The St. John Gazette (October 1949)

Page 1


HUMAN OSTEOLOGY, ANATOMY, ETC.

Made under the Supervision of Just New! Professor Issued __ C. F. V. SMOUT, Birmingham University ·

First Aid Fracture Chart

Size 28 X 40 inches Price 17/6

First Aid Dislocation Chart

Size 20 X 15 inches Price 7/6 1/- extra.

Two Charts, coloured, on cloth, with rollers

Adam,

Rouilly & Co.

18 Fitzroy Street

Fitzroy Square, LONDON, W.I

Telephone : MUSEUM :t701

WOUNDS,

WILL NOT TURN SEPTIC

A mobile dental Surgery and workshop by

PILCHERS

A first-class unit designed for use over wide territory, and under tropical conditions. Fully equipped with .electric power unit, refrigerator, hot and cold water, mosqwto nets, AMBULANCE BUILDERS

314 fKingston Rd., Wimbledon, S.W. 20 Telephone--LIBerty 2350 & 7058 and mechanic is able to work with comfort in the workshop whilst the dentist is the surgery You are invited to apply for full paruculars of mobile dental and medical units, ambulances, mobile X-ray units etc ., for service in all parts of the world.

47 High Path, London, S.W.19 Telephone-LIBerty 3507

HOBSON &SONS

' (LONDON), Ltd.

FOUNDED 1850

Specialists in Uniforms for St. John Ambulance Brigade JACKETS. TROUSERS. GREATCOATS. CAPS, GLOVES. HAVERSACKS.

PRICE LIST AND PATTERNS ON REQUEST

"" enquiries to : 154-164 TOOLEY

one or other or all of the three races of germs, Streptococci, Staphylococci and B.pyocyaneus are found in every skin infection common to this country, and ANTIPEOL OINT:'IfENT contains the al1tibodies (antivirus) of these genns. Healing is expedited by the proved ingred ients of the ointment, and septic development is storred or prevented by its antivirus sterile vaccine filtrates. ANTIPEOL OIN"T)IE?\fT is unsurpassed for BURNS and SCALDS, for it is microbicide and non-adhesive, and dressings do not require to be changed every day.

RHINO-ANTIPEOL

atJords rapid relief of COA-ThfON COLDS INFLUENZA AND CATARRH. Containing the antibodies of the germs co=on to infection s of the nose and pharynx (Staphylococci streptococci, B.pyocyaneus, pneumococci, pneumoba-:illi, enterococci, JI1.catarrhalis, B.Pfeiffe r), Rhino-Antipeol is not just a palliative, but is a remover of the cause of the infection. During ep id emics it is the ideal preventive of microbic development.

OPHTHALMO-ANTIPEOL

is a semifluid ointment, more cOllvenien t than the ordinary Antipeol ointment for ocular infections and lesions Eyes affected by smoke an d dust are soothed almost immediately by the application of Ophthalmo-Antipeol, and the antivirus prevents germs from developing

CLINICAL SAMPLES ON REQUEST FROM MEDICAL-BIOLOCICAL LABORATORIES, LTD.

CARCREEN ROAD, SOUTH NORWOOD, LONDON, S.E.25

-300 separate pointers to successful competition work are given in HORTON'S

(The practical for all First-Aid Competitors)

This book sets out to help the First-Aid Competitor and particularly the Team Leader. The information and advice it contains is based on actual experience. There is no other book which sets out competition procedure in such a helpful manner. It should lead to a standardisation of competition work and an increase in the number of efficient First Aiders.

Essential to the First-Aid Worker 9d. (post 2d.)

One dozen post free 8/-. Two dozen 15/THE FOUNTAIN PRESS

46/7 Chancery lane, London, W.C.2.

OUTFITTING ASSOCIATION Lid.

Founded bv Nurses (or Nurses. Carlyle Chambers, Stockport and 8ranchM

SUPPLY THE REG ULATIO N UNIFORM

We have specialised in t he making of women's Unifo r ms for 100 ye ars and have a reput ati o n for good quality materials a n d superb work m anship

You can order your St Jo hn Ambulance Uniform with confidence , knowing that every de tai l w il l be in accordance wi t h r eg ul ations

We shall be plea se d to send full details up on re qu est

E. & R . GARROULD LTD.

EDGWARE ROAD, LO DON, W.2

NEW WATERPROOF DRESSINGS IN HANDY FIRST AID PACK

Full protection for worke rs using water, grease or oil

Workers busy in water, grease or oil need dressings for full protection of theIr mmor cuts and in juries. Always have. the handy Waterproof Elastoplast MedIcal and. First Aid Outfit in your or. FIrst Aid Post It contains 114 ciressmgs, m 5 most u seful siz..:s and refills are readily available in se p arate Unit Packs.

The new Waterproof Elasto p la st dress ings have a tough smooth plastic base which adheres strongly aU roun d t h e wound and keeps Out all water, g r ease and oil. It s all - way stretch allows comfortable freedom of movem.ent. s:>rder today t he M edica l and Facto ry hrst AId Outfit contai nin g t he new PLAST I C WATERPROOF

KNOPE

giv es most helpful whereby

.of sudden Illness and accident, as al own In the Te x tbooks, can be effected."- Dr N Corbet Fletcher. • by Dr. N Cor bet F letc h er; . A on Slings ; Hin t s on T bl fP Stimulants; Bones and Fractures' U a t dof Bed-m a king; Ro ll e r - Ba nda ging an s eS OrS asy Bandage How to Answer S on a CertalO Hea lth Ques ti on lo r E.quipping a. S mall F irs t Aid R'

FAMILY

EDITORIAL

I t has been said that the family consisting of Father, Mother, a son, and a daughter is a happy one; and one which fully enjoys the fruits of life. How true this is when the complete St. John family is flourishing in anyone city, town, or village

We were chatting to a friend the other day , and he informed us tha t the Cadet Movem ent had something which other Youth Organizations lackedthe continuous service from eleven years of age until the retiring age of sixty-five. In other words, a boy or girl could become an active member of the St. John, Army at the age of eleven, transferring when the time came to t he Adult Division and so carry on the humanitarian work, commenced when still at school, until age, and not less enthusiasm, caused the member to retire.

This is very true; and in the cases where the complete family exists , St . J ohn is very active and a happy organization. We do therefore urge that in every locality where an Adult Division exists, there should also exist a unit of t he Cadet Movement. So often an Ambulance Division is content to travel a lone road (and nursing divisions are also guilty of this), without thought of the benefit which the locality would derive if a Nursing (or Ambulance) D ivision was also formed. Once get the two Adult Divisions active, it should not take very long to get the Cadet Units started and new divisions formed.

We are fully aware that to-day boys and girls have many attractions, that they have to do home -work every evening, and that they tend to lean towards organizations which can offer them social activities and pastimes such as dancing. T his is where the complete family comes in. With Father and Mother active members, with a little gentle persuasion, son and daughter can be encouraged to join the Cadet Movement . Here is one way which adults can ensure tha t the Bri gade of to-morrow will obtain the members which it will require. Senior members should encourage the Cadets in as many ways as possible-invite t hem to some of their functions, competitions, and the like, and so give the younger members an insight to the workings of the adult organi zat ion.

L et u s m ake a r es olution-a co mple t e St John f amil y in every city, t own , and villa ge .

ijtlJe <IS ranh ,rior!J in Jleneralrle @ ri)er JIaJrn
tbe JSritizlJ of of the 'iazpital Df of 3Jeruzaltm

His Maiesty The King has been graciously pleased to the following Promotions in, and Appointments to, The Venerable Order of the Hospttal of St. John of Jerusalem.

FOR PROMOTION TO THE GRADE OF KNIGHT

Henry John Lewis.

Q;olonel John Livingston Hamilton, M.C., T.D., M.D.

Alec Reginald Towerzey. (All from Commander.)

FOR ADMISSION IN THE GRADE OF KNIGHT

The Duke of Somerset, D.S.O., O.B.E.

The Duke of Norfolk, K.G., G.C.V.O., P.C.

FOR PROMOTION TO THE GRADE OF CHAPLAIN

The Rev. Canon Francis Paton-Williams (from Officer).

FOR PROMOTION TO THE GRADE OF COMMANDER (BROTHER)

Harold Edward Skeete, O.B.E., M.D.

Lieut.-Colonel John Hugh-Jones.

Major Frederick May, M.B.E.

Dr. Frank Robert Barnard Howard Kennedy, M.B.E.

Captain William Charles Knight, M.B.E.

Dr. James Lamberton.

Dr. Eric Hemingway Shaw.

Dr. Oscar Theodore John Christensen de Hegartier Clayre.

Francis Henry Edwards, M.B., F.R.C.S.Ed.

Lieut.-Colonel William George, M.e, T.D., M.B.

William Frederic James Whitley, M.D.

John Bonham. (All from Officer.)

FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)

William Henry Weatherhead.

Alfred Frederick Leader Simmonds.

Captain Frank Brindley, M.C.

Herbert James Harris.

William Norman Booth.

Edward Keightley, B.E.M.

Albert Edward Shelley.

Frederick George Jackson.

Eric Mararoy Randolph Nixon.

George Staniforth.

Arthur Addinell.

Harold Naylor.

Arthur Wallace Whitaker.

Thomas William Parker.

Charles Philip Craggs, M.B., M.R.C.S., L.R.C.P. (All from Serving Brother.)

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Dr. John Morrill Cruikshank.

Colonel Sir Reginald Kennedy Kennedy-Cox, C.B.E.

Colonel John Plunkett Magrane, C.B.E.

Wing-Commander Sir Eric John Hodsoll, C.B.

Lieut.-Colonel Arthur Kenneth Johnson (on appointment as Personal Esquire to Colonel Sir Edwin King).

The Hon. Ralph John Bigham (on appointment as Personal Esquire to the Viscount Bledisloe).

Alistair David Macdonald, M.D. (on appointment as Personal Esquire to George Hally, Esq.).

Major Frederick Devereux Pile, M.C., and Captain Ian Miles Walker (on appointment as Personal Esquires to Lieut.-Colonel J. C. de F. Sleeman).

FOR ADMISSION IN THE GRADE OF ASSOCIATE OFFICER (BROTHER)

Major Cyril Herbert Nathan. Douglas Fairbanks, K.B.E.

FOR PROMOTION TO THE GRADE OF OFFICER (SISTER)

Muriel Anne, Mrs. Bayley (from Serving Sister).

FOR ADMISSION IN THE GRADE OF OFFICER (SISTER)

Desiree Rachel Helen, Lady Lumley-Smith.

Freya Madeline Stark, Mrs. Perowne.

Lady Lettice Mildred Mary Ashley-Cooper.

Valerie Patricia Anne, Mrs. Morrison.

Elsie Ferguson, Miss Bell.

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Lieut.-Colonel Owen William Geary, M.B.E.

Harold William Round, M.R.C.S., L.R.C.P.

William George Thomas.

Frederick George Carter.

David Thomas Richards, M.R.C.S., L.R.C.P.

Edward Colston Viney.

William Fulham.

Hilmer John Olson.

George Smale.

Frank Isaac Shimwell.

Henry Percival Teague. Roger Condon.

Ernest Arthur Poole.

Bernard Graham Scholefie1d, F.R.C.S.

John Belton Spencer.

Thomas Henry Flanagan.

Thomas Harry Burgess.

George Elce.

Harold Eric Martin, M.D., M.R.C.P.

John Edward King, M.B.

John Hector Holmes.

William Edward Singleton.

James Moorhouse.

John Arnold Burns.

Tom Pickering.

Joseph William Travis.

Marcus Henry Pinch.

Arthur Samuel Hill.

Ernest Berry Garrett, M.B., M.R.C.S., L.R.C.P.

Archibald Robert Macdonald.

George Richmond Dobson.

William Samuel Dixon, M.B.

William Martin Butterfield.

John James Donald Kerry.

Albert Ernest Tweedy.

John Henry Bevan.

James John Wynn Williams.

William Norman Stansfield.

John Moulton.

Charles Thomas Ellis.

Peter Thomas Hall.

Percy Wright.

Alfred Thomas Edwards.

John Francis Leese. George Deakin.

Charles Louis Worthington, M.B., M.R.C.S., L.R.C.P.

John Morris Brinkworth.

John Henry Wood. Frank Dickinson.

Allan Watson. Oliver Horsfield.

William Palliser.

William Smith Lyon.

Francis James Spencer Broughton.

Samuel Joseph Bale. Ernest Wakelam.

George Herbert Farmer Ward.

Gordon Gillies, M.B.

294

The Rev. John Langton Waite (Assistant Chaplain).

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Adelina Victoria, Mrs. Macpherson, Marqueza de Piro.

Annie Bertha, Mrs. Parry.

Constance Mary, Miss Sheldon.

Joanna Sophie Fredericke, Mrs. Montagu-Puckle.

Gertrude Nora Elizabeth, Mrs. Bevan.

Blanche Eliza, Mrs. Gardiner.

Constancy Mary, Miss Timbury. Winifred Kate, Miss Argent.

Elizabeth Kathleen, Mrs. Atkins. Gladys, Miss Jeffery.

Clara Ethel, Mrs. Middleton Brown. Beatrice Alice, Miss Jones. Emily Annie, Mrs. Davies.

Ellen, Miss Atkins.

Gladys Mary Edith, Mrs. Charnley. Lily, Mrs. Marshall.

Dorothy Ann, Miss Smith. Margaret, Mrs. Whyatt. Esther, Mrs. Gregson. Kathleen Margaret, Miss Tudor Williams.

Lady Alexandra Margaret Anne Cavendish Bentinck.

Bessie, Mrs. Hammond.

Esmee Natalie, Mrs. Shulman. Rose Marie, Mrs. Soar.

,rior!! in ,;§outt1crn J\friat

FOR PROMOTION TO THE GRADE OF COMMANDER (BROTHER)

Albert Kuit.

Sir Arthur Cecil Griffin, K.C.I.E., O.B.E.

Lieut.-Colonel Frederick Wilkinson Smyth, O.B.E.

Sir Ernest Oppenheimer. (All from Officer.)

FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)

William Saunders. Willem Jan Harm Venter.

John McIntyre. Ernest Percy Fowle.

(All from Serving Brother.)

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Ernest Leonard Phillips.

Dr. John Sutherland Taylor.

Etienne Rodolphe Hafner.

Albert Ernest Nosworthy.

Dr. Rudolf Meyerstein.

Joseph Gustav Lahner.

Lieut.-Colonel Alexander William GowerJackson.

Robert Howard.

Frederick James Thresher.

Colonel Frederick Walter Pettipher.

Frederick Milton Askew.

William Arthur Moyers.

Dr. Pieter Hubert Boshoff.

Dr. Stephanus Cornelius Hattingh.

Henry William Whittaker.

David Frederick Spangenberg.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Gladys Mary, Mrs. Lanning. Josephine, Mrs. Bowker. Jean Isobel, Mrs. Jecks.

Florence Jean, Mrs. Krige. Winifred Mary, Miss Moir. Mary Gwendoline, Mrs. Hallick.

'riort! in ciu

FOR PROMOTION TO THE GRADE OFFICER (BROTHER)

OF

Bernard John Dudley. Frank Ferdinand Aplin Ulrich.

William Bourne.

Lieut.-Colonel Percy Harold Morey, V.D.

Albert George Augustus Swanson.

Harold Day Cobb,

Keith Alexander Falconer.

Bernard John McKenna. (All fromAServing Brother.)

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Cyril Mervyn Rattray.

Thomas Michael Francis Fitzgerald.

James Watson Cumming.

Percy Turner Glanville.

Ronald Leslie Patrick Scott.

Albert Edward Allpress.

William Bailey.

James William Duncan.

Guy Haste Dunlop.

John Murray Jemison.

John William Collins.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Maisie Helen, Miss Wilson. Olive, Mrs. Goldie.

Ena Flora, Mrs. Meachen.

Catherine Smith, Mrs. Melville.

Mary Jane, Mrs. Gay.

Agnes Emily Aurora, Mrs. Faulkner.

Margaret Elizabeth, Miss Gilchrist.

Catherine, Mrs. Thomson.

Florence Isabella, Mrs. Turner. Rangitiaria, Mrs. Dennam.

nf <Camtha

FOR ADMISSION IN THE GRADE OF KNIGHT

The Hon. Ray Lawson, O.B.E.

FOR ADMISSION IN THE GRADE OF DAME

Flora McCrea, Lady Eaton, LL.D.

FOR ADMISSION IN THE GRADE OF COMMANDER (BROTHER) Norman Dawes.

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Arthur Alfred Crawley.

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

William Harvey Cruickshank, M.D.

David Grieve.

Ernest John Harwood.

Charles Christian Holman.

Michael Martin Kelly.

Eldwin Evart Owen.

Robert Augustus Price.

Harry Clifford Ricker.

Lieut.-Colonel Gerald Lucian Morgan Smith.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Madame Irene Mathieu Arpin.

Myra Edith, Mrs. Jones, O.B.E. Muriel Hope, Mrs. Tyhurst.

#!laHa

FOR PROMOTION TO THE GRADE OF KNIGHT

Lieut.-Colonel Joseph Vincent Abela, M.B.E. (from Commander).

FOR ADMISSION IN THE GRADE OF COMMANDER (BROTHER)

The Hon. Paul Boffa, O.B.E., M.D.

FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)

Dr. Joseph George Baldacchino (from Serving Brother).

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Commodore Arthur Gordon Voules Hubback, C.B.E.

Paul Grima, M.D.

295

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Robert Muscat, M.D.

Dr. Thomas Joseph Agius-Ferrante. Joseph Lawrence Micallef.

Vincent Esposito. Henry Joseph Pearsall. Constantino Busuttil. Edgar Marie Andrew Wilfred Grech.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Mary Carmen, Miss Attard.

Melita Sophia, Mrs. Trapani.

FOR ADMISSION IN THE GRADE OF ASSOCIATE COMMANDER (BROTHER)

Dr. Gopal Haridas.

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Tay Keng Hock.

FOR ADMISSION IN THE GRADE OF ASSOCIATE OFFICER (BROTHER)

Dr. Chen Su Lan.

Dr. Karuppiab Vellasamy.

Lee Mun Hee.

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Timothy Chew.

FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING BROTHER

Sim Yeow Lim.

Hamid bin Omar.

Lim Chi Koh.

Syed Abmat Mohamed Alsagoff.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Olive, Mrs. Jones. Mrs. Tan Teng Kim.

Jjl1bia

FOR ADMISSION IN THE GRADE OF ASSOCIATE KNIGHT

Sir Dhiren Mitra, C.B.E.

FOR ADMISSION IN THE GRADE OF COMMANDER (BROTHER)

Maior-General Clifton Edward Rawdon Grant Alban, C.B., D.S.O.

FOR PROMOTION TO THE GRADE OF ASSOCIATE OFFICER (BROTHER)

Captain Kshetra Nath Dutt (from Associate Serving Brother).

FOR ADMISSION IN THE GRADE OF SERVING SISTER Eva, Mrs. Price.

ST. JOHN AND RED CROSS LIBRARY DEPARTMENT

The second annual County BookRepairing Competition was opened by Sir Owen Morshead, Librarian to the King, at 1 Grosvenor Crescent, London, on September 21. Over 350 entries were received which were adjudicated by an Examining Panel, the members of which included the King's book-binder.

The prizewinners were as follows :-

Class I: Inter-County Challenge Cup for the best team effort was won by Hertfordshire (Chorley Wood Depot); 2nd, West Surrey (Guildford Centre); 3rd, Occupational Therapy Centre at the Third Polish Hospital, Penley, Wrexham.

Class I I: Cup for the best individual effort with set of 3 books, was won by 1\1rs. :\Iellor (Chorley Wood); 2nd, Miss S L. Lambert (Chorley Wood); 3rd, MIss Grayson (County and City of London); 4th,::vIr. S. A. Howe (West Surrey).

Class I I I: Book-binding Overseas: Mrs. Packman, Lubbecke Depot, B.A.O.R. 1.

Class IV: Inter-County Prize for the b es t set of books, individual or team effort: 1st, Hertford Depot; 2nd, Chorley Wood Depot; 3rd, Occupational Therapy Depot, Penley, Wrexham.

Class V: Best titled book: 1st, Miss J. M. Browton (Suffolk) ; 2nd , Col. Trevor (Hampshire); 3rd, Miss Langdon (West Surrey).

V I: Best unaided work by' chIldren under 14: 1st, Caroline Knott (Canon bury, London); 2nd, Sheila (Harborne, Birmingham); 3rd, DaVId Kemp (Newbury, Bucks).

Sir Owen Marshead, before presenting the awards, paid tribute to the excellent work carried out by the Library Department of the Joint Committee of St. John and Red Cross.

A feature of the exhibition was the l oan of books from the Royal Library at vVindsor to illustrate book-binding.

Hospital Library Department, whIch has 184 book-repairing depots The work of trained volunteer book-repairers has now reached a fmc standard ' bu t more helpers are required. The ment has its library organization in 54 English and 'Welsh Counties, and in Northern Ireland. There are over 1 800 libraries with voluntary personnel benng over 4,000. Books issued during the year total about 250,000. There are 15 ceiling projectors for supine p<l:tIents, WIth a substantial library of mIcrofilm books of all kinds for cillld and adult, and 49 automatic page turners, for those unable to use arms and hands. These were gifts from well-wishers in America.

If you cannot give any time to assist in or repairing, possibly you can gIve books The Hospital Library Department (1 Grosvenor Crescent London, S.W. 1) would welcome any books that YOU would like to read if you were a patient in hospital and could not go to the library but had to rely on to supply your needs. 386,000 SIck people at home and overseas rely on this service. 296

MEMBERS AND ASSOCIATES OF THE ORDER

The two provincial investitures held during the year at Preston and at Leeds aroused much interest not only among members of the general public but also among members of the Association and Brigade who were not aware of the full exten t of the prestige of the Order. Those Investitures gave some members the opportunity of seeing 1.he impressive ceremony for the first time; and many asked the reason for the awards which the Order does not give lightly, and information as to the various Grades. The following may assist the uninitiated.

QUALIFICATIONS FOR lEMBERSHIP

Statute 20 of the Order states that all members of the Order must be British subjects, must profess the Christian Faith, must comply with the requirements of the Statutes, and must have performed, or be prepared to perform, good service for the Order and/or for its work pro utilate hominum (for the service of mankind).

Prior, on the recommendation of Chapter-General, to be Dames Grand Cross. The number is restricted.

Knights and Dames.-These are selected from those Commanders who have done gcod in that Grade. In exceptional circumstances persons of high eminence in the State, and persons who have rendered conspicuous service for the Order may be admitted in that Grade.

Knights and Dames whose right to arms is duly established and recorded in the Office of Arms in England, Scotland or Ireland, or who can show proof to the satisfaction of the proper heraldic authority, that they are descended in the male line from a family an hereditary right to bear arms, and are also able to show such further genealogical proof of descent, and such evidence of the right to the use of Armorial Bearings by their Ancestors as defined by the Regulations, are termed" Knights of Justice" or " Dames of Justice" and GRADES OF THE ORDER all other Knights or Dames are termed Members are divided into five "Knights of Grace" or "Dames of Grades, viz. :- Grace".

Grade I.-Bailiffs Grand Cross; Personal Esquires.-Each Bailiff Dames Grand Cross. Grand Cross and Knight of Justice has Grade II.-Knights; the right to nominate two Personal Dames. Esquires.

Grade III.-(a) Chaplains; Gommande'Ys (Brothers and Sisters).(b) Commanders Are usually selected from those Officers (Brothers); who have done good service in that (c) Commanders Grade; or may be persons holding (Sisters). State appointments or who have Grade IV.-Office rs (Brothers); rend e red conspicuous service for the Officers (Sisters). Order.

Grade V.-Serving Brothers; Officers (Brothers and Sisters).Serving Sisters. Those members holding the Grade of Bailiffs Grand Gross.-These may be Serving Brother or Serving Sister may either (1) Bailiffs Grand Cross by virtue be selected for promotion to this of the dignity of the Offices which they Grade. They may also be selected from hold in the Order, viz. The Grand those holding State appointments or Prior, The Prior, the Prelate, the who have rendered conspicuous service Chancellor, the Bailiff of Egle, and the to the Order. Bailiffs of Bailiwicks; or they may be Serving Brothers and Serving Sisters (ii) Bailiffs Grand Cross promoted by are selected from those qualified under 1.he Grace of the Sovereign Head Statute 20. (H.M. The King) on the recommenda- ASSOCIATES OF THE ORDER tion of the Grand Prior and Chapter- Persons who are not eligible to be General. The number is restricted. made members of the Order, under the Dames Grand Gross.-Dames of the prOVISIOn of Statute 20, may he Order may, in exceptional circum- attached to the Order as Associates. stances, be promoted by the Grand Such persons have no part in the 297

be extended only enough to keep it rigid and without movement.

Q. '.Vould the Thomas splint be suitable for a fracture of the neck of the femur?

A. It would be ideal, but fractures of the neck of the femur are not common in mining accidents.

Q. Should the Thomas splint be used for a com pound fracture with the bones protruding ?

A. There is no reason why it should not be used. Little damage will result fn?m restoring the alignment of the bones by traction, and a lot of damage is done if the bones are not immobilized.

Q. Should one use a Thomas splint for a dislocation of the hip ?

A. A dislocation of the hip would not be a contra-indication to its use. A posterior dislocation of the hip causes great shock and the use of the Thomas splint helps in preventing further shock.

Q. Is there any reason why the Thomas splint should not be used when the femoral artery is severed?

A. IO. The splint does not interfere with the dressings, and one can even apply a tourniquet if desired. If a tourniquet is to be applied it should be placed immediately above the wound, but usually bleeding can be controlled by direct pressure.

Q. If the femur is fractured and the limb shortened, should any attempt be made to pull it out to the correct length?

A. Do not try to correct the shortening, but prevent any further deformity by fixing the limb in a Thomas splint.

Q. If a Thomas splint is not available, could a shorter splint be used instead ?

A. No shorter splint is effective. The splint must be longer than the leg

splint is used, the limb immobilized and extension applied, and the wound covered with a dressing. When the patient is brought to the surface should the dressing be replaced with a clean one before his removal to hospital?

A. As long as the dressing has been applied firmly and efficiently and is not soaked with blood, it should not be touched until the patient reaches the hospital. The most dangerous sources of infection are the noses and throats of those who inspect the wound, and the less often a dressing is removed the less are the risks of infection.

OBITUARY

vVe regret to announce,the death of the following :-

D iv Surgeon E. A. James who died on September 12, joined the Castleford Division in 1937. His brother, Dr. A. G. James, is also a Div. Surgeon of the same Division.

D iv. Surge on Willi am Stew art who commenced his connections with St. John 60 years ago. In 1916 when the Denton Divisions were formed he became Divisional Surgeon for both Ambulance and Nursing Divisions , and during the years that followed never failed to give lectures each year. He was elected an Honorary Life Member of the Association in 1903, Hon Associate of the Order in 1924, and

in order to apply traction. A shorter Officer in 1926, being promoted to splint does not control shortening or Commander in 1932, and to the Grade of turning of the limb, which causes great in 1944. He attended St. John's shock. Gate In February this year to receive the Q. '.Vhen a fractured limb is immo- of the Order and his insignia from b T d The Duke of Gloucester (Grand llze in a Thomas splint, should it He. attended reviews and i nspecbe kept raised during transport? hons and Judged many competitions in A. This is probably the best way to South-East Lancashire. At the service transport such a case. many members of the Brigade paid their last tribute to one who had endeared Q. If a compound fracture of the himself to them; and members of the thigh is treated underground, a Thomas Ambulance Division acted as bearers.

300

MALTA

By the time these words appear in print the 40th ce l ebrations of the Malta District will be we ll under way. It is hoped that a full report of the functions will be published in a future issue of the Gazette.

SOUTHERN AFRICA

J obannesburg motorists will be the first in Southern Africa to l earn about first aid and the prevention of accidents through a study of their own physical and psychological reactions as the result of first aid classes run at the headquarters of the Association, Braamfontein, J ohannesburg. Mr. W. J. Cullen, President of the Witwatersrand and Southern Transvaal Centre, who introduced the class, said it was a St. John first aid course with a difference. Every aspect of road safety is being touched upon, especially the importance of eyes and clear vision, a field which St. John is particularly interested. Special attention had to be paid to avoid the danger of fatigue.

ZEALAND

Patients travelling in St. John ambulances in Dunedin may now make use of a new equipment for the deadening of pain. It is a Trilenc apparatus inhaler which has been used in dentistry and midwifery for about five years The apparatus has been tested and found that most pain can be reduced or relieved in a matter of 45 seconds, and there is no fear of an overdose being administered. At the present time it is being used under

GENERAL POST OFFICE NATIONAL FIRST AID COMPETITION

The inaugural Final Competition, held under the auspices of the St. John Ambulance Association, will be held at Central Hall , Westminster, London, on Tuesday, November 15, commencing at 9. 15 a.m.

The Postmaster-General has consented to present the championship awards, men and women, and also individual prizes. The judges will be: JII/en, Dr. M M. Scott of London (Team) and Dr. H. Rosenberg of Worthing (individual); Women , Dr. H. S. Tayl or-Young of Salisbury (team) and Dr. B illington of Birmingham (i nd ividual )

Ti ckets of adm ission can be obt<1ined fro m t h e Competition Secretary, St. Jo h n A mbul ance Association, St John's Gate, Londo n , E.C. 1.

301

medical instruction only, but tests are being made to ascertain its value in all types of cases

CHANGE OF ADDRESS

WIL L R EA DER S PL EAS E

NOTE THA T AL L CO MMUNI CA TIO NS F OR THE ST. .JOHN GAZETTE

SHO ULD I N FUTU R E B E A DDRE SSE D TO ST . JO HN'S GAT E , CLER KENWE LL, LO NDO N, E . C. 1.

Editorial , A dv er ti se m en t, and s nb scription depa rtme nt s w ill fnn ctio n from St. John 's Gate from now on .

The lecturer addressing class members in Braamfontein. On his right is Mr. '.V. J. Cullen, president of the vVitwatersrand and Southern Transvaal Centre.

ST. JOHN COUNCILS IN THE COUNTIES

HAl1PSHIRE

H.R.H. The Duke of Gloucester (Grand Prior of the Order) has approved the appointm ent of His Grace the Duke of Wellington, Lord Lieutenant of Hampshire, as President of the Council of the Order of St. John for Hampshire in succession to the late Viscount Portal of Laverstoke. The Duke of Wellington is a Knight of Justice of the Order.

GRAND PRIORY CHURCH REBUILDING FUND

It is encouraging to record that despite all current difficulties a steady flow of contributions continues.

An increasing number of Divisions of the St. John Ambulance Brigade have undertaken special activities to raise funds.

A Poster drawing attention to the

ST . JOHN OPHTHALMIC HOSPITAL , JERUSALEM

RESUM E OF EVENTS

Appeal has been designed, and is now in process of distribution.

To date the donations received by the Fund amount to over £ 12,000.

All inquiries relative to the Appeal may be addressed to the Secretary, The Grand Priory Church Rebuilding Fund, St. John's Gate, London, E.C. 1.

Donations r eceived from August 26, 1949, to September 21, 1949.

£5S 6 St. John Council for Sussex (part proceeds of Cadet County Display).

£152 5s. British Railways, Western Region.

£50 John T. Batey.

£25 W. P. Nicholle.

£20 Tunbridge Wells Division, SJAB.

County Staff and Divisions, Somerset County, SJAB.

£17 lOS. 6d. Nursing Division,

£10 lOS.

Poplar Division, SJAB.

£10 9S.

Dr. G. Walker.

£99S.

Dr. F. H. Stuttaford.

£S 15S. Birkenhead Corps, SJ AB.

£S os. 6d.

West SmethwickDivision, SJAB.

£6 4s. 9d.

Runcorn Ambulance and Cadet Ambulance Divisions, SJ AB.

£5 lOS.

Maidstone and District Corps SJAB.

£5 55.

Stockport Ambulance Division SJAB. '

Mr. and Mrs. A. Higgins.

£5 Mrs. G. A Wedderburn. Corps, Central Nursing Division, S.J A.B.

£4 15s. Sd.

Bredbury and Romily Nursing and Cadet Divisions, SJ AB

£4 lOS. 3d.

Winsford Nursing and Cadet Divisions, SJ AB.

£3 ISS.

Rudheath Ambulance Division, SJAB.

£3 14s. lod.

Cheadle Ambulance Service, SJAB.

£3 3S.

Cheadle and Cheadle Heath

£3Ambulance Division, SJAB.

Hazel Grove Nursing Division SJ AB.

£2 13S. 6d. Crewe Cadet Nursing Division, SJAB.

£2 lOS. 3d.

Northwich Nur sing and Cadet Nursing Divisions, SJ AB.

£2 5S. Port Sunlight Nursing Division, SJAB.

£2 2S.

J. A. K. Ferns. Bredbury and Romily Ambulance Division, SJ AB.

Stork Margarin e Works Ambulance Divisi on, SJAB. Mrs. Arthars.

£2

Stockport Nursing Division, SJAB.

Offerton and Great Moor Nursing Division, SJAB.

£1 15S. Reddish Ambulanc e Division, SJAB.

£1 105.

Hoylake Ambulance Division, SJAB.

Newtown and New Mills Ambulance and Cadet Ambulance Divisions, SJAB.

Sandbach Ambulan ce Division SJAB. '

£1 Ss. 6d.

Sandbach Cadet Ambulance Division, S .J .A. B.

£1 7S. 3d.

Port Sunlight" B " Ambulance Division, SJ AB.

£1 5S. 6d.

Offerton and Great Moor Ambulance Division, SJAB

£1 IS.

Poynton Nursing Division, SJAB.

Dr. J. W. Sandoe. Wallasey Nur sing Division, SJAB.

£1 os. 2d.

Moreton Cadet Nursing Division, SJAB.

£1

Altrincham Ambulance Division SJAB.

Oakmere Nursing Division SJAB.

Hazel Grove Ambulance Division, SJ AB. ;Hazel Grove Cadet Ambulance Division, SJAB. 302

19S.

Dukinfield Nursing and Cadet ursing Divisions. SJAB.

ISS. Id.

Pon Sunlight Cadet Ambulance Division, SJ AB.

17S. 9d.

Collection in Library at St. John's Gate.

16s. 2d.

Reddish Nursing Division, SJAB.

15S. Stockport Cadet Nursing Division, SJ AB. Hazel Grove Cadet ursing Division, SJ AB.

I2S. 6d.

Cheadle and Cheadle Heath Nursing Division, SJAB. lIS.

Stockport Corporation TransAmbulance Division,

lOS. 6d.

New Town and New Mills Nursing and Cadet Nursing Division, SJ AB.

lOS. Dr. K. D. Bean. Ellesmere Port Ambulance and Ambulance Divisions, Bebington Ambulance and Nursing Divi sions, SJAB.

7S.

Stockport Cadet Ambulance Division, SJ AB. 6s.

Birkenhead Central Ambulance Divi sion, SJAB.

<;S. Corps Treasurer Cull-Ellesmere Port.

Sandbach Nursing Division, SJAB Corps Secretary Alderson.

4 S • 3d.

Birkenhead North End Cadet Ambulance Division, SJ AB.

Errata.-In the list published in the August, 1949, issue, Birkenhead Corps, SJ AB, £6 os. 8 d •. should read Birkenhead Central Nursing and Nursing Cadet Divisions, SJ AB., £6 os. Sd.

Early in 1948, the political situation in Palestine, and in particular in Jerusalem, deteriorated very rapidly, and the number of patients fell from 1,000 a day to ten or twelve. This was due to the fact that the Hospital occupied a position between the Jewish and Arab Forces, which prevented patients from reaching it. By the end of March the Hospital's last mail communication with the outside world was lost, telephonic communication was cut, and most of the British civilians still remaining were hurried out by air.

During this period, Mr. J. H. H Pollack, the District Commissioner for Jerusalem, and a Commander of the Order, was in London and the Prior and Hospitall e r were able to consult him regarding the Hospital.

As a result of the consultation, the Prior was able to send the Warden instructions as to what action to take in various circumstances. Three months' foodstuffs and medical supplies were laid in, and the Warden was authorized to employ such guards as he f e lt were necessary to protect the Hospital.

In view of the fact that there were practically no patients, the Subwarden and British Sisters were evacuated during April, leaving the Warden (Dr. Norman Manson), the R eg istrar (Dr. Salman), the House Surgeon (Dr. Doany), and the Matron ( 1iss Millman) still at the Hospital.

By May 18, the Warden decided that the situation was so bad that no good purpose could be served by keeping the Matron there. He therefore took her to Amman in Transjordan a few hours before the High Commissioner left for Palestine, leaving the House Surgeon in charge of the Hospital (the Registrar having had a motor accident). The Warden intend e d to return to the Hospital, but was forced back at

Amman. The House Surgeon and Palestinian domestic staff were eventually obliged to leave the Hospital.

The House Surgeon opened a small Out-Patient Clinic in the Old City at Watson House, while the Warden remained in Amman, being available as consultant for any patients in the district or evacuated there.

The Warden arrived in England about the middle of October to report to the Hospital Committee, Council and Chapter-General on the immediate future of the Hospital.

As a result of his report it was decided that the Order's resources should not be dissipated in any t em porary expedients, and that the Out-Patient department at vVatson House should be continued as long as possible, and that the \Varden should return to Amman and visit Jerusalem when he could.

Whilst in England the Warden attended an Investitute at the Mansion House, where H.R.H. The Grand Prior conferred upon him the Insignia of Commander.

The Order cannot express too highly its confidence in Dr. Manson's judgment, and its appreciation of his loyalty and devotion to duty, and is delighted that his services have received public recognition by the award of the C.B.E. in the New Year Honours.

It is difficult to ascertain the amount of damage to the buildings and the looting of the contents of the Hospital, but it is thought to be considerable.

The Out-Patients' Waiting Hall has been completely demolished by shell fire, and the tunnel connecting the main buildings with the Annexe has been blown up. Most of the doors and windows have been blown out. Fortunately, a certain amount of the costly equipment had not been shipped, and has been disposed of.

ST . JOHN HOUSE

The Chief Commissioner, Lieut.-Gen. warded to the Warden, St. John House, Sir Henry Pownall, has consented to give 15-16 Collingham Gardens, S.\V.5. a talk entitled "Places and People" The Brains Trust advertised for Novemon November 8, commencing at 8 p.m. 8 d Applications for tickets should be for- ber 1 has been postpone . 303

Hamilton. Corps Supt. W. T. Bol.ton in charge of the parade, the mUSIC bemg su pplied by the Cadet Bugle Band.

County Surgeon Mackenzie Ambulance, Nursing, and Cadet umts at Cleveleys and Lytham.

Asst. Commissioner Gastall carn.ed out a similar function at St. Annes, Adlmgton, and Chorley.

Adlinuton and Heath Charoock.-At the of the annual inspection tribute was paid to the long and valuable service to the Brigade of Supt. E. Blackledge, who, after 4.8 years' service, 38 of which has been m the present rank, recently left the district on his from business. With a view to completmg the half-century he hopes to be attached to a unit nearer bis home. As a mark of esteem members and friends presented him with a wireless set at a social function held on September 28.

Morecamhe and Heysham.-Fleetwood Ambulance Division won the Jean Platten trophy on September 24, closely followed by Liverpool North and Western Gasboard. l\1rs. Jean Platten, who gave the trophy when Mayoress of Morecambe and Heysham three years ago, presented the trophy to the winners. The Councillor fl. R. V. Aldenbrooke dIStributed the remaining prizes. The judges were Dr. Duncan (team), Dr. Lyle, Medical Officer of Health (individual), and Major Rawlings (viva voce).

Heywood.-The Mayor (Councillor H. Holt), who was accompanied by the Mayoress, in presenting awards to adult members spoke of the voluntary work of the Brigade. District Cadet Officer Charlesworth presented certificates to cadets, and Corps Officer Cooper presented Mr. J. Chadwick with the second bar to the Service Medal. Others present included Asst. Cominissioner Dr. Smalley and Corps Supt. Miss Turner.

COUNTY OF BIRMINGHAM

Combined Inspection.-A/County Commissioner W. E. Ballard, accompamed by A/Asst. Commissioner M. L. Hayne, County Secretary Mrs. Frew, and County Officer J. A. Simpson, inspected 250 men of " B" Corps (Supt. S. H. Lamer) and 120 women of Nursing" B " Corps (Supt. Miss E. M. Rogers). The parades were commended on the strength and of the turnout. A Certificate of Ment for services rendered by Sir Bertram (Shirley) Rescue Division in the tram smash near Lapworth was presented by Mr. Ballard.

City Transport Division was on duty at the annual Children's Parties recently held at the B.C.T. Stadium, King's Heath. Some 5,000 children were present and 64 cases were treated. Supt. Worrall has received a message of appreciation from the City Transport Department for help given in these and other SOCIal events.

Telephone House Division.-Amb. Officer Erratt has doubled the attendance at meetings and the new features in the programme consist of a talk every fortnight on such subjects as " History of the Order ", "Actual Cases I have dealt with" (Pte. Randall), Procedure" (Pte. Pullen), a talk which resulted in a team being formed and training for the National Competltion commenced, and a talk on the" Foot" by Supt. Mrs. vV. M. James (Kings Norton Nursing Division).

Contest.-Th e second annual contest for the" Supt. Black Cup" took place between Yardley Ambulance and Nursing Divisions. The men won again with 201 marks against 174. Supt. (R) L. A. Black was present and acted as chairman. Corps Supt. Miss L. G Dedicoat presented the trophy.

Blackpool Nursing Divisional Competition Team with their trophies. These include Corbet Fletcher Trophy, the Chalmers Trophy, the Lady Mountgarrett Cup, and the Marguerette GoldingTrophy, all gained at the Brigade Finals this year.

COUNTY OF BEDFORD

On Sunday, September 18, Lt.-General Sir Otto Lund (Deputy Chief Commissioner) visited Luton for the dual purpose of the opening of new headquarters of the Luton Corps, and inspecting Brigade personnel in Bedfordshire.

The opening of the new headquarters was carried out by Lady Dunbar-Nasmith (Deputy Superintendent-in-Chief). County President Lord Luke welcomed the visitors, and said that Luton could feel proud of having a very fine headquarters which was wOrihy of the work performed by the Brigade. His Lordship referred to the assistance given by Alderman G. F. Seaward. Replying to the welcome, Sir Otto said there was still an 'o utstanding loan on the of the site, which he hoped would soon dIsappear. Alderman Seaward and Corps Supt. A. F. Smart thanked the visitors; and a tour of the headquarters was made. There is amp l e accommodation for training purposes, also a M ed ical Comforts Depot, and a sterilizing plant.

The inspection took place on the vVardown sports ground, where some 350 members paraded under the c01;nmand of County Commissioner Capt. !he strength of the voluntary orgalllzatlOns was stressed by Sir Otto when he emphasized that the passing of the Health Act had not affected the usefulness of the Brigade.

Following the inspection demonstratIOns and a march past was held; and presentations made of Service Medals and Bars, a Grand Prior Cad et Bad ge to Sheila Impey of the Leagrave Nursing Cadet Division.

EAST, SOUTH, AND NORTH DEVON

Newton Abbot Ambulance Division at the request of the British Electricity Authority recently held a course of lectures for the B.E.A. staff. The lectures were given by Div. Surgeon A. Everard. The lectures have aroused considerable

interest in the South-Western Division of the B.E.A. and the Nursing Superintendent of the Authority has sent a letter of congratulations and appreciation. This course was the first to be held by the B.E.A. in the District.

COUNTY OF CAMBRIDGE

Whittlesey.-On September 10 another note was made in the history of the Whittlesey Ambulance wh.en County Commissioner Dr. Maunce-Silllth officially opened the new headquarters. This is the first headquarters in the Isle of Ely; and every stick and stone has been paid for. In 1940 Supt . J. Wildbore talked about headquarters with a colleague, and all members of the Division set to work to raise funds. A site was acquired in Pough Lane where some old farm buildings had to be demolished The County Commissioner was accompallled by PreSIdent T. Searle, Div. Surgeon A. Bernard and Supt. Wildbore, as he cut tI:e white ribbon which hung across the mam doors of the hall. Mr: Searle unveiled a tablet in memory of the members who had lost their lives during the Second World War. The dedication of the tablet and the buildings was performed by the Vicar of St . Andrew's, the Rev. P. Dorman. After tea Dr. Bernard welcomed the guests, which included Dr. Hilda R. Hay (County 1edical Officer), County Cadet Officer Mrs. Ettridge, and paid tribute to the work of the members who had been so ably supported by their wives. pr.. Smith congratulated the DIVISIOn on ItS tremendous effort; and expressed the thanks of Headquarters to all who had made the erection of the premises possible.

COUNTY OF DURHAM

Sund"erland Corps.-The annual inspection was held on September 11, when some 300 members were present under the command of Corps Supt. J. G. Jefferson. Asst. Commissioner Sir Myers "\Vayman was the inspecting officer. After the

President T. Searle speaking at the opening of the vVhittlesey Ambulance Headquarters. On his righ t is Coun ty Commissioner Dr. MauriceSmith who officially opened the new building.

march past, demonstrations of first aid were given; and Sir Myers congratulated the Corps on their record of service. The Nursing and Cadet Divisions were inspected by County Supt. Mrs. 1. M. Ritson and County Cadet Officer A. Nixon. Service Awards where presented by Sir Myers who was accompanied by Mr. G. S. McIntire (Town Clerk), Mr. W. Thompson (Director of Education) and Mr. Bertram Moore.

Silksworth Colliery Division attended as members of the Corps for the last time. They now join the new Corps, East Mid-Durham Corps, which will comprise Divisions drawn from Colliery Districts in the Area.

COUNTY OF HAMPSHIRE

Winchester Ambulance Division celebrated its 21st anniversary at its headquarters with a dinner and concert. Those present included the Mayor and Mayoress, County Commissioner Dr. John Clayre, President Capt. Sir George Cooper, Miss B. Errington-Loveland, Vice-President the Rev. J. T. Campion, Dr. P. A. T. Lowden, and Dr. C. J. Penny The Loyal Toast was given by the President, after which the County Commissioner gave "The Visitors". He referred to the honour and inspiration at the presence of the Mayor and Mayoress, and mentioned that it was Miss Errington-Loveland who had presented the" home" of the Winchester Division. He welcomed Sir George as the new president and the Rev. Campion as vice-president and Divisional Chaplain. Dr. C. J. Penny was the doctor who gave the first Course of l ectures to the Division 21 years ago. In his reply the Mayor complimented the Division on the work they had put in; that good work being fully appreciated by himself and members of the Council. Mr. Shargold, Commandant, B.R.C.S., proposed "The Winchester Division" and referred to the spirit of comradeship which existed between St. John and Red Cross members. In his reply Supt. Rose traced the history of the Division; and paid tribute to the assistance received from Miss ErringtonLoveland who had made it possible to put so many schemes into operation.

Commissioner Dr. Clayre presented .SIr George with his badge of Presldent, and MISS Errington-Loveland with an Honorary Member's badge. He also presented Sergt. Piper with his first Servlce Bar and Supt. Rose with his Service Medal.

COUNTY OF NOTTINGHAM

held at Southwell Minster, where some 1,350 members paraded under the command of District Officer L. Ward-Walters. The music was supplied by the Nottingham Cadet Ambulance Band, the Clipstone Colliery Silver Prize Band and the Ruth 'waite Prize Band The Service was conducted by the Provost of Southwell; the lessons being read by County VicePresident Lt.-Col. Sir John Jardine and County Officer H. L. Bosworth. County Commissioner G. H. Hardy took the salute at the march past.

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

The Roe First Aid Post, staffed daily by the nursing personnel during the summer months, has now closed after the busiest season on record. A total of 701 cases were treated (compared with 235 in 1948), the largest number on anyone day being 29. A telephone was in taIled towards the end of the season and did much to increase the efficiency of the service. The majority of cases resulted from cut feet from bottles and sharp rocks.

Friary Ambulance Division are staffing the Free Style 'Wrestling Matches; and at a recent meeting a collection resulted in £28. As, however, one of the wrestlers had met with a serious accident half thi amount was given towards his benefit, the balance to the Divisional fund.

COUNTY OF SOMERSET

Highhridge, Burnham and District Division.-A simple but impressive ceremony marked the unveiling, at headquarters, of a memorial plaque to the memory of those members of the Division who have died since the formation in 1932. Div. Surgeon John Burns unveiled the plaque (which contained seven names), the Vicar of Highbridge the Rev. C. J. Heughan dedicated the plaque; and the Rev Woodeson (Baptist Minister) recited the St. John Prayer.

COUNTY OF SURREY

Ash. annual inspection of the DIVISIOn and Ambulance Station was <;mt on September 5 by Asst. CommIssIOner Capt. Ellis who was accompanied by County Officer Gristock, County Still, and County Sergt.Major SmIth. Capt. Ellis congratulated the members on their good work and especially that undertaken by The Church parade of Ambu- the ladles on the Station Staff. The lance, Nursmg, and Cadet personnel was opportunity was taken to present warrant 308

of Corporal to Cadet R. Williams, and a leather handbag to Mrs. Sharpe in apprec iation of her work to the ambulance service.

Bagshot and Windlesham Division recently held a sports meeting at which !iss Barbara Couper, the well-known actress opened the meeting and stressed the need for more members and more su pport. She was thanked by Lad y Katherine Meade, and bouquets were presented by Brenda Huggett and Vera Payne. Those present included Asst. Commissioner Capt. Ellis, County Officer Gristock, County Officer Mrs. Briggs, Major and Mrs. North, Mr. and Mrs. Doug las Martin.

Guildford.-The 58th annual report of the Corps shows that during 1948 648 duties were undertaken. During the first six months 1,661 cases were attended by ambulance (mileage 17 ,536 and in the seco nd six months, under the ew Health Act, the number of cases was 2,835 (mi leage 34,270). Total membership of the Corps was 185

COUNTY OF SUSSEX

Horsham Nur ing Divi ion.-The annual co mpetitions for the Lancaster Cup, awarded to the most efficient Ambulance Siste r, were held on September 12 and 19. The first aid test was set and judged by Dr. Scott of Christ's Hospital, and the home nursing test by ursing Officer Miss Gardner. The winner was Miss Cheesmer, and the runner-up Miss Shepherd.

The Division has decided to act as " godmother" to two small chi ldren in the Children's Rome. Letters and small gifts will be sent at regular intervals, and the children visited and taken out. The County vVelIare Officer would like to see this idea extended.

Brighton Town Division.-In 1948 a competition was arranged between the Wimbledon Ambulance Division and the Brighton Town Division. This was held at Wimbledon. This year the Brighton Town Division entertained members of the Wimbledon Division; but the Wimbledon team was able to retain the cup by a narrow margin of marks. The judges were Dr. Saxon and Supt. Mappham.

WEST RIDING OF YORKSHIRE

Great Yorkshire Show, Wakefield.First Aid duties were undertaken by memb ers of the Wakefield Division, assisted by members of neighbouring Divisions on the three days of the Show. Fifty-two members did duty. Cases treated numbered 330, the majority being cuts, wounds, and abrasions. Arrangements were under the command of Amb. Officer W. Squires and Supt. Miss Taylor. Brighouse Corps held a dance to raise funds for the Rebuilding Fund of the Priory Church; and it proved a great success.

Halifax.-At the Parish Church on September 18 Canon P E. James preached for the last time, and during his sermon he referred to the St. John Ambulance Brigade, he being the Chaplain to the Halifax Corps. He is a Serving Brother of the Order.

Castleford Division.-C orpl. J. T. Heaton has taken over the duties of Div. Secretary vide Sergt. E. Farmer who has resigned owing to business reasons.

Halifax.-l\l embers of the Halifax Nursing Division who recently visited St. John's Gate would like to express sincere thanks to Mr. Culver who conducted them on their tour over The Gate and the crypt of the church.

The Brighton Town and Wimbledon Divisional teams after their friendly competition.

RAILWAY AMBULANCE NEWS

I NTER NATIONAL A MB U L AN CE CO MP E TITIO N

The first Internationa l competition, under the Ra ilway Execut ive, was h eld at Glasgow on September 29, when the first fo u r teams of the Scottis h Region and the first four teams in the England and vVales I nter-Region competition met in friendly riva lry The winners of the Scottish Ladies Competition, and the England and vVales winners a lso competed.

The tests were divided into three sections, team, individual , and viva voce; and the standard displayed by all teams was very high.

Competitors had to dea l with two patients in the team test (with one person " dead ") The first patient was found to be suffering from a suspected fracture of cervical vertebrCB, simple facture of left scapula, complicated fracture of 9th and 10th ribs, and a punctured wound of right temple with arterial hCBmorrhage. He was the assistant at the bookshop and was found sitting on a chair in a very space The second patient had Just a splmter m his left thumb and a moderate degree of shock.

The individual tests were varied. as were the questions, all of which fully tested the knowledge of the competit.ors.

At the presentation meeting Mr. T. F. (Chief Regional Officer, Scotland) presIded. and called upon Mr. R. Marshall (General Secretary, St. Andrew's Ambulance Association) to announce the results. These showed that Scotland had gained a double win, as follows :omen: 1, Glasgow ladies, 265!; 2, Swmdon Ladies, 236.

Men: 1, Egl inton Street, G lasgow 325 1 ; 2, Camden 320; 3, Horsham, 314. Oth er teams in order of merit-Dunfermline, Exmouth, Perth, Bristo l , Bridgeton. Mrs. Adams Clarke (wife of Mr. H. Adams Clarke, Railway Executive), graciously presented the awards with congratulatory remarks to the leading teams.

Replying to a vote of thanks for use of St. Andrew's headquarters, Mr. Marshall referred to the happy relationship which existed between the St. Andrews' Ambulance Association and St. John, and to the fact that the object of bot.h Bodies was to further the interest in first aid. Mr. G. E. Craft agreed most heartily with Mr. Marshall and expressed thanks to the Railway Executive for the encouragement given to members of their staff. He also hoped that further Internationals would be held.

Mr. C Adams Clarke paid tribute to the great assistance rendered by members of the Medical Profession, to which Doctors ]. Rodgel Sutherland (Glasgow), "\Villiam Duncan (Liverpool), and A. T. B. Dickson (Edinburgh), suitably replied.

The proceedings were brought to a close by Mr. R. Burgoyne (Regional Staff Officer, Western) expressing thanks to Mr. Cameron.

The arrangements were in the hands of Mr. D. A. Smith (Regional Ambulance Secretary, Scotland) to whom praise must be extended for the smoot.h running of the competition

PR ES E N TATIO N TO MR . S. COOP ER

Prior to the International Competition, the opportunity was taken to present to Mr. Sidney Cooper has just retired from the position of Regiona l Ambulance Secretary after 15 years) a silver cigarette case as a small appreciation of h is work. Mr. G. S. H i ll (Regiona l Ambulance Secretary. London Midland) on behalf of a ll the Regiona l presented the gIft and WIshed him a long and happy retirement.

Mr. Cooper has given 4 1 years to the cause of first aid and his many friends throughout the North-Eastern Region, in addition to other Regions, will wish h im we ll in his well-earned retirement.

Mr. Sidney Cooper (left) welcoming M1'. Charlton as t.he new Regional Ambulance Secretary of the ort.h-East.ern Region.

NORTH. EASTERN REGION

Regional Secretary -Mr. F R. Charlton St' has been appointed Regiona l Ambu lance ecre a r y 1U succession to Mr. S Cooper. Mr Cha>:lton has been a member of a 3 10

railway a mb u lance class conti nuously for 30 years ane ho l ds the Long Service Medal with 2 Bars (a t.hird is now due). During t h e period he has been Cl ass Instructor and Secretary, and also Hull District Secretary. He was awar ded the Vellum Vote of Thanks of the Order of St. John in 1938, and Admitted as a Serving Brother in 1943. Mr. Charlton also has 2 7 year's service in the St. John Ambulance Brigade and now ho l ds the rank of County Officer.

A n n ual R e port. -During the 1948-49

13 5 classes were conducte d , an increase of 15 ove r the previous year. T h e number of successful students was 2,2 51 , a gratifying increase o f 330. The grand tota l of awards gained by members of the Centre since its formation in 18 9 5 is 8 7, 9 46 First aid returns show that 77 ,845 were attended by members; thus bringing the grand tota l to 2,680.424.

Since the last report 39 Long Service Medals, 31 20-year Bars. 16 25 - year Bars, 5 30-year Bars, and 1 35-year Bar have been awarded

LONDON TRANSPORT AMBULANCE CENTRE

An a ll -star Variet.y Concert, arranged in connection with the annual presentation of awards, took place at t.he AI·bert Stanley Institute, Hammersmith, on September 5 before an audience of over 450 people The presentations were made by Mr. L. C. Hawkins (a member of t.he London Transport Executive, and a vice-president of the Centre). Mr. Hawkins spoke of the history and traditions of the Order of St. John, and of the humanitarian work that had been done by its members through the ages. This spirit was still alive as evidenced by the number of persons present.

The guest speaker was Major A. C. Wbite Knox (Commissioner, No.1 (Prince of Wales's) District, .].A.B.), who gave an interesting talk on the " Promotion of Good Health ".

A first class concert under t.he direction of 1\1r. E. H. Knee (Depot Inspector,

Central Buses) was thoroughly enjoyed; the function being preceded by a buffet tea provided by the Welfare Department. The guests were introduced by 1\1r. Alex J. Webb (General Supt. (Staff and Training) Railways), Chairman of the Centre, and votes of thanks expressed by Dr. L. G. Norman (Chief Medical Officer) and Mr. T. T . Shephard (Rolling Stock Engineer (Road Services)), vice-chairman.

A special presentation, in the form of a wallet and notes was made to Mr. J. A. Gravestock, Corps Superintendent, London Transport Corps, S.].A.B., by Mr. "\Vebb as an expression of the members' recognition of Mr. Gravestock's l ong service of over 30 years as Centre Secretary of the old Railway Centre. The function, the first of its kind organized by the Centre, was supported by a large number of London Transport Officers.

HOME SERVICE AMBULANCE DEPARTMENT

The annual report of t.he Department gives some interesting facts regarding the ambulances service under the I ational Health Act . At the time of cover by the report 63 Agency arrangements had been made in England and "\Vales, 24 area negotiations were st.ill in progress, whilst in 18 areas arrangements were not contemplated.

The total number of ambulances operating in Count.y Council and County Borough Areas in England and Wal es

were :-

Joint St. J ohn and Red Cross St. John

The summary of contemplated arrangements under Section 27 of the Nat i ona l Health Service Act, 1946. shows that 69 per cent of St. John and Red Cross ambulances are included in the N.H.S. by agreement with Local Health Authorities in England, and 75 per cent in Wales .

The Report points out that first aid arrangements at public functions do not fall within the ambit of the Loca l H ealth Authority and that vo luntary personne l of St. John or Red Cross carry out this duty.

54 For the time being the Department has

Red Cross 7 01 dec ided that the use of ambu l ances 24 7 maintained at Headquarters for the

Total 100 2

The num b er of ambulances in England and Wa l es definite l y excl u ded i n the County H ealth proposa l s, amounts to :Joint S t. J ohn and Red Cross n i l St. J ohn 2 9 Red Cross

10 primary p u rpose of collaborating with the l oca l health authority in the provision of the ambulance service au thorized by the Act , may , when an ambulance is availab l e, be extended to those persons who. on the recommendatio n of a doctor, ministe r of re l ig i on , o r oth er r esponsib l e pe r son, a re in need of am bulance transport whic h is not adm iss a bl e within the terms of t h e T ota l 39 Nati o n a l H e alth Service Act.

311

The parade ended with a march past, headed by the Ne"\vport County Cadet Band (Bandmaster W. Rabbitt), when the salute was taken by the L ord -Lieutenant of l\lonmouth::.hire The visitors, Officers, members, and their wives and friends, were afterwards entertained to tea by the Newport Cent.re. The Assistant Commissioner for Ne"\vport, who is also Centre Secretary, was in command of the parade and arrangements.

Welcome to New Divisions.-On .:ieptember 27, an enthusiastic gathering was held at the Newport Town Hall Assembly Rooms, presided over by Commissioner Major H. Ware , who introduced the Hon. John H. Bruce (Commissioner for "Vales), who gave a most interesting talk on the Brigade in V,'ales. The occasion was the enrolment of four new Divisions (three ambulance and one nursing) into the Nev.rport (Mon.) Corps. The members of the new Divisions were presented by Assistant Commissioner T. J. Raines, who reported that the Divisions, named ewport Fire Service Dock Street Ambulance Division, Newport Telephones and Cables Ambulance Division, and Newport Post Office Nursing Division, had been registered with effect frem September 2.

The County Commissioner welcomed the new units into the Brigade, wishing them good luck and many years of cooperation. Corps Supt. A. 1. Cresswell in adding his welcome, paid tribute to the work of Corps Surgeon R. V. C. Richards and others, who had trained the new Divisions, and responding, the Deputy Chief Fire Officer for Newport recalled that the Corps Surgeon and Corps Superintendent had so impressed firemen with their handling of an accident case with which the Fire Service were concerned, that they immediately decided to join the Brigade. Mr. H. J. D. Shrimpton, Manager of Telephones and Cables, Ltd., said they regarded it as a privilege to be given the opportunity to form a Division of a Corps with such a fine tradition of service to the community. The Warrants of Appointment of the Superintendents of the new Divisions were presented by the !fon. John Morgan, who, the Corps PresIdent, W. J. T. Collins, said, was whole-heartedly behind the St. John Movement. During the proceedings a Cheque, being the income from the flag day, was presented by Miss E. C. Young to senior and Cadet funds.

Please note new address for all communications to the St. John GazetteSt. John's Gate, Clerkenwell, London, E.C.l.

QUESTIONS ON DRILL

A reader of The Gazette has forewarded three questions on drill; and Major A. C. White Knox (Commissioner, No. 1 (Prince of Wales's) District) has supplied the following answers :-

Q. 1. Returning to ranks after collecting blankets and stretchers;

(a) 'Vhat is the correct distance the rear rank (i.e. Nos. 3 and 4 Bearers) should be from t.he front rank and how is this distance gauged when the Bearers are returning to their original places from the other end of the squads-vide para.

53 ?

(b) When returning to original places after depositing blankets and stretchers, is any movement necessary by the rear rank as to correction of distance from the front rank?

A. (a) On the command" Nos. 3 and 4 Bearers-3 paces step back- march" Nos . 3 and 4 take three paces to the rear, i.e. 3 by 30 inches equals 90 inches. The overall length of a stretcher is 93 inches so when they right close they are approximately in the right position.

When they return with blankets and stretchers they have to estimate their original positions and adjust them when the stretch ers are laid down.

(b) The same estimate has to be made on returning to Squads after returning blankets and stretchers.

Q. 2. Does the term" flank" refer only to the side of the body of men when in line, or does it apply equally when they are turned to the right or left, i.e. when in column of route?

A The term flank " refers to an y body of men whether in "line" or in " column" providing there are two or more.

In column of route, to the right moving off " By the left" or to the left moving off " By the right".

These are directing " Flanks " from the Front Rank.

Q. 3. When marching to the right or left in threes, is "Squad will advance left (right) turn" the order to bring them into line again?

A. A squad in line:-

"By the right-quick march" or " Squad will advance, by the right quick march "

" Squad will retire, about turn."

" Squad will advance, about turn."

A squad moving to the right in column; to bring them back into line facing front :-

It Squad will advance, l eft turn."

To bring them into line facing their rear:

" Squad will retire, right turn."

(The opposite if moving to the left.)

To bring them back facing front.

It Squad will advance, about turn."

INTERESTING CASE REPORTS

CASE REPORT No. 378.-The Officerin-Charge of No. I (Prince of Wales's) District S.J.A.B. reports the efficient performance of first aid by two members of No. 121 (Richmond) Division in the following circumstances :-

At 2.48 p.m. on Sunday, July 24, Privates W. J. Turner and H. C. Harris were on duty at th eir First Aid Post at Richmond, when they were called to the river bank to render assistance to a girl who had been rescued from the river in which she was submerged for seven minutes. She was unconscious, and had ce ased to breathe. Private Harris at once commenced Schafer's method of artificial respiration, and after fifteen minutes he was relieved by Private Turner who, after a further seven minutes was reward ed by hearing the girl groan, and by the restarting of breathing. Shortly afterwards the girl was removed by ambulance to the First Aid

Post, where massage was applied to promote warmth and circulation. A few minutes later the child vomited some water and undi gested food, and she was then taken by ambulance to the Royal Hospital, Richmond, where she was detained as an in-patient for three days.

At 4.15 p.m. on the same day, Privates Turner and Harris were again called to the river bank, about 150 yards west of the dry dock, where a youth (aet. 15 years) had been rescued from the River Thames. He also was unconscious and had stopped breathing. Again by using the Schafer method of artificial respiration Privates Turner and Harris were successful in bringing this lad back to life. He was taken to the First Aid Post and was later removed by ambulance to the Royal Hospital, Richmond, where he received treatment and was subsequently taken home by car.

COMMENT.-Seldom does it fall to the lot of two first aiders to be called upon to deal with two similar cases on one and the same day. The fact that both patients are alive and well is sufficient proof of the good work done by Privates !iV. J. Turney and H. C. Harris, to whom cordial congratulations are herewith tendered.-N. Corbet Fletcher.

CASE REPORT No. 379.-The Officerin-Charge of West Riding of Yorkshire S.J.A.B. reports the efficient performance of first aid by a member of the Batley Division in the following circumstances :-

On June 21, Private Reginald Wood, who was accompanied by his wife, was a spectator at a Swimming Gala held by the Batley and District Scouts at Batley Baths, when he noticed a dark patch at the bottom of the bath; whilst drawing the attention of his wife to it, he suddenly realized that it was a little girl (aet. 6t years) fully dressed. Shouting to some swimmers proved unavailing owing to the preval ent noise, so Pte. Wood,

knowing that seconds were vital, dived into the water fully clothed, saved her, and carried her to the shallow end of the bath. As soon as he could feel his feet on the bottom of the bath, he held the child across his arm face down. wards, and noticed water pouring from h er mouth. So lowering and raising her head he brought her to the side of th e bath, where she began to recover. With the assistance of the lady attendant, the wet clothing was removed, and the girl was wrapped in a bath towel after a good rub down. Shortly afterwards some hot Bovril was administered, and one hour later the child had fully recovered and was fit to walk home.

COMMENT.-When dealing with this patient, Private R. Wood realized the possibility of commencing artificial respiration immediately the patient was clear of the water, by adopting the rocking method for which (and for saving a life) he merits cordial congratulations.-N. C. F. 315

QUESTIONS AND ANSWERS

Treatment

H. L. (Old Trafford) .-After a recent football match a player complained of multiple blisters on the sole of one foot . "\Vould you consider evacuation of the of Blisters vesicles by a sterilized needle what you call " meddlesome first aid ? " Your kind help will be appreciated.

Interfe11 ence with blisters is definitely " first aid" ! . T.he Textbook (p. 177) tells you that the injury is a burn wlnc.h 1,S caused by fnctwn and result in blisters. On p 178 it tells that the must not be broken. C.or1ect treatment, therefore, is to cover the inJured part w1,th cotton wool, bandage hghtly, and remove patient to medical aid -N. C. F.

Opium Poisoning

L. H (Old Trafford).-Belilios' pulse is slow and weak. Please me Handbook of First Aid, on p. 40z, states how are reconcIled. that in opium poisoning the pulse Also IS not a rapId pulse also becomes feeble, and on p . 404 that in (weak) in character? If so, hOW.IS the Barbiturate poisoning it is quick and pulse slow and weak as stated III the feeble . The Textbook, on p. 169, states Textbook? that in both groups of poisoning the

T here is the possibility that in the initial stages ?f cases. by the pulse may be quicker than 'ttsual,' but from the first a1,d po1,nt of vzew 1,t 1,S more hkely that you would find the pulse slower than normal. .This will be obvi?us to you when you remember that opium derivatives and the barb1,turates are sedatwes and produce deep sleep In such state the heart beats m01' e quietly, and therefore more slowly, with the result that the pulse is slow and weak.-N C. F.

Strong o r Full Pulse

L. H. (Old Trafford).-Speaking of compression of the brain. Is it pulses, I wonder what is meant when synonyous with a "strong" pulse, the pulse is said to be "full" as in as in par. 4 on p. 189 of the Textbook?

The difference between those two terms is slight, and they can be regarded synonymous by first aiders There is a difference which is recognized by doctors 1,n that the" full" pulse means a normal pressure, and the" strong" pulse that the heart is putting out a greater effort in sending the blood from the heart w1,th the result that its action is " bounding" You should remember, however, that no two individuals, even when in full health, will present the same tension( or pressure) in the pulse -N. C F.

Poisons causing Asphyxia

L. H (Old Trafford) .-On p. 156 which produce insensibility with (par. 4) of the Textbook, it is stated breat hing still present Please tell me that certain poisons produce asphyxia how I may reconcile these two stateas the result of nervous affection; and men t s, and also which poisons arc on p. I6z certain poisons are tabulated referred to as producing asphyxia.

Poisons can affect the breathing either as the result of swelling of the tissues of the throat (see Group I (d) on p. 156 of Textbook) while others affect the breathing through the nervous system with consequent interference with the muscular movements of respiration. It is not necessary for you to know the precise action of all poisons covered by the Dangerous D11 ugs A ct because as a first aider you have only to note some leading signs (such as condition of breathing) and to take appropriate action. The Textbook does, however, tell you that the corrosives can cause inflammation of the th roat , and that prussic acid and strychnine ac t on the nervous system and may produce asphyxia With patients affected by either of the last two poisons the Textbook tells y ou to commence artificia l respiration even if breathing has not ceased, and so assist th e attempts at breathing.-N C. F

316

Respiration and Pulse

L. H. (Old Trafford) .-I n r es p ect of what is the r elationship existing in the respiration, how are its rate and rate and character of the pulse (see character usually linked if similar, and par. 3 on p . 188 of Textbook) ?

In illness it is possible to find any combination of pulse and respiration whi ch depends on the condition of the patient. Usually, however , if the breathing is slow, i t will also be deep, and if quick it will also be shallow. I n compression and apoplexy it is likely to be deep and stertorous. Rerrbemoering the mechanism of respiration y ou wtll realize that if the rate is quicker than normal there will not be so much air inhaled, and therefore air will not be taken in so deeply. Hence the quick and feeble respirallon.

There is usually, a relationsh1'p between the pulse and the rate of breathing . Thls can be understood bette1' when we remember that any condition which changes the amount of oxygen reaching the brain will at once cause reactions and change the nOl'11wlzty of the rates of the pulse and the breathing. Therefore if the heart beats more strongly and sends the blood round 1nore quickly, there is need for more air and the respiration wrll become deeper. If the heart's action is feeble, there is less blood being sent 1 1 0und, and therefore less air is required to purify the quantity passing through the 11111gS. results 1,n shallow breathing.-l . C. F.

Prussic Acid

L. H. (Old Trafford).-Please tell identical treatment? \Vhat is meant me what is the relationship between by the term" cyanide"? Do I take prussic acid and cyanide of potassium. it that there are other cyanides beside Are they distinct poisons requiring that of potassium?

PrussIc A nd (or Hydrocyanic Acid) is prepared by interaction of potassium f eryocyanide (a solzd) and sulphuric acid (a liquid). Therefore fr01n a first aid p omt of vww, acid and cyanide of potassium can be regarded as the same. Ce rtainly they require the same t1'eatment. There are other cyall1des (such as cyamde of silver) depending on the metallic t lenzent compounded with cyanic aCLd. These are outside the scope of first aid.C. F.

Silvester Method

L. H. (Old Trafiord) .-In its descripbon of the Silvester Method of artificial respiration (p. 149, par. 3) the Textbook tells us that the arms of patient should be drawn" upwards, outwards, and towards operator". In your A 1'ds to First A id you tell us that the arms of patient should be drawn « outwards, upwards, and towards operator". Please tell me (r) what is the reason for this discrepancy, and (z) if Silvester's method can be used 'when patient is also suffering from fracture of ribs.

(I) The three words quoted are all descnptive of one movement; and therefore tt does not matter in wh1,ch order they are placed. Thus," outwards" means away from the body, while (( upwards" means towards the hec:-d of the patien,t, and « towards operator" indicates the position of the upper hmbs at the term 'matwn of the movement. Personally I favour the order given in my book because the letters « O. U. T " result in an easily reme1nbe1' ed atd to memory!

(z) Fractured ribs constitute a definite contraindication of the Silvester .method in cases of asphyxia because you must not pull on fractured nbs. So W1,th th1,s complication added to asphyxia Schafer is the method of cholce.- . C. F .

Elevation of Stretcher

L. H. (O l d T r afford) -Pl ease may I splinted fracture of the l ower limb ? ask one more q uery? If I may, then I that this is in and that please t e ll me if it wou l d be con- e l evatIOn of a fractured 11 mb IS cont.rasidered incorrect to raise a stretcher indicated by t h e Tex t book on ly IZ inch es i n t he case of a pat ient whose t reatment and before adequate sp lm tface is pale, and who has a properly ing.

317

When the Textbook tells you to raise a part, it means that the part should be raised in 11elation to the rest of the body. On p. 1 82 you are told to raise leg if is present in that limb " but this does not mean that you must the lower hmb so high that the hip joint is bent.

When the patient is on a stretcher the fracture properly controlled, there nothing against raising the foot of the stretcher. On the contrary you are o,n p. 224 of the Textbook, when: carrying .a to alter the level of the pat2ent s eet (highe1' or lower) accordmg to the present.- . C. F.

Opium Poisoning

A L. (Cannon Street) .-At a recent externally.

First Aid Competition the patient was In the Textbook on p. 174 (e) It diagnosed as unconscious and suffering states, "Adopt the general rules from opium poisoning. A wet to'wel which apply," o?was slapped about his face, neck, and p . 172, It states, that .If an efil:etIc IS chest in an endeavour to rouse him; not immediately aVailable, mduce but this proved unsuccessful. How- vomiting by putting two fingers to the ever marks were lost because the com- back of the throat." I am in doubt as petitors did not try to induce vomiting to whether. this. applies by putting t\vo fingers to the back of when the patient IS and I the patient's throat or by tickling it shall appreciate your kmd adVIce.

In the treatment of opium poisoning the instructions concerning the emetic as gwen on pp. 172 and 174 of the Textbook apply to cases in which the patient 1S fully conscious; but as soon as insensibility has developed the treatm ent must be in accordance with the instructions on pp. 154 and 155 of the Textbook. The use of the fingers to induce vomiting in an unconscious patient is contraindicated because of the risk of some of the vomited matter passing backwards the trachea, as it is explained in the first parag11aph on p. 141 of the Textbook.- C. F.

Treatment of Phosphorus Poisoning

L. H. (Littleport).-I was much often made up into a paste by various interested in the report which was manufacturers and sold for spreading published under the above heading in on to bread, etc., the bait often used. the Query Column of the September Why it would appear to me to be issue of The Gazette. wrong to give anyone water after Whilst a member of the R.A.F. having eaten som e of this poison, is Medical Staff, I took a Rodent Control because I was told by the Instructor Course with the Ministry of Food, and that the action of the poison on the was there told of the four poisons used rat, was to make it feel thirsty, and for killing rats. The one containing immediately it satisfied its thirst, the phosphorus is knoWfl as zinc phosphide. poison acted. It would appear that the It is in powder form, is dark blue, and like happened in the child's case. gives off an unmistakable odour I would be interested to know of any (rather like onions, I thought) when other method of first aid which could mixed with water It is the main be employed in cases of this type of poison used for killing rats, and is poisoning.

It would seem that in the form used for rat poisons the Phosphorus is freely divided, which state it is quickly absorbed and has a quick and painful action. I t is necessary, therefore, that immediate steps should be taken to eliminate the poison; and as the stomach pump r:ot for use by first aide rs, it follows that they 1nust have recourse to of at first possible moment.-N. C. F.

NOTICE TO READERS

THE ST. JOHN GAZETTE is published on the 15th of each month. The Annual Subscription Is 5S. post free; single copies 4d., by po st 5d. REPORTS AND PHOTOGRAPHS should be addressed to The Editor, St. John's Gate, London, E.C.l, and should reach him not later than the 28th of the month SUBSCRIPTlONS and ADVERTISEMENTS should be forwarded to St. John's Gate, London, E.C.l.

318

CLASSIFIED ADVERTISEMENTS

Advertisements with remittance should be sent to the St. John Gazette, 46-47 Chancery Lane London, W.C.2 (to which address replies to N'f"!bers should be forwarded). Rate 3d. per word, 4$ 6d.. Box numbers 2S. extra. Trade adve rtIsements 4d. per word, minimum 6s. CORPS OFFICER'S UNIFORM FOR SALE, Tunic, Great Cap, Sam JJro.wne, <;:ane. 5 ft. m ., Chest 36 in, WaIst. m .,. Cap 6 t 10 Superior Quality, Perfe ct offer secures.-S.J.113,

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ANATOMICAL DIAGRAMS AND OSTEOLOGY for LECTURES

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LIMITED

PERIODIC PAIN

Pain often serves a purpose by drawing attention to disease, but there is much needless suffering, such as the periodic pain of the me nses which cannot be so justified. Apprehension of its wearisome repetition often leads to marked mental depression. Medication, therefore, must be comprehensive, and yet safe and simple in the hands of the patient.

, Anadin ' Anodyne Tablets combine the analgesic qualities of aspir:in and phenacetin with the stimulating properties of quinine and caffeine. Two or three' Anadin ' Tablets may be given as an initial dose, followed. if required. by two Tablets at four-hourly intervals.

CHENIES STREET LONDON. w.e.1

Durable Antisepsis

The most effective antisepsis can be vitiated, particularly in ob st e tric practice, by re-infection with pathogenic organisms. The objective, therefore, must be not m erel y to destroy the organisms already present, but to make the treated surfaces untenable to any that may reach them later.

The protection afforded by , D e ttol' is prolonged. Unless washed off or grossly contaminated, 30% 'Dettol' painted on the unbroken skin and allowed to dry confers insusceptibility to fresh infection by streptococcus pyogenes for at least two hours.

THE MODERN ANTISEPTIC

From September 1st, 'Dettol' in 2 gallon and 5 gallon tins will be free of Purchase Taxfor dispensing purposes only. Smaller sizes including I gallon tins will continue to b ear Purchase Tax and be available for public use.

RECKITT AND COLMAN LTD., HULL AND LONDON (PHARMACEUTICAL DEPT., HULL)

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