The St. John Gazette (September 1948)

Page 1


FOR UNIVERSAL USE

This is a fine example of the Austin w.n. Ambulance converted to the New Approved Home Service Type, and recently exported to South Africa for service there. Our expert craftmanship and experience have made this model increasingly popular throughout the world and we welcome enquiries for thts and any other conversion for delivery in any country.

PILCHERS

AMBULANCE BUILDERS

314 Kingston Rd., Wimbledon, S.W.20 Telephone-LIBerty 2350 & 7058 and 47 High Path, London, S.W.19 Telephone-LIBerty 3507

HUMAN

Junc., London, S.E. 5

OSTEOLOCY, ANAT OMY, ETC.

= Made U nder the New I Supervi s io n o f Just Professor Issued c. F v. S MOUT , Birminiham Un iversity.

Fir st Ai d Fracture Chart

Size 28 X 40 inc hes Pr ice 17/6

First Ai d Dislocation Chart

Size 20 X 15 inc hes Pr ic e 7 / 6 Postare 1/- extra.

Two Charts, coloured, on clot h, w ith rollers • ADAM, ROUIL LY

Br C O. , Fltzro, St.. Fltzro, Square LON DON, W I

Tetephone: MUSEUM 2703.

OUTFITTING ASSOCIATION Ltd.

Founded by Nurses for Nurses. Carlyle Chambers, Stockport and Branches

PRACTICAL BOOKS

by N. CORBET FLETCHER, M B., B.C , M.A.(Cantab.) , M.R C S.

AIDS TO FIRST·AID (7th Ed.)

Price I/l (POSt 2d.)

COMMON ERRORS IN FIRST·AID

Errors In First-Aid Detailed and Explained Price I/l (Post 2d )

AMBULANCE COMPETITION TESTS

Stretcher, Individual and Que'tlon.

Each Folder contains special article on Competition

No I Training of Competition Teams; No 2 Conduct of Team in CompetitJon Roem ; No 3 Common Errors in Competit ion; No 4 Further Errors in Treatment;

No.5. History of Competition Tests ; No.6. Preparation of Tests

6 Folders Price 6<1 each (Post 2d )

Obtainable f,om

Origin of a 'household name'

WRIGHT'S LIQUOR CARBONIS DETER GENS

COAL TA R SOAP

The antiseptic and antipruritic constituents in Coal Tar were isolated for the first time when Wright'S introduced their active extract Liquor Car bonis Detergens over 80 years ago. This distinctive preparation has secured a prominent place as a medicament in treatment of skin diseases. It is specified repeatedly by dermatologists and is today, through constant research and application of modern methods of manufacture, better than ever before, both in appearance and antiseptic value. Wright's Coal Tar Soap, soothing to the tenderest skin, derives its healthprotecting powers from this preparation :Ii' t OA ll4, * ,.

GAR

SUP PLY THE REGULATION UNIFORM

We have specialised in the making of women ' s Un iforms for 100 years and have a reputation for good quality materials and superb wo r kmansh ip.

You ca n order your St . John Ambulance Uniform with confidence, knowing t hat every deta il w ill be in accordance with regulations.

We shall be pleased to send full details upon request

E. & R. GARROULD LTD. E DGWARE ROAD, LONDON, W.2

FIRST CHOICE IN FIRST AID

'Iodex' is the ideal form of iodine for cuts, bruises, painful muscles, sprains, and swollen joints.

It is thoroughly bland-even on open woundsand its soothing, healing, antiseptic qualities have for long rendered valuable service in first aid.

Since ' Iodex ' dressings do not adhere to broken surfaces, they can be renewed without causing fresh bleeding and with minimum discomfort.

ijtbf lifnfrablf @rb£t of tbf nr JJolm of Jj eru s alftn

EDITORIAL

THE FIELD During the summer months there has been a spate of sports OF SPORT meetings in this country- \Vimbledon Lawn Tennis, Test Matches, Olympic Games-and each event has meant more and more public duties for members of the St. John Ambulance Brigade.

At each t es t match Brigade personnel were on duty ready for any emergency. At Leeds, in sweltering" summer}} weather, 20 members were on duty th r oughout the five days; and the excellence of their work drew praise from the B.B.C commentator who was describing the final scenes.

T he Olympic Games called for special arrangements. The athletic events t ook place in many areas, and in each Brigade personnel undertook first aid duti es. T orqu ay, Southend, Hen ley, Bisle)" ,\Vindsor, and other places were covered; and in addition the many e, -ents held in London. Ambulances were s u pplied in many instances, and some 3,000 miles were covered whilst on d u ty. In t he Road Walk an ambulance followed the competi t ors all the way, and ano t her st a t ioned half-way to transpor t any casual ties picked u p on the r oad . I n ad diti on t o t he actua l even t s, Footscray, Richmond, and Uxbridge R .A.F. Camps were also covered. Nearly 180 cases were recorded a t the firs t -named place.

A n d so we come to t he" win t er}} sport of Foo t ball. Duties at these mat ch es are u ndert aken by personne l year after year, b u t it is amazing the amo u n t of vo lu n t ary ti me which is given to these duties. A questionnaire sent o u t t o Co u n ti es h as no t ye t been complete ly ana lysed, and some replies have ye t t o c om e i n. B ut it is ev i den t f rom t h e fac t s already r eceived tha t foo t ba ll ma t ch es mak e a co n st a nt a n d eve r -i ncr easing ca ll on Brigade personnel. I n L ondon alo n e du ring th e 1 947-8 season , ove r 3,000 personne l were on d ut y a t p r of ess i o n a l m a t ch es, dea li ng w ith over 800 cases. An additiona l 1,000 did d uty a t lea d in g am ate ur games, r eady t o r ender assis t ance if the occas i on occu rre d Thro u g h o ut t h e co u ntry t hese fig u res are increased by the a ttendance a t R u g b y Club and Leagu e matches; and w h en the final figures are ready it will asto un d eve n those w h o are in char ge of s u ch d u ties.

It is as we ll t o poin t o ut t ha t th ese vo l untary d u ties a r e n o t covered by the new Nati ona l H ea lth Act. It is s tilll1 ecessary for or ganizers of la r ge gath erings t o r ely up o n th e serv i ces o f vo lu n t ary organ i zatio n s su ch as th e St. J o hn A mbula n ce Bri ga d e With o ut s u ch se r vices th e gene r a l p u b l ic wo ul d be i n a s orry pl ight; a nd w h i lst s u ch a p pea ls fo r assis t ance are rece ived, th e vo l un t ary s pirit of thi s countr y is s till ver y alive t o th e fac t that wi th o ut i t one o f th e mos t imp o rtant o utl oo k s in life-Ser v i ce t o O th ers-wo uld s ur el y d ie 2 6 1

aL'bt Oiranb i9rior1J i n tlJe 1&ritislJ fteaLm of tbe , " of tbe 'iospital of .. lJolrn of 3ferusalem

His 111ajesty The King has been graciously pleased to sanction the following Promotions in, and Appointments to, The Venerable Order of the Hospital of St. John of Jerusalem.

PRIORY FOR WALES

FOR PROMOTION TO THE GRADE OF KNIGHT

Christopher Armstrong M.B. (from Commander).

FOR PROMOTION TO THE GRADE OF COMMANDER (BROTHER)

Captain Geoffrey Cartland Hugh Crawshay.

Captain Alfred Thomas Neale Evans, O.B.E.

Colonel William Talbot Woods, D.S.O., M.C. (From Officer.)

FOR ADMISSION IN THE GRADE OF COMMANDER (SI&TER)

Henrietta Margaret, Lady Davies.

FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)

John Alban Davies, L.S.A., L.M.S.S.A.

Major Arthur Henry George Field, M.B.E.

Charles Leonard Higgs.

John Powell Jones Jenkins, O.B.E., T.D .• M.R.C.S., L.R.C.P.

Arthur Walter Sidney Jones.

Ernald Hugh Jones.

Lieut.-Colonel Sir Rhys Llewellyn, Bt.

Robert Iltyd Nicholl.

Alfred Poole. (From Serving Brother.)

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

William John Townsend Collins.

Travis Hampson, M.C .• M.B

George Henry Hoare.

Colonel Laurence Hugh Higgon, M.C.

William Morgan Llewellyn.

Rhys Paton, M.R.C.S., L.R.C.P.

Professor William Rees.

Alfred William John Wells.

David Cecil Williams.

FOR PROMOTION TO THE GRADE OF OFFICER (SISTER)

Elizabeth Ann, Miss Gravenor.

Victoria Winifred. Miss Rees. (From Serving Sister.)

FOR ADMISSION IN THE GRADE OF OFFICER (SISTER)

Sybil Constance, Miss Bovill.

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Albert Ivor Cresswell.

John Griffith Davies.

David Joseph John.

Thomas Jones, M.B.

Thomas John Jones.

Ernrys Lewis.

Frederick John Rees, M.R.C.S .• L.R.C.P.

John Frederick Scales, L.R.C P.I.. L.R.C.S.I.

Vivian Smith.

Evan Richard Thomas.

Melbourne Thomas.

William Henry Thomas.

William John Thomas.

Thomas John Tranter.

William Watkins.

Robert David Williams.

William Daniel Williams.

FOR ADMISSION IN THE G R ADE O F ASSOCIATE SERVING BROTHE R

Joseph Shibko. M.R.C.S .• L.R.C.P.

FOR ADMISSION IN THE GRADE O F SERVING SISTER

Elizabeth Ann, Mrs. Coles.

Sylvia Maud Tasker, Mrs. John, M.B .• M.R.C.S .•

L.R.C.P.

Ethel May, Mrs Pearce.

Sybil Jane, Mrs. Thomas.

Florence Beatrice, Mrs. Woodward.

INDIA

FOR PROMOTION TO THE GRA D E O F ASSOCIATE COMMANDER (BR O THER)

Prabodh Chandra Roy, M.B. (from Associate Officer).

BURMA

FOR ADMISSION IN THE G RAD E OF ASSOCIATE OFFICER (SI S TER)

Dr. Chit Tin.

FOR ADMISSION IN THE GRADE O F ASSOCIATE SERVING BROTHER

Dr. U Aye Pe.

CYPRUS

FOR ADMIS S ION IN THE GRA DE OF KNIGHT

H.E. The Lord Winster, Governor of Cyprus

FOR ADMISSION IN THE G R A D E O F COMMANDER (SISTER)

The Lady Winster.

ST. JOHN COUNCILS IN THE CO UNTIES

\V.R. YORKSHIRE At the quarterly meeting, the Chairman, Sir Frank Brook, welcomed Lord Scarbrough, Lord Lieutenant of the County, who had succeeded the late Lord Harwood as President of the Council. Lord Scarbrough expressed thanks for the warm welcome extended to him . :tIe was not strange to the Order of St. John, and referred to the kindly mfluence on hIS hfe by the late Lord Scarbrough, who was Sub-Prior of the Order. 262

RANDOM REFLECTIONS ON RETURNING TO THE BR IGADE

By Dr. B. ROSEFIELD

After several years' absence with H.l\I. Forces it came as rather a shock to find that my Brigade uniform would only fit where it touched! Then there was the alteration of badges of rank. Where formerly our epaulettes carried a single Maltese Cross "\ve now had to sport three pips. Shades of old Army days! Our Superintendent also insisted upon giving us red piping for our epaulettes-no, not exalted staff officers, but merely the oub<;ard and visible sign of medical members of the Brigade.

It was gratifying to see and be welcomed by old Division once more. A goodly number of familiar faces and a tidy sprinkling of new ones were there. All very keen. They must be, to have kept up their classes so well. Gone were the fair-weather enthusiasts who flocked to the Division in the early days of the war because it seemed to be the fashionable thing to do. \Ve now had a small happy Division of genuine first-aiders.

As was to be expected, large numbers of St. John people were met in the R.A.M.C. They were always the backbone of the Unit, and stood out by reason of their keenness, reliability, and efficiency. A common grouse with us in those days was that we never heard from our Divisions. We may have received individual letters from personal friends in the Brigade, but never a card or a packet of fags from the Division. There may have been exceptions to this, but we rarely came across them. It is suggested to those Divisions who have members serving in the Forces, or who are likely to do so in the near future, that they should make every effort to keep in touch with them. Post them a copy of the Gazette each month with the gossip of the Division, and a small gift at Christmas from Divisional funds will not come amiss. Such thoughtfulness would be readily appreciated and ensure that your member returns to you when he is demobbed. There may have been a reasonable excuse for apparent neglect during the war, but no such excuse exists to-day.

However, we came back to the good old textbook, thirty-ninth edition nowand the Supplement. Tourniquets are omitted altogether, thank goodness. We are still arguing in the Division as to what really constitutes a crush injury. But that makes it all the more fun. Shock is dealt with far more thoroughly than in the old days. Spinal fracture first aid is certainly simplified. Circulation of the blood is still a headache to our members.

Annual re-examinations cause the same heartburnings as ever. We would like to see incorporated in the next edition of the St. John Textbook a chapter on "How to pass your re-examination" !! If candidates would only realize that the examiner's job is to pass them if possible; to answer what they are asked, and no more, is likely to get them through rather than wasting time with irrelevant and useless padding, and that the only remedy for that appalling state when the mind goes completely blank is to stop, count ten, and ask for the question to be repeated, thus giving you time to gather your wits; we believe attention to these few points should help to overcome examination" jitters".

Competition work is as popular as ever. But why is it that the same Divisions seem to be always in the Preliminaries and Finals? \N e would like to see more inter-Divisional contests to stimulate the desire to go all out for Area and National competitions.

Apart from the popular conferences for surgeons and officers of the Brigade , why not one-day courses for the ordinary rank and file? Two or three adjoining Divisions could get together to discuss methods of learning the Syllabus, as laid down in the Textbook; of swapping methods of improvization in accidents, with no first aid material available; of how to organize teams for competition work, with demonstrations of make-up for simulated injuries. These are just a few suggestions which could be improved upon a hundredfold. Why not put up a team to challenge B.R.C.S. or St. Andrew's Ambulance Association, Police first aid teams, or Railway teams? Who is prepared to organize a First Aid League, like the Football Association Amateur League? We don't suggest Firs t Aid Pools, though!

'Ve would like to see Di"isions inviting the matrons of local hospitals down to speak to them on the work of the hospital, and so encourage members, to enter the fine profession of 1\ursing. :'.Iembers should be encouraged gl"':Te more help to the hospitals and infant welfare and school treatment clIl1lcS 111 their spare time.

If these reflections appear to be somewhat dIs]omted, we can only plead that readjusting ourselves to post-war Brigade conditions "'as in itself a disjointed affair. BARBADOS.

\Vhen the disastrous fire swept the tov\'Jl of Castries, St. Lucia, in June, Brigade members assisted at the y'l\I.C.A. and helped to sort, pack, and label crates and cases. Altogether, 336 crates and cases of food and clothing were dispatched, the first consignment leaving only a few hours after the news of the fire had reached Headquarters.

·When the Inter-Divisional First Aid Competition was held in l\Iay the Cup was won for the second time by the Christ Church No.2 Nursing Division. H.E. the Governor and Lady Blood graciously attended. The competition was so keen that only 16 points separated aU eight Divisions,

At the annual parade, H.E. The Governor inspected the Brigade and expressed himself as very pleased with the smartness of the whole parade. Seventyone members were taking part.

First aid posts have been operated at all race meetings held at Knutsford Park. Brigade members were also called upon to establish a first aid post at the East Racecourse for the pageant in connection with the (( Buy Jamaica Campaign". This post was opened at 10 a.m. and closed at 11 p.m. Fifteen members were on duty, seven cases were treated, one of which was transferred to hospital and one taken home. On the occasion of the King's Birthday Parade, six members were on duty and one case of fainting was treated. During the recent heavy rains in J while a cart was being loaded wIth Ice, a man lost his balance and fell to the ground. The ice, weighing over 100 lb. which was being loaded on to the cart fell on his head, causing nasty wounds

over the frontal and temporal bones of the left side of the head. A St. John member who was present immediately took charge of the mar. an d COil trolled the bleeding, which was profuse; the Assistant Staff Officer was called to the case, and together they dressed the wounds and treated for shock, the patient being in a state of stupor. As no ambulance was available the patient had to be transported in a car under the care of the Private to the hospital, where he was detained for twelve days. After his discharge from hospital the man called at the Ice factory and expressed his thanks.

SOUTH AUSTRALIA.

In a letter from the Lady Divisional Superintendent of the Port Pirie Nursing Division, she tells of the great work being done in the Beach Casualty Room; 73 cases were attended to in one month. In February the Cadets went to the local hospital to assist with swabs and help the staff in any way they could. They much appreciated this opportunity and experience.

NEW ZEALAND.

To celebrate St. John's Day, divisions in the Oamaru area attended St. Luke's Church, where the Rev. W. E. D. Davies conducted the service. The parade was in charge of District Supt. The Rev. G. W. Hannah, who was accompanied by District Surgeon R. S. J. Fitzgerald; the latter reading the lessons with Div. Surgeon E. E. Butler. Div. Surgeon Butler and Div. Supt. W. J. Davies commanded the Ambulance personnel, Lady Div. Supt. Mrs. L. Sherwin the Nursing personnel, and Acting l\Iatron Kininmont the Hospital Nurses. A retiring collection was made for the St. John Hospital at Jerusalem.

ST. JOHN CLUB AND TRAINING CENTRE

Premises have been acqnired at 15-16 ColIingham Gar d ens, Earls Co u rt, Lon don, S.W. 5, for St. CI.ub and Training Centre. Full details are not yet av a ila bl e, but these will be gIven lD the next issue of the GAZETTE.

PRIORY CHURCH REBUILDING FU N D

Since the launching of the Appeal a number of subscriptions have been received from members of the Order and from Association Centres, Brigade Divisions, both at home and overseas. At the time of going to press, nearly £4,000 has been raised towards the final figure of

The holiday months have, naturally, interfered WIth the flow of contnbutions, and it is expected that the amount collected will grow considerably each month from now on.

The contributions received include those from three little girls (one aged II years and the other two 10 years) who sent £1 lOS., the result of holding a little jumble sale, the selling of comics and flowers. Another member, aged 87, has undertaken to collect from her friends, whilst another, an old age pensioner, sent a crown piece of Charles II period to be sold and the proceeds placed towards the Church Fund.

Collecting cards have been forwarded to a .considerable number of Corps, and Divisions, but more can be obtamed from the Fund Commlttee, St. John's Gate, London, E.C. I.

THE ST. JOH N A MBULANCE ASSOCIATION

NEW SOUTH WALES CENTRE

An unveiling ceremony of two historic stones was held in the vestibule of St. J ohp House, Macquarie Place, Sydney, by H.E. Lieut.-General J. Northcott, Governor of New South Wales. The Ven. Archdeacon Johnstone (in the absence of the Archbishop of Sydney) officiated at the dedication ceremony.

Just before the ceremony was to take place a terrific storm broke, and consequently the parade of Brigade personnel had to be cancelled, a I tho u gh the Guard of Honour were lined up in the vestibule with the band and choir on the footpath.

The two stones unveiled were an Ashlar Stone from the St. John Hospital in Jerusalem and one from the ancient Priory Church of the Order in Clerkenwell , which was destroyed by enemy action during 1941.

The President of the Centre, Major-General E. C. P. Plant, presIded; whIle the Ladies' Committee arranged afternoon tea. Nearly 300 persons were present at the happy function.

SCALE OF FEES RELATING TO INST RUCT ION AN D EXAMINATION

A revised scale of fees relating to classes Association, St. John's Gate, London, under the St. John Ambulance Associa- E.C. 1, of their intention to form classes. tion comes into operation on October 1, Honorary Secretaries of classes within 1948, and they are set out fully in the the area of Centres of the Association can Regulations for Classes issued by the obtain this information from the Centre Association. Copies of the necessary Secretary. The Association is forwarding amendments to the Regulations will be copies of the amendments to persons to issued to all persons who notify the whom Regulations for Classes have been Secretary of the St. John Ambulance sent since January 1, 1948.

265

A LOOK ROUND STAR AND GARTER

It A Home, a Hotel, a Hospital" is the Tobacco Trade Endowment Fund, not description given by a former patient of forcyetting the school-children of Britain, the famous Star and Garter Home at contributed. The Auctioneers' and Richmond, Surrey, for disabled sailors, Estate Agents' Institute bought Ancaster soldiers, and airmen. House opposite as a residence for the

Having visited the Star and Garter, Medical Officer and as quarters for some I think the word "Haven" might be of the nursing staff. added to this alliterative tribute, because The Home was opened by King this Home is, indeed, a tranquil port George V and Queen Mary on July 10, after such harsh buffetings in stormy tides 1924, and since its inception more than of war sustained by men in the country's 2,000 patients have been admitted. service. Her Majesty Queen Mary is Patron of

The Home is a noble red-brick pile of the Home which has had, and continues impressive breadth and distinction, while to have, many distinguished people as its white colonnaded loggias, sweeping its Governors. Marie, Marchioness of lawns, fountain in the centre, and a 'VilJingdon is President. The Chairman terrace from which there is a lovely of the Governors is Lieut.-General Sir glimpse over the tree-tops of one of the Alexander Hood; the Commandant is most famous views of the Thames, con- Major C. Burnham, and there is a disstitute a place of enchantment. tinguished Honorary Consulting and A happy atmosphere prevails through- Visiting Staff. out this haven; there is a spaciousness of The Star and Garter Home does not rooms which leaves no one with the come under the new National Health slightest sense of being It cribbed, cabined, Scheme, and the St. John and Red Cross or confined ". This space for movement is Joint Committee has just set aside, out of one of the many examples of psychological funds earmarked for the relief of disabled understanding of the patient. ex-servicemen, the sum of £150,000 for 'Within its wall to-day there are 183 the Home to draw upon for the purpose patients, while the staff numbers 152, of making necessary alterations and including administration, nursing staff, additions for the establishment of a new masseuses, orderlies, and staff. nurses' home near by, for extending the

and valuable collection of stamp albums, for philately is one of the keen hobbies of a number of the patients.

There are a television room, a cinema, a canteen, billiard room, library, gymnasium, and workshops.

All this, of course, apart from the operating theatre, laboratories, X-ray, dispensary, and electrical treatment rooms.

Patients able to look after themselves have private rooms fully equipped for comfort. A number of patients are immobile, some who are paralysed from the neck are completely helpless; others are paralysed from the waist down. Some are blind and paralysed, or have an arm and leg missing.

Triumph over misfortune and an example of the indestructability of the human spirit is represented by one patient who has been bedridden for 32 years, unable to move a limb. Yet" Jim}} is ever cheerful and smiling. He paints and draws Xmas cards and paints coloured designs on wooden boxes. This he does by means of a paint brush worked by bis teeth. Many ingenious methods are used to allow such men to smoke, read, and write. One helpless patient, for instance, turns over the pages of a book by means of a magnet held in his mouth. The pages having been fitted with metal paperclips.

needlework, featherwork for hats and salmon fiies, basket work, leather work, chair caning, drawing and painting, photography, pewter work, stamen jewellery, artilicial flowers, model houses and furniture, soft toys, invalid chairs, weaving, rug making, and shoe and boot repairs. One patieJ:lt has received a gold medal for producing invalid chairs of his own design.

There are many aspects of the Star and Garter Home which are beacons of hope and happiness to men cruelly maimed in two great wars. Carking care and anxiety are softened by the understanding thought, and the skilled efforts to encourage and to assist the natural instinct to triumph over physical limitation and foster self-help.

The St. John and Red Cross Joint Com-

Many patients are bedridden in broad, nursing quarters in Ancaster House, and cheerful, well-lit wards; others are mobile for work on the Star and Garter Sandgate only in their self-propelled invalid chairs. Home ,,,hen it is de-requisitioned by the It follows, therefore, that their special Office of 'Narks. This seaside Home in needs require a large staff to attend upon Kent was opened in 1919. them.

The story of the Star and Garter began mittee provides a periodical issue of in 1915, when the Auctioneers' and Estate cigarettes and tobacco to pensioner Agents' Institute launched an appeal for and provides transport to take funds for a home for paralysed ex-service- patients on many outings that are men. They bought the old Star and Garter arranged for them. This provision carries Hotel on Richmond Hill which they pre- on the arrangement made by the Joint sen ted to Her l\1ajesty Queen Mary. In Council Finance Committee. the gift Her Majesty requested For some time, too, the St. John and the BntIsh Red Cross Society to carry out Red Cross Hospital Library Department the scheme. has b.ooks as gifts to the Home; in

An independent Committee-the Star addItIon It helped to reorganize and and Garter Committee-was formed catalogue the library in accordance with under the chairmanship of the Han. the. system of the Department whose Arthur Stanley. It began with about 65 serVIces are much appreciated. Moreover, patients; in a few years the original the Department also sends books on loan buildings became too small, and by 1924 to the Star and Garter's own Honorary the present magnificent structure had Librarian at the Home who, for more than been erected on its site. t t y years, has rendered splendid

The British 'Vomen's Hospital Com- serVlce as such as a labour of love. mittee raised large funds not only for the large common room, lofty and building, but for its endowment. The spaclOus, a stage for plays, concerts, Joint War Finance Committee of the 'Var and entertamments, and here and there .of Red Cross and St. John may. be seen little groups of patients and the BntIsh Red Cross Society each plaYlDg ", or busy making gave the Home £160,000. The British or readmg. Just beyond is the Red Cross Fund, the Meat and Roo:n, where the patients can Alhed Trades Red Cross Fund, and the wnte; here III a large case is housed a fi n e 266

Workrooms are extremely interesting. In one, men are busy assembling clocks which have helped the export drive. Among the occupation's followed are

A place of loveliness is the exquisite marble chapel. This was given by the late Viscount and Viscountess Cowdray in memory of their son killed in the first 'World 'War, whose bust is to be seen enshrined on one of the walls. The lights of the chapel are tan terns designed in the form of hanging stars, while the ceiling over the chancel bears in colour the Star and Garter insignia. The marble floor near the entrance has inset an eight-pointed star, while further on towards the altar is inset a cross. These two separa te symbols, which represent the Star and Garter insignia, may be said in this way to have predestined that St. John and Red Cross, in their humanitarian tasks, should become so deeply associated with this world-famous Home.

THE O LYMPIC GAMES

At the request of the Organizing Committee for the 15th Olympiad, the Brigade was represented on the Medical Sub-Committee, Major A. C. \Nhite Knox (Commissioner, No. 1 District) being the Brigade's representative.

All events which took place outside Wembley Stadium were covered by Brigade members. These included football, basket ball, cycling, hockey, weightlifting, wrestling. Ambulances were either present or on call at most of these places.

For the sailing matches, Paignton and

Brixham Divisions organized and staffed first aid posts daily, 'whilst Torquay covered the opening and closing ceremonies.

The football matches were held on nine different grounds in London, also at Bournemouth, Portsmouth, and Brighton, and at each match Brigade personnel attended.

Fortunately, cases were not numerous, but some seriously injured competitors were grateful for the services rendered by the Brigade.

QUEEN ALEXANDRA HOLIDAY HOME

This Institution, which is purely a holiday home, and is not in any sense a Convalescent Home, reopens early this month.

and certain other categories of Jurses, lady Members of the Order and members of Nursing Divisions of the St. John Ambulance Brigade are eligible for admission; also members of the staffs of Headquarters and of the St. John Ambulance Association. The inclusive charges for board and residence al-e £3 lOs. per

It is situate at 24-26 Earls A venue, Folkestone, within a short distance of the sea, and contains separate rooms for all visitors. The Home has been recently renovated and brought up to modern , week. Applications for admission shou l d be sent direct to the Sister in Charge, Registered Queen Alexandra Holiday Home. standards.

In addition to female State 267

HEADQUARTER NOTES

County Staff Course.-The course, which will be on similar lines to that held at Hoddesdon in April, will be held at Imperial Hotel, Birmingham, October 15 to 17. Applications should be forwarded immediately to Brigade Headquarters.

Uniform Rationing.-Coupon values of uniform have been altered as folIo\\'£ ;Tunic and skirt reduced from 18 coupons to 12 (tunic 8, skirt 4); nursing greatcoats from IS to 12; male Officers' greatcoats from 18 to 16; male rank and file greatcoats from 16 to 13; all tunics and trousers from 21 and 18 to 15 (tunics 10, trousers 5).

There will Dot be any increase in the number of garments allowed, and the total coupon value of the initial and replacement schedule "vill be

Uniform Permits.-The use of ulllform permits will be discontinued forthwith, except by V.A.D.s with H.M. Forces.

No.1 (PRINCE OF WALES'S) DISTRICT

Kina's Cross Division recently visited the Ro"yal Free Hospital for a lecture given by Mr. C. Steele, assistant to the Pathologist. The talk was very comprehensive, and for nearly two and a half hours the visitors had explained to them, with the aid of illustrations and actual specimens, the effect of disease and accident on various parts of the body. Acid poisoning, silicosis, and other diseases were discussed and counter measures gone into in considerable detail. Reference was made to shock and the part played by bleeding in the healing of fractured bones. Supt. J. S. Bates expressed thanks to Mr. Steele who, in reply, paid high tribute to the standard of first aid that the hospital staff had learned to expect from the Division, as most of their cases are dealt with at the Royal Free Hospital.

COUNTY OF DERBY

Alvaston.-The Alvaston and District Ambulance, Nursing, and Cadet Divisions annual garden party was held on August 2 and opened by Mr. A. J. Champion, M.P. for the district. Those present included Corps Officer Farnsworth, who presided, Supts. A. VV. Roper and Mrs. Farnsworth, Amb. Officers E. Martin and Mrs. Collins, Cadet Supt. J. J. W. Burrows, Cadet Officer J. Hall, and Mr. Martin Berry (President of the Cadet Division). Stalls did good business, and the newly purchased First Aid tent was erected for the first time. Some 600 persons attended. A dance was held during the evening at which 300 were present.

COUNTY OF GUERNSEY

The annual competition for the Guernsey Brewery Shield was held at County Headquarters. All competitors were members of the Guernsey Ambulance Division. The judges were Supt. H. C. Rowcliffe (assisted by County Officer F. W. Bush), in the team test, whilst Amb. Officer H. Touzeau officiated in the individual and uniform tests. The "vinning team was composed of Cpl. C. DeCarteret, Pte. M. Dene, L/Cpl. J. Baker, and Pte. R. Herve. This team received medals from the Guernsey Brewery Co., Ltd., whilst Pte. Herve, who gained the highest marks in the individual tests, was awarded the Colonel R. W. Randall Cup, which he bolds for one year. It is of interest to note tbat Ptes. Herve and Dene are botb recent recruits to tbe Brigade, and they are to be congratulated on their successes so early in their career.

COUNTY OF HAMPSIDRE

A successful garden fete was held in the grounds of the Master's Lodge, St. Cross Hospital, Winchester, on August 5, in aid of County Funds.

The Mayor of Winchester (Councillor Mrs. D. Crompton) presided and welcomed tbe Countess Mountbatten of Burma, wbo as County President, officially declared tbe fete open. Lady lVIountbatten stressed the fact that the Brigade was really necessary, and that it would play an important part in the new National Health Service. She mentioned the excellent work carried out by Brigade personnel paying reference to that being undertaken in connection witb the Olympic Games. It was a particular pleasure for her to be present, as it gave her the first chance to associate herself with 'Winchester and the Brigade since her return from India. Statistics of voluntary work in the County has " staggered" her. During last year members had carried out 25,800 public duties, and 7,000 hours had been spent working in hospitals, nurseries, and clinics. The number of hours given to ambulance transport was 9,000. These figures were remarkable when it was realized that the services were entirely voluntary.

Following the opening ceremony, Lady Mountbatten paid a visit to the new St. John and Red Cross Hospital Library Department in St. Cross Street. Accompanied by County Commissioner Dr. John Clayre and Miss Hooper, she was welcomed by the County Organizer (Miss Fair), and was shown the Library by the Depot Librarian, Mrs. Bertram. Early connections between St. Cross 268

and the Knights of St. John added historic interest to the occasion. The net proceeds amounted to £110.

ISLE OF WIGHT COUNTY

During the gale which was in progress on the South Coast on August 7 and 8, the St. John Ambulance and Life Guard Hut at Sandown was completely destroyed, and a large supply of equipment lost. Amb. Officer Harris, who was called to the scene at 4 a.m. on August 8, with the help of a police constable, managed to save a certain amount of material, including three life guard reels. Working with the aid of a small torch, search was made for other material, but none was then found, it having been washed away by the strong sea. When daybreak came further search was made and a little equipment was recovered.

On August 8, a drowning fatality occurred at Sandown, in which Cadet Supt. H. G. Tutton and two of his members gave great assistance, as did also some visitors, including St. John personnel. Three bodies were recovered from the water, and although artificial respiration was applied, all died.

COUNTY OF LEICESTER

Leicester.-The annual individual competition of the Jubilee Nursing Division, for the President's Trophy, was judged by Div. Surgeon S. A. Carlton (First Aid) and Miss Ash, S.R.N. (Home Nursing). Fjrst place was gained by Mrs. Lister, with Miss Sharpe as runner-up. President Miss Allen thanked the members for entering the competition, and also the adjudicators and patients.

COUNTY OF NORFOLK

East Dereham.-Mr. G. Neville (chairman of the U.D.C.) officially opened the new and spacious St. John Headquarters in Norwich Street. Those present included County Commissioner Sir Thomas Cook, County President Lady Cook, County Supt. Dr. May Rutledge, County Secretary Mrs. J. H. Yull, Div. Surgeon E. I. Puddy, the Rev. N. Boston, who conducted the dedication service, and Mrs. Boston, and representatives of local organizations. The County Commissioner spoke on the work of the Brigade, and said that he hoped the acquisition of premises would enhance St. John activities in the locality. Guist Hall.-The opening of the new St. John Training Centre in Guist Hall took the form of a one-day course for nursing personnel, who attended from all parts of the county. County Commissioner Sir Thomas Cook welcomed the delegates and explained the objects of the scheme. The programme included lectures and demonstrations by Div. Surgeons H. C. Geldard (Sheringham) and E. I. Puddy (Dereham), Dr. C. S. Thompson (District Medical Ofiicer), Sister V. lVI. Dobson, and County Secretary Mrs. J. H. YuIl, Mr. J. A. Mitchley (County Drama Organizer) gave an address on public speaking. Those present included County President Lady Cook, County Supt. Dr. May Rutledge, County Officer Dr. C. S. Webster, and County Cadet Officer Mrs. G. E. Portal.

Sheringham.-Commissioner for Malta, Lt.-Col. J. V. Abela, who visited a number of St. John units in Norfolk during his stay in England earlier in the year, has sent a message of congratulations and good luck to Sheringham Ambulance team on winning the Regional competitions.

PENZANCE AMBULANCE DIVISION.

Norwich.-The annual inspection of Norwich Division, Adult and Cadet, including Thorpe, was carried out by the County Commissioner who was accompanied by the Lord Mayor (:Ilr. W. G Cutbush). The parade was under the command of Asst. Commissioner \V. E. Rutledge, and among those present were the Lady l\1ayoress, County President Lady Cook, Sir Basil and Lady l\Iayhew, County Supt. Dr. l\Iay Rutledge, County Cadet Officers H. S. Denny and Mrs. G. E. Portal, County Secretary ::'lrs. J. H. Yull. The Lord Mayor presented Service decorations and, addressing the parade, stressed the need for increase in first aid. Ryhurgh.-The annual inspection of the Ryburgh Division, under Supt. V. R. Jones, was carried out by the County Commissioner, in the grounds of ::'lanor House, by imitation of Sir Victor and Lady Pryce- Jones. Those present included County President Lady Cook, Asst. Commissioner C. B. Andrews. Sir Thomas Cook presented the Divisional President's Badge to ::'1r. C. T. Joice.

COUNTY OF SUFFOLK

Ipswich.-A party for members' children of the Gippeswyk Division was held on August 14, the event being most successful. Supt. C. \Valler organized the party, which included a Punch and Judy show, pony rides, ices, etc. Tea \yas provided by the members' wives. Each child received a present from the bran tub presented by Amb. OfficerC. Robinson. Corps Supt. G. Eade and l\Irs. Eade were present.

COUNTY OF SURREY

Guildford Nursing Divisions presented a s!llart aI:>pearance at their annual inspectIon whIch was carried out by County Supt. ::\1rs. Lionel Heald, who was accom-

panied by County Officer Mrs. Henry and County Staff Officer C. E. Chaplin. Supt. Mrs. Farler was in charge of No.1 Division and Amb. Officer l\liss Colyer No. 2 Division; the whole parade being under Corps Supt. Miss E. Reeves.

Receipts from the flag day collections of the Borough of Guildford Corps were expected to show a substantial drop as compared with last year, owing to the :National Health Act. Actually, the total, £464 13s. 8d., was only £12 down.

COUNTY OF SUSSEX

Hailsham.-The first motor ambulance to be provided by East Sussex County Council under the new Health Services, 'vas handed over to the Hailsham Division of the Brigade on August 1. Some 400 members of the Brigade from East Sussex paraded under District Officer C. Milton and formed a hollow square in the recreation ground where the Rev. R. VV. Shaw (Vicar of Hellingly) conducted a service, the Rev. O. J. Searchfield (Hailsham Congregational Minister) read the lesson, and the Rev. R. A. Leonard (Vicar of Polega te), gave an appropriate address. Dr. F. Langford (County Medical Officer), in handing over the ambulance, stated that the Brigade would continue to do their work under the new Health Act; and he asked Asst. Commissioner C. E. Heywood t9 accept it on behalf of the Brigade. In doing so passing it over to Supt. R. P. K. SIdebottom, Asst. Commissioner Heyvvood described the Hailsham Division as one of his most efficient Divisions and said they were lucky to have such a fine ambulance.

COUNTY OF WORCESTER

The annual inspection of the Northern Area Nursing Corps was held at Blackheath. County Commissioner Dr.

F. L. Newton, accompanied by Asst. Commissioner T. Lench, County Supt. Mrs. C. Porter, inspected the parade, which was under the command of Corps Supt. Mrs. M. E. Fearnside. Area Cadet OffIcer Mrs. Lam accompanied the Commissioner when he inspected the Cadets. Mrs. Porter led the parade at the march-past, and Dr. Newton presented a Service Medal to Corps Officer Miss Wakefield. Many Presidents, Vice-Presidents, and Corps Officers were present.

For the first time \Vorcestershire will be represented in the Brigade Finals. At t.he Regional competitions T. \V. Lench's Division gained first place in the Dewar eliminating round, and will thus represent the Region in the Brigade Finals.

COUNTY OF WILTSHIRE

Melksham Divisions have for some years been working hard to raise funds for new headquarters, and have arranged an annual flower show and gymkhana, which has now become an accepted event of the town. This year the co-operation of the local military headquarters was obtained and a mechanized contingent of the R.H.A. put on an excellent tournament. A record number of entries was obtained for the various classes; and the number of prizes won by Brigade members showed that first aid is not their only strong point.

Nursing Officer Miss Lupton (Bingley). Dr. Lodge was in charge of the for three days, being assisted by Asst. Commissioners Dr. W. N. West-Watson and B. Hart, County Surgeon Prentice, and Corps Surgeons Dench, Ball, Riddolls and l\lartin. District Officers Baker, Robertshaw, and Vallow took turns in charge of personnel. On the occasion of the visit of Their Majesties, accompanied by Princess Margaret, the route through the city and show-ground was patrolled by St. John personnel, two temporary stations being staffed by Nursing personnel. The Hospi tal was staffed fer eight days, day and night, and an ambulance was on duty for 12 hours each day. H.R.H. The Princess Royal visited the Show on Thursday and spoke to the staff on duty. She also inspected the Grassington Ambulance and expressed her admiration of the vehicle.

The casualties attended were very varied, ranging from fractures to pig bites and other wounds. The total number of casualties recorded was 748: others were treated in the grounds and not recorded. On the day of the Royal visit, 378 casualties were treated. During the run of the Show 179 Ambulance and 279 Nursing personnel were on duty. County Officer Mrs. Lodge was on duty on the four Show days, and did most of the clerical work and a great deal of the WEST RIDING OF YORKSHIRE organization prior to the Show.

Test Match at Leeds.-The duty at the Bradford Corps.-County Commissioner Test Match at Headingley was organized H. L. Thornton, accompanied by District by the Burley, Kirkstall, and Headingley Supt. Mrs. Nirkbeck, Asst. Commissioner Ambulance Division, assisted by the Dr. West-Watson, County Officer, and Burley and Kirkstall Nursing Division other members of his staff, inspected and members drawn from the Ambulance members of the Bradford Corps on the Divisions of the Leeds Corps. A First Aid Bradford Cricket Ground. About 300 Station was erected close to the playing members were on parade, and among area, and a complement of 20 members those who witnessed the event were the were on duty throughout the whole five Lord Mayor and Lady Mayoress of days. During that time, 262 cases were Bradford, Dr. J. Douglas (Medical Officer treated, 3 being sent to the Leeds of Health), and several Councillors. Infirmary and 8 sent home by taxi. Huddersfield Corps.-On August 19,

Crewe Corps « B " Division Team, winners of the Crewe Corps Pat Warn ford Trophy and the Cheshire County

Trophy.

The commentators paid tribute to the Mr. J. P. Beveridge, Manager and work of the members who carried out a Engineer, Huddersfield Corporation Waterhard task during a heat wave. works, gave an address to members of the Royal Show at York.-The arrangements Central Division on the water system of for the First Aid Duty was carried out Huddersfield. Later, Asst. Commissioner by Asst. Commissioner Dr. Lodge and his H. Harrison welcomed Dr. William Brown staff. A four-roomed hut was installed in and presented him with his warrant as the show-ground, equipped with telephone, Divisional Surgeon. electric light, and heat, and it served as a Markham Main Corps. - Some 166 satisfactory hospital. Five beds were Officers, N.C.O.s, and men attended the erected and the necessary equipment for camp of the D.A.C. Corps held at first aid and hospital work. It was staffed Blackpool. It was the 24th annual camp, by Nursing Members of the York Corps and was at Squires Gate. Asst. Comwith Supt. Mrs. Hyman, S.R.N. missioner B. Hart was officer commanding, (Harrogate) in charge, the nursing Corps Supt. H. Coates, adjutant, and being assisted daily by other tramed Corps Supt. L. Rawlinson second-innurses. These included County Nursing command and Camp Secretary. A drumOfficer Miss Barraclough, Miss Goodwin head service was conducted in the camp (Ripon), Mrs. Sutherland (Selby), and by the Rev. ]. Gillespie, Curate of 271

St. John's, Blackpool; and a parade to the Cenotaph, headed by the Markham Main St. John Band, at which the Mayor of Blackpool, Councillor J. R. Furniss, placed a wreath on the memorial, were among t.he weeks activities. The Mayor and Mayoress, accompanied by Asst. Co:nmissioner ,V. H. Gastall (LancashlI'e District), carried out an inspection on the Thursday. Saturday: came all too soon.

The Mayor of Blackpool inspecting the D.A.C. Corps members at Ca.mp.

Doncaster Corps.-Recently members of the Corps met to make a presentation to l\Ir. Donald 11acaskill, who had been their superintendent for 25 years. Corps Officer VV. G. Robinson presided, and Asst. Commissioner Dr. B. Hart presented a leather suitcase to !\Ir. Macaskill, and also a gold penell for Mrs. Macaskill. Other presentations included awards to the Nursing personnel, warrant as Corps Supt. to vV. S. Robinson, and as Corps Officer to Mrs. Dunn.

MORE COPIES

Does your colleague read the Gazette ? More copies are now available and orders for single copies, or monthly parcels, should be forwarded to the Publishing Officer, 46-47 Chancery Lane, London, W.C.2.

272

OBITUARY

vVe regret to announce the death of the following :-

Ambulance Officer Mrs. L. Carr, of the Rotherham Nursing Division, who passed away suddenly on August 13. She joined the Division in September, 1935, becoming Ambulance Officer in April, 1943. She led the Divisional competition with great success, and was to have captained the team at the Brigade Finals to be held on September 10. Members of the Division formed a guard of honour at the interment, and members of the Ambulance Division were the bearers. Asst. Commissioner Dr. K. H. Beverley, pistrict Officer Miss G. Ashberry, and County Cadet Officer Mrs. Beverley, were among those who paid their last respects to one who had done much to further the work of the Order.

Corporal Leslie Albert Browning, of the Borough of Reigate Corps. He joined the Reigate Division in April, 1926, and was promoted Corporal in September, 1939. He held the Service Medal and one Bar. His greatest achievement was the driving of the Brigade ambulance. A most efficient driver, he was responsible for the transport of no less than 4,240 patients. Many letters were received voicing the appreciation of his services.

County Nursing Officer Mrs. A. V. Turner, County of Oxford, who died on August 18. She was enrolled in the Brackley Nursing Division in 1941, and appointed Nursing Officer. In May, 1948, she was appointed County Nursing Officer, and since 1946, she was in charge of the Medical Comforts Depot;:;. Mrs. Turner was a most enthusiastic member, and will be missed in the County.

Private George Kinchin, of the Basingstoke Division, who died on August 14, after a long illness. He had been an active member of the Division since 1945, having previously been a member of the Cadet Division for six years.

W. Shephard, of the Warsop DiVISIOn, on July 28. He joined the Brigade in 1929, and had 27 years' efficient service to his credit. His passing, at the age of 61, is much regretted by his colleagues.

Ambulance Officer F. H. Churchman, of the Chesham Division. Affectionately known as •• Gunner" Churchman for he in the Royal Garrison Artillery at the hme of the Boer War, he had been associated with the Brigade for over thirty years, serving as Divisional Secretary, and later as Ambulance Officer. Members of the Ambulance and Nursing Divisions formed a guard of honour at the funeral service.

Pte. Robert Harold James, a former storekeeper of the Wallasey Division, who joined the Brigade in 1940. He was ever a willing worker and a member of many competition teams. His work with the J .W.O. 1d. a Week Fund deserves special mention. His widow is a member of the Nursing Division.

Pte. Eric W. Busby, of the "A" Division, Lincoln Corps, on August. 8. He had been a keen and enthusiastic member of the Lincoln Cadet Division for 6 years and attained the rank of Cadet Sergeant. He also had the distinction of winning the Grand Prior's Cadet Badge in 1945, and was tenor d ru mmer in the Corps Band. His death, at the early age of 19 years, after fourteen weeks' illness, robs the Brigade of a willlng and smart member.

FORTHCOMING EVENTS

SEPTEMBER

18. Brynmawr Division Jubilee Parade and Social.

Hereford County Adult and Cadet Competitions, Hereford.

19. Hereford County Ambulance, Nursing, and Cadet personnel, Inspection by Regional Commissioner.

20. St. J olm Exhibition, Guildhall, Gloucester.

25. Priory for Wales Cadet Final Competitions, Cardiff.

30. Opening of St. John Exhibition, Newport, Mon.

OCTOBER

2. Regional Nursing Conference, Reading.

6. Meeting of Committee of the Order of St. John in Northern Ireland, Belfast.

8 to 10. Residential Training Course for Nursing Divisions and Cadet Officers, Bangor, Co. Down.

9. Opening of Albany Hall, Headquarters of the Huddersneld Corps, by the Earl of Scarbrough

15 to 17. County Staff Training Course, Birmingham.

16. Meeting of St. John Council for West Riding of Yorkshire, Leeds.

17. Inspection of Dursley, Cam, and Stroud Divisions by the County Commissioner, at Dursley.

22. Cadet National Competition Finals, Central Hall, London.

26. Meeting of St. John Council for Oxfordshire.

27 to 30. St. John Exhibition, Working Men's Hall, Shrewsbury.

30. Hospitallers' Club Annual Dinner, Cora Hotel, London.

30 & 31. Conference of Brigade Surgeons, Royal Hotel, London.

Mr. Albert Ernest Checkley, formerly Superintendent of the Leamington Spa Division. He was a Servi'ng Brother of the Order and a Gold Medallist of the Great Western Railway.

Ambulance Officer A. H. Smith, who joined the Swindon Division in 1929 and was promoted to Ambulance Officer in 1942. He took an active part in training and was captain of the Swindon Divisional team in many Brigade competitions. He held the Service Medal of the Order.

Acting Cadet Superintendent W. J. Lane, of the ,Vroughton Ambulance Cadet Division. He took his first aid certificate at Wolverhampton in 1911 and joined the Swindon Division in 1929. Always interested in the Cadet movement, he worked wholeheartedly for it.

A ST. JOHN FAMILY. Cpl. L. Harvey (Staple Hill Division), leader of the team which won the Mather Cup, and individual winner of the Superintendent's Cup; Cpl. Mrs. Harvey, leader of the Bristol County Championship Team; Sheila (behind Mrs. Harvey) and Philippa, members of the Kingswood Cadet Nursing Division. Sheila was the leader of the team which won the Bristol County Junior Competitions, the Regional Competitions, and was placed fourth in the Cadet National Finals.

273

MODERN TRENDS IN THE TREATMENT OF ACCIDENTS

(A Synopsis of Lecture given to colliery first-aid personne l at Pontypridd under the auspices of the Priory for TVales)

(Concluded from page 118, April, 1948, issue)

At the Accident Hospital ,ve are concerned with research. I?o n?t believe this should be left to the whims of individual doctors. \Ve are especJally lllterested 111 injuries to the hand, partly because the y are imp ortant and.ha".e been in the past and partly because they occur so frequently III l1ght engme.enng J]]dustry. It may well be that other problems would loom more largely III an accidelit unit based on a mining area.

You have a special r esponsibility in mining because of the delay J?ay occur before the patient can be got to the surface. ,Ve need lIaIson between th e first aid workers, pithead staffs, local doctors and hospItals, and more central special accident hospitals. vVe need you as part of the accident team. Such planning and team work can be obtained by a truly democratic development on the basis of the o utlin e structure which constit utes the new • Tational Health Act. Such planning is not only consistent with care for the individual patient but alone can bring modern scientific surgical care tq that individual in the mines or elsewhere.

The following questions and answers were given at the subsequent discussion :-

Q. Do you think that a Mobile Operating Theatre would be practicable for use at collieries, amongst all the dirt?

A. The question of dirt does not enter into it. If it is considered that the man stands a better chance of survival by being operated upon immediately, the wound can be cleaned surgically when the patient is under the ancesthetic One must have the personnel with the mobile unit who have experience of treating accident cases, and 'who can judge whether an operation must be performed immediately, or whether the patient could stand the journey to hospital.

Q. Do you consider that a sort of casualty clearing station at a colliery would be a good thing ?

A. an accident occurs involving several people, a place of that sort, where blood transfusions can be given and certain operations performed, should be available. It would be more like a main dressing station.

Q. Do you think that a mobile operating unit ",wuld be useful at a colliery not more than six miles from a hospital?

A. If all accidents occurred only at the pithead, it would not; but when a man has been brought right up from underground, someone is needed to take the decision whether he must be treated at once or can stand the further risk of the journey to hospital.

Q. The only antiseptic available to colliery first aiders is iodine, and we are sometimes told that it is injurious to the tissues. Is there anything else which could be used ?

A. It is my opinion that iodine should never be used in first aid. It may be that the best thing to do is to put on a sterile dry dressing only. If the injury is serious and surgery is likely to be delayed more than a few hours, the ideal method of treatment is the injection of a large dose of penicillin intramuscularly. 1'vlorphia should be given if possible. The only local antiseptic I would advise is penicillin or sulphathiazole.

Q. If sulphathiazole is used, should it be left on for 24 hours?

A. It should not be regarded as a treatment; it is just to protect the wound until it can be given proper treatment. •

Q. Since assists in the formation of a blood clot, I should have thought It was a good thmg to use.

A. The best first aid dressing is to keep the wound covered with a dry sterile dressing. The important thing is to prevent germs getting into the wound from another person, e.g. from an infected hand or throat. a wound is cleaned surgically, all dead tissue is removed-the best antiseptic is the living tissue.

Q. 'iVhen a rna!). is injured at the pit, would you advise removing the dirt, or simply applying a dry dressing? \Vhen the man is taken to the ambulance station at the top of the pit the dressing is usually removed and the wound cleaned. Do you think it should be left until he gets to hospital.

A. The best treatment is that a dressing should be put on over the dirt without disturbing the wound in any way. The dressing should not be removed until the wound is to be treated. If the wound is to be cleaned surgically, the dressing should not be taken off until then, except for the necessity of a doctor examining it, preferably wearing a mask.

Q. 'Vhen a man is burned, a dressing is put on underground; and when he is brought to the ambulance room is taken off and saline solution put on the wound. Do you think it would be better to saturate the pads and bandages with saline soiution instead of removing them?

A. Since heat destroys germs, the bums themselves are sterile, and should therefore be covered and left alone until they are treated under aseptic conditions by persons wearing masks and using forceps for the removal of dressings, clothes, ('tc., so that no germs can get in. Saturating the bandages with saline solution only makes the dressings soggy and assists the passage of germs into the wound .

Q. ' Vhat are the possibilities 'of first aiders being trained to administer an(Bsthetics ?

A. V\Tithcut a doctor to supervise, it would be too dangerous for first aiders to use them.

Q. How long do you think an open fracture can safely be left untreated?

A. The longer a major bone fracture is left untreated, the greater is the danger to the patient's life. In the majority of severe cases the patient usually dies from shock or gangrene if the fracture is not treated surgically within a matter of hours.

RAILWAY AMBULANCE NEWS

EASTERN, NORTH EASTERN AND SCOTTISH REGIONS

The sixteenth annual competition between teams compnsmg the old L. & N.E. Railway was held at York on Friday, August 13, when Major A. C. White Knox of London, and Dr. ]. Rodger Sutherland of Glasgow, judged the work of the four teams. York Station was realistically represented in the gymnasium by the Carriage and \ ;Vagon Works, York, with a porter supposedly

to have been severely injured when coupling two carriages.

The result was a win for King's Cross Loco with 358! marks, followed by Langwith Loco Edinburgh, Waverley (278), and Kipps District (254). The Challenge Shield was presented to the winning team by Mr. E. M. Rutter, Superintendent, York, who congratulated not only the winners, but also all teams on their good performance.

SOUTHERN REGION

Horsham.-A company of about 80, comprising members of the Horsham Class and their wives, and railway offic ial s, assembled in the Railway Canteen, to celebrate the winning of the Inter-Rail'way First Aid Challenge Shield.

Following an excellent repast, Mr. H. C. Lang, Deputy Chief Officer, Labour and Establishment, presented the team with certificates to mark their success, for the second year in succession, and said, "Ambulance work caUs for service, the most unselfi sh hobby one can have-a study commended to those who wish to serve others with whom they live and work."

Those present included Mrs. Lang, Dr. and Mrs. K. Mawson, Dr. and Mrs. G. Scott, Dr. B. A. R. Pitt, Mr. F. A. Trott (General Ambulance Secretary) and Mrs. Trott, Mr. H. Lloyd (Station Master), Mr. A. Goddard (District Ambulance Secretary) and Mrs. Goddard.

Somerset and Dorset Joint Line.-

Under the Nationalization of Railways and the Regions, first aiders on the old Somerset and Dorset Joint Line have now transferred to the Southern Region. At a meeting recently held in Bath, Mr. G. S Hill (General Ambulance Secretary, London Midland Region), said he was certain that the transfer of the S. & D. 275

first aiders to the Southern Region would be beneficial, particularly as the Southern organization "was a very virile one. Mr. F. A. Trott ' (General Ambulance Secretary, Southern Region), thanked Mr. Hill for his remarks, and for attending to hand over such a keen band of first aiders who would undoubtedly dovetail into the Southern Family and assist in joint efforts of furthering the training of staff in first aid.

l\Ir. G. S. Hill (Centre Secretary, London Midland Region) third from and Mr. ,A. Trott (Centre Secretary: RegIOn) on Mr. HIll s right, together with Class Secretanes of the Old S. & D. Joint Line.

WESTERN REGION

l\Ir. J. R. Gallie, Diivsional Superintendent's Ofiice, 'Vorcester, has been appointed Divi<;ional Ambulance Secretary to the Vvorcester Division in succession to l\1r. 'V. J. Waite, who has retired. Aberystwyth.-l\Ir. 1. Jones, Station i\Iaster, presided at the presentation of awards which were made by Mr. T. C. Sellars, District Traffic Manager. The l\Iayor, .Councillor R. Ll. Thomas, presented gifts to Drs. Clifford Jones and Ll. J ames, as an expression of thanks from the members of the Class.

FOLLOWING IN FATHER'S FOOTSTEPS

Amb. Officer 1. D. R. Taylor, of the 'Vest Oxford Division, has received the certificate of the Great 'Western Railway Centre of the St. John Ambulance rendering exceptionally effiCIent first aId at Culham in February 1947.

His father received a similar certificate in 1918 for a case treated at Oxford Goods' Yard.

Didcot.-Mr. C. VV. Powell, Div. Superintendent, presided at the presentation oJ awards, which included a number of long service medals and bars. He was supported by Mr. P. Cambridge (Asst. Div. Supt.), Mr. Major, Station Master, Mr. E. J. Hamblin, Divisional Secretary, and Mr. B. Barlow, Class Secretary. Opportunity was taken to present to Mr. W. Lythgoe, former class secretary with a silver cigarette case on behalf of of the Class.

BRAVERY REWARDED

In the October, 1947, issue of The Gazette mention was made of the gallantry of a Brig<l:de membe.r, Mr. W. Younger, on the occaSIOn of a pIt explosion at Louisa Old Pit.

We have now been notified that Mr. Younger, who is Area Cadet Officer for West Durham, has been awarded the Medal in Silver, along with three of hlS colleagues who assisted in rescue work.

VALIDITY OF ADULT FIRST AID CERTIFICATE

and from September 1, 1948, the h t f T of validity of the Adult First Aid ere 0 ore: his ruling will not apply CertIficate of the St. John Ambulance retrospechvely to Adult First· Aid Association will be three years from the Certificates before September 1, date of its issue, instead of five years as to WhICh the five-year ruling. will 276

IMPROVE YOUR FIRST AID

Dr. Shaw Smith, writing in the disparity and make the splints lie Northern Area Gazette, gives the follow- reasonably evenly. ing important points. Moreover, plenty of padding means There is a great temptation to look that adequate firmness can be used in beyond the borders of true First Aid bandaging, and thus reasonable imto the theoretically interesting but mobility of the fracture attained withimpractical areas where the First Aider out undue pressure. There is all the has no business to be, and where he difference between firmness and tightmay be tempted to dabble in things of ness. Then the positioning of the which he knows not the significance. splints demands care. Undue pressure Far better to stick to straightforward must be avoided if the efficiency of the First Aid and make a really good job immobilization is not to be at the exof the more usual incidents before pense of comfort to the patient. The thinking of the unusual. There is inner or palmar splint should start just plenty of scope for improvement in short of the bony prominence at technique and repeated practice is the lower end of the humerus and the needed to get the necessary deftness other end can stick out beyond the of touch, the sureness of hand, and the fingers, though more comfort is obneatness of application which is ex- tailled if that end is just short enough pected of the trained First Aider. The for the fingers to curl round it. That " Black Book" is a model of concise- helps to relax the fingers an,d eases ness, and docs not go into detail, possible cramp and is certainly more leaving much to the resource of the comfortable to the victim. The outer First Aider in adapting the general splint can stick beyond the elbow so principles to the needs of the particular long as it does not get in the way, but emergency. A little explanation and the hand end should not be beyond elaboration may help to a better the knuckles or again there is ununderstanding of the problems' to be comfortable pressure. Properly apfaced, and may help to the turning out plied splints give great comfort, of a workmanlike job to the credit of lessen cramps and spasms of the the member and the benefit of the muscles, and thus there is less shock patient. to the patient.

Take, for instance, the handling of The positioning of the bandages is an accident involving fracture of the the next point. A fracture has been bones of the forearm. A common diagnosed, but the site of the fracture eno ugh injury, but not usually well has not been too precisely determined, treated. The textbook says to place and there is the possibility of there the arm across the body, thumb up being than 'one fracture, and a and palm to body. This is done so single fracture may be anywhere in the that the two bones are made to lie length of the bone. The splints must, parallel with one another, and splints therefore, aim at supporting the whole applied front and back will help to length of the bones and the upper or keep the bones reasonably parallel and bandage nearer the body must be will keep them at the proper distance placed as near the elbow as possible. from each other; in other words, in Too often one sees this bandage in the about their normal position. Padding is middle of the forearm, with possible usually skimpy, but it is a necessary dire effects on the injury and certainly part of the treatment. The sleeve littl e comfort to the patient. The gives some padding, if pulled down lower bandage is straightforward over the forearm, but the forearm has enough, though it has sometimes been such differences in size from one part to applied in an unnecessarily awkward another that padding is very necessary manner, so as to make it look better. to equalize to some e:xtent the Efficiency and the comfort of the 277

patient are the two goals to aim at.

The limb requires to be well supported before, and during the application of splints, but once the splints have been fumly bandaged in position the limb can be moved with relative freedom, and the sling applied in the most comfortabre position. Large sling, of course, and placed on the body and the arm put in position on it and then the ends tied.

So far as the comfort of the patient is concerned, I like to see the injured limb laid on a table or the like, while the necessary preparations are being made. It takes a little time to get splints, bandages, padding, and so on ready, and it is not necessary or advisable to expect the invalid to stand holding his arm as steady as he can. Sit him do wn, put the arm on a table, and then get someone to steady it

there till all is ready for the application of the splints. This should be done in practice too, to make practice more realistic and get a better a tmosphere. All I ask now is that you try this out and see if it does or does not give a more efficient result and also a more comfortable time for the patient in his hour of distress.

MINIATURE INSIGNIA

vVith reference to the announcement which appeared on page 229 of the August, 1948, issue of the Gazette, the cost of new style Miniature Insignia for Serving Brother and Serving Sister is £1 and not £1 lOs. This reduction is due to the removal of purchase tax. Orders should be forwarded to the Assistant Secretary, Order of St. John, St. John's Gate, London, E.C. 1, accompanied by a remittance.

friort! for

Headquarters: Priory House, 4 Cathedral Road, Cardiff.

GENERAL INTEREST

National Eisteddfod Ambulance Results.

The Eisteddfod attracted a large number of ambulance enthusiasts to Bridgend during August Bank Holiday week to compete in the ten competitions for teams of men, women, boys, and girls, arranged by a committee of which Mr. E. H. Plumley (Secretary of the Kenfig Hill Division) was Secretary. Asst. Commissioner D. M. Jones, Bridgend County Area, co-operated in the organization of the Ambulance Section; and the Priory was associated in the usual manner-the Principal Secretary (the Hon. John H. Bruce, J.P., D.L.) act.ing as Director of Ambulance and the Brigade Secretary (Mr. W. Mabon Abraham) as Chief Steward.

The results were as under :-

Lady Lewis Cup.-Open competition for teams of men qualified in first aid: 1st, Monmouthshire Police; 2nd, Pochin Colliery, Tredegar; 3rd, Kenfig Hill.

Lady Bute C1Itp.-Open contest for Nursing teams: 1st, ·Pentre (Rhondda) ; 2nd, Treharris; 3rd, Kenfig Hill.

T,'evethin Shield.-For men in Wales and Monmouthshire: 1st, Kenfig Hill; 2nd, Monmouthshi.re Police; 3rd, Treharris.

Silurian Shield.-For women in 'Vales and Monmouthshire: 1st, Tredegar; 2nd, Pentre; 3rd, Kenfig Hill.

I sca Shield.-For boys in Wales and Monmouthshire : 1st, Trelewis; 2nd, Ebbw Vale; 3rd, Duffryn Aman.

Gwent Shield.-For girls in Wales and Monmouthshire: 1st, Treharris; 2nd, Kenfig Hill; 3rd, Tredegar.

Junior Cadet Competition (Boys under 15).-lst, Duffryn Aman; 2nd, Newport; 3rd, Trelewis.

Bridgend Town, Ffaldau Institute and Garw, and Ogmore Vale Divisions with co-operation from Glamorgan B.R.C.S. detachments.

CENTRE REPORTS CARMARTHENSIDRE

At the invitation of the Corporation of Llanelly, Ambulance and Nursing competitions were held this year as a part of the Show, and in view of the fact that it is hoped to make this an annual event it is encouraging to note that the crowds which watched the practical competitions in the open-air ring were comparable to any in the whole show. The sustained interest of the many people who looked on at the ambulance demonstrations during the whole afternoon was a pleasant surprise and an ample recompense for those members of the Brigade who were responsible for organizing this section of the Show programme.

There was a good entry, a total oftwenty teams competing, and the organizers were particularly glad to welcome those who came long distances and who, it is hoped, have carried away with them pleasant memories which they will wish to revive by entering again next year. The results were as follows :-

Ambulance Competition.-1st, Kenfig Hill; 2nd, Great Mountain Colliery; 3rd, Cardiff General Railway No.1. Competition. - 1st, Milford Haven; 2nd, Cefn Cribbwr; 3rd, Kenfig Hill.

Senior Ambulance Cadets. - 1st, Trelewis; 2nd, ewport; 3rd, Llanelly Town.

Marske Nursing Division, North Riding of Yorkshire.

SURGEONS' CONFERENCE

The annual Conferencc and Dinner of Surgeons of the Brigade will he held at the Royal Hotel, Woburn Place, London, W.C.I, on Saturday and Sunday, October 30 and 31.

Whilst the full cannot yet be announced it can be stated that the speakers will include the. Sir Henry Pownall, Frank C. who will diSCUSS artificial respiration and give a demonstration with the. Stretcher, and Mr. Dick on Wright, M.S., F.R.C.S., who will open a dlscu Slon on the use of films in training.

The L.ord Webb-Johnson, Hospitaller of the Order, will he the principal guest at the dinner.

Further details will be available shortly. In the meantime Surgeons who wish to attend are asked to advise their District or County Surgeons hy an early post.

278

Junior Cadet Competition (Girls under 15).-lst, Kenfig Hill; 2nd, Burry Port; 3rd, Treharris.

Powell Duffryn Cup.-For teams of men qualified in first aid in mines: won by Pochin Colliery.

Individual First Aid in Mines.-1st, Emlyn Phillips; 2nd, D. G. Jon es (both of Pochin Colliery).

The first aid arrangements proved adequate to the need, enabling 167 casualties to receive prompt and efficient treatment to the satisfaction of all concerned, an American visitor expressing his gratitude in terms of highest appreciation. A rota of twelve hours' duty daily from July 31 to August 7 was carried out by personnel from the Cefn Cribbwr, Kenfig Hill, Taibach and Port Talbot,

Junior Ambulance Cadeis. Newport; 2nd, Kenfig Hill; Trelewis No.2. 1st, 3rd,

Junior Nursing Cadets.-1st, Kenfig Hill; 2nd, Pwll; 3rd, Burry Port Red Cross.

GLAMORGAN

Barry County Area.-In the presence of a large gathering of Brigade Officers and members and general public at St. Illtyd Church, Llantwit Major, eleven Ambulance and eleven Nursing Cadets were enrolled into the Brigade, Lady County Superintendent Mrs. C. G. Traherne performed the enrolment ceremony in a most impressive manner; and the Rector gave an inspiring talk to the Cadets starting on their II St. John " career. Mrs. Traherne took the salute as the parade passed ·the Cenotaph on returning from the church. Appreciation of Service.-Letiers such 279

as the following ad dressed to Priory Headquarters on August 8 are encouraging to those whose voluntary services too often appear to be taken for granted :-" My wife and I would like to express to you ou! very grateful thanks for the assistance rendered to our son Richard, who met with an accident whilst riding his bicycle at Margam on Saturday. He was picked up by one of your Officers of the Taibach and Port Talbot Ambulance Division, Mr. Charles 'Wright, who treated him for a badly broken forearm and cut knee. Our son, who is only 9t years old, was taken to his home and his arm attended to in a most professional manner, so that our doctor remarked upon the very fine way in which our son had been attended. After making him comfortable Mr. 'Wright phoned me to come at once; and his diagnosis of the injury was exactly what the X-ray plates eventually showed. We cannot speak too highly of this Officer's conduct which is worthy of the Knights of St. John. We feel had not Mr. Wright been on the spot someone may have tried to help without experience and furlher complicated this badly fractured arm. We are enclosing herewith a cheque for lOs. towards your funds as a ton:en of our gratitude for the chivalry and kindness shown to our son by one of your Officers in making him so comfortable and easing his pain. VIe shall always remember this very fine service rendered by an Officer of your Association. Please convey our thanks and gratitude to Mr. C. Wright."

MONMOUTHSHIRE

Gwent County Area.-Heavy rain made it impossible to carry out the plans made for "[he annual inspection to be held in the Bailey Park but the Mayor and Mayoress of Abergavenny (Councillor and Mrs. E. Recs) with Aldermen and Councillors

General -\.ss cmbh1948. The Prior, the Earl of Powis, addressing the General Assembly at the City Hall, Cardiff, on St. John's Day.

(By

were present at the Market Hall to welcome the Inspecting Officers the Hon. John H. Bruce (Principal Secretary and Commissioner for 'Wales), who was accompanied by Lady Raglan, President of the Usk Nursing Division. Addressing the parade the Inspecting Officer emphasized the importance of the Monmouthshire contribution to the Brigade in Wales, its strength being one-fifth of the total membership, and congratulated Gwent County Area on its work during the past year. He took the opportunity of pointing out the continuing need of St. John service, the National Health Act having in no way relieved the Brigade of responsibility for voluntary effort.

Service Medals and Bars were presented to a number of Officers and Members, Assistant Commissioner John Gibbs receiving from Lady Raglan his fifth bar signifying 40 years' efficient service. Cadet Edgar Pople, Celynen Collieries Cadet Ambulance Division, was presented with the Grand Prior's Cadet Badge Trevethin County Area.-Colonel J. Powell Jenkins, County Surgeon, Monmouthshire, inspected the Avon Llwyd Corps in the Ambulance Hall, Blaenavon, arrangements for a parade in the Hospital Park having to be abandoned on account of weather conditions. He congratulated Assistant Commissioner G. F. Tuckwell and his Officers on the smart appearance of the Corps, and in his remarks stressed the need for concentrating upon the Cadet aspect of Brigade work. The Chairman of the Blaenavon Council, Mr. H. T. Wathen, spoke of his pride in being associated, as was his father, with the Brigade; and the Clerk of the Council, Mr. I. G Gwyn Thomas, paid tribute to the Cadet movement as an organization through which young people were being influenced to value discipline. .

BOROUGH OF NEWPORT

Spectators at the annual inspection of Brigade units (ewport Centre) at Newport Athletic Grounds watched an unrehearsed exhibition of first aid-the Cadet Corps standard-bearer, overcome by the heat, fainted on the parade ground and had to be treated at the Chief Readquarters where he recovered.

The inspecting officer, the Hon. John H. Bruce (Commissioner for Wales), was accompanied by Lord Raglan (Lord Lieutenant), The Hon. l1rs. J. H. Bruce (Assistant Lady Superintendentior Wales), Major R. "Ware (Commissioner), Mr. "V. E. Bennett (High Sheriff), and Alderman and Mrs. T. F. Mooney (Mayor and Mayoress of Newport). Among the units on parade was a detachment of ewport Borough Police, led by the Divisional Superintendent, Inspector \V. R. Newton.

At tea, over which Major \Vare presided, the Commissioner for \Vales contradicted the idea that the St. John Ambulance Brigade were being put out of commission through the introduction of the new Health Act and explained how, on the contrary, the Act placed more responsibility on the Priory for Wales. He congratulated Corps Supt. T. J. Raines on his recent appointment as Assistant Commissioner, Lord Raglan presented service awards; and

the Mayor, who is ex-officio President of the Newport Centre, handed warrants of appointment to officers and other ranks, the High Sheriff presenting chevrons. Dr. S. McCormac (Newport Centre Chairman) thanked Lord Raglan and the Mayor and the High Sheriff, and Mr. W. J. T. Collins (Corps President), expressed gratitude to the Newport Centre for hospitality.

RHONDDA

Pentre Nursing Division is proud of the success of its team in winning the Lady Bute Cup in the open competition for Nursing teams at the National Eisteddfod, Bridgend. Formed in 1939, just before the outbreak of war, the unit was quickly called upon to turn instruction and training to practical account. Every member took an active part in Civil Defence, and the whole Division rendered excellent service in the Cwmparc blitz. The members of the successful team have only recently transferred from the Cadet Division, and as Cadets they won distinction in securing the cup given in memory of the late Div. Supt Mrs. E. Morgan and winning second prize at the 194 7 National Eisteddfod. The first success as an adult team was in gaining the Warren Shield in June, 1948.

oX 0 I D laboratory preparations are despatched with unfailing promptness, and reach you with gratifying speed This is a service you can rely on; every order is an emergency order

Write, telephone or wire your instructions

cOllrtesy South Wales Argus)

INTERESTING CASE REPORTS

CASE REPORT No. 353.-The Officer-in-Charge. of the County of S.].A.B., reports the efficient rendering of first <l:ld by members of t he H Ighbridge and Burnham Division in the following CIrcumstances :-

At II.45 a.m. on July I4, a shunter by Governn:en t a t th e ir Returned Stores, Highbridge, was engaged m shuntmg operatIons whe n a d e tached wagon was in danger of running down some other employees. S o he ran after the wagon, but unfortunately slipped and a wheel passed ove r one leg and practically s evered it. Sergean t H Pearce and Pte. G. Easton w h o were working near by, immediately ran to his assistance The latter a t o n ce applied digital pressure on the femora l artery while the ran to t he Ambulance Hut for first aid equipmen t . A to u rniquet was applIed, the wo u n d dressed, and the patient treated for shock. Arrangements were made fo r th e patient's removal by ambulance to B u rnham -on-Sea H ospital (a distance o f two miles) where he arrived \'vithin half a n h o u r of t he acciden t happe nin g . Later, a letter was received from the Ho u se S u rgeon, who praised the way in which the patient had been treated, and stated that had the to u rniq u e t n ot been efficiently applied, the patient would h ave died fr om loss of blood COMMENT.-Sergeant H. Pearce and Private G. Easton merit cordial congratu latwns on the dexterous and expeditious manner in which they dealt with a gravely inj'Lwed 111,an, w hereby th ey saved his life.-N. CORBET FLETCHER

CASE REPORT No. 354 -The Officer-in-Charge of No. I (Prince of Wale s 's ) District S.].A.B., reports the efficien t perfo r mance of first aid by membe r s o f the Dulwich Ambulance and Nursing D ivisions , while on ho l iday at Coombe Martin, Devon, in the following circ u ms t an ces :-

On Monday morning, July 20 , whi le walking on t he beach , Divisional S up e rintendent R. l\Iartin and his wife heard a ru mbling n o ise, fo llowed by a cry fo r help , and saw a big fall of rocks from the cliffs . They ran across the san ds through the sea, to the place whence the cry had come, and f o u n d a man a n d woman partly buried by pieces of r ock. vVarn ing t he bystanders to desist t he ir efforts to drag the patients from beneath the rocks, they a t once took charge o f the patients, Superintendent l\Iartin of the man, and his wife of the woman H e found that the man was suffering from concussion of brain accompanied by a deep wound at back of head, by a wound in back, and also by a com'po und comminuted fracture of right tibia, with a deep five inch lon g wo un d fr o m which there was some venous bleeding. Tying the fee t togeth er wi th a c o uple of handkerchiefs, he used the patient's be lt to tie his knees together, a nd co mpleted his job with two more handkerchiefs above and below the fract u re. Next he sent a bystander to the boatman for a board out of a boat. T hen wit h mo r e borrowed handkerchiefs soaked in sea \vater he washed and protected th e wo u n d before loadin.g patient on t he board and tr ansporting him thereon wi th t he he lp of bystanders o."cr the rocks to a chemist's shop (which served as dressing st at ion ) , and took 20 mmutes of steady tramping . Meanwhile Amb u lance Sist e r Martin found wOI?an was suffer ing from s evere wo u nds in face , a la r ge wound m nght thlgh venous and sh e s u spected a s imple fracture of left leg. She treated the patIen t by means of borrowed han dke rchie fs, and arranged for transport (along t h e same ro u te as h e r patient's hu sb and had been taken) on a stretcher was now available. T he ch em ist p r ove d to be Ambulance Officer J. J OlIver, of the Coombe Mar tin D i vision , w h o pro mptly te.lephon.ed for the St. John Ambulance, which provided t he necessary e quipm e nt wIth Wh ICh the 'wounds and fractures of both patients were treat ed. On a rri v al at hospital, House Surgeon expressed his appreciation of th e fi rst a i d r end e r e d to both patIents, and stated that t h e man would u nder go op e r a ti on durin g the afternoon.

COMMENT.-The facts being as stated , all that remains is to tender cordi al congratulations to Supe1'intendent R Martin , Ambu lance S is ter Mart i n , and those who ass'Lsted them , whereby f urther aggr av at i on of serious i nju r ies we 1'e preven ted - N. C. F

"I""olliING

AID SO,,,.

§ These are ti mes of 1,"+ :11,. change and stress. The :;" body has to adapt itself to 1111""'''\\'\ ever - varying conditions.

Often it needs help-and pain 5- is one of its ways of saying so.

The best treatment for head-

ache, neuritis and rheumatic f! and kindred pain conditions is QUICK ACTION WITH SUI' 'ASPRO'. Have 'ASPRO ' ready to take at the onset of the symptoms. You'll quickly feel its WONDERFUL PAIN - DISPELLING EFFECT. To the tired and over-strained 'ASPRO' brings sweet sleep_

DISPELS HEADACHES-NEURALGIA

NEURITIS-RHEUMATIC PAIN ETC.

Made by ASPRO LTD., Slough, Bucks.

Waterproof Elastoplast

is now available in LARGE

SIZE PACKS

Spe cial outfit s of Waterproo f Ela s toplast as well as standard fabric Ela s topla s t are now availabl e for fi rs t-aid posts. Each outfit contains 120 Wat erproof first-aid dre ss ings, 40 of each of 3 siz es ( I r X x"', 2l"x I " , 3 " X I "), refill s a vailabl e. Al so Bulk Packs of 100 dres sing s in si zes I t" x I l", 2 " x 3 " , Patch ett es t' diam. W a terproof Ela stoplast k eeps cut s clean and dry in w at er , grease and oil.

BECAUSE

one or other or all of the three races of germs, Streptococci, Staph ylococci and B.pyocyaneus are fOWld in every skin infection common to this country, and ANTI PEOL OINTMENT contains the antibodies (antivirus) of these germs. Healin g is expedited by the proved ingredie nts of the oin tment, and septic developmen t is sto pped or prevented by its an tivirus steril e va ccine filtrates. ANTIPEOL OI NTMENT is unsurpassed for BURNS and SCALDS, for it is microbicide and non -adhesive, and dressings do DOt require to be changed every day.

RHINO-ANTIPEOL

affords rapid relief of COMMON COLDS, INFLUENZA AND CATARRH. Containing the an tibodies of the germs common to infection s of the nose and pharynx (Staphylococci strep · tococci, B.pyocyaneus, pneumococci, pneu mobacilli, enterococci, M.catarrh alis, B. Pfeiffer), Rhino-Antipeol is not just a palli ative, but is a remover of the cause of the infection. During epidemics it is the ideal preventive of microbic development.

OPHTHALMO-ANTIPEOL

is a semifiuid ointment, more convenient th an the ordinary Antipeol ointment for ocular infections and lesions Eyes affected by smok e and dust are sooth ed almost imm ediat ely by the application of Ophthalmo-Antipeol, and the antiV1nIS prevents germs from developing.

OLINIOAL SAMPLES ON REQUEST FROM

QUESTIONS AND ANSWERS

Bl a nket Stretcher

J. P. (Hounslow).-The following query took origin at a recent Divisional Practice and is submitted for your kind ruling.

For lifting a patient ("who is suffering from spinal inj u ry) on a blan ke t w i th five bearers, the Su pplement to Textbook (p. I 7) s t ates that the bearers on each side of the patient should grasp the blanket opposite the patient's shoul?ers and thighs. We fuld, however, that the latter su ppor t tends to make the patIen t " fold up JJ and that a better support is obtained un der the buttocks.

"\Ve wonder if such a change in the position of this support is desirable and thank you for your kind ruling on this point.

From your state111 e1'lt of facts it seem s clear that the bearers have each had their hands too close together and too near the patient's knees , with the result that insufficient support is given 'Ln the ?'egion of the patient's pelvis . I suggest, the11efore, that the bearers should experiment with their hands at different distances apart , and that this will ?'eveal the most favou?lable position for canying a patient on a blanket stretcher.-N C. F.

Wounds involving Windpipe

S. VV. (Cleethorpes).-At a recen t D ivisional Pract ice the question arose as to how we should treat a severed windpipe , the vari eti es mainly dis c ussed be ing:

(a) Partially severed windpipe wi t hou t seve r e b leeding;

(b) Partially severed windpipe with sever e bleed ing; and

(c) Complete or a lmos t complete ly seve r ed windpipe

As the suggestions made were very conflicting, I should be pleased if yo u would please deal with th is question In the Query Column of the Gazette.

The poss1'bilities in the case to which you quote in your query are death from asphyxia, death f110m lza3m orrhage, death f,'om shock, or a fatal result from a C0111bmation of these causes. It is possible to save life as was shown during the I9 I 4- I8 war, when more than one man was shot th110ugh the neck with seve1' ance of the windpzpe, but recove1'ed afte11 skilful handling by the medical staff.

The imp01'tant point is to ensure speedy re11'wval to, hospital. I n the meanti111,e, 1.f a jugular vein or carotid a11tery is severed, this must be compressed backwa11ds against the sp2nal colu11'm by using the th um b or thumbs and this pressure must be maintained durtng transport. Normally escaping blood would fl ow down the sides of the neck and not into the open windpipe. Then the two pa1lts of the windpipe should be brought together by bendi12g the head slightly forward. This will avoid the risk of dust and gen'ns getting into the lungs . If the injury is such that the ends cannot p1'op erly be brought together, it would be better to keep the head back and leave the top of the windpipe open for breathing purposes. merely laying some clean gauze or clean linen lightly over the wound.- C. F.

Treatment of Hremorrhage

G E. (Sa le).-"\Vith reference t o t h e query wh i ch und er the a b ove h ea din g was p u b li shed in the J uly iss u e of t he Gazette, would no t the correc t treatm ent be t o tu rn patien t toward inj ur ed ribs, to treat the head wo u nd, t o give ice to s u ck, to complete treatmen t of ribs by supporting u ppe r li mb in a rm s lin g, and to elevate the feet of the loaded stretcher or to put the tallest membe r o f the sq u ad at the foot of the stret cher during transport ?

vVith a comp l etely equipped s q uad, after treatment in accordance w ith th e Te:x:tbook has been rendered, surely it would be good firs t aid t o loa d s u ch paben t stretcher and remove patient to medical care wi th o ut de l ay. MeanwhI le w e m u ch appreCIate your a uthor itative d ecisions

The .01liginal que1'Y as/wd if the lower limbs shou ld be raised instead of th e blee ding p arts, 'L.e head and trun!?, and I lzave no doubt that the team carried out the trea tmen t as detailed 'm Textbooll

/IIot:!ern Salicylate

ALTHOUGH acetyls ali cylic acid is one of the m ost popular and eff ective non-n a r cot. ic an a lges ics av a il a ble , its use h a s fre qu e ntly b een d isc ard ed by t he physician in view of the p ossib ility of its ir ri t a tmg t he g as tro- in t es t inal tract.

II AJasil, " however, helps to overcome th is <;>bj e.c tion , by providing the be neficial therapeutic effec ts of a cet yl sa

I , Flag Day Emblems, Buffons and

Your query deals with transport af ter t11eatment " and if the condition of th e patient is as described in 'my original reply , then you would, of course,. out instructions of the Textbook on p. I 93, whe11e you are told th a t the pos2 tvm 'Ln w h 'Lc h patient was placed during treatment must not be disturbed unnecess arily during transport. - ;;J.. C.

Carriage of Stretcher

L. D . (l\ I iddlesbro u gh ).-I than k yo u for yo ur r ep ly t o m y qu er y w hich und er the above heading was pu blished in th e Au g u s t iss u e of t he Gazette. \ Vh il e I agree that yo ur reply was correct fo r cases in w h ic h t he t eams have t o s ur mo unt a so u nd fence, my intention was t o ge t yo u t o t e ll u s how Bearer TO. 2 s h o uld receive t he loaded stre t che r whe n crossing a n u nso u nd fence on which th e stretcher cannot be rested wi t h any sec uri ty. I wo u ld also li ke to ad d th a t up to the natura l bend of t he a rm level I h ave fo u nd i t to be as easy to rece ive a loaded stretcher from behind as it is fr o m the fron t .

The mam point of your original query dealt wi th th e possibility of B ea1 er NO.2 t aking both handles after crossing the f ence and advancing with his back to th e stl etcher. Whether the fence be s ound or unsmtnd, this method cannot be defended (1) because the obstruction is usually of such a hezght that the weIght could no t be taken satisfactorily ; (2) because B earer NO.2 cannot see what is going on behind hlln ; and (3) because with a f our-bearer t eam it is a logical procedure f or two men to take each end of the stretcher. I n m,y opinion, therefore, if the fence is no t safe, the s tretcher bearers should either pass through it by making an opening , 01' proceed to some other part of the fi eld w h ere there is a gate which can be opened.;;J.. C. F.

Effects of Drowning

O. 1\1. (Carsha lton).-R ece ntly I was t o ld th a t dr own e d men floa t " f ace dO\Vl1 " and drowned women " f ace up ". If this st a t ement is correct, please tell me the reason fo r th e di fference .

I n a fatal case of drowning the body is submerged until th e gases of putrefa ct ion accumulate in suffi c ient quantity to make the specific gravity of th e body less th an that of the wale1' in wInch it lies . T his usually occurs within one week , when the body 1'1ses again.

T he bodies of men (excep t w hen there is an excess of abdomina l f at) fl oat i n the prone pos2tion with head and limbs below th e leve l of the wate r, th a t is " fa ce d own ".

The bodies of women, howeve r, on accoun t of the fa tty tissue of breas ts an d ab do m en, fl oat in recumben t position, th a t is tt f ace 'Ltp ".-N. C F.

CLASSIFIED AD VERTIS EM ENT S

Advertisements with remittance should be sent to the St. John Gazette, 46-47 Chancery Lane , London, W.C 2 (to which address replies to Box Numbers should be forwarded). Rate 3d per word , minimum 41. 6d Box numbers IS. extra. Trade advertisements 4d. per word, minimum 6s.

W ANTED. - Two lar ge s ize O.R s Ja ck e ts and Trous ers; payment, or ex c h an ge

s m aller si zes.-S ARSON, 22 S l eaford Str eet, C a mbrid ge.

SUCCESSFUL COMPETITION WORK.-

Over 300 separate pointers are glVen in H o rton's F i rst AId Comp etition Tr ain ing ; th e practical guide for all Firs t Aid Competitors. Price 9d., po st 2d . ( 8s a dozen, I5S. two dozen).THE FOUNTAIN PRESS, 46-47 Chancery Lane, London, W C 2.

FOR SALE.- Offi c er's outdo or and indoor UnifOl m, c omplete with badges; size S W.; ex tra apr ons, cap s, etc ; also grey dress; £ 4 .-S J. 101, c/ o Publis hers.

RAISE FUNDS QUICKLY AND EASILY by selling Perfumed Cards, Sachets and other novelties. Samples free to secretaries.-THE AIRBDALE PRESS, P.O Box 60 Bradford.

RAZOR BLADES FOR FUND RAISING._ Etched (printed) your own brand "S J.A.B." New slotted type We are equipped to supply very small quantities. Best quality British Sample, price, and particulars free.ROBERTS BROS. & CO., 143 Town Street. Beeston Leeds II

H OLIDAYS .-Ex cellent food, feather beds, h & c bedr oo ms, r eduction to S J A.B men:b er s and families -HUNTER, C< Lynton," Manne Rd., Prestatyn, N. Wales Phone 639. 286

HOBSON &SONS (LONDON), Ltd.

FOUNDED 1850 Specialists in Uniforms for St. John Ambulance Br igade JACKETS, TROUSERS, GREATCOATS, CAPS, GLOVES, HAVERSACKS.

PRICE LIST AND PATTERNS ON REQUEST

All enquiries to : 154 -164 TOOLEY STREET

LONDON BRIDGE, S.E.1

Telephone: Telegrams: Hop 2476 (4 lines) Hobson, Borah, London

Everything Surgical •

George B. Ritchie & Co

First-Aid Equipment and Dressings 249 Buchanan Street Glasgow

Stretchers, Tourniquets, First-Aid Pouches and Cases Splinting, &c.

Wonderful Book FREE

Postal Courses of traInIng for all nurses' examinations. State RegIstration. Health ViSitors, C M B.• Massage, Chiropody, DIspensing, Diploma In Nursing Write for valuable book to the Secretary, Medical Correspondence College, Dept (J. A.), 19 Welbeck Street, London , W. I. (Enclose 2id. stamp for postat'e.)

A book for all First Aiders ADDITIONAL HINTS ON FIRST AID AND HOME NURSING by FLORENCE A. KNOPE

DR. N. CORBET fLETCHER writing in the Preface says" This book w ill appeal .•. to members of Ambulance and Nursing umts of the Sr. John Ambulance Brigade .•. It gives most helpful suggestio ns whereby full treatment of sudden illness 4nd accident, as laid down in the Textbooks, can be effected."

EVERY ST. JOHN OFFICER and MEMBER should procure a copy at once

Price Is. 3d. (post ld.) THE FOUNTAIN PRESS 46-7 Chancery Lane, London. W.C.2 WALL

ANATOMICAL DIAGRAMS AND OSTEOLOGY for LECTURES BOOKS FOR AMBULANCE WORKERS

H. K. LEWIS & Co. Ltd.

136 GOWER STREET, LONDON, W.e. 1 EUSton 4282 (5 lines,

HENRY POTTER & CO. 36/38 West Street

Charing Cross Road, W.C.l (Phone: TEMPLE BAR 1649) of BUGLES. DRUMS. FLUTES AND FITMENTS

BAND GUIDE, 6d. (post paid)

287

He's

impossible,

needs a course dyspeptic, of Benger's rude, Food

When your digestion is out of order, practise wbat is known as Rest-Therapy - rest your digestion for a while and take a course of Benger's Food at night_ " B enger s" i s ri ch ment, pre-digeste d It soc.n soothes an d s tren gt hens the dIgestIOn back to normal.

K eep a tin of Benger's in the hou •e. From 2/- a tin at alL Chemists and Grocers.

"Bengers" is a regd trade mark of Benger's Ltd" H o lmes Chapel, Cheshire. p2

INSTANT CONTACT

between station and a/I vehicles

The G.E.C., V.H.F. Radio telephone provides a means of making

instant contact between control centre and ambulances on the road. Incidents can be dealt with more speedily, the ambulance crew being able to give instructions back to control, who can prepare the hospital for the case on the way. It is as simple to use as t he telephone and makes for substantial savings in runni n g costs. Further information will gladly be gI ven upon request

Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.