecambe Prom.).

LON DO N AN D N OR TH·EASTER N

A r ds l ey -A social evening was recently held by the Ardsley Ambulance Class at which :VIr. D. C. Flet.cher (District Loco Supt.) presided, supported by ::''Irs. Fletcher, :\1r. ,V. :;\Ioll (Station Master), and other officials. ::'1r. C. introduced the chairman (\\ho is a brother of the Brigade Surgeon-in-Chief) and Mr. Fletcher asked 1\1r. 11011 to present awards to members for the period of the war.

The Ardsley class can boast of one member with over 40 years' service, two o,'er 30 years, two oyer 20 years, and two members have qualified this year for the 15 year Gold Medal. Also the class has four Serving Brothers of the Order.

SOUTHE R N

Am bul ance Cen tr e Secre ta ry .-The Southern Railway have announced that :\1r. F. A. Trott has been appointed Ambulance Centre Secretary and he will be responsible for organization of all ambulance and first aid activities throughout the system, including competitions. Mr. Trott is well known not only in the Railway Ambulance world but also in the Brigade, in which he is an Assistant Commissioner for the County of Sussex. In competitions 1\1r. Trott has led the winning team in the Inter-Railway Competition Final on more than one occasion, and also the winning team in the Dewar Shield Finals. Such team names as l:3arnstaple and Horsham were put on the competition map by his efforts.

Bri g h to n. -The "::'Iarch" Cup competition between teams from Brighton and Lancing C.:!'v1.E. ,Vorks was held recently and witnessed by many spectators. Lancing No.2 team gained first place.

Guil dfor d.-The annual Class presentation of awards was held recently when :\Irs Chitty, wife of ?\1r. J. H. Chitty, Vr'eHare Officer, presented the awards. Congratulations were extended to Mr. H. Bicknell and his Committee on the efficiency of their arrangements.

Fe lth am.-Preceeding the annual concert of the Feltham Class, Mrs. E. G. :\ioore presented awards to class members and a :\leritorious Certificate for services rendered to the First Aid cause to Mr. , V. Leming.

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W a t erJoo.-illr. l{. ':\1. r. I{icilards, Traffic 11anager, present.ed the awards to members of the "Vat.erIoo Class, and a fountain pen to Dr. M. M. Scott, Class Lecturer, for his interest and he l p.

MEMORIAL TO THE LATE MRS TWEEDALE

\Yit.h the sanct.ion of t.he Commissioner and District Superint.endent of the Lancashire District: a Memorial Fund has been opened to the memory of 1\lrs. Tweedale, C.B.E., Lady of Grace, for many years District Superintendent o. 4 District.

Mrs. Tweeclale will be remembered by many who attended the Brigade Camps at Rossall School, near Blackpool, of which she was the Commandant. Officers and members from all parts of the country, also 'Wales and Ireland, attended the Camp and the Commandant was a clearly lo"ed and highly respected person t.o all. Contributions should be sent to the Treasurer, Miss 1. ::'1. Sutcl iffe, District Officer, Thorn Hill, Todmorclen, Lancs

THE HOS PIT AL L ERS ' CLUB

The first meeting of the 1946-7 session was held at the Bonnington Hotel, on October 11, 'when the President, :\1r. J. A. Gravestock, \',;elcomecl the members after the summer recess. Reference was made to the passing of M1'. F. E. Stallard, a past President and Treasurer of the Club for many years; and all members stoor! in silent respect.

The speaker for the e\ 'ening was 1\1r. E. C Claxton, who ga\'e a discourse on the Casualties Union, of \\hich he is the Organizing Secretary. The aims and objects of the Union were clearly put. before the meeting and many questions were asked regarding the working of the Union 'with the Brigade.

HONO URS

The Chief Commissioner, Brigade AtHome, is pleased to announce the following Honours :-

M. B. E.-Corporal G. Edclowes (Romford Division) for services rendere(l at home and O\ erseas with tl1e :\i A.P.

B .E.M.-Supt. R Browse (Arsenal Division) for special work at the Arsenal.

Me ntion e d in Des p atches -The Viscountess Mountbatten, D.C'.V.O., C.B E., and \V 602040 Nurse P. 1\11. Farey (a member of the Brigade) for their service in Burma.

N o. I (PRI NCE OF WA L ES'S) DI STR ICT

W es t e rn Area - The annual social was held at Hammersmith Town Hall on October 5, when Asst. Commissioner Dr. C. 1<. accompanied by ,\ l rs. \\'rangham and supported by his , \ rea St.aff, welcomcd many members and friends. Those present included Lally Dunbar-0-'asmith (Deputy Supt.-in-Chief, N.D.), District Supt. 1\liss vVorkman, District Staff Officers \Yalsby and Burton, Officer Licence, Supt. Archer (" F" Division, MetropoliLan Police) and ::'1rs. , \ rcher, County Surgeon Co lonel Selby, and District Officers of the Area. District Officer Stratton \\ as in charge of lhe arrangements and is to be congratulated on an excellent function.

No r woo d an d Penge Nursing Divis i on'\lembers of the Division, logether with those ()r lhe Crystal Palace Ambulance ])i\'isiun, m<;1. on (')clober 12 to bid farewell and C()d-speed to }\frs. Douglas who has had a long and honoured career in the Di\'ision. joined on its formation III ] 892, resigned on marriage in 1896, rejoined in 1914, when she \vent into the Y.:\1.C.A. Canteen at Crystal Palace, in 1915 she was a V.A.D. in Princess Christian Hospital and was also on call for air raids. From 1920 to 1935 she was Di\'isional Superintendcnt and in 1935 \\ as placed on Eesen 'e. She \\'as Admitted a Ser\'ing Sister during the] 914 - 18 " 'ar and promotcd to Commander in 1935. She is also an l \.Rlt.C. From ]939 to 194G she worked at.A l(.P. Headqnarters, Hadlow Place. ?\lembers of the Di"ision presented 11er with a hand-bag and a librar\, subscription; the Cr\'stal Palace men ga\'e an umbrella whilst the Syelenbam C;as " ' orks Di"ision gave 11cr a ng glass.

Hosp i tal Saturday Fund Nurs i ng Di vis i on.-Past and present of the Di\'ision met on October lo celebrat.e the 50th Anni\ ersary of the Di\'ision, and to present Sup1.. :\1. De Levante gifts as tokens of their love and esteem. :\liss De Leyante has been connected with the Division for 32 veal'S and was lenc1ent. from 193,,*' until the outbreak of the war when she was e\' acnated with the London Countv Council to Sussex. is now Sllpel:lI1tendent of the I.e\\ e'i Xnrsing Di\ isi()ll :\Irs. E \. Chapman ga\'c a hrief history of tIle whilst Di, '. \ Ehrmann referred to incidents in Lhe Di\ ision o\,er a number of years. Ot.hers present included Supt. :\'lrs. E. Godfrey (Bromley) and '\ [iss A. Poullon (Ellston), both former of the Di\'ic;inn, and Supt. F. " ' Bishop.

No 58 / 5 A mbulanc e and lI5 Nursing Di v ision s .-The second annual combined dinner of the \ Vestern Postal and St. Marylebone Ambulance and the St. John's \ Yooel K ursing Division was held Oil October 2f1, when President C. Hearne

During the evening the Mayor of SL. ;\[arylebone (Alderman Steel) presented the chairman with his warrant of appointment as President. District Officer l\[cBride, proposing the toast of " The 58 / 5 ", referred to the birth of the division in 1931 and the magnificent sen' ices rendered during the war. Supt.. \\'. V. 1\1. Allan stated that prior to the war the Division had turned out a complete V.A.D. unit, including surgeon and pharmacist, and he hoped that something would be done to resuscitate the detachments. The Division had trained some excellent men for the Forces. He thanked the Postal Authorities for the continue(l support and assured the l\Iayor that any assistance the 58 / 5 could give them was at thei r disposal.

District Officer 1Irs. Tapply proposed "The 115 Nursing Division" and suggested that it ""as better to think of what we could do in the future than to always remember what had been done in the past. Supt. Mrs. Allan responded. She wa pleased to announce that ?\Irs. ::'II. l\I. Scott, wife of Di,'. Surgeon 1'1. M. had agreed to become their Xursing Officer. Dr. Scott proposed "The Cnests " to \'(hich the :\lavor and Mr. H. ScobIe (A.R.P. Officer) ;esponded. In repl y to the toast of " The President", 1\11'. Hearne expressed his sorrow that, owing to the fact he had been transferred to another department, he would be unable t.o give much assistance in the fnture. He welcomed his old friend ::'IIr. Seddon, who would be the new Postmaster.

Wan d s w or th a nd Sou t hfield s D iv i s ion.County Surgeon Colonel Selby presided. at a recent social evening which opened WIth an exhibition of first aiel. District Officer Stratton judged the finals of the Divisional competitions, Pte. S. Bowker gaining first place, followed by H. Leach, C. Penny, and H. Luckin. Pte. H. Leach won the "Diagnosis" Cup. ::'Iembers of the 88 Di\ ision dem"nstratecl bed-making with a commentary by Supt Miss Tucker, whilst :0,"nrsing Sister Mrs. Ste\' ens ga\'e a demonstration of rolleT bandaging. A First Aid Quiz was staged by Sup!.. ,A. C. Brown, Sergt. ::'I'Irs. Penfo ld and Pte. C. Penny tying for first place. Colonel Selby pre ented the cups and prizes to the

LANCAS H IRE DI ST RI CT

The first post-war District Conference was held at the Town Hall, Manchester, on October 19, and was attended by about 1,000 delegates. The Lord Mayor and Lady Mayoress of Manchester welcomed the members, expressed thanks for the ever-ready help of the Brigade and the hope that the deliberations of the meeting would be fruitful.

Commissioner W. G. Smith presided, and after a period of silence as a mark of respect to those who had died since the last Conference, the financial statement was given by the District Treasurer.

Questions submitted by units were dealt wi th by the Commissioner, and short addresses were given by him and other members of the District Staff.

• tinge of sadness was introduced when the Commissioner announced his retirement after fourteen years' service in charge of the District and fitting tributes were paid to the invaluable work he had performed. His successor is Major E. S. Burt-Hamilton, 1\I.C., M.B., Ch.B., F.R.C.S. (Officer of the Order), a most popular choice who, as Assistant Commissioner, has been in charge of the Area.

Thanks were accorded the Lord Mayor and Lady Mayoress and the City Corporation, together with the Officers and members of the Manchester and Salford Corps for the excellent arrangements made for the Conference An invitation for the 194 7 Conference, to be held at Southport, ,"yas accepted with acclamation.

Southpor t. - To meet growing demands a new ambulance has been delivered to the Corps. This was inspected by the ChIef Constable (President of the Corps). The new ambulance has accommodation for two stretcher or five sitting cases and has been built on a V,-.D. chassis. The Corps carry out practically the whole of the removal in and out of Southport, and attend accidents within the County area.

CO UN TY OF B U CKI NGH A M

Slough.-Three teams of Nursing personnel competed for the II Chetwode Challenge Cup", presented by the late Lady Chetwode, on October 12 at Serena Headquarters, Slough. This was the first competition for the Cup and the successful team W<iS Chippenham. County Supt.

.\.rea CaueL U111cer Mrs. A. IvL H ood.

"While the results were being a nno un ced an urgent call came through w hi ch necessitated the use of articifial r esp iration-the actual test given in the c ompetitions.

COUNTY OF CAM BRIDGE

Ou t well and Upwel l.-Co unty Commissioner Dr. K. S. Maurice-Smith accompanied by his County Staff: inspected the Outwell and Upwell Ambulance, Nursing, and Cadet Divisions recently. There was a good turn-out and he was pleased with the enthusiasm, keenness, and smartness of the personnel.

Supt. Mrs. Roper handed the Commissioner a note from the Matron of the 'Vest Norfolk and King's Lynn Hospital in which she thanked the members for their help at the Hospital and hoped they would undertake more duties when they could spare the time. From January t;)

May this year fifty-two such duties had been carried out; and the members were starting again from October 1three to five members attending each \Vednesdayeyening.

COUNTY OF CORNW ALL

Penz a nce -At a recent social evening Supt. H. G. l\Iaycock announced that a duty rota had been organized in \yhich members are on call each evening at a minute's notice from 6 to 10. Vicepresident V, T. ]. Hichens praised the vital work of the members and said he personally knew its value, for the ambulance had taken him to hospital at very short notice. Supt. ::'Ilayc o.ck stated that the ambulance received an average of 300 to 400 calls a year and it cost £200 to £300 t o run the ambulance. Funds were needed; and he thanked Toc H who were assisting in a house-to-honsc collection.

COUNTY OF D OR SE T

Parkstone.-A competition was held recently for the" Dr. Morgan Divisional Cup" aJ?-d miniatures. Corps Supt. F. C. Judged the work done and placed A Team (Sgt. S. Viney, Ptes. G Paddock, B. Stanlet, and Cadet Officer Palmer) first. The Individual Cup for Efficiency was won by Pte. VV. Aplin. County Officer E. Paddock presented the awards.

COUNTY OF ESSE X

Lady Dawson of Penn presented the The annual competition for the trophy to the winning team. The tests "Langley Jones County Cup ", open to were set by County Surgeon vVeaver ambulance teams, was held at Dunmow Adams and j u dged by Corps Surgeon on October 13. County Surgeon W. N. ::.vlaxwell S u mmers and Mrs. Hammond, (Hertfordshire) judged the t ests, S.R.N. T h ose present incl u ded the Cou n t y placmg West Mersea first with D u n m ow

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"lubt COUIlty CUI11t1l1ssioner Coloncl Hamilton said it was fitting thai thc judge should come from the County where the donor of the cup is now Commissioner.

Tha x t e d Nur sing Di vi sion.-Xew Head(luarters of the Division were officially opened on September 29 by County Snpt. 1\1rs. Smell ie, deputizing for the County Commissioner. Divisional President :\lrs. \Veller presided, supported by "ice-president Mrs. l'utterill. :\Irs. Smellie expressed her pleasnre in opening the new Headquarters and the :\ledical Comforts Depot and referred to the keenness of the members. Cadet J. Moore presented her with a bouquet. County Ollicer Miss Argent presented awards, whilst Divisional Surgeon \Yeller told of the achievements of the Division since its formation. Mrs. PuUerill ga\'e Supt. }Iiss Turner an electric clock for the Headquarters, and in returning thanks :\Iiss Turner also referred to the kindness of Dr. \Yeller for allowing the hut to be placed on his grounds. Prayers were offered b,' the Re\,. S. R. Kenny. Boxwei l Nu rsing t the annual social, County Supt. 1\Irs. Smellie presented awards and congratulated the Di\'ision on the standard of work. Supt. :'lrs. Menhinick introduced the new Di\ isional Surgeon, Dr. J. Mervyn Thomas, \\-ho expressed his pleasure at being asked to take the post. President }liss Ogih'ie and Secretary ;'Irs. Gee were responsible for the arrangements.

COUNTY OF GL OUCESTE R

The Gloucestershire Community Council, in conjunction with the County Health Authorities, recently arranged a Travelling Health Exhibition which toured ten villages in the North Cotswold area. The Brigade were invited to participate and to stage a display. County Supt. :\Iiss Faberwith, with the assistance of Officers, members, and friends, was able to collect models of Brigade acti\'ities, including those on race courses, swimming pools, Hospital duties, Medical Comforts Depots, Cadet Camping and Signalling, and Child \Yelfare Activities. The Blockley .\mbulance Cadets made an attractive poster frame as background and surround, and Officers, members, and Cadets of various divisions attended to explain the models and supply information t.o visitors. The uisplay arOllsed considerable interest., and it is hoped to usc it again for recruiting IJurposes.

COUN TY OF HAM PSHI RE

most marks gaineu ill the home nu rsing section.

Fi\'e teams entered and 'were judged by Asst. Commissioner Dr. T, P. Lalonde (team). Matron of the Eoyal ?outh Hants Hospital and Matron of the Isolation Hospital (home nursmg,) DIV. Surgeon Bamber and Amb. Officer Lines (individual) and. Mrs. \\'almsley and :\I!ss };ventt (untforms).

COUNTY OF KENT

Eden b ridge.-The annual inspectioll of the Ambulance and Tursing Divisions was held on October 2. Count.y Of'fi.cer Hancox and Assl. Count.y Supt. l\Iiss H. :'Iav were the inspecting officers; the paraele being under the com mand 0 [ Supts. 1\1. Budden and Miss 1. L. Robinson. Demonstrations of bed-making, bandagi ng, and squad drill eIrew congratulations from both inspect.ing officers. The compet.ition for the annual stretcher squad cup resulted in a \yin for the team composed of _\mb. Onicer C j O TelIer, \ ' S Croucher, and A/S

COUNTY OF LINCOLN

Gainsborough. - On October 20 members of the Gainsborough Di\ ' isi()l1 attended E\'ensollg at St. :'lartill's Church to honour their oldest member, ,\mb. Officer J. \Yatkin, who has retired after 36 year's service with the Di\'ision. Before entering the church the parade, under Amb. Officer B. C. \Yilseas, marched past Amb. Officer \\atkin who took the salute, The sen'ice was conducted by the Vicar (the Rev. J. P. Gordon), the sermon being preached by the Re\.- II. 1 '. Hodd (Yicar of East Retforcl) \Her t.he service

Supt. R P. \\'hite expressed deep appreciation of :\1r. \\'atkin's hne service to the Division, and Corp!. J. Vasey, the next oldest member, pre entecl him with an electric clock which the members hoped would remind him and :\Irs. \\'atklll of their many years happy cuntacts with the Diyision. \\'atkin suitably replied.

COUNTY OF NOTTING H AM

The Nottingham Central }Jursing Team gained first place in the County Nursing Finals held on October 26. Four area finalists competed in the first competition held since 1939; tbe judge." being Di\. Surgeun .\ Spencer (team), Sister Tutor Denman (beel-making). ( ounty Ofllcer . Lodge (melt\·i<.luals), and lurp,OffIcer Broggs (uniforms). The arrangements were made by County Supl. ,\ndo\'er " A ::\ursing Division gaineci \\ Gibson. a double victory in the Twiss Rose Bowl Vice-President Lady Starkey presented competition he ld at Southampton. In the Birkin Cup to the winning team. addition to gaining first place the team Nottingham.-After 30 years' memberalso gamed the TuUe Rose Bowl (pre- ship with the Brigade Corps Supt.. ::\liss sented by Corps Supt. 1\Iiss Tutte) for L. A. Oldfield has transferred to the 322

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W RIGHT'S LIQUOR CARBONIS DETERGENS

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Brigade Reserve. At a supper held recently she was presented with a leather handbag, County Supt. l\Iiss W. Gibson giving a glowing of the. selfsacriticing work and devotlOn to Bngade affairs done by Miss O ldfield.

Four teams entered for the Nursing Competitions judged by Corps Surgeo n J. Cohen (team), Sister Munrow (bedmaking), l\1r. J. Britton (home nursing), and Corps Officer Mrs. Wyse (uniform). Central ursing team were declared the winners and received the Winifred Gibson Shield from County Officer Dr. D. Nicklen. County Supt. Miss Gibson, donor of the shield, expressed her pleasure at the competitions being restarted after a lapse of war years.

CO UNTY OF NOR F OL K

County Commissioner Sir Thomas Cook presided at a meeting of County Officers, being supported by County President Lady Cook, County Supt . Dr. May Ru tledge, Asst. Commissioners Dr. \V. E. H Bull and Dr. W. E. Rutledge , County Officers C. B. Andrews and R. C. Hannant, County Cadet Officers H. S. Denny and Mrs. G. E. Portal, and County Secretary Mrs. J. H. Yull.

Cr o mer -A balance of £500 reported at the annual meeting of the Cromer Division is likely to be absorbed in payment for a new ambulance to be delivered earIy next year.

Yarmo u th.-The new Area Headquarters were officially opened by the Mayor (Alderman J. W. Beckett). County Commissioner Sir Thomas Cook presided, supported by County President Lady Cook, Lt.-Col. Sir Richard BarrettLennard (County Treasurer), Canon L. J. Baggott, Mr. C. G. Box (Chief Constable), Mr. A. F. Plume (Chief Constable, Norwich), members of the County Staff, and others.

Sir Thomas said that the acquisition of the premises would greatly enhance Brigade work; whilst the Mayor referred to the pride and esteem in which St. John members were held in the district. He spoke of their wonderful war record and their usefulness in days of peace.

COUNTY OF NORTHAMPT ON Northampton.-A combined meeting of all officers and members of the Northampton Corps was held at St. Giles Hall with Corps Supt. Mrs. E. E. Carpenter presiding. This was the first occasion of such a meeting and the chairman welcomed the new County Super intendent, Mrs. Gibbons, and County Cadet Officer l\Iiss Grant Lawson. Mrs. Gibbons voiced her thanks for the welcome and referred to the hard task she had in following Mrs. Jennings.

32-1

Each Divisional Superintendent gave a short report embodying the of their members. Corps Offlcer MISS W. L. Perkins proposed a vote of thanks to Mrs. Gibbons and to Mrs. Carpenter. The St. John Ambulance Ladies Choir, formed by members of the Northampton rendered a number of turns under theIr conductor, l\Ir. Brian Hall, A.RC.O.

COUNTY OF OXFORD

A one-day training course was held at Oxford Corps Headquarters on October 20, when Asst. Commissioner Dr. F. A. Bevan presided at the opening session. lIe spoke on the objects of such courses and stated that more would be held if required. County Officer F. DearIe gave a talk on County Organization and Channels of Communications, this being followed by "Brigade Forme" given by Assistant Brigade Secretary J. S. Hannam. Staff Officer G. E. Craft gave a discourse on "Divisional Officers" and the morning session closed with a lecture and demonstration of Drill by County Officer H. Howard.

At the afternoon session County Commissioner Dr. C. Gardiner-Hill presided and Asst. Commissioner Dr. F. A. Bevan gave a talk on "Competitions ", dealing with all kinds of tests. This was followed by a short talk on Publicity by Staff Officer G. E. Craft, and the rest of the meeting was thro'wn open for questions. Members were quick to take advantage of the presence of Headquarter Officers and the questions covered a variety of subjects.

The County Commissioner expressed thanks to Staff Asst. Commissioner H. J. Wrigglesworth, Asst. Brigade Secretary Hannam and Staff Officer Craft for their great assistance. In reply Mr. \\'rigg lesworth stated that they were at all times ready to assist counties and to give advice if required.

Banbury.-Thirty-one ex-service men and women of the Banbury Divisions 'were entertained at a "\Velcome Home" party; the necessary funds being raised during the war by Mrs. S. F. Powell who organized social events for the purpose. Altogether 33 members served with the Forces-two, Sergt. A. R. Harris and Sergt. G. Cross, losing their lives. County Commissioner Dr. Gardiner-Hill presided, being supported by the Mayor and Mayoress, and others. Each member was presented with a wallet; and praise was given to Mrs. Powell for her hard ' work and a bouquet presented by Pauline Trinder. The company stood in silent tribute to the two members who had given their lives, and it was announced that a bronze memorial plaque would be erected in Cornmarket Headquarters.

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PLYMOUTH, SOUTH· WEST DEVON, AND EAST CORNWALL

Co unt y Officer is the Lady iHayoress Elect of the City of Plymouth, her husband, 1\1r. W J. \V Modley, haying accepted the unanimous im'itation to be Lord Mayor of the City.

County Commissioner C. S. C. Prance carried out a combined inspection of the Friary and t.hc Swarthmore, Ford, Plymstock British Legion, Post Office, Sherwell and St.. Boniface Xursing, and Sherwell Cadet St.udent Division in the Abbey Hall, Plymouth. Folluwing t.he inspection

Major J. Y . L\b ela (Commissioner, District, Brigade O\Terseas), gave a n interesting talk on the work of the Brigade in :'Ilaita. He 'was thanked by Asst. Commissioner Col. G. Thomson who asked him to com cy to the District of :-Ialta greetings and good wishes from the Brigade in Plymouth.

COUNTY OF SURREY

Training Course was held at Brigade Headquarters, Guildford, on October 6, \\'hen Asst. Commissioner J. P. F lavin presided in t.he unavoidable absence of the Cum missioner. A short service was conducted by the Rev. L. l(enyon. ' Asst. Supt.-in-Chief Girouard spoke on recruitment and was followed by Diy. Surgeon R. G. Southern who gave a t.alk on " Diagnosis by Obsen'ation".

Sister Addison (former Sister Tutor at Stratton Audley) gave an instructive discourse on the Care of t.he Patient, and after the luncheon interval Dr. Gladys A. Danby (County Supt. Somerset) spoke on " Psychiatry " This was followed by :-lass H.adiography by Supt. A. L. Roberts, and Asst. Commissioner Major A. C. \Yhite I\:nox (Xo. 1 District) who gave an instructi\'e talk on Competitions. A film show was also presented giving First Aid m Industry and After Treatment.

"<?tes of thanks were voiced by County PreSIdent the Countess of Lindsay and County Supt. ::\lrs. Heald.

Chertsey -The Building Fund of the Chertsey Ambulance, Nursing, and Cadet Di\'isions were greatly improved by a concert given by the Addlestone Merrymakers President ::VI. Easttaugh thanked the cast, numbering some 60, and a bouquet was presented to Miss Theresa Clarke who took part in, produced, and trained the whole show.

COUNTY OF SUSSEX Horsham.-:-Pt.e L. Gocher, last year '!; wmner, retamed the Alcxander Cup in he competition held on October 15. [here were five competitors whose 'work was jud ged by Dr. R. ::Vlatthews. County Officer W. E. J upp ananged the event,

and was t.hanked by SlIPl. :\ \\ ' heat.lanJ.

Two members of the Brigadc from (;uernsey gave a talk to members of the Horsham Division on October 8, when Supt. \t\Theatland introduced Supt. H. P. Saunders and Corpl. R. L. !tilloy. They spoke of the work of the Brigade under the rule of the Germans and how the mcm bers were lnade to wear red cross arm bands wit.h swastikas on them. Rye. -The new ambulance of the Rye Divisions \\'a' dedicated reccntly by the \'icar o( Rye (the H.eY. O. S. Brooks) assisted by ur other tions. ::\lr. \\T. X Cut.hbert. (M.P. for the Division) inspected the parade uncler Asst. Commissioner 1<. A. Trott. Those present included District Officer iVlilton, Div. Surgeon Lt.-Col. H. 11annington, Supts. \\T \Yoodgate and ::\1rs. J. Hartley of the Local Di\'islOns. Headed by the ' Hastings St. John Cadet Band the parade marched through the Ancient. Town to the Town Salt." \\'here the ambulances were \\'aiting under the charge of Transport Officer \\'alker. President. F. Suren in handing oyer the new vehicle said he had every faith that it \\'ould be used fur the benefit of those in need Dr. J. L. Hartley, on behalf of the old Rye Motor Ambulance Committee, said: "In handing over to you to-day full control of the ambulance service of Rye, I can only say I do so in all good faith " He gave particulars of the sen'ice run since 1935, and the fact which had lead up to the day's proceedings.

Asst. Commissioner Trott, in acceptmg the ambulances, said it. was a fitting memorial and an act of thanksgiving tu this Battle of Britain Sunday.

The local Divisions ha\ e now taken over the whole of the .'unbulance services in the town, and it is being run on an entirely voluntary basis.

COUNTY OF WORCESTER

The 1\orth \Vorcestershire Corps helJ Its eliminating round of the Lechmere Cup on October 5 when five teams were judged by Div. Surgeon M. ::\IacCormac (team), Dr. A. ,\V. Weston (individual). Corps Supt. F. G. Price announced the result which placed Rowley Regis first, followed by Halesowen.

The Southern Area held its eliminating round on October 12 when County ?urgeon and Di\ Surgeon Vollum Judged the work of the teams. Redditch gained first place followed by Bromsarove Kursing Division. D Dudley and District Corps held its annual eliminating round of the Lechmere Cup on October 19 when Brierley Hill were placed first by Div, Surgeons R. M. (Continued on page 332)

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Headquarters: Priory Hous e, 4 Cathedral Road , Card iff.

WELSH BRIGADE FINAL COMPETITIONS

The first post-war com p e t itions for the " Llan dinam" Shield and "Arthur Griffiths Memorial" Cup, organized by the Priory for senior Ambulance and Nursing teams of the Brigade in Wales, took place at the City Hall, Cardiff, on October 19. Although notified early in the year that the competitions would be resumed, o nl y a small proportion of the Welsh co u nties had teams which they felt, after six years of war-time service in vatious directions and little chance of prepa r ation, were up to the standard required at the Final contests. The entries were therefore fewer than usual. The Judges for the ma le competition were Dr. G. Pari Huws, Commissioner for West Den bighshire (team test), and Dr. J. Prosser Davies and Dr. T. J. Davies, Corps Surgeons of the Lindsay (Glamorgan) and Is lwyn (Monmouthshire) Corps respective ly (i ndividual practical), Capt. F. P. Robathan, M.C., Assistant Commissioner fo r Cardiff (uniform). The women's competition was adj u dicated by Dr. G. S. Phillips, Assistant Commissioner for Glamorgan (team test), with Dr H. B. Pier ce, County Surgeon, Aberdare, and Dr. Enid Rogers, Corps Surgeon, Cardiff (individual practical), Lady Corps Officer Miss E. A. Gravenor, Matron Gellygae r I so lation Hospital (After-care and Nursing), and YIiss G. RIchards, Lady Corps Superintendent, Cardiff (uniform).

Dr. Pari Huws prepared a test that was both topical and typical. Competitors were told: "On Saturday, October, 194 6, you are visiting an old friend of your Division in his cabin aboard the S.S. Trojan, a cargo vessel which is u nloading at the West Bute Dock, Cardiff."

The women's team had to suppose that, "You as a team are returning, with haversack, from d u ty, when you see the fo ll owing accident. A small boy runs out of a house, basin in hand, and while c r ossing road, is knocked down by a motor car."

Commencing at 11.30 a.m., the competitions went on all day, friends and supporters looking in to see the teams until their work was concluded at abo u t fo u r o'clock, when the Hon. John H. Bruce, J .P., D.L. (Principal Sec r etary and Commiss io n er for Wal es), p r esided over the p r esentation of trophies. The awards were anno u nced as under by the Brigade Secretary, nIr. ,\V. l\labon Abraham :_

Team. LLANDINAM SHIELD

Iv1arks obtained County. (Max. 312).

Tredegar Monmouthshire 250i

Kenfig Hill Glamorgan 224

Aberdare Aberdare 21St

Cardiff G.W.R. Cardiff 205i

Treharris Merthyr Tydfil 203

Ffa lda u Insti- Glamorgan 198i t u te and Garw.

A R THUR GRIFFITHS MEMORIAL CUP

Marks obtained (Ma,x.324).

Newport Borough of New- 229 Nursing. port.

Treharris Borough of Mer- 193 { Nursing. thyr Tydfil. Bedwas Monmouthshire 16·H Nursing County.

The Deputy Lord Mayor (Councillor Morgan Davies) and Deputy Lady l\1ayoress presented the trophies and prizes to the winning teams, lVlr. Bruce expressing the sincere thanks of the Priory to the Judges. Councillor Dr. C. A. Bence, Divisional Surgeon, Cardiff, proposed the vote of thanks to the Deputy Lord i\Iayor and Deputy Lady Mayoress.

PRIORY HEADQUARTER NOTES

"Major A. W. Anderson, M.B., Ch.B., presided over the Ambulance Committee which met on October 22, and approved recommendations of the Motor Ambulance Transport Committee for the maintenance of the Priory's service of 30 ambulances at 23 Stations. It was noted with satisfaction that the increased rates, consequent. upon rising costs and the duplication of drivers at all stations, had been accepted by employers and employees, while local Authorities having contracts with the Priory had also agreed to increased contributions. During the September quarter, 6,504 patients were removed, with an aggrega te mileage of 123,721, bringing the number of cases carried during the nine months to just on 20,000.

The Priory Council, which met subsequently under the chairmanship of Mr. F. Llewellin Jacob, received with gratit u de for the Library and Museum several gi fts of books, prints, Maltese silver, and ear ly Rhodian tiles from E. M. Jones, Esq., whose gene r ous gifts are almost a reg ul ar feature of the Librarian's report to Council.

328

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CENTRE REPORTS

EAST DENBIGHSHIRE

In forwarding the photograph of the dedication of a converted War Service ambulance, reproduced in this issue, the Commissioner, Col. Sir Charles B. Lowther, Bt., reports that in pre-war days only two Divisions maintained ambulances, but owing to the increased demand, not only for local work, but also for many journeys to the Liverpool and Manchester Hospitals and elsewhere, more ambulances had to be obtained, and now six Divisions have one or more. The work is co-ordinated throughout the County, so that an ambulance can always be obtained at any hour. The yearly mileage is about five times as great as it was in 1938. Regarding the Medical Comfons Depots, the Commissioner states that before the war only the Rhosllanerchrugog Division maintained a Depot. Cefn Mawr started one in 1944, and now each Division has formed one with allocations from the surplus stores recently distributed by the Joint War Organization. All the Divisions show a keenness to provide themselves with suitable Headquarters, and it is hoped that each Unit will shortly have first-rate quarters with a Medical Comforts Depot and, where an ambulance is operated, a garage. Three County OlTIcers have lately been appointed, with special functions, viz. Lieut.-Col. G. W. Higginson-for Maintenance and Organization of Ambulances; Capt. E. Davies-Medical Comforts Depots; and Major A. S. D. Graesser, D S.O., M.C.-Cadet Officer.

WEST DENBIGHSHIRE

Commissioner Dr. G. Pari Huws has supplied an account of the present activities of units in this area. The Colwyn Bay Division, in keeping with its status as senior unit of the Centre, is carrying out a full programme. Public duties at theatre and cinemas make a regular call and from Easter to the end of the holidav season the Division's mobile ambulance trailer is on duty at week-ends on the Promenade; this summer season, II2 cases have been attended. The enthusiasm and efficiency of the Colwyn Bay Cadet Division is stimulated by the keen sense of rivalry fostered by the annual competition for the silver cup presented by Assistant Commissioner P. W. Lumley At the contest for this trophy, a team led by Cadet Glyn Parry was successful, receiving the cup at the hands of Mr. J. Harvey, C.B.E., Centre Chairman and Divisional President.

Members of the Ministry of Food Nursing Division during their stay in Colwyn Bay rendered first class service in hospital and sick bay, attending to Home Guard casualties and turning out on

pub li c duty with the lucal Divisiun whenever required. With the recall of a large section of the Ministry to London, the ranks of this Division were sadly depleted, and the Centre will be sorry to see the final departure.

The Llanrwst Division acquired special merit during the war vears for excellenT work with evacuees and refugees. They undertook a considera ble number of ambulance removals in county districts difficult to negotiate. A strong Cadet Unit ensures continuity of service.

The administration of the Uwchaled Division is complicated by the fact that the members live in scattered hamlets, which makes working a s one unit difficult. An ambulance is operated, however; and the services of the individual members is invaluable in these isolated di s tricts.

Llangernyw is another village surrounded by hilly country where a knowledge of first aid is almost a necessity. Farm and road accidents have engaged the members from time to time , and the acquisition of an ambulance provides an opportunity for increased service.

Abergele and Llanddulas and District Divisions suffered heavily during the war.

Llysfaen Division has charge of all the first aid work in the I.e.I. Lime Quarry, where during the past year 561 cases were attended. Ruthin is a good example of a keen, hardworking Division , having a good cadet unit and a motor ambulance which has undertaken efr ciently the removal of 632 patients Ruthin Brigade members were the first blood donors in that town. The Dyffryn Division, which is supported by a smart Cadet Unit, performs public duties regularly and i s now operating an ambulance.

GLAMORGAN.

Aberavon County Area.- The first in s pection held since Dr. E. W. Hubert Phillips resumed command as Assistant Commissioner-which he found it necessary to relinquish shortly before the war-was conducted on September 14 by the Commissioner for Wales (the Hon. John H Bruce, J.P., D.L. ), who was accompanied by the Surgeon-in-Chief for Wales, Major A W. Anderson, Assist. Lady Supt. the Hon. Mrs. J. H Bruce, and Lady County Supt. for Glamorgan, Mrs. A W. Anderson.

Caerphilly County Area.-A Church Parade and Dedication of a Brigade Flag took place on September 29, at St. Gwladys' Church, Bargoed , when 170 of the Riches Corps paraded, supported by other Organizations. The proceision was headed by the Fochriw Prize Silver Band, and on arrival at the Church was met by the Commi ss ioner for Wales (the Hon John H. Bruce, J.P., D.L. ), Asst. Lady Supt. the Hon. Mrs. J. H

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DEDI CA.TION OF A CONVERTED ,\VAR SER\'ICE AMBULANCE, MAINTAINED BY THE \\ REXHA?f DIVISION (EAST DE1\BIGHSHlRE) WHICH IS RESPONSIBLE FOR THE OPERATTON OF THREE )IOTOR A)IBULA CES. :no

2703

Bruce, Assist. Surgeon in Chief and Asst. Commissioner of the Caerphilly Sub-District, Capt. S. B. Turner, and other offcers. A most impressive service was conducted by the Rev. Arthur Sturdy, B.A. During the singing of the second hymn, the " Colour" was borne down the aisle by Corps Secretary S. H. N. Sharp, escorted by Corps Treasurer C. J. Quick and Corps Inspector of Stores W. H. Jones. After the dedication a sermon was preached upon the symbol of the Cross and its meaning.

The Commissioner for Wales and the Hon. Mrs. J. H. Bruce, afterwards visited Gellygaer Isolation Hospital, where, accompanied by the Matron, Miss E. A. Gravenor, a Lady County Officer in the Brigade, they made a tour of the wards, chatting to many of the patients.

MONMOUTHSffiRE

Bedwellty County Area.-The Tredegar Ambulance and Nursing Cadets have attained a high degree of ett.ciency in ambulance competitions, an Ambulance team having won the Isca shield for which seventeen teams competed at the National Eisteddfod, while Cadet Nursing Teams won the Gwent Shield and second prize. The Boys' team, captained by Cadet Sergeant Brinley Thomas, has twenty-two first prizes to its credit out of twenry-six competitions.

Gwent County Area.-A unique event took place at the Risca Ambulance Hall recently, when six members of the Nursing Division were each presented by Lady County Ocr-Jcer Mrs. Harold Simpson with a gift from the Division on the occasion of their marriage this year. Mrs. Simpson expressed good wishes for their future happiness, and said she was particularly pleased to know they were continuing Brigade membership.

BOROUGH

OF SWANSEA

Mr. Hugh S. Cann, M.B.E., who was appointed recently Commissioner for Swansea in succession to Dr. Urban Marks, who resigned the Commissionership after 26 years' service, has made a very active start in his new capaciry. With 22 years' experience as Assistant Commissioner, Mr. Cann is well known to all the membership, and is taking every opportunity of bringing in new recruits. About 160 members and their friends attended a social evening held at the Brigade Headquarters, over which he presided, at which first aid and home nursing awards gained during 1946 were presented by Assistant Commissioner L. W. Hefferman and Div. Surgeon D. B. Harrington. During the evening the Commissioner enrolled 30 boy and girl cadets.

On Hospital Sunday, October 6, a parade of 80 members in uniform attended Divine Service at St. James Church, where the sermon was preached by the Rt. Rev. the Lord Bishop of St. Asaph, a Sub-Prelate of the Order and Officiating Chaplain of the Priory.

Mr. Cann had the sad dury of representing the Priory on October 7, at the funeral of the late Mr. Henry Owen, who had represented the L.M.S. Railway Centre on the Ambulance Committee of the Priory since 1936. Having been actively connected with Railway Ambulance work since 1922, his services being recognized by the of a Vellum Vote of Thanks in 1936, and adnusslOn to the Order as a Serving Brother in 194I.

(Brigade Reports: continued from page 326). Barron and M. MacCormac who judged the work of the teams. Corps Supt. J. A. Harris announced the results.

Halesowen.-The Halesowen Division held its annual harvest festival and sale on October 9. Alderman H. Parkes (';\layor of Halesowen and Vice-President of the Division) presided and prayers were offered by the Rev. F. Binns. Pte. B. Sidaway accompanied the singing. \ft er the service the Mayor auctioned the produce which realized a goodly sum.

332

Corps Supt. F. .Price thanke? the friends who had helped them by gIfts or purchases. He paid tribute to the assistance received irom the Mayor, who in reply said how grateful he was for willino spirit which was so well exemp lIfied by Brigade in their noble work.

WEST RIDING OF YORKSHIRE

Saddlcworth.-The fourth annual competition of the Sacldleworth Division attracted twelve teams, the judges being Drs. Holgate, Stonehouse, P. S. 'Vood, and I 'Vood. The" Dr. P. B. "\Vood Cup" for the team test was won by Crossfield \Yarrington with Agecroft L.M.S. runners-up. J. YV. Glave (Agecroft) won the Individual Trophy and Miss Garner the Nursing Indiyidual tests . Owing to only one team entering for lhe ursing Team test the event was cancelled.

Asst. Commissioner H. Harrison acted as chairman and introduced 1\1r. R. r.1abledue who presented the trophies. Pontefract.-A yVelcome Home Dinner and Social was held on October 5 'when the l\Iayor of Ponteiract (;\lderman \Y. Barber) stated that people who took part in the work of the Brigade were really good citizens. The 1\1a)'or was accompanied by the :;'v1ayoress and officials of the Pontefract Corps including Corps Surgeon Vi'. D. Dyson, Corps Supt. T. C. Amery, County Cadet Officer 'Y. Banham, and others. 'Yelcoming home members of the Pontefract Ambulance and Nursing Divisions, the Mayor said that whatever the branch in which they had sen'ed their ambulance training had stood them in good stead.

Shipley and District Corps.-This year the Shipley Ambulance Division celebrates its fiftieth anniversary, having been formed on October 1, 1896. In September, 1899, the then Chief Commissioner (Colonel Bowdler) visited the Division; several members served in the South Africa 'Var, and in 1903 the Corps was formed with three Ambulance and one Nursing Division. The Corps was extended to include Otley, Burley-in-yVharfdale, Guiseley, and Yeadon. A Brigade Bearer Company was formed in 1904, and went to France in 1914. The R. .A.S.B.R., the YI.H.R., and the V.A.D. were supported and many members were mentioned in dispatches. After 1919 other Divisions were formed at Saltaire Mills, Ilkley, l\1enstone, Baildon, Ben Rhydding, and Rawdon, along with some Cadet Divisions. Mention must be made of Capt. T. J. Allen who was Corps Superintendent from 1909 to 1925 when he was promoted to District Officer and was succeeded by Corps Supt. J. H. Potter (one of the original members of 1896), and who is in charge at the present time.

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INTERESTING CASE REPORTS

CASE REPORT 309.-The Officer-in-Charge of the County of Glo u cester, S.J .A.B., reports the efficient performance of first aid by a member of the \Yithington ursing Division in the foll owing circumstances :-

On Saturday, June IS, a serious accident occurred on Withington .Hill, :when an Army lorr y overturned and 21 men were thrown out, some beIng underneath the lorry, which had to be lifted by a crane. Ambulanc.e SIster ::VIrs. Gertrude Trump, who lives near the scene of the accident, was qUIckly on the spot, and assisted by treating a fractured arm and a head. wound. She also gaye cups of tea to the injured men; and by her calm behavIOur and fulness, she did a great deal to keep up the men's spirits. man was kIlled, and some of th e casualties were very serious. Ambulance SIster 1\1rs. Trump 'was personally visited by the Commanding Officer of the Depot, and by him for her assis tance. Spectators who were present spoke very hIghly of the help given by Mrs. Trump.

COMMENT.-The fact s being as stated, all that remains is to render cordial cong1' atulations to Ambulance Sister Mrs. Trump on good work well done.-N. CORBET FLETCHER.

CASE REPORT No. 3Io.-The Officer-in-Charge of the County of S.lA.B., reports the efficient p erformance of first aid by a member of the City Tursing Division, Nottingham Corps, in the following circumstances.

At 3 p.m. on Sunday, August 25, Ambulance Officer Mrs. Mercer went to the Castle Grounds to listen to the R.A .F. Band. Heavy rain started after th e Band had been playing for twenty minutes, and the audience at once took shelter, mostly under trees. Thunder and lightning then commenced. Shortly afterwards, after a particularly bri ght flash and a heavy peal of thunder, ::'IIrs. Mercer noticed, about 50 yards from where she stood, people lying on the ground under a tree.

She at once went to the scene of the emergency, and joined other bystanders ,\,·ho ,yere helping to remove the injured to the bandstand. While thus engaged she came across a child (aet. 4) who was lying on her back and had ceased to breathe. \iVithout further delay, Mrs. Mercer laid the child face downwards and commenced Schafer's method of artificial respiration, at the same time asking a bystander to undo the child's tight clothin g round the neck, and asking others to phone for police and ambulance. After some time the child began to breathe, and was taken to the hospital , where she was detained for two days, and made a complete recovery.

COMME 'I.-Asphyxia is one of the conditions in which first aiders can (and often save lives. Ambulance Sister Mrs. JIercer, therefore, is cordially congratulated m that by her skill and discrimination she was able to apply artific1'al respiration, and so save the life of a dying child.-N. C. F.

QUESTIONS AND ANSWERS

Treatment of Fractured Jaw

. T. C:. (Bournemouth).-I am puzzled over the tr eatment rendered by first alde rs III the case of fractured jaw Ko doubt the treatment is very good provided have got natural teeth to act as an inside splint. I quite und erstand that, WIth the teeth brought together and kept in that position by outside bandages, you preve:r:t any m.ovement in the jaw. But now comes my query. In the case of havmg no teeth at all, upp er or lower, the gums will not meet, espeCIally an older ; and I wo u ld be very grateful if you could inform me how yo:r WIll get any mSlde pressure t o hold the jaw in position. The outside of would have nothing to do with this. I should be very glad If you could mform me what treatment you would recommend. I myself, as you know, was for years a dental practitioner.

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1'OH raise a most interesting problem, which is not easy of solution. In the ment of a fractured jaw first a iders have the choice of the halte?' bandage as in the F irst A id Textbook or of th e ba rrel bandage (rna,de wtth roller ?r tnangular bandage) as described in th e Nursing Textbo?k. To me fhe latte1' tS because it gives bette'r support to th e fractur ed Jaw, ar:d, as tS tn the Nurstng Textbook, i t maintains the lower jaw in a more sa t £sfactory postt:on. Other than this I cannot see w hat else a fi1'st aider can do for his unlucky. pa!te1!t u:ho has lost all his teeth and then fractured his jaw,' but after all, the first atder s Job tS to pnven t aggravation of the injury.-N. C. F .

First Aid Room Equipment

V. U. (Liverpoo l). - It is with great interest I read your Questions and Ansv,ers column. So I thought I would write you on what seems to me a matter of great stupidity. I have held my job in charge of our First Aid R?om for five yea rs without complaint or interferen ce; and o n several occaSIOns I have been complimented b y the hospital doctors on cases which I have sent to them. Now my firm says that th ey will n ot buy me any mo:e Dett?l. here are covered with thick oil and g r ease, as ours IS a shIp repaIrmg firm So \"{hen I asked what I was to use f or cleaning up my patients, I was told to us e iodine. There is nothing in the Factory Acts which compels the. firm to buy Dettol, though they must s uppl y iodine . I replied that it to use th e latt er in first aid work, but I was given no answer on thIS pomt .i. ow I await with int e r est your advice as to the line of action which I should take. I would add that I have been a member of the Brigade for seventeen years, and that so far I have made no mistakes over the numerous cases I haye trea t ed.

Ve1'y occasionatty first aiders have to treat individuals whose sk'm reacts unfavourably to the application of iodine. With many patients, however, an acute inflam'1'nation of the skin may be caused by its improper use, and especially by the application of the dressings before the iodine has dried on the wOHnd and surrounding parts by evapor ation. For these reasons, iodine is no long er na'l1zed 1'12 the Textbook; and first aiders are advised to use antiseptics whic h do not stain, burn, or irritate, and which are not poisonous.

In these circumstances , if you have no antiseptic which complies with the requzrements laid down in the Textbook and if, as you say, the only antiseptic suppl1'ed is iodine, then I can only suggest that you apply it frugally, and that you see that tt has dried completely before you apply the dressings.-N. C. F.

Bleeding from Tooth Socket

P. S. (Dulwich ).-Rec ently a friend had a tooth extracted, and two hours l ate r bled fr ee ly from the socket. H e asked me to help him , but my efforts were not too su ccessful. So I wonder if yo u can tell me where I failed; and T thank yo u in anticipation of yo ur explanation .

Bleeding from a tooth socket may prove difficult to control, eithe1' because pressure 1'S not apPlied directly on th e socket, or because it is not applied continuously for a period long enough to accomplish its object.

The choice of pad h elp s in avoiding th e first mistake " and to this end, I find the cork of an ordinary sized medicine bottle most useful. First, I cut off a portion just large enough for the patient to hold it comfortably in his mouth without putting his jaw s on the stretch. Then with a sharp knife I shape my CO'rk so that one end is converted mto a wedge which fits accurately on the plug placed over the empty socket, and the oth er end into a furrow in which the opposing teeth (or if these are absent, the upper or lower jaw, as the case may be) wi ll rest. Lastly, to avoid the second mistake, [ persHade my patient to bite on th e cork (whell placed in its correct position) for at least ha.lf an h our conhnuously and l onger if bleeding should rfcur. - N C F

Methods of Tying Reef Knot

G . C. (Sur biton).-P lease tell us how we should b e taught to tIe reef Ou r demonstrator t e ll s us that we must tie th ese knots -" left over right cmd 336

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hints on the BUK/e. Drum and Flute. olsoParadeFormations. use of Parade Cane. staff. etc.. 6d. post paid.

DRUM

HEADS

(BI'oken.) POI t fJeah hoop Ready lapped head 1''' tUI'ned la".,e day recelyed.

Henry POTTER & Co. 36/38 West St., Charing Crosl Rd. LONDON, W.C.2.

right over left." Some of us, howe\ er, .find it dillicult to carry out these instructions, and so we ask your kind assist ance.

The method which you describe is mechanical, and always raises my wrath if I happen to overhear the words of command quoted by you As first aiders are, or should be, able to tie reef knots by the of our senses of sight and touch. Consequently in my lectures 1 always start with definitions, pointing out that a knot ha s two loops and four strands; that a reef knot has two (parallel) strands above one loop and two (parallel) strands below the other, and that a granny knot has one strand above and one strand below each loop Xext, p1'cking up a piece of cord, 1 tie one loop itt haphazard fashwn. After tltt S 1 double back one of the strands so that both portions thereof lie alongside each athey. Then holding the ends of this doubled-up strand I slip the other strand through the loop so formed and pull on the strands, with the result that 1 cannot do other than make a reef knot. Next, I 1'epeat the process blindfold, in this instance using my fingers to feel the strands and to bring them together as a reef knot and thereby demonstrating how reef knots can be tied by the sense of touch. Incidentally, I find that tying together two pieces of cord of different col01lrs makes the reef knot 11701'e fasily unde1'stood and tied.-l C. F.

FOUND

Medallion No. A 5109, Harry Bradbury. Corps Secretary Grime (20 Scarisbrick Street, Southport, Lanes) will return same to owner on application.

FIRST AID HANDBOOKS

ANATOMICAL DIAGRAMS AND CHARTS For Lectures HUMAN SKELETONS For Sale or Hire H. K. LEWIS Be Co. Ltd.

136 GOWER STREET, LONDON, W .C. I EUSton 428] (5 lines)

Medallion No. A 4354, Lenarah Danzy. Amb. Officer Miss F. Ingram (2 Stuarts Road, Grays, Essex) will re1.urn same 1.0 owner on application.

CLAHH I VIED AJ)\'EHTIHJOIE:\TS

Adverti semenlJ wllh remllcunce should be sent to the St. John Gazette, 46-47 Chancery Lane, London, W.C. 2 (to which address replies to Box NI}I1}bers should be forwarded). Rate 3d. per word, minImum 4.1 6d. Box numbers Is. extra. Trade 4d PI" ronrd minimum f.s

WANTED.-Several men's, nurses', and cadets' . . St. John Ambulance Uniforms for provmclal Corps. Various sizes. Good conditionprice required to :-S.J. 52,

FOR SALE-Any offers for Litter and Stretcher in good condition. Apply to:-

SECRETARY, No. 30 Division, S.J.A.B., 21 St. John's Park Mansions, London, N. 19.

FOR SALE.-O .nce r's O.s. Greatcoat-:-nearly new. No coupons. £4. Apply:-Div. Supt. A. MALTON, 110 Coltman St., Hull.

U NIFC?RM FC?R SALE .-Officer's complete uniform With greatcoat, £5. Regulation costume, £4. Both to fit 36 in. bust. Telephone: Finchley 5068.

F IRST AID COMPETITION AND PRACTICE TESTS.-Now 3 different series each of 6 Team, 6 Individual. 6 Oral. Comments: "excellent," "most helpful," "very good" "instructive," "interesting." State No: I, 2, or 3 series required. Price 2S. each senes, postage rd. From :-ROBINSON, BCM! Superb, London, W.C. I.

RAZOR BLADES FOR FUND RAISING_ Etched (printed) your own brand co S.J .A.B."

Best British Fits all 3-peg razors. W e are equipped to supply very small quantitie s. Sample, price. and particulars free .-RoBRRH BROS & Co .• Town Street. Beeston. Leeds.

WANTED.-A black uniform costume. Bust 3 8 No coupons. S.J. 51, c/o PUBLISHERS.

FOR SALE.-Supts. uniform, fit man 5 ft. 9 in Chest 38, Inside leg 3 t. Cap 6 Z. Sam Browne belt. Apply :-BROOM, 74 Church Hill Road, East Barnet, Herts.

EVE RYTHING FOR SAFETY EVERYWHERE

'NOVOX' and Oxygen + COlor RESUSCITATING , NOVITA' Oxygen APPARATUS for the apparently asphyxiated or drowned.

SMOKE HELMETS of all Patterns.

'PROTO', 'SALVUS· & 'FIREOX' OXYGEN BREATHING APPARATUS

'PURETHA · GAS MASKS for Naval, Military, and industrial purposes.

DUST and PAINT SPRAY RESPIRATORS and all other Safety and Protective Devices.

SIEBE, GORMAN & Co., Ltd.,

The Safe and I DAVIS ROAD, TOLWORTH , SURREY.

IGLODINI '

non-poisonous ANTISEPTIC

II Iglodine." suppi ied ready for use. prevents blood poison. but is nonirritant, non-poisonous ••••• and can be used with complete safety even by a child. It cleans as it heals.

Uniform BY Garrou/d

The cut, style, and fine workmanship always distinguishes a Garrould Uniform from any other. Great and attention is given to every detail. We have such a wide range of scientifically graded stock sizes that 90 per cent of our customers are able to obtain a perfect fit.

Permit or official headed paper must accompany every o rder.

S.J.A. REGULATION COAT

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

Women's Sizes, £4/16/4; O.S., £5/10/10.

STOCK SIZES-Women's :

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

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

Bust: 38. 38. 39. 40. 40. 40.

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

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

Buttons. 3/8 extra.

S.J.A. REGULATION HAT for Officers. Wool Felt. 18/6. Ambulance Sisters. Felt. 18/6. Box and postage 2/1. Badges are only obtainable from H.Q. Sizes: 6t, 6i. 6i. 6i. 7. 71, 7i, 7i. Storm Cap 17/11. Box and postage 1/4.

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

Women 's, 29{6; O.S., 31/6; X.O.S., 33/9.

REGULATION BLOUSES for Officers and Ambulance Sisters. In Ivory Tricoline, 22/4k (4 coupons). extra collar, 3/6 (1 coupon). Sizes: 14. 14i Ins. 0.5., 23/4!-. (Civilian coupons must be surrendered for blouses.)

S.J.A. PEGULATION APRONS for Ambulance Sisters. Made from hard wearing linen-finished apron cloth. Price includes cross.

Waists 26, 28. 30 ins. 7/11

Waists 32, 34.36,38 ins. 8/11

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

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

GARROULD LTO.

150-162 EDGWARE ROAD. LONDON, W2

Te lephone: 1001

PRICES OF OFFICERS' UNIFORMS AND OTHER ITEMS NOT MENTIONED IN THIS

ADVERTISEMENT SENT 8Y REQUEST

All prices are lIabl. to advance without notlc •.

Num.rals obtainabl. from headquarters.