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Edited by GEORGE E. CRAFT, F.R.S.A.
t6e of t6e in f6e of t6e <brber of t6e of 3o£3n of
VOL. r6. No. r J ANUARY, r943
:n3rigabe @\) e raeae jubilee, 942
[By COttrtesy B.B C
GROUP PHOTOGRAPHED AT THE J UB ILEE PARTY
From left: L ady
(All reports, etc. , should reach the Editor not later than the 28th of the month.)
EDITORIAL OFFICES: PUBLISHING OFFICES: ST. JOHN'S GATE, LONDON, E C l 11-13, BREAM'S BUILDINGS, LONDON, E.C.4
Louis Mountbatten (Lady At-Home), Col. J. L. Sleeman (Chief Commissioner, Overseas) , Miss D. Mavrojani (S.d.JI Ot(lcer, Overseas ), The E a rl of Clarendon (Chancellor of the Order) and Mrs. Gilmour (Lady District Superintendent, Canada )
ANTIPEOL OINTMENT
BECAUSE
E
t6e .lourn(J.f of t6e \prior13 in t6e OOritis6 (Re(J.fm of . C6e (1'ener(J.Sfe of t6e Jl5os.pitCJ.f of [St . .l06n of .lerusCJ.fem
Edited by GEORGE E. CRAFT, F.R.S.A.
VOL. 16. No. 1 JANUARY, 1943
EDITORIAL
,,\lVith the commencement of another year let us consider our personal activities during 1942. Did we do all that was possible to assist our organisation? Did we encourage others to further the objects of St. John? Did we fail in the duties allotted us? Tbese questions can be answered truthfully by each individual only and not by one person on behalf of many.
one or other or all of the three races of germs, Streptococci , Staphylococci and B.pyocyaneus are found in every skin infection common to this country, and ANTIPEOL OINTME,t..; T contains the antibodies (antivirus) of these germs_ Healing is expedited by the proved ingredients of the ointment, and sept ic development is stopped or prevented by its antivirus sterile vaccine filtrates_ ANTIPEOL OINTMENT is unsurpass ed for BURNS and SCALDS, for it is microbicide and n onadhesive, and <;lressings do not require to be changed every da y.
RHINO-ANTIPEOL
affords rapid relief of COMMON COLDS, INFLUENZA, AND CATARR H
Containing the antibodies of the germs common to infections of the nose an d (Staphyl?cocci, Streptococci, B.pyocyaneus, pneumococci, pneumoenteroc<;>CGI, M. catarrhalis, B.Pfeiffer) , Rhino-Antipeol is not just a pallIatIve, but IS a remover of the cause of the infection During epidemics it is the ideal preventive of microbic development.
OPHTHALMO-ANTIPEOL
. is a semi-fluid ointment, more convenient than the ordinary Antipeol ointmen t for oCl!llar infecti'ons and lesi0ns. Eyes affected by smoke and dust are soothed. a.lmost immediately by the application of Ophthalmo-Antipeol, an d the antiVlI'US prevents germs from 6levelopUig.
C lin i c a I S a m , p I e son r e que 5 t fro m MEDICO-BIOLOGICAL LABORATORIES LTD. CARGREEN ROAD, SOUTH NORWOOD, LONDON, S.E.15 2
During the present year important events ,,,rill be taking place. We have been warned by the Prime Minister and other members of the Cabinet that there are hard tasks and times in front of us. Tasks that will require of our best, and only our best, efforts; times during which we must stand firm and be ready for any eventuality.
That members of the Order of St. John in all its branches v;rill be found ready' and willing to do their share goes without question. They have proved their sterling worth in the past, for which Government officials have expressed thanks in no mean terms. V'le must, however, make certain that our efficiency and usefulness are not 10'wer e d by complacency. How easy it is to forget training has been well illustrated by the" A.R.P. Bees" which have been radiated on the wireless. Therefore, in times of comparative quietness we must continue with our studies and our exercises so that we are all the more prepared and ready to give of our best when our services are required by those in distress.
Finally, we extend to all members At-Home and Overseas, in H.M. FGrces or Civil Defence Service, best wishes for 1943. May our efforts bring forth more quick ly that peace and understandi.ng between all Nations for wbich we are now fighting.
NEW YEAR HONOURS
Among the Honours bestowed by His Majesty the King were the following membe r s of the Order, the Association and the Brigade:Knights ' Bachelor: Li e ut .-Col. John M.YO.; Henry A u stin Strutt (Assistant Murray Reddie, C.B . ; Arthur Cecil County Commissioner, Buckinghamshire, Griffin, O.B.E . S.J.A.B.) .
C.B.E.: The Lady Louis Mount- O.B.E. : Roger Edward Norton; Major batten (Lady Superintendent-in-Chief At- (Tem.p. Lieut.-Col.) John Cecil D'Arcy Home ) ; John Soundy. Dalton, R.A.; Major Alfred Tennyson
K.C.S.I. : Sir Thomas Guthrie Russe ll , Smith , :lVI.D. , C.lH. (County Commissioner, K.C.I.E. Hants and Isle of Wight , S .lA.B .).
G.C.I.E. : Sir Maurice Garnier Hallett, M.B.E.: Herbert Langley J one KC.S. I. , C.I. E (County Commissioner, Hertfordshire , Field-Marshal : General the \ Yiscount S.lA.B.); Miss Myrtle Ruth Margaret Gort, ye. Tuckwell (Lady District Officer, No. 1
C.V.O.: Edgar Stanley Roper , District, S.J.A.B.)
in tbe l\ealm of tbr ' " <l&rber of tbe of 'W , jfobn of jferu15alem
His Majesty the King has been graciously pleased to sanct'ion the following Promotions in, and Appointments to, The Vene1' able O"der of the Hospital of St. John of Je1'usalem,
For ProITlOtion to the of Knight
William Henry Kauntze, C.M,G" J'v1;,B.E., M,D, (from Commander),
Frederick Portway Wilson (from Commander),
For Admission in the Grade of Knight
H,E. Sir Alan Cuthbert Maxwell Burns, KC.M,G,
For Promotion to the Grade of Dan1.e Catherine Scott, Mrs, Maxwell (from Commander) ,
For Promotion to the Grade of Commander (Brother)
Edgar Stanley Roper, M,V,O,
Major Percy George Darvil-Smith, C.B.E.
Alec Reginald'Towerzey, (All from Officer),
For Promotion to the Grade of Associate Commander (Brother)
Colonel The Lord athan, M,P, (from Associate Officer),
For Promotion to the Grade of Officer (Brother)
George Alfred Enderby.
John William Poole,
Captain James Pirie, M,D.
James Lamberton, M.B.
Lieut.-Colonel Charles William Eames, D.S,O., T.D., M.D., M.RC.S.
Marguerite Thornton, Miss Challis. Poilie, Mrs. Lanyon.
Hermione Marion, Mrs. Harrex.
Olive Eirene, Miss Morley.
Jane Charlotte, Miss Bandinel.
Harriet Rowland Louise Reid, M.B. Doris, Miss Young.
For Admission in the Grade of AS'sociate Serving Sister
Verna Melhado, Mrs. Henriques.
Jlubilte of m:ue 31 ohn tl mbulantt J1irtgabr
To celebrate the 50th anniversary of the Dunedin Division, and the Jubilee of the Brigade Overseas, a birthday party was held at the Overseas Club, London, on Monday, December 21, at which many distinguished members of the Order and of the Brigade Overseas and At-Home were present. A recording of proceedings was made, this being radiated on the Empire wC,l.ve -l engths on \Vednesday, December 23.
The proceed in gs opened by the naming of many visitors present. A message was read from Lord BlecLisloe, who was ·unfortunately indisposed, in which he said: " As New Zealand's old Governor-General, devoted to the Dominion, and her brave lov able peop le, I share her ju stifiable pride in this notable lan?mark of splendid record, not only lil outstandmg achievem p I1ts in the fighting services, btlt also in noble humanitarian effort. The enthusiasm, selfless patriotism and everincreasing efficiency and skill whi.ch ha:'e characterised members of the Bngade m , Gor! 's Own Country' during the past fifty years have not been surpassed."
Coione l James L. Sleeman (Chief Commissioner of the Brigade Overseas) then addressed the party, as follows :-
" Kia Ora to all my friends in New Zealand. Fifty years ago to-day the firo.;t formation of the Brigade Overseas CClme into existence, that honour falling to the Dunerlin Ambulance Division in New Zealand. vVe who are assembled in your honour most warmly who represent the Order, the ASSOCIatIOn and the Brigade. There is ind eed somethin g most fitting in that this pioneer unit was formed 'Down Under,' seeing that a lthough on the opposite side of the world it has ever been so British in
character. Three names have travelled down through that lon g corridor of time: those of Dr. Close, Superintendent Mearns and Colonel Barclay, who by a singularly happy coincidence is still your Chief Commissioner and one to whom we owe so much. Their names deserve to be recorded in letters of gold in every ambulance centre in the Dominion. If the Maori, when they first sighted New Zealand had named it Ao-Tearoa, or the' 'long white cloud,' it certainly siQce proved one of the brilliant lining so far as the patriotism of its peoples, the gallant ry of its fighting forces, and the efficiency of its ambulance service are concerned. By the end of 1941 the Brigade At-Home was providing the admirable total of four ambulance members of each thousand of its population, but New Zealand was providing six per thousand, a far greater percentage than in any other part of the Empire. Tbis is not all, for in its total of Grand Prior badges, that coveted test of Cadet efficiency, New Zealand from a population of I! millions had gained the amazing total of 429 as compared with the 356 of the Brigade At-Home and to the 17 won by the rest of the British Commonwealth of Nations. This represents one Grand Prior Badge for every 25 Cadets of its strength in New Zealand, a record which I question will ever be beaten. Such proofs speak for themselves, and that 'God's Own Country' not only blazed the trail of the Ambulance Service Overseas, but has reached such a high position in percentage of result is a triumph of the highest order. The mission of those New Zealanders half a century ago has also brought a Jubilee to the whole Empire Overseas, to members of a 5 2
mighty brotherhood and sisterhood of service to humanity of every race, creed and colour, members who work harmoniously to g ether in this the most ancient Order of Chivalry in existence."
The Earl of Clarendon (Chancellor of the Order) g ave particulars of the work of the Brig ade Overseas. He said: " Although New Zealand was the first in the field, she was not to be left long in splendid isolation, for on May 30, 1893, two Am bulance Di visions were formed in South Africa, the Capetown Railway Division and the Rondebosch Diocesan College Division, followed by . a
Division whose fiftieth birthday we celebrate to-day. We are also rej oicing in the Jubilee of the whole of the Brig ade Overseas, that wonderful body of voluntary workers throughout the Empire. But I think the fine record of St John in N e.w Zealand must surel y be unequalled During the brief time I sp ent in the Dominion some years a go, I unfortun a tely did not have the opportunity of vi s iting the South Island , but I shall alwa,ys retain the happi est recollections of the North Island and ce rtain thin g s st a nd out vividly in my mind We all fe el pride at the progress of the Bri ga de in the Dominion and especially the hi gh standard of efficiency and the de v otio n to duty of all its members. But i t d o es not, h o w e ver, surprise us bec <}us e it is only in keeping with the ma gnifi cent contribution w hich New Zealand is making to the w o rld-wide fi gh t for justice and freedom a nd to the most gi gantic and vit a l crusad e of all time, true to all the traditi ons o f their Order , St. J ohn members throu gh o ut the Empire are foremost in the fi ght and will not rest until peace is as sured to all its peoples."
PHYSIOLOGY IN ,FIRST AID
By M. M. Scott, M'.R.C.S., L.R.C.P.
(Member oj the Textbook Revision Committee and Divisional Surgeon, S.IA.B.)
THE ALIMENTARY SYSTEM
(Continued from 299, December, 1942, issue)
' fourth at Auckland in New Zealand later on. So much for the men, but they were not to have it all their own way indefinitely, for on April 30, 1894, the first Nursing Division of the Brigade Overseas was formed, that honour going to Capetown, South Africa. Next came the fifth Ambulapce Division, which was also formed in South Africa, and East London durin g the year 1895 . To this challenge New Zealand responded by forming a Nursing Division at Dunedin on April 30, 1895, an Ambulance Division at Oamaru on October 18, H399, and this was followed by the seventh Ambulance Division in Wellington on January 18, 1900. The monopoly of pioneer work accomplished by South Africa and New Zealand came to an end, however, in 1903, when the Commonwealth of Australia entered the lists of ambulance service and formed the last three of the first six Nursing Divisi9ns of the Brigade Overseas, at Glebe .on March 20, 1903, at Balmain on May 30, 1904, and at Sydney on June 7 of the same year. Here is a brief record of the evolution of the Brigade Overseas in the years immediately following the birth of the St. John Ambulance Brigade in Great Britain. I take this opportunity to warmly congratulate New Zealand on having been the first in the field, and as the ex-Govern orGeneral of South Africa let me say that I an;J. more than deli ghted at the fact HONOURS that the Union participated in this neck We are pleased to announc e that and neck race with New Zealand for the Acting Flight-Lieut J E G. Hancock, honour of first place." R.A.F., has been awarded the DistinFinally, Lady Louis Mountbatten (Lady guished Flying Cross In January, 1942, Superintendent - in - Chief, Brigade At- ,he was "Mentioned in Dispatches," Home) gave the following messa ge: , F jL Hancock was for many years a most "As Superintendent-in-Chief , At-Home, active and efficient member of the Plyand wife of the new President of the mouth Central Ambulance Division. Overseas League, I welcome the oppor- Private G. E. Sheppard, of the Bude tunity _ of saying a few words on this Division, now serving in the RA.M .C., memorable occasiem. on behalf of our one has been awarded the Testimonial on hundred and fifty thousand members who Vellum by the Royal Humane Society for have given such courageous and devoted the saving of life from drowning whilst service in the last years, I would like to on leave at Bude last Au gust. A report send. greetings and congratulations to our of his action was published in the December, J?t, lohn in New Zealand, 1942 issue of THE GAZETTE under" Interestand particularly tQ) those 'of the Dunedin ing Case Report, No. 217." 6
THE ABDOMINAL CAVITY diaphragm on the left side, and is In order to better appreciate the suspended from the liver by a supfurther course of the alimentary canal porting fold of peritoneum, so that it a general conception of the landmarks moves during respiration. When and contents of the abdominal cavity empty, it is flask-shaped, the wider is necessary. The Abdominal Cavity end towards the left being known as is the largest in the body. Abe)Ve it is the Fundus, and the narrow end bounqed by the diaphragm, below by towards the right as the Pylorus. The the brim of the true Pelvis, at the oesophagus enters it on the right front and sides by the abdominal border, just below the fundus, the muscles and lower ribs, at the back region between this point and the by the vertebral column and deep pylorus being known as the" Body of back muscles, while from its lower the Stomach . " The rig ht and left part, a smaller off-shoot-the Pelvic are referred to as the Cavity-extends downwards to be " Smaller" and " Greater" curvatures enclosed within th e bony pelvis. respectively, while the front and back
A bdominal principal surfaces are referred to as the Anterior abdominal contents are :_ and Posterior surfaces in that order .
Messag es w ere also recei ved from -Lord Scarbrou g h (Sub-Pri or), in w h ich he paid tribute to the out standin g w ork of the Association and Bri gade O ve r seas, adding: "Throu ghout these fifty year s, both in normal and abnormal' time s , N ew Ze a land had given heartenin g proof o f the imme nse value to the community of th e cause which we all have at heart, r efl e cting, as it does, that spirit of serv ice for others which was th e guiding principle which actuated the Ho spitallers in J e ru s alem in the eleventh century." The High Commissioners for Australia, Canada, So uth Africa and India sent cordial gr eetin gs. It was regretted that the Hon Mrs .' Copland-Griffiths (Lady Sup e rintendentin-Chief, Overseas) was una ble to bf! present owin g to indisposition.
(a) The larger part of the Alimentary Canal, viz., the stomach , the small and the larg e intestines.
(b) The Liver, which occupies the upper right quandrant, so that it is overlapped by the diaphragm, while itself overlaps the stomach and the beginning of the small intestine, and the gall bladder, which is attached to its under surface .
(c) The Pancrea s, w hich lies behind the stomach; and the Spleen, which THE STOMACH lies near the tail of the pancreas A. Oesoph agus D Bile Du ct behind the stomach on the left side B. Fundus E. Pancrea tic Du ct of the C. Pylorus F. Du odenum
(d) The Kidneys , one on each side, and the supra-imposed supra-renal glands, which lie on the back or posterior wall of the abdomen, approximately under cover of the back part of the lowest two ribs. The Ureters are two in number , e ach conveying the urine from its correspond:ing kidney to the bladder, which lies . immediately behind the pubis, or the front part of the bony pelvis.
(e) The big Blood (the Abdominal Aorta and the Inferior Vena Cava). part of the Thoracic Duct nerves, peritoneum aild fat, and the lymphatic vessels.
\ THE STOMACH
The stomach is situated in the upper part of the abdomen, just below the
The stomach is composed of four layers from without in w ards , there being (a) a serous or peritoneal coat; (b) a muscular coat composed of three lay ers, viz. , longitude, circular and oblique; (c) a submucous coat containing blood vessels; (d) a mucous coat-th e thick soft inner membran e , which is arranged in folds and contains the g astric glands.
THE DUODENUM, PANCREAS AND LIVER
These thr ee sections of the A limentary S ys tem work in close c ollaboration, and may therefore be considered together.
The Du odenum is the first part of th e small intestine. It is about 10 inches long, forming a C-shap e l oo p, with the convexity to the right, the
concavity being occupied by the head of the Pancreas. Above it is continuous with the stomach at the Pylorus, and below with the rest of the small intestine at the duodeno-jejunal fle x ure. The common bile duct, the two pancreatic ducts enter its middle part.
The Pancreas is a glandular structure lying behind the stomach. I t is generally described as having a head, a neck, a body and a tail.
The Head, as already mentioned, lies in the concavity of the duodenum.
The Neck joins the head to the body.
The Body crosses over to the left, behind the stomach.
The Duodenum, the Pancreas and the Spleen
The Tail is the continuation of the body and touches the spleen. The gland has two important functions. Firstly, it secretes the panc.reatic juice, which is so vital to the process of digestion. The juice is collected into the two ducts, which open into the duodenum, the upper and main duct uniting with the bile duct at their terminal parts. Secondly, it produces Insulin, which controls the meta?olism of sugar in the body. Insulin IS manufactured -in special cells which form the I slets of Langerhans. It is not collected into ducts, but passes directly into the blood stream, so that in this respect the Pancreas also functions as a "Ductless Gland."
(To be continued)
POLICE AMBULANCE NEWS
At Eastleigh Police Court W.R. Police Constables Beavis and Ricketts were congratulated by the chairman on efficient nrst aid ren dered to a man charged with attempted suicide. The constables went to the prisoner's home and fo und him lying on the floor of a gas-filled room Tt:ey applied artificial respiration for 25 mmutes before the patient recover ed. Both constables were trained by the West Netley Division of the S.] .A.B. 8
METROPOLITAN
" M" Di vision.-The annual '" Clean Sweep" competition was judged by Dr. M. M. Scott on December 6, when 10 teams (winners of preliminary tests) took part. Regulars , Specials, War Reserves and Women Police gave excellent displays which were witnessed by a v ery large crowd.
Supt. Briggs announced the result, which was a win for the Women Police, followed by Southwark "A," Deptford " A," Kennington Road "A." The trophy and individual prizes were presented to the successful competitors by Supt. Peto, of the Women Police.
" A " Division.-The Divisional competition was held at Peel House on December 11, when five teams competed, the judges being Dr. R. V Steele (team) and Dr. E. S. Abraham (individual). Cannon Row Regulars gained first place, Rochester Rowand Hyde Park being second.
Sir Philip Game presented th e trophy and individual medals given by Assistant Commissioner Sir George Abbi ss, who ,ovitnessed the tests, as did also D .A.C. Major Mergetson, Chief Constable Bennett and other officers. Supt Storri e r expressed thanks to Chief Insp ector Frith and P. C. Eagles (trainer) for the great work they hav e done in first aid.
CITY OF LONDON
The competition for the " Ald ermans' Cup" and" Sully Trophy" (individual) was held on December 28 Teams from each Division compet ed before' Capt. W Goodley (Commission er, No. 1 District , S.] .A.B.) and Mr G. E. Craft. Among those who witnessed the teams at work were the Commissioner (Sir Hugh Turnbull, Supt. Lucas, Dr. Crabbe and Miss Tilney (Matron), Commandant Foxon and Chief Staff Officer: Brown (City Specials), Mr. D. G. Monteith (S.J.A.A.) and other officel's of the Force. After good work had been displayed by the competitors the Commissioner presented tbe championship cup to "C" Division (captain, P.C. May), who gained first place with " D" Division, two marks behind. The Individual Championship was won by P.e. McDermott, of " A" Division, and he received the "Sully" Trophy. Sir Hugh expressed thanks to the judges (who addressed tbe competitors), to Mr. J. Grossman (of tbe Associated British Picture Corporation) for tbe excell ent staging effects, to In specto r Mumford (who was competition secretary ), and otbers who had assisted to rna ke the event a success. He aslted Capt. Goodley to accept a small donation for the Prisoners of War Fund from the members of the team.
RAILWAY AMBULANCE NEWS
L.P.T.B. (MET. LINES) CENTRE
The presentation of examination and other awards took place at Baker Street Station Mr. A. ] 'Webb (chairman of the Centre) expressed regrets that Mr. Evan Evans (President) could not be present owing to indisposition.
R ob inia , Viscountess Mountgarret, Lady County Vice-President for the vVest Ridin g of Yorkshire, gave an interesting address on the foundation and '<\' Qrkings of the St. ] oh n Opthalmic Hospital at ] erusalem. Col. A. VV. M. Mawby (vicechairman) expressed thanks to Viscountess Mountgarret for her most interesti n g address.
Mr. ]. A. Gravestock (Centre secretary) reported that there was an improvement over the previous year, the following awards having been gained: 232 first aid, 30 home nursing, 30 A.R.P. certificates , certificates for the furtheranc e of first aid to Messrs. '.V. Skelton and Ed ginton, 5 certificates for the best first aid rendered during the year ended September 30, 1941, from over 2,000 report s received, 4 long service awards for 15 years' service, 3 for 20 years and 2 for 30 years. Also the" Hally" Tablet medals gained by Mr. Wm. Tulett (first year), Mr. ] ohn Thurwell (second year), and Miss E. Bristor (third year). The secretary thanked the officers, lecturers and class secretaries and all members for such successful work.
Mr. V. A. M. Roberts (chief engineer) presented the awards, and was thanked by the chairman.
Silence was observed for absent members, and a collection on behalf of the Linen Guild of the Hospital resulted in a contribution of £ 5 5s.
L. & N.E. RAILWAY
North-Eastern Area.-According to the annual report the number of classes held during the year ended June 30, 1942, was 168, and the total awards gained 3,092. Although these figures are below those of the previous year, the re s-ult is satisfactory taking into consideration the number of men and women of the staff who have joined H.NI. Forces. Since the commencement of the Centre in 1895 some 73 ,750 awards been gained.
During the year under review over 67,000 cases of first aid rendered have been recorded.
Four members of the staff were admitted to the Order of St. John in the Grade of Serving Brother; while Mr. ] Atkinson, dock gateman, at \iVest Hartlepool was awarded a :Meritorious Ambulance Certificate for gallantry and prompt application of first aid.
The Group and Inter-railway com9
petitions were not held owing to the present situation, but District events proved a great success. During the year 37 medals for 15 years' service, sixteen 20 year Bars, two 25 year, eight 30 year and one 40 year Bars were gained by members In concluding his report, Mr. S. Cooper, the Centre Secretary, pays tribute to Mr. C. M. ] en kin ] ones (Centre President) and a l so to the Centre Chairman, Secretaries, Instructors and others for their ready assistance.
During the half-year ended September 30, 1942, members of th e staff gained the following Lon g Service awards: 4 Medals, three 20 year Bars, four 30 year Bars, one 40 year Bar.
PRISONERS-OF-WAR WEEK
Members of the Brigade played their part well in the many activities arranged during the Prisone rs of War vVeek. Lady Louis Mountbatten, Lady Superintendentin-Chief, worked indefati guably attending special functions -at the Mansion House, London, Ken sin gton Town Hall, Bethnal Green, Lambeth, Islington, and Grosvenor H o u se Sale. On December 1, together with the Countess of Limerick (president of the London Branch, B.R.C.S.), Lady Louis accompanied H.R.H. the Duchess of Gloucester during her visit to the Prisoners of War Exhibition at Selfrid ges, and, at the Duchess 's request, presented Brigade officers to Her Royal Highness.
The Nos. 98 and 88 Divisions, No. 1 District of the Brigade , are well pleased with the effort of their members. Over £150 was raised by a concert given by the " M " Division, Metropolitan Police (Kennington) Concert Party. The Countess of Lytton made a delightful and effective appeal, for which Assistant Commissioner Warren e}"rpressed thanks.
The Droitvvi ch Spa Ambulance and Nursing in addition to assisting on the f1.ag day organised a whist drive for which over 300 tickets were sold. Mr. De La Bere, M.P., was present ; the Mayoress of Droibvich (a vice-president of the Nursin g Division) presented the prizes.
" The '.iVardens' Revue," played before a crowded house at Camden , London, at a concert arran ged by the 146 (Camden, L.M.S.) Division. It was pleasin g to see on this occasion that Supt. G. Kirkham (now servin g in the medical branch of the R.A.F.) was home on leave and looking fit and happy. Many Brigade, Railway and Local Authority officials were present. At .r ewport Pagnell, Col. J. vYoolrych Perowne (Hospitaller of the Order) declared open a bazaar in aid of the fund.
Lady County Officer Miss Savory, together with Divisional officers, were presem.t in uniform
€abtt
Change oj Title.-The Chief Commissioner has sanctioned that in future Girl Cadets will be known as Nursing Cadets, and the Chief Officer as Chief Officer for Nursing Cadets.
Award.-Corporal Cynthia Ellis, of the Canford Cliffs Nursing Cadets, Poole Corps, has been awarded the Cadet War Service Badge We are advised that this is the first of its kind to be issued, and therefore we congratulate Corporal Ellis on her fine achievement
Publi c Schools.-The Chief Officer for Ambulance Cadets recently sent a letter to all Public Schools, inviting their cooperation in the Ambulance Cadet movement.
The principal schools replied to the effect that they would like to co-operate, but their commitments in the war effort were such that they were unable to undertake more. First aid seems to be taught in most of the Public Schools by C.D. First Aid Services ; which are lar gely composed of Brigade members.
The Chief Officer for Ambulance Cadets is grateful to Eton and Winchester for their co-operation and to Ampleforth for wholeheartedly taking up the work.
Many of the schools expressed great in terest in St. John service and indicated a wish t o consider School Cadet Divisio ns after the war. Coiinty Commissioners may like to note this so that at the termination of hostilities they may turn their attention to the Public Schools.
H ayle.-A new Ambulance Cadets Division was formed on December 1, when County Cadet Officer A. V. Baker enrolled 17 Cadets under Cadet Supt. F. Williams. Westminster. - Lady Dunbar-Nasmith, Chief Officer for Nursing Cadets, officiated at the enrolment ceremony of the Westminster Cadet Division, being accompanied by Lady District Officer , Mrs. Tapply and Lady County Officer for Cadets Mrs. Woodman. During the proceedings the badge of Office was presented to Vice-President Miss V. Cunard and Lady Supt Mrs Romer-Lee (Westminster Nursin g Division) received a book as a small token of appreciation of her work and continued help.
Whitehall. - County Officer for Cadets Mrs. Woodman officiated af the enrolment ceremony of the Cadets attached to No. 18 (Whitehall) Nursing Division. Captain Oakes-JoNes gave an interesting talk and promised a silver cup for compE<tition between the Cadets. Scarborough. - At the first II open night" of the ScarbOFough Cadet Nursing Division, at which parents and friends were present, country dancing, physical training and bandaging were demon-
strated, also songs , "m usical moments" and drama. Lady County Officer Miss Jacklin was present and durin g the evening a message of appreciation and encouragement from the Chief Officer for Nursing Cadets was read. the enrolment ceremony of the Borough of Bexley Nursin g Cadets, 13 members were enrolled by Lady County Officer for Cadets Mrs. Peter Cheyney, and 14 were presented w ith home nursing certifi cates. Lady District Officer Miss Grindley and Lady Supt. Mrs. Moakes were among , those present. The secretary gave a report of the work done and the Cadets gave a demonstration under Amb. Sisters Mrs. L awrence and Mrs. Hill Rugby.-Over £60 was realised as the result of a bazaar organised by the Rugby Cadet Division. The event originated by Cadet Supt. A. J Burton taking the Cadets to a toy-making course. Over 100 toys were made in less than seven weeks.
Fle et.-The presentati on of warrants of appointments and the enrolment ceremony of the Fleet Nursing Ca'det Division was held last month, when County Surgeon Cockayne presented to Mrs. B. S. Barton the badge of VicePresident and warrants to Lady Cadet Supt. Mrs. Doran and L ady Cadet Officers Mrs. Moss and Miss Humphreys. Lady Cadet County Officer Miss Mackenzie carried out the enrolment ceremony.
Mr. A. W. Parsons, vice-chairman of the Fleet V.D.C. referred to the Crusaders' Crosses in the church at Crondall, l eft there by the Knights of old before proceeding on a crusade
Brighton.-After a display by membe.rs of the Preston and Brighton Nursing Cadets Canon Jam es (Corps Chaplain) unveiled a trophy (a bronze figure of a Knight of St. John) presented by Supt Stuttaford for annual competition among the Brig hton Corps Nursing Cadet Divisions
Presentations of awards and proficiency certificates and badges were made by Mrs. Stuttaford, who expressed thanks to Cadet Supts. Mrs. Maynard and Miss Bolton for their splendid work carried out in co-operation with Lady County Officer Miss Trill. Dorking.-Lady County Cadet Officer Mrs. Charrington officiated at the enrolment ceremony of the Dorkin g Nursing Cadets. Lady County Supt. Mrs. Thomas presented 47 first aid certti ficates and congratulated Lady Cadet Supt. Mrs. Bullen, Lady Cadet Officer Miss Enderson, and others on the splendid results of their efforts.
Camborne. - A successful II Christmas Fayre " was held by the Camborne Cadet Nursing Division, hand-made toys, dolls,
etc., being the hard work of the Cadets. Miss Parker (Matron, Redruth Hospital), accompanied by the Assistant Matron, Miss Meyers, and Lady County Officer Mrs. Blackwood, declared the event open, the proceedings being presided Over by Cadet June Sedgeman (age d 13). Votes of thanks were proposed by Cadet Pat Dunn (a ged 14) and seconded by Cadet Eleanor Harris (aged 12) . Probationer Cadet June Harris presented a, bouquet to Miss Parker.
Rothwell. - The first proficiency badges to be won by Cadets in the County of Northampton were presented to members of the Rothwell Ambulan ce and Nursing Cadet Divisions by County Commissioner Dr. E. H. Shaw, being supported by County Surgeon Major G. F. P. Gibbens, Lady County Supt. Mrs. 1. Jennin gs, County Officer C. Curtis, Lady County Officer Hon. Mrs. Macdonald Buchanan, Lady County Cadet Officer Mrs Remington. The parade was under the charge of Lady Cadet Supt. Mrs. E. E. Austin and Cadet Officer J. C . L. Austin . St. Marylebone. - The and 115th Divisions recently entertained some 80 Cadets of St. Marylebone and St. John's Wood Cadets, also members of the B.RC.S Link Detachment, under the supervisio n of Supt. W. V. M. Allen and Lady Supt. Mrs. Allen The organiser, Amb. Officer E. F. Mason, ably assisted by others, can be congratulated on the excellence of the repast. Lady District Officer Mrs. Tapply welcomed the g uests, and after the meal an entertainment was provided by members and friends During an interval Ald. R Stiles-Allen presented certificates to the successfu l male cadets, whilst Lady District Cadet Officer (Central Area), Mrs. Woodman, thanked all who had provided the enjoyment. A number of Brigade, Post Office and B.RC.S. representatives were among the visitors Hartsh-ill. County Commissioner E. E. Dudley presented awards gained by the Hartshill Nursing Cadets, whilst County Cadet Officer Mrs Hugh Woolfe expressed satisfaction with the work done by them. Those present at the ceremony were Lady Cadet Supt. Miss A. Williams, Cadet Officer Miss M. Williams, and Acting Cadet Supt. Miss M. Wallace, of the Hartshill Catholic Cadet Division.
South Shields.-Presiding at a bazaar organised by the Sou th Shields Nursing Cadet Division, Col. R Chapman (Pres ident of the Nursin g Diyjsion) emphasised that after the war there would be orphans and injured to care for and sick to nurse and that by joinin g the local Nursing Cadet Division gi rls could prepare for the part they would be called upon to play.
The bazaar was opened by Dr. W. Carr;pbell Lyons (South Shields M.O.H.).
ON ACTIVE SERVICE
The Chief Commissioner of the Bri gade Overseas regrets to announce the following members have been reported as killed in action :-
Private Louis L. L. Zietsman and Private Adriaar M. J. Potgieter, of the Pietermaritzburg (Fire Brigade) Ambulance Division, Natal District, South Africa.
Sergeant Alexander M. Eagles and Corporal Albert Charteris, of New mouth Ambulance Division, Taranaki Sub-District, New Zealand.
The Commissioner of No.1 (London) District reports with regret the death of the following members whi le on active service :-
Private H. W. Loveridge, of the Ch elsea and Fulham Division, with the RA.M.C. abroad.
Private S. H. White, of the Leyton and Leytonstone Division, on November 22, 1942.
Also that Private A. Own, of the Haggerston Division, has -been mi.ssing since the battle of Java, and Pnvate J. H. Seers, of the Western Postal Marylebone Division, reported mlssrng and believed to be a prisoner at Srngapore.
The Commissioner, County of Cornwall, regrets to report that Pilot Officer Trevor Mason member of the Bodmin Ambulance Division, was killed whilst on active service on November U.
Also that Private G. Gregory, of the same Division, has been reported a prisoner of war whilst on service in the Middle East.
The Commissioner, West Riding of Yorkshire, reports with regret the death of Private Douglas Hope , of the and Norton Division, whilst on active service in the Middle East.
The Commissioner, North, East and Mid-Devon County reports with regret that Private Jam es ' lV. Eastmond, of the Barnstaple Division, died while on active service with the RA.M.C. in India.
The County Commissioner for Cheshire reports with regret that George W. Beeching, DlvlslOn, was killed in action whilst serving on one of H.M. Sloops in North African waters on November 10 l ast.
The Commissioner for Wales reports with regret that Private Alfred F. Ha ckn ett, of the Bangor Division, has died of wounds received while on active service in the Middle East.
The County Commissioner for Dorset regrets to report that Ambulance Sister Mrs. J. L a ngran, Canford Cliffs Nursing Division, Poole Corps, was killed by enemy action on the night of May 24, 1942
11
CEbe } obn ambulance ;irtgabe
HEADQUARTER NOTES
Lay Lecturers.-In future members of the Brigade must pass an examination for a Lay Instructor ' s Certificate before undertaking to lecture on (a) the short course in first aid (as laid dovm in A.R.P. Training Manual, No.2, 1st edition), for which no examination is held and no certificate is issued, and (b) the Preliminary First Aid Course of the St. John Ambulanee Association, for which a certificate is issued after examination by a medical practitioner appointed by the Chief Secretary of the Association. The examination is divided into three parts: (1) Practical and Oral Tests; (2) Lecb:lTette; and (3) Written Paper Tests. Full particulars of the tests have been forwarded to the Commissioners.
Brigade Sub-Committee.-This will resume its meetings in February next, and Commissioners are requested to forward any suggestions which they would like to have discussed to the Chief Commissioner.
Uniform Rationing. - Members are reminded that those who submitted coupons for uniforms for the coupon year ended August 31, 1942, should forward immediately a further nine coupons for the current coupon year irrespective of requirements. These are now due and should be forwarded to the Assistant Brigade Secretary, St. John's Gate, London, RC.l, without delay.
No.1 (PRINCE OF WALES'S) DISTRICT
ENFIELD.-On December 19 the Enfield £irst Aid League held its first It First Aid Bgg," the proceeds being in aid of the Enfield War Memorial Hospital Christmas Fund. The question-masters were Mr. Ralph Ockendon (S.J .A.B.) and Mr. A. Glynn (B.R.C.S.), whilst the chairman was District Officer Collins. Seven teams competed, and after a close tussle No. 72 Enfield Nursing Division were declared the winners, with the C.W.S. Cabinet Factory close runners-up.
Forces have received cigarettes from the special fund collected for that purpose. COUNTY OF STAFFORD
HARTS HILL NURSING DIVISION.-District Officer F. G. Porter presided at the presentation of awards and expressed pleasure at the pro gress made by the Division since it was formed three year s a g o. County Commissioner E. E. DudJey on behalf of the members presented a morning set to Sister Fowler, B.R.C.S ., in recognition of the s ervice she had render e d to the Division. Mrs. Y S. M. Thomas (President) presented the awards and congratulated them on their efficiency and success.
WEST BROMWICH.-The first competitions of the newly-formed "Vest Bromwich and District Corps were held last month for the It Corps Supt. G. E. Powell Challenge Cup " for Ambulance Divisions, the It Mrs. R. M. Powell Challen g e Cup" for Nursing Divisions, and the It Challenge Shield" for Cadet Divisions (also given by Corps Supt. Powell). Keen competitive spirit was evinced by the teams, the winners bein g Corporation Transport Division, the Headquarters Nursing Division, and the Headquarters No.2 Cadet Division The trophies were presented to the winners by Miss Hill, Matron of Hallam Hospital, and Mrs. R. M. Powell (President). Those present included Councillor Grant and Mr. J. B . Grocutt (President and Vice-President West Bromwich Ambulance Division), Councillor Turner (President Headquarters Division), Mr. J. E. Hemming (Corps Vice-President).
On December 11, the Corps held its first ball, at which the Mayor (Councillor Mrs. A. E. Caldwell), Mr. Caldwell, Div. Surgeons Jacobs and Samuels , and many friends were present.
The annual inspection was held on December 13, when Corps Supt. Powell, accompanied by the Mayor, inspected the parade, which numbered some ' 180 all ranks.
COUNTY OF WARWICK
No.3 (WESTERN) DISTRICT STOKE AND ALDERMOOR DIVISION .BIRMINGHAM COUNTY The competitions for the Silver Cha.llenge YARDLEY DIVISION.-During the past Cup and medals presented by Mr. William year this Division has had a busy time. Barnes (President) a.nd Messrs. T. R. Div. Surg.eon Beauchamp conducted the Mulcaster, F. J. Warren, R. T. Green examination for the cup prgsented by (vice-presi.dents) for team work . and a him to the Division, and also for medal- shield and medal presented by Supt. lions presented by the Cadet Super- G. W. Taylor (formerly of Burley and intend.ent to the Cadets. A field-day was District Division) and Amb. Officer G. E. organised and men, women and am- Swann for individual work were heJd on bulance and girl cadets took part. All December 20. County Commissioner members are C.D. or Home Guard Major E. S. Phillips congratulated the workers; attendances at drills have been Division on its strength and the smart good; aU members who have joined the appearance of the members. Only 12
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in April last, the Division has a strength of 50 members, everyone being in uniform. He thanked tbe President and Vice-Presidents for their activity on behalf of the Division in forming an Entertainment Committee, which had alread y raised some £200 towards the funds.
I t is hoped to form a Cadet and also a Nursing Divisioll at an early date.
Corps Supt. G. Oliver and Corps Officer Booth judged the team test and Div. Surgeon A. G. Dabbs the individual efforts.
COUNTY 'OF WORCESTER
CRADLEY DIVISION. - The competition for the "Oakley" Challenge Cup, presented by Mr. J. Oakley (President) was judged by County Surgeon G .,p. Campbell, assisted by Corps Officer Watkins, for the team test, A.R.P. Officer Rose (individual), and Corps Secretary F. Lightfoot (viva voce).
Assistant Commissioner P. H. Schofield, County Officer D. M. Chapman, Corps Supt. Lench, Mr. J. Oakley, were among those present.
The President, in 'presenting the trophy and replicas, said that it was his great pleasure to donate the cup and he hoped it would further the work of the members.
Mr. Schofield extended thanks to Mr. Oakley, officers and men and gave helpful advice for future ' events. Supt. Williams thanked the adjudicators, the Assistant Com missioner and all present for the support.
No.4 (LANCASHIRE) DISTRICT LIVERPOOL. - On the steps of the Liverpool Cathedral on December 27, the dedication of the new ambulance (presented by the patrons of Messrs. Ind Coope & Allsopp, Ltd.) was held, the Bishop of Warrington (Dr. H. Gresford J ones) officiating. Corps Supt. W. E. Searl was in charge of the parade, which numbered about 100 members. Those present incllJlded Helena, COlmtess of Sefton, Assistant Commissioner Col. G. C. E. Simpson, County Surgeon W. Murray Cairns, Mr. J. Roberts (Secretary, Liverpool Association Centre), Corps Surgeon Phrebe Ince, Mr. R. L. Gulliver (Treasurer, Liverpool Corps), Mr. D. Pender (Secretary), Mr. E. T. Edwards (President, Invalids Transpqrt Corps), and other Brigade officers.
After the ceremony the attended a Carol Service in the Cathedral.
It is hoped to re-start the Invalid Transp @rt Service at the beginning of the New Year, and the latest acquisition, the interior of which was specially designed after an experience of seven -years' invalid transport, will greatly assist in the work.
STRETFORD. - The presentation of awards to the Stretford Ambulance and Nursing Divisions was performed by Flight-Lieut. Ralph Etherton, M.P. (President of the Nursing Division).
The President received from Assistant Commissio'ner Major Burt Hamilton his badge of office.
Div. Surgeon Major Chisholm (Nursing Division) presided and gave a short review of the work done by the Divisions in Stretford. Practically every member was engaged either in whole time or part time C.D . w.ork. He mentioned the excellent work carried out by Lady Supt . . Mrs. Isbister, and referred to the fact that the Divisions were now stronger than ever in the achievement attained in formin g a Cadet Division Dr. Isbister was also thanked for takin g the examinations of the Nursing Division as well as carrying out his duties as surgeon to the Men's Division and the Cadet Division.
Flight-Lieut . Ethert6n said ' that as president he was very ambitious and he hoped to see more Grand Prior Cadets in this Division than in any other.
Those present included the Mayor (Councillor C. Trythall), who stated he had found his first aid trainin g most valuable, and the Mayoress, District Officer W. Naylor, Corps Supt. Miss E HaHday, Dr. E. Walker (M.O.H ), Councillor Lord and Mrs. Lord, and other interested persons. In the absence of Supt. P. H. Luckhurst (who was in London representing Stretford on Civil Defence Sunday) the parade was in charge of Amb. Officer E. Fairfoot.
No.6 DISTRICT
NORTH RIDING O:{" YORKSHIRE
RICHMOND.-The anImal presentation of awards to members of the Richmond and District Division was carried out by Supt. J. Ventress, of the North Riding Constabulary (vice-president). The Mayor of Richmond (Ald W. Robinson), president, presided, supported by Assistant CO:rrJ,missioner Dr. Kennedy (Hants County) and Mrs. Kennedy, Lady Corps Officer Miss E. M. E. Caws (Area Secretary, Hants County), Miss D. Shepherd, the recently nominated vice-president of the Richmond High School Cadet Division and Acting Lady Cadet Supt. Miss Stuart Harris, Miss Gower and Miss Pickering, acting officers of the Richmond Cadet Nursing Division.
The Mayor gave a brief outline of the progress made by the Divisions since its inception last year and complimented the members on their smart appea.rance. Supt, M,udd extended thanks to all present for their support, being seconded by Sergt. Dinsdale.
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THE' MILTON' SYSTEM OF AIR PURIFICATION
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A Honyman Gillespie Lecturer speaking recently in the Royal Infirmary, Edinburgh, on the problem of air-borne infection, said :
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" The Problem of Air-borne Infection " Medical Journal, October, 1942 , pp 607-627.
A similar conclusion was reached in 1940, when, in a White Paper (H.M.S.O., Cmd., 6234, 1940) Lord Horder's Committee recommended the spraying of hypochlorite in air-raid shelters.
Both recommendations confirm the result of the pioneer work of the reported fully in " A System of Air Punficabon by Hypochlorous Acid Gas," by the late A. T. Masterman, M.A., D.Sc., F.R.S (1938).
It was shown that:
(1) The hypochlorous aci d gas was rapidly disseminated throughout the confined space.
(2) Its presence was quite unobjectionable to the occupants.
(3) The air was rapidly cleaned and deodorised ; and
(4) As regards air-borne germs, it was to produce and maintain a degree of sterility of over 90 per cent.
In the light of th es e results it has found practical to devise 8 complete system of air punfic:ation by the use of a special vaporiser, and a special form of Milton Antiseptic known as " Milton 2" for prbduction and dissemination of hypochlorous acid gas.
S14rgeons, physicians rr:edkal of health, hosp-ita l officials altd others m alr purificafwn are 11witea to write to th e Dept ., Mtlio n Antiseptic Ltd , John Ho'Use, Lundan, N.7, requesting a demo JolSlrqt1ot, be whm a t echnical representatw8 1S next 111 the e/l.q utreT s dostnct.
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GENERAL INTEREST
HEADgUARTER MEETINGs.-The Ambulance Committee, which met in Cardiff under the chairmanship 9f Dr. D. Rocyn Jones, C.B.E., J.P.,. on December 1, passed a vote of thanks to Capt. D. G. Richards, a Rhondda Corps A.R.P. Officer, for supplying every member of the Committee with a copy of a most instructive and interesting summary of , the proGeedings of the Cadet Officers' Training Course, which he attended in London, as q. representative of the Priory for Wales. Authority was given for the holding of a Cadet Course on similar lines in some convenient centre in South VlTales.
New Divisions of the Brigade sanctioned included Galan Uchaf Cadet Nursing Division (Merthyr Tydfil Centre), Colwyn Bay Ministry of Food Nursing Divison, Colwyn Bay and Ruthin Cadet Ambulance Divisions (vVest Denbighshire Centre) and Swansea Cadet Ambulance and Swansea Cadet Nursing Divisions.
The report of the Association Department showed that 149 Examinations in First Aid and Home Nursing had been arranged during the months of October and November, bringing the total number for the 11 months of 1942 to 1,210, which is 63 more than in the 11 months of 1941.
The reGommendations of a Special Su bCommittee appointed to consider the new Rank Markings introduced by the St. John Ambulance Brigade in England, were endorsed for adoption throughout the B:r;"igade in Wales.
The Council of the Priory, which met subsequently, re-eleGted Colonel E. J. Trevor Cory, O.B.E., M.D., and the Hon. John H. Bruce, as representatives on the J oint Council and Joint Committee of Management, British Red Cross Society and Order of St. John.
MEDICAL COMFORTS DEPoTs.-In the absence of the Viscount Tredegar on military service, Sir Robert Webber presided as Assistant Almoner at a meeting of the Almonry Committee of the Priory for VlTales, Order of St. John, on December 14.
The Principal Secretary stated that the Committee was meeting to ensure that the Prio'rY was adequately discharging its Fespo1!lsibility to the public in respect of tne 95 Medical Comforts Depots, the majority of which haC! been grant-aided from the Special Areas Fund. Returns showing the usage of .the stock at each of the Depots were distributed for consideratiem in relation to the s ufficiency of
16
equipment to meet current demands and the fuller utilisation of little used stock. The number of issues during the nine months ended September 30, 1942, totalled 7,391.
Reports on the Depots in each of the Centres and County Areas were presented ; and Lady Twiston Davies undertook to consttlt the Commissioner for Monmouthshire with a view to the appointment of officers to take a supervisory interest, on behalf of the Almonry Committee, in the Depots in Monmouthshire during the absence from the county of the Viscountess Tredegar.
Sir Robert Webber thanked all present not only for attendance at the meeting, but for the time and attention being devoted to the Medical Comforts Depots which are makin g a useful contribution to Health Services.
CENTRE REPORTS
CAERNARVONSHIRE CENTRE. -A wellattended meeting of the Caernarvonshire Centre Committee of the Priory was held at Bangor on December 5, the President, Lord Penrhyn, presiding.
The Centre Secretary, Mr. W. T. Davies, reported that the Llandudno U.D.C. had agreed to put seven receptacles to hold haversacks, containing first aid material, which would be provided by the Centre Committee, in the streets of Llandudno for the service of the general public in cases of accidents or sudden illness. Mr. Davies stated that all members of the Brigade in the Centre are insured against accidents on Brigade duty.
Major I. Griffith reported on the question of finance, referring to the generous action of Lord Penrhyn in clearing the debt owing by the Penrhyn Quarry Division for uniforms supplied to the extent of £26.
A very encouraging report was given by the Cadet Organising Secretary, Mr. R. I. Hughes, of Caernarvon, who stated that Cadet Units had been formed at Gam, Deiniolen, Llanberis, Llanrug, Caernarvon. Bangor, Llanfairfechan, with prospects of further units being formed a: Mynytho, Glasinfryn, in addition to the increased strength of the Cadets in the Llandudno, Conway, Penmaenmawr and Llandudno JU1!l etion districts. The Cadet Secretary also reported that the County Education Authority had agreed to grant tbe use of all school facilities free of charge for the use of training Cadet Units, and also making a grant towards the upkeep and training of the Cadets.
RHEUMATIC PAIN
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The analgesic selected for the relief of pain must be absolutely safe and suitable for prolonged administration. For this reason, massive doses of the salicylates are, as all nurses know, undesirable, whilst hypnotics cannot be given for obvious reasons.
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A vote of condolence was passed with the families of two members of the Order in the county through the deaths of Mr. W. Allan Hughes, Vice-President of the Llanfairfechan Division, and Ambulance Officer D. Rowlands, of the Bangor Division.
A.R.P. Corps Officer William Pritchard, in his report on A.R.,P.work, stressed the importance of every Division being well up in the new syllabus of training, and arranging refresher courses in anti-gas measures.
MONMOUTHSHIRE CENTRE.-The Hon. lohn H. Bruce opened a Grand Fair at the Rolls Hall, Monmouth, which was the main feature of Monmouth s effort f or Prisoners of War week. It was announced that the amount realised in Monmouth for the fund would be well oyer £ 1,000, which for a district of a comparatively small population was a very creditable result. The Flag Day realised £38, and Councillor George Breakwell handed a cheque for £30 to Mrs. Wheeler, vicepresident, B.R.C.S ., · bein g the proGe eds of a sale at Hadnock Court. Another item of the week's programme was a Darts Comp'etition for a Silver Cup given by Mr. George Manns, which was won by Wyesham Platoon, Home Guard. At the gala whist drive and dance the Mayoress presented the prizes.
PEN GAM AWARDS.-At a concert held at t:qe Pengam Workmen's Institute awards were presented to members of P(mgam Division by Mr. Morgan Evans, M.E. (manager of Britannia Colliery), in the absence of the Divisional President (Mr. David Griffiths, M.E., general manager, Powell Duffryn Associated Collieries, Ltd.). Councillor E. Butle r presided, supported by Supt. A.. E. Gordon, Cadet Supt. Steven lones and Cadet Officer H Leach.
Mr. Evans, in presenting the awards, paid tribute to the splendid services of the officers and members. Supt. Gordon read a letter of authorisation from the Hon. John H. Bruce, Principal Secretary and Commissioner for Wales, and said that credit was due to the officers, who honestly deserved the appointments they had received.
AMBULANCE HALL FOR WAUNLWYD.-
18
CITY OF CARDIFF CENTRE.-Officers and members of the Brigad<{ co-operated wholeheartedly in the Prisoners of War Flag Day held in the City on December 5, which resulted in a collection of £1,411 3s.
Credit for the highest amount collected in anyone ward goes to Mrs. Edgar Llew ellyn, Vice-President of the Centre and wife of the Commissioner for Cardiff, Squadron L eader Edgar Llewellyn , M.B., who organised th e appeal in the Splott area which produced £140.
The Superintendent of the Ely and Fairwater Division, LM rs. A. M. Rees, is secretary of the Red Cross and St. John House-to-House collection for that area, and has paid in the total sum of £210 to the fund. In addition the War Savings group formed within her Unit has saved £212 to December 31, 1942.
OBITUARY
We regret to announce the death of Dr. John Percival Brown, of Bacup, Lancs., who died on November 30. He had been active ly engaged on Brigade work for some fifty years, being Corps Surgeon In 1926 he was admitted an Officer of th e Order of St. John.
D.F.M. AWARDED
It has been announced that Sergeant William Wildey, first wireless operator air-gunner, has been awarded the D.F.M. along with five other sergeants who manned a four-engine Stirlin g Bomber which shot down three Messerschmitts out of five enemy night fighters as they were returning from a raid on Bremen. Sergt. Wildey is a member of the Carlisle Division of the St. John Ambulance Brigade and he was wounded in the arm during the encounter.
BRIGADE REPORTS-continued from p. 14
No.8 (DUKE OF CONNAUGHT'S) DISTRICT
WORTHING.-Holy Trinity Church has been adopted as the church of the Worthing Division, and the Vicar (Rev. L. F. E. Wilkinso:q.) appointed its chaplain . The inau gllral service was held on ' December 13, when over 50 members of all sections paraded. The St. John hymn was sung and the Vicar offered a special prayer far the wearers of the Eightpointed Cross.
Premises in Duffryn Road, Waunlwyd, formerly occupied a ,boys' club,. were (Dpened as Headqualiters of. Waunlwyd Division by the Commissioner for Monmouthshire, Captain S. T. Beard, O.B.E. The building, which had been extended and renovated by voluntary labour, was dedicated ·by the Rev. W. E , Gill (Vicar of Waunlwyd and Victoria) Captain Beard appealed for the formation of a women's section and Cadet Unit for girls, in addition to the men's and boys' sections.
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A Safe, Pain Reliever for First-Aid Outfits.
When women members of St. John First Aid units are asked for advice by those who suffer from acute functional menstrual pain. they can with confidence recommend BAXEN. which is prepared in tablet and powder form from a specialis t's prescription for the relief of pain during women's trying days ".
Many hospital nurses and those in charge of welfare work in factories. use and recommend Baxen because It is perfectly safe and gives such quick relief from pain It contains no aspirin or anything to disturb heart, stomach. or natural functions. Two tiny Baxen Tablets usually give relief in less than 10 minutes.
Free Trial Supply of Baxen will be gladly sent to Equipment Officers attached to St. John Units on application, accompanied by a penny stamp. to Clinical Dept., E. Griffiths Hughes. Ltd., (Key No. 54)', Adelphi, Salford 3, Manchester.
Obtainable from all chemists. Baxen Tablets (15 i,", flat box) Is. Sd Baxen Powders 2d. each. (Tax included).
Will be made by a tailor-service which gives style and durability combined with strict conformity with S.J.A.B. regulation if you order
Uniform, to selfmeasures from N.O.A. Write for details to
LTD. Carlyle Chambers, Stockport Lendon - Abbey HOUle, Westminster, S.W.' LIverpool 57, Renshaw Slreet Manchester 36. Kin, Street Blrmln,ham 3. Ryder Street Newca.t1e-on-Tyne 26, Northumberland St. Southampton 9, Brunswick Place GlilSioW - III, Union Street
Iodine has a wide field of service in medicine and therapy. Many up-to-date therapeutic and prophylactic uses of iodine are describ ed in our new bulletin "The Hygiene of War." Write for a copy to-day. IODINE EDUCATIONAL BUREAU
Stone House, Bishopsgate, London, E.C.2
INTERESTING
CASE REPORT No. 218.-The Officerin-Ch a r ge of the County of Dorset S ] .A. B. reports the efficient performance of first aid by a member of the Parkstone Nursin g Division in the following circumstances :-
At 11.50 a.m. on September 9 Amb. Sister Mrs. E. Hargreaves was summoned to the Southern Roadways Wharf at Poole, where a boy (age 4t) had just been recovered from the Quay, apparently drowned. On arrival she found that the child, who was lying on the workshop floor, had ceased breathin g and was not being treated by the bystanders. Forthwith she applied !::lchafer's artificial r esp iration, and after 10 minutes a faint s igh was noticed. Treatment was continued for half-anhour, when the patient began to breathe freely. Amb. Hargreaves then decided that the boy had recovered sufficiently to be moved to her sick bay a short distance avvay. On. arrival there she was removing his clothing, when he suddenly collapsed from secondary shock. She removed the remainder of his clothin g and rolled him in a warm blanket with hot water bottles around him, which took a marked effect immediately She then gave him sips of hot coffee , and in a very short time his pulse and respiration had
CASE REPORTS
returned sufficiently enough for him to be placed in an ambulance and taken to hospital , where he made a quick and complete r ecovery.
COMMENT.--This report speaks for itself and all that remains is to tender cordial congrq,tulations to Ambuiance Siste1' Mrs Ha rgreaves on her good work, without which the child would have d'ied.-N.C.F.
CASE REPORT No. 219. - The Officer-inCharge of the Co unty of Lincoln ( Torth), S.] .A.B., rep orts' the efficient performance of first aid by a member of the Scuntborpe Division in the following circumstances :-
During the afternoon of August 20, Private Michael Bird was working underground in Winns Ironstone mine when he was called to an accident. He found that a colleague had been carrying rails which punctured an electric trailing cable and caused a c urrent of 500 volts to pass to earth through his body. As patient had ceased to breathe, Private Bird at o nce commenced artificial respiration. Afterwards the patient was removed by ambulance to hospital, from which after two days' he was discharged.
COMMENT.-This report tells of good work well done and wi11,S for Private Bird cordial congratulations.-N.C.F.
QUESTIONS AND ANSWERS
ApPLICATION OF ROLLER BANDAGE
F. G. (Brixton Hill).-In roller bandaging of hand or fingers or thumb, is there any reason, other than economy, for not It andloring " . the bandage round the wrist first ?
I would like to take this opportunitYI on behalf of my Section, to thank you for the interesting and instructive answers to queries given month by month Persona,lly when applying these bandages.. I prefer to start with a twrn round the lower end of the forearm (often incorrectly called It the Wrist "), which I find simplifies the applicati01'1, of bandages. For examination purpose, however, you must follow strictly the instru,ctions of the Textbook.-N.C.F. TIMING IN ARTIFICIAL RESPIRATION
H. P. (Bodmin).-In a recent examination I was asked why, though the average rate ot respiration is 15 to 18 times per minute, we are told to perform artificial respiration at t1:le rate of- 12 times per minute As I could not answer the question, I ask YOUF kind explanation. When applying respjration we must a,ztow ample time fer air to flow into the lu1't{{s. This is \a slow process, a.nd consequ,ently artificial respiration must be 20
performed at a lo wer rate than natural breathing, if it is to be effective.-N.C.F.
COMPLICATED FRACTURE OF Rms
A. G. (Kibworth).-{a) Please enli gh ten us on the use of ice in the treatm ent of complicated fracture of the ribs. We realise a compress is applied e xter nall y over an injury, but we do not know how givi n g ice to suck can assist the patient. Also, if ice is not available, would sips of cold water admin,istered in a teaspoon be a suitable s ub stitute?
(b) I am very interested in the Questions and Answers Column and would like to see this feature extendeci, hecause we, who study it, learn how to d eal with problems and find it most instru ctive.
(a) With profuse hcemorrhage there is loss of (1 wid from the body which often. shows itself in thirst. Cons eq'uently, it is good first aid partially to repla.cE' this loss (and so minimise shock) by ad112inistE'ring -bce to suck OfY, if -bce is not available, cold water in sips.
(b) The Questions and Answers Column deaZs with problems and difficulties actually submitted by fYeaders ' of THE GAZETTE, with whom rests your s7;tggestion of its extension.-N.C.F.
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FOR tects agai nst germ infection, WOUNDS, prevents blood poisoning, and promotes rapid healing I Germolene causes the broken tissues to unite, grows new skln and heals over the broken place cleanly. It soothes at a touch, ends pain and brings ease At CUTS, BURNS, SKIN IRRITATION the present time, NO home should be without a tin of the world's quickest healing ointment. Get yours to-day I
1/4 and 3/3 per tin (including Purchase Tax)
Giving hlnu on the Bugle. Drum and Flute, also Parade Formations. use 0( Parade Cane, Staff. etc.. 6d. , post paid.
Henry
(Broken). Po. t fle.h hoop, Ready lapped head returned .ame day received.
POTTER & Co.
36/38 West St., Charing Cross Rd. LONDON, W.C.2
FIRST AID HANDBOOKS
ANATOMICAL DIAGRAMS AND ,- CHARTS For Lectures HUMAN SKELETONS For Sale or Hire
H. K. LEWIS & Co. Ltd. 138 Gower Street, London, W.C.1 £UStan 4282 (5 lines)
21
This is what The St. John Ambulance Gazette says about-
FIRST AID *
S. Winder
in (!iuie fl1e/ence
Contains many instructions on wartime first aid and is based, in general principles, on A.R.P. Handbook TO. 10 , supplemented by experience gained in 20 years of first aid work, including fi.:rst-hand knowled g e of air raid incidents during the present war. The instructions are clearly given and comparison is made between first aid in war and peace, in the former the primary object being to'" save the greatest number of lives at an incident. This booklet will assist all engaged in C D. First Aid and it can be recommended. There are chapters on Procedure at air-raid incidents; types of injuries and their causes; the human body-positions of important organs; shock; h ce morrhage ; insensibility; burns and scalds; fractures and crushes; lifting and loadin g ; gas-contaminated injured.
* Obtainable from THE FOUNTAIN PRESS, 11-13 Brea In's Bui ldi ll gs, London, E C.4. Pric e 1/5, post fre e ; or 1/3 from W. H. Smi th's and W y man's Stalls and Shops.
Flag Day Emblems, Buttons and Badges
Price Lists on application For all supplies write: The Universal Button Co., ltd.
Surat St., Bethnal Green, E.2 Phone: AdVance Tel.: UnibukAJ, Edo, Lond<m
CLASSIFIED
ADVERTISEMENTS
AduJrlislmentJ with remittance should be sent to flu St. John Ambulan&6 11/13 Bream's Buildings, Chancery Lime, London. E.C.4. 2d. per word. minimum gs.
U R GENTLY WANTED.-Forty or fifty copies of the January 1942 issue of THE ST. JOHN AMBULANCE GAZETTE.-Send to THE PUBLISHER, THE ST. JOHN AII'IBULANCE GAZETTE, 11-13, Breams Buildings, Chancery Lane. London, E.CA.
U NiFORl\1S have surplus ulliforms and wi h to sell please state price, etc , to SUPT. E. J. ROWE , "Tournai," Acaci a Road, Staple Hill, Bristol.
TH E ST. JOHN AMBULANCE ASSOCIATION : Its History and Its Part in the Ambulance Movement. By CORBET FLETCHER, M.A., M.B., M.R.C.S. "This book cover to cover is fu ll of information of greatest interest and importance to everyone in the Ambulance Movement."--S'l'. JOH'N AMBULANCE GAZETTE. Price 3s. 6d., postage 6d.STORES DEPT., St. John 'S Gate, London, E.C.I.
COMPRESSION OF BRAIN
P. B (Bodmin).-A friend and I have had a discussion on the causes of compression of the brain . He says that a depressed fracture of the skull may be a cause, and I deny this and say that blood wi thin the sku ll , a gr owth, or accumulati on of pus or ser um are th e causes. Please, yo ur decision w ill be gladly accepted.
Your fri end is right, and he could have referred you to th e last two lines in the third paragrap h on p 163 of th e T extboo k .N.C.F.
COMPLICATED FRACTURE OF RIBS
E. J. (Newquay).-At a recent exercise I had to treat a patient suff ering from fractur ed ri bs and coughing up blo od. I placed his forearm in a large arm sling, in clin ed him slightly to the injured side, and r emoved him on a stretcher.
VVhen I re turn ed to the Post, the doctor t old me that I was wro n g in inclinin g the pa tient a nd that I ou ght to have kept him o n his back. Q u otin g th e Textbook (p. 80) as my authority, I asked where I was wrong. He replied that by inclinin g patient I wou ld probably drive the ribs further into the lun gs.
Your rulin g will oblige; and until I hear from yo u to the contrary I shall conti nue to incline slightly t o injured side all patients s u ffering from complicated fractur e of ribs.
Fro m your statement of facts I suspect that patient was tilted too f ar on to his injured side, in which case aggravation of f racture might 1'esult. The important point is that no pressure 'should be made· on the uninjured side of chest -in order that the sound lung may have free movement 50 continue to incline such a patient slightly to th e injured side, by folding a blanket thr ee (or at most four) times and placing it lengthwise as a pillow along the patient's back.-N.C.F.
VA RIETI ES OF WOUNDS
B. S. (Bom bay). -( a) Undttr w h at variety of wo und s sh ould the dagger o r bayonet wo und be classified? The Textbo o k (p. 105) places knife and dagger wc:mnds in No.4 (Punctured) Group, but a Bri gade Sur geo n does not agree.
(b) Of all the vari eties of wou n ds which is the m ost se rio1!lS and most threatens the v icti m 's life ?
(a) To me the T extbook classification of d ag,g ell and bayone t wounds in GrlDup No.4 is perfe ctly cO'Y.'Yect.
(b) No one cou ld give a catego'Yicat answer to· this question, Much depends on th e degree oj violence which caused the ' w ound and the site oj the inju'YY. Thu s a d agg ell wound punc turing the heart or a 22
de ep incised w ound involving the f em o'YaZ ves sels wou ld be like ly to cau se death with-in a f ew minutes.-N.C.F.
TREATMENT OF DISLOCATION
B , S. (Bombay) .-In the treatment of a dislocation the Textbook (p. 96) enjoins us to apply a co ld compress only " if the pain is severe." Please tell me (a) if we co ul d use with advantage a well-wrapped p iece of ice instead of a cold compress; (b) if we shou ld apply a cold compress when pai n is sli ght; and (c) when we should change over from a cold to a hot compress.
(a) A well -wrapped piece oj ice cannot be made to encircle a dislocated joint; and" consequently it w-ill not be as serviceable as a cold compress.
(b) If the pain is slight the1'e is no indication for active treatm,ent A t the same til1'le no harm w ill result if in these cinumsta11ces a cold compress is applied to joint
(c) No time limit can be na'l'ned because the decision depends on the feel 'il1gs oj the patient. If, however, the pain is (01' becomes) severe, then a change in the local t'reatment is at once .C.F.
TURNING CASE OF SPINAL INJ URY
J. B. (H umberston e).-Tho ugh I have seen the method of turning a case of spinal injury-as described in Rules 4 and 5 on p. 76 and depicted in Fig. 38 and 39 of the Textbook- carri.ed out in p r actice several times, I hav e never seen the patient arrive centrally on the stretcher.
At our F irst Aid Post, however , we find that if t he patient is rolled slightly away from the stretcher and if the stretcher is placed close to or a little under the patient, the patient can by thi s means be landed well in the centre of the stretche r. In these circ um stances we welcome yo ur opinion on our modification of the Textbook method,
It is true that, using the T extbook me thod , you cannot always place the patient prec'isely in the centre of t he stretche1', but it is equally tnte that an inch or two on either side oj the middle line is oj no importance. Further, while your method will p1'obably be succe$sfu l with the A .R.P. stretche1', J doubt if it will be wi th th e ordinary Furley 5tretcher.-N,C.F,
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MAN Y ITEM$ HAVE BEEN HELD OVER OWING TO PRESSURE ON SPACE
EVERYTHING FOR SAFETY EVERYWHERE
NOVOX' and 'NOVITA' Oxygen + COt or Oxygen RESUSCITATING APPARATUS for the apparently ;asphyxiated or drowned.
SMOKE HELMETS of all Patterns.
'PROTO' and 'SALVUS'
OXYGEN BREATHING APPARATUS
'PURETHA' GAS MASKS for Naval, Military and Industrial purposes and for Civilian use. ALL A.R.P. EQUIPMENT
DUST and SPRAY MASKS lind all other Safety and Protective Devices.
SIEBE, GORMAN & Co., Ltd. LONDON , S.E.I
PRACTICAL BOOKS
by N. CORBET FLETCHER, M.B., B,C., M.A,(Cantab.), M , R.C,S.
WHY & WHEREFORE IN FIRST-AID (6th Ed.) Difficulties solved by 2d.)
AIDS TO FIRST-AID (7th Ed ,)
First-Aid Simplified and Tabulated with Aids to Memory. Price 1/3 (Post ld,)
EFFICIENCY IN FIRST-AID (3rd Ed.)
Problems in Stu dy, Treatment and Examination solved for Senior Students, Price 1/- (Post 3d.)
AIDS TO HOME-NURSING
Home NurslnJ: Simplified and Tabulated, With Aids to Memory. Price 1/. (POlt 2id.)
COMMON ERRORS IN FIRST-AID
Error. In Flr5t-Ald Detailed and Explained. Price 1/3 (Post ld ,)
AMBULANCE COMPETITION TESTS
Stretcher, Individual and Question. Each Folder contains special article on Competition No, I, Training of Competition No; 2 , Conduct of Team In _ Room No.3, Common Errors in CompetItion; No. -4, Further Errors in Treatment; No 5, History of Competition Tests I No.6, Preparation of Tests 6 Folders. Price 6d. each (Post 2d.).
Obtainable from : THE FOUNTAIN PRESS 11/13, BREAM'S BUILDINGS, CHANCERY LANE. LONDON, l!.C.4.
& SONS (LONDON), Ltd. ;:cu ND:ED 1850 Specialists in Uniforms.
MANUFACTURERS OF EVERY DESCRIPTiON OF UNIFORM CLOTHING AND EQUIPMENT for St. John Ambulance Brigade.
JACKETS, TROUSERS, GREATCOATS , CAPS, BELTS, GLOVES, HAVERSACKS, WATERBOTTLES, ETC.
ESTIMATES AND SAMPLES ON REQUEST
All enquiries to : 154 - 164, TOOLEY STREET LONDON BRIDGE, S.E.I
Telephone: Teleframs : Hep 2-476 (-4 lines). Hobson, Boroh, London." North of England Office: n, York Place, Leeds. p"_ : 13i:H Leeds. Grams:" Triers, Leeds."
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Te/err.m. : GARROULD, LONDON .150-162, EDGWARE ROAD. LONDON. W.2
TO OBTAIN UNIFORMS without Coupons FOR OFFICERS & MEMBERS. a Coupon Equivalent Permit must be sent with your order, which can be obtained from the 0 fficer-in-charge.
Uniform by Garrould ensures correct design, high grade materials selected for smartness and hard wea r
PERMIT OR OFFICIAL HEADED PAPER MUST ACCOMPANY EVERY ORDER.
PRICES OF OFFICERS' UNIFORMS AND OTHER ITEMS NOT MENTIONED IN THIS ADVERTISEMENT SE.NT POST FREE
All prices are liable to advance without notice
S.J.A. NIIW REGULATION APRONS (or Ambulance SI.te" Made from hard-wearin, linen-flnlshad apron c1othl. Price Include. cross Waist : 16, 28, 30 or 32 In. Len,th.: 26, 28, JO, 12 In '. 6/6 Wal.ts : H. Len,th. : 26, 28, JO , J21n 7/6 Waist : 37 In , 7/11
S.J.A. NEW REGULATION COAT
Cut and tailored (rom fully ,hrunk and showerproofed material, half lined with ,ray Italian cloth. Price. Include button • An official order (or H.O. to lupply u' with bad,es and button. must ba sent with avery order Women SI1IIs 99 /6 0 '. 105/- ix 0.1. 112/6
STOCK SIZES- Woman', :
Bust : 32.32 ,33,34,35,36,36 ,36,37,38,)8,]9
Lgth. : «,46 ,« 46 ,45,44 46 ,-48 ,47,46,48 48
O S. 40, 40 , 40 , 42 X OOS. 44, 46 46 , 48, 50 , 48 48, 48
S.J A. REGULATION HAT (or
Officers , Wool Felt, 19/11 , Ambulance
Sister•. Felt, 16/11. Badges are only obtainable from H O Sizes : 6f, 6•. 6t. 61, 7, 7 i. 7i, 7•. Storm Cap 13 /6.
NEW REGULATION DRESS for Ambulance Siste" Made from lood quality Sanforized - Shrunk washln, material.
In G r ey Matalalne Wm ' s Made to Measure Wm'. £4 10 0 £6 0 0
STOCK SIZES (Women's) :
Bust : 34, 34, 36, 36, 36, 38, 38, 38, 38
Waist : 26,26 , 28 '28, 28, 30, , 30, 31.11
Skirt: 28, 30 , 28, 30 32, 30, 32 3D, II
REGULATION CAP for Ambulance Sisters , 27 by 181ns or 28 by 19 In1 , 1/8
REGULATION CAP E.-Made in re,ulatlon Irey cloth, lined with all wool r.d Hannel, 43/9
NUMERALS OBTAINABLE. FROM HEADQUARTERS ONLY
tE)e <bfftcic.f .iourn o. f of tE)e i n t6t {!lto.fm of t6t Qi enera Bfe of f E)e 1f)061'# af of !it. ;J06n of ;Jeruso.ft m V OL. r6 NO. 2 FEBRUARY, 1943 PRI CE ;d.
CONTENTS:
E D ITORIAL
PROMOT I ONS IN, AND A P POINTMENT S TO THE ORDER THE ST JOHN AMBULAN C E BR IGADE OV ER SEAS
MER ITO RI OUS A WA R DS
PHYSIOLOG Y IN FIRST AID OBITUARY ON ACTIVE SERVICE
POST OFFICE AMBULANCE CENTRE
CIVIL DEFENCE SERVI C ES CADET NEWS
THE ST. JOHN AMBULANCE BRI G ADE AT-HOME P R I OR Y FO R WALES GIFT FROM BR I TISH GUIANA
I N T E R EST I N G C ASE REP OR TS
QUESTIO N S AND ANSWE R S H O NOU R P O LICE AMBULANCE NEWS
EDITORI A L OFFICES : S T. JOHN'S GATE. LONDON , E C.l
(All reports , etc ., should reach the E ditor not later than the 28th o f the m onth .)
T will frequently be found that when a patient is in a ·state of nervous tension his dig es tion and powers of assimilation are affected. In such cases the provision of some easily assimilated food which meets every metabolic need will result in a definite improvement of the patient's nervous condition.
For thi s purpose, both as an emergency measure and as a regular routine, 'Ovaltine' has special advantages. This food beverage is a unique combination The manufacture is carried out by exclusive scientific processes, in such a way that all the important dietetic qualities are fully conserved.
The nutritive and energising constituents of ' Ovaltine are rapidly assimilated, providin g every dietary essential, and at the same time exerting a helpful sedative effect on the nervous system.
, Ovaltine ' possesses many advantages, and its outstanding usefulness receives even greater emphasis in wartime practice, both civil and military. Now, as in I9I4-I9I8, , Ovaltine' is widely used in the wartime hospital service, both at home and overseas. Supplies are available to hospitals in special packings and at prices.
Write for details. to A. Wander, Ltd., 184, Queen's Gate, London, S.W.7
t6t <t>fficio.f J'ourno.f of t6t in t6t OOritis6 (Rto.fm of (]tnero.6ft of t6t i)osl'ito.f of J'o6n of J'truso.ftm
Edited by G!£ORGE E. CRAFT, F.R.S.A.
VOL. 16. No. 2 FEBRUARY, 1943
EDITORIAL
Post-\\:ar H.econ and Relief Work are being brought strongly to the forefront In many dIrectIons.
It is envisaged that International Societies with National Oraanisations in Britain will wi h to join together in a common effort, to which can make their contribution , to solve the problems of disease, destitution, famine and repatriation among the peop les of Europe and in certain parts of the British Empire. The St. John :\mbulan'ce Brigade, 'with trained men and women both -\t-Home and Overseas, should be in a position to offer valuable assistance.
\ "'ith this end in view the Order of St. John has set up a Post-,var Reconstruction Committee uncler the chairmanship of Sir \Vil1iam Shenton to consider \·"hat contribution could b e made by the Order and the Brigade.
To assist the Committee information is required in regard to members who would be prepared to undertake l\Io'bile Overseas Relief Service after, or even dyring, the war and a register is being opened to record the names and qualificatIons of volunteers. At present it is not proposed to register those members who would volunteer for service in their own localities as this would be done on the u sual Brigade basis.
This matter should be brought to the notice of all members of Ambulance NursiI?-g Divisions, and Commandants of V.A. Detachments should notify theIr mobIle members of the scheme as it is thought that serving V.A.D. members may be interested in the event of their release from the Service to which they are mobilised. Applications to registel: must be submitted the District-County Commissioner, whilst application forms will be obtainable from the Brigade Office, St. J obn 's Gate, London, E.C.l.
It is not· essential for those registering to be a lready trained, but knowledo e and qualifications in such subjects as medical, trained nurses and midwiv:s, social work, child care,. and dietitians, emergency cooking for large number s, samtatlOll and etc., will be especially valuable. Also a .knowledge o.f some fo:-elgn lan guage or lan guages. A high of phYSIcal fitness \\':111 be and applicants must be between the ages of 21 and 45, unless hoI2ling special qualifications Volunteers must b e prepared to undertake a minimum service of one year for mobile service overseas. The question of salar y is at present under discussion and it is expected that the scale would fully cover living expenses plus a small salary.
27
larior!, in tbe Jjritisb Realm of tbt
,,'1 ®rber of tbe of
'::i!; r . j!obn
of j!erusalem
H i s 111 ajesty the King has been graciously pleased to sanction the following P1'o motions in, and App01'ntments to, T he Vene1'able O,'der of the H ospital of St. John of Jentsalem. PRIORY FOR WALES
For Admission in the ' Grade of Serv ing Brother
H enr y A l exan der G r ay
Alb e r t E d win Lin dsay. COMMAND E RY OF THE AUSTRALIAN COMMO NWEALT H
For Promotion to the Gr a de of Officer (Sister ) .
Fra n ces Chr istina B urr ell , Miss McKay, M.B. (from Se r v ing S i st er ). INDI A
For Admission in the Gr a de of Comm a nder (Brother )
Godfr ey F e r dinando Stratford Collins, C.S. I. , C. I. E., O.B.E., I.C.S.
For Promotion to the Gr a de o f Officer (Brother )
Maj o r F r ederi ck T u cke r Deatke r (from Ser ving Brother).
For Admission in the Grade of Officer (Brother )
Arthur Cecil Gri ffin, O B.E.
Brigad i er H enry Edward Shortt, C.I.E., O .B.E , I. M.S.
Col onel '\iViliiam Co llis S p ackman, I.M.S.
I vo r H ope T a u nto n , c. I. E., I. C.S.
Col onel J ohn Patri ck Huban, O.B.E , I. M.S.
A rn old E u stace Bio n , C .I. E
Li e ut .-Col o n el J o h n Cla r k Pyper, O.B.E., I. M.S
For Promotion to the Grade o f A ssocia te Officer l Brother )
Rai Sahib Pandit Ram Sar an Upadhyay. Prabo dh Ch and r a Roy, M B.
Z a l Min ocheher Con t r acto r . (A ll fr om Associate Serving Brother).
tlCue J ohn
For A dmission in t he G r a d e of S e r v i ng Brother
No r man Barraclough .
Frank Tomisman Simpson, M.C. , M.B.
Thomas Jack '\iV a l ker.
Geo r ge H u mble.
Ch a rl es Ford.
Eric L i onel Arratoon
Dr. Edwin Haworth.
Fo r A dmission in the Gr a d e of A ss o ciat e S er v in g Broth e r
Mohammad Muzaffar-ud-Din Chughtai, M.B., M.R.C.S., L.R.C.P.
Sardar Sahib Khazan Singh.
F or Adm is s io n in th e G r a d e of S e r v in g Si ster
Eth el Bessie, Mrs. Bryant.
Enid, Mrs. Goul d.
Ol ga Muriel , Mrs. Sinnott . Dorothy, Mrs. Brabson.
Cassandra, Mrs Carroll.
Dorothy Elizabeth, Mrs.
Aileen Norah, Mrs. Bruce Hay.
®btrstas
E STAB LI SHMEN T <DF A CO MMANDERY FOR grap h ical conditions such as have no AUS TRA LI A p l ace. in a n y other part of the British Space did not afford of more than a Commonweal th of Nations. For this vast p.assin g referen ce in the November, 1942, and pleasant Commonweal th with its iss u e of THE GAZETTE to the very im- coastline of 8,000 miles, contai n s a tota l portant l andmark in the h istory of the pop u lation equival ent to that of London, Over seas constitu ted by th e establish- and as a consequence one so w i de ly disment of a Commander y in A u stralia, trib u ted and scattered as to make the a nd inclu d i ng a ll the States excepting estab lis h ment of a Commandery in each Wes t ern A u str a li a , w h ich, owing to its State (which was desired by many) quite r em o teness, w ill p rese ntl y b e given a i lnpossibl e. D uring the offici a l v isit of the Co mm a n der y ()f i ts own. Ch ief Co m miss i on er Brigade Over seas to That A u s t rali a h.as h a d to wait for so A u s tr a li a run 1936, he h el d m ee tin gs in l o n g a peri o d w ith o ut a Co mm andery, ever y Stat e in a n endeavo ur to fi n d a notvriths t a n d in g t he m agnifi cent Ambu l - sati sfacto r y so lu tio n of t hi s p r oblem, and anc e and N ur s ing ser v ic e w hich its Over- as a conseq u ence the present happy seas memb e r s have g iven. for so many end ing 'was arr ived at, one which i s ye ars, h as b een entirel y d u e- to geo- a lready f unc t i oni n g extremel y well and 28
w hi ch h as bro u g h t great content to those who rightly appreciated that Australia's reco r d in t h e ambul ance service deserved e qu a lity in t h at r espect with So u th Africa, New Zeal and and Canada which had been granted Commanderies by the Grand Priory for several years. It is only a further proof of the valu e of the Overseas tours from St. John's Gate, and of that personal touch which is so necessary in dealing with delicate problems and perplexities. Those who have been appointed to hi g h office in the Commandery of ustralia are exactly those who can be depended upon to make it a success and whose work for the Venerable Order has been outstanding for a long period of time. The best wishes of all members of the Order and its Establishment in England go to the Co mmand ery in Australia with the hope that it will not be lon g before the splendid Stai:e of Western Australia also possesses its own Commandery.
TANGANYIKA
With whatever vision the Chief Commissioner Brigade Overseas (Col. J. L. Sleeman) may have had when he started ambulance service for the first time in Tanganyifca in 1937, little could he have imag ined that within four years members of the Brigade for which he had been
jIfle ritor ious
responsible would be doing valuable work, not on ly in fi r st aid and ambu l ance service with in t he Territory, but also in helping l arge numbers of Polish refugees. And yet this is the case which is indicated by the following :-
The Brigade has expanded considerabl y since the formation of the local Civil Defence Service, and the Nursing Divisions have all been takin g turns for some time in twelve hours a day duty, seven days a week, staffing a hospital for Polish refu g ees This hospital ha s two Sisters and four Ambulance Sister s on du ty every day. There has been an averag e of 20 to 25 in-patients, and as many as 120 out-patients daily at one period . The ambulance men are meetin g the refugee convoys and tran spo rtin g the sick to the camp hospital , there are four :first aid stations, a C.C.S., a t emporary hospital and 25 stretcher parties for d uty in the town as well.
BRITISH SOMALlLAND
News has reached thi s country that it hoped shortly to be able to register an Ambulance Division made up of member s. of the Police Force. This is the first time that first aid classes have been held , and it is hoped that the members will find it useful when patrolling in arid areas.
The fo ll owing have been brought t o the notice of the Chief Com missi oner, Brig ade At-Home , for gallant and devoted service durin g Air Raids, and have been awarded the Meritorious Service Certificate of the St. J oh11 AmbulaI1ce Bri gad e :-
DR. R. W CAREY
W. S. CLUTTERBU CK
D. J. ALLEN
T. J. 'iV. BALL
A. S. JAMES
MRS S. C. vVATT
MISS G. PACKER
MRS. A. TH AKER
MRS. PARRY
MRS. ABBOTT
C. B MARSH
D / Surgeon D / Supt. Private Private Private Nsg. Officer Amb. Sister do . L / D / Supt. Amb. Sister Corps A R.P Officer
R. STEPHENSON Private W. LANCASTER do.
DR. C. O CLARK D /S u rgeon
MRS. D. BINGHAM-HALL L / D / S u pt.
MRS. E. TOTTLE Amb. Sister
M I SS J TIDMAN do.
M I SS D. REDMA do.
M I SS G. ROBERTS do.
MRS. V. MUNDAY do.
SE R GEANT CAMME L L Ser geant
P RIVA TE POCOCK Private
T . C. T R ESS I DER Ct y. Officer H HOL LOvVA Y P rivate
F . M . F O X
L. EVERS HED
A mb S ister d o. 29
Gloucester Aircraft do. do. do. do
Gloucester A ircraft Di,·. do.
Nottingham Central Nsg. Diy. Plymouth Sherwell Diy do vVeston- s uper-Mare ,Corps '\iVeston-super- Mare do. fare do. , hanklin d o. do. do. do. do. do. D i v.
Co rn wall Co unty Div. Ns O'. DiY'.
Birmi n gh am J . Wilkes, Son an d Mappl ebec k Di v Edgware and Mill Hi ll Nsg. Div. d o. B
PHYSIOLOGY IN FIRST AID
By M. M. Scott, M.R.C.S., L.R.C.P.
(Member of the Textbook Revision Committee and Divisional Surgeon, S. J.A.B.)
THE ALIMENTARY SYSTEM
(Co1 ;tinuedjrom page 8, Ja nuary, 1943, issue)
The Liv er is the largest glandular it joins the large intestine. -r:his structure in the body. In shape it length of tubing is only made possIble resembles a wedge, with the base in a relatively by the situate on the right side on the under bowel being folded mto coils, and m surface of the diaphragm, while in order to allow their f.ree. movement, front it is almost completely covered the whole structure lS mvest:d by ov€r by the lower ribs. In the live the the folds of are ject it is deep red in colour,. and attached to the .(or to its softness, shows mdentatlOn back) abdommal wall, thus formmg markings caused by the other struc- the (( The Duodenum tures in contact with it. Above, the (already descnbed) forms the comliver is suspended from the of the small intestine.' the by peritoneal ligaments, whlle to ltS adJotmng two-fifths of. the remamder under surface the lesser curvature of being knO\I\TIl as the J eJunum, and the the stomach and the first part of the last three-fifths as the Ileum, although duodenum are attached by a peri- there is no definite line of demarcabon toneal fold called the (( lesser omen- between theI).1. The Ileum ends by tum." From under surface also forming a va.lve in the n ght ilIac the" bile ducts" leave the liver, while fossa (the low e r right quandrant of the the portal vein and hepatic artery abd?men) on joining. the large menter it alongside them. testme, where. the c rrc ular muscle
The "Bile Ducts" are two m fibres are thlckened to form a number, and unite to form the (( Com- (( sphincter" which controls th e (( Ileomon Hepatic Duct." Lying?n the colic Valve." unner surface of the hver IS the STRUCTURES OF THE SMALL IN TESTI L E muscular bag, known as the G<1:ll The small is composed of Bladder, from which leaves the Cysbc four coats, as m the stomach. The Duct. ' The Common Hepatic Duct and outer coat is serous and composed of the Cystic Duct then to form the (( peritoneum," the (( m 'uscular." coat
Common Bile Duct, whlch (as pre- conslsts of an outer layer oflongltudlllal viously mentioned) opens with the and an inner layer of circular fibres. main pancreatic duct into the duo- Then comes a (( submucous" coat, and denum. The Gall Bladder is the store- finally the innermost or (( mucous" house for the Bile, which is produced lining. This innermost coat is arranged by the liver. When food enters the in permanent tuck-like folds called duodenum from the stomach, the gall the" Valvulce Coniventes," which conbladder contracts and the bile is thus siderably increase its surface, thereby €xpelled so as to mix with the food further the a.rea avallable and so participate in the process of for absorptlOn and secretIon. digestion. more, absorption is further faClhtated
THE SMALL INTESTINE , by numerous hair-like projections, the The small intestine is that portion of the alimentary canal where the digestion of foodstuffs is completed. Here also the resulting products are absorbed from the bowel so that they may be transferred to and utilised in other parts of the body. .In order to anew sufficient time for thlS, the small intestine is of necessity long, and in fact measures approximately twenty feet from the commencement at the stomach to the ileo-colic valve where
" Villi," which protrude from them, thereby giving the Valvulce Coniventes the appearance of soft velvet. Each Villus is composed of central lymphatic vessel or "Lacteal," surrounding which is a plexus of capillaries which eventually drain into the " Portal Vein" and so to the liver.
THE
LAR GE INTESTINE OR COLON
The large intestine or colon is about five feet lon g, commencing at the Ileocolic Valve, where it joins the small intestine, and ending at the Anus. It is arranged in an arched manner, with th e convexity of the curve directed towards the diaphragm, and so that the small intestine lies within the concavity.
The large intestine commences as a dilated pouch, the " Caecum," in the right iliac fossa, the Vermiform AppendL,{ springing from its back and inner part approximately one inch from th e ileo-colic va lve. The appendL,{ is from three to four inches long, its position varying considerably. From the Caecum the co lon then passes up-wards as the "Ascending Colon" over the right kidney to the under surface of the liv er, where at the " Hepatic Flexure" it bends towards the left to become the Transverse Colon," which forms a wide loop over the small intestine. ·This section terminates over the left kidney, where, at the "Splenic Flexure," the colon passes downwards to the brinl of the pelvis as the " Descending Colon ." This is contin uous with the Pelvic Colon which in turn enters the true pelvis to become the Rectum. The Rectum is the lowest five inches of the colon and ends in the Anal Canal," which is about one and a half inches long. The opening of the Anal Canal on to the exterior is known as the " Anus," which i? guarded and controlled by the ' External Sphincter Muscle." .
(To be
OBITUARY
STRUCTURE OF A VILLI
A. Covering. B. Plexus of Cappilaries. C. Central Lacteal.
D. Artery entering E. Vein leaving.
News of the death of Dr. Gre gory Sprott, of Tasmania, a Knight of "Grace of the Order, has been received with much regFet.
Dr. Sprott was interested in ambulance work for very many years, having conducted his first class of instruction at Lancaster, England, in 1887.
ON ACTIVE SERVICE
The Chief Commissioner of the Bri gade At- Home re grets to report the death of. the following members whilst on active service :-
Sergeant T. Pascoe, of the Ashburton Division, whilst acting as Rear Gunner with the RA.F.
Private Eric Lawler, of the Heaton Park Division, in the lVIiddle East.
Corporal J. Meyrick, of the Brittains Cheddleton Division, in the Middle East with the RA.s. C.
Private George V. Hallam, of the Bilsthorpe Colliery Division, serving with the Royal Navy (reported missin g, presumed killed).
It is reported with regret that Private J. Corke, of the Southall Division, a Sergeant-Ob server in the RA.F., is reported missing from a recent raid over Germany.
Erratum.- In the ovember , 1942 , issue of THE GAZETTE, page 273. For Private J. H . Cornish, r ead Private J . H. Cornish . POST OFFICE AMBULANCE CENTRE
On January 4 the "M" Division Metropolitan Police gave a fi rst aid demo nstration to members and friend s of the Post Office Ambulance Centre (Cit y of London Branch) , which was greatly app rec1ated by a large audience.
The first part of the programme 'was that of two set pieces on which member s of the audience were asked to criticise th e work done, whilst the second half consisted of test s suggested by the audience. Questions were answered by P.C. Ferris (who is captain of the "1'11 " Division al Police team).
He was one of those responsible for the formation of the Southern Tasmania Centre of the Association in May, 1909, and became one of the foundati on members of the Executive Committee and one 'o f the first lecturers. Later he became chairman of the Southern Tasmania Centre, and ' remained interested in its affairs for a great many years, being r esponsi ble for its revival in 1928 after it had lapsed for a few years. He was also responsible for the donation of a shield for competition by ' men's teap:l.s in first aid in Tasmania.
Among th ose present was Sir GeQrg Abbiss (Assistant Commissioner), Depu ty Assistant Commissioner Archer and Supt. Briggs, of the Metropolitan Police, Sir Henry Bashford (chief Medical Officer of the Post Office), Dr. "Vhite (City M.O. ), H. M ilie Branch) and many other Post Office officials. Thanks were expressed to Supt. Bri ggs and his men for their very instructive programme, and to the joint secr etaries, Mr. Arthur Leng and Mildred :M Parker, for the 'work they had put in. 31
CIVIL DEFENCE SERVICES
By tW,. C.. Bentall, O.B.E., F.R.C.S., F.R.G.S.
AMALGAMATION OF RESCUE AND FIRST AID PARTIES
A few nigbts ago (January 28) the gave a brief intimation of this change, thus making public what for a long has been evolving in the growth of our services.
Previous articles in THE GAZETTE have alread y referred to the "Regional Schools" for the gathering together and instruction of heads of both the Rescue and First Aid Parties. Such schools were opened in most of the Regions about two years ago. Local authorities were advised that any of their personnel of these grades should be sent up for a week 's special united training if possible. For some time tbe schools were full each week so long as there were w hole- time personnel to come. Part-time voluntary personnel found difficulty in getting away from their bome or work for a full week, so when the instru ctions of the paid personnel were ab.out used up, in some areas the lecturers of the schools were offered to the local authorities to visit any area for some days, to give similar teaching. This offer , jn some' areas was eagerly accepted, and sucb local classes bave been mucb appreciated. This was a fine preparation for the big development, and now alre,ady in many centres tbe work oJ tbe two parties is closely co-ordinated and proving th e undou bted increase of efficiency in saving life. Another more advanced preparation had been the development of the Regional Mobile Reserves founded and run on this conjoint line The actual procedure may be summarised under the following headings, and the actual official details ha ve been supplied to ali local authorities in England, whci will be taking action on the rnatter. Let us do all tba t lies in our power if in either of these . services, to hold ourselves ready for willing, helpful and whole-hearted cooperation, aud if we work for victory we cannot and must not be critical or non-co-operative-that surely would be throwing a spanner in the ma-
the C.D. are more dependent on each other at an incident. How often the question in a blitz has arisen between them, e.g., "Shall we apply our first aid while tbe casualty is trapped, or will you in tbe Res c ue Party extricate tbem with your specialised skill?" or the same question I have heard reversed by the Rescue Party lead er asking the leader of the First Aid Party. Either done wrongly might endanger lif e The j unction of the two parties into one under the title of Civil D efence Rescue Service is, equally applicable to first aid and r escue work. Many other n eeds exist w hich have been under detailed consideration by those who g uide our strategy to th e best possible end .
2. Actual Procedure. - A Rescue Party consists of 10 men, and a First Aid Part y of 4, plus a lead er, i.e., ' 5. Each Rescue Service will consist of seven men, including the driver. So one Rescue Party of 10 added to one First Aid Party of 5 would equal 15. The actual need is for 14, which will provide two complete Rescue Services. In many cases personnel is already short; if not one will be transferred to other sections, and full provision is made for thi s in th e circ ular sent to the local authorities.
3 Tra ining and Control. - All members of this service should be fully train ed in first aid and rescue work and b e read y to take their share in either according to the need Those who have attenr;led Regional Schools (referred to above) are already so trained and have experienced the value of even closer co-operation which the developed scheme makes possible. Details of training and control and the position, status and pay of the various personnel, wjll be under the consideration of both the medical and engineering, side, and the locai council will see to it that such training and supervision is carried out under the direction of the appropriate Chief Officers. Graded ranks and pay come under this procedure also, and leaders chinery-truly sabotage.
1. The Need.-No two sections of and deputy-leaders will be appointed. 32
No additional appointments of paid ranks will be made beyond the existing ones.
. 4. Transport.-This will, of course, involve more changes, and full details are suggested in the circular provided. In general one commercial van, or one large car with a trailer, will be provided to carry the equipment for rescue and first aid work, in addition to the seven members. It is visualised that ex-ambulances may be utilised for conversion, existing rescue lorries , or large party cars plus tractors, certainly many first aid party cars, will be liberated together with the necessary upkeep and eJl..rpense. The Regional Transport Officers ha ve already had this development in mind for adeq ua te planning to meet this need.
Many other points might be dealt with 'on this . subject but are too detailed for this article, In all Regions the final decisions a r e left to the Commissioner.
((abet j}etus
Thanks j1'om the Boa.rd oj Education.Mr. R A. Butler, Minister of Education, in a letter to Miss G. Bro'wning, of the National Association of Gi rl s' Training Corps, expressed thanks to the Provisional Committee on which Lady Dunbar-Nasmith represente d the Nursing Cadets. The letter includes the following: " I appreciate what they (the members) have done, all the more in that I realise that many members have devoted much time and thought to building up a new organisation for girls in a field in which they were a lr eady working through other national bodies. Such Clisinterested assistance is good evidence of the readiness of thes e bodie to serve the national inter est."
Broadcast to A?'/'terica. - On Janu ary 19 was broadcast to America parhculars of the Youth Movement in this co untry , more especially the Cadet Movements of the Brigade and Red Cross Society. Listeners in America "vere told of the immense increase in Cadet Divisions, over 500 in the Brigade, during the past year, of the work carried out by the personnel and th e policy on which these Divisions are organised. Mention was made of the St. J ohn Cadet who gained the George Medal for meritorious ::vork done during an enemy raid , and the Important aspect that training provides members with m aie ri al for a career.
Ambulance Cadet s. - The address of the Chief Officer for A mbula nce Cadets is
now 1, Grosvenor Crescent, Lond on, S.W.I, to which addr ess all co mmunications should be sent.
Nort hern Ir eland. - An enrolment cere' mony of 26 members of the Ballymena N ursing Cadet Division was carried out by District Officer for Nursing Cadets, Mrs. Lockhart. This is the fir.st Division to be formed in the County of Antrim. After the enrolment the Cadets gave a display which was greatly appreciated by those present. The Cad ets were trained by Lady Supt. ]Vliss Agnes Sti rling, Cadet Officers Mrs. Orimer and .Yliss Mary Guest. Mrs. Lo ckhart congratulated the Cadets on their smart appearance and excellent work.
Dartjord.-Members of the Dartford Nursin g Cadet Division each made a toy which was sold towards the Prisoners of vVar appeal. As a result o f their efforts £ 6 16s. was added to the local collection.
Pen z anc e. - At the invitation of the Nu rsing Cadets the Penzance Ambulance Cadets provided an enjoyable evening at the First Aid Post. Under the instruction of Cadet Supt. Lewis demonstrations in bandaging, stretcher drill and signallin g were given. Lady Officer l\tliss \ V. ·"0l. Bailey, who is to be appointed in charge of the Nursin g Cadets, thanked all who had contributed to the evening's enjoyment.
Wanstead and Woodford.-On January 15 the Hackney Police " J" Division Concert Party gave an excellent concert on behalf of Divisional funds. During the interval Ald. H A. Southam (Mayor) thanked Supt Brazier for his kind permission in allowing his mfI to give their services and also expressed thanks to all present for their support This was supported by Div. Supt. Browse, who extended an invitation to any boy who wished to j oin the St John Cadet Movement. E very Friday evening some 130 boys meet to be instructed, but more could receive training in first aid.
Droy ledin. - The Droyledin Cadet Tursin g Division, which has now 31 members, held an enrolment ceremony of six n ew members on January 18. Lady Amb. Officer Mrs. Eaton, of the Groyladin Nursin g Division, carried out the ceremony, whi lst Acting Cadet Supt. 1iss J. Bleakley gave. an instructive talk on the eight points of the St. John Cross. Every week members of the Division do hospital duty at the Ashton-under -L yne District Infirm ary, the cadets being trained by Miss Bleakley and ·r\.cting Cadet Officer Miss G. vVhitehead.
Scu,ntltorpe. - The a nnu a l competitions of the Scunth orpe mbulance Cadet Divisions was jud ged by Corps Officer A B. Hudson (team) and Corps Supt. J. H. Theaker and Amb. Officer R. Traviss (individual). The team compo ed (Confimud on page 40) 33
«tbt J obn 1§rigabt
HEADQUARTER NOTES
A New Trophy. - A beautiful trophy has been p:resented to the Brigade by Mr. Oliver Golding, of the Nurses' Outfitting AssoGiation, Stockport, in memory of his late wife, Margarette Golding, who was an enthusiastic supporter of the St. John movement. Designed by the famous sculptor, Sir William Reid Dick , A.R.A., it a St. John Nurse in indoor uniform standing on a plinth somewhat similar to the Cenotaph and designed by Sir Edwin L. Lutyens, President of the Royal Academy.
The trophy is a Home Nursing award and is to be competed for annually by tea:gJ.s from Nursing Divisions in connection with the "Perrott" Shield Competition.
It will be exhibited at the 1943 Summer Exhibition at the Royal Academy, Burlington House, London.
Form A.R.P. Fj9.-This form has now been discontinued . All future applications for bad ges for Civil Defence uniform s should be made direct to the Stores Department on official notepaper.
No.1 (PRINCE OF WALES'S) DISTRICT
No. 71 (EDMONTON) DIVISI0N.-The annual ge neral meeting was held on January 20, when District Officer S. H. Collins presided. Div. Secretary Daynes in his report stated that membership stood at 116 all ranks, includin g 46 in H.M. Forces, 17 of full-time and 27 on part- time Civil Defence work. Records show that 1, 077 drills had been recorded, 728 public duties performed, 971 transport duties attended, 99 cases had received attention, 7 of which bein g sent to hospital. Three classes were held, resulting in 89 candidates qualifying for first aid certificates.
Amb. Officer Richards (Officer-inCharge) thanked the co,mmittee for their co ntinued support which had helped to make his job as member-in-charge a pleasurable duty. He also commended Sergt. Patman for his work in connection with duties. Tribute was also paid to the work of Mr. Daynes, to whom the success of the Division was largely due to his untiring efforts.
The Social Committee had raised .£80 16s during 1942 and members expressed their appreciation and thanks to the Committee for their splendid effo-rts.
:::-Jo. 83 (NORTHERN HEIGHTS) Ji)rvISION.
• A stop-watch competition in aid of the Prisoners of \7Var Fund held by the No 83 and the No 109 Divisions resulted in the sum of .£84 being handed over.
The prizes were presented to the winners
at the Odeon Cinemp., Muswell Hill, by Miss Peggy Dexter, the film actress, who was supported by Mrs. Gammans, wife of the local Member of Parliament.
Private H. J. Ayton (No. 83) and Supt. H. J. W. Wedd (No. 109) are to be congratulated on their untiring efforts, also Mr. Mitchell, of Messrs. vVilliamsons , who as 'winner of the prize for selling the most tickets (in this case over 1,000) handed back the prize for disposal in whichever way would benefit the fund.
No.2 DISTRICT
CHELTENHAM. - Three members of the Cheltenham Corps have an outstanding record. Between them they have to their credit over 100 years of unbroken active service with the Brigade.
They are County Surgeon Vir Hutton (a Commander (Officer) of the Order), Corps Officer V, ' H. Ball (an Officer of the Order) and Corps Officer H. G. Ballinger, who is a Serving Brother of the Order.
Together they signed the roll of the Cheltenham Friendly Societies Division on its inception in ovember, 1908, and, of an original forty members, they alone have not ceased their activities, and are to be congratulated upon their achievements.
MINEHEAD. - Div. Secretary F. G. J ones has a Brigade record of which he can be proud. Since joining the Minehead Division 14 years ago, he has attended every drill \:Lnd practice; and in addition to his secretaria l duties has given instruction in first aid and anti-gas to IDeal C.D. Services and the Special Police, etc.
The full record of his attendances is : Drills and practices, 548; public duties, 388; transport duties, 558; Civil Defence duties, 212.
No.3 (EASTERN) DISTRICT COUNTY OF BEDFORD
The Lady Louis Mountbatten, Lady Superintendent-in-Chief, visited Bedford on January 29, bein g receiv.ed by the County Commissioner, Capt. Vlf. C. Knight, who introduced the Mayor of Bedford (Ald. A. F. Rickard), who presided over the inspection of personnel at the Bedford School, County Surgeon H. W. Round, Lady County Officer Miss Mayhew, and Councillor A. L. Nicholls. A Guard of Honour was inspected and the County Commissioner reported on th e work of the Order, Association and Brigade in Be dford, more especially that done during the past 4t years.
Lady Louis addressed the gathering, expressing her delight and appreciation of the work done by the members in Bedford.
On Saturday, January 30, Lady Louis,
accompa nied by Capt. Knight and Miss iayhew, proceeded to Dunstable, where an informal luncheon was se rv ed. It was attended by County President Mr. S. H. \Vhitbread and Mrs. Whitbread, the High Sheriff and bis wife, Sir Thomas and Lady Keens, tbe Mayor and Mayoress of Dunstable, the Town Clerk, County Surgeon and Mrs. Kelsall Thomas, County Officer Weatherhead and various Divi ional Presidents. This was followed by an inspection of unit s in the Town Hall, where the Mayor (Ald. A E. Sharman) welcomed Lady Louis and her attendants.
Here also the Lady S uperintendent-inChief expressed her pleasure at the smartness of the parade and the work undertaken by the members.
This function was followed by a visit to Luton, where a further inspection of personnel was held at the Drill Hall. The Guard of Honour, under Corps Officer McEvoy, was formed by member s of the Luton Vauxhall Corps and the Luton Corps. The Mayor of Luton was presented to Lady Louis and the programme arranged carried out. The Luton Tursing Divisions and the Ambulance and Nursing Cadets ga ve a demonstration, after which speeches were made by the Mayor (Councillor J. J. Burgoyne) , County President W11itbr ead and Lady Louis.
Tea wa s served at the George Hotel , where the Lady Superintendent-in-Chief talked to many officers of the Brigade.
At each o( the thre e parades Lady Louis made a point of shaking hands and speaking to every man, 'Noman and cadet on parade , and made a deep impression by her kind and charming manner. It was a wonderful occasion for the Brigade in Bedfordsbire and one which will do much to foster the , enthusiasm of the nlenlbers.
LEICESTER. - The annual meetin g of the Gipsy Lane Ambulance Division was held on January 10 , when the Treasurer's report was of a satisfactory nature, also that of the Secretary. The number of d utie s carried out was 242 and 58 cases. attended. Thanks were extended to Dr. Hughes for his services since his appointment to the Division, also to the officers for their work.
The meeting accepted the Committee's recommendation of the rules fm the " Dr. P. Hughes" Cup Competition, and that the Rev. Challis should b e asked to be a vice-president.
NORTHAMPTONSHlRE
The Nursing and Cadet Divisions have forwarded .£152 to the Prisoners of \Var F und. In addition the Nursin-g and Cadet I?ivisions of nhe Soke of Peterborough have contrt buted .£162 5s. 2d. The \ iVellingbprough Nursing Divisions have 35
also helped to swell the effort of Lady Corps Supt. Mrs. Campbell, who is running a gift shop for the fund, and the amount to date exceeds .£600 No.3 (WESTERN) DISTRICT COUNTY OF WARWICK
On January 28 Lady Louis Mountbatten, Lady Superintendent-in-Chief, accompanied by the Mayor of Coventry (Ald. Mrs. E. Smith) and the Mayoress , inspected members of the Brigade of Coventry and also representatives from the north and the south of the county, in the Parkside Ambulance Hall. Those present included the President, VicePresident, County Commissioner Major E. S. Phillips, and members of the county staff.
Both the Lady Louis and the Mayor spo ke to a crowded hall. Many of those present had obtained an hour off from their work and immediatelv after the event returned to their duty. The two ambulances which have done so much good service in Coventry were also in spected.
The following morning, before leaving for Bedford, Lady Louis took the opportunity of visiting the St. John Ambulance Headquarters , where she was met by the Mayor of \ Varwick.
No. 4 DISTRICT CHESHIRE COUNTY
The Lady Louis Mountbatten , Lady Superintendent-in-Chief, paid an official two-day visit to Cheshire, where she had many opportunities of meetin g offi cers and members, also cadets , of the Brigade.
On January 16 , accompanied by County Commissioner Capt. P. Reay, Lady Louis visited Knowle House , one of the residential nurseries administered by the J Vl.O. Th e Headquarters of the Cheshire J oint County Committee, Altrincham , was inspected, and Lady Louis expressed her pleasure on the excellent work bein g done and the co-operation and happy working between the B.R.C.S. and St. John in Cheshire.
Attended by Capt. Reay and Lady Co unty Supt. Mrs. Demetriadi, Lady Louis visited the J \iV.O. Convalescent Home at Capesthorpe Hall, where she was received by the Commandant, Mrs . VlT. Bromley-Davenport. A vis it was also paid to St. George's First Aid Post, Stockport.
Arriving at Stockport Town ' Hall , a civic welcome was given by the 'Mayor a nd Mayoress (Ald. J. Randles and Mrs. T. T Richmond), \ Ving Commander M. J. Hulbert, M.P" and the Town Clerk (Mr. Fra nk Knowles). Lady Louis inspected l-epresentatives of East Cheshire Divisions , including Ambulance and Nursing Cadets under County Cadet Officer T. A. Prickett, Ambulance Divisions under Assistant
Cornmissionel' Jas. Cotter and personnel under Assistant Commissioner J. A. K. Ferns. She congratulateq them on the very excellent parade, and after tea had the pleasure of presenting to Colonel Chaloner a gift of a cheque on his retirement as County Commissioner.
On January 17 the Hartford Hill F.A. Post, which is staffed by members of St. John with A.R.P. , personnel, was inspected, also the Norley Bank Residential Nursery, ,,,hich has 44 cots and is in char.ge of Commandant Mrs. Dewhurst. Inspection was made of numerous Divisions on parade at each place.
After visiting Helsby Cable \iVorks F.A. Post, Lady Louis and her party went to the Birkenhead Town Hall, where a Guard of Honour was provided by the Birkenhead Corps. An official welcome was given by the Mayor and Mayoress (Ald. J. H. and Mrs. Hodgkinson), and an inspection made of the personnel from \iVirral, Birkenhead, Wallasey and Port Sunlight. Lady Louis congratulated the members on their smart appearance and exceptional keenness. After being entertained to tea by the Mayor, Brigade and Red Cross officials, a visit was paid to the Arley Hall Residential Nursery, where Lady Louis complimented Commandant Mrs . Wrigley on the excellence of the. nursery.
Altogether the Lady Superintendent-i nChief inspected over 1,250 personnel of the Brigade and expressed her pleasure at the happy time spe nt in Cheshire.
No;. 5 DISTRICT
R. P. VVhite presided at the annual meeting of the Gainsborough Division, being supported by Amb. Officers J. Watkin and B. C. Vvilson. The secretary reported that of the total personnel 20 were serving with H.M. FOTces; 5 were full-time and 37 part-time C.D. workers, whilst 3 were e ngaged in othel' A.R.P. work. The A.R.P. Auxiliary 'Reserve was still active, siX of its members servin g with H .M. Forces. Public duties performed numbered 582 (2,258 hours), 3,618 cases treated (an increase of 1,421), 5,2 cases were transported by ambulance a distance of 461 mile s. Numerous activities were carried out during the year, including assistance rendered on tihe occasion of activity.
After the election of officers, Supt. White thanked all who had helped the Division durilog the past year. He extended thanks to his fellQw ofiicers, N.C.O.'s, and all rank s for their continued help ancl loyalty.
Supt. V,7hite, whose address is 3, Morton Terrace, Gainsborough, Lincs., would appreciate any help that Divisions with their own headquarters could give
with regard to plans o£ building, costs, and other such information. Any plan s that might be sent and a ny particulars will be acknowledged and returned.
No.8 (DUKE OF CONNAUGHT'S)
DISTRICT
DARTFORD. - A dance organised by the Dartford (J. & E. Hall, Ltd.) Division in aid of the Prisoners of War Fund res ulted in the sum of £83 6s. 3d. being forwarded to the fund. The results of raffies and ft.ag day were included in the sum.
The Mayor thanked all for their great respo nse to the appeal, whilst Supt. P. Elward thanked the committee and all helpers.
FRIMLEY. - A very suc cessful bazaar and sale of work was organised by the newly-formed section o£ the Division at Frimley Green. Sales were brisk and after all expenses had been deducted the sum of £8 5 2s. 9d. was realised. This is to be divided between the Nursing Division and the Prisoners of Vvar Fund. The sale was arranged and run entirely by the nurses und er the leadership of Mrs. Ludford.
No.9 DISTRICT COUNTY OF CORNWALL
A lar gely attended meeting of officers was held in Truro on January 10. The Co unty Commissioner reported that there were now 32 Ambulance, 41 ' ursing, 19 Ambulance Cadet, and 14 Nursing Cadet. Divisions in the county. During the past year the county had been divided into two areas, South-West and North-East under Assistant County Commissioner John sto n and Assistant County Commissioner Landrey respectively. Both Assistan t Corp.missioners reported that they had visited all their Divisions, whilst Lady County Supt. Miss Grylls reported that she and her officers had visited all the N ursing Divisions. Results had been mo st encouraging.
Supt. W. H. Care (St. Ives) presented a satisfactory balance -s heet and h e was congratulated on havin g comp leted 17 years as county treasurer. Jt was decided to devote the annual Slubscriptions received from Divisions this year to the Benevolent Fund. Mr. E. Trounson (ex-County Commissioner) pointed ont that in the case of air raid distress application should be made direct to him. for immediate relief as he was the Almoner of the Red Cross Raid Distress Fund.
A discussion on the Youth Movement in the county and the appointment of lay instructors was held and certain decisions agreed to.
The meeting closed with a vote of thanks to the Truro Division for the use of the hall and for the provision of refreshments.
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HEADQUARTER NOTEs.-The Ambulance Committee of the Priory for Wales, which met und er the chairmanship of the Director of Ambu lance , Dr. D. Rocyn Jones, C.B.E., J.P., o n January 19 received a rep ort on the services of the Priory Ambu lances during the year 1942. The number of cases carried by cars stationed in the 20 car stations in So uth Wales totalled 20,225, involving an aggregate mileage of 334,618, these figures
Tepresenting increases of 1,170 cases and 14,503 miles o'n the figures for the year 1941. From the commencement of the Service in 1919 the number of removals carried o ut totals 224,005.
In consequence of the me.tal shortage, the Priory will be discontinuing the issue e>f Medallions and Labels to successful student s in first aid , and home nursing d urin g the war, substituting a record card for endorsement on requalification. The Department arranged for the examination of PA04 classes in Wales, an increase of 99 on 1941.
Applications will be invited from the Brigade in Wales' for attendance at the Courses of Instruction for Mobile Overseas Relief Service after, or eve n during, the war, to be arranged by the Post- Vlar Reconstruction Committee of the Order.
The formation of the West Flintshire Co rp s, comprising the following units, was confirmed :-Glanrafon and District Ambulance, St. Asaph Ambulance, Prestatyn Ambulance and Nursing, Rhyl Ambulance and Nursing and Meliden Ambulance and Nursing Divisions. Sanction was given to the formation of the following new units :-Senghenydd Ambulance, Rhoscolyn, Cef!}. Cribbwr , Ynysybwl and Beaufort Nursing Divisions, Llandudno Junction Cadet Ambulance Division, Pencynon-Hirwaun, Nantymoel, Troedyrhiw and Cwmparc Cadet Nursing Divisions. The provisional formation of Nursing Divisions in Valley (Anglesey) and Maesycymmer (Monmouthshire), and a Cadet Ambulance Division at Bucklev (Flintshire) was noted. -
The Principal Secretary (the Hon. John H. Bruce) referre d to the joint activities undertaken by the Priory in conjunction , ¥ith tha B.R.C.S thFough the Joint County Committees of the Red. Cross and St. John War O-rganisation. Special reference was made to the schemes negotiated in collaboration with the Welsh Board of Health for Rest Centre Reliefs at Treharris , Ammaniord, and MOflmouthshire and to the Merthyr
Tydfil and Ammanford Flying Column s for emergency service in target areas.
CENTRE REPORTS
ANGLESEY CENTRE.-At the Centre Committee meeting held in Holyhead on January 5, the Commissioner, Lieut.Co l onel Sir Henry MuJ.leneux Grayson, Bart.; K.B.E., welcomed the new President, Lord Anglesey, to the chair.
A letter was r ead from Dr. J. L. Moir, Home Guard medical adviser in Anglesey, expressing his appreciation of the facilities given by the Priory in allowing the men to take the Adult First Aid Certificate of the Order of St. John and also by the members of Holyhead Ambulance Division in providing instructors . \ Communications from the Principal Secretary and Commissioner for Wales, the Hon. John H. Bruce, s uggestin g openings for further developments during and after the war were considered.
County Officer C. R. Hollyoake reported the formation of new Female Division s at Rhoscolyn and Valley ; and also the formation in the near future of Cadet Divisions.
A sub-committee was appointed to consider the possibility of obtaining a hall as a permanent Ambulance Headquarters and Social Centre; and it was agreed to consider the possibility of setting lip a Medical Comforts Depot in Holyhead.
BECAUSE
The local Division of the Brigade paraded in full str.ength and marched t o the County Hall in char ge of Mr. Trevor Thomas.
CARMARTHl}NSHIRE CENTRE.-The Hon John Bruce (Principal Secretary and Commissioner for Wales), visited Carmarthen on January 10 for the purpose of handing over a fully-equipped motor ambulance, the gift of the CanadianPacific Railway employees, to the Joint County Committee of the Red Cross and St. John War Organisation. The Mayor of Cannarthen (Alderman P. W. Trefor Thomas) accepted the ambu lance on behalf of the Joint Committee. He was accompanied by the Mayoress, who is also commandan t of the Carmarth,en Red Cross Detachment. Representing the local Division of the Brigade were Div Surgeon T. Elfyn Jones and Supt. Sidney J ames, and the gathering included County Commissioner E. D. Jones, Mr. Daniel Johns (County A.R.P. Controller), Mr. T. Hubert Lewis (County Chief Constable), and Mr. W. Howel Evans (Borough Chief. Constable) . 38
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The Commissioner lor Wales said, in handing over the ambulance, there was no need to enlarge on what the Order was doing by providing ' volunteers for the Services. The Brigade to-day numbered 140,000, of which 17,500 were in Wales. He explained that a committee should be formed to assign the car to any locality for emergency war purposes for service at need throughout Carmarthenshire, possibly Pembrokeshire and a part of Swansea. The arrangements would be made by a committee set up in the borough.
The Mayor said it was a great privilege to aCGept the ambulance, and he felt sure that the members of the Division would ,man the ambulance and readily come forward as required.
- EAST DENBIGHSHIRE CENTRE. - The Colonel tir Charles B. Lowther, Bart., D.S.O. , J.p., presided at a meeting of the Centre Committee held on January 7. He was supported by the Assistant Commissioner and honorary secretary, Capt. R. G. Evans, and a good attendance of Brigade officers. A welcome was extended to Mr. S. E. Challenor and Mr. E. Meirion Roberts, two newlyelected members. The Divisional representatives presented satisfactory reports on the year's work.
MERIONETHSHIRE CENTRE.-This Centre Committee met on January 9 under the presidency of Major-General John Vaughan, C.B., C.M.G., D.S.O. The Commissioner, Dr. E. Lewys-Lloyd, reported that the attendance of Centre representatives at the Joint County Com'mittee was good, and was glad to report the establishment of a Nursing Division at Cynwyd, near Corwen, and the formation of Cadet Divisions in connection with the Edeyrnion, Bl<£nau Festiniog and Penrhyndeudraeth Divisions.
Permission for the formation of the Edeyrnion Nursing Division was granted i n May and the unit has now 20 members. In conjunction with the Ambulance Unit, two ce>ttages were converted for use as headqYal1ters.
The Blaenau Festiniog Division started the year with 14 members and increased to 25, aU of whom are renderin g service In Civil Defence Casualty section.
The Edeyrnion Division has maintained streng th despite the loss of several members. The new headquarters has been fully equipped to deal with first aid casualties and has a supply of medical comforts, articles of furniture having been presented by local supporters.
The year 1942 was particularly active for the Penrhyndeudraeth Division, training in first aid ' having been given by the officers and members to members of Yr Drdd, Civil Defence and N.F.S.
CADET NEWS-from page 33. of Cadet Corpl. D. Hookham (captain) , Cadets L. Brooks, R. Dunn, and A. Theaker were the winners , being followecl by the team led by Cadet R. Chambers. The individual prize was won by Cadet R. Dunn, of the winning team. Mrs. J. H. Theaker presented the prizes. Cadet Supt T. Brown, who is assisted by Cadet Officer G. Taylor thanked the judges for their services.
Farnboro'Ugh.-County Officer L. R. Allum presented certificates, proficiency bad ges and awards to memb ers of th e Farnborough Ambulance Cadet Division , and in so doing outlined the gene r al ideals of the Cadet Movement. Aft er the presentations and inspection th e Cadets gave a demonstration of thei r work. The parade was in charge of CadeL Supt. W T. Robinson , assisted b y Cadet Officer A. J . Smith. Corps Supt . ]. W. Clifford paid tribute to the efficiency of the work displayed and complimentetl officers and boys on their interest.
GIFT FROM
BRITISH GUIANA
To perpetuate the memory of the lat e Sir Edward Denham , Governor of British Guiana for some years, a re sident of that Co l ony who wishes to remain anonymou s, has presented an ambulance wagon to the Order of St. J ohn.
This was handed over to the Order on Janu a ry' 21 by Lady Denham , widow of Sir Edward, who said it gave her ver y much pleasure to ask Major-General the Earl of Scarbrough (Sub-Prior) t o accept the ambulance to further the humanitarian work carried out by an Order of which her husband was a member in th e Grade of Knight and in w hi ch he took a great interest , Lord Scarbrough thanked Lady Denham for the ma gnificent g ift and expressed appreciation on behalf of the Order to th e anonymous donor.
A representative gatherin g witnessed the ceremony, including Rear-Admir a l Sir Arthur Bromley,' K.C .M.G ., C.V.O., representing the Secretary of State, Colonial Office; Mr. J B. Sidebotham, representing the Colonial Office; Mr. M. Keating, Public Relations Department , Colonial Office; Major Wyn-Roberts, repre senting the West India Committee; alsQ the following Executive Officers of the Order: the Sub-Prior, Sir Percival Wilkinson (Secretary-General), Colonel Woolrych Perowne (Hospitaller), th e Ij:arl of Shaftesbury (Almoner), Colonel E. J. King (Librarian) , Sir John Duncan, Colonel J. L. Sleeman, Mr. H. W. Fincham (Assistant Librarian), Brigadier W. - B . G. Barne Mr. D. G. Monteith (As sistant Secretary), Lady Louis Mountbatten, the Hon. Mrs. Copland-Griffiths. 40
MORNING SICKNESS
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INTERESTING
CASE REPORT No. 220. - The Officer-in-
Charge of the East Sussex Area, S.] .A .B., reports the efficient performance o f first aid by a member of the Lewes Nursing Division in the foilowing circumstances :-
On September 5, Ambulance Sister M. Moppett was called to a h ouse where a small boy (age 4) had stepped o ut of a bath on to a broken ju g and had sustained a d eep circul ar wo un d just above the ankle co mplicated by sever ance of both tibial a rteries, and the large tendon at the heel. Ambulance Sister Moppett witho ut delay app li ed tourniquet , d r essed the wo und , kept the limb e levated, sent for ambulance and treated for sh ock. From t he time of the accident 'th e child was treated a n d in: h ospital withi n 15 minutes
On a uival the members of the staff ·were very busy, and the Surgeo n , who kno·ws the work of Ambulance Sister Moppett at a F irst A id Post, asked her to scrub up and get ipto an over a ll and assist him in the subsequent operation.
COM MENT.-This 11eport re l ates ho w Ambulance Sister JlII. Moppett, true to the traditions of the Brigade, proved her v alue as first aide?' and nu?'se and consequently merits cordial congratulations.N.CF.
CASE REPORT No. 221. - The Officer-inCharge of the County of Somerset, S. ].A.B. , rep orts the efficient performance o f first aid b y members of the Minehead Division in th e following circumstances :-
On Sunday m ornin g, May 25 , a message w as received th at the re had been an
CASE · REPORTS
acciden t to an officer of the Home Guard whilst at bombing practice near Minehead . . Staff-Sergt. ] ardan and Sergt. ] ones wer e immediately summoned by telephone arid proceeded with the motor ambu lance to the scene of the accident. On examination they found the ri ght le g of the patient had been badly shattered by a bomb thrown from a projectile, causing comp ou nd comp li cated fractures of both bones. They first arrested the h cemo rrhage, steadied and supported the l eg and dressed the wounds. Getting one of the Home G u ards to support the leg they placed a piece of stiff canvas beneath the le g and rolled the plints in this, bringing them up the the l eg, thus making a box splint. The fracture was then treated in the usual way, the patient meanwhile bein g treated for shock. The patient was received into ho spital within 35 minutes of the call being received and an X-ray examination revealed that the tibia was shattered into 17 fragments The House Surgeon complimented the Brigade members on the effectiveness of their treatment which contributed in no small measure to saving the leg. It is pleasing to add that in due course patient made a comp l ete recovery . COMMENT.-Th1:S repo'yt is typical of tlte good wor k which is done daily by members of the Brigade. Staff-Sergt. Jordan and Sergt. Jones, th e?'efore, merit cordial congratulations on th eir towards the preservation of their patient's leg.N.CF.
QUESTIONS AND ANSWERS
FRACTURES OF PATEJ-LA AND LEG
S. L. (Sale).-At a r ecent Divisional Practi ce a team had to treat a patient wh0 was suppo sed to be sufferin g from , simple fracture of ri ght patella and com. pound fract ure (fragments protruding) of left leg
The treatment of the first injury ,;",as passed as satisfactory by t h e 0 IC. Itxcept that the leg was kept fiat and not raised , In the tre atment of the leg, howe ver , the team, after applying splints, p laced a rin g pad over the wo und and bandaged it in position with the idea of qbviating knocks on the injured part. Their action was severely criticised by t he O / C., w ho said that the rin g pad would press on each end of the b one and cause pain and also th.at a pad of do tt on w ool would give better res ults
An argument resulted and "iDee-ame so heated that I, as Divisional Secretary, was asked to obtain your rulin g on the point. I would add that ·in the opinion of a panel o f members there is really n o
need to seek your rulin g becau se it is obvio u s that there are cases in which the ring pad would act as, a cushion against further injury and also cases in which it coul d h ave the opposit e effect.
Th e. ring pad is a special appliance used for th e pre ven tion of pressUire ( 1) in first aid on a fractured skull a11,d (2) in home nursing on the points of elbow or heel. It is reserved for these purposes and ·it accomplishes i ts purpose only when its circle is in close contac t with bone.
In other words, your Ole. was pe1jectly corlJ'e ct in his ruling and in his decision that a pad of cotton woo l (as In. icl down in the T extbook) affords the best protection to the fract?,w e Further your suggestion t hat members of the Brigade when handZing a comp@und fraeture of the · l eg are ' likely to 'Yough handle th e patient an d to expose th e fracfttwe to knocks, is cont'Yary to fact!
I n sho'Yt , i t look s as if you we'Ye wise in passing your query to me.-N.CF.
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had to treat a man who, while fixing up h1S blackout, fell off a ladder. \l\Te found the patient lying on the floor on his face and with his right foot caught III the ladder one end of which rested on a table and fhe other on the floor. Vie located evidence of fracture with a small patch of red on the trouser le a and correctly diagn,?sed compound fracture of nght leg Seeking the cause of the insensibility we noted a small smear of blood froID one nostril and by deduction diagnosed fractured base of the skull.
I shall be grateful (a) if you will let me h.ave your comments on the injuries, and' If you think that a faint smear of blood from one nostril is a fair indication of a fracture?- base. Also (b) would you to rolling the patient on his back at once. arrest hcemorrhage before Immobohslllg the fracture in any way?
(a) you must appreciate the 'mvolved, you criticise the staging of the test whereas in actual circumstances you might have far less to guide you to the 2nJunes ·present ! You also criticise the in,juries selected, althou,gh I conside1' them as 9uite consis tent with the history of the Furihe1', it is better in )lour to select injuries, the treat'me1zt of teach while it tests and to tra 1·n your membe1' s up to a high sta1zdard.
(b) On the facts as stated it wou ld be good treatment to control temp011 ar i ly the bleeding and the fracture and to release the trapped foot. This done, you could then roll patient on to his back and then proceed to complete your treatment, first of the wound and th en of the fracture.-N.C.F.
IMPROVISED TREATMENT OF FRACT URES
A. W. (Calne).-I enclose a list of improvisation treatments of fractures. These were demonstrated by a \7i,Torks Ambulance SupeL'intendent, who attended a special course of first aid at a Civil Defence, School at Plymouth. Would you please give your opinion on these methods of improvisation?
The methods of i 'mprovisation ta2tght at the School are applicable to Civil Defenc e personnel 2mder air-raid conditions for which there may not be sufficient material to carry out the instructions of the Textbook and in whic.h time is a pressing factor in mew of poss2ble furth er casualties. A s such they are excellent, but when there is ample apparatus and when the time factor is absent, it is better to carry o'ut the treatment of all fractures as laid down in the Textbook.-N.C.F.
TAKING PULSE OF BABY
H. C. (Morden) .-At a recent examination several candidates were asked " 'Where would you take a baby's pulse ? \;Vhen they gave the answer, "If im-
perceptible at the radial artery then over the they were failed by the , exammer. They were later lold that the correct in the scalp. As we are not told thIS III the Textbook or in our lectures, we should like your views on tilis subject.
.While I car:not but suspect that some arose between your fello w membe'Ys and the examiner, I can only add that the answer stated to have been give?? was perfectly cor'rect.-N.C.F.
FRACTURED FEMUR AND DISLOCATED KNEE
E. M. {Bristol).-At a recent Divisional we were asked to treat a patient suffenng from fracture of thigh in middle of shaft accompanied by dislocation of the knee of the same limb. Please tell me w.hich of these two injuries would require first treatment and why, and also if it would be possible to straighten the limb for the application of splints.
Dislocation of the knee is a very rare acc2dent; and the diagnosis of this injurJ at the scene of the emergency would difficult by reason of effusion mto the kn ee J01.nt. F,' om the first aid point of view the fractured femur calls for prefe ·rentzal (NOT first) treatment, with the prov2so that as laid down in the Textbook all attempts to "place the limb in natural (and so 1'educe dislocation of lmee J01.nt) must be avoided.- T.C.F.
TREATlIIENT OF ARTERIAL HJEMORRHAGE
D. S. (Home Counties) .-As a Brigade S ur geo n I wonder if you would be so good as to shed li ght upon Rule 5 of the General Rules for Treatment of Arterial Hcemorrhage (Textbook, pp. 108-109).
It would appear that there are two ways of interpreting this Rule. Some say that a pad and bandage shou ld be pl.aced over the pressure point, but WIthout. the use of a twister. Others, would insert a semi-colon after the word "bandage," thus placing the pad and bandage over the wound.
I agree that th e11 e are two ways of interpret1.ng Rule 5. To me, however, it is clea1' that the... pad and bandage are to be applied firm,ly and d1.rectly on the bleeding wound except when this treatment is contraindicated by a subJacent fracture or foreign body (Rule 4). In other words, Rule 5 must be applied in close with Rule 4, which names two methods (direct and indi 1ect) of controlling bleeding by dig1:tal pressure. - N.C.F.
HONOUR
The · County fo[[ Surrey reports that Pnvate G. WIckens, of the Harley Division, now serving with the RA.M.C. in the Middle East, has been. awarded the Military Medal. 44
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POLICE AMBULANCE NEWS
METROPOLITAN
" E" D ivision.-On Januar y 2, teams of Re g ular s, Specials a nd '\i'\Tar Reserves competed for the Divisional trophy, t he jud ges b eing Dr. Basil Steele (team) and Dr. Abraham (indiv idu al). Among the distin gu ished visitors' were · Sir Phi li p Game (Commissioner), Sir George Abbiss (Assistant COinmissioner), Deputy Assista n t Co mmi ssioner Dalton and officers from ot her Divi3ion s Supt. Seymou r thanked the judges and the visitors and announced the awards as foll ows :-1, Gray's Inn Road Regu l ars, 290; 2, King's Cr oss Road Regulars, 276 ; 3, Bow Street Regulars , 249. Seven competed and the maximum. number of marks was 340.
" L" Di vision.-Dr. Abraham (team) and District Officer G. S. Lear (individual ), of the S .J .A.B., jud ged the " Rugg Trophy " competition on January 24, '.vhen nine teams of Regulars, Special and \i\Ta r Reserves competed. Those present includ ed Sir Geo r ge Abbiss, who pres ent ed medals for the winning team, Chief Constabl e Spr ul es, Commandant Rugg (donor of the trophy) and ma,ny friends of the competitors.
Supt. Pur brick announced the results,
w hi ch were: 1, Brixton Regulars; 2, Carter Street Eegulars; 3 , Clapham Regulars. He a lso expressed thank s to the jud ges, stewards and patients, and to Supt. Briggs (" M" Division) for use of Gilmo ur House.
Mrs. Purbrick presented the trophy and medals , also the "L" Division First A id League championship trophy to Brixton Re gulars. Peckham Re gulars and Peckham. Virar Reserves tied for second p lace.
"Z" Di vision.-Thefi rstNorb ury :::iubDivisional competition was hel d on January 23, when seven teams competed before Ass istant Commissioner Warren (team) and District Officer Stratton (ind i vidual), of the S.J.A.B. Good work was done a nd the jud ges complimented the team s on their work and ex pre sed pleasure that so many teams were able to compete from two sLations on ly.
Supt , Quincey anno unc ed the re ults a. follows: 1, Tr affic Patrols; 2, Norbury Regu lars; 3, South Norwood ,Auxiliaries. He also paid tribute to the work don e in first ai<;l by S. D, I. Bidgood and Sergt. Gwilliam (who acted as competition secretary) and to Chief Inspector King and Sergt , Bishop for the interest taken in the Divisional first aid work.
Owing to pressure on space many items have had to be omitted.
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Containing the antibodies of the germs common to infections of the nose and pharynx (Staphylococci, Streptococci, B.pyocyaneus, p!leumococci, pneumobacilli, enterococci, M. catarrhalis, B.Pfeiffer), Rhino-Antipeol is not just a palliative, but is a remover of the cause of the infection. During epidemics it is the ideal preventive of microbic development.
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C Ii" i c a I Sam pie 5 0" r e que 5 t fro
t6e ,iournaf of t6e in t6e OGritia6 (Reafm of Q;lenet'aBfe of t6e iSoa.pitaf of ,io6n of ,itruaafem Edited by
GEORGE E. CRAFT, F.R.S.A.
VOL. 16. NO.3 MARCH, 1943
EDITORIAL
The resignations of the Sub-Prior and the Secretary-General have been accepted with regr et, after 20 years' faithful service to the Order.
Lord Scarbrough became Sub-Prior and Sir Percival Wilkinson SecretaryGeneral in 1923, the l atter holding the offices of Director of Ambulance and Acting Chief Commissioner of the Brigade.
During the 20 years in office great progress has been made. The Order received a new Charter in 1926, which altered the title from the (( Priory in England" to II Grand Priory of the British Realm," and modernised the grades of the Order by the introduction of the Grade, Bailiff Grand Cross, Commander , and Officer. The term (( Venerable" was also adopted.
In 1936 another new Charter was given which altered the composition of Chapter-General.
In 1926 the Pilgrimage to the Holy Land, Rhodes and Malta was undertaken; and in 1927 the formation of Commanderies in the Dominions Overseas began 'with the foundation of th e Commandery in Southern Africa (which was raised to Priory status in 1942 ) . N ew Zealand followed with a Commandery in 1931, Canada in 1934, and Australia (excluding V\Testern Australia) in 1942. It will be seen from this how successfully the work of the Order was being developed throughout the Empire.
1931 saw the centenary of the Order, and in 1937 the Brigade celebrated its Jubil ee. On both occasions numerous events were held.
In 1929 the St. J ohn Clinic, founded by Mr. Louis Campbell Johnston, as one of the foundations of the British Humane Association, Vlas taken over by the Order and has been functioning ever since
The Order regained possession of the Grand Priory Church and the Crypt in 1931. It is unaltered from the time of its dedication in the twelfth century by the Bishop of Jerusalem. Unfortunately the church was destroyed by enemy action in 1941, but the Crypt is still intact.
In connection with the centenary of the Order, a fund was started for the purposes of building modern offices at St. John 's Gate to meet the expanding work of the Order. The plans hav e been approved, but the outbreak of war has prevented further operations.
Finally, the Brigade Overseas celebrated its Jubilee in 1942.
It will be seen that since Lord Scarbrough ruled over the Order it has made great expansion and dev elopm ent. On behalf of the readers of the we extend to them our sincerest thanks for all they have done, and Wl::j:Q t.hem many years of ha:ppy retirement.
to tbt <!&tbtt
As a result: of the re"ignations of Lord Scarbrough and Sir Percival Wilkinson, and the death of Sir Joseph B y rne, the following appoiptments have been made :
Sub-Prior: The Earl of Plymouth, P.C.
Secretary-General: Brigadier William B. G. Barne, C.B.E., D.S.O.
Director of Ambulance: Lieut.-General Sir Clive Gerard Liddell, R.C.B., C.M.G., C.B.E., D.S.O.
Secretary: Major Douglas Mackenzie Gordon, M.C.
The Earl of Plymouth was admitted to the Order as Knight of Grace on May 25, 1925, promoted to Grade of Knight of Justice November 20, 1931, and to Bailiff Grand Cross July 22, 1938.
He has had many years' active connection with the Priory for Wales. In 1927 he was appointed one of the three Trustees of the Priory, and continues to hold that appointment. On March I, 1928, he succeeded the late Lord Plymouth to the executive office of Seneachal, and on December 14, 1931, was appointed by H.RH. the Prince of Wales, the then Prier of the Priory for Wales, to SubPrior in succession to Lord Kylsant.
Lord Plymouth has maintained a close personal interest in, and association with, all departments of the Priory. In th e work of the J oin t War Organisation he is taking an active part as Chairman of the Glamorgan County Committee.
Brigadier Barne, a Knight of the Order, is well known to members of the Order, h,aving been Secretary since 1937. He is also Joint Secretary of the Red Cr oss a n d St. J ohn \ iVar Organisation.
Sir Clive G. Liddell has had a lon g and
varied army career . He entered the Army in 1902, bein g Staff-Capt. No.6 District, Northern Command, 1912-1914; D.A.A. and Q.M G. 1914 ; A.A. and Q.M.G. 1916 ; A.A.G. War Office 1917-18; served with the European War, 1914-18, during which he was mentioned in despatches six times, awarded the D.S O., C.M.G., C.B.E., and promoted to Bt. Lieut.-Colonel. In 1935 he was awarded the C.B., and in 1939 created a Knight Commander of the Bath . In 1933 he was promoted Major-General, and in 1938 Lieut.-General. From 1937 to 1939 he was to the Forces and Governor and Chief, Gibraltar, 1939-41. He is a Knight of the Order.
Major Douglas M. Gordon is a Commander of the Order. He served in the Suffolk Regiment 1915 to 1916, bein g transferred to the RH. and RF.A. in 1916, serving till 1921. He was twice wounded. Recalled from Regular Army Reserve in June 1939 , being invalided out in January , 1943. He has served on the Red Cross and St. John Joint War Finance Committee from 1931 to 1939; a lso the St. John Clinic Committee from 1932 to 1936
tEbt J obn §mbulanct }'jrtgab£ ebtrStas
OBIT UARY. -The Chief Commissioner, Brigade Qverseas, regrets to announce the death of Lady Divisional Supt. Mrs. Blackburn, of the North Sydney Nursing Division, New South Wales District, on November 26, 1942. Mrs. Blackburn was a Serving Sister of the Order and the holder of the Service Medal. She was an ardent worker for the Association and the Brigade.
Also of Mr. J . W. Pearson who died at the age of 79. He was a Serving Brother of the Order and the holder of the Service medal and six bars. He had an outstanding ree@rd of lengthy and devoted service in the Brigade and was, before joinin g a division in the New South Wales in 1907, a member of the No. 16 London, Brighton and South Coast Railway Division of the No 1 District (London) England. Mr. Pearsou W\l,S on public duty on the
occasion of the Queen Victoria Jubile e and the coronation of Kind Edward VII.
DRILL EXl\MINATION. - Attention is drawn to the fact that the qualifying Drill Examination for Lady Officers referred to in Brigade Order 156 of May, 1942 , sho uld be taken by existing Officers who are promoted to a higher rank on and after October 1, 1942 , as well as new Officers. Those Officers who have passed the examination need not do so on ::; ubsequent promotion.
BURMA.-The Lady June Hobson, Lady District Superintendent, has been award'ed the M.B.E. for her bravery and devotion to duty during the bombing of Rangoon.
KENYA. - At the end of 1942 the strength of the Kenya Police was 354 African members of the Brigade, as compared with only 26 in possession of the first aid cer-
tificate when they were inspected by the Chief Commissioner in 1938.
BENGAL.-On hearing of the cyclone and tidal wave in Bengal, the Chief Commissioner cabled to the Chief Commissioner in India asking for particulars of work done by our members. The following reply was received: " Relief work in India done by Red Cross in co-operation with St. John which provides necessary trained personnel. For Bengal cyclone relief Red Cross Headq uarters contributed to its Bengal Branch over ten th o usand rupees, half of which has been subscribed by , American Forces in Bengal."
SOUTH AFRlcA.-In spite of the many calls. made for volunteers for active serv ice, the report of the Transvaal District shows an increase in membership. Si.xteen new divisions have been formed, including two Am bulance and seven Nursing Cadet Divisions. The year proved to be a strenuous one and the work has been carried out under difficulties. In some cases it has been found necessary to combine units for training and public duties. At all times, however, members have responded cheerfully and efficiently to the numerous calls made upon them.
At the annual inspection of the NonEuropean Corps it was evide nt by the sma rtn ess and efficiency displayed by all ranks that there had been no loss of efficiency and under normal conditions the training among these sections can b e readily expanded.
The Cadet Divisions have made pro gres s and continue to assist the Seniors on all public duties, and the gi rls assist in a variety of ways at week-ends at the Women's Service Club.
Four additional auxiliary Hospitals have been established, making a total of eleven, with accomodation for approximately 350 patients. Members of the Brigade continue to assist with the equipment and still undertake nursing duties, mostly on a voluntary basis. They also help to staff the Military Hospitals at Milner Park and Hector Norris Park.
Two mot or ambulances hav e' been presented to the Bri gade as well as a · Hudson Terraplane motor car; all these vehicles are in daily use.
the strength of the Brigade is: Ambulance Divisions , 35; Ambulance Cadet, 20; Nursing, 40; Nursing Cadet, 24; a total of 119 divi?ions, with a personnel of 3,614.
HONOUR
Private W. Nash, of the Haggerston Division, No.1 District, S.J.A.B., has been awarded the D.S.M.
53
Qtabtt j}tWs
Youth Publicity Display.-Tlle Standing Conference of National Juvenile Organisations are holding a display at Messrs. Harrods (Knightsbridge, London, S.W.I) from Monday, March 29, for three weeks. ' The St. John Cadets will be represented and they are staging their own stall on which will be an exhibition of handicrafts by cadets, in addition to particulars of the training of cadets and the work they undertake in the war effort. It is hoped that many cadets and adult members will visit the display and inform their friends of the exhibition.
Patcham.-Eighteen members of the Patcham Nursing Cadets were enrolled by Lady County Officer Miss Trill. The Vice-President and officers of the Senior and Cadet Divisions were present at the ceremony, which was followed by a display of artificia l re spiration, first aid, home nursing, and physical training. The cadets raised £1 4s. 6d by carol singing for the Prisoners of War Fund.
H arrow. - On February 1 members of the Harrow Cadets Ambulance Division held their first investiture since the outbreak of the wa r. The chair was taken by Supt. H. V Shrosbree, of the Senior Division, assisted by Cadet Officer G. VV. Denmark. The cadets gave a very creditable display of first aid and stretche r drill, and each repeated the Code of Chivalry. Hed nes ford.-Ten members were enr olled by Corps Officer Mrs. Morgan in the Hednesford Nursing Cadet Division, and were presented with their first aid certificates. Mrs. Morgan gave an instructive talk on "The Origin of the St. John Ambulance Brigade." The cadets were instructed by Ambulance Sisters Miss Mottram and Miss Marland, the prospective Cadet Superintendent and Cadet Officer
Chertsey -County Cadet Officer W H. Harris officiated at the enrolment ceremony of the Chertsey Cadet Ambulance Division. Supt. R J. Gristock (Acting Cadet Supt.) was in charge, being assisted by Corpl. J. Duke, who helps to train the cadets. A display was presented by the members, which concluded with the formation of the eight-pointed cross, and recitation of the principles of each point, a ls o the repetition of the Code of Chivalry Mr. Harris congratulated the boys on their work, and reminded them that they were in the oldest order of chivalry in the world. Supt. Gristock thanked the parents for attendin g, and explained that Cadet Supt. Hed ges was on Service, and that he, with the assistance of Corpl. Duke and others, was carrying on in his absence.
AWa1'd.-In the January, 1943, issue, B
it was stated that Corp l. of the Canford Cliffs Nursing DlvlSlOn, has been awarded the first Cadet ,;Var Service Badge. This was not correct. Her application form was sent 1ll on September 9, 1942, the dates of her \;Var Service being January 1, 1941, t.o February 1, 1942 (300 hours). An application on behalf of Cadet Betty 'of the Oxford Cadet Nursing Dl';TISlOn , was se nt in on September 24, 1942 , the dates of her \;Var Service being February 28, 1942 , to August 14, 194 2 (303 hours).
Th€ cadet who has really earned the first War Service Badge is Barbara Newton Thorn, of the Chelmsford Cadet Nursing Division, who started her work in 1940, and qualified for her bad ge 1ll 1941 An application has been receIved for a second badtre for this cadet
"Cadet Grisewood 's ,t Fuel Flash" is known to alL It is proposed to contribute a " Cadet " each month. Look out for it! ThIS IS one .for Marc.h 1943. It is an ancient PerSIan saying':-" There are three thin gs that come not back-the sped arrow, the spoken word, and the ne glected opportunity."
POLICE AMBULANCE NEWS
CITY OF LONDON.
The A Divisional first aid team and the Women Police team scored a dou ble success in the Smithfield (London) Industrial First Aid Competition - a new competition held for the first time last month. The men \-von the trophy presented by Messrs. \¥hitbreads, and the women the cup presented by Messrs. Johnson, Matthay & Co.
Special Constable C. Walter won th e individual competition for first and second year men, followed by Commander Cottrell. The prizes, presented by the Commandant and Div. Staff-Sergt Potter (A Division) were handed to the winners by Lady -Turnbull, wife of the Commissioner, on March 3, when the gain€d by members of SpecIals at the recent first aid exammatlOn were also distributed. '
METROPOLITAN
Z Di vision. The Croydon Police and Women Police Teams were successful in winning the men's and competition at the Croydon Defence Services first aid final competItlOn.
The divisional competitions, held on February 27, were won by the Streatham Spec.ial Constabulary with a total of 606! marks, being followed by the Croydon Regulars, who gained 598! marks. The team showing the best progress was South Norwood Auxiliaries, which made Supt. H. c.. Quincey remark that the Regulars would have to " note the result for future referenee ,,"
Dr. M. M. Scott jud ged the team and District Officers Stratton and Hlpkms the individual tests. Chief Inspector King was competition secretary.
Mrs. Quincey, in the , umtvOldable absence of Sir Geor ge AbblSS, presented trophies and the medals given by Su Geor ge.
The sum of nearly £ 5 was raised for .St. John Ambulance Brigade by the ballotmg for 12 eggs.
l\IJ Division. -The final for the" DaltonMatthew Cup" Cup competition was held on February 15, when 8 teams themselves before Dr. F. E. BendIX (Team) and Dr. B. Steele (Individual). Sir Philip Game presented the awards 8: nd those present incluCled SIr George Abblss, D.A.C. Archer, D.A.C. Dalton and Commandant Mathews the donors of the cup. Once again the Women Police led the men gainin g fi r st place from Deptford Regulars. The same were also winners. of the League Shield, TO,wer Bridge being the runner s- up. Supt. Bnggs thanked those present for their and also Sir Philip for presentmg the trophies. Thanks were also extended to Sir George Abbiss for the medals. No. 1 District.-S. D. Inspector FarthinO' (Individuals) and Inspector Wheatl:y (Te a m) jud ged a new .event among Special Constabulary: teams m the No. 1 District. The wmnmg team ",:as V Division (Putney) followed by T DiVision (Ealing), A Division (Cannon Row) being third.
. .
Major Mar ge tson, D.A.C. No 1 Dlstnct, presented the Challenge Certificate given by Commandant A. W. A and 'referred to the serVIces of the Jud ges. Staff Inspectors Lud gate anq Opie (M.S. C.) were responsible for the arrangements.
Commandant E. B. Brown, Director of A .R.P. and Ambulance, complimented No. 1 District on bein g first to have its own competition; whilst Sassoon thanked Major Margetson for hIS interest in the competition.
A Challenge Cup, to be known as the " Staff Officers Cup" to be competed for annually by the winning teams in each of the four Districts, has been offered by Major Ro gers (Staff Officer) who was present at the competition, accompamed by other senior officers.
oBrrUARY
We regFet to announce the death of Ambulance Sister MFs. Bewick, who died while serving as a C.N.R. nurse in Haymedes Emergency Hospital, Bishops Stortford, Herts., on December 29, 1942. She was a member of the Felling Nursing Division, County Durham.
PHYSIOLOGY IN FIRST AID
By M. M. Scott, M.R.C.S., L.R.C.P.
{M ember· of the (Contimtedfrom page 31, F ebruary , 1943 , issue)
Textbook Revision Committee and Divisional Surgeon, S ..J.A .B.) THE ALIMENTARY SYSTEM
THE PERITONEUM
This is a double serous membrane, the t, Parietal " layer lining the walls of the abdominal cavity, the "Visceral " layer being :r;eflected over the abdominal organs . Some of the organs, e.g., the stomach, intestines and liver, are completely surrounded by the peritoneum, while others, e.g., the pancreas and spleen, are only partially covered.
The functions of the peritoneum are to form a smooth covering, so as to prevent 'friction between the various organs on movement ; to hold the various organs in position; to form one of the body storehouses for fat, thereby keeping the organs warm; and to resist infection, thereby protecting the vital organs from the effects of disease producing germs.
DI GESTION
Foods.-Certain basic substances are essen tial in food for the provision of energy, the g rowth of the body, and the replacement of wear and tear, and in order to ensure that they are all available, a mixed diet is required. These substances are Proteins, Fats, Carbohydrates, Mineral Salts and Iodine, Water and Vitamins (which are accessory food factors).
Pyoteins .-These contain Nitrogen, and are used mainly for rebuilding the body cells which break down as well as for the growth of every living cell. They are derived from both (a) animal, and (b) vegetable foods. Common examples of (a) are lean meat and fish, o ffa l , milk (in virtue of its Caseinogen content), eggs (" Vitellin" in the yolk, It Albumin" in the white), and gelatin, whilst examples of (b) can be found in Cereals (e.g., Gluten in flour), vegetables especially beans, peas and carrots, and fruits.
The actual protein substances tin the various foods are composed of basic elements known as .' Amino acids ." There are a large number of these, of which five are of such great importance that life cannot be maintained without them. Foodstuffs s u ch as lean' meat
55
and milk contain all of them, and are therefore described as ,t first class or complete" proteins. Proteins which co ntain a smaller number would be referred to as "Incomplete ." , Fats.-Thes e are necessary for the productions of heat and energy. They are sto red up in th e body to be utili sed as required, and ther eby provide warm covering which assists in the retention of body heat. Fats are derived from (a) animal, and (b) vegetab le sources. Examples of (a) are the animal fat of meat, milk, butter , cheese and eggyo lk, and of (b) frying and salad oils, cocoa and chocolate, margarine, and, to a smaller extent, in some vegetables .
Carbohydrates.- These form the greatest so urce of energy and heat in the bod y as a result of their oxidation or combustion with oxidation. They are derived from two groups of foodstuffs: (a) sugars, and (b) starches Examples of (a) are cane and beet sugar (sucrose), milk (lactose), fruit juices (dex trose and lcev ulose), and malted foods (maltose). In the (b) group there is bread and cereals, potatoes and, to a varying deg-ree, the roots and stems of other vegetables.
l\Ilineral Salts and Iodine .-Certain mineral salts are essential for the construction of body cells , while Iodine is necessary for the purpose of , balancing metabolic proces"es. Sodium Chloride {co mmon salt), IS necessary for the formation of the hydrochloric acid in the gastric secretion, ami for regulating the density of the body fluid; Calcium Salts are required by all tissues, particularly for the formation of bone and teeth, and the clotting of blood. They are to be found in milk , egg-yolk, and many vegetables, particularly cabbage and carrot. Iron is needed for the formation of hcemoglobin, and is present in egg-yolk, red meat, spinach, cabbage, milk, and many cereal foods. Iodine is to be found in the products of the sea. In addition to all these, Sulphur, Magnesium and Potassium salts are necessar,), sulphur being found 'in all
protein tissues, and the magnesium and potassium salts in cereals and vegetables.
W Water forms two- thirds of the body weight, and its deprivation is more immediatelv serious than that of any other article of diet. A part from being taken into the body in the form of drinks it forms a large proportion of all e.g., many fruits contain over 90 per cent. water, while potato contains about 75 per cent: Water further serves to dis sol ve and carry many of the body and so aids in the prGcess of and the transmission of the vanous secretions.
Vitamins.-Vitamins are not foodstuffs in the true sense of the word, but without them normal growth and life cannot go on, and disease or even dea th may result. Six varieties are usually d€scribed, and referred to as A, B 1, B2, C, D, and E.
V itamin A: This is sometimes described as the ,< growth vitamin" because its deficiency leads to lack of growth in young 3:nimals. It is in animal fats, daIry produce, fish mIs, and some green vegetables. Vegetab.le fats such as margarine do not contam it unless it is specially added. Its
absence also leads to an ip.creased tendency to infection.
..,
Vitamin Bl : Lack of thIS vitamm causes the nervous disease called beriberi. It is to be found in egg-yolk, yeast, wholemectl flour, but only in minute quantities in milk and meat.
Vitamin B2: This is derived from the same sources as Vitamin Bl. Its absence gives rise to an condition of the skin (dermahhs), or the disease called Pellagra.
Vitamin C : This prevents the onset of scurvy; and is to be found .in fruit and vegetables, especIally m oranges, lemons and
Vitamin D : This is assocmted wIth, and derived from the same class as Vitamin A, but it can be produced in the body itself by irradiati?n of. the skin by sunlight or .(artificial sunlight). Lack of .VItam:n D gives rise to rickets, a disease m which the bone becomes soft and bends because of calcium insufficiency, and the development of the teeth is impaired. .'
.
Vitamin E : LIttle IS known of thIS at present. It is found in green vegetables cereals and many other foods. It is 'believed that lack of it causes sterility.
(To be continued.)
TABLE OF POISONS
r eon C Petvin PO'Yte1', Southe1'n Area, W orcestershire, found that. students (CojfiuntYl Suo th' Chapter on Poisons He therefore prepared the follozmng table had cUo ty e and found it useful.)
Class CORROSIVES NON-(:ORROSIVES IRRITANTS
Cause Strong Acids (Aqua Fortis-Vitriol, Carbolic, Lysol, etc.)
No.1 (PRINCE OF WALES'S) and expressed her great pleasure in having DISTRICT the opportunity of being present. She WESTERN AREA congratulated the recipients and hoped
On Saturday, February 20, Lady Louis they would continue with thei-r studies. Mountbatten, Lady Superintendent-in- Mr. E C. Gordon England (managing Chief, met the Nursing Officers and Nurs- director) presided over the social evening, ing Cadet Officers of Western Area assem- during which Asst. Commissioner S. J bled in the headquarters of the Harrow Warren gave a brief account of the beDivisions. Asst. Commissioner S. J. ginning of the first aid movement, and Warren presided over the gathering of also stressed the value of first aid in such some 140 officers; Lady Louis being re- a factory. ceived by Lady District Supt. Miss Work- In appreciation of the work done in man, representing the Commissioner, and connection with the classes, presentations Lady District Officer Miss West County were made to Div. Surgeon D. McCarthy Surgeon G. R. H. Wrangham and Lady Dis- and Supt. A. F. Dudman. trict Officer Mrs. Good win were also present. CENTRAL AREA
Introducing Lady Louis, the Asst. FIFTY YEARS AGo.-On January 23, Commissioner tendered hearty congratu- 1893, a meeting was held at St. John's lations on her recent honour, and referred Gate, to discuss the formation oj a nursing to her earlier association with the Area division in connection with the Brigade. as a member of No. 9N (Royal Borough of It was decided to call the division the St. Kensington) Nursing Division, in which John's Gate Nursing Division. To comshe passed an examination for promotion memorate the fifty years of unbroken to Officer. service, some of the present members Lady Louis expressed her delight at attended evensong at St. Paul's Cathedral having been given the opportunity of as an act of thanksgiving and rededicameeting the officers of Nursing Divisions tion. The Archdeacon, Dr. Sharpe (a in Western Area, and said that she had chaplain of the Order) spoke to the never regretted joining the Brigade. The members after the service and congratuhonour referred to by Mr. Warren was lated them on their Golden Jubilee. really one to the Brigade members who No. 58/5 AND No. 115N DIVISIONS.were doing the actual work. The record The Western Postal and St. Marylebone of service in the Area showed great 'devo- Ambulance and the St. John's Wood tion to duty and loyalty. A large number Nursing Divisions held an " At Home" of members were enrolled in H.M. Forces, on February 6, when an enjoyable time engaged with the C.N.R. and C.D. work. was spent by a host of visitors. Those Some of the ork had been tedious, but welcomed by Supt. W. V. M. Allen and had proved to have been worth while. Lady Supt. Mrs. Allen included Asst. The Lady Superintendent-in-Chief also Commissioner Capt. R. V. Steele, Lady referred to the work of the ].W.O., the District Supts. Miss \iVorkman, and Miss future of the Brigade in a post-war world, Walker, District Officers McBride and and the Post-war Reconstruction and Pre- Mrs. Tapply, the Mayor and Mayoress of Armistice schemes. She also stressed the St. Marylebone, Mr. Davies and Ald. importance of the Cadet movement in Stiles-Allen (President and Vice-President, the Brigade. 58 / 5 Division), Mrs. Hugh Paul (President, Lady Supt. Miss Leane (vVimbledon 115N Division), also Dr. K. H. Lund (oneand Merton Division) and Lady Supt. time Asst. Commissioner for Central Area), Lady Abrahams ' (Chelsea-Fulham Divi- and District Staff Officer Hannam (from sion) spoke of the benefit received by Brigade Headquarters). meeting of lady 0fficers during the past L.P.T.B. (MET. LINE) CORPs.-In spite two years. Lady Supt. Mrs. Higgins gave of the working of longer hours and altered a brief account of how the Harrow head- membership of the Corps inquarters had developed by the combined creased by 20 during 1941, public duties efforts of both ambulance and nursing carried out numbered 245, whilst 2,465 Divisions. hours of duty was done at Baker Street A ,vote of thanks was proposed by Miss Ambulance Station, and from ' January VVest and seconded by Mrs. Goodwin, until the Medical Aid Posts at Tube staafter which tea was served, during which tions were closed, 5,336 hours were put' in. Lady Louis spoke to numerous officers During the year classes in first aid and before leaving. home nursing were conducted by FELTHAM.-On February 20 the Mar- Ehrman and A.R.P. classes by Mr. G. W. chioness of Willingdon presented first aid Stevenson. Twenty-five members are awards to some 59 members of the staff serving with H.M. Forces, and it is with and factory of the General Aircraft LtCl.., regret the Corps reports that Pte. E. 57
I Glenister, of the 89 / 2 Division is reported " missing" in Malaya.
The passing of Mr. C H. Bowell (late treasurer) is regretfully reported. Mr. R. C. Hider has taken over the duties of that office
The Clarke Shield Competition was held and the team from 89 / 1 Division, led by Sergt. A. Stokes, placed first by the District Officer McBride, who jud ged the work.
NORTHERN AREA
EDMONToN. - On February 2 a bedmaking competition was held by the Edmonton Nursing Division, the judges being Lady District Officer Mrs. Rayner and Lady Supt. Mrs . Deamer. Lady Supt. Miss Parish was in charge of the proceedings ' being assisted by Sister Fardell .. Fourteen members formed seven paIrs, the winners bein g Amb. Sisters Cooper and Parker, bein g followed by Amb. Sisters Day and Mohr.
It is hoped that on future occasions more members will enter.
No. 115 AND No. lOIN DIVISIONS. -A party for families of Prisoners of War was arranged by the Edgv/are Hill Ambulance anq Nursing DlvlsIOns, at which the Mayor and Mayoress of Hendon, Lady District Supt. Miss Workman, Lady District Officer Mrs. Burns, and County Councillor Mrs. Grey Skinner attended.
Each child received a present from the Christmas tree and a new shilling. No. 2 DISTRICT COUNTY OF BERKSHIRE
READING. - The annual general meetin g of the Reading Town Division B was held on February 8, when Div. Surgeon C A. Boucher presided. Before the meetmg was officially opened, Supt. Harvey mtroduced the doctor as the new divisional s u rgeon.
Dr. Boucher complimented the members on their interest and the sp lendid results of 620 public duties for the year. COUNTY OF GLOUCESTER
STR([)UD. -S ir Harry Waters (President) presided at the annual general meeting of the Stroud Division, supported by Vice-Presidents S. Bendall and F L. Daniels. The Treasurer (Mr. J. Almand) presented his report , whilst the (Mr. G. H. Scrivens) reported an achve year's work. Their ex-Supt., Mr. Pendry, had been honoured by the admission as Serving Brother to the Order of St. J an honour richly deserved Membershlp had ·im:["eased, due lar ge ly to the introdudion of Home Guard by the President. Congfatulations were extended to Mr. J Dommond on having attended on more occasions than any other members. Reference was made to the calling up of Supt. A.L.Barber, to whom they extended all good wishes.
The President presented awards to some 24 members.
COUNTY OF HAMPSHIRE
BASINGSTOKE.-According to the annual report of the Basingstoke Division, 24 members are serving with H.M . Forces, the total personnel now numbering 84 all ranks The ambulance travelled 11,217 miles last year, transportin g 425 cases, of which 73 ·were road accid ents , for which 563 miles ·were travelled.
Public were ca rried out at three cinemas, ' boxing matches, etc., and the services of member s requested at classes for A.R.P. and Home Guard.
Praise was extended to Transport Officer Welling and his unselfish drivers, and to County Officer Turnbull and Amb. Officer Botting, the di\:isional Div. Surgeon Potter, officers, .C.O. s and men were also thanked by Supt. S. \ Vilde, who presided at the annual general meeting.
GOSPORT - At the annu a l socia l of the Gosport and District Corps, the Mayor (Ald. J. R. Gregson) on behalf of the members, an electnc chun m g clock to Mrs. V. Smith, who relinquished the office of Lady Corps uperintendent last year. He said that only had. Mrs. Smith given devoted serVIce to the Bngade but also excellent service to the town generally Corps Supt. O. J. Francis said that Smith has been associated with the Bngade for 35 years, and in the last war was presented with a Vellum Vote of Thanks for her services, and made an Hon. Serving Sister of the Order. In 1935, when the Corps was formed, she became Lady Corp.s Superintendent, and held rank unhl the nur sin g divisions were wlthdrawn last year.
In acknowledging the glft, Mrs. SmIth said that her first duty was in connection with Queen Victoria ' s Diamond Jubile e. She ur ged the younger members to carry out their work in the spirit of St. John
NO.3 (WESTERN) DISTRICT
CRADLEY. - Divisional President J. Oakley presided at the annual general m ee tin g, and presentation of awards the Division, s upported by Vlce-Presldents E. Hod'getts and Vl. B. Southall, County Officer D. M. Chapman, Corps Supt. T. C. Lench, Corps Secretary F. Lightfoot, Amb. Officer 'Willetts, and others.
After a li ght supper had been served, County Officer Chapll1an presented the awards, and in reply to thanks expressed by Amb. Officer Wil]ets, made reference to the great help received from the President and .vice-presidents. . ..
The President thanked the dlvlsIOn for the kind invitation extended to himself and visita'rs ; whilst the Rev Yaxley, in 58
support, said he always enjoyed being with the division.
The Secretary (E. E Dodd) and the Treasurer (E. Littlewood) presented their reports, and the annual meeting with thanks being extended to the PreSIdent, Vice-Presidents, County Officer, Corps Officers, and the members of division for their help and co-operatIOn during the year.
L EEK. - On February 18 Co unty Officer Mrs. N. W. Penny and County Cadet Officer Mrs. M. Vloolf presented awards gained during the past year by members of the Leek Nursing Division. Mrs. Penny congratulated the recipients on their s ucc ess, and expressed her delight at seeing such a large gatherin g of members. both adult and cadets.
Mrs. vVoolf presented 12 first aid certificates to ..sucGessful cadets, and ur ged them to become efficient members.
Officers present included Lady President Mrs. Kent, Lady Supt l\i[iss O. Cope, Cadet upts. Miss M. Morton and Mrs. A. Bentley, Lady Amb. Officers Miss F, Morton and Miss 1. Po llard
ROWLEY REGIs. - Co unty Officer Ald.
D. M. Chapman presided ove r a wellattended meetin g held in connection with the Rowley Regis Ambu lan ce and ursing Divisions and the Penny-a-\iVeek F und.
The Chairman gave a revi ew of work of the Brigade, and particularly with r egard to the divisions who had vo lunt eered their services to theit co untry. He appealed for more recruits for the divisions in Tividale. I-laving commented on the newly-formed Cadet Division, he presented Supt. Biggs and Lady Supt. Mrs. Lickley with cheques, and certain student members with first aid awards.
The topic of the Penny-a-vVeek Fund was introduced by Mr. Tom Adams, who welcomed Mr. Chapman as chairman of the fund. Mrs. Licldey, the hon. secretary, gave details of the monthly collections, and Mr. Chapman, in thanking the officers and collectors for their wonderful work, and the donors for givi n g so liberally, spoke of the ne ed for the fund and the need for more coll ectors.
No.4 (LANCASHIRE) DISTRICT
ECCLES.-At the joint ann ual meeting of the Eccles Ambulance and ursing Divisions, Supt J. \ V. Vlaterworth welcomed Dr. J. E. Spence (M.O.H. of Eccles) as the new Divisional Surgeon. He has already helped the Brigade, and now, as Divisional Surgeon, Supt. \i\Taterworth felt that the doctor ·would be a tower of strength to the division. Dr. Spence said he· was very happy to b eco me a member of a division in which he had always had a keen interest.
The strength of the division s was still
being maintained, the present strength being 77 men, 46 nurses , and 60 Fifty-two were in H.M. Forces or nur sm g in military hospitals, whilst the remainin g personnel are engaged in some form of useful voluntary service . Supt. Waterworth expressed amazement at the number of voluntary hours' duty put in at the various jobs, in addition to which 200 members of the general public had been trained in first aid and home nursing.
OLDHAM.-The presentation of the " Booth Trophy" and replica was made by Div. Surgeon Booth, the donor, last month, to Private W. Ward, who is also secretary of the Equitable Ampulance Division.
The runner-up, Private N. S. who is divisional treasurer, received a book presented by Corps Supt. Halbert. Both members have been in the division but two years, which speaks well for the interest they take in the work.
PRESCOT.-January 27, 1943, was a " Red Letter" day in the annals of the Prescot Ambulance and Nursing Divisions, the occasion bein g the handingover of the deeds of the Ambulance Hall by Alderman Vl. J. Lucas , on behalf of the Trustees to Commissioner VV. G. Smith. Those included Councillor J. H. Brownbill (Chairman , Prescot D.D.C.), Vice President T. Seddon, Div. Surgeon S. M. Green, Miss C. Daglish (President, N ursing Division ), and others.
Ald. Lucas (President) said it reflected great credit on the members and many friends that in the comparatIvely sho rt time of nin e and a-half years they defrayed the cost of their headquarters and that it was now their own property, free from debt.
Commissioner Smith, recelvmg the deeds, said that he enjoyed coming to Prescot because of the great zeal and enthusiasm always shown by the members, and recalled especially the part they had played during the Liverpool blitz period.
The Brigade in Prescot was formed early in 1914 by Mr. R. Norris, the then Surveyor to Presco t V.D.C. The division remained dormant for a few years during a nd after the Great \ Var until 1928 when Supt. G. Penney resurrected it and also formed the Boy Cadet Division a year later. In May, 1931, Nurse E. Brown, the present Lady Superintendent, formed the Nursing Division and four years later , the Girl Cadet Section.
vVith the growth of the movement Supt. Penney who, unfortunately, has not remained in the division to see the completion of his dream, and his Committee decided to buy their own " house" and after much preliminary work had been done , Councillor V,T. J. Lucas laid the foundation stone on Saturday, July 1933. Miss Christine Pilkington performed the official opening ceremony a few month later.
59
Councillor Brownbill praised the work of the divisions. whilst Supt. Taylor thanked all who had helped the Prescot divisions in their endeavours.
SOUTHPORT.-According to the annual report of the Southport Corps, over 1,400 hours were spent on public duties during which 550 cases were treated. Over fifty members are in the Forces, to whom parcels or money is sent regularly A new motor ambulance has been purchased and during last year 1,0 58 cases were moved (mileage nearly 13 ,000). Sergt. Teale and Corporal Ramsdale have worked a 24-hour service. The Householders' Scheme is still very popular and over 3.000 members paid last year. Lady Supt Miss G. McConnar deserves every credit for her work as secretary of the scheme. The medical comforts department is still growing.
Sergt . F. Mills received a suitable ciation and a testimonial for his services as Corps Storekeeper during many of his 27 years' service in the Brigade
A Cadet Corps has been started with an average attendance of 60 boys, and Dr. P. Y. Lyle has given four lectures. Supt. T Lawlor is in charge, and he has a few good helpers.
CQrps President Major M. J. Egan had to resign owing to his new appointment of Inspector of Constabulary; he was presented with a tea-service as a small token of the members' appreciation. Mr. C. C. Martin has kindly consented to fill the post.
No.8 (DUKE bF CONNAUGHT'S) DISTRICT
KENT COUNTY
RAMsGATE .-In spite of many calls on personnel, the Ramsgate Town division are carrying on their good work. Twenty-one members are serving in H.M. Forces, 13 engaged on other work, 15 on Civil Defence duties and onein theN.F.S. Other members have been drafted to mobile first aid unit, ." released to industry" or in the RA.F. Air-Sea Rescue Service.
During 1942 m embers of the division carried out 754' removals, heated 205 casualties and 358 service cases. COUNTY OF SURREY
ADDLESTONE.-Div. Surgeon W. Harmens presided at the first annual meetin g of the Addlestone Division, created last year as a separate division, supported by the President (Mr. E. G. Izod) and others. In the absence of Supt. J. Ball, Treasurer H. Batt presented his report in which appeals were made for more recruits so that the ambulance could be manned and pllilblie duties carried out. They now had 36 boys in the Cadet Division. The ambulance had carried 142 patients during the year. The financial position was satisfactory.
for great congratulations on the way they managed their first year. The F.A. Post had always been manned and the members have given an average of 60 to 80 hours per month.
Mr. Izod also congratulated the members and presented awards to those who had passed examination during the year.
CHERTSEY.-At the annual meeting of the Chertsey Division, Div. Surgeon J. D. Vaile, who presided, introduced Capt. S. Craft as the President-elect to succeed Dr. W. Harmens.
Supt R J Gristock reported that they had some 20 memb ers in the Forces and he hoped that more recruits would be forthcomin g to take their place.
The financial r epor t, presented by Mr. Hampshire, proved satisfactory under the circumstances.
Mr. W. Hooks (hon. Secretary), in his report stated that 12 members had received the Royal Life-Saving Society's medallion.
During the year the ambu lance had covered 2 ,63 9 miles and carried 142 patients The Cadets carried on under Mr. J. Duke, and it was hoped that more boys would come alon g and help to keep the division goi n g.
Dr. Vai,le said that every evening Cadets called at his place and asked to be allowed to deliver his medicines . They were a noble lot of lads He handed to Mr. Hooks on behalf of the members, two books as some slight reco gnition and appreciation of his services to the division.
HORLEY .-Vice-presid entT S. Hannam presided over th e annual meeting of the Horley Division and welcomed Mr. H. H. Ashley (Chairman, Horley P.C .), Mr. Constable (of the Dorking and Horley RD.C.) and others.
Supt. Jennin gs reported that Private Wickens, a Charlwood member, had recently been awarded the Military Medal for gallantry
Transport Officer B. Robinson reported that 42 accidents had been attended (mileage 433) and that 478 removals had been carried out covering 9,199 miles. One journey had been to Lana] kshire , a distance of 979 miles. He thanked the Nursing Division for the h elp given. During the year Horley had taken over the Crawley service during the month their own ambulance was off the road.
CorpI. Cook (hon. secretary), stated that 17 members were with the Services, and that 287 duties had been carried out.
Div. Surgeon Jackson-Taylor in his remarks referred to the tremendol!ls amount of work involved im keeping the ambulances on the road without a break during the year, and he voiced the appreciation of the local medical service.
Dr. Harmens considered it was a matter 60
Mr. Ashley, in his capacity of Chief
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C.D. Officer s poke of the cordial relations existing between the two services. Supt. Jennin gs thanked th e C.D. authorities fo r the us e of their l ect ure hall and also those who had h elped the Division in so many ways.
COUNTY OF SUSSEX
BRIGHTON.-Although some 120 members of the Brighton Corps a r e serving with the Fo r ces, personnel performed 5,300 A.R.P. duties amounting to 29,000 hours, excluding the hours wo r ked by full-time members. Other duties amo unted to 3,070, totalling 9,000 hours, whilst members of Nursin g D iv isio n gave nearly 4,090 4 Qurs to hospital d uti es. Twentyseven members are on full-time A.R.P. work whilst 96 are part-time workers. Saltdean F.A. point is manned entirely voluntarily by members of one Nursing Division'. Twenty-two co ur ses of instruction in first aid, home nursing, antigas, etc., were held. In addition, one Nursing Division held a R.L.S.S. course and another D ivision runs its own Savings group.
The Corps Social Committee under the chairmanship of Mrs. St u ttaford, vicepresiiient of the Corps, was responsible for many funGtions which resulted in a useful sum of money being raised.
The Cadet Divisions now number five, and an in crease of membership of seventy is rep orted.
No.9 DISTRICT
NO RTH , EAST AND MID- D EVON TRANSPORT. - The Exeter and District Corps la st year raised over £I ,000 which has b een devoted to the purchase of an up-t o -date Austin Ambulance, with all the latest accessories. It was dedicated to the service of humanity by the Bishop of Exeter. The Mayor and Mayoress, the She riff and other city officials were present at the function, a lso the County Commissioner and representatives of other Divisions.
At Cullompton on January 17, a new Austin Ambulance was dedkated by the Rev. Cecil Daws. At the ceremo n y the Cou nty Commissioner attended, a lso r ep r esent atives of the special constab, ulary, fire brigade, A.T.C. and A.C.C . NURSING. - The Exmouth Nursing Division, formed last .year, has now a . s tren gth of 23, under Lady Supt. Mrs . Up to December 31, 1942, the members had done 1, 568 hours of duty an drills, hospital, ambu lanc e and public work. As the re sult of a draw for a dressed doll, £58 5s. Od. was raised towards cost of members uniforms.
CADETs.-The Ambulance Cadets at Teignmouth have had a c up presented t o th em for competition by Mr. W. Tusler, to perpetuate th e memory of th e'lat e Ser gt.
. , G. F. Tusler, who was for some time secretary to the Sen i or Division and who d i ed as the r es ul t of an accident l ast April.
No. 10 DISTRICT COUNTY OF HERTFO-RDSHIRE
H.R.H. The Duchess of Kent spent a qf;l.y touring Hertfordshire on February 19, seeing and encouraging the sp l endid work that is bein g carried out 'by the Brigade in the County.
Wearing the uniform of Lady Supt. -inChief, Priory of \i\lales , the Duchess, who was accompanied by Lady Herbert as Lady-in-'Waitin g, commenced her tour at a hospital near Bishops Stortford. Miss Joan Ryder, Commandant of the hospita l, was amongst tho e presented to the Duchess.
At Steven age the Duchess inspected an ambulance station and the personnel who voluntarily man it ni ght and day.
On her arrival at St. Albans many St. John officers were presented, and the warrant of vice -president of the ursing Division handed to Mrs. Kimber by the Duchess
An inspection was carried out of the hall, stores and comforts department, also the mobile unit.
Passin g between a g uard of honour formed b y the t. Albans and Hatfield Nursin g Divisions, the Duchess was received by the Mayor and Mayoress (Mr. C \i\l Dumpleton , who i s president of the St. Albans Division , and Mrs. Dumpleton) who presented certain officials to her. Tea was served in the Assembly Room, where 40 trirn and neat Nursing Cadets were drawn up for in s pection under Cadet Supt. Mrs Sparkes, and Cadet Officers Miss E. Pickering and Miss E. Dunham. Lady County Officer Mrs. Evan and Lady Lytton, accompanied by County Cadet Officer Miss Bosanquet, presented the officers to Her Royal Highness.
Throughout the tour the Duchess was accompanied by County Commissioner H. Langley Jones, County Officers Keightly and Mrs. Evans.
The Duchess also visited Wel wyn Garden City where the Peartree F.A. Post, manned a l most exclusively by the local Nursing Division, was inspected. Her ' Royal Highness was received by Dowager Lady Lloyd of Do l oban (County Vicep r esident and President of Letchworth N ur sing Division) and a guard of honour formed by Ambu l ance and Nursing Cadets in charge of Cadet Supts. T. Pettingell (H itchin), G. Henderson Smith (Welwyn Garden City) and Cadet Ofncer Miss Gillett (Wel\:ryn Garden City). bside th e post members of v:arious Divisions wer e on parade, a lso representatives of the l ocal a uth orities. Mrs. K. Palm er, who is in charge of the nur sing personnel at the Post was presented t o the Duchess.
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Solutions of MILTON indicated in the ENVELOPE IRRIGATION TREATMENT
FOR INITI A L CLEANSING 20%
a 20 per cent. solution of Milton is used (I) because it is sufficiently hypertonic to inaugurate effective transudation without excessive tissue dehydration
(2) because at this concentration its action on the exudates and necrotic tissue promotes thorough cleansing of the wound.
(3) because its germicidal power is adequate for the control of infection, when present .
(4) because at this concentration the cleansing action is of great sU pplementary value to any surgical debridement which may be necessary Where involvement is extensive , or w it h the hypersensitive patient , initial cleansing may be carried out simultaneously with the debridement under light general anaesthesia
The 20 per cent. solution of Milton also appears to increase the tolerance of the sensitive patient to subsequent routine irrigations with 5 per cent. Milton
FOR ROUTINE IRRIGATIONS 5%
a 5 per cent . solution of Milton is used : (I) because it is isotonic and, therefore, causes neither maceration nor transudation provided proper attention is paid to the drainage of the envelope and the drying of the limb after each irrigation is completed (2) because its strength is sufficient to cleanse the wound without impeding normal healing of the tissues.
(3) because at this concentration its germicidal power also is adequate for the continued control of infection.
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Headquarters' Priory House, 4, Cathedral GENERAL INTEREST
Monthly Meetings.-Reference was made at , the meeting of the Ambulance Committee of the Priory for Wales, held on February 23, to the Post-War Reconstruction Committee of the Order on which ] ohn Bruce represents the Priory. Applications are being invited from the Brigade in Wales for attendance at the Courses of Instruction for Mobile Overseas Relief Service after, or even during, the war, now being arranged by this committee.
Mrs, (Mary) Ingledew, who had attended as representative of Nursing Cadet Units in Wales, a meeting of the Cadet Advisory Committee of the Order in London, gave details of new developments, including Cadet Officers' Training Courses. Captain D. G Richards stated that arrangements were in 'hand for a week-end Cadet Officers' Course to be held at Pontypridd in the near future.
Commissioners were ur ged to respond to the appeal of the Churches Committee of H.R.H. The Duke o f Gloucester's Red Cross and St. ] ohn Fund by arranging for parades of personnel at all churches and chapels on 'May 23, which will be regarded throu g hout the county as "Red Cross and St. ] ohn Sunday."
Sanction was give n to the re gistration of the Rhiwderin (Monmouthshire) Ambulance Division; the Llanharan (Glamorgan), Abercarn (Monmouthshire) and Felinfoel (Carmarthen shire) Nursing Divisions; and Dyffryn Clwyd (West Denbighshire), Rhiwderin (Monmouthshire) and Machen (Monmouthshire) Cadet Ambulance Divisions; and it was reported that during 1942 53 new divisions of the Brigade we re formed by the Priory for Wales.
On the recommen dation of the Commissioner for Cardiganshire, BrigadierGeneral L. P. Evans, V.C., C.B., D. S.O" Dr. Daniel Idris Evans was elected an Honorary Life Member of the P riory and appointed to the Panel of Exaaminers.
At a subsequent meeting of the Council , it was announ ced that Miss Megan Lloyd George, M.P., had been appointed Lady President, Caernarvonshire Centre, an office formerly held by Dame Margaret Lloyd George.
REPORTS
West D enbighshi re Centre. - Reporting on the past year's the Commissioner, Dr. G. Pari ·Huws, statGs that public duties have been perfo rmed with regularity; and most of the divisions have arranged more than the minimum number
Road, Card iff
of practices. Assistance has been given to the Home Guard in practical first aid demonstrations. The demands of Civil Defence have made a bi g call upon the Brigade personnel, and one unit, Llanddulais and District, had to suspend activities owing to the loss of the majority of members on service with the Forces.
DyfIryn Clwyd Division has secured a headquarters of its own, while Colwyn Bay Division have 9pened a fund with the obi ect of securing their own home after the war. '
Despite difficulty in obtaining uniform , new Cadet divisions are now in formation at Ca.1wyn Bay, DufIryn Clwyd , Llanrwst, Abergele, Ruthin and Llan gernyd. Cadet efficiency at Colwyn Bay is being encouraged by a competition for a new Cup, presented by Asst.-Commissioner P. W. Lumley.
The Colwyn Bay Ministry of Food Nursing Division is making plans for active participation in the work of the district.
Sir Henry Morris-Jones, M.P. was the guest of honour at a dinner arranged by the Abergele Division over which Supt. G.' H. Ryder presided, supported by the Commissioner Dr. G. Pari Huws, Asst. Commissioner P. Lumley and others. The Commissioner said the division had been fortunate in securing the services of so distin gu is hed a person as Sir Henry Morris- J ones as Honorary President, and they greatly appreciated his personal interest. Sir Henry Mcrris- Jones addressed the gathering and presented first aid awards. Mr. D. B. Jone s was presented with a certificate of appointment as vicepresident, and expressed his pleasure in being associated with the work.
FlintsMre Cent'Ye.-The progress made by the Rhyl Division during the past three years was recorded at the annual ge neral meetin g held under the chairmanship of Asst Commissioner A. E. Lindsay, the Chief Constable of Flintshire, who is also Honorary Divisional President. Div. Surgeon J A. Roberts reported that since the r egistration of this division in 1940, the membership had increased tG 34 men, while a Nursing Division of IG ambulance sisters had also , been formed, which with an Ambulance Cadet Unit of 36 boys, had brought the total Brigade strel1gth in the town to 88.
In his address Mr. Lindsay congratulated the division on its efficiency and membership, stating he regarded the Brigade as a national asset.
BO'Yough of Merthy'Y TydfiZ Centre. -
PAIN
The sufferer from chronic rheumatism, in its many forms, presents a problem to nurse and physician alike. In add ition to conservative treat ment of the basic cause of the condition, symptomatic relief is necessary .
The analgesic selected for the relief of pain must be absolutely safe and suitable for prolonged administration. For this reason, massive doses of the salicylates are, as all nurses know, undesirable, whilst hypnotics cannot be given for obvious re aso ns.
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IODINE
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- Capt.W. J. Canton, LL.B. has reported, as Commissioner, that the strength of the Brigade in the Borough a t DeGember 31, 1942, was 1.077, an in, crease of 133 on 1941. He states, "The increase is mainly due to the Dowlais Corps, where - I have endeavoured to concentrate and recruit in order to make up th e loss caused by the transfer of the Fochrhiw and Bedlinog unit s to the Caerphilly area. This has been more than accomplished by the formation of new divisions at the Guest Works and D Qwlais Oil Plant and by the addition of a Nursing Division at Dowlais There is extraordinary enthusiasm in the se divisions, w hi ch I attribute to the keen and practical interest of Major the Hon. and Mrs. Guest (Guest vVo r ks) and Mr. Buxton (Dowlais oil Plant) who are the respecti ve presidents In the case of the Dowlais Oil Plant Division, appreciation has been expressed by the Ministry of Food, und er which the factory operates. As was the case in 1941 , we have not lost many memb er s to H.M. Fo rc es, because nearly a ll are in rese r ved occupations, and I am glad to report (contrary to anticipation) that except in the case of the Dowlais Cadet Ambu lance Division, the youth registration has not serious ly interfered with the cadets, whose strength has increased by 92, i.e , from 344 to 436." Borough of Newpor t Centr e.-A message from Dr. S. McCormac, Asst. Surgeon-inChief for vVales and Commissioner for Newport, who is slowly recoverin g from his illness, was read at a meeting of the Newport (Mon .) Corps, presided over by Asst. Commissioner Major S E. Tyrwhitt, who presented warrants of appointment to a number of newly-appointed officers.
The Asst. Commissione r had gr eat pleasure in presenting a fourth Bar to the Se rvic e Medal to Co unty Officer G. J. Rowlands , and an interesting account of the Corps activities durin g his lon g association with the Brigade. Ci ty of Cardiff Centre.-The Whitchurch N orsin g Division with. officeFs from Priory House and the local detachment of the B RC.S. en joyed a highly interesting lante rn lecture on th e history of the Order, give n by Cap t . Taliesin E. Richards, J.P ., M.E ., a Knight of the Order, Commissioner for the Rhondda Centre, and a very popular vete ran in the ambulance world. Lady Supt. Miss M. Rees opened the meeting with some appropriate r emarks as to the indebtedness oji the division t o Capt. RichaFd s and the keen desiFe among the members of the WhitGm. urch Nursin g Division to 'know m OJie of th e hist oric back ground of the Brig ade.
enrolm ent of Cadets and the Whitchurch NurSing Cadets rep-eated their Code of Chivalry
Asst. Commissioner Capt. F. P Robathan, M.C., presented a certificate of appointment to th e h onorary vicepreside nt , Mrs. M. J. Henelly.
ON ACTIVE SERVICE
The Chief Commissioner, Brigade AtHome, re grets to anno un ce the death of the fo ll owing members whilst on Active Service :-
Private George VV. Beeching, of the Wallasey Division, S.B.A., o f the RN.A.S.B.R, lost at sea off North,.Africa, I ovember 10 , 1942.
-Private Stanley Leah, of the Chead le and Chead le Heath Division, S.B.A., of the RN.A.S B.R, l ost at sea on H :M.S. A castor.
Private Frank Maddocks, of the Cheadle and Chead le Heath Division, S.B.A., of the E .• .A .S.B.R. , l ost at sea on H.M.S. Hu nter.
Private Richard V. Armstrona, of the Altrincham Division, Royal killed on mine-layin g operations .
Private Radcliffe Carte r, of the D u kinfield Division, 1st Maritime Batte:ry, Royal Artillery, killed on motor vessel Nottingham .
Corporal William S. Evans, of the Rugel y Division, with the Royal Air Force, on February 8.
Private J. R Pullum, of the Ha ggerston Division, whil st serving with the Royal Navy.
P r ivate S. A. Upton, a Grand Prior Cadet of the Dagenham Division, at Singapore, in February, 1942.
Private F. Rhode s , of the Midd leston Division, S.B.A., in the Royal Navy, in December last.
A lso that Private \ iVilliam Lancaster Royal Corps of Signals, is a prisoner of war in Japanese hands, and Private Herbert Newton, Ches h ire Regiment, is reported missin g at Singapo re.
Private Donald Sibthorpe has been reported missin g and Private Kenneth Olds is a prisoner of war in Ita li an hand s. Both are members of the Redruth Division.
Private S. Harris , of the Holbrooks Amb ulan ce Cadet Division, is a prisoner of war in Italian hands.
The Chief Commissioner , Brigade Over-seas, regrets to announoe the death of the follow[ng members whilst on Active Service :-
Private Ernest Hague, Cambridge Divvision South Auckland Sub--District.
Advanta ge was taken of th e occasion to adopt the new form of seY,;,ice for the 66
Privates Bruce Mark a nd Samuel Wolfender , Dunedin Division, Otago Dist:6ct.
WOUNDS, CU T S, BURNS, SKIN IRRITATION
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INTERESTING
CASE REp,ORT No. 222.-The. Offi£er-inCharge of . the Isle of Wight S.] .A.B. reports the efficient performance of first aid by members of the Saro East Cowes Division in the following circumstances :-
On September 29, 'Ambulance Officer A. H. Worley was proceeding by car from East Cowes to Ventnor, when he observed a large "V.D. truck which, in attempting to pass a motor 'bus, slid into a ditch, leant over to an angle of 60 degrees, and hit a tree. A passenger in the truck sustained severe injury.
Ambulance Officer Worley immediately took charge of the patient, who was suffering frem a compound complicated fracture of the left humerus and simple fractures of radius and ulna. with arterial hcemorrhage from the brachial artery. He at once controlled the hc:emorrhage by digital pressure on the axillary artery, removed the. patient from the 'damaged vehiGle, commenced suitable shock treatment, and sent for a doctor and an am-' bulance. At this point he was joined by Private A. Jackson, who assisted him in controlling the hc:emorrhage and dressing the wound. Hot tea was obtained from a nearby house, and blankets from a post half a mile along the road, pending the arrival of a doctor. The patient's arm was subsequently amputated, but otherwise he made a satisfactory recovery.
CCJMMENT.-This report relates the oft-
CASE REPORTS
repeated story of the good w01'k, well done by members of the Brigade. Ambulance Officer Worley and Private Jackson merit co Ydial congratulations on the success whi ch on this occasion attended their efforts.-N .C.F. CASE REPORT No. 223. -The Charge of the County of Plymouth, S.W. Devon and E. Cornwall, S.].A.B., reports the efficient performance of first aid by an officer of the Torpoint Nursing Division in the followin g circumstances :-
On Friday, January 22, Lady Ambulance Officer Mrs. Eddy received a telephone call from Carew Wharf stating that there had been an accident on a coal barge, and asking for help. On reaching the scene of the accident, she discovered that one of the workmen had fallen down the coal hole, a distance of 20 feet. Climbing down the ladder , she found that the patient had sustained what looked suspiciously like a fracture of the right femur. With the help of an A.R.P. member who arrived later, she proceeded to treat for this injury. This done, the patient vias hoisted up on deck, and then conveyed to hospital, where he was admitted as an in-patient. Meanwhile, Mrs. Eddy, finding herself •• as black as a. coalman," returned home. COMMENT.-This report speaks for itself. A it that rema ins, therefore, is to tender co"dial congratulations to Lady Ambulance Officer Mrs. Eddy on the good work which she su cces sfully accompti shed .-N .C. F.
QUESTIONS AND ANSWERS
TREATMENT OF ASPHYXIA AND suffering from a diago nal wound of the HlEMORRHAGE abdomen, reaching from the left femur C. R. (1?radwell) .-Sends a very lengthy to the lower ribs on the rig ht side. Should letter in which he finds fault with the the head and shoulders and the knees be ruling given under the above heading raised or should the patient be kept fiat. , in the November, 1942, issue of THE There is an element of doubt among GAZETTE and seeks to establish a differ- the members of our Division, though I ence between" attending to " and" treat- suggested the latter method of treatment. ing" an injury or condition. Now your kind reply is eagerly awaited. Nowhere does the Textbook make any To arrive at a decisi01'/. it will be necessary suggestion that there is any difference to observe the woun d carefully and to note between "attending to" and "treating" the effect on the wound of the position of the an injU!YY or condition. In short, the terms lower limbs. are syt wnymous. In these circumstances Like yourself, I incline to the opinion our correspondent should reaZise that if that keeping the body and lower limbs fiat blood continues to escape from its vessel as for a vertical wound of the abdomen the respiratory centre in the brain would not will prove the best treatment. - N.C.F. respond to the efforts made in performance ASPHYXIA WITH FRACTURED RIBS of artificial respiration. In short,., his A. W. (Wombwell). - Recently at our letter fails to prove his point that the ruling Works Ambulance Class we had a lively requires modification.-N.C.F. debate as to which method of artificial DIAGONAL WOUN]i) OF ABDOMEN respiration should be used in treatment W. T. (Bournemtmth).-I have read of patient suffering from asphyxia comwith interest over a period of years your plicated by simple fracture of ribs. answers to the numerous queries which Should this be Schafer or Silvester, now you Now I would ask you t o that Laborde is no. longer described in the tell me how you would treat a patient Textbook?
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AMBULANCE COMPETITION TESTS
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The method of choice in this case is Schafer , because pressure on the loins, prop erly applied, would not cause aggravation oj any broken ribs. Incidentally, I take it that you realise that the diagnosis of fractured ribs in an asphyxiated person would be a very difficult proposition·.-
N.C.F.
CALCIUM CARBIDE POISONING
A. W. (Wombwell).-Also, will you please tell me what is the correct method of treating a patient who has swallowed Calcium Carbide and has been poisoned thereby?
Little is known about the treatment oj poisoning by calcium carbide (which may prove fatal in three or four hours) except that treatment must be immediate and prevent the production of acetylene gas. The subJ'ect has been under discussion in first aid ci1' cles during the past ten years.
The net result oj these discussio n s is that glycerine (which absorbs water) is the antidote in the hands of first aiders who should admi'nister it freely and then tak e steps to make the patient vomit and so empty the stomach. If glycerine is · not a-lailable, then medicinal paraffin might be used for the sam e purpose, though, of course, it is soluble in water and alcohol.-N.C.F.
A DRILL PROBLEM
F,D, (Leicester),-I take the liberty of asking if you will kindly elucidate a problem which !las caused much discussion in this division.
The new Stretcher Drill Booklet quotes the following instructions for the extending of squads: "From No. - Squad to - paces - extend. The squad named remains steady, the remaining squads make a full turn away from the named sq uad and march in quick time to their positions, turn to the front, and pick up their dressing by the named squad. :\1oving squads will count silently the named paces."
Whilst at first sight these instructions seem clear, they do not define the actual movement which takes place There has been quite a lengthy argument on this subject, should each squad take only the named places, there is bound to be unequal distance between the squads.
Your assistance would, therefore, be greatly appreciated.
On the assumption that the order is to extend.4 paces from No 1 squad, and that there are 5 squads in. lin:e, No.2 squad would take 4 paces, No. 3 squad 8 paces, No.4 squad 12 paces, and No.5 squad 16 paces. This disposes oj your suggestifJn that therye might be unequal distances between the that the men have been trai1'bed to take a full step at the outset of the movement, and to maintain the correct length of step.
The practical tiP, therefore, is that the
leader of the squad should multiply the number of paces by the number of his squad, less one-for example, if the number of paces is to be 4 then the correct distance Jor No. 5 squad is four times four.N.C.F.
TREATMENT OF COMPOUND FRACTURE
E.B. (Handsworth).-In your Common Errors in First Aid you state that extension of lower limbs with compound fractures, and especially with bone protrusion, is an error. Do you agree that the Textbook should be amended to forbid the extension of limbs in all cases of compound fractures, whether bone protrudes or not?
In my book I state my personal views " but this does not mean that I have any desire to dictate to the Textbook Rem:sion Committee.-N .C.F.
SIGNS AND SYMPTOMS OF EPILEPSY
E.B. (Handsworth). - In your Why and Wherefore in First Aid, you say that in epilepsy the face is pale. The Textbook, however, says that it rapidly turns livid from flushed. Can we assume, therefore, that a pale face succeeds a livid one, and that it would be evident in cases of fits for long duratiDn ?
At the outset of an epileptic fit the patient is unconscious and so presents a pale face. With the onset of co nv ulsions the face becomes flushed and, as th e convulsions increas e in intensity, even livid. When the convulsions end the pat i ent's face again becomes pale.-N.C.F.
TREATMENT OF BURNS AND SC ALDS
E B. (Handsworth). - In your Why and Wherefore in First A id , you say that when lint is soaked in bicarbonate of soda solution or strong tea is applied to burns or scalds, it should be left uncovered. The Textbook, however, on p. 179, advises covering the lint with cO,tton wool and a bandage
In my book I give in st'yuctions which are identical with those of the T extbook. So reread the instruction s of the Textbook in Rule 3 (c), p. 179, and you will realise that cotton wool and bandage are only to be used if bicarbonate of soda and tea are not readily available. - N.C.J:
CORROSIVE ALKALI BURNS
E.C. (Handsworth).-In your Why and Wher efore in First Aid you say that quicklime and water produce a caustic. If this is so, is there any risk in following the treatment of the Textbook (p. 181) and flooding with water a corrosive alkali burn, should a suitable acid solution not be available?
The danger of producing a caustic exists only when water in limited quantities is added to quicklime. To avoid this, the Textbook tells you to flood the burnt part with water, warym, if immediately available.N.C.F.
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EVERY nurse who is working under conditions, in a military hospital or among the civil population, knows that, far more than at nonnal times, t?e majority of patients admitted are acutely ill and in a state of high nervous tension.
These abnormal conditions gre atl y emphasise the need for some easily assimilated form of restorative nourishment. this purpose , the nurse will find ( Ovaltine ' of value, either as an emergency measure or a regular routme ( Ovaltine ' is completely and easily assimilated, even when the patient is in a very low state of vital it y. Inde ed, I.Ovaltine' possesses special properties which mak.e the. m.llk to which it is added more digestible, and thus ass lTI11lated , as well as far more nourishing.
( Ovaltine ' many advantages . It is rich in ing, energy-giving it a!lays ter:-slOn and promotes sound, restorative sleep. Ovaltme. IS a .hlgl:ly concentrated food and is prepared by exclusIve sCIentIfic processes. It contains the esse ntial vitamins and mineral salts, first-class' protein, carbohydrate and fat 111 carefully adjusted ratio.
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Edited by GEORGE E. CRAFT, F.R.S.A.
VOL. 16. No.4 APRIL, 1943
EDITORIAL
In the August, 1942, issue of THE GAZETTE referenc e was made to a Committee which had been formed to examine the possibility of a fusion between th e Order of St. John and the British Red Cross Society.
After exploring a ll avenues, the follo wing joint statement has been issued:
In view of the close co-operation between the British Red Cross Society and the Order of St. John of J eru salem , both in this war and the last, in their work for the sick and wounded, the Society and the Order have been exploring the poss ibility of a permanent union between their two Bodies. After very careful cons ideration of memoranda exchanged between the Society and the Order, in which the former explained that the Un ited Body must comply with the rules to which all Tational Red Cr oss Societies must conform ill order to obtain recognition by the International R ed Cross Committee, the Order decided with regret that it was impracticable to r econcile their Charter and Constitution wit h those rul es The idea of Union has , therefore, been abandoned.
A of R epresentatives of the British Red Cross Society and Order of St . John has now been appointed to consider under what conditions the two Bodies can continue to co-operate in future work.
The existing Joint War Organisation of the British Red Cross Society and Order of St. John of Jerusalem v,Till continue to carryon the .war work of th e two bodies as heretofore.
RESIGNATION OF SIR JOHN DUNCAN
The Order has accepted with great r egret the r es ignabon of Major-General Sir John Duncan , K.C.B., C.M.G., C.V.O., D.S.O., as Chief Commissioner of the Btigade At- Home .
During hi s 12 yea rs of office, Sir John has done much to raise the status of the Brigade , and he ha s watched the mov e m ent grow from 65,000, wh en he took charg e, to 167,000 at the end of last year. By his persoral charm and encouragement, th e !3rig a de to-day is look ed upon as a National Institution Among the many 'important lllstructions he had to ifsu e was the iritial training in Air Raid Precautions which came into effect in 1935, and which proved to be the backbone of the Government instructional training for all Civil Defence services.
In a (( Farewell Order," Sir John stated that he has felt it a privilege to administer Such a patriotic and self-sacrificing body of men and women, which in times of peac e had set the example of service. Thf' remarkable expansion was due entirely to th e enthUSiasm of all ranks. He expresses admiration to all members for th eir loyal and devoted service, and particularly thanked the 3,000 surgeons, as he felt it was largely due to their unremitting labours that the Brigade had been able to maintain its high standard of efficienoy
larior!, in tbt !\talm of tbt lJtntrablt of tbt of i:>t. 3f obn of 3J erusalem
His Majesty the ]{ing has been gmcio'lltsly pleased to sanction th e follo wi ng Promotion,s in, and Appointments to, The Venerable Order of the of St John of jerusa,le?n.
For Admission in the Grade of For Admission in the Grade of Associate Bailiff Grand Cross Officer (Brother)
His Majesty King Peter of Yugoslavia.. Rex Hope \};lest Hope, O.B.E., M.C.
For Promotion to the Grade of Lieut.-Colonel John Edward MccGwire, Dame Grand Cross C.B.E.
Edith Marione, Mrs. Perowne (from Lieut.-Colonel Claud Andrew Montagu- Douglas-Scott (on appointment as Dame). Personal Esquire to The Lord Herbert
For Promotion to the Grade of Scott).
Knight Colonel Peter John Ryan, M.C., M.B., Kenneth Harold Beverley, M.RC.S., R.A.M.C.
L.R.C.P. (from Commander).
Captain Richard Arundell Hugh Whatton
Captain Alexander Campbell \¥1llte Knox , (on appointment as Personal Esquire to M.C., M.B. (from Commander). Sir Colin MacRae).
Lieut.-Colonel William Blackwood , D.S.O., Archibald Buchanan Barbour, M .RC.S. , M.B. (from Commander). , L.R.C P.
Brigadier William Bradley Gosset Barne, Marcus Maurice Scott, M.RC.S., L.RC.P.
C.B.E., D .S .O. (from Officer). Frederick Hugh Dalzel Pritchard. Sir William Edward Leonard Shenton Henry Thomas Ferrier. (from Commander). Lieut.-Colonel Charles Alexander Whit-
For Admission in the Grade of Knight field, RA.M.C.
Lieut.-General Sir Clive Gerard Liddell, Lieut.-Colonel Alfred Edward Campbell , K.C.B., C.M.G., C.B.E., D .S.O. RA.M.C. {_
FOF Promotion to the Grade of Dame Major Ian Alfred Anderson, RA.M.C.
C.B.E. (from Commander): For Promotion to the Grade of For Promotion to the Grade of Officer (Sister) Commander (Brother) Kate Constance, Lady Ford. Richard Stiles Allen. Rosa Frances Margaretha, Miss Thomson. Captain Russell Vivian Steele, M.B. Mary Boyd, Miss Workman. Bernard Cecil Fincham. Violet Anne, Miss Reading . Captain Frederick Ernest Bendix, Florence Mabel, Miss Tutte S L R C P Winifred, Mrs. Mustard. M.RC.., Lily, Miss Barron. John Craven Glen, L.RC.P. and S.Ed. Mr (AU from Officer.) Dorothy Helen, s. Mackenzie, M.B.E. For - Admission in the Grade of (A ll from Serving Sister.) Associate Commander (Brother) For Admission in the Grade of A h C il Ab h C B E Officer (Sister) MajGr ' Sir rt ur ec ra ams, Phyllis Margaret, The Hon. Mrs. Thorold. For Promotion to the Grade of Clementina Miss Allen, O.B.E. Commander (Sister) Lady Janet Lyle Bailey.
Mary Smallwood, Miss Cochrane, RRC. Helen Elizabeth Comfort, Miss Crook(from Officer). shank.
For Promotion to the Grade of Alice Maude, Mrs. Pennell, M.B. Officer (Brother) For Admission in the Grade of Allan Arthur Trotter. Serving Brother \ George Hampson. Stanley Thomas Davis. Edward Dean Glover Hubert Hartley Halliday. J osepb. Henry -Forth. Percival Anstey.
John Harold Lea. Harold Vincent Brown.
Geo,rge Arthur Myatt. Albert George Churchill. Alfred William Roach. Robert Craig.
Harry Robert Stanley. Philip J oh,n Cooper.
Norman John Lancelot Rollason, M.D. · Gordon Charles Pitts.
,Arthur John Burnage. Albert Robert Morley. , Robert Laurence Randall. George Heriot Pitt, M.D , F.RC.S
Albert John Flux
Thomas Parham Lalonde, M.B., M.Re.S., William Allen. L.RC.P.
(All from Serving Brother.) Theodore William Blake. 76
Henry Mearns Savery. M.RC.S., L.RC.P.
Cecil Petvin Porter, M.B.
Owen David Balli.nger, M.B.
Thomas Charles Lench.
Robert Belshaw Wilson, M.B .
J ames Tabernacle.
Philip Herbert Luckhurst.
William Henry \Ve eks.
William Fredrick Burdett.
John Wi.lliam Fell.
Charles William Farr.
William Ailmore.
Liscumb Edward Morland.
Cyril Ernest West.
Norman Agar Rymer, M.B.
Frederick William Hebblethwaite, M.B
Kenneth Mackenzie Macdonald, M.B.
Sidney Ronald Matthews, M.B., M.RC.S., L.RC.P.
Albert Edward Leslie Parkin.
Hugh George Robinson, M.B.
Alfred Henry Atkins.
Reginald Donald Eric Sampson. Lieut.-Colonel Augustus Henry Owen Young, L.RC.P., and S.l.
Frederick Crichton Matthew,M.D.,F.RC.S.
Clifford Bernard Andrews.
Wi.lliam Norman Booth, M.B.
Charles Philip Craggs, M.B., M.RC.S., L.RC.P.
Walter Hylton Je ssop.
Harry Andrews.
Charles Sharples.
James Dewar Robertson, M.C., M.B.
Robert Scott-Reid, M.B.
Fred Longbottom.
Arthur Stewart Campbell.
J ames William Mumford, D.C.M
Ernest May McDermott.
Richard William Legerton May, M.B.
Percy Lenard Hammond.
J ames Edward Mockford.
Fredelick Albert Cutler. -
Norris Stanlev.
Edgar Lewis Warwick.
J ohn Thomas Floyd.
Oscar Theodore John Christensen de H ega rti er Clayre, M.R.C.S., L.RC.P.
Lieut.-Colonel Percy Harold Marshall, O.B.E.
Captain John Ambrose Coghlan.
John Steer Parker.
Dudley George Greenfield, M.D., F.RC.S.
Albert Edward Gulwell.
Herbert Alfred Went.
John Miller John stone, M.B.
Arthur J ames Hill.
Tho[l1as Riley.
John W agsta ff.
Walter Anley Ha.wes, M.B., D.P.H.
William Rupert Newell.
E 'rnest Burton.
Duncan McFadyen Millar, O.B.E., M.B.
Thomas Steel.
John Craggs.
Robert Birtley.
Francis Henry Edwards, M.B., F.RC.S.
Reginald George Vlinder.
Charley James Wood.
Herbert Langmaid.
Sidney Spencer Dicker. For Admission in the Grade of Serving Sister
Eileen Norah, Miss Pittar. J essie Florence, Miss Smart
Winifred, Ellis.
Ellen Caroline, Miss Shoesmith.
Mary Alice, Miss Oliver.
Edith Annie, Miss Moores. Jane, Mrs. Smith.
Gladys Eveline, l\1iss Clow.
Annie, Miss Slaney.
Edith, Mrs. Wyse.
Mary Myatt, Miss Sillito, M.B., IVLR.C.S L.RC. P.
Edith Jane, Miss Crowle.
Laura Daisy, Mrs. Taylor. Beatrice Alberta, Mrs. May.
Ethel Hannah, Mrs. Lupt on. Kizzie, Mise; Job.
Ethel Jane Louisa, Miss Woodhouse.
Emmeline Jeannette, Miss Garland
Alice Elizabeth, Miss Lane. . Annie Laura, Miss Gunton-Turner.
Frances Lillian, Miss' Lacey. Olive, Mrs. Adams.
Ada, Mrs. Allen.
Margaret, Mrs. Slater.
Snrah Ann, Mrs. Brown.
Helena Beatrice, Miss H arvey.
Marion Priscilla, Miss Phillips. J essie Minnie, Abbott. Millicent, Miss Fox, M.B. Alice, Mrs. Smith.
ON ACTIVE SERVICE
The Chief Commissioner, Brig ade AtHome, regrets to report the deaths of the following members whilst serving with H.M. Forces:-
Private G. G Golding, Caterham Division, on November 9, 1942, with the RA.F.
Albert E. Hurle, of the Ipswich Corps, Royal Navy A.S .B.R, (missing, presume d killed)
Private B. Chilcott, of the Barnstaple Division, with the Mercantile Marine, in November last .
Private A. C. Hole, of the Newport Po lice Division, with the RA.F.
Private Clifford Lambert, of the Caernarvon Division, in the Micldle East.
The Chief Commissioner, Bri gade Overseas, regrets to announce the death of the following memb ers whilst on Active Service :-
Private Alwyn F. M. McEwen, 21st J ohannesberg (S D.A .) Division , Transvaal District.
Private John F Viljeon, Cape Town City Division, Cape Province District.
Private A. Gre go ry, Foxton Division, Wellington District.
S 77
PRESENTATION OF LIFE-SAVING MEDALS
On Sunday, March 28, Lady Louis Mountbatten, Lady Superintendent-inChief, presented the Bronze Life-Saving Medal of the Order to Lady County Supt. Mrs Beckwith-Smith (Oxford) and Miss M. \1If. Addison, during her visit to Oxford.
These honours were awarded in the follo'wing circumstances:
In a recent flying accident, an R.A.F. machine crashed in a viUage in Oxfordshire close to a St. John Training Centre. Two of the crew were thrown from the plane and were found lying near the burning machine The r ear: -gunrter was rescued and taken to hospital in an R.A.F.
ambulance. The second man, the observer, was assumed to be dead until Mrs. Beckwith-Smith and Sister Addison noticed that he moved. Th ey hastened to render first aid, releasing him from the harness, thus relieving his choking, and removing him from the dangerous surroundings with the help of the students, on an improvis ed stretcher.
The Senior Medical Officer of the R.A F. Station t end ered his grateful thanks to both th ese l adies for their cool and efficient action a nd complete disregard of dang er.
Qtbt J obn ambulanc.t
Association Exa }"l1.iners.-Instances of laymen offering th eir services to examiners in the conduct of examinations have come to the notice of St. John Headquarters. It is therefore notified for information that only <'lualified medical and trained nurses are reco g msed as examiners in Home Nursing, and only qualified medical are rec0!5nised. as examiners m. FIrst AId, both m the Preliminary and Adult Course. The following extract from the Regul3:tions of the Association is given for the mformation of all concerned :-" N() one to be present at an examination except the candidates, the Examiner, the boys who act as models, and the Secretary and, as far as tJ:.e latter concerned, onry where the wntten examInation is held, to watch that no cop ying or questionin g of one another by pupils takes place while the Examiner is where conducting the oral and practlcal examination of a portion of the class. If persons other than the above-mentioned insist on being .present, or are found to be present, the Examiner is. in refusing to conduct the exammatlOn, and the Class Secretary will be held liable by the Association for his fee and expenses although the examination may not have taken place."
Associa.tion L ectu.'Ye'Ys.-There seems to be a widespread impression among me.mbers of the Briga,de A t- Home that possesslOn 01 the recently introduced Lay-Instructor Certificate entitles holders of it t o lecture on the syllabus of the Adult (Standard) Course of the St. John Ambulance Association. This is not the case and n o alterations have been made in the R eg ulations of the Association: in fact the 1\ssoeiation recently re-affirmed its d ecisio n that only qualified roedical practitioners can be
reco g nised as lecturers on the syllabus of the Adult Course.
The Lay-Instructor Certificate intr oduced by the Brigade entitles those members orr the Brigade who hold it to lecture only on the syllabus of the Preliminary Course of th e Association, and on the " Short" (First Aid) Course int rod uced by the Home Office.
Bristol Centre.-The 62nd annual report of the Bristol Centre states that in spite of blackout and other restrictions intere st has been mainta ined During the year under r eview 127 first aid, 14 preliminary first aid, 3 h ome hygiene, 1 military sanitation and 1 preliminary hygiene course were held at which over 3 ,000 people atte nded. The actual awards being gained numbered 2,299, a slight increase over last year. Up to the end of September, 1938, the total awards issued through this Centre sin ce its formation (58 years) amounted to 22, 808; during the four years now ended 13 ,703 awards were gained. Juvenile organisations have been instructed; also gro ups of wardens, N.F.S. unit s , etc.
RECEIVED
" Questions and Answers in First Aid " by F. G. Harwood. Tllis booklet, now in its 7th editi on, has been received by first aiders throughout the Empire with appreciation. It is divided into chapters to correspond with those of the Association Textbook so that readers can easily follow the questions asked and the answers given. At the low cost of 7d (post 1ree) the booklet is within reach of all; and it is recomm ended to those w ho endeavour to make themselves proficient in the subject. Copies are obtainable from the author at " Hurstbourne," Horsell Rise, Woking, Surrey.
JI obn
<l!)btrStaS
f an.d after the 1st July, 1943! Officers o lstnct and Corps rank appomted for passing through the stations The Cadet purpo ses, and Cadet S uperinten- ded on many trains dents and .Cadet ?fficers Ambulance served with tea, etc. by the Canteen and Nursmg). will be reqUlred to pass helpers. pnor to appomtment an exa:nination on The Mobile Canteen presented to the the lines of the glVen below. Divisions by the Girl Guides of I d' The exammatlOn WIll not be retr ospective, was u sed in the Barrack ore A n lq bu.t those Officers who hold Cadet ranks the J aO"atadal D' . . T-1. D rea by pn or to the above date must take the i \ l:nslO.n. e um Dum examination on promotion to a higher the m the Canteens on Cadet rank. Once the examination has T .me. , been passed, however, there i s no need A' he 1st CIty DlvlslOn s Canteen at the for it to be taken a second time. lip o re Aerodrome recently been Th f h moved to a pucca bUlldmg where it is e act an has passed the opened daily for the use of Aerodrome Dnll ExammatlOn laId down for Officers perc-onnel At· h f d It D' ea van m c arge of a o a u IVlSlOns not gIve exemption Canteen helper tours the dis ersal oint from the exammatlOn for a Cadet appoint- round the Aerod . p d P it s ment. morrung an a ern90n. Ambulance SIsters of this Division SYLLABUS
(a) An oral examination on Cadet .Regulations and up on General Regulations m so far as the latter apply to Cadets, and on Cadet forms.
(b) Demonstrate el ementary squad the loadin g of a st r etcher, stretcher dnll and hand-seats.
(c) Instruct a novice in the application of one triangular and one roller bandage , chose n by the examiner.
(d) Lecture for ten minutes upon an aspect of First Aid or Home N ursin 0" (c?-osen by the candidate) in WIth the preliminary textbooks.
(e) Bring to the examination a written specim e n programme o utlinin g three months' work for a Cadet Division. It include two Proficiency Badge s ubjects , not necessarily taught by the Ca ndidate
The examination for appointments of Officers for Cadet purposes should be conducted by an office r of senior r ank to the can.didate specially detailed by the Officer m charge of the District, and preferably a senior Lady Officer should co nduct the exa minati on for Officers of Cadet Nursing Divisions.
The of examination given above IS mtended as a guide to those for arranging examinations, and It may be modified or varied by the Officer in charge of the District to meet local conditions.
INDIA, No.2 DISTRICT
This District r eports that the NursinO" Divisions in and near Calcutta worked hard in Canteens for troops. The Brigade Canteens at Howrah a nd Sealdah stations, in spite of difficulties of trans-
worked in many hospitals in Calcutta, mcludmg the B.M.H. extensions and the Presidency General Hospital, and by request two Ambulance Sisters have been on duty daily at the Medical Inspection Post E.A.F. since Jul y.
Eegular work at Blood Banks in Calc utta has been continued.
The scheme Mobile Nursing III Bengal having firutlly . the approval of the Military A.uthonties, the 1st City Division formed a Mobile Detachment which is now collecequipment and supplies. This DiviSlOn has continued its regular activities as work for the Leper Homes, Baby ClImc, and \ Vork Party. Ten members have completed training at the Presidency G ene r a l H ospital. The members have also collected the sum of Es. 267/8 by the sale of Defence Savings Certificates.
Evacuee work has now ceased; 4,200 cases have been treated by the B. & A. Railway Division. The A.R.P. Division has continued to wo rk in First Aid Posts and for the Red Cross.
of the Auxiliary Nursing ServIce DlvlslOn has greatly increased Six members are known to be in the Middle East and about ten more are on their way overseas.
The Darjeeling Division has nursed in Military .and Civil hospitals in D a rjeeling and d unn g r ecent severe epidenlics of measles has also nursed in schools.
All this work has been carried out by depleted Divisions; it is hoped that a full complement will be ensured to fulfil th e work planned ahead.
port, supplies, and the recent disturbances FouND.-At Fleet, Hants. War Service m the city, have been kept open from Bad ge (Kild.p.re). Owner can obtain same 6.30 a.m. until 10 p.m. every day. In from Lady County Offic er Mrs. Mackenzie August all s upplies had to be doubled to Squi.re's Hall, Fleet, Hants.
'.' PHYSIOLOGY IN FIRST AI 'D
By M. M. Scott, M.R.C.S., L.R.C.P.
Me,ihlJ'e1' ! of the Textbook Revision Committee and Divisional
Surgeon,
S.J,A.B.)
':
1', , THE ALIMENTARY SYSTEM '
(Continued page 56, March, 1943 issue.)
Foodstuffs, even in their ordinary ·a.re usyally incapable of being assimilated by the body without further preparation .' Sometimes this is due to the complicated structure of the foods themselves; while in other cases there are the mechanical factors to be overcome such as the connective tissue which binds the protein constituents of meat together, and the (f Cellulose" envelope which frequently protects starch granules.
The mechanical factors are to a great extent overcome by domestic cooking, but the complex proteins, fats and carbohydrates must be further broken down into simpler substances of the same type before they can be utilised . This is brought about by the action of the digestive juices.
-The chemical combination of water alone and the complex foods would eventually serve to split them into simpler molecules by the proc ess of Cl hydrolysis," but unassisted, the process might take years to do so. The digestive juices of the lYody, however, contain substances known as " Enzymes" which accelerate the process of 'hydrolysis without being used up themseLves. A small amount of enzyme is therefore capable of h ydrolising a large amount of food, but unless the products of the \ hydrolysis are removed, they eventually tend to destroy the action of the enzyme. Digested foodstuffs are, however , absorbed from the bowel almost as soon as they are formed, so that th e enzymes continue te function.
Enzymes are specific in action, each acting on one special type of foodstuff only. They act best at normal body temperature, some requiring an acid, while others an alkaline, medium.
Digestion is a combination of the mechanical processes whiGh grind up the food and knead and mix them with the digestive juices, and the action of the juices themselves. It embraces the sequence of events beginning in the mouth and terminating in the small intestine.
D iges tion in the Mouth
The process of digestion commences in the mouth by the mastication or chewing of the food. The food is bitten by th e incisor te e th and ground by the molar teeth, while the movements of the jaw and tongue mould the food against the palate and mix it with the saliva so as to form the rounded ,mass known as a "bolus."
The saliva is the product of the salivary glands and is continuously b eing produced. The presence of food in the mouth, and the sight and smell (and even the thought) of appetising dishes further increases the flow by reflex nervous action. On the other hand, the flow is decreased or even stopped by severe emotional disturbances-as exemplified by th e dry mouth which frequently accompanies fear o r terror.
Saliva is a s limy and slightly opalescent fluid. It contains the enzyme " Ptyalin," which is starch splitting in action, as well as water, mucus and salts. Its r eactio n is alkaline.
Ptyalin acts chemically on cooked starches, converting them into the sugars Maltose and Dextrine (which also subsequently becomes converted into Maltose). Since, however, the food remains in the mouth for an insufficient tim e to allow the complete digestion of the starches, the action is continu ed for some further time in the stomach, the action being eventually stopped by the gastric juice, which is acid. The ptya lin in infants is not so potent as in the adult, thereby rendering starchy foods unsuitable for them.
The mucus acts mechanically by lubricating the surface of the food so as to facili tate swallowing.
The water acts both mechanically and chemically, being used in hydrolysis, to soften the food and to dissolve the substances which stimulate the nerves of taste.
(It should be noted that saliva assists the movements of the tongue and mou th in speech by its lubricating action.) (To be continued.)
(:ad f. t " Flash" :
Sow an act and you reap a habit; Sow a habit and you reap a character; Sow a char?-cter and you reap a destiny.
Tra ining Course.-A 3-day CaC\et Officers' Course was "held at Oxford from March 19 to 22. Lady Dunbar-Nasmith, Chief Officer for Nursing Cadets, opened the proceedings, other speakers being Staff Officer Miss Cunard, Lady Tweedsmuir, Miss Armstrong (Editor of" The Nursing Times "), Lady County Supt. Mrs. Beckwith-Smith, Mrs Lane , County Officer Dearle, Miss Dunford and Sergt.Major Parnell. A special service was attended at Worcester College Chapel on the Sunday.
Progress in Surrey.-Thirteen new Cadet Ambulance and 18 Cadet Nursin g Divisions have been formed in the County of Surrey and it is hoped that many more will be formed following recently held meetin gs by Co unty Cadet Officer W. H Harris in various parts of the county.
At Guildford Ambulance Cadets made their first public appearance at an enr0 lm ent ceremony conducted by Mr. Harris who presented eertificates.
Cadet Supt. F. J. Bolton and Cadet Officer T. W. Hirst presented a silver cup to be held by the best cadet for one year.
At Godstone Lady County Cadet Officer Mrs. Charrington, who was - accompanied by Lady Corps Cadet Officer Miss Searle, cond ucted an enrolment ceremony. Lady Co unty Supt. Mrs . Thomas presented the Nursin g Cadets with their certificates and gave a talk on the traditions -of the Order.
A successful displ ay was given by Nursing Cadets und er Nursing Officer Miss Sowerby and the Ambulance Cadets by Amb ulanc e Officer J. Hayward.
Suffolk.-By invitation of County President, the Lady Blanche Cobbold, a training week-end for Officers of Suffolk Cadet Nursing Divisions was h eld at Glenham Hall, Woodbridge, Fourteen divisions were represented and specialists gave l ectures on various subjects.
Miss, Cunard, on behalf of the Chief, Officer for Nursing Cadets, presented Cadet Jean Lesquereux with the first Cadet vVar Service Badge to be gained in Suffolk. Those who visited the course during its run included Lady Dunbar-Nasmith, County Commissioner the Earl of Cranbrook and Mrs. Lachlan Porter, Many County Officers were also , present. .
Recently, Lady County Supt. Mrs J enniugs, accompanied by Lady Supt. Mrs. Lievesley, visited the Spencer No.2 Cadet Nursing Division and gav e an interesting talk on .. The Histbry 01 the : Order," and afterwards outlined the work ,. of the Red Cross and St . John Fund. Members of this division heln a sale of toys and other articles made by themselves and members of the College of Technology and suc;ceeded in raising 50 g uineas, which was handed to La dy Louis Mountbatten, when she visited Northampton on March 13, by Cadet Sergeant Barbara Smith for the Prisoners of War Fund
Kington.-A first aid competition for the" Pri tchard Cup " was held last month wben Ambulance and Nursing Cadet teams competed before County Surgeon C. W. vValker, assisted by Asst. County Commissione r G . N. Bullock. . The winning team was the Nursing Cadet Division which was represented by Cadet Supt. Mrs. I. J one, Cadets Pamela Tarrant, Brenda J eynes and Joy Fletcher.
T hos e present included the County Staff and officers of the Kington 'Divisions together with their Surgeons.
M anningtree.-Lady Supt. Mrs. Scrutton recently enrolled five new Nursing Cadets and the Rev. A. A. Bagley presented Home Nursing certificates to eleven members. Miss M. Kerry received from the Hon. President Mrs. C. Arnold her warrant of appointment as Lady Supt. of the Cadets, whilst Mr. Bagley w as presented with a President's Badge.
Gillingham.-The Gillingham Nursing Cadets recently h eld a concert in aid of funds and succeeded in raising £ 5.
The concert, which was organised by Lady Cadet Officer Miss Lester, and compered by one of the Cadets, was a great success. LaC\y Cadet Supt. Mrs. Lindsay th anking the visitors for theiI support mentioned that since the division was formed l ast August, 53 cadets had enrolled, 32 having passed both first aid and home nursing.
Wak efie ld.-Asst. Commissioner Dr. K. H. Beverly and Lady County Cadet Office}' Mrs. Beverly visited Wakefield Nursing Cadet Division ' and presented first aid certificates.
Northampton. - Lady County Supt. Mrs. I. J ennin gs presided at the Cadet Officers' Training Course held in the Gas Demonst ration Hall. Miss Cunard (Staff Officer to the Chief Officer for Nursing Cadets) ga ve interesting lectures, other- speakers being Asst. County Commissioner Dr. Eric Shaw, Miss Strong (County Cqmmissioner for Girl Guides), and Miss Wykes (Secretary Northampton Ke!tp Fit Association).
Under Lady Cadet Officer Miss Farrow the girls presented a tableau of the Maltese Cross and explained the symbols of eaGh of the eight points. This was f ollowed (C ontinued on page 88)
'bt J 1irigabt
HEADQUARTER NOTES
behalf of all members of the Ordet and the Briga de we extend to Colonel Charles r Trimble heartiest congratulations on his 87th anniversary : Col. Trimble, the "Grand Old. Man" ()f the Brigade, rose from Divisional Sl)frgeon ' to Commissioner of No , 4' District, and is still on the active list as ·Inspecting Officer for Lancashire. His long activity in the St. John movement is an example for all to copy.
\ CashwLere Mackintashes :-The Stores Department of the Assoclation has in-' formed us that Cashmere Mackintoshes for Officers of Ambulance and Nursing Divisions are available at £3 3s. and 16 coupons.
No.1 (PRINCE OF WALES'S) DISTRICT
On March 18, Capt. W. Goodley presided at an enrolment ceremony of the 72nd Cadet NursIng Division, making the function the occasion to introGuce Lord Nathan as Brigade Vice-President for London and pt"esenting him with his Badge of Office. Occasion was also taken to introduce Sir George and Lady Abbi ss as vice-pr€)sidents of tpe Marylebone Ambulance Cadet Division and the 72nd Nursing Cadet Division, respectively.
The Commissioner paid tribute to the work of Supt.' Allen and Lady Supt. Mrs. Allen (the latter unfortunately being away indisposed) and the members of their divisions. He also referred to the excellent assistan'Ce rendered by the President and Vice-presidents ' of bqih division s. Lbrd Nathan expressed 'thanks to Capt. Goodley and to the company' present; and invested Sir Geor ge and Lady Aboiss with their badges of office. Sir G eorge addressed the gathering and stated that Lady Abbiss and himself would do all the v :could to further tile work of the divisions.
Lad y Cadet District Officer Miss Woodman then enrolled some 20 Nursin g Cadets all of which repeated the Code of Chivalry. Later the newly. enrolled members gave demonstrations which were of a very high standard.
EDMONToN.-Mrs. Scott (Presidpnt), presided at the annual meeting of the No. 56 (Edmonton) Nursing Division, supported by Vice-Presiden.t CouncillOt" Mrs. Shil'l.gles and Lady Supt. Miss Parish v The Secretary, Miss Akehurst, gave a satisfactory rep Qrt which fncluded the many services rendered by the members at hospitals, cinemas, sick bays and Posts, etc. It was very satisfactory to know that the division has an efficient
nursing sister in Miss l'ardell. The Treasurer's report was also satisfactory Miss Parish referred to the enthusiasm' of the President and her generosity in providin g a cup for the recently held bed-making competition. Miss Parish also paid tribute to Mrs. Shingles, Sister Fard'ell, to Lady Ambulance Officer Mrs. Wards and Miss Akehurst. She also expressed satisfaction on the division's efforts duriL g 1942, during which 712 F A. Duties and 720 duties were put in at Crossways Sick Bay and hospitals, etc.
The President expressed her joy at working with the division; whilst Mrs. Shingles, a comparative newcomer, said she would lose no opportunity of furthering the work of St . John . RUISLIP.-At a me et in g of the Ruislip Nursin g Di v ision , Miss E. M. Randles presided Lady District Officer Miss A. West presented Sir Ernest Burden with his Bad ge of Office as President of the Division, whilst Mrs. Arnold Brown, late Lady Supt., presented Mrs. Smythe with her Badge as Vice-President.
Sir Ernest awarded the- Divisional Efficiency Silver Cup to Ambulance Sister Miss G. Humphreys and also certificates gained in the recent home nursing examination.
BEXLEy. -S upt F. G. Ellis presided at · the annual meeting of the Bexley Division supported by Ambulance Offirers Aylott, Gibbins and E. Goodall. The treasurer's report was satisfactory, whilst the secretary announced that personnel now numbered 130 an increase of 8 .
During the past year 3,289 cases received attenti on ; 63 members were in the Forces; 13 are full-time C. D. personnel; 17 are doing all-night duties with Mobile F.A Units or at F.A. Posts; 3 members- are in the Home Guard; 479 duties were covered; 572 night duties by the parttime C.D. members; and shelters in the district visited on 43 occasions.
Special mention was made of the· good work done by Cadet Supt. Goodall and Cadet Officer Gravett Supt. Ellis pointed out that the work done among the boys could not be stressed too' much. The trainin g given not on ly helped the lads in leading healthy and useful lives but also in becoming good citizens.
No. 2 DISTRICT
COUNTY OF OXFORD:'['; IRE
On Sunday, Ma[«:h 28, -Lady Louis Mountbatten, Lady Chief, visited units of the Bri gade in the County of Oxfordshire. She was received by County Commissi:oner Dr. GardinerHill, and Lady County Supt. Mrs. Beckwith-Smith 82
After inspecting the Guard of Honour and personnel of the Ambulance, Nursing and Cadet Divisions Lady Louis presented the Life Saving Medals in Bronze of the Order to Mrs. Beckwith-Smith and Sister Addison (particulars ' of these awards are published on another page of this issue), Following the March Past Lady Louis expressed her warm appreciation of the smart appearance of the parade and the splendid work being carried out by the Brigade in Oxfordshire.
On the foll ow in g day Lady Louis addressed the St. John Officers' Course and attended Surgeon Rear-Admiral Cecil Wakeley ' s lecture on "Progress in War Surgery" and Lady Falmouth's talk on "Pre-Armistice Training."
Visits were also paid to the St. John Training Centre at Stratton Audley, the Services Canteen and the J. W.O.Auxiliary Hospitals at Stratton Audley Park and Tusmore Park, Bicester. Later the same day the Lad y Superintendent-in-Chief visited the Prisoners of War Library at the Bodleian and a Mobile Flying Unit. CoUNTY OF WILTSHIRE
SWINDON.-County Commissioner A. R. Towezey presided at the inau gural meeting of the new Swind on Nursing Corps, s upported by Lady Co unty Supt Mrs. Battye, and County Officers Sinnett, Mrs. Darling and Mrs T emp ler.
It was explained that owing to the fact that the personnel of the Swindon Nursing Pivision had increased to 116 it had been divided into 3 divisions to form the first Nursing Corps in Wiltshire.
Mrs. N. Lane would be the Corps Superinte ndent and Dr. R. B. Hick , Corps Surgeon.
The Commissioner thanked Mrs. Lane for the w ork she had done as Superintendent of the Nursing Division since 1939 whilst Mrs. Battye read a letter' from the Lady Superintendent-in-Chief who had sent her congratulations on the formation of the Corps.
Mrs Lane expressed thanks for the honour bestowed upon her and hoped that the members of the divisions would give the new Superintendents the same loyalty as had been given her. She also thanked Dr. Hick for his assistance in finding three new surgeons and Nursin g Officers for the n ew divisions.
COUNTY OF BRISTOL
BRISTOL.-The children of the members of the " A " Division, I o. 3 Corps, were entertained on March 13. An amusing and interesting pro gramme was arranged including shadowgraphy, games, contests, singing and a cinema show Tea was much appreciated by the youngsters.
.on leaving each child received a lucky parcel and, as a small war effort, a Saving
Card with stamps to the value of 2s. 6d. No.3 (EASTERN) DISTRICT
BIRMiNGHAM .-At the annual meeting of the Birmin gham (J ohn Wilkes, Sons & Mapplebeck) Division Badges of rank were presented to President Grew and Vice-President Wells by Divisional Surgeon Stewart. Both ge ntlemen expressed thanks and complimented the division on its activities.
Divisional Secretary Dorritt reported that during the last six months of 1942, 57 public duties had been carried out and 14 patients received attentipn Ambulance Officer Goodwin gave an account of the incident during which Pte. Holloway gai ned the Certificate of Merit. Mr. Baggaley ex pressed admiration on the way members had prepared themselves to affor d assistance to their fellow-men.
Ambulance Officer Goundry (Officer-inCharge) hoped that members would hand in reports of cases dealt with.
No.3 (WESTERN) DISTRICT
COVENTRY.-The G E.C. (Coventry) Division,. has been formed just over nine months and is makin g steady progress. AmbulanGe Officer J VV. Chamberlain has been promoted to Superintendent and Sergt. J Howe to the rank of Ambulance Officer.
Training is carried on in conjunction with the \;Yorks A.R.P. Service, and a special drill class held every Sunday morning.
EVESHAM.-The following extracts are taken from the annual report of the Evesham Nursing Division: Strength, 34; 898 attendances at Evesham General Hospital, 147 at the F.A. Post by 10 members attached to the Post, 32 with the A.R.P. Ambulance by 4 members, and 212 demonstrations given by members of the division. Seven m&mbers are full. time C. N .R. with 16 part-time, 7 members have qualified for further C.N.R. Stars and St. J ohn vVar Stripe. Four members sat and passed the N.C.O.'s examination as did four members for Cadet Officers The Cadets are awaitin g registration, there being approximately 60 probationary members.
The Savin g Group has 25 members anG during the two years ending December, 1942, £1,900 has been inve ste d. BWDULPH. - Corps Surgeon T. C. Murphy, on behalf of the merr.bers of the Biddulph and District Corps, presented an. illuminated address to Corps Supt. VV. Chesterton on the occasion of his retirement from active Brigade service Mr. Chesterton has been a member of the Brigade for 25 years during which time over 700 persons have passed through his hands to obtain first aid awards. He was made a Serving Brother of the Order in 1933, and received the Coronation :83
Medal. He also holds the Service Medal and' Bar and the Humane Society's Medal for rescue' from drowning.
Replying to the tributes made to him, Mr. Chesterton thanked all concerned for their kindness and good wishes and referred to the fact that the Corps had grown from a small affair to 10 divisions, all of which were well represented. In conclusion he presented Corps Surgeon Murphy with a Bar to the Service Medal.
LEICESTER.-Satisfactory reports were given at the annual meeting of the British United Shoe Machinery Co. Division. Duties carried out numbered 82 and 6,320 cases received attention. Over 25,000 hours A.R.P. duty had been put in. In the Leicester Centre Shield competition the Division gained third place. A proposal to form a Sick and Dividend Club and the amended rules for the "B. P. Cooper" Twphy were accepted.
Mr. B. F. Cooper, Divisional President, said that the Directors of the Company thanked all members for the way in which they had cat;ried out their duties.
No.4 (LANCASHIRE) DISTRICT
HINDLEY.-At a recent function in aid of the Prisoners of War Fund President C. C. Woodcock presented the "Howarth" Efficiency Cup to Pte. J. Ruler; the "Boy Cadet Cup" to Cadet F. Boardman; "Girl Cadet Cup" to Cadet J. Jolly.
During the Rast few years many successes in competitions have been gained by members of the Ambulance, Nursing and Nursing Cadet Divisions.
Of the 68 men 28 are serving with H.M. Forces; the total personnel all ranks being about 120
No.6 DISTRICT
BRouGH.-Divisional Surgecm Thompson presided at the annual meeting of the Brough and District Division, supported by Supt. Rankine, and other officials and members.
Five members of the divisional strength of 33 were in the Forces; and during the year awards had been gained in Anti-gas and Home Nursing in addition to first aid. A Nursing Division had been started and the personnel had contributed extensively in the training of Home Guard, C.D. Personnel, and ethers. A Medieal Comforts Depot had been established at Headq uarters.
No.7 DISTRICT
KINGTON.-As the result of an examination held by the Kington Nursing Division the following promotions were gained: Ambulance Sister Mrs. H. Baldwin to SeIigeant; Ambulance Sisters C. Williams and Miss C. Whittaker to Co rporals. Lady County Supt. Mrs. Hopton and Acting COUllty Commissioner Bullock were the examiners and both
congratulated the members on their high standard of efficiency. This is the first division in the county of Hereford to take the N.C.O.'s examination for Nursing Divisions.
No. 8 (DUKE OF CONNAUGHT'S) DISTRICT
CANTERBURY. - It was announced at · the annual meeting of the Canterbury Corps that Certificates of Merit have been awarded the Canterbury Ambulance and Nursing Divi')ions, also the Thannington Ambulance and the Canterbury C.D _ Nursing Divisions, by the Chief Commissioner.
Alderman C. Lefevre (Corps President) presided. Corps Supt. C. C. Elam welcomed members of the C.D. Nursing Division and the Blean & Harbledown Ambulance Division, both of which had been formed during the year. An Ambulance Replacem e nt Fund had been opened to replace the present ambulance at no distant date.
Corps Secretary Shelly reported the strength as four Ambulance, three Nursing and one Nursin g Cadet Division with a total personnel of 228, of whom 57 were serving in the Forces, 3 in hospitals, 31 were on full-time C.D. work , 57 on time duties, and 7 in the V.A.D. and C.N.R. Four were in the Home Guard Corps Transport Officer Drewitt reported on the wo rk of the ambulances. 107 accidents cases and 283 removals had been undertaken, cove ring 480 miles Lady Corps Supt Mrs. Jones welcomed the members at the first me e tin g held for four years.
The Chief Constable (Mr. G. T Hall) , the Mayor and others paid tribute to the work done by the Divisions, especially during the blitz periods. Divisional reports were also g iven by the various officers.
,
DARTFoRD. - Mr. E. H. Williams, a member of the DartLord Division now serving with H.M. Forces, has received Cl; telegram of congratulations from his Commanding Officer, which reads as follows: " I congratulate you on the report I have received of your very g ood work as a stretcher bearer during the action south of the Alam, Nayil Ridge, on the 4/5 September.':
SITTINGBOURNE. - Div Surg eon A. Chalmers presided at the general meeting of the Sittingbourne and Milton Division . • Supt. L. R. Dence reported that the ambulance had removed 366 patients (mileage 8,010), strength 84 of which number 35 were serving in the Forces, drill attendances ave:r::aged 26, and all who sat passed the re-examination.
Cadet Supt. H. Wise reported a strength of 60 with an average drill attendance of 36.
(Continued on page 94) 84
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, GENERAL INTEREST for the first time in the role and uniform New Appointments.-The announce- of the Lady Superintendent-in-Chief for ment was made at meeting of the Priory Wales. Priory funds benefited to the extent Council on ' March 24 that the Grand of £1,000 fron1 the proceeds of a bail they Prior of the Order had approved the attended. The Hospilaller of the Order, appointment of the Rt. Hon. D. Lloyd Colonel J. T . .Woolrych Perowne, V.D., George, P.e., O.M., M.P., as Prior of T.D., was the visitor welcomed by the the Priory for 'Vales, in succession to Priory at its annual meeting of General His late Royal Highness the Duke of Assembly in 1938; and in the following Kent. year a review of over 9,000 members of
The Earl of Plymouth, P.C. relinquished the Brigade from every county in Wales the office of Sub-Prior of the Gr-and Priory by the Duchess of Kent proved to be an on appointment as Sub-Prior of the Grand inspiring prelude to the more exacting Priory in the British R3alm of the Ven- claims so soon to be made upon the erable Order of S. John; and Sir John W. Brigade by the demands of national serBenyon, Bart., e.B.E., has been appointed vice. During war-time the staff at Priory , Sub-Prior in succession. HOllse,theHeadquarterofficesofthePriory,
The Priory for Wales has always had a short visit fromthePriorduringasurbenefited by the association of Mr. Lloyd prise visit to Cardiff on October 9, 1940, George as Chancellor; and his acceptance and in June, 1941, the Duchess of Kent of the highest office has given pleasure to spent a remarkably busy week-end seeing all members and to Wales genera:lly. Brigade members at work under war
Sir John V..r. Benyon has maintained an conditions a tour of coastal towns and active connection with the Priory from mining villages covering 23 visits. Official its formationjn 1918 ; and from 1933 held visitors to the Priory have always exexecutive office as Librarian. As leading pressed warmest appreciation of the charmindustrialist in South Wales he has always ing hospitality provided by the Earl and used his influence in the promotion of the Countess of Plymouth at St. Fagan's ambulance movement. Sir John repres- Castle. ented the Priory on the Chapter-General
An indication of the general growth and of the Order for some years prior to 1931, development of all departments of the since when he has .figured on Chapter- work of the Priory during Lord Plymouth's General as one of the Knights of Justice. term of office is given in the comparison Lord Plymouth leaves the office of Sub- of membership of the St. John Ambulance Prior with a magnificent record of service. Brigade which increased from 9,286 at Since his appointment in 1931 he pre- December, 1931, to 19,187 at December 31, sided over every meeting of the Priory 1942. 'Chapter held during his tenure of office Brigade Development in Wartime.with the exception of the year 1937, when The summary of returns from Divisions the late Prior, the Duke of Kent, was in the Brigade in Wales for the year present in person. Within those eleven ended December 31, 1942, show a total years the Priory benefited by eight dis- Brigade strength of 19,187, comprising tinguished visits. 9,472 Men, 3,931 Women, 3,866 Boys and In 1933 the Prince of Wales came to 1,918 Girls. The number of Divisions was Cardiff to hold an Investiture of members increased by 57, while 3 were disbanded of the Order and unveiled a memorial in as ,inactive. These figures show an increase St. John's Church, Cardiff, to the late, Sir of 1,709 members during the past 12 Herbert D. W. Lewis, K.B.E. (first months; and comparison with the strength Principal Secretary and Commissioner for for December, 1938, shows that during the Wales). In the following year the Priory 3t years of war the personnel has increased was honoured by a visit of the Slib-Prior by 6,393. of the Grand Priory, Major-General the The number of cases attended was Earl of Scarbrough, accompanied by the 44,505. Nursing members made 1'2,164 Chanc;ellor of the Order. the late Lieut.- attendances at hospitals and 1,198 General Sir Aylmer Hunter-Weston of at Medical Comforts depots, and 523 with Hunterston. The Royal visit ,(')f 1936 was motor ambulamces. A summary of A.R.P. the occasion on which the late Duke of services indicates that 3,772 ' men and Kent officiated as Prior, He held an in- 1,558 women are giving part-time assisvestiture of members of the Order and tance to Civil Defence while 223 men and attended a ball at the City Hall. In 1937 214 W0men are employed full-time in this the Duke paid a second visit to the Priory service. A total of 1,993 members are with the Duchess of Kent, who .appeared serving with the Navy, Army and R.A.F.
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Caef'nal'vonshire Class IvIember's Sel'Vice. -Asst -Commissiener T. J. Pritchard, Chief Censtable .of Caernar;vel'lshire, pa,ssed te Priery Headquarters a lettel1 written by Co Ufleiller rvor Rees, J.)?, whe sustained an accident whilst staying temperarily at Llanberis. veicing his appreciatjen .of services l'!'lndered by Mr. Themas J ehn J .ones .of 26 Pentre Helen, Deinelen, a member .of a St. J bhn class. Counciller Rees was riding a meter cycle and cellided with a bus causing injuries .of beth legs, later diagnesed as a bad cempeund fracture .of the fibula, while the right leg had been tom .open fer apprexilnately 10 inches. , A crowd gathered round and Mr. Jenes, ceming off a I2-heurs' night shift, teek command .of the situatien, keeping the crewd back, sending messengers with clear instructiens fer a decter and an ambulapce, and imprevising teurniquets and splints. Mr. J .ones ' manner was calm and .of r,eassurance. No decter arrived and he splinted and bandaged the legs and teek the patient by ambulance te hespital. vVhilst fully appreciating the Surgeen's werk, Mr. Rees cannet speak tee highly .of the ner in which Mr. J .ones refldered first aid, his general competency being mest creditable te the Asseciatien in which he .obtained his training.
pesed a vete .of thanks te her and t(,) Miss Ogden. PreQatiener Elsie Jene5presented each with a small teken .of appreciatien.
Boscombe.-On March 4, seme 50 members .of the Bescembe Cadet Nursing Divisien paraded under Lady Cadet Supt. Miss D. Broderick and Lady Cadet Officer Miss E. Hammett fer the presentatien .of Grand Prier's Badges and hygieI1£ certificates. '
The Mayer and Mayeress (Ald. and Miss Summerbee) were present, also Cemmissiener' Majer Tennysen-Smith who, after inspecting the parade, explaiaed that te win the Grand Pri.or's Badge cadets bad te pass 12 badges subjects.
The Mayeress presented the Badges to Cadets Eileen Randall, Edna Ceunter and Pamela Clarke. Jun e Bancreft was unfertunately unable te be present te r eceive bers.
A display fellewed after which the Mayer cengratulated the Cadets en tbeir werk and en their sacrifice in giving up se much time te fit themselves te beceme geed citizens. . These present included Area Ceunty Cadet Officer Dr. H. Marriner, Lady Supt Miss Aish, and Lady Cerps Officers Miss Gardiner and Miss Heeper. Saltash. - Lady Ceunty Supt. Mrs . BaIsden cenducted the enrelment cereCADET NEWS-cont inued from page 81. meny .of the St. Stephens-by-Saltash by demenstratiens und er La,dy Cadet Cadet Nursing Divisien, fell ewing which Supt. Miss Clinker. demenstratiens were given by the roemDr. Beverly expressed his pleasure at bel'S under the supervisien .of Nursing
the werk dene. Miss Clinker previded Officer Miss E. M. Winser, whe had been tea which was enjeyed by all. respensible fer their training, assisted Peterboyough.-Miss Lever (headmis- by Miss Babb, Ambulance Sister .of the tFess) en behalf .of the Lincoln Read Saltash Nursing Divisien. Scheols presented Lady Cerps Supt. M.rs. Holbrook.-At a recent week ly meeting A. E. HaImes with a stretcher, and a a cempetitien was held ameng the memblanket (paid fer by the gi rls) which w.ill bers .of the Holbroek Cadet Nursing Divibe used by the scheel's Cadets (Helmes sien fer the best first aid eutfit. Tbere Divisien). Mrs. Helm es, whe was accem- were 20 entries, being divided inte three paoied by Lady Cadet Supt. Mrs. H. V. classes. The winners were Amy Steward, Gillett, accepted the gifts w.ith pleasure Ruth Page and Margaret Punchard and gratitude, and later presented 32 Ambulance Officer Miss Pells, .of the Meka heme nursing certificates. Nursing Divisien, was the judge. Wayt'ington .-Enrelment ceremeny .of Coventry.-The City .of Ceventry Amthe 'Waning-ten Ne. 1 (Headquarters) bulance Cadet Divisien held a special • Cadet Nursin g Divisien was held 00 March Parents' Night last menth, when ever 9. Lady Cadet Supt. Miss H. M. Prince 200 paFents and friends attended and welceming member!> .of the senier divisien. y,'itnessed an interesting and varied proIn additien te the ceremeny the divi- gramme .of demenstra.ti0ns. Lady Ceunty sienal finals fer the Cadet Trephies were Supt. Miss C. Orten presented 36 first aid held. being jlldged by Lady Ambulance certificates, 8 handicraft certificates and Officer Miss N. Ogden. The results were: a large number .of service awards, alse Juniors (up te 14 years, first aid .only), 1, warrant .of appeintment te Cadet Officer M. Lythgee, 2 , M. McCey. Seniors (14 A. Smith. years and ever, first aid and heme nurs- The winner .of the Cadet Shield fer ing), 1, F. Hewitt, 2, R. Ditchfield. These 1942 is Cadet Sergeant F. Creedy, the cadets will represent the divisien in the award will be presented at a later forthceming final. The .officers of the divisien are Cadet JlLad y Supt. Miss M. Heward presented Supt. W. W. Geddard, a:m.d Cadet OfficeTs fue prizes and Cadet Sergeant J .ones pro- J. Windridge Blnd A. Smith. 88
Essentia1 knowledge to treat successfully ALL possible injuries
THE HOUSEHOLD / PHYSICIAN
A few of the subjects treated at length :WAR EMERGENCIES: PEACE·TIME SUBJECTS: Air Raid Precautions Influenza, etc., Measles, Mumps Gas Warfare (Special Chart) Catarrh Hremorrhage Corns and Warts first Aid What to Do in Emergencies Bandages Skin Diseases, Splints Hyg,iene, Anatomy, Pharmacy Burns Homreopathy, Neurasthenia Scalds The Principles of Nursing fainting Child Welfare ' 375 Prescriptions, etc., etc.
ACCIDENTS-What to do in all cases. HOW TO DIAGNOSE Diseases from appearance oj Head. Face. Tongue. Throat. Chest, etc .• etc.
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INTERESTING
CASE REpORT No. 224.-The Lady Superintendent-in-Chief reperts the efficient performance of first aid by members of the Northleach Nursing Division, County of Gloucester, S.J .A.B., in the following circumstances:-
On January 26, a neighbour of an expectant mother asked Amb : Sister Burt to 'phone for the District Nurse. On learning that the nurse was at Aldsworth (six miles away) at another maternity case, Amb. Sister Burt, after 'phonin g for the doctor, went to the patient ' s house Realising that the baby was coming quickly, and feeling nervous about copin g with the situation sin gle-handed, she sent for Amb. Sister Miles. The baby was b o rn shortly afterwards, about 1 a.m They cleaned the baby's eyes and mouth, cut the cord, ascertained that it was breathin g properly, wrapped it in a blanket and put It mto a cot with a hot water bottle. They kept the after-birth for inspection , and covered the mother.
The doctor and nurse then arrived; and the nurse congratulated them. The doctor seemed to regard them as old hands, and made no clinical comment. Perhaps having given the lecture, he expected them to take thin g s in their stride.
COMMENT.-It i s evident that Am b Sisters B u rt and Miles did i11 fact r ender effic·ient di d on this occasi on and m er i t cordial congratulations on the s uc cessfu l issue. N everthele s s, a w ord of w arning i s necessary, because in s uch ca ses d elivery, though prec i pitate, is natu ral and the risks of profuse heem.orrhage are not great though those of sepsis 111JlY liie gravety accentuated by injudicious i n terference.-N.C.F.
CASE REPORTS
CASE REPORT No. 22S.-The Officex;in-Charge of the West Riding of Yorkshire, S.J.A.B., reports the efficient performance of first aid by members of the Barnsley Central Nursing Division in the following circumstances :-
On February 10, Ambulance Sister Mrs. Kelly was called' to a neighbour's house where a boy (eet. 4) was in bed suffering from measles. Whilst unattended the ch,ild had poked the fire and his pyjamas and blanket caught alight The mother had burned both hands in putting out the flam es. Amb. Sister Kelly, finding the boy with extensive burns to the body, ri ght arm and le g , se nt for the doctor. In the meantime, she prepared bi-carbonate of soda s oluti on , seating the mother before the fire , with hands in a bowl of the solution S he soaked strips of clean linen in the solution and placed them on the boy's burns , taking care to expose only a small area at a time. She then w:rapped the child in blankets and placed hIm m bed. Later she applied dressings to the mother's hands and crave poth patients drinks of sweet tea The doctor then arrived and c on gratulated Amb. Sister Kelly on her treatment which he said was very efficient. He ordered the child 's remo v al to hospital and upon enquiry , Amb . Sister Kell y w as informed that the boy had rec ov ered fr o m the sh ock of hi s accident surprisingly well.
COMMENT.-Word s oj praise from the doctors who tak e charge of t hei r pati ent s ar e al w ay s acceptable ,to fw st ai der s It on ly remains, th erefore , to ten der cordial congratulations to A m b, S is ter Mrs K eUv on th e success w hich atten d ed her effo';ts to relieve the suffer ing of the boy and his mother.-N.C.F.
QUESTIONS AND ANSWERS
TURNING CASE OF SPINAL INJURY
W.O. (Selby).-\Vith reference to the query published under the above heading in thle Januaty, 1943, issue of THE GAZETTE, your correspondent will find that the patient is brought into the centre of the stretcher by the method we have adopted in the' Selby Division, as follows: When , blanketing the stretcher, we allow about 6 ins. of the blanket to overlap the stretcher poles. Then when the' patient is turned on to the stretcher, we pull on the opposite sides of the blankets until the patient is in the eentre of the canvas, a:p.d thus bring the overlappitlg ends of the blanket into line with the of the , stretcher.
. Yo ur lettelY and suggest i ons Me much appreciated.-N. C. F.
BITES OF SNAKES AND RABID ANIMALS
E.B. (Handsworth).-In Proble'-ms 'in First Aid, which is published by the Association, marks are allotted on p. 134 ior administration of alcohol in cases of bites by snakes and rabid animals. The Textbook, however, disapproves of its u s e in cases of snake bite. Finally, please accept my best thanks for your answers to my several queries.
This book w as written at a time when the , Te,"(tbook authorised the administration of alcohol in cases of snake bite and rabid Sa 0'ou must be guided by the now current in the Textbook.N.C.F.
TREATMENT OF FRACTURED CLAVICLE
C. H. (Borough) -At a recent Divisional practise discussion arose regarding the
Edited by NORMAN HAMMER, M.R.C.S., Major, Late R.A.M.C., T.A.
U FIRST WALL DIAGRAMS
(Size 2 ft. 2 ins. by 3 (t ins.)
Adopted by the War Office. Admiralty, British Red Cross Society. etc.
Set of 19 Sheets with roller 63 j- net. Postage 9d.
Special Set of 6 Sheets for the use of LECTURERS AND A.R.P. CLASSES
Comprising Anatomy, Physiology, Haemorrhag., Dislocations and Fractures.
Mounted on Linen with roller. 27/6 net. Postage' 7d.
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When women members of St. John First Aid units are asked for advice by those who suffer from acute functional menstrual pain, they can with confidence recommend BAXEN, which is prepared in tablet and powder form from a specialist's prescription for the relief of pain during ,women's trying days ".
Many hospital nurses and those in charge of welfare work in factories. use and recommend Baxen because it is safe and gives such quick relief from pain. It contains po aspirin or anything to disturb heart, stomach. or natural functions. Two tiny Baxen Tablets usually give relief in less than 10 minutes. •
Free Trial Supply of Baxen will be gladly sent , to Equjpment Officers attached to St. John Units on application, accompanied by a penny stamp, to Clinical Dept., E. Griffiths Hughes. Ltd., (Key No. 54), Adelphi, Salford 3, Manchester.
•
Obtainable from all chemists. Baxen Tablets (15 in flat box) Is. 5d. Baxen Powders 2d. each. (Tax
Will be made by a tailor-service which gives style and durability combined with strict conformity with S.J.A. B. regulation if you order
Uniform, to selfmeasures from N.O A'l for details to
Carlyle Chambers, Stockport
Iodine has -a wide field of service in medicine and th e rapy. Many up-to-date therapeutic and prophylactic uses of iodine are described in our new
Stone House, Bishopsgate, London, E.C.2
correct reading of Rule 4, p. 81 oftbe Textbook dealing with fracture of cia viele. The general opinion was that if the pad and St. John Sling applied correctly the even application of the broad bandage would naturally and automatically' lever out and draw back the shoulder.'
A member of another Division, however, strongly contested this and stated that it was essential to exert a much greater pull on that part of the bandage running across the patient's back before tying off in order to pull the shoulder back.
Would you agree that this second method the patient to the dan ger of having his shollider pulled further back than the natural position achieved by the correct placing of pad and sling and a firm even pull on the broad bandage? Your ruling will be appreCiated.
To me the nrst method is the correct one, more especially as the pull on the part of th e bandage which passes over th e back cannot produce much effect on the position of the shoulde rr P'Vwther, th e important thing to keep 1.11, mind is that th e elbow must be kept back anit not allowed to come forward. -
stood. When, however, we turn to p. 74 we note that under' Transport of Spinal Injury in Face-Upwards Position' Rule tells us to lay a blanket or rug folded smoothly on a shutter, door, etc. Do we assume correctly that in the latter instance one blanket only is necessary, as we have always taken it for granted that the shutter or door should be covered with two blankets, as on p. 208.
The Textbook on p. 208 shows that there are to be fou1' lay ers of bla'nket beneath and two layers above the pati ent. On p. 74, howe ver , it in structs us to use one blanket which is placed entire ly under the patient and should be folded three or jour times to give approximately the same thickness of material as in the for11'l,e1' case.-N .C.F. TREATMENT OF ARTERIAL BLEEDING FROM "HAND
C. G. (Lei cester).-Pl ease tell me if in the treatment of arterial bleeding from the palm (Textbook, p. 122) the hand should be bandaged with the thumb clenched in the palm by the fingers or with the thumb placed by the side of the index finger.
If the thumb is p la ced under the fingers it N.C.F. , LOADING STRETCHER is impossible for the fingers to clench (that
H. A. (East Sheen).-I should be is, to gmsp firmly) the pad because the grateful if you would kindly give a rulin g pressure is uneven. Por this reason, th e on the following questions in relation to thumb is placed outside the fingers with its the action of a stretcher party when deal- f.er1ninal phalanx on the first and second ing with a casualty suffering from fracture fingcys.-N.C.F. of left tibia :- TREATMENT OF FRACTURED KNEE-CAP
(1) Would the party be acting correctly G. E. (Leicester).-Please tell me if in if Nos. 2, 3 and 4 knelt on the left side, the treatment of fractured knee-cap the the ini1!lTed side, of the casualty to lift Textbook (Rule 2, p 90) intends us to fill casualty on to their knees preparatory to the region of the popliteal space with placing him on stretcher? padding.
(2) Would they be acting correctly in No benefit would be de1'ived jrom placing kneeling and lifting on either side? padding in the popliteal space. Ind eed, (3) Is one side of the casualty more to this might (esp ecially if a l arge pad is used) be preferred than the other side for this disturb the natural position of the knee particular lift? .f9int.-N. C F
It oan be assumed that there is ample FRACTURES OF JAW AND PATELLA space for working on either side, and that G. F. (Sale). - With a patient the bandaging and splinting have rendered whose lower jaw has been shot away by the limb immobile. bomb shrapnel and who is also s uppo sed
With fracture oj the tibia the risk oj caus- to have fractured a patella, asphyxia ing aggravation of the injury is so slight constitutes the g ra\" e danger. So after that the Zift ing of patient and the loading of we have adjusted his head low and to one stretcher could be ca.rried out equally well side, arrested hcemorrhage, applied Jrom either side. In these circumstances, ings, fixed the fractured patella and treated you should adopt the normal method, for shock, would it be bad first aid to namely, three bearers on left and one on transport such patient in face-downwards rigM.-N.C.F. position and to suppo rt his head on broad TRANSPORT OF SPINAL INJURY bandages secured between the shafts of C. E. (Melksham).-I have often read tbe stretcher? with interest your answers to queries in Your sUf{gestion thai this patient- should , The Gazette,' and I have gained much be removed face downwards on Knowledge Now I submit a is cO'Yrect, and it coQ1,jorms to the instruetions query for your kind ruling. of the Civi Z D efence authorit ie s. As you The Textbook on page 76 under' Trans- know, the Textbook (wh ic h deals with the port of Spinal Injury in Fa.ce-Downwards 'Zess severe inJuries fo 'und in civilian Position' instructs us in Rule 1 to arrange emergencies) does not specifically deal with 'blankets as on p. 208. This is quite under- th is point.-N.C.F. 92
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BR IGADE REPORTS-continued from p. 84
No. 10 DISTRICT
LETCHWORTH.-During 1942 members of the Letchworth Division averao-ed 29 p ublic duties each with a total 103 hours. The 37 ffi@mbers on A.R.P. carried out 1,455 duties, with an average of 376 hours per member. At the re-examination 39 members passed, and 29 were in the Royal Life Saving SocIety's examination. A number also passed the home nursing examinatio n
On March 20, members were the g u ests of the Letch worth Brotherhood when Supt. C. H. Badcock, supported by Ambulance Officers K. Warner and A. Ryde, took the chair. Pte. G. Deans read the Lesson and Pte . Shutes the Address.
NORTHERN IRELAND (ULSTER) DISTRICT
At a recent social evening of the , ;Vest Nursing Division, County Officer Miss S. M. Duffin , on behalf of the members, presented Dr. Muriel Fraser with a combined coffee table and F ir esc r een, as a tok en of esteem for the work she had done during her term of office as Divisional Surgeon.
Lady Supt. NIrs. V. Laverty said that the loss of Dr. Frazer, who had been promoted to the rank of Di strict Surgeon
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JACKETS, TROUSERS, GREATCOATS, CAPS, BELTS, GLOVES, HA VERSACKS, WATERBOTTLES, ETC.
SSTIMATES AND SAMPLES ON REQUEST
All enquiries to : 154 - 164, TOOLEY STREET LONDON BRIDGE, S.E.I
Telephone: Telegrams: Hop 247,6 (4 lines). Hobs o n, Bo rah, London." North of England Office: 22, York Place, Leeds. 'lieu : 113H Leeds. Grams:" Triers, Leeds."
was greatly deplored , as she took an untiring interest in the Division.
Professor Gregg ,\iVilson :spoke on the various activities of Dr. Fra.zer. She had made a name · for herself l o n g beforeh er student days were over. The division ' s l oss was t he Brigade's gain, as Dr. Frazer would have more scope for her undoubted qualities as District Surgeon .
Dr. Frazer thanked the Division and hoped that the separation was only for the duration of the war.
Miss Betty Boyce, Asst. Matron, Ulster ;Hospital, was presented with a water colour, in recognition of her services as Nursing Officer.
Harland & Wolff Ambulance Division was formed in November last by a few war workers in the large industrial firm.
The took a course in C.D. training and all gamed the L.A.R.P. Certificate
Twenty new recruit5 attended a course of lectures given by Div. Surgeon J. A. Smiley but results have not yet been received.
The President (lVIr. Wm. Strachan, junr. ) and the Vice-Presidents Messrs. ,\V. T Underwood and R. C. Cummins) were present at a social evening held on March 15, when warrants of office were presented to Supt. T. Patterson and Ambulance Officer A Williamson
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CLASSIFIED ADVERTISEMENTS
pRACTICAL BOOKS, by N. Corbet Fletcher, M.B., B.C., M.A. (Cantab), M.R.C.S. COMMON ERRORS IN FIRST AlD. Errors in First Aid Detailed and Exptained. Price Is. 3d. (post 2d.). WHY AND WHEREFORE IN FIRST AlO (6t h EditioQ). Difficulties So lved by Question and Answer Price Is. 3d. (post 2d.). Other titles on requpst. Obtainable from THE FOUNTAIN PRESS, 11-13, Brea m 's Buildings, Chancery Lane, London, E.C.4.
FIRST-AID COMPETITIONS are won by good coaching. 1\ny First Aider (either sex) may coach any ambItious team-male, female or mixedto early success. Competition experience not essentiaJ with new Guide.-For particul a rs send stamped envelope to R. JEFFERY, 5, Avenl!le Gard ens, L ondoR, W.3.
C NOVOX' and 'NOVITA' Oxygen + CO 2 or Oxygen RESUSCITATING APPARATUS for the apparently asph yxlated or drowned.
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I A QUIl:K
BiSoDoL IN RELATION
" I TO THE WAR-WORKER
Many war-workers are, today, in occupations vastly different from their previous employment. For of. these a.r;d women-and especially where of necessIty theIr work hes ill confined or vitiated atmospheres-there develops a syndrome of anorexia, nausea and constipation , which calls for remedial or palliative treatment.
A variable or diminished appetite, flatulence and eructations are the primary manifestations. Reduced hours of sleep and dietary changes are factors disturbing normal gastric functioning.
'Bi SoD 0 l by virtue of its an tacid an d sedative properties, sents an ideal medicament. Its fonn is that of a finely subdivided powder, easi ly miscible with milk. or water. In addition to Bismuth Subnit. , Magnes Car bo Levis an d Sodij Bicarb., it contains tho digestive ferments, Papain a nd Diastase. A pleasant flav our is imparted to it by the presence of 01. Menth. Pip., the antispasmodic ac ti on of which is a fur ther advantage.
DOS AGE.- On e reaspo07l/1I1 in Iwl a glass 0/ milk or water thre e rimcs a day qffer meals; or as il1dicafl' d
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TO OBTAIN UNIFORMS witho u t Coupons FOR OFFICERS & MEMBERS, a Coupon Equivalent Permit must be sent with your order, which can be obtained from the Officer-in-charge.
Uniform by Garrould ensures correct design, high grade material. selected for smartness and hard wea r
PRICES OF ' OFFICERS' UNIFORMS AND 'OTHER ITEMS NOT MENTIONED IN THIS ADVERTISEMENT SENT POST FREE PERMIT OR OFFICIAL HEADED PAPER MUST ACCOMPANY EVERY ORDER.
All prices are liable to adva:lce without not lc.
S.J A. NEW REGULATION APRONS (or Ambulance Sisters. Made from hard-wearing linen -finished apron cloths Price Includes cross. Wa ist : 26, 2B, 30 or 32 In. Lengths: 26, 28, 30 , 32 In. 6/6
Waists: 34. Lengths: 26,28, SO, 32ln. 7/6
Waist: 37 In " 7/11
SJ.A. NEW REGULATION COAT
Cut and tailored (rom (ully shrunk and showerproofed material, hal( lined with grey Italian cloth. Prices Include buttons
An official order (or H Q to supply us with badges and buttons must be sent with every order. Women's SIzes 99 , 6 O.S 105/- Iix. O.S. 112/6
S.J.A. REGULATION HAT (or Officers, Wool Felt, 19/11, Ambulance Sisters Felt, 16/11. Badges are only obtainable from H Q. Sizes: 61, 61, 61, 6., 7, 7., 71, 71. Storm Cap 13/6.
NEW REGULATION DRESS for Ambulance Sisters. Mad a from good quality Sanforized - Shrunk washing material.
Bodice unlined, Women s 21/6
Bodice lined, Women', 24/6
OFF DUTY DRESSES
In Grey Matalalne Wm's £4 10 0
Made to Measure Wm's £6 0 0
STOCK SIZES (Women's) :
Bust: 34, 34, 36, 36, 36, 38, 38, 38, 38
Waist: 26, 26, 28, 28, 28, 30, 30, 31, 31
Skirt: 28, 30, 28, 30, 32, 30, 32, 30, 32
REC:;ULATION CAP for Ambulance Sisters,27 by 18 Ins. or 28 by 19 Ins., liB
• REGULATION CAPE.-Made In regulation grey cloth, lined wlth.lI wool red flannel, 4349
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Printed in Great Britain by LOXLEY
t6e ciournClf of . t6e <Bran" \priorg in t6e llit(l.fm of t6t Q;)enerClBfe <Dr"er of t6e of fjt. cio6n of
VOL. 16. No.5 MAY. 1943
EDITORIAL GENERAL ASS E MBLY A ND ANN UA L S E R V IC E O F THE ORD E R
TRIBUTES TO SIR JOHN D U NC AN
THE ST. JOHN AMBULANC E BRIG -\ DE O VER S EA S
Al'/ ILLUMINATED ROLL ON ACTIVE SER VIC E
OBIT U ARY
PHYSIOLOGY IN FIRS T AID
CADET NEWS
CIVIL D E FENC E SERVICES
THE ST. JOHN AMB U LA N CE BRIG AD E AT-H OME
PRIORY FOR WAL E S
INT E RESTING CASE REPORTS
AND A N SWERS
EDITORIAL OFFICES : ST. JOHN'S GATE, LONDON, E.C.!
(All reports, etc., should reach the Editor not later than the 28th of the '"'l Lnth )
PUBLISHI NG OFFICES: 46-47, C HA NCE R Y L AN E , LONDON , \ V C.2
to'';) , etc..
HEAL RAPIDLY and WILL NOt TURN SE.PTI C
IF TRE.ATED WI TH
ANTIPEOL OINTMENT
one or other or all of the three races of germs, Streptococci, S.taphylococci 8lld :s.pyocyanous are found in every skin infectIon c?mmon to country, and ANTIPEOL OINTMENT the anhbodies -of these germs. Healing is. expedited by proved mgrediants of the ointment, and septic IS stopped or prevented by its antivirus sterile vaccme filtrates. ANTIPEOL OINTMENT is unsurpassed for and for it is microbicide and nonadheSIve, and dressmgs do not require to be changed every day.
RHINO-ANTIPEOL .
relief?f C<?MMON COLDS, INFLUENZA, AND CATARRH.
Contammg the antIbodies of the germs common te infections of the nose -and pha.ry:nx (Staphyl<;>c0cci, Streptococci, B. pyocyaneus, pneumococci pneumebaci?i,. enteroc<?GCI, M. catarrhalis, B.Pfeifier), Rhino-Antipeol is just a but IS a remover of the- cause of the infection. During epidemics It IS Ideal preventive of microbic development OPHTHAlMO-ANTIPEOL
is a more convenient than the ordinary Antipeol ointment fqr ocular lesions. Eyes affected by smoke and dust aFe soothed. a.lmost ImmedIately by the application of Ophthalmo-Antipeol and the anbVilrus prevents gorms from developing. '
Samples OR request
t6e of t6e ill t6e OOritis6 ofof t6e of 306n of
Edited by GEORGE E. CRAFT, F.R S.A.
EDITORIAL
All members of the Brigade At-Home can feel justly proud of the remarkable increase in personnel which occ urr ed during 1942. According to the annual report of the Chief Commissioner the greatest in cr ease in all times was experienced in spite of war activities.
During 1942 the personnel of the Brigade At-Home increased by 20,064, the grand total now being 167 ,27 1. This figure is made up as follows: 83,189 men, 51,161 women, 15 ,995 boy cadets and 16 ,926 girl cadets. New divisions numbered 742 and it is to note that of this number 517 were in the Cadet Movement, 373 being Nursing Cadet Divisions. That this increase is in face of State-aided organisations 'with certain uniform grants speaks we ll lOJ:' the type of boy and gi rl w h o h ave entered our ranks.
."In the Ci vi l Defence Services some 48,652 members are Oll full-time o r parttime work v.rith Emergency H ospitals, Stretcher Bearers, Ambu l ance Trains, First Aid Posts, and Mobile Un its. In addition over 11,000 members are fulltime or part-time C. T.R. There are also nearly 25 , 000 members serving with H .M Forces so that the Brigade t-Home has ncarl y 85,000 members engaged in the work of the Co untr y.
As may be expected the number of public <!luties decreased and therefore the number of cases receiving attention a ls,o showed a decrease Nevertheless 363,232 cases were attended during 1942
The Motor Ambu lan ce se r vice contin u ed to render valu abl e assistance to the Civil population. The number of in valids carri ed numbered 118,025 a nd road accident cases 5 ,976. In addition, the motor ambulances a ll otted to certain divisions b y the J oi nt War Organisation , primarily for Serv ice cases and air raid casualties, conveyed 5,976 Services cases and 1,194 air raid casualties. The total mil eage of the entire service was 2,040,397.
The Chief Commissioner pays tribute to the v.rork of the Chief Officers for Cadets. Durin g th e year the in creases in perso nn el 'were 5,080 boys and 9,780 girls which shows that the personnel nearly doubled itself in 12 months. This increase augurs well for the Brigade mo veme nt as a w h ol e.
GENERAL ASSEMBLY AND ANNUAL SERVICE OF THE ORDER
The Graild Pr i or, Lieut-General H.RH. the Duke of G l o u ceste r , has decided that owing to war oo nditio n s it is not advisable to hold the General Assemb ly of the Order, o r t h e An nual Service in con nection wi t h it , on St. J ohn's Day next, June 24.
The Dean of Westminster h as been kind eno u gh to invite the members of No. 1 (Prince of Wales's) District, St. J ohn Amb ulance Bri gade , to the 6.30 p .m Service in the Abbey on S u nday, Jun e 27.
The Prelate will be present and h a s been iIwited to prea<;:h th e
TPdBL:JTES
TO SI R JOHN D UN CAN
A t a meeting .of the Brigade Su mittee the following resolution was carried unanimously:
"That the members of this Sub-Committee have heard with the greatest regret of the ;resignation of Major-General Sir John Duncan as the Chief Commissioner of the St .John Ambulance Brigade. It is desired to place on record the deep appreciation of, and the sincere gratitude for, the eminent services which Sir John Duncan has rendered to the Brigade during the twelve years in which he has held the position During that time Sir J olm Duncan endeared himself to everyone, and his outstanding personality, breadth of vision, aI;l.d high ideals, bore fruit in the rapid increase in the Brigade, not only in personnel, but in efficiency and status. This Sub-Committee desires on behalf of the whole of the Brigade to send to Sir John- Duncan this simple tribute of their afiectiOI), their esteem, and their deep re gret that they no lon ger have the privilege of se rving under him as Chief Commissioner."
A GOpy of the Resolution was sent to Sir John Duncan who replied as follows:
" I would like you to exp1:ess to the Brigade Sub-Committee my very sincere appreciation of their generous resolution regarding my services to the Brigade. I will always retain my interest and affection for this splendid body of men· an..-d women, who have given such very selfsacrificing service both in peace and war."
Colonel J. L. Sleeman (Chief Commissioner, Brigade Overseas) has sent the following tribute: "On behalf of the Brigade Overseas I would express deep regret at the resignation of Major-General Sir John Duncan as Chief Commissioner of the BrigacLe At-Home. Although the Brigade At-Home and Overseas are totally distiqct Sir John and I have worked to gether in an amicable spirit of association throu ghout almost 13 years, during. which he has had the honour and satisfaction of seeing the Brigade At-Home und e r his charge incr ease ig. strength ' by over three times either will the Brigade Overseas for ge t his kindness in donating a Standard to its divisions in Johannesbur g nor Lady Duncan's ge nerosity in awarding a handsome silver trophy to those gallant Chinese nurses from Hon g Kong at the Jubilee Celebrations of 1937."
tEbe J obn §mbulanCt
As Othe1' s See Us.-Surgeon Lt.-Commander F W. MacGregor has spent the past' 2t years overseas and has opportumties of seeing the Brigade Overseas at work. He has sent the following letter to C61. L. J. Sleeman, Chief Commissioner Overseas : "During this time I was serv ing in a Naval Hospital Ship on the East Indies Station. 'lle disembarked sick and wounded at many places frin gin g the Indian Ocean and practically without exception the stretcher bearers in attendanCe were St. John Ambulance men. These men belong to different races, but most of them spoke a certain amount of English. I was greatly impressed by their efficiency and by the uniformity of that efficiency. I was also very interested to see how keen they were on the job in hand and how carefully and really skillfully they handle the patients. I had only to mention your name to' raise a smile of pleasure, and' it was quite obvious to me that your work as Chief Commissioner for Overseas had been greatly appreciateC). and had done an enormous amount ot good. In several places we were in harbour long enough for me to visit local headquarters. There I found the Nursing Divisions busy making and packing dressings . I was greatly impressed by the huge number 6f divisions in many places, and by the size of the divisions. I felt it was most satisfactory to see the very considerable
contribution to the war effort that these are making, especially at a time 'when many of their race and reli gion are doing so much that is anything but helpful. I only "'rish that you could have seen the practical r es ults in wartime of the enormous amount of work which you must have put into the Brigade Overseas "
THE PRIORY IN SOUTHERN AFRICA
Rhodesia Di stric t. - Ten new Divi . sions have been re gistered during the year ended September 30 , 1942. This includes four Cadet Divisions . and it is noped that four more will be registered shortly. The Cadet w<;lIk has gone ahead to such an extent that it has been found necessary to limit the number of members to be enrolled; this is due to the shortage of Inst-ructors, Lecturers and qualified members to officer the Divisions : Lectures have also been given on Civilian Protective Service, an Instructors' course, -·and these lectures have included certain 0f the camps for menlbers of the 'Vomen's Auxiliary Services, Military Police and Sick Bay attendants. In response to an appeal for financial assistance :for purchasing materials for ho spital comforts, the National VVar Fund made a grant of £50. When this sum was nearly exhausted, the Association launched a campaign to raise further funds by selling a special St. John stamp and £186 5s. was realised. A considerable number of comforts have been dispatched100
to hospitals in the District, the Union and Cairo.
An Auxiliary N urSlllg SerVlce and a Blood Transfusion Servlce ha.ve beel?formed. ' All calls for been promptly and met. among the donors are the Indlan Ambulance men. ' . I' d
In spite of the many difficu ties ue to wartime conditions, members have responded splendidly to the calls made on them for public duty. The membership has increased by nea:rly. 200: The U mtali No. 2 Nursing D1VlSlOn 1S outstanding in the useful service its have rendered to the. Af:ican Hosp1tal. Rhodesia Rail way membership has increased, almost entirely to the developm ent of The strength of the Senior D1VlSlOns has remained co nstant in spite of ,compulsory military service and other demands made for national service.
Public duties, hospital duties and blo.od transfusion groups have been mallltained. The Brigade has , a s III other years provided m embers-as demonstrators for classes ;, and members have willingly respo nded to many calls for assisting in the loading off-loadi?-g of invalid passengers travelllll g by n;alll.
NEW ZEALAND
The Oamaru Ambulance D 'iv ision.-FlVe members of tlus Division are on active service. Calls for public duty have been attended and the motor has made 205 trips. ThrQugh the kindn.es s of a friend a St. John Ambulance Trall er has been purchased; this be most useful in an emergency as 1t 1S eas1ly attached to a car and will carry four stretcher patients TANGANYIKA
On the arrival of thou sa nds of Pohsh and Greek refugees, a hospital was organised, being staffed by Ambulance and v'A.D.'s for six weeks. The Ambulance men met the convoys and transported the stretcher patients . >II A scheme is being evolved members will have some regular hospltal , duties.
AN I LLUMINATED , ROL L
There exists among some of the Bricrade a desire to pay tnbute to now serving in the fighting forces. One such division commissioned. a competent artist to design a Roll for purpose and the result is such that lt been felt that other divisions would hke to have simiiar Rolls fo r their own use. The desicrn is in eight colours and allows space the name of the division and upwards of 40 names to be The size u nframed is 18 in. by 24 lll. The cost of such a Roll would depend upon
the number required; btit it is estimated that 30s. would be a maximum charge
Those in ,charge of who like to obtain further particulars of this Roll are invited to send to Sergt. A. E. Hedges (Secretary, No. 70 division, S.J A.B.)' 90, Bentworth Road, London,
Having seen a deslgn can recommend this suggestlOn. It 1S not intended to make this venture a making one and any profits, after alioWIDg for artist's time, postages, etc., have been met, will be devoted to Brigade Fund;.
ON ACTI V E SERV ICE
The Acting Chief regrets to report the death of the followlllg. members of the Brigade At-Home whilst on active service:-
Div Surgeon John F. Fisher, of th.e Whitstable Division, killed at sea, Apnl 26/27, 1941.
Private Alfred L. Bruce, of the Battle Division, in North Africa.
Sercreant D. L. Lloyd, of the AberDivision, Priory for Wales, with the RA.F . . Div. Surgeon J. G. of t.he Dartmouth r ursin g D1VlSlOn, Wlth tl?-e RA .M.C. , reported missing at sea III December, 1942.
Flight-Lietlt. L. J. a.member of the Barnstaple DiVlslOn , nuSSlllg from air operations, March 26/27.
OB ITUARY
"Ve re2Tet to announce the death of Mr. J Roberts (a Commander of the Order) who for 32 years was Honorary Secretary of the Liverpool Centre of the Association.
Mr Roberts joined the Liverpool Corps in 1903 and held the Service Medal of the Order. During the last. war he volunteered for service in France III 1915, with the Merchant's Hosp1tal and return ed to this C01Jntry III May, 1918. He was a great organiseI' and the. gooGl results on Flag Days was due to his untiring efforts.
At the funeral the coffin was borne by six bearers from the Liverpool G;as Co., Amb u lance Division, and the cortege was met by a large contingent of from the Liverpool Corps and D1:'1sions. Commissioner W. G. Sm1th, Wlth members of Ius Staff present als o representatives of the Pollce, and organisations.
We to announce the death of M-r. W. T. Matthews, vv.ho was the oldest Cadet Superintendent III t?e County of Cornwall He was appolllted to the Penzance Cadet Division in 1928 .and retired on the Reserve in 1935. PreVlOUS to his appointment with the Ca?ets. h.e served in the Penzance Ambulance D1Vision from 1919 .
1 B
PHYSIOLOGY IN FIRST AID
By M. M. Scott, M.R.C.S., L.R:C.P.
(Member oj the Textbook Revision Committee and Divisiona£
THE ALIMENTARY SYSTEM
Surgeon, S.J.A.B.)
(Continued from page 80, April, 1943 issue.)
SJ.Vallowing.-The act of swallovving mediately behind the food, with a or ': Deglutition" is divided into three further wave of relaxation in front stages which continuously into of it, so that the food is propelled one another. The first stage 1S under along with the minimum of resistance. the control of the will, or " voluntary," the second and third are "involuntary." The first stage consists of the bolus being pressed back between the palate and the tongue towards the commencement qf the pharynx.
The second stage occurs in the pharynx, into the oral part of which the . bolus bas been pushed by- the palate muscles and the furtlier action of the tongue. Simultaneously the soft palate is raised so as to occlude the naso-pharynx ' and prevent the food from being pushed ihto the back of the nose The bolus is then. gripped by the constrictor muscles which push it further down the pharynx.
It is, of course, essential that no food should be into the larynx. This is prevented by three factors:
(a) durrng the act of swallowing tp,e whole- framework of the larynx is raised towards the base of the tongue, and this together with the action of the tongue muscles so reduces the size of the superior laryngeal opening, that food is unlikely to enter it, (b) the bolus passes the opening at speed, and (6) when food touches the back wall 'of th e pharynx, breathing is temporarily suspended by reflex action until the food is forced into the Oesophagu s, or gullet, by "peristaltic action," so as , to eventually enter the stomach through the Cardiac orifice.
Fluids enter the stomach by the squirting action of the - pharyngeal constrictor muscles whicl;!. carry them to the lower end of the oesophagus. When a sufficient weight of fluid has accumulated at this point, it then passes through the cardiac orifice. Peristalsis. _ This is the action which propels the food along the alimentary canal. The initiating factor is, in the main, the pressure of the food within upon the muscular walls. This results in a wave of muscular contraction ' im-
Digestion in the , Stomach
Food enters the st'omach thTough the Cardiac orifice where it is grasped by the fundus, which in turn exerts steady pressure towards the pyloric end, At the pylorus there is vigorous peristalsis which results in a thorough mixing of the stomach contents.
During a meal, the entrance of food into the stomach is a g radu a l and continual process. The exit of food into the duodenum does not however begin immediatel y because' the food has first to be rendered liquid, after which about half-an-ounce (one tablespoonful) at a time is passed into the duodenum. This is rendered necessary because, whereas the contents of the stomach are acid, those of the intestine are alkaline, so that the duodenum must first neutralise its quota of gastnc contents before receiving the next.
The main functi on of the stomach is to initiate the digestion of proteins. The digestion of carbohydrates already commenced in the mouth also continues here for a further short period, There is also a slight action on the Fats,
The Gastric Juice is secreted by the glands in the mucous coat of the 8tomach. It is a clear, colourless fluid, containing over 99 per cent. of water.
The acid reaction is due to the presence of 0.4 per oent, h ydrochloric acid, which provides a medium for the digestion of proteins, and by its antiseptic action renders many of the microorganisms iIi the food harmless The enzymes present are Pepsin, Rennin, and Gastric Lipase, Pepsin in th e presence of hydrochloric acid acts on the proteins, converting them into simpler substances called Peptones, which are, however, still too complex to be absorbed by the blood.
Rennin curdles milk by separating out from it the milk protein Casein,
which is then subj ected to the action of the pepsin.
Gastric Lipase commences the process of the digestion of fat when the protein envelopes, which surround the fat cells, have been broken down by the action of the pepsin and the hydrochloric acid.
It is interesting to note that the secretion of gastric juice is dependent not only upon the mechanical stimulations due to the presence of food within the storp.ac h, but also to psychicaJ factors. " Appetite," which may be produced by the thought, smell or sight of food, the nerves of gastric secretion through the cerebro-spinal system, thereby facilitating the process of digestion, On the other _hand; the secretion maybe d!minished by the action of the sympathetic nervous system, which may be initiated by s uch strong emotional states as anger or fear, conditions wh ich tend to reduce appetite. (To be continued).
Plymouth.-Mrs. Reginald McKenna (Asst, Lady Supt.-in-Chief) opened the new Central Training Headquarters for N ursin g and Ambulance Cadets at Staddon Terrace Lane, Plymouth on April 3, in place of Lady Dunbar-Nasmith (Chief Officer Nursing Cadets) who was indisposed. Mrs, McKenna p,elivered a message of good wishes from Lady Louis Memntbatten who hoped the new premises wou ld be the scene of many happy activities,
The proceedings began with. an inspection and march-past of a l a r ge number of boy and girl cadets, Mrs. McKenna was received by a Guard of Honour being accompanied by the Deputy Lady Mayoress of Plymouth (Mrs. W. J, Modley) who presided over a large gathering. Mrs. Motlley wore her uniform as County VicePresident of the Brigade.,. Others in the party were Mrs. H, Vellacott (Lady Co unty Vice-president), Lady County Supt, Mrs. Balsdon, Major S. Leatherby (Chairman of the City's Education and Youth Committees) and many associated with the civic and y0uth activities in the Plymouth District, Prayer was offered by the Rev. E. MarShall Moyle (Ambulance Service Chaplain) and the Lord (Bishop of P1yimpreSSively the preAddresses of appreciation were delivered by County Commissioner H . V. Miller, Corps Officer, C. M. Ball, Lady
Amb. Officer Mrs, A. Wilkins and Cadets Williams and Marjorie Thomas. Arrangements for the various Cadet functions we re made by a Cadet Leaders' Committee, the Hon, Secretary of which was Supt. A. E. Parkin of the County Staff and Plymouth Co-operative Division. Cad et Training Courses.-Numerous courses have been held throughout the month at various places, _ At Cambridge, C()unty Commissioner K, S. Maurice-Smith presided, and amon g the speaker s were Miss Cunard (Headquarters Staff Officer), Dr. D. S. Tod,dvVhite, County Cadet , Officer Miss Bosanquet (Herts,), Cadet Supt. Ettridge, Col. G L. Archer and Mr. G. E. Craft, the various officers present included the Lord (Co unty President), Mrs, Fitzpatnck (Lady County and, Mr. E, Saville Peck (County VIce-PreSIdent).
At Coventry County Commissioner E S. Phillips welcomed the members who were addressed by District Staff 'AT. A. Jennings, County Cade t Officer Mrs. Shulman , County Officer G. J, Fowler, Cadet Supt, Mrs. Howard, Lady County Supt. Miss C. M. Orton ; Corps Officer 'Walton Cliffe and County Officer H. Perry.
At the Dorchester Hotel, London, Lad y Dunbar-Nasmith (Chief Officer Nursin g Cadets) presided at the Course arranged by Lady County Cadet Officer Mrs, Peter Cheyney. The speakers in,cluded District Staff Officer T E. Walsby, Dr. V. 1. Russell (Senior Asst, M,O-:H. Royal Borough of Kensington), Lady Cadet Supt , :Miss E. Marsh, Miss V. Cunard, Mr. G. E. Craft, Miss Noel Streatfield (who talked on books), County Officet F. A. Trott (Sussex).
At Oxford a three-day Course for Nursing Cadet Officers was held at which Lacfy Dunbar- asmith spoke on " Leadership ," Other speakers were Lady Tweedsmuir, Lady County Supt. Mr s, Beckwith Smith (O xo n), Miss Armstrong, Miss Lane, Miss Durnford a nd Miss Cunard, A speci-al was held on the Sunday in "Worcester College Chapel.
E nrol1'1'tent Ceremonies , - These have been held at various places, among them being Mitcliam where Lady Cqunty Cadet Officer Mrs, Cheyney presented forms and certificates to over 40 Cadets of the Mitcham Cadet Nursing Division. Those present included the Mayor, who the girls, and the Lady Dlstnct Officer Miss Grindley, Div. Surgeon E . Evans, Lady Supt, Mrs, Hudson, Officer Mrs, G. Hedges. A demonstration of work was given by the members und er the direction of Cadet Officer Mrs. , hite who was congratulated on her work.
At Bletchley 16 members were enrolled (Continued on page lOS)
103 -,
CIVIL DEFENCE SERVICES
.By W. C. Bentall, D.B.E., F.R.C.S., F.R.G.S. AND -COMPETITIONS
The keenness of our Civil Defence Services depends largely on the amount of aerial attack they have experienced. In tlje Coastal towns where (( tip-andrun ': raids are fairly frequent, or in the large cities where heavy blitze£ have occurred the keenness of the personnel is of 'a high order; but in those paris of the country where no such actual warfare has happened it is common to find the enthusiasm of a less order, and part of our preparation for aerial attack is to simulate these raid s by well and carefully prepared exercises and competitions-ju st as the army do in their elaborate exercises of which we read and hear so much.
These are valuable training, not only for the rank and file of the Services, - but for the higher officers who are responsible for their organising The Sum.mer-time vvith its shorter night and longer day is the best time for these and now should preparations be made.
Competitions.-These are being arran ged in some Regions with a series of eliminating first heats amongst the rural districts and the wiJ;lners enter for the scheme making authorities competitions, and to these in some cases local Mayors offer cups or prizes, and then th e final may be held for a whole Region . under the Regional Commissioner's supervision and the gaming of a Regional award.
, Last year these aroused keen interest when they were held, and marked improvement occurred in the Services -improvement which has been seen in dealing with casualties in the ihcreasing numbers of small r.aids of the last few months around the coastal towns.
Such com:eetitions require much planning with caFeful attentiGm to detail. It seems to have 2 groups for sNch tests: (1) a combined Rescue Service as referred to in the February 1-943, issue of THE GAZETTE, (2) a F irst Aid Post Party No.1 needs a suitable damaged property where buried casualties may be faked and placed in positions for com-
bined res c ue and first aid by the newlycombined -party and with this there sho uld be ambulances with their dri vers and a ttendan ts also to be carefully examined. Marking sheets sho uld be on the lines of our own St. John big competitions of Eeace-time, each detailed point having its marking. Judges f o r these need special qualifica tions in the details of war-time first and high marking should be given for the priority of treatment in relation to life and death, e.g bad bleeders may be dead in 15 minutes, whi le fractures may live a lon g time! Extrications und er difficult circumstances needs technical knowledge of rescue work with its removal of debris, or knowled ge of the u se of the new detector apparatus by the amplifier mechanism for detecting brea thing in buried casualties These things are reaching hi gh stages of perfection and are being taught, demonstrated and pFactised in many areas.
Exercises take much previous prepara tion, and no guides are better than A.R.P. Training Manual No. 2 and (( A Guide to Combined Exercises, with examples 1 to 15, " each of which your local M .O.H. or other officials have copies. The first is purchasable through the usual bookshops, via H.M. Stationery Office, and the latter is in the hands of officia)s only. The second edition of . Handbo ok No. 1() ha s also much helpful information in the same connection.
The object of combined exercises is to train the various se:&vices of a lo cal authority, the Police and any other service, to work together. They are tests of the organization for despatching the various services to the scene of an incident ready and equipped to deal with it.
The ' technical €fficiency displayed at the scene of an incident depends upon the individual and col1ective training has been given to the personnel. In the preparation @f such exercises very careful preliminary p lans should be made. Firstly promot ers should consider the general planning of it. Then should fGllow a conference with umpires who should
be fully cognisant with the corr.ect was held at Harrods, London, from March 29 to April 17. Throughout the whole working of the services, or umprres time Cadet Officers and Ambulance and may be selected from. high officials Nursing Cadets staffed the starnd of the of the individual serVIces, and then Brigade Ca?ets. Many. noted persons they should collaborate on their visited the stand lllcludlllg H.R.H. the procedures. An umpire should be m Duke of Gloucester, H.R.H. the Dllchess the control room at the top and each of Kent, Lady Louis Mountbatten, Mrs. descending service to actual Churchill, Lad y Antrim, Mr. A. V. Alexof casualties at the incident. Reahsm ander. Also welcomed at the stand were h many Senior Officers of the Order and the should always be aimed at-t ere IS Brigade The exhibits included samples too much tend ency at times to say, of handicraft work from Cadets thnmgh(( Oh, it is only an exercise and not out the Country which were much admired the real thing" -this is wrong! by the visitors. Displays the run prevents the achieveI?ent of :nam of the show included those glVen by the ob ject of the exerCIse. PTelimmary Bromley, Mald en, and conferenc es should be held with the and the Erith Ambulance Cadet D1VISlOns. Conductor in the chair and the heads AddZestone.-At a recent Youth Parade of the various departments should at Addlestone the Chertsey Cadets paraded attend this and in their turn have a under Supt. R. J. Gristock and Cadet Supt Hedges (on leave from the Forces), conference with their special service, assisted by Hon. Sergeant ' Hooks and making sure that no detail escapes Private Knight. Also on parade were the attention of any worker and that cadets from Addlestone and \iVoodham complete understanding and co-opera- and Byfieet and the Chertsey and Addletion is secured by all. stone Nursin g Cadets und er Lady Cadet After such an exercise the reverse Supt. Miss Bushnell, assisted. by Amb k 1 th Sisters Miss Smith and Miss Hon e. proced ure should ta e pace-vIz., .e Admiral Evans, Regional Commissioner heads of each service sho uld call therr of London, inspected th e parade. personnel together a full free L eices ter.-Users of the Rest Room and discussion of the details of therr work. Canteen for members of the Forces on After that the Conducto r of the exer- the L.M.S. Leicester Station were much cise should call his conference of the surprised to find N ursi?g Cadet J heads of each service and have a of the Leicester urslllg Cadet DIVlSlOn similar discussion 'with them. Only servin a them with their refreshments in this wav will the exercises They have been more surprised J h t they had known that she was also then the best results and make t e capacI y h ostess for one week. To maintain the for keeping the death-roll low most room for one week costs ten pounds and effective. This and only this should this sum was raised by J oan mostly by be our aim. the sale of her own work.
CADET NEWS- contd. jl'om page 103. Hampstead.-Two Cadets to in the Cadet Nursing Division which was the Hampstead Nursing Cadet J?IVlslOn for med in August, 1942. At recent have already qualified for theIr War dis play ballro om and folk danclllg, fi.rst Service Badges in' under SL-X months. One aid, stretcher drill and fancy marchi?g Cadet had become a full-time member were the outstanding features. DlV. of the Hamp stead Wartime D.ay Surgeon Lufkin presented awards , Lady whilst several girls are helplllg III Day d L d C d t Nurseries F.A. Posts, acting as patients, Cadet Supt. Miss G. Dayan a y a e as well as' assistin2' th e Adult division in Officer Mrs. G. Walpole were in charge u of the arrangements. various public duties. Another 'cadet ?as At Hale sowen Lady County Cade.t charge of the first aid box at a large pnntcer Mrs. Robinson enrolled 12 guls III ina works and has been able to treat the newly-form ed Cadet Nursing Division. minor injuries satisfactorily. The Cadets gave a display of Fen z ance.-On April 2 Penzance work which drew praise from Mrs. Roblll- lance Cadet Division received theIr so n. The cad ets were trained by Lady Standard from Supt. Tom Cooper C?f the Cadet Supt. Mrs. Lamb, assisted by. Amb. Adult Division. Cadet Supt. LeWls reSisters Miss H. Bidmead and :Miss E. ceived the gift and thanked Supt. Cooper Robinson. Among th.ose present was and Mrs. Cooper for it.
Asst. County Commissioner Scholfield, Occasion was also taken to present ,County Officer Chapman, Div. Surgeon Mr. W J Hitchens with Badge of Daly, also offic'ers of the senior divisions Office as Vice-Presiden!. ThIS presentaa nd parents of the Cadets. tion was carried out by County Surgeon Youth Organisation Exhibit'ion.-This Hadfield.
8t. J obn §mbulanct .r(<<abe
NOTES STANMORE.-The annual me e ting of .Clne!, SIr the Stanmore Section of th e Harrow and ClIve has Division was h eld r ecently.
?een appo.rnted A.ctmg Chlef Dunn g the year many int erestin g items III sUG:c:esslOn to SIr John Duncan, resIgned, were h eld, including a Ministry of l'nformaChan$,e of H eadquarter Address.-:-The tion F ilm show.. Membership h as inof the Office, Umform cr eased slightly ; and during the year Rati onmg Department IS no w 1, Grosvenor Amb. Officer K. Stall ard joined the R.A.F. Crescer:t, London , S.'V.l (Sloane 8221), Some 50 persons O'aine d award s in first to 'which address all communications aid and a similar in home nu rsinO' ble s(ent. as the result of course held by the division: o. No.2 DISTRICT
CENTRAL AREA.-District Officer T. SOUTHAMPTON.-A social evening was p 'resided at a meeting of Central by the A.S.T. Hamble DiviArea Officers held on April 8, at 30 SlOn at 'VhlCh Badges of Rank of ViceGloucester Place, V. 1, when Asst. :t'resldents were ,presented to the followmissioner Dr. Ru ssell V. Steele addressed l:q.g: Mr. H. ' V: SIdwell (general manager), the meeting on the section of the Beveridge Mr. E. E. FaIrbrother (chIef draughtsReport dealing with State Medical Ser- man) and Mr. J. Andre'w? (A.RP officer ). vices. Other , interesting items were a Unfortunatel? the was unable demonstration of the a rmsling introduced to attend oWIng to illness. by An::b: ?ister Miss Bate of the Kensing- Among those present .'vas the Mayor ton DIVlslOn, .and a series of lifts by the of Southampton (who kindly the u se -of the Tn gg- Lift. This was dem on- presentatlOns), Asst. County COmm ISS!Oner strat ed 'by Amb. Officer Sheen of the Dr. J Clay r e, Co rp s Supt. T h omas, and Finsbury Park Division. Lady District office rs of the Officer Mrs. Tapply sang two songs whilst 'Of tIllS newly formed Co unty Surg eon Basil Steele showed a dlvlslOn IS 31 men and 16 nursing members. travel, Mm entitled" Through France and NETLEY.-President Major T. H. DenItaly," which was in technicolour. man presided at the presentation of awards Th e chairman thanked Supt. V.,r. v. M. to members of the Hound and etley Allen and Lady Supt. Mrs. Allen for th e Division. Visitors were Corps Supt. loan of their headquart ers Thomas, Corps Officers Butt and ScottWEMBLEY.-On April 16, the Golden Barber, a ll of whom spoke on the future Jubilee of the No. 11 (Borough o f Wemb- of the division; the latter emphasising the ley) Ambulance Division, (formed On May need for a Nursing Division in Netley. _ 12, . .the No.3 N. (Wembley) Followmg the presentation Supt : Bright Nursrng DIVlslOn (found ed on May 24, gave IllS r epo rt for 1942 Vice-President 1893) was celebrated by a social gathering. R Moor?J:an proposed a vote of thanks Supt. VV. Thompson, who presided, con- to the VIsItors. grat ulated Supt. (R) Stanley on his PORTISHEAD_- Sergt. J. Broom won the recent of .Officer of tb.e .Order, in individual competition of the Portishead reco gmtIOE. of hIS 48 years' as sociation and District Division and received the the past history silver cup from S upt T. H. Pugsley, w ho a. bnef resume of outstandmg events wer e congratulated tlle competitors on their glyen, with the pioneers who high standard ef efficiency. founded the DlvislOn at Workman's Hall, The division now ha s a m emb er ship of Lady, Supt. Miss Duligall g'ave 24 , six of whom are in the Forces; 7 on a bnef histor):" the Nursing Division and the remainder part-ti m e Asst. CommlsslOner S. J. VVarren asked workers at F. A. Parties. The Post has that those should remember. the been manned entirely by divisional memwork of the pIOneers- Dr. and Mrs. bers since the outbreak of war.
Alan Paull and Mrs Sixteen members of the newly formed Paull: Dlstnct Capt. F a Nursing Division took the re-examination one-time supenntendent of the division , in Hoine Nursin g. gaye of his early experiences w)th MINEHEAD -Recentlya combined the dlVlslOn and recalled the names of to' cise was held in Minehead under th e many past members. direction of County Surg epn W. Bain Am@ng the guests were Mrs. Goddard, ,(M O.H o:li Minehead). The hospital Lady District Supt Miss (who staff, N.F.S., three first aid parties (all r.epresented the CommlSS10nel'), Lady staffed by members of the Minehead DiviOfficers Miss West and Mrs. sion) the police took part. The Goodwm, Supt. ('R ) Stanley and Mrs. exerCIse was most successful and Dr. Bain Stanley. described it as a fine piece of work.
No.3 (EASTERN) DISTRICT
Recently Lady Louis Mountbatten paid paid a two -day visit to the Cou nty of Northampt on. She was met by County Co mmissio n er Dr. Eric Shaw, Lady County Supt Mrs. J ennings and Asst. Lady County Supt Mrs Geoffrey Shaw.
A visit was paid t o the Blind Babies Home and to two J .W .O Convalescent Homes-Thornby and Cottesbrooke-and later the party went to the Guildhall, Northampton, where the Lord Lieutenant of the County, Lord Exeter (County President), St. J ohn Vice-Presidents, and the Co unty J .W .O Committee, were present. A g u a rd of honour was formed by some 100 Cadets drawn from the Borough and County. The Lord Spencer and Capt. R D. Bolton (Chief Constable) were a lso present.
Following the opening of a large A uction Sale and Bazaar (organised by the County St John in aid of the Prisoners of 'Yar Fund) Lady Louis visited F.A . Posts staffed by St. J ohn personnel and inspected the A.RP. Mobile Section , a lso the Ambu lance Divisions of the Northampton Corps and the Brigade Transport. An inspection of some 450 N ur sing personnel then took p lace
On the following day Lady Louis , accompanied by Dr. Shaw and Mrs. Jennings, visited Ashton vVo ld Conval escent Home and then proceeded to Peterborough, where he was met by the Mayor and Mayoress, Lady Exeter (Lady C ounty President) and other officers of the Brigade. During her stay Lady . Louis visited the Paston Hall Convalescent Home and inspected personnel of the Nursing Divi sio ns and F.A. Posts.
LEICESTER.-The B U.S. Co. Division hel d their annual dinner last month, when President B. P. Cooper presided, supported by Dr. J. V. Tollington, Corps Supt. J. Dexter, Corps Officer Smith, Supt. B. Bailey and Mr. F. Dalby.The company stood in silence for a few minutes in memory of Corps Officer J. Farmer, who died a few days before the function.
No.3 (WESTERN) DISTRICT COUNTY OF BIRMINGHAM
ROVER NO.3 DIVISION.-At its first full dress parade President G. H. Savage ('iVorks Director) and Vice-President A. J. Wortser ('Vorks Manager) insp ected the division and complimented th e officers and men on th eir smartness a nd efficiency. Mr. Savage remarked that the men had joined a wonderful orga.nisation 'with a great reputation which h e asked them to live up to.
Amb Officer Vl. H, Simmons presented Badges of Office to th e President and Vice-President.
YARDLEY.-It was announced at the
annual meeting of the Yardley Division that 10 members (of a personnel of 46) were with the Forces and the rest were all en gaged in some form of Civil Defence work. Sgt. Chandl er explained the working of the Comforts F un d from w,hich gifts were sent to membe r s serving with the Forces. Other reports were given by Supt. L. A. Black, Amb. Officer A. H. Giles (Treasurer), Sgt. R Durant (Secretary) and Mr. E. Parsons (Storekeeper).
COUNTY OF vVARWICK
'VEST BRoMwIcH.-As the result of an evening of drama presented by the Spon Lane Dramatic Society th e funds of the West Br omwich and District Corps received about £7 The show was promoted by Cadet Supt. E. Parker and produced by :Miss D. Powell and Mr. H. Lewis . Corps Surgeon Saklatvala acknowledged the debt of gratitude owed by the Brigade for the generosity of the Society in giving their services.
STOKE AND ALDERlIlOOR DIVISION.-
At a smoking concert recently held the Mayor of Coventry (A l d Mrs. E. Smith) presented awards and the President's Team Chall enge Cup to the team captamed b y R on. Sergt. F. R Poole. The Sup erintendents and Officers Cup for individual tests was handed to L.-Cpl. S. Crombie.
Mr. E. Egerton ('Vorks Secretary) introd u ced the layor, who paid tribute to the work undertaken by the members. President VV Barnes spoke of the importance of competition work which he sidered the keystone . of efficiency.
Those present at the function included Vice-Presidents T. R Mulcaster, F. J vVarren and R T. Green , Co unty Officer Harris , Divisional Surgeon A G. Dabbs, Supt. G. W. Taylor and many other officers and friends.
COUNTY OF 'VORCESTER
CRADLEY.-The second annual ch ur ch parade of the Cr adl ey Division was held at the Chur ch of St. Pete r on April 11 , when the preacher was Col. Sir Bertram Fo rd (Commissioner County of Birmingham), who gave an inspiring address on the work of the Ord er sin ce its inception. Before the parad e entered the churcll Sir Bertram took the salute , b eing accompanied by Asst. Commissioner P. H. Schofield and other County Officers NORTH VVORCESTERCORPS.-Theannual competitions among ambulance divisions were revived on April 17, when six teams vied for the honour to meet the winners of the Dudley and District corps for entran..ce to the County competiti.on . After a good contest T. ' V. Lench's Division was declared the winners , bein g followed by Halesowen Division. Asst. Commissioner Schofield presented the 107
cup to Supt. Wootton, leader of the winning team, and thanks to the adjudicators-Corps Supt. A. P. Read (Team), Drs. Bold (viva voce) and Stevens (individual practical).
The occasion was also taken to present to Corps Supt. Lench the award of Serving Brother of the Ordec and Mr. Schofield remarked that the late father of Supt. Lench had also received a similar recognition during his time in the ambulance movement.
sonnel made an inspiring picture. Lady Louis was met by the Mayor and Mayoress of Reigate and other local officials.
The last inspection was at Caterham, where again a large parade of men, women and boys and girls welcomed Lady Louis.
Throughout the whole tour Lady Louis was accompanied by County Commissioner W, G. Pape, Dowager Lady Harcourt (County President), Lady County Supt. Thomas, Asst. Commissioners Flavin and Col. James, County 4lCadet Officers W. H. Harris and Mrs. Charrington.
An AdvancedAmbulance Handbook Edited by NORMAN HAMMER, M.R.C.S., Major, Late R.A.M.C., T.A.
Lady Louis expressed her appreciation of the work being carried out by the Surrey Units; whilst Mr. Pape extended thap.ks to the Lady Superintendent-inChief for her visit and
DUDLEY DISTRICT CORPs.-The annual competitions were held last month, the iudges being Corps Surgeon D. G. Lloyd (individual) and Div. Surgeon T. W. Kemp (tea,m). The result was a win for Brierley Hill Division, followed by Steurbridge. Brierley Hill Nursing Division was fhe only 'Nursin g Division to enter for the No. 10 DISTRICT " Ollis" Challeng€ Cup, but after being CAMBRIDGE.-On March 30, H.R.H. tested by the same tests as for the men the Duchess of Gloucester visited Camthey were awarded the- new trophy pre- bridge to inspect the various activities sented by County Surgeon G. C Campbell of the Red Cross and St. John V'i.Tar -the John and Marg'aret Campbell Cup Organisation. -to mark the 50th anniversary of his After visiting two Convalescent Hosparents' wedding. pitals she inspected the Red Cross Flying
The Corps Challenge Cup was handed Squad on New Square, where over 50 to the Brierley Hill Division. Ambulance, Nursing and Cadet personnel No.8 (DUKE OF CONNAUGHT'S) were drawn up.
DISTRICT - Following this, at her special requ est, COUNTY OF SURREY the Duchess visited Auckland Road F.A.
' Lady Louis Mountbatten (Lady Super- Post, where she was met by the Lady intendent-in-Chief) spent · two busy days Mayoress of Cambridge, the Deputy during April visiting Brigade personnel Mayor, Dr. A. J. Smythe (M.O.H.), the in Surrey. In addition she paid visits Lord Fairhaven (Brigade County Presito numerous ].W.O establishments. dent), Mrs. Fitzpatrick (Lady County
On April 3, Divisions from Guildford President), County Commissioner K S. and the surrounding neighbourhoods were Maurice-Smith, Lady County Supt. Mrs. inspected, also theheadquart€rs of the Manley and County Surgeon C. Walker. Guildford Corps together with the ambu- After inspecting the Post, Her Royal lances. Highness graciously consented to invest
At Bagshot, in addition to an inspection Corps Supt. S. S. Dicker with the ribbon of the various divisions held at Grove of Serving Brother of the Order, and also Hall (by kind permission of Lady Kathe- presented Mr. E. Saville Peck with his rine Meade), Lady Louis was present at County Vice-President's badge. the dedication service of a new ambulance Her Royal Highness was thanked by by the Bishop of Guildford. Following the County Commissioner. this personnel was inspected at Camberley WARE.-At a recent meeting of the at the A.R.P. Depot in the Watchetts Ware Ambulance Division Div. Surgeon Recreation Ground. W. G. Stewart (Chairman, Ware Urban
On April 4, the first function was the D.C.), supported by Corps Officer T. C inspection of the Ewhurst and Cranleigh Forbes and Supt. T. H. Burgess (ViceAmb.ulance, Nursing ap.d Cadet personnel Chairman, Ware U.D.C), presented to at the Brookhurst Grange Convalescent '. Sergt. W. Masters a cheque and a framed Home, Ewhurst. From Ewhurst Lady scroll from officers and members of the Louis travelled to Dorking, where per- division in reco gnition of his services to sonnel from Dorking -and Newdigate were the Brigade. Corps Officer Forbes said inspected. Officials of the Dorking Council that Sergt. Masters and himself were old presented to the Lady Superinten- comrad-es and now after 39 years' service dent-in-Chief,!who took the salute at the he wished to Fesign. After thanking the march past, the masi€. for which was officers and members Sergt. Masters replayed by'the Dorking Cadet Divisional ca,lled his early days. Band. Certificates and Ribbons for 15 years' - After luncheon Redhill Sports Ground service were presented to CorpI. Blake was the· scene of the next inspection. and Hon. Secretary F. Woodhouse; also Here Amblalance, Nursing and Cadet per- re-examination awards were distributed.
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The Ambulance Com'mittee of the Priory for ,iVales, over which Major A. , iV: Anderson, Surgeon-in-Chief for Wales, presided in Cardiff, on April 20, adopted recommendations passed by the First Aid in Mines Sub-Committee which met und er the ChairmanShip of Mr. F. 'Llewellin Jacob on April 6, to consider proposals for promoting the formation of Classes in the First Aid in Mines Course based on. the special textbook drafted by the Pnory ¥d published by the St. John Ambulance . Association. ' The special course is to be brought to the notice of the National Association of Colliery the - Association of :iVIining, Techrncal and Mechanical Engineers and with a view to every oppor- tumty. belI1 g afforded to men employed in Mines to make themselves proficient m t?-e - subjed of First Aid as applied to Mmmg.
In the report of the Motor. Committee, over which Captam J. MacLeod Carey, H. M. Divisional Inspector of Mines, pre sided on the preceding day, it was noted that during the quarter ended March 31, 5,585 cases were removed in the Priory Ambulances involving an aggregate mileage of 88,796. These figures bring the total number of ambulance removals carried out by the Priory Service since its inception to 224,005.
Appointments in the Brigade sanctioned by the Ambulance Committee induded that of the Lady Kenyon as L3;dy Divisional S.uperintendent for Flintshire. The registration of new Divisions of the St. John Ambulance Brigade in Mynytho, Penmaenmawr and Cynfi (Caern?-rvonshire), Cynmer (Port Talbot) and Prestatyn and Shotten (Flintshire) was sanctioned.
At the meeting of Council over which the Sub-Prior, Sir John W. Beynon, Bart., presided, a vote of sympathy was passed to the Bailiff of St. David's Lord Powis on the death on active of Viscount Clive, and to Sir Rhys and Lady Rhys Williams, President and Lady President of the Rhondda respectively, on loss of their eldest son, Captain D. Glyn Rhys Williams, killed in action.
CENTRE REPORTS
CARMARTHENSHIRE CENTRE
Commissioner E. D. Jones arranged a county competition for Nursing personnel at Llanelly, on April 10. Seven teams
competed and the" Evelyn Harries" cup (presented by the late County Officer) ?y the team from Llanell y N ursmg DIVlslOn of which Miss Harries was for many years Divisional Superintendent. The runners-up were Morfa followed by the Y.Vl.C ..},... team. In the competition for Nursmg Cadet teams, the Ladies' Cup was won by Dafen Nursing Cadets.
The services of. the Pwll Division in connection with a road accident were the .subject of a letter of appreciation receIved by the Commissioner from the Clerk to the Llanelly Rural District Council, who wrote: "At the last meeting of the Council, references were made to the recent accident on the Pwll Road resulting in the death of three and an injury to many others, vvhen it was reported that but for the timely assistance rendered to the unfortunate persons who were happed in the omnibus, th.e consequences, serious as they were, mIght have been very much greater. I was dIrected by the Council as the Local Authority for the District, to express to the members of the St. John Ambulance their thanks for the assistance rendered in the matter. I am sure the injured and the relatives of the deceased persons: are equally as grateful to them for their assistance. "
EAST DENBIGHSHIRE CENTRE
The quarterly ffi eeting of the Centre was held in the County Buildings, ,iVrexham, on April 1. Colonel Sir Charles Lowther, Bart., presided, the attendance including representatives from various districts and divisions and the Hon. Centre Secretary, Captain R. G. Evans. Correspondence from the Principal Secretary of the Priory regarding the Welsh Church Fund · was discussed and it was agreed that every effort should be made to obtain a gra nt for the purpose of assisting the ambulance movement together with its successfuLdevelopment in the County. '
I t was agreed to make known the Order's part in Post-War Reconstruction and Relief Work with a view to the s ubmission of applications for aEtendance at the Special Instructional Courses.
The' Hon . Secretary teported receipt of Mr. Artro Owen's resignation from the office of Hon. Treasurer, which he had held since October, 1934. This was rel?retfully the Hon. Secretary to convey the Committee's appreciation of his services. It was unanimously agreed Jhat Mr. E. Meirion Rooerts, manager, Midland Bank; Ltd., 110
Essential knowledge to treat suc-eessfully ALL possible injuries
THE' HOUSEHOLD PHYSICIAN
A few of the subjects treated at length :WAR EMERGENCIES: PEACE-TIME SUBJECTS:
A ir Raid Precautions Influenza, etc., Measles, Mumps
G as Warfare (Special Chart) Catarrh
Hcemorrhage
F· t Aid
Corns and .
Irs •
Ba ndages
What to Do In Emergencies
Skin Diseases
Spl ints Hygiene, Anatomy, Pharm.ac)C
Bu rns
Sca lds
The Principles of NurSing
Fai nting Child Welfare
375 Prescriptions, etc., etc.
ACCIDENTS-What to do in all cases. HOW TO DIAGNOSE Diseases fTom appeaTance of Head, Face, Tongue, ThToat, Chest, etc.
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I have gained 100% obligation to purchase. In each of the 8 test R examinations .• the knowledge of which I E attribute to your vol. umes. I have yet to ADDRESS , meet my defeat in E : Ambulance Examinations."
Wrexham, be appointed to succeed Mr. hours of duty performed by members Owen. totalled 583, with a total of 172 hours GLAMORGAN CENTRE given in addition to infant welfare work.
In a summary of the past year"s work Thanks were accorded to Nursing Officer of the Caerphilly County Area, Asst. Davies Knight, in the gratuitous service Commissioner Dr. S. B. Tur.ner states training and general work of the Division. that the year 1942 was p, period of hard BOROUGH OF MERTHYR TYDFIL CENTRE work and steady endeavour; and that In the absence through illness of the interest in Brigade work had been well Chairman Mr. T. Andrews, the annual Referring to the three Corps meeting of the Centre was held on April he said in the area of the Caerphilly Corps 10, under the Chairmanship of Commisthe First Aid Post and Stretcher Party sioner Captain VV. J. Canton, who was Depots are largely staffed by members supported by the County, Corps .and of the Brigade who have carried out their Divisional Officers and other members duties very thoroughly. A very pleasing of the Centre Committee. The reports develepment is the revival of the Seng- showed that much progress had b een henydd Division whic:p. shows excellent made during the year in numbers and prospects of developing into an efficient efficiency. The Centre now comprises 11 Unit. The Boy and Girl Cadet Units have ambulance divisions, 7 nursing division s , been adversely affected by the counter 8 cadet ambulance and 8 cadet nursing attraction of other Youth Organisations. divisions, which included 433 men , 203 The activities of-the Riches Corps have nurses and 436 cadet boys and girls, makbeen fu'lly maintained, especially as regards ing a total of 1,077. This is an increase the Civil Defence Services The Bargoed of 143 for the year. Two excellent diviFirst Aid Post and the Stretcher Party sions had been established at the Guest Depots at Bargoed, Ystrad Mynach, Works and the Dowlais Oil plant, for Trelewis and Brithdir the Points at which the Centre was much indebted to Bedlinog, Pontlittyn and Deri are all Major the Hon and Mrs. Guest, and to entirely staffed by members ofthe Brigade Mr. Buxton. Forty-nine members are The Lindsay Corps is very active and serving in the Forces , 261 are enrolled has managed even in wartime to continue in the First Aid Parties, and 93 nurses the competitions for adults and cadets are enrolled in the Civil Nursing Reserve which have been held annually without for duty in the Emergency Hospitals and a: break for 18 years. Every member of the First Aid Post at the Hospital. The every Division, Ambulance and Nursing, Centre had expected to lose many of is attached to the A.R.P. services in the their cadets to the pre-service organisarespective and full advantage tions, which provided free uniforms and been taken of this opportunity of recruit- equipme nt, but they had in fact achieved ment into the Brigade. a most satisfactory increase of 84 cadets . PEMBRQKESHIRE CENTRE
During the year first ,aid had been ren-
An encouraging report on the work of dered in 3,342 cases and they had been the Pembroke Dock Nursing Division was able to maintain medical comforts depots. given on April 3, at the presentation of The help of the Brigade Surgeons had been awards to the members. Introduced by invaluable in classes and competitions the Lady Supt., Mrs. I. P. Hammond, without which the hi gh standard of the the local President, Mary, Lady Meyrick Brigade could' not be maintained. The presided; and the presentation of the Brigade had made an excellent response certificates was made ' by LjLdy County in the establishment of a Flying AmbulSupt. Mrs. Bickerton Edwards. Also ance and Canteen Column for emergency prese-nt was Mrs. Foley-Phillips, the service in the coastal towns between County President, who presented the Newport and Swansep, and also at Brecon, medallions. Both ladies spoke of the and they had -also enrolled 150 members valuable WQJ;k that was being performed for the relief of Rest . Centres in the same by the St. J ob,n movement. ' area, apart from 300 for local service in The annual report on the work of the the Rest Centres of the Borough. In Division was given by Mrs. Hammond, concluding his report of a record year's who stated that in the abseBce of the work, the Commissioner said they had almost continual air raids the members to deplore the loss of their assistant Comhad during the past year given much of missioner, Captain W. H. Jones, after their time to various fOrrfis of humani- 60 years' Brigade service; and they had tarian work. Pembroke Dock was now also lost Mr. John Morgan who was Centre the r>rou@ -possessor of a Red Cross and Treasmer lor . over 25 years. Mr. T. St. J@hn War OrganisatioR Ambulance, Andrews, J :P., was again nominated as which was under the supervision of the Chairman subject to the approval of their pivisional Superintendent. Mrs. HaD!l- President, Lord Kemsley, and Mr. D. '1. mond gave details also of her work as Jones, J.P., was re-elected Hon. Secretary Red Cross Liaison Officer. Hospital and Treasurer. 112
E A D A C H E
The causes;f headache are many and varied; .they maydbe ciTculatotfYi.., . n They may anse from erangemen 0 IrrItat lve or ongl ther sy s tems' from eye strain or sinusitis the a lilllentary, respiratory t 't's called for Rational Whatever the source, palllative trea men I treatment of headaches must consist largely of removal, ' bl f the causat.ive factor. Rapid relief of palO, _ POSSI 1 .e, 0 d ' the meantime ' Anadi n Tablets present, III a rapIdly betac tolerat€d a suitable anodyne and analgesic for of
often upon the use of acetyl s ,!licylic depreSSIOn an sition acid alone and of tablets or powders of unknown compo .
DOSAGE: - bl h 1'd be tak en in a little wat er as an initial dose. Two or thr ee ta ets s au // d b In cases wh er e pain p ersists this initial dose may be fa owe y wo tablets wh en required
Up-to-date information on iodine vapour therapy, treatment of th.e common cold, influenza prophylaXIS and many other therapeutic use s of iodine is contained in our new bulletin" The Hygiene of War."
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INTERESTING
CASE REPORT No. 226.-The Officerin-Charge of the County of Nottingham S.J.A.B. reports the efficient performance of nrst aid by a member - of Tevershall and Silverhill :Qivision in the following circumstances:-
On February 26, Private H. Nowell was at work- on the coal face when he was called to a fellow workman. The patient had caught his left upper limb in a ' conveyor drum which tore it off at the-elbow and also caused severe la..ceration of the arm. Private Nowell immediatel)r,.-applied a tourniquet to the brachial artery , kept the patient fiat and the injured limb elevated. Then with assistanGe he dressed the wounds, treated for shock, and removed him on a ' stretcher out of the pit and by ambulance to hospital where patient is progressing very favourably.
COMMENT.-This repeJ'Yt tells the familiar tale of- good work done by members of the Brigade. It only rem,ains, therefor e, to tender cordial congratulations to Private H. Nowell, who, by his prompt a11:d effi ci ent action, succeeded in his efforts to save the - life of his patient.-N.C.F.
CASE REpORT No. 227.-The Officerin-Charge, No.- 1 (Prince of Wales s) District, S.].A.B. reports the efficient performance of first aid by a member of the
CASE REPORTS
Harefield Nursing Division in the following circumstances :-
On February 10, there occurred an accident in which three boys were injur ed while playing with an unexploded bomb at a place where th ey had been warned not to enter. The least injured of the three boys was able to seek assistanc e and told Ambulance Sister Garner that his pal had been badly hurt and was lying in a pit some distance away. Leaving this less seriously injured boy to receive attention at his Amb. Sister Garner hastened to the place where she had been told there was another injured boy. On the way she met a second boy attempting to crawl to his home and calling for help. Havin g d one all that was possible for this bo y , Amb. Si ster Garner left him in char g e of some men who had arrived and went to the third boy whom she found to be terribly injured and with most of his clothes having been blown off. She made him a s comfortable as possible. Then the ambulance arrived and removed both to 90spital where , unfortunately , the third boy shortly afterwards to his injuries .
COMMENT. - This r eport tells i ts own tale;' and A m,b. Si ster Garner meri ts cordial congrat u lations on her go od w orh in r enderi11,g first a i d to inj1,tred, thoug h n'aughty, boys. - N.C.F.
QUESTIONS AND ANSWERS
ASPHYXIA IN SMOKE-FILLED BUILDING have been trained in the smohe hut and w i ll S. ]. (Brarohall).-Reeently hap- have realised that you can ent er a burnin g pened to say in the presence of a doctor' building provided that you ke ep close to th e friend that in the case of a rCj.id on the ground. works, where I am employed, tn-ere would If, however, it is seen that with any of th e be so much smoke that the fire-fighters casualties breathing has alm,ost or complet ely would have to spend half their time ap- failed, then the immediate application of plying artificial respiration to those who re spiration is indicated.-N.C.F. became suffocated. TREATMENT OF ARTERIAL BLEEDING
My friend's reply was, "Yes, if you V. S. (Minehead). - With very great want ,to kill ' them by forcing the smoke respect I beg to differ from you in your particles into their lungs. You should reply published under the above headin g simply take them out into the air and let in the February, 1943, issue of "The , them reCQver naturally." This advice 9.oes Gazette." To me Rule 5 is not ambiguo1.:s. not square with the instructions given It directs that pad -and bandage of tournon p. 144 of the Textbook, and I shall be iquet be applied to the pressure point. obliged if you will say-what should be done If it were applied to the wound as you in such cases. suggest, how could it be possible to carry
Your doctor friend was quite correct for out the succeeding Rules? two reasons :-(1) because the victim,s must You stress the alternative reading to Rule 5 be removed to fresh air as quickly as possible to which I referred in my previous answer; and (2) because failure of respiration is not and you are a bold layman to query the tikeZy to have occurred as the air space up to opini@ns of two docto ,ys, my correspondent about tw.o feet from, the gr<i!und wit! be and myself; p1'acticaUy clear of smoke and fum,es. So, If, however, you will read again Rule 5 contrary to your statement, his advice does you will realise that the tourniquet can square with the instructions on page 144 (and should) be read as a tem,porarl' '. of the Textbook. , alternative to the use of the pad and bandage
Further, I take it ,{hat lls a fire-fighter y@u on the wound" while thl' wound is being 114
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a 20 per cent. solution of Milton is (I) because it is sufficiently to inaugurate effective transudation Without excessive tissue dehydration.
(2) because at this its action on the exudates and necrotic tissue promotes thorough cleansing of the wound.
(3) because its germicidal power is adequate for the control of infection. when present.
(4) because at this concentration the cleansing action is of great value to any surgical debridement whlc.h may be necessary. Where IS extensive, or with the hypersensitive patient, initial cleansing may.be carried out simultaneously with the debridement under light general anaesthesia.
The 20 per cent. solution of MIlton also appears to increase the tolerance of sensitive patient to subsequent routine irrigations with 5 per cent. Milton.
FOR ROUTINE IRRIGATIONS 5%
a 5 per cent. solution Milton is used: (I) because it is isotonic and, therefo.re, causes neither transudation nor provided proper attention is paid to the drainage of the envelope and the drying of the lifTIb after each irrigation is completed. (2) because its strength .IS to cleanse the wound without Impeding normal healing of the tissues. ., (3) because at this concentration Its germicidal power also for the continued control of Infection.
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examined and treated." .Further, when this has done and the pad and bandage have been applied over the wound the tourniquet is to be loosened. Also you should appreciate that the pad and bandage named in Rule 5 constitutes the dry dressing pad and bandage referred to in Rules 8, 9 and 10. So that is that !-N.C.F.
VVOUND OF BUTTOCKS \ iVITH FRACTURED SPINE
]. P. a recent Divisional practice we had to deal with a severe wound in the buttocks together ' with a fracture of the lumbar region of the spine, the patient being unconscious. The seat of injury was well defined and the Textbook says" Carry in the faceupwards position." Yet No.1 in this case ordered him to be carried face-downwards as for a lumbar fracture.
Is this correct? If not, why is it necessary in such a case of a well-defined seat of intury to carry face upwards when unconscious? A fnll explanation would be appreciated.
If the patient is unconscious I do not know how you, as a first aider , could make a definite diagnosis of fractur e of spine. A pa1't from this, the Textbook sets out instructions for treatment of spinal injury when other cQm,pZications are not present.
However, if you did h zve to treat a patient, suffering from the injuries which you then, in my opinion, it is advisable to remove the patient in a face-downwards po sition in order that the " serious" wound of buttocks can be treated by the sur.geon on arri val at the hospital. Further, such action would not aggrava[e any injury to the spine. -N.C.F.
FRACTURES OF BOTH CLAVICLES
E ]. (High vVycombe).-In a recent First Aid PO'3t competition one of the written questions set by our Divisional Surgeon was, "Describe th3 first aid treatment of fractures of both clavicles."
A number of us scored full marks.
The same question cropped up at our last Divisional practice and our SliIp€:rintende:m.t suggested that \\'e should demenstrate practically what 'we had suggested in Our written exawination. Three methods were then shown, and all were efficient. A discussion then followed, and it was agreed that though the methods were pra.cticable they were confusing and that a definite treatment ought to be included in the Textbook. So pleas v can you-su ggest such?
Fractures of both elavicZes occur so rarely thai instructions for treatment thereof have wisely Qt7en rem@ved.jlYom the Texfh @ok PersonaZZy; I ca,nnot apprec'iate how both bones can
ve broken withoutothe-rinjuries which may call for modification @f ti-eatment, except the rare c-ase· in ·which the - patient falls forwards on to both hands. -
As, however, you ask for definite instructions J cannot do better than quMe those which used to fi!?1 tre in the Textbook and which read as follows :_
" When both collar-bones are broken, ke ep the shoulders back by naY1'OW bandages tied round each arm, close to the shoulder, passed over th e back, over the opposite arm and tied together in front. The forearm s should be raised and supported by the
TREATMENT OF SHATTERED PATELLA
G. F. (Sale).-For some years I han read your columns in "The Gazette," and I have always found your decisions to problems interesting and most conclusive.
In tlwse circumstances I would ask if in the treatment of a shattered patella (eA."i:ent of damage unknown) it would be advisable to apply a field dressing and to use up the roller bandage attachment as a figure-of-eight bandage, and this done to complete treatment laid down in the Textbook. My concern is the l,?-st narrow bandage. Would it be sound first aid and more helpful to the M.O. to apply, to the exclusion of that bandage, one above and one below the area of injury ?
Your diagnosis does not suggest iliat the supposed f1'a cture is compound. Cons equently application of field dressing is not indicated ; and in any case the rolle,' bandage portion of this dressing is not strong enough for use as a figu re-of-eight to immobilise the fracture. '
The ' point that you seem to have overlooked is that the figure-of-eight triangular bandage is used to keep the brok en fragments of the patella in as close an alignment as possible and to prevent fu,'ther tearing of the capsule which en clos es the patella.- -.C.F.
ARMSLING FOR TORN ARTERY
M. L. (paddington).-Please tell me if it is incorrect to apply the St. ] ohn sling in the treatment of a patient whose artery has been severed when there is no underlying fracture.
The correct treatment according to the Textbook of such a patient is to control bleeding, dress wound and place limb in large arm sling. In a competition I would penalise the candidate who for this injury applied a ' St. John sli ng.-N.C .F.
PULSE RATE AND TEMPERATURE
A. H. (Cullompton).-In a recent Home Nursing Examination the doctor asked what is the relationship of pulse rate to the temperature. As we do not know - the answer to this question we ask your kind help.
It would seem that yOUif' examiner merely wanted y@u to tell him that if the temperature of the body rises, the pulse rate is more rapid. As a fac-c there is no direct relationship between pulse rate and temperature.
-N.F.C.
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EVERY FIRST - AIDER BAILLIERE'S should have a copy of NURSES' COMPLETE MEDICAL DICT'IONARY By MARGARET E.
POLICE AMBULANCE NEWS
M E TR OPOLITAN
" JVJ" D ivision.-Th e an nual competiti on for th e "Sir Cecil Bigwood" cup was h eld on April 5 , w h en Dr. ·N. Corbe t F letch er ju dged t h e team test, the i n div id u a l t ests h aving bee n he ld on a previo u s day. E ach t eam co n sisted of 3 R egul a r and 3 Reserves, there b eing also one Wo m en 's Poli ce team and one 1rom the Specia l Co n stab ula r y.
A mon g the lar ge audience was Sir P h ilip Game, Si r Ma u rice D ru mmon d, £ ir G eo r ge A b b iss, Depu ty Asst. Commissio n e r Arch e r , Sup t. Peto ("\iVome n Po lice)
a nd m a n y oth er office r s.
Si r Cecil B igwooCl presented his c u p and in d iv idu a l prizes t o Rotherhithe who gained fi r st place, b eing fo ll owed by So u t hwark a n d the "\iVomen Po lice. Supt Bri ggs t h anked th e ju dge and a ll office r s for their support.
Special Constabulary. - The ann u al competitions of t h e Metropo li tan Special Cons t a bula r y were h eld at Tre n c h a r d Ho u se, OR A pril 18. Commandant E. B. B r own (Directo r of A.R.P and Am bulance) was r espo n sib le fo r the arrangeme nts.
Maj or V iv ia n Roge r s (Commandant-inChief) p r esid ed at the presentation ceremony and extended thanks to the j udges, S u pt. Co les, a n d Comman dant B r ovln fo r all the work he had do n e d uri ng t he ye ar.
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He a lso p r ese n ted the awards as fo ll ows : Senior Section : 1st and" Go ll in " Cu p, VV Divilsio n; 2nd and "St. Clair" Cup , V Divisio n (12 teams en t er ed, t h e jud ges b eing D r s. F. E . Bend ix (team) and "\iVr a ngh am); Ju:nior Section.. 1st and" R itchie" Cu p, J Div ision; 2nd and "Mu nro" Cu p, N D i vision. (11 teams entered , the judges being Drs. R. V. Steele (team) a n d Payne). T h e" Brown" Efficiency Cup, for the division making the best first aid advancement during the year, was tied for by K and P Divis ions. liVomen P olice. - The ann u a l competition for t h e "Lady Ab b iss" Cu p was he ld at Pee l Ho use on Apri l 29, when Drs. A. C. \i\Thite Knox and F. E. Bendix were t h e j u dges. The interest taken in this competition increases each year and a number of senior officials 'were present including Sir Philip Game (Commissioner), Sir Maurice Drummond (Deputy Commissioner), Sir George Abbiss (Asst. Commissioner) and others. Supt. Peto ("\Vomen Police) expressed thanks to the judges, to Chief Inspecto r Frith and S.D. I. Farthing for malting and a ll those who had assisted. For the second year i n succession No. 4 District (lVI. Division) were adjudged the winning team being clo sely followed by No. 1 District. Lady Abbiss, donor of the cup, presented the trophy and individua l awa r ds.
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VOL. 16. No. 6 JU NE 1943
CONTENTS:
EDITORIAL
ORDER · OF ST. JOHN
PHYSIOLOGY IN FIRST AID
THE ST. JOHN AMBULANCE BRIGAD E OVERSEAS
HONO U RS
ON ACTIVE SERVICE
OBITUARY
RECEIVED
POLICE AMBULANCE NEWS
PARTNERSHIP IN THE SERVICE OF Y OUTH
THE ST. JOHN AMBULANCE BRIGADE AT-HOME
CADET NEWS
PRIORY FOR WALES
KNIGHTS OF ST. JOHN
INTERESTING CASE REPORTS
QUESTIONS AND ANSWERS
EDITORIAL OFFICES:
ST. JOHN'S GATE, LONDON, E.C l (All reports, etc., should reach the Editor not later than the 28th of the month .)
PUBLISIlING OFFICES:
IT will frequently be found when a patient is m a state of nervous tension his digestion and powers of assimilation are affected. In such cases the _ of some easily assumlated food which me ets every inetabolic need will result in a definite improvement of the patient's nervous condition .
For this purpose, both as an emergency measure and as a regular routine, ' Ovaltine' has special advantages. This food beverage is a unique combination. The manufacture. is carried out by exscientific processes, m such a way that all the important dietetic qualities are fully conserved.
The and energising constItuents of 'Ovaltine' a::e .rapidly assimilated, prov.ldmg every dietary essentIal, and at the same time exerting a helpful sedative effect on the nervous system.
, Ovaltine' possesses many advantages, and -its outstanding usefulness receives even greater emphasis in wartime practice, both civil and military. Now, as in 1914-1918, 'Ovaltine 1 is widely used in the wartime · hospital service, both at home and overseas. Supplies are available to hospitals in special packings and at special prices.
Write for details to A: Wander, Ltd., 184, Queen's Gate, London, S. W. 7
t6t Offido.f .iourno.f of t6t (PriotB in f6t OGritis6 (Rto.fm of tf)t Q;ltntro.Sft of t6t I)osl'ito.f of flf .io6n of .itruso.ftm
Edited by GEORGE E. CRAFT, F.R.S.A.
VOL. 16. No.6 JUNE, 1943
EDITORIAL
Empire Youth Sunday was celebrated on Sunday, May 16, when the import ance of Youth Movements was stressed by many speakers.
A special parade was held at Buckingham Palace where H.M. the Queen, Commandant-in-Chief of the Nursing Corps and Divisions of the Brigade, inspected 2,000 members of the youth detachments of the British Red Cross Society and Cadets of the St. John Ambulance Brigade.
Standing on the Palace steps the Queen addressed an important message t o all present, in the following terms ;-
" To-day our hearts are filled with thanksgiving for the great events which have marked the past weeks, and for the success which, unde:T,: God's guidance, h as crowned the endurance and courage of countless men and women from all parts of the Empire.
" Among them are the fathers, mothers, sisters, and brothers of many of y ou. They have given up all that is most dear to them because they believe that no price is too great to pay for justice, for liberty, and for truth. They seek no reward for themselves; they are guided only by an ideal of service to other!, and sacrifices they are all making for us all, and most of all for you who are young.
" It is for you, the youth of this country, to show that you are not unmindful of their example, that you, too, ate ready to think of others before yourselves and to dedicate yourselves anew this afternoon to the ideal of service.
" The future will lie in your hands. I would like you to-day,' on this Empire Youth Sunday, to go home with the firm resolve to work as bravely and steadfastly for a better world for all mankind in the peace to come, as you are working now to end this war in victory. ,To do this you must train ,YOl,lfselves now to be able to fulfil this resolve in the future--serve one another selflessly, and put all your trust in Almighty God. May good fortune and happiness fo1low you all." ' ' -
ORDER OF ST. JOHN
As announced in the MaYj' issue, the General Assombly of the Order and the Annual Service in connection with it, will not be held this year. '
.An invitation has peen extended to members of the No 1 (Prince of W21es') District to attend the 6-30 p.m. Service in the Westminster Abbey on ' June 27. Unfortunately the Prelate w:ill be unable to preach the sermon
PHYSIOLOGY IN FI .RST 'AID
By M. M. Scott, M.R.C.S., L.R-.C.P.
(Member of the Textbook Revision Committee (l-nd Divisional Surgeon, S.J.A.B.)
THE ALIMENTARY SYSTEM
. " (Con!inued from page 103, May, 1943 issue),
m the Intestine.-The food tubular glands of the intestinal mucous entenn,g the duodenum from the sto- membranes, has three principal funcmach, IS now to. as Chyme, tions, It vylll be, notlced thc:t it contains (a) It contains a substance called partially dIgested protems and carbo- Entero-Kinase, which converts tryand that as, a result of. the psinogen into the more active trypsin ; dIgestIon of the of (b) it converts the carbohydrates the cells, the f.at IS now m the form into glucose by means of the enzymes of ,oily globules. the re- Sucrase (acting on cane sugar) , Maltase of the chyme IS b,ecause of (acting on maltose) and Lactase (acting t € l?resence of gastr:c The on lactose) ; functIOn of the small is to (c) it contains the enz y me Erepsin, com.RJ.ete the process Of. dIgestion and which converts any partially digested to allow f?r the absorr-tIOn of the end protein (now in the form of Proteoses ' products mto. the blood stream, The and Peptones) into amino-acids then passes into Summary of the P1' odu cts of large ll1testme, where more wateF IS (a) Proteins are broken down into absorbed and the fc.eces or stools are Amino Acids " (b) Fats are broken thus formed d ' F' , T '" " own mto atty aCIds and Glycerol; ' b he completion of dIges,tIOn, is (c) Carbohydrates are broken down about,by the Pancreatic JUIce, into Glucose, " ll1I with the Bile, Absorption, - Amino-acids and gluan e JUIce:. . , cose are absorbed directly into the ] U1,ce IS alkalll1e m reaction capillaries of the Villi but the fa tt and per cent" of acids and glycerol are united by It cor:tall1s a. mmute quantity of 1l1- epithelial covering of the Villi to reform ?rgal11c salts, and a special fonn of fat which is taken up :poftant enzyr:nes , VlZ, TrypSll1ogen, by the central lymphatic vessels (or my ase, and LIpase, lacteals), (See diagram of Villus a ae 30, February, 1943, issue), pa,rtIally protell1s lUtO Amll1o- cess may be assisted b y the contraction aClds, are capable of being or pumping action of the Villi but the absorbed mto the .blood stream: Fur- chief facts involved are "Diffusion then;nore, , the . of the blle and and Osmosis" and the" Vital action" the JYlce c?nverts trypsino- of the epithelial cells. gen mto Trypsm, is much,more Diffusion and Osmosis,-The rin- t nd can act on all pFotems, cipal of Diffusion is that if a myase converts ir:to , say of salt, is mixed with an e uai Maltose, J?e JUlce of m- quantity of water, they will mix Jutil fants ,c?ntams It ll1 ,very small the resulting solution contains half the iua:htIes, ,thereby starchy quantity of salt of the original solution 00 ,s unsUItable for babIes. If the salt solution is po d' t acts upon fat, breaking it vesse l made of down mto Glycerol and Fatty Acids. then sealed and the '1 b S f th I tt " ,vesse e sus0 e er WIth the pended in a vessel containin sim Ie alkali pre,sent ll1 the JUIce to f(1)fm w'ater, it will be laterfound salt [as Soaps,.whlCh to emulsify the fat. appeared in the simple water and that Em1alsrfied fat IS m smaller droplets the origI'nal salt sol t' .' 1 till t th l' u IOn lS ess conSQ) ,a e Ipase can reach it mO,re Genbated than before, indicating that easily. Moreover, the of bIle salt has passed out of the archme t salts ['educes surf;;tce tensIOn and facili- vessel and that wate h .P d' It1 tates em ulsmca tion ' . ' " . r as passe In 0 , 1 t' " It. The pnnclpal underlying this is ntes 7Jnal produced by the cal1ed Osmosis, the salt sai4 to 124
h a ve exerted Osmotic Pressure. The intestinal mucous membrane a nd the walls of the blood vessels may b e compared with the parch·ment in th e above experimen.t, the blood and lymph, in the Villi representing the fl uid on the one side, and the end prod ucts of digestion the fluid on the other Absorption of Proteins arid Carbohydrates.-The process of osmosis plays b ut a small part in the absorption of proteins and carbohydrates, what is more important being the" Vital Act ivity" of the Epithelial cells of the Villi. The underlying process of this is not fully understood, but it is well known that when these cells are damaged, absorption is greatly diminished.
The blood lea ving the intestine contains therefore Amino-acids and glucose, This blood is conveyed by ' the Portal Vein into the Liver, and here the Portal Vein breaks up to form capillaries so that the blood is brought into intimate contact with the liver cells. The liver cells take up any glu'Cose which is not wanted for immediate use and store it in the form of Glycogen When glucose is required out of store, a ferment called Glycogenose converts some of the glycogen back into glucose wh ich thus pQ.sses into the blood stream,
Amino acids are however, not stored in the liver, any excess over immediate requirements being converted by the liver into urea, which enters the blood stream to be carried to the kidneys and so expelled as one of the constituents of urine.
Absorption of Fats,-The fat taken into the villi is now " human fat," a special variety as opposed to the fat contained in food, the potent factor in its absorption being the ' Vital Activity of the epithelial gells of the villi, The fa t from the villi drains into the "lymphatic vessels" of the intestines, which thereby take on a milky ,appearance, earning for them the name of Lacteals, The lacteals unite and finally join the main lymphatic vessel of the body, the Thoracic Duct, which eilters the blood stream in the neck at the junction of the left internal ju gular and subclavian veins, The fat now circ,ulCj.tes in ,the blood stream, and on reaching the liver, any which is not required is altered by the liver cells and then conveyed to one
of the fat storehouses or depots (e.g. the subcutaneous tissue, the space around the kidneys, the peritoneum) where it is stored until further required. The Functions of the Large Intestine. -By the time the small intestinal contents enter the large intestine practically all the food value has been extracted from them, There still, however, remains a large quantity of water, much of which is absorbed by the mucous membrane of the large intestine, so that "fc.eces or stools" of proper consistency are thereby formed.
The Fceces or Stools.-The bulk of the fc.eces is com posed of water which comprises approximately 75 per cent. of them. The solid portion is formed of cellulose, worn and · shed epithelial cells and bacteria (most of which are dead). Cellulose forms - the "roughage" of the food, and it is not digested by the stomach or intestine. It has important value in virtue of the fact that by its bulk it stimulates the muscular action of the large bowel. The colour of the fceces is due to the presence of bile pigment, while the odour is due to bacterial'decomposition and substances called Indol and Skatol. The colon is also capable of absorbing glucos.e and salts, and this fact is utilised in rectal feeding and the rectal administration of saline. The cc.ecum begins to fill about four-anda-half hours after a meal, although the contents do not reach the rectum until a further thirteen or fourteen hours. The rectum is normally empty, but is usually filled from the pelvic colon shortly after the taking of a meal (usually breakfast), The presence of fc.eces in the rectum stimulates the to contract and this sets up the desire to defaecate.
Defaecaiion is brought about by the voluntary contraction of the muscles of the abdominal wall and pelvis, and the diaphragm, which collectively serve to increase the intra abdominal pressure. This is accompanied by peristaltic contraction of the whole colon and relaxation of the sphincter muscles at the An uS so that the fc.eces are expelled through the Anal Canal. If the desire to defaecate is not satisfied or neglected there is a further absQrption of fluid from the fc.eces, which consequently becomes hard, thus leading to constipation.
tlrbe 31 obn ®bet.&eas
Jamaica.-There are now three Ambulance Divisions, one Ambulance Section, and eight Nursing Divisions with a total membership of 350.
As well as the usual work in Hospitals and Public Duties, members have assisted in instmction and demonstrating during many courses in first aid to A.R.P. Volunteers If is hoped before long to have Ambulance Divisions and F. A. Posts within all industrial and Government con€:erns.
There is still difficulty in obtaining equipment. Stretchers and First Aid Boxes have been made locally and dressings, etc have been obtained through the kindness of the Island Medical Stores
A teachin g centre has been established and 'now the use of three more rooms has been generously granted and adapted ilS a First Aid Post and Casualty Clearing Station. With help from outside , the Nursing Divisions have been busy equiping all F.A,. Posts, making and preparing the dressings and garments of all kinds. They have also collected gifts for the patients at the Public Hospital and Jubilee Hospital.
M alta.-The Chief Commissioner has received the following letter from Surgeo nMajor R L. Casolani, Corps Surgeon of ou r ·Brigade in Malta.
from the Luftwaffe and when short commons for all was the order of the day. I am glad to be able to put on record that I10t once did one s ee any of the girls run to shelter when on duty with their patients in the ward. We all look forward to the future when the goo d work may be continued not only durin g the present conflict but also after. I visualise great possibilities for our Brigade activities after the war and hope they will materialise Please convey to all at headquarters mine and the Brigade's best wishes. We in Malta have appreciated very much all the kind words that have been said about u s in THE GAZETTE ZANZIBAR
India n Divi sion .-There are now 19 members all of whom have enrolled themselves in the Military Force of the Protectorate Twenty-fi ve Parades have been held, including Stretcher Drill and First Aid Lectures; the a ttendances have been most satisfactory. One team won the Sir Guy Pilling Cup.
First Aid has been r endered by members for many minor injuries.
Police A mbulance D ivision. - The strength of this Division is 48.
Equipment is kept at all P<?lice Stations and Sub-Stations; stretchers, hampers and motor car First Aid outfits are available in all cases of emer gen cy. Lectures hav e been held in elementary First Aid and "Schafers" method of artificial respiration. One team won the " Rankine" Cup.
HONOURS
"I have just received the December,1942, number of THE GAZETTE, comD;lemorating the 50th anniversary of the Brigade Overseas. Your picture, a very good likeness by the way, on the outside cover of this number, has brou ght back to me many pleasant memories of your last visit to us here-in Malta , in 1937. How inspiring Private James Butler, a member of your visit then was and what an impetus th e Worthing Division, S.J.A.B., serving it gave us all , we have learnt.. now, when with the RA.M.C. in the Middle East, 'we all had to put into actual practice what has been awarded the Military Medal. you had visualised as a possibility. How Although his ambulance was machinetruly prophetic were yo ur words! Since gu nned by enemy aircraft, and despite then the activities of the Bri gade have the fact that he was wounded, Pte. Butler greatly developed in all branches. This jumped out and dragged two other men is especially the case with the Nursin g to safety just before th e ambulance blew up. Divisions which have expanded from a The Albert Medal in Gold- which is mere handful of young la dies to well reserved for cases of extreme or heroic over the hundred mark. The sense of daring-has been posthumou sly awarded duty and the Christian faith of these girls Pte. G. W Beeching of the Wallasey has made many a heroine among them Division. Serving on H.M.S. Ibis durin g I have been doing duty as an ancethetist the Algiers landin g , B ee chin g helped an at 90th General Ho sp ital since Febru<:try, injured man to the deck , gave him a 1940,andhavegivenover2,000ancesthetics · lifebelt and helped him into the water. up to date : Here we have about 40 St Beeching then abandoned shi p hin1 self ; John NYrses, the great majority Maltese, he was never seen again. Surgeon-Lieut. employed as a V.A. Detachment under Malcom J. Clow (who has a lso been the loc al military medical direetorate. awarded the Albert Medal in Gold) stated They have done excellent work often that" the minutes that B.eeching gave under very strenuous conditions all through to save his shipma!e cost him his life. the blitz period, whe1l1 at one time the Beeching was a very cheery lad and a hospital itself received too close attention very brave young man."
-126
ON ACTIVE SERVICE
The Chief Commissioner regrets to report the jiollowing casualties among members 'Of the Brigade At-Home:KILLED
Private J . BartOli, of t):le Whitstable Division.
Private F. Joiner , of the Whitstable Divisiqn with the Royal Engineers in, the Middle East.
Sergt. G. M. Rhodes, of the Frickley Colliery Division, in North Africa.
S.B.A. James W. Thorpe, of the Bacup Division, a member o f the RN.A.S.B.R in North Africa.
S
.B .A. Edmund Emiso n, of the Haslin gden Corps, a member of the RN.A.S.B.R
L.S.B.A. Clifford Collis, of the Bolton L.M.S. Division, a member of the RN.A.S.B.R
Private F. O. Bowsher of the City of London Division.
Flying Officer J. R Stace, of the Wrexham Division , with the RA.F. MISSING
Private E. Holmes, of the Whitstable Division, while on operations ,vith the R.A.F.
The Chief Commissioner, Brigade Overseas, re grets to report the death 0f Private Herbert Preston , of the No. 2 Kimberley (De Beers) Ambulance Divisio n , South Africa
of the Order. Since the outbreak of the war he was a Party Supervisor of Casualty Services.
We regret to announce the death of Lady Supt. Miss E. Oram of the No. 18 District, India She had been an enthusiastic worker and actively associated with the work of the Association and the Brigade in India for many years. -
We regret to announce the death of Divisional Surgeon J. R Closs of the Wakefield Ambulance and Nursing Divisions and Supt L.. Sherwood of Nelson No.2 Ambulance Division, New Zealand
We regret to announce the death of Lady S upt. Miss F. E. Spicer of the Waterloo Nursing Divisi on, on March 15. Miss Spicer was appointed superintendent. i? 1916 , bein g a founder member of the diV1sion in 1908 In 1932 she was admitted a Serving Sister of the Order , and the Service Medal in 1923.
We regret to announce the death of Lady Supt. Mrs. Batty, on May 13, giving a lecture to W.V.S. members ill Settle. She became a member of the Settle Nursing Division in 1911 and was made Superintendent in 1927. In recognition of - her valuable services she was admitted a Serving Sister of the Order. Since the o utbr eak of war she had been un sti nting in her work in connection 'with the F.A.P. in Settle and had given many lectures on first aid and h ome nursing OBITUARY in Settle and th e neighbouring villages.
We regret to announce the death of RECEIVED
Corpl. William Watts, a founder member " Incidarp Civil Defence Training of the Swindon Division, S.J .A.B., on Models '" designed by T. E. Browne, April" 26. He took his first certificate L.A.RP., Incident Officer. These are in 1890, and for many years was a member sets of models specially designed to assist of the G.W.R Swindon St. John Com- C.D. Services in carrying out realistic mittee. In 1921 he was admitted a control training. The set consists of over Serving Brother of the Order. 75 models (men , ambulances, cars, etc.)
We regret to announce the death of printed in 4 colours on four sheets of Lady Supt. Mrs. Mitchell of the Central board and full instructions are included Nursing Division, L ee ds Corps, on May r egarding cutting out and assembling. 12. She had been an active member of The price of a complete set is 2s. 6ci. the division for over 36 years, and in (postage 3d.) and can be obtained from July, 1933, was admitted a Serving Sister Messrs. Jordan & Sons, Ltd. , 116, Chanof the Order. During the last war she cery Lane, London, \ iV.C.2. served at a Military Ho spital as a V.A.D. "Guide to First-Aid Treatment of and later in a similar capacity at the Home Guard Casualties" by T. H. Meek, Hospital at Ro'uen. M.D. This book, which is publiShed by
We re gret to announce the death of H. K. Lewis & Co., Ltd., 136 , Gower Supt. W. V. Simpkins, one of the old est Street, London, VV.C.1, price 4s., is primmembers of the Denaby Main Corps. arily for use of members of Home Guards. He received his first aid certificate in 1895 It contains many instructions which go and was for 20 years Superintendent of beyond the scope of real first aid and is, the Mexbor o' Ambulance Division. in our opinion, more useful to members
We re gret to announce the death of of the Services Medical Orderlies. First Corps Officer J. Vl. Farmer, Secretary is described the contents of the haversack of the I:eicester Corps, on April 6. He which cont ains, in add ition to dressin gs and was connected with the L.M.S. Railway the like, special syringes containing Omnoambu lan ce movem ent since 1894, and pon, a tube of cocaine eye ointment, a tube since the amalgamation was District of atropine eye ointment, also Omnopon Secretary of the L.M.S. Centre. In May, tabl ets, phenobarbitone and Bromide 1928, he admitted a Serving Brother tablets , and M. & B. 125 tablets.
POLICE AMBULANCE NEWS
City (:)f London.--:-On May- 1 a competiti<:m. held between the ,City and M DlVIsIOn Metropolitan teams for a cup presented by the proprietors of the" News of the World." Dr. M. M. Scott (team) and Dr. E F. Abraham (individual) judged the work; Inspector Mumford being the secretary. A large crowd work done: Those present SIT Hugh Turnbull (City ComIll1SsIOner), who presented the trophy and thanked judges; Lady Turnbull, .. (Asst.. Commissioner), SIT Clive Llddell (Director of Ambulance Sir Cecil Bigwood, Supt. and Commanda?t Matthews (M Division), Commandant Foxon, Major White Knox and Staff Officer Brown (of the City SpecIals), Mr. D. G. Monteith (competition S.J.A.A.) and many others.
Supt . Lucas (City) announced the result which was a win for the City Regulars by one mark over the M Division Regulars. Each force entered a Regular, a Women's and an Auxiliary team. '
Metropolitan.-C Divisions competition for the "Dalton-Sagar-Musgrave" Cup was. held on May 7, the judges being Dr. Basil Steele and Corps Officer Ed wards of the S.J .A.B. Supt. Cole presided at the p.resentation and expressed ' thanks tel the judges and others for their assistance. Sir George Abbiss presented the cup, also medals donated by himself and indiVidual prizes. The competition' was arranged on a handicap basis and the Women Police (scratch) gained first place from the Regulars who received 10 marks.
Nos. 3 and 4, Wapping A. Sir Phillip G:ame presented the trophies; also medals glven by Sir George Abbiss who was present at the together with D. A. C. Dalton, Chlef Constable Martin and Capt. W. Goodley.
Cltampionship.-Some 436 entnes were received for the trophy presented b3:" Major Vivian Rogers (Commandant-lD-Chief of the Metropolitan Constabulary) for the best first m the Metropolitan Police. PrelimlDary heats were held in every District the judges being members of the No i District o! the S.J .A.B. under the sup'ervision of Capt. Goodley (Commissioner).
The final was held on May 28, when representatIves from each District presented themselves before Major White \'practical) and Capt. F. E. Bendix (vwa Each competitor was given a practical test which consisted of a man who. to commit suicide by cutting ,his throat and during the test took acid poison. The guestions were three lD number-Describe how to foreign body from the eye; descnbe the acts of respiration; what factors ?oes the method of transport of inJured persons C:Jll, and instruct a byto asslst you ill carrying a patient who lS able to use both his arms but he has an injury to the left lower limb.
. excellent ,,":,ork was witnessed by SIr Philip Game, SIr George Abbiss (who announced the results), Major Vivian Rogers and senior officers of the Force together with many interested spectators.
The. cup was presented by the donor to Constable Ferris, captain of the M D.IVlsIOnal who gained 166! marks (84 1U the pracbcal and 82t in the viva v?ce) out of 180. P.C. Wrighton (F DiviSIOn) was 2nd, and P.C. Williamson (V Division) 3rd.
No. 3 District Final competitions were held on May 15, when Dr. F. E. Bendix and Dr. E. F. Abraham (individual) Judged the w.9rk. The visitors included DrU1;nmond (Deputy . Comand Slr George Abbiss (Asst. ComrrussIOner); a:lso many officials and other well-wishers. D. A. C. Dalton preSided at-the presentatioJll and welcomed PARTNERSHIP IN THE SERVICE ' the guests. He paid tribute to the work OF YOUTH of Chief Constable Martin who had· made all arrangements for the competition. This is the title of a Statement issued
The results were: 1, G Division Regu- by the Standing Conference of National lars (for .third year in sUCfcession); Juvenile Organisations, to which the St. 2nd, J DlVlSIOn Regulars; 3, Women John Cadet Movement is affiliated. The Police. The prizes were presented by not attempt a Sir Mauri-ce Drummond. henslve polIcy for youth; but describes the way in which the work of the-volunThames DiVisior1 held their annual tary organisations is developing and competitio.n on May 21, the judges being should develop. Space will not permit Dr. BendlX (team) and District Staff giving full particulars of the schemes but Officer Walsby (individual), whilst S. it is suggested that Cadet Officers and Sergt. Thomas was the competition secre- those ,interested in Youth work, shOUld tary. Acting Supt. Fallon announced the obtain a C.opy, cost of which is 3d. (24s. results were: 1 and it Hill "Cup, per hu.ndred) from the Standing ConferWapping A, 2, Waterloo 3, Barnes ence of National Juvenile Organisations, A;. Best individual pair (it Thomas Cup") 26, Square, London, W.C.I. 128 '
J ol)n
HEADQUARTER NOTES Reid and Louisa M. Westlake, with Lady 'Uniform Rationing.-The Board of Supt. Miss S. Say in charge of the division. Trade have informed 'the Brigade Office Presentations to members of the Cadet ' that Brigade Overcoats, unless fully lined Divisions are referred to under ' Cadet to lower hem, are 15 coupons only. News."
Talks on Home Nursing.-The St. John No, 2 DISTRICT Ambulance Brigade and the British Red COUNTY OF HAMPSHIRE Cross Society have now agreed to give Asst. Commissioner Lt.-Col. P. H. elementary talks on Home Nursing (on Marshall, accompanied by Lady County similar lines to those on First Aid as per Supt. the Hon. Mrs. S. R. Cubitt, inChief Commissioner's circular BOj12j42, spected the Nursing and Cadet Nursing dated April, 30, 1940) to the Women's Divisions of Farnham and surrounding Voluntary Services, Housewives' Section. district, comprising Porchester, Warsash, A syllabus and a small leaflet have been Sarisbury, Wickham and Stubbington on prepared and are obtainable hom the May 8. Some 150 members were on Brigade Office, I, Grosvenor Crescent, parade and they received congratulations , London, S.W.I, on application to the from Col. Marshall on their smart appearBrigade Secretary. ance and turn-out and on their marching, No.1 (PRINCE OF WALES'S) which was greatly assisted by the AmbuDISTRICT lance Cadet Bugle Band.
KENSINGTON .-On May 2 a Ron of Mrs. Cubitt presented three President's Honour containing the names of all Divi- Badges of Office and two warrants of sional members of the No. 70 (Kensington) appointments; also several medallions Division was unveiled by the Mayoress and certificates. at t.t service held at the Essex Church. COUNTY OF SOMERSET
The Rev. John C. Eallantyne (Asst. Chap- MINEHEAD.-County Surgeon W. Bain lain of the Order) gave the address and presided at the 18th annual meeting of dedicated the Roll. which was accepted the Minehead Division. The Secretary by Mrs Sydney Martineau (Chairman of (Sergt. F. G. Jones) presented the annual tl}e Congregation) for safe keeping. report, which showed that a busy year ' After the ceremony the Mayor and of service to the public had been carried Mayoress (Ald. and Mrs. R. C. D. Jenkins) out. Cases transported numbered 396 and Asst. Commissioner S. J. Warren (39 accidents, 357 invalids), miles travelled inspected the parade and took the salute 8,532; occurrences treated 234; public at the march past. Supt. W. A. Sier duties attended 457; transport duties was in charge, with Sergt. Prentice in 1,373; A.R.P. duties 530; number of charge of the Cadet Division. Supt. (R) hours of voluntary service 4,877. NineR. W. Stone, founder of the No. 70 teen members were serving with H.M. Division, paid a special visit from Brighton Forces. for the ceremony.
In the unavoidable absence of the treaSTANMORE.-The Stanmore Section and surer (Mr. G. H. Hawkins), Supt. F. C" the Stanmore First Aid Asso'ciation were Tarr presented the financial statement. recently afforded the opportunity of He also reported that a new Section had witnessing demonstrations of first aid and been registered at Stogumber. team work by members of the it S II The Chairman' thanked all members Division Metropolitan Police. Chief In- for their loyal support and paid tribute spector Hefford and Sergt. Marshal to the officers for the efficient way the (Stanmore Section) organised the event, Division was run. those present including Commandant Mrs. COUNTY OF BRISTOL AttJee, B.R.e.S., who thanked the Police " E" Division held their on behalf of the visitors. Inspector sional competition for the .. Bartlett " Howard adjudicated and P.C. Yeo acted presented by their President, Capt. as Leader and commentator. K. L. G. Bartlett, on May 23. The team No. 74 (FINCHLEY AND SOUTHGATE) captained by Pte. L. H. Rihll gained first NURSING DIVISION.-The 11th Birthday place. In the absence of the donor, the Social of this Division was held on May 5, cup was presented by Mr·IR. N. Swinchatt ; when dances, displays and the like were the judges being Corps Surgeon J. Burke enioyed by a large crO\:\rd. Those present and Div. Surgeon A. C. Reid. iIilcluded Countess of Lytton, who pre- In the evening the division celebrated sen ted Amb. Sister Mrs. Barrell with the Red Cross and St. John Sunday by attendService Medal Ribbon, the MayQr and ing the Berkeley Road Methodist Church. Mayoress of Southgate, District Officer The lesson was read by Supt. W. S. Toye, Collins, Lady District OffiGers Mrs. Rayner who prefaced the reading by describing and Mrs. Burns, Lady-District Cadet Offi- the St. John Badge and its religious signicer Miss Cleasby, Div. Surgeons D. "V. ficance, with special reference to the 129
Beatitudes. The special prayers were read by Sergt. P. Tyack, whose wife, accompanied by the organ, rendered a solo, " The Lost Chord." After the service the parade was inspected by Div. Surgeon H. W. Brassington of Fishpond Division, secretary to the church.
No. 4 DISTRICT COUNTY OF CHESHIR ¥
The West Kirby Nursing Division celebrated its second birthday on May 1, when the principal guests were Lady County Supt. Mrs. Demetriadi, Lady County Officer Dr. Mary Place and County Officer R. E. Anthony.
Lady Supt. Miss J K Duncan thanked the guests for their presence and stated that during the past year members had put in over 2,600 hours at the Hospital, done over. 1,000 public duties, a'Iid that some 350 people haQ. received instruction in first aid, home nursing and hygiene Mrs. Demetriadi complimented the DivisiQn on its work and wished it every success. She also congratulated Lady Ca.det Supt. Mrs. Crawford on the splendid number of Cadets.
COUNTY OF LANCASHIRE
In the Lancashire County Civil Defence Service final competition a part-time first aid party from Urmston, under the lead ership of Pte. J. E. Wright of the Urmston Division, gained fir st place and received the highest praise from tlie judges. ReId at Preston, realistic blitz conditions were reproduced, including detonators (fo r bombs), flames roarin g and smoke pouring from buildings, and screams from the injUlied.
No.5 DISTRICT COUNTY OF N OTTINGHAMSHiRE.
Lady Louis Mountbatten (Lady Superintendent-in-Chief) paid a visit to Nottingham on May 26, in connection with the Ladies' Committee of the Nottingham War Finance Campaign Committee. Lady Ball, as Chairman, presided , and introduced Lady Louis who said she was happy to come among friends and members of her own Brigade and the sister society, the British Red Cross. The Lord Mayor arid Lady Mayoress and the Sheriff and Mrs. Mitchell were present.
After paying tribute to the work done by women. during the present war, Lady Louis visited the County Cadet Brigade Headquarters and the Red Cro.ss shop at 9, Clumber Street, where £2,000 has been raised since last September. -
The headquarters of the Nottingham Corps and ambulances were then. inspected and Lady Louis was afterwards entertained t@ tea by the officers of the Corps. Dr. Cyril Banks (M O H.), President of the Corps, pl'esided and welcomed Lady Louis. Thanks were expressed by County Commissioner Dr. S. J. W. Donald and Lady County Supt. Miss Gibson.
NOTTINGHAM .-The ·promotion of Amb. Officer W. J. Green to Superintenden.t of the Nottingham City Transpdrt Divi:sion trrings him into line with his wife, who is Lady Superintendent of the tingham City Transport Nursing Division.
These two members have give n 50 years' service to the Brigade. Supt. Green joined the Nottingham Central Division in 1916 , promoted sergea nt in 1922 , Ambulance Officer 1927. In 1930 he transferred to the City Transport Division. He was awarded the Service Medal in 1935 and a Bar in 1940.
Mrs. Green enrolled in the Central Nursing Division in 1922 , formed and was transferr ed to the City Transport Nursing Division in 1932, being appointed Ambulance Officer. In 1935 she was promoted to Superintendent and received the Service Medal in 1939.
No. 6 DISTRICT NORTH RIDING ()F YORKSHIRE
On May 7 , 8 and 9 Lady Louis Mountbatten (Lady Superintendent-in-Chief) paid her first vIsit t o the North Riding and held three inspections.
On May 7 she was at Scarborough where the loca! amQulance, nursing, ambulance cadet and nursing cadet divisions, also a section of the Darlington Friendly Societies Ambulance Division paraded. The Mayor, Chief Constable, and many other officials were present.
On the followin g day a parade of the Whitby Ambulance and the Whitby and Danby ' Nursing Divisions was held in the Art Gallery.
On the 9th, Lady L ouis first visited the Headquarters of the Ormesby Divisions together with their F.A.P. and Motor Ambulance.
Proceeding thence to Middlesbrough a p'arade of some 380 ass em bled in the Crypt of the Town Hall, there being 10 ambulanGe, 9 Nursing and 2 Cadet Divisions represented.
Transport and othe r difficulties made it impossible for full attendances but one travelled 30 miles to be on parade. Lady Louis made a close inspection of aU ranks and afterwards addressed the parades in most inspiring and encouraging terms. Her sympathetic und ers tanding of present day problems won all hearts and the visit of Lady Louis was helpful, thoughtful and unhurried.
EAST RIDING OF YORKSHIRE
INSPECTION OF PERSONNEL.-On Thursday, May 6 , General Sir Clive Lid d ell (Chief Commissioner) and Lady Louis Mountbatten (Lady Superintendent-inChief) inspected some 1,500 members of the Brigade in the East Riding, in the grounds of Hymers College, Hull. This was the first dual inspection held in the
East Riding and Sir Clive's first inspec- a tiny doll dressed as a Nursing Cadet tion since his appointment as Chief made by herself. Commissioner.
The premises were then declared open
Following the insp ectio n the parade for general inspection and the party left marched past and was later addressed by for the eR.S.S. Depot and the Red Cross the Inspecting Officers who expressed and St. John Prisoners of V"rar Packing their pleasure at being present and con- Centre, and to the Guildhall for lunch gratulat ed the members on their smart at the invitation of the Lord Mayor. appearance. Praise was also given for By kind permission of the Chief Conthe work they had carried out. stable the Hull City Police Band was in Among the l arge number present to attendance at the opening and at the witness the parade were the Lord Mayor inspection held the previous day. and Lady Mayoress of Hull (Ald. and Mrs. BROUGH.-Mr. H. Rankine, who has reJ L Schu ltz), the City Treasurer (Mr. cently passed the Lay Instructor examiC. H. Pollard), Lady Ramsden, Mr. Thos. nation, has been a prominent first aider Wells (Chief Constable, Hull), County in the Brough District for many years Vice-Presidents, Mr. and Mrs. R. G. and was the means of forming the Brough Tarran, County Vice-Presidents for Cadets District Division. Having since formed and Mr. W. T. Atkinson (ex-Co unty 2 ambulance and nursing divisions he has Commissioner). been appointed Corps Superintendent of County Commissioner Dr. Norman the Humberside Corps which starts off Jennings thanked the inspecting officers with an initial strength of five divisions. for their visit and words of encourage- Dr. Geoffrey Thompson of South Cave ment. has been appointed Corps Surgeon.
COUNTY HEADQUARTERs.-On May 7, No.8 DISTRICT
H.R.H. The Duchess of Gloucester per- WORTHING.-During her recent tour of formed th e opening ceremony of the new West Sussex the Duchess of Kent inheadquarters of the East Riding of York- spected the Worthing Nursing Divisio n shire, "Priory House," 29, Cottingham at their F.A. Post, at Beach House. She Road, Hull. was-received by the Mayor and Mayoress Wearing the uniform of Deputy Com- and attended by the Lady Herbert, mandant-in-Chief of Nursing Corps and Countess of Bessborough, County CommDivisions, she was met by Sir Clive issioner D. Bryce and Miss Hubbard. Liddell (Chief Commissioner) and Lady Lady Supt. Mrs. E. M. Butcher also Lo uis Mountbatten (Lady Superintendent- the Duchess during her inin-Chief) and County Commissioner Dr. spection. The Nursing Cadets under N. Jennings. The Duchess was accom- Cadet Officer Mrs. K. Lashmar staged panied by her Lady-in-\iVaiting (the Hon. a street accident most s uc cesfully and the G. Mersey Thompson), and the Lord Duchess showed great interest. A Guard Mayor and Lady Mayoress of Hull. A of Honour was in charge of Amb. Officer Guard of Honour of Ambulance and H. R. Child. Nursing Cadets was inspected and presen- No.9 DISTRICT tations made to Her Royal Highness. COUNTY OF CORNWALL
Mr. R. G. Tarran (County Vice-Presi- ST. IVEs.-At the annual meeting of dent for Ambulance Cadets), who had the St. I ves Division well-earned tributes generously given the premises for County were paid to Supt. W. H. Care who has Headquarters, handed the key to the been associated with the division for 35 Duchess of Glo uc ester who declared the years-17 as superintendent. He has headquarters open for the use of the also acted for many years as Treasurer Brigade. The Bishop of Hull, the Rt. to the County. Mr. J Daniel, J.P. , who Rev. H. T. Vodden, dedicated the pre- presided, presented to Supt. Care an mises and her Royal Highness unveiled a illuminated address together with a commemorative tablet. cheque subscribed for by appreciative
In the large garden Corps Staff and donors.
representatives of divisions were drawn After having suitably returned thanks up together with motor ambulance volun- Supt. Care gave particulars of the Brigade teers, the Blood Transfusion Service in general ; and St. Ives in particular, volunteers, and also others who had Thanks to the response to his appeal two assisted in establishing the n ew head- ambulances were obtained and have quarters. Aft6r these had been inspected, already proved their worth. One of the the Duchess proceeded to inspect the outstanding events was the visit of Col. vehicles and garage. J. L. Sleeman (Chief Commissioner, OverDuring a vote of thanks to the Duchess seas) who, it will remembered rendered proPGsed by Mr. Tan-an, the title deeds excellent service as an ordinary stretcher 'of the property were handed over to her. bearer ' at St. I ves last year.
Cadet Audrey Wharram presented on During the' year 270 cases received behalf of the Cadets in the East Ridin g, ' attention, removals numbered 270, with 131
a mileage of 4,030. Fourteen members were in the Forces, 6 on work of national importance and 10 in the C.D.
. A letter was recently published in the St. Ives local press from Mr. W. Williams, a member of the division who volunteered - in the Hpspital Reserve at the outbreak of the war, which contained the following message :-" Tell Mr. Care that my class of 14 men for their first aid certificates was examined and passed with a high percentage of marks. " Mr. Williams has been a prisoner of war ,sin'ce May, 1940.
NORTHERN IRELAND DISTRICT
The South Belfast (Windsor) Division held the final of the divisional team cup competition recently when Section B (Captain Sergt. Carlisle) won by a narrow margin of one point. Acting District Surgecm Muriel Fraser judged the work and 'praised the members on their effieiency.
Councillor W. Dowling (President and donor of the cup) presented the trophy and congratulated the team on being the first winners.
Pte. Edward Arneill, who is stationed in North Africa, sent six lemons to the division and these were auctioned at the competition, realising the sum of £3 8s. Id
Parade at Buckingham Palace .-As stated in the Editorial of this issue , 2,000 members of the B.R.C.S. Youth Detachments and Cadet Uiiits of the Brigade attended a special inspection by H.M the Queen at Buckingham Palace, on May 16. Lady Eldon, Chairman of the Red Cross Youth and Jnuior Red Cross Committee, was in charge, while Lady DunbarNasmith (Chief Officer Nursing Cadets) was in charge of No.4 Battalion. with District Staff Officer T. E. Walsby (London) in charge of No.3.
The marching at the march past was very good and our Cadets made a very smart and pleasing picture.
Her Majesty was received by Sir Clive Liddell (Chief Commissioner) -and Lady Louis Mountbatten (Lady Superintendentin-Chief), for the Brigade and Sir John _ Kennedy and Lady Oliver for the B.R.C.S.
Because of difficulties of transport, members from Counties near to London were invited and the following . were represented.: C(!)unty and City of London, Bedford, B1il cks , Berks, Canahridge, _Essex, Herts, Rants, Kent, Middlesex, Northampton, Notts, Oxford, Sussex, Surrey, SU:fifolk, and Wilts. '
Representatives of the Order and Society present from all parts of
the country. The band of the Welsh Guards was in attendance.
Following the inspection prayers were said by the Bishop of London.
Sidcup.-Lady District Cadet Officer Mrs . Cheyney officiated at the enrolment ceremony of the Sidcup Nursing Cadet Division and' presented badges and certificates. Lady District Officer Miss Grindley presided. Lady Cadet Supt. :Mrs. is in charge of the division.
Ha mpstead -At a recent lantern lecture £5 was raised in aid of the Hampstead Nursing Cadets and the Prisoners of War Fund. Occasion was taken for the presentation of War Service Badges to two Cadets by Miss A. M. Walker.
Bristol.-The annual competition of the Bristol South Nursing Cadets took place on May 22 when Supt. Martin and Lady Supt. Mrs. Martin of Fishponds Divisions judged the work done. Corps Surgeon Aldwinckle presented the cup to the team led by Cadet CorpI. Thelma Pearce, who to gether with CorpI. Edna Vares and Cadet Pauline Magan, has qualified for a War Service Badge.
Finchley and Southgate.-At the annual birthday party of the Adult division 'Countess of Lytton (Vice-President Nursing Cadets, County of London) presented a Grand Prior's Cadet Badge to Cadet Sergt. Patric1a Hales (daughter of the Cadet Superintendent) and also congratulated Cadet Sergt. Edna Say on gaining a similar award. Unfortunately, the second bad ge had not arrived in time for the presentation. These are the first Grand Prior's Badges to be gained in the Northern Area, No.1 District, and it was the first occasion that the County VicePresident had attented such a function. Four profiCiency Badges and badge certicates were also presented to successful. Cadets. The members of the Division assisted in the Birthday proceedings by giving singing and dancing turns
Rugby.-On May 14, members of the Rugby Cadet Nursing Division welcomed their newly appointed Divisional Surgeon, Dr. T. J. Lee, who, after a short lecture, distributed and congratulated Lady Cadet Supt. Miss S. F. Spencer on the work of the division.
Harlesden. -O n May 6 the first Parents' Night of the Harl esden Ambulance Cadet Division was attended by'a large gathering. Cadet Supt. A. V Gibbons was in charge, the Cadets giving displays of first aid and other wocr:k. Those present included Lady District Cadet Officer Mrs. S. Goodwin, Div: Surgeon H M. Setna, Amb. Officer Green, Cadet OfficeF J. Street, and others.
W oolwich.-District Officer C. A. Hallock preslded at the enrolment ceremony (Continued on p llte 142)
WILL NOT TU .RN SEPIle
IF TREATED WITH ANTIPEOL OINTMENT BE CAUSE
one or other or all of the three races of germs, Streptococci, Staphylococci and B.pyocyanel!s are found in every skin infection common to this country, and ANTIPEOL contains the antibodies (antivirus) of these germs. Healing is expedited by the proved ingre?ients of the ointment, and septic development IS. stopped or prevented by its antivirus Jiltrates. ANTIPEOL OINTMENT is unsurpassed for BURNS and SCALDS, for it is microbicide and non-adhesive, and dressings do not require to be changed every day.
RH INO-ANTI PEO L
affords rapid relief of COMMON COLDS, INFLUENZA AND CATARRH. Containing the antibodies of the germs common to inf.ections of the nose and pharynx (Staphylococci, streptococci, B.pyocyaneus, bacilli. enterococci, M.catarrhahs, B.Pfelffer), Rbino-Antipeol is not just a palliative, but a remover of the cause of the infection Dunng epidemics it is the ideal preventive of microbic development
OPHTHALMO-ANTIPEOL
is a semi-fluid ointment, more convenient than the ordinary Antipeol ointment for ocular infections and lesions Eyes affected by smoke and dust ru:e soothed almost i=ediately by the application of Ophthalmo-Antipeol, and the antivirus prevents germs from developing.
CLINICAL SAMPLES ON REQUEST FROM MEDICO-BIOLOGICAL LABORATORIES, LTD. CARGREEN ROAD, SOUTH NORVVOOD, LONDON, S.E.2S
Sir J ohn W. Beynon, Bart., presided as Sub-Prior at meeting of the Priory Council held on May 18 , when arrangements were made for the annual meeting o f Chapter to be held in Car diff on St. John's Day . At the iILvitation of Canon J .. A. Lewis, a Chaplain of the Priory and Vicar of St. J ohn's Church, Cardiff, memmers will be inv.ited to attend a Service at that Chur ch at noon on June 24
The A mbulance Committee, which also met on May 18 , und er the chairmanship of the Surgeon-in-Chief for Wales, Major A. W. Anderson, expressed thanks to the Surgeon-in-Chief for the preparation of conditiops governing qualification for the Lay Instr uct or Certificate which entitles
Brigade Members to lecture on the syll abus of th e Preliminary First Aid Co urse and C!n the" Short " (First Aid) Co urse introduced by the Home Office. All tests with the exception of the lecture will be set by the Surgeon-in -Chief for Wales, th e Co un ty Surgeon or hi s nominee seleGting the subj ect for the Lecture.
Three Written Examinations will be held throughout Wales every year in the seco nd Saturday iI! March, July and November.
"A r eport on the Associati o n Department showed th at 18 7 Classes in First Aid and Home Nursing had examined durin g tJ:le month of April. For gratuitou s serVIces as Dr. J ohn Wilso n Reid , Beaumans, was appointed an Honorary Life Member , Dr. R E. Jones, Surgeon to the Mynytho Division (Caernarvo nshire) bein g appointed an Honorary Life Member of the Priory and member of the Examining Staff.
The Committee welcomed the news that Major G. S. Phillips, Corps Surgeo n, had returned from Army ServIce on health grounds and it was agreed that he be requ ested to accept the office of Asst. Commissioner of the Pontardaw € Co unty area, held temporarily by County Officer Thomas Williams during the absence of Major Phillips.
Mrs Mary In gledew gave a report on her atte:r;tdance as Chief Officer for Nursing Cadets m Wales, at the Inspection ' of Sf. J ohn Nursing Cadets by H er Majesty the Queen, Co mmandant-in-Chi ef of the St. J ohn Ambulance Brigade, at Buckingha.m Palace, on Sunday, May 16
CENTRE REPORTS
CAERNARVONSHIRE CENTJ,m.
The f ri endly riv a lry which marks the relati onship between St J ohn and B.RC.S. personnel in Caernarv onshi r e is
r eflected in .the report of the Co unty Comp etition for stretcher bearing organised b y the B.RC.S. , in whic h Supt. G W. Roberts (Caernarvon) and Corps Secretary W T. DaVIes were asked to adjudicate. The ""inning team was Llandudno , which had been trained by Corps Supt. O . Roberts, Amb. Officer H. Neville and other members of the Brigade in Llandudno, to whom thanks were accorded by Mrs. A. M G. Heap, B.RC.S. County Tran sport Officer and Vice-President.
Majo r A. Guy Widdicombe (S.RO.), came to Llandudno in 1940, has been County Officer of the Brigade m Cae rnarv onshir e. He is a Home Office A .R P.S. (Special) Instructor and hold s a number of other Certificates and both in the Brigade and in connection with the Civil Defence Services. Before coming to ViTales he was Sup erintendent of the Mid-Herts Medical (A.RP.) and Hospital Transport and Detrammg (Ambulance Trains) Officer. During r ecent years he was appointed to the Hertfordshire County Staff and served as a County Officer under County Commissioner H. Lan gl ey J ones Upon his arrival in '\i\Tales he was appointed to the Committee of the Llandudno Voluntary First Aid Organisation and became Secretary. Major Wlddlcombe IS a lso Superintendent of the L landudno (Civil Defence) Casualty SerVIce under th e County Medical Officer. He retains vVarrant in England and It would be mteresting to know if any other Officer of the Brigade is in the possibl y unique position of holding two Warrants at the same time.
CARDIGANSHIRE CENTRE
The CommissiQner, General L. P Evans , V.C., has brou ght to the notice of the an instance of exceptionally effiCIent serVIce reported to him by the of the Aberystwyth Nursm g DIVISIOn. The Ambulance maintained by this Division at Aberystwyth was called out to a plane crash on the mountainside. The ambu l ance "vas driven by Mrs Parry and attended by two members and Supt. H. Davies. The road was very rough and ru gge d mountain, with a sheer dip of 100 f ee t on one side; and it is considered b y the l ocal Pobce and a ll 'who know the r oad a wonderful achievement on the part O[ the driver to have handled the ambuiance so ski lfu il y. The Amb ul ance could not go within a mile of the scene of the accident and stretciher blankets etc. had to be' carried. they got ne ar the top, they were informed that 134
knowledge to treat suc-eessfully ALL injuries
THE HOUSEHOLD PHYSICIAN
A few of the subjects treated at length ::' PEACE-TIME SUBJECTS:
A ir Raid Precautions Influenza, etc., Measles, Mumps
Gas Warfare (Special Chart) Catarrh
H oemorrhage
Corns and Warts
Fir st A:id What to Do in Emergencies
Bandages
Spli nts
Bu rns
Fam tmg
Skin Diseases
Hygiene, Anatomy, Pharmacy
HomC2opathy, Neurasthenia
. The Principles of Nursing
Child Welfare
375 Prescriptions, etc., etc.
A CCIDENTS-What to do in all cases. HOW TO DIAGNOSE Diseases from appearance oj Head, Face, Tongue, Throat, Ch J st, etc., etc.
H UN DREDS OF T ESTIMONIALS
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In each of the 8 test exa mination•.••• the know ledre of which I a ttr ibute to your"Vol. u me. I have yet to meet my defeat In A mbul ance Examlna. t lon just the information she requires ,
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another stretcher was required and Mrs. not have dared to go near the minefield, Parry mounted a horse and rode back to but that when she saw the injured man the ambulance for a second stretcher and her 'only thought was to go to his aid. piilows. After the ' injured had been Mrs. Clothier's conduct is in .keeping 'with bandaged, the R.A.F. Ambulance brought the traditions of the Order and does credit the injured to hospital. to her ten years' service in the Brigade.
WEST DENBIGHSHIRE CENTRE PEMBROKESHlRE CENTRE
Officers and members of the Brigade The followin g summary of r ecent activiin the Colwyn Bay area were greatly ties on the part of the encouraged by the visit of Lady Louis Nursing Divisions gives an idea of the Mountbatten to Colwyn Bay and Rhyl. valuable contribution to the National During the course of avery full programme effort being made b y-tTn its of the Brigade. the Lady Superintendent-in-Chief was At special sessions of the Blood Tr.a.nstaken to see the Mobile Ambulance Trailer, fusion Scheme under the Welsh Board with which she expressed particular of Health at Haverfordwest members of delight. , the HaverfQrdwest Nursing Division
Asst. Commissioner Lumley was in assisted the Medical Officer and were comcharge of the parade of which about 60 plimented on the efficient manner in which Cadets formed part; Commissioner Dr. they discharged their duties. During G. Pari Huws reports that her keen Easter week members (under the s up erinterest and charm of manner made a vision of Div. Secretary Miss N. Hammond) deep impressio n. were responsible for the "Prisoners of FLIN:ISHIRE CENTRE War Coll ection" at the two l ocal cinemas
Ambulance work is -to be stimulated by when £ 104 was collected, The previou s the organisation of an apnua! competition week Amb. Sister Thora Jenkins organised for teams in the county. A trophy- a dance in aid of the" Prisoners of War the" Morris Ambulance Cup "-has been Fund," which realised over £75. Supt. presented by Mr. and Mrs. Jam es and Mrs. J T. Prichard organises the National Mr. Morris, who is a Private in the Rhyl Red Cross and St. John Flag Days, the Division. last one realising the local record sum of GLA}"IORGAN CENTRE £295 17s. 7d.
BiSoDoL IN RELATION TO THE WAR-W 'ORKER
war-workers are, today, in occupations vastly different from their previous employmeI!t. For many or. these women-and especially where of necessity theIr work lies m confined or vitiated atmospheres-there develops a syndrome of anorexia, nausea and constipation, which calls for remedial or palliative treatment.
A variable or diminished appetite, flatulence and eructations are the primary manifestati?DS. Reduced hours. of dietary changes are factors disturbmg normal gastrIC functiorung.
'B i SoD 0 l by virtue of its antacid and sedative properties, sents an ideal medicament. Its form is that of a finely subdivided powder, easily with milk or water. In addition to Bismuth Subnit., Magnes. Carbo Levis and Sodii Bicarb., it contains tho digestive ferml':nts, Papain
and Diastase. A pleasant flavour is imparted to it by the presence of 01. Menth. Pip., the antispasmodic action of which is a further advantage
DOS AGE: One teaspoonful in /wI a glass of milk or water three tlmea a day a.fter meals; or as indicated.
KNIGHTS OF ST. JOHN
Lady Louis Mountbatten (Lady Superintendent-in-Chief) has accepted the dedication of a special Marching Song entitled , of St. John," written by Barbara Cartland, the novelist and playwright, and set to music by Jan Kerrison , the well-known composer whose husband , Archie Camden, is the world's most famous bassoonist.
A Dance ' given by Mr. P. H. Ford, The President, Mrs. Gilbert Mathias, is President Bargoed and District Division, the Red Cross and St. John Liaison in aid of the.funds of the Ambulance and Officer and Searcher for the County of Nursing Divisions, was a great success , Pembroke, and Mrs. Prichard acts as Dr, and Mrs. S. B. Turner, Assistant Liaison Officer for the local County Commissioner and Lady County Supt. Hospital. , respectively, and Div. Surgeon Lionel _ Tinfoil is bein g collected for the Red J ones, attended. The Divisions are par- Cross and St John Salvage Depot, and ticularly fortunate in the personal interest two consignments, to gether with 45 lbs and practical support they receive from of toothpaste tubes were dispatched. their President; and they are very grate- Seven members of this Division comprised ful te> Mr. Ford for dedicating the proceeds the team which won the silver cup for the ofthe Charity Dance he organises annually best First Aid Post team for Pembroketo the Brigade this year. Brigade mem- shire, and also j;he Silver Cup for the Zon e bership in Bargoed stands at 162. All per- Final of the Civil Defence Casualty Sersonnel for the local C. D': Casualty Services vices Competition of Wales held at the have been recruited from the Brigade. City Hall, Cardiff, last September. Brigade Officer's Fine Act.-The following account of a brave deed on the part of Supt. Mrs. M. Clothier, ITaibach and Pori Talbot Nursing Division, has been reported :-" Answering all emergency call at her first aid post, Mrs. Clothier speeded in an ambulance to the beach where a mine had exploded, killing an officer and seriously injuring a soldier. The soldier lay in the minefield unable to move. Mrs. Clothier stepped out of the ambulance and w.alked in to the mineReId. She did not hesitate till sBe reached the injmed soldier and caned for aid. Then she stood among the mines and superintended his removal to the ambulance." Questioned afterwards, Mrs. Clothier said she only did her job, adding that under normal conditions §..he would
Miss Cartland in privq,te life is Junior Commaflcler Mrs. Hugh McCorquodale , Lady County Cadet Officer for ' Bedfordshire. Copies will be avaiiable at about 3d : each and can be obtained direct from her at River Cottage, Great Barford, Bedfordshire, or Hutchinson & Co., Publishers , 47, Princes Gate, London, S.W.7. 136
Confidence • In
Antisepsis
The high bactericidal efficiency of 'Dettol' with special properties of safety and convenience have won for it a leading place in hospitals and private practice. The efficiency of 'Dettol' is well maintained when blood or pus - even in considerable quantity - is present and can be used in high concentration, thus giving a wider margin of safety. It is absolutely non-poisonous, non-staining and possesses a distinctly pleasant smell .
B
/ INTERESTING CASE REPORTS
CASE REpORT No 228.-Th e Officer-
in-Ch a r ge N orthern Are a No . 1 (P r ince of Wal es s) District, S. } .A.B. reports the effi cient per forman c e of first aid by a member of t h e No 54 (Hampstead) Nursing Cadet Division in the followin g cir cum stances :-
On' Febru ary 20 , w hil e on her way t o a p a r ty N ur sing Cadet Amy Goad (age 12 ) passed a small gi rl who ap p eared to have inj.ll red h er self w hil e skippin g Upon examin atio n sh e f o un d h er n u rsing her l e ft elbow with h e r h ead incli ned to l eft sid e- t h e patient compl a i ned of a b r o ken neck. The injury was correctly diagnosed as a fr a ctured clavicle and after treating fo r shoc k the Cadet sent one bystande r fo r th e girl' s own doctor (as he liv e d cl ose b y) and ano t her to enq u ire wh ether any f orm of t rian gul ar ban dages wer e avail a ble. One triangul a r b anda ge and a scarf were prod u ced. T h e gi rl ' s beret was u sed as a p ad un der t he armpit, th e b a nd a ge u sed as a St } ohn slin g and th e sca rf placed r{)und the el bow and trunk s o as t o l ever Qu t and draw back the shou lder B y this t i me the doctor arrived and t h e Ca d et explained what had happened COMMENT.-It i s al w ay s plea sing t o r ecord good w or k don e by our Cad et s , on w hom depend s the of the Brigade. Nursing Cad et A my Goad, th er ef ore m er its cordial congratulations on tak i ng the r i ght acti@n and on prev enting aggravation of a simp l e fractur e.- N.C F '
CASE R EPOR T No. 28 9. -Th e Officer -
in-Charge of the Co u nty of Gl o u cester , S. l A B., reports t h e efficient p erfo r manc e of firs t a i d by a member of the Ci ty of G l oucester Divisi on in the f oll owing circ u mstances :-
O n Feb r u ary 26 , Serg eant W. E. B r oady
was call ed f rom bed at 11 30 p.m. to a n eighbo ur 's house. On arrival h e fo u nd the occupier and his wife very excited and end eavo u ring to ope n the door of t J:1e b athroom within which a l odger had apparen t ly been for a considerabl e tim e.
Sergt Broady forced the l ock after gettin g the two dis tressed wou l d-b e r es c uers out of the way as th ey were of no a ssistance to him \ iVhen he got th e d oor o pen he f o und the man c ollap sed in the bath o'wing to the fumes from th e g ey ser. H e got him out o n to th e lan ding, p erfo rmed artificial r espirati on fOT 3 5 minu tes and r es tor; e d bre athin g. Later he gave hot drinks and put him to b e d The patient made an u ninterrupted r ecovery
COMM ENT. - By r est 011 ing his p atien t to lif e, S erge an t W. E. B roady acc om pl i s hed th e heart 's desi re of eve ry k ee n first aider. I n th ese ci r cu 111st ance s we ten der cordial con grat u lat i ons on th e h appy r es u lt s w hic h attended hi s efforts, 1110re especi ally a s t h'i s i s th e third cas e of arr es ted res p i rat i on with he has su cces sfu lly deaU.-N.C. F.
QUEST 'IONS AND ANSWERS
STRENGTH OF ANTISEPTICS
E G. (Lu ton) .- I n t he Ch apter on " S ur gical Nu r sing-"'Wou nds " i n the Home N ursing T extbo'Ok it states t h a t an t iseptics i n gener a l u se fo r su r gical nursing inclu de :-
(1). Carb olic acid - l in 100 solu tion, which i s often u se d in the i nstru ment tray a nd for sterili zed swab s a n d towels.
(II ). Pe r chl oride of m er cu ry- l in 1,000 solu tion.
(III) B ini od ide of .mercury- l in 50 0 solutio n Later in t h e Chapter unde r t h e su bt it l e "Pr epar ation of th e D r essin gs and Ins tru men ts" the fo ll owin g i nstructions a r e giv en : "Swabs, lint, gauze, towel s, et c , mu st b e b oil ed fo r half- an-ho u r, w run g o ut and placed in bowl s c ontai ning eithe r pe r chl oride of mercury (1 in 1,00 0 ), bini o dide o f merc ury (1 in 500) o r carbo li c acid (1 in 20) Befo r e u se immerse them in soluti o n of s u cll str ength as th e s u rgeon may d esire "
It w ill b e n o t ed t hat in th e l atter instru ctio n the m er cu ry solutions r emain const a nt , w hil st t h e s tr en gth o f th e car -
bolic acid so lu tion is inc r eased to 1 in 20 . I am takin g a course of Home Nursi ng and came across this anomaly, whi ch se ems rather confu sin g, and as I like t o be cl ear in my o wn mind I wou l d b e g rate fu l if you c o uld explain why th e r e is this differe nce.
Th e expl a1'b ati on of t he di ffer ences i1'b str ength s of th e antiseptic so lut i on s is tha t th e materials name d i n th e Nurs 'in g T extbook are not i n jur ed by th e hi gh er con centr ations w her eas th e s hin of n ur se or pati ent mig ht be ; an d also that jo r effec tive ster i liz ation th ey r equ ire th e hi gh er streng th.N.C.F.
O UTD OOR TRE ATM ENT OF DI SLO CATIO NS P .- C. (Cardiff) tell us why th e Textb ook does n ot advocate tre a tment ot disl ocation with co l d app li cations, Q) r if t la e se fail t o reli eve w ith hot comp r ess es, while patient is o u t of doors.
The Textbooh does not advi se local treatment of a dislocat ed joint out-of-doo'ys Jo r the following r easo n s :-
(1) I t is one of the P11inciples of first aid (Textbook, p. 2 5 ) tha t patient shall be uncover ed a s li ttle as po ssible since exposu1 e 138
CUTS. BURNS, SKIN
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A Safe, Quick-Act ing Pa in Reliever for First- Aid Outfits.
W hen women me m bers of St John Firs t A id units a re asked for adv ice by tho se w ho s uffer from acute functi onal menstrual pa in , the y ca n w ith confidence recomm e nd BAXEN wh ich is p r epared in tablet and pow der form from a spe ci alist 's presc r iptio n for t he relief of pa in during women 's "try ing days
Ma ny hospi t al nurses and those in ch a rge of welfar e wor k in factor ies, use and recommend Bax en be ca use It is perfectly safe a nd give s such quick rel ief from pai n It contains no aspiri n or anyth ing to di s turb heart , stomach , or natu ra l functio ns Two tiny Bax en
Ta blets us ually gi ve relief i n le ss t ha n 10 m inutes.
Free Trial Supply of Baxen will be ,Iadly sent to Equipment Officers attached to St John Units on a ppl icat ion, accompanied by a penny stamp , to Clinical Dept., E Griffiths Hughes, Ltd., (Key No. 54) Adelphi , Sa lford 3, Manchester
•
O btainable from all chemists. Saxen Ta blets (IS in flat box) Is. Sd. P owders 2d. each. (Tax included)
Uniform , to selfmeasures from N O.A. Write (or details to NURSES' OUTF I TTING ASSOCIATION, LTD. Carlyle Chambers, Stockpor t London • Abbey House , Westmin s ter S.W I Live r pool 57, Renshaw M a ncheste r 36 Kin, St re.t Blrmlnlham • 3 , Ryde r St reet Newautle-on-Tyne 26 , Northumb rland St. Southampton 9, Brunswid<. Place Glasgow • III, U ni on Stre et and .·apid
tI·e a t l ue n t of ID i nor w o unds
Occlu sive woun d dressings, b ecau se they need fewer ch anges, allow granulatio n s to form un disturbed. This meth o d , ap pr oved in modern su rgical practice, ' is p ossible wi th , Elas t o p last' O ccl u sive Dressin gs which also econ omise in m a t eria ls and t ime 'Elasto plas t is widely u sed in Hospitals, etc., for t he efficient and rapid treatment of minor wounds.
incr.eases shock, whereas patient must be kept warm;
(2) Attempts to expose a dislocated joint out-oj-doors might result in aggravation of the injury and would certainly delay removal of patient;
(3) Injured patient must be removed tG home or hospital with the minimum of delay; an4 .,
(4) THere would -be delay 'l.n procunng the necessary cold or hot dressings with cor:sequent waste of time and further delay m removing patient to shelter.-N.C.F.
CRUSH SYNDROME
A. A. (St. Ives).-At a recent practice held in conjunci;ion with the Red Cross, one e>f Qur members was given a patient with a label " Crush. Syndrome." Being rather mystified he asked, ""What is Crush Syndrome?" Since the meeting we have made inquiries fram various sour-cess, and have receiveg. different opinions from doctors.
I wonder if you can enlighten us on this case? Your answer will be much appreGiatedby our class.
The use of the term" syndrome" (which merely signifies the combination of signs and symptoms in disease or is irregular and is contrary to · the spw'tt of first- aid.
The term "Crush Syndrome" is used to describe a grave condition of shock which, consequent on crushing injuries especially of muscular tissues, results from of plasma or, in other words, of tke flu'l.d .constituent Gf the blood. Apart from the C'l.rculatory effects of such injuries, '1?elZ r:z-arked kidney changes are now recogmsed if muscular injuryrhas been extensive. T he urine is coloured and the urinary output is often found to decrease. Progressive failure .of the kidneys may give rise to death qU'l.te independently of the circulatory effects of shock.-N.C.F. -
THOMAS SPLINT
A. H. (Cullompton).-Please tell us how we should apply the Thomas splint in the case of a fractured arm. Are we correct in assuming that an arm-sling would be unnecessary?
The Thomas splint was introduced during the last war; and its uses are tabulated on p. 247 of the Textbook. It is not used for cases of fractured arm, and.it would seem that you are incorrectly assuming that the special splint sometimes used in the treatment of a fractured arm is a Thomas sp,l'int because it bears some resemblance to N.C.F.
BLUE BAG FOR STINGS
M. H. (Baih).-We shall be grateful if you will tell us how the wet _ ?lue .bag relieves the paiI;l which accompames stIngs .of plants and insects.
The blue bag is useful in the treatment
of stings of plants and animals because it is composed of alkalies (of which bicarbonate of soda is its chief constituent) and because an alkaline solution often gives relief w.ith stings as it may with any other forms of skin irritation.-N.C.F.
COLLES AND POTTS FRACTURES
O. J. (Polton).-The other day a sion arose among members of our DIVlsIOn as to how we should treat a Colles and a Potts Fracture. I said that we should treat as laid down in the Textbook for a fracture of forearm and of leg respectively. Please let me know if I was right. Yes.-N.C.F.
TREATMENT OF BURNS AND SCALDS
E. B. (Handsworth) ·.-With reference to the query which was published under the above heading in the March issue of THE GAZETTE I note that you say that the Textbook instructs us to apply cotton wool and bandage over dressing, only when bicarbonate and tea solutions are not available.
Since reading your reply, I have questioned some other members of the Brigade; and I find that they all a.gree with me that they would apply cotton wool and bandage over a dressing soaked in bicarbonate of s(:)da solution. This would serve to supplement the exclusion of air and to protect the burn or scald, particularly if blisters are present.
My own opinion is that the Te:Aribook would not have given us Rule 4 on page 179 unless it intended us to use the cottonwool and bandage in all cases. If it is purely an alternative to Rule 3 (b) I should have thought that it should have been included under Rule 3 (c) as a method of excluding air in the absence of a prepared solution. Rule 3 (c) would then be unnecessary. Your further explanation will be much appreciated.
If you re-read the instructions with reference to the tyeatment of burns and scalds, you will r.ealise that Rule 4 is not. part of the routine treatment but that 'l.t deals specifically with cases for which (as stated in Rule 3 (c) bicarbonate of soda and tea solutions are not available a11,d a dry dressing has to be applied covered with cotton wool and kept in position with a bandage. -
Again, if cotton wool is placed over dressings which have been soaked" in bicarbonate of soda or tea solution and bandaged however" lightly" it will absor? much of the moisture and defeat the objects of treatment. Further, in the former case) if medical aid is long delayed it wiN necessitate removing bandqge and soaked cotton wool iG re-apply the bi-carbonate of soda solution. Finally, in these circumstances tke instructions in Rule 3 (b)-" keeping them moist" and " allowing them to dry" would have no significance at aZZI-N.F.C.
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PRICE LIST AND PATTERNS ON REQUEST
All enquiries to : 154 - 164, TOOLEY STREET ' LONDON BRIDGE, S.E.I, Telephone: Telegrams: Hl)p 2.16 (4 lines). Hobson, Boreh,
CADET NEWS-contd. j1'om page 132. of Woolwich Nursi,ng Cadets, Lady District Cadet Officer Mrs. Cheyney being the enrolment officer. Twenty-nine new cadets received their rules, badge and a copy of the Code of Chivalry.
Mitcham.-:-At the annual competition held at · Mitcham the Edmonton Ambulanee Cadet Division gaIned first place. They had been runners-up in the competition for the past three ]rears but their keenness and enthusiasm has at last been rewarded. Thanks are due to Cadet Supt. R Noble and Cadet Officer J. Paton for the fine work they are doing for the division.
Rye.-The Rye Ambulance Cadet and Nursing Cadet Divisions held their first enrolment ceremony recently when County Officer Pile and Lady County Officer Miss Trill officiated. The ceremony was witnessed by the Mayor and Mayoress, the President and Vice-President, parents and friends.
_ After the enrolment a competition was held between the two di visions for a shield presented by Mrs J. L. Hartley, the boys winning by a small margin of points.
Cadet Officer R T. Holland thanked the visitors for their encouragement. The Nursing Cadets are trained by Miss J.
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Bedfordshire.-Over 450 probationary Cadets have started first aid classes The Leighton Buzzard Nursing Division and Great Barford Ambulance and Nursing Divisions were registered and a concert given by the latter realised £21.
Lady County Cadet Officer Junior Commander Mrs. Hugh McCorquodale visited and inspected the Dunstable Nursing Cadets, the London Road-, Bedford, Cadets, the Amphill Probationary Cadets, and those at Sandy .' Meetings of Cadet Officers and those interested in the work were held at Bedford and Luton with excellent resultsl'4r. Veats, at London Road, Bedford, organised a -great Youth Evening with speakers on China, Czechoslo v akia ann Dunkirk, and an American Brain-s Trust of three U.S. Fl y in g Officers Squadron Leader Reaney, RA F ., was in the chair, and a disting uished audi ence attended Stratford-on-A von .-County Cadet Officer Mrs. Shulman performed the enrolment ceremony of the Str atford-on-Avon Nursing Cadets , Sir Charles Marston presenting certificates and b a d g es. Th e cerem o n y was supported by the Mayo ress, Lady County Supt . Miss Orton and other Brigade officers
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PIunu: It tlvanc., ZlU Tel.: Untbuk., EM, Umdon CLASSIFIED ADVERTISEMENTS
FIRST-AID COMPETITIONS are won by good coachlng. Any First Aider (either sex) may coach any ambitious team-male, female o!" mixedto early success. Competition experience not essential with new Guide.-For particulars !!end stamped en· velope to R. JEFFERY, 6, Avenue Gardens, London, W.8 FOR 8ALE.-Complete St. John Ambulance Uniform and Overcoat, as new.-C. H. HoWE., " Jesmond," 8, Upherds Lane, Ely, cambs. SHOREHAM-BY-SEA NUR81NQ DiVisiON Wish to purchase Second-hand Uniform, Greatcoats, indoor, good condition.-HAltMAN CHURCH HOUSE, Shoreham-by-Sea.
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CONTENTS
EDITORIAL
BIRTHDAY HONOURS
THE FUTURE OF THE ST. JOHN AMBULANCE BRIGADE
OBITUARY
FIRST AID LECTURING
THE ST. JOHN AMBULANCE BRIGADE (OVERSEAS)
CADET NEWS
• THE ST. JOHN AMBULANCE BRIGADE (AT-HOME)
PRIORY FOR WALES
INTERESTING CASE REPORTS
QUESTIONS AND ANSWERS
EDITORIAL OFFICES : ST. JOHN'S GATE, LONDON, E.C l (All reports, etc., should reach the Editor not later than the 2Sth of the month.)
PUBLISHING OFFICES: 46-47, CHANCERY LANH: , LONDON, W C.2
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Edited
by
GEORGE E. CRAFT, F.R.S.A.
VOL. 16. NO.7 JULY, 1943
EDITORIAL
There seems to be some misapprehension among certain Brigade members that t he amalgamation of the First Aid and Rescue Parties into one party, now knovn1 as the Rescue Service, means that the Brigade organisation is to be broken up. This is not the case; nor is it a cavalier action on the part of a Government which has always gone out of its way to gratefully acknowledge ' the work which the Brigade has done for the country.
In the February, 1943, issue of THE GAZETTE, Dr. '\lV. C. Bentall gave particulars of this amalgamation and the need for it. The fusing of the First Aid Parties 'with the Rescue Parties into one Service is to secure a higher and more effective form of service in the C.D. Scheme.
In the very large number of cases where such fusion has already been effected, the great majority of our Brigade personnel are working harmoniously and with appreciation of the better service that it enables them to render.
In nearly every case the leader of the First Aid Party is no 'w either the leader or deputy leader of the new combined - service; - in fact Government advice is that that should be a regular procedure.
The great demand for men and women in the Services has not prevented the fine personnel of the Brigade from maintaining their loyal devotion to theBrigade as an individual or a unit, and any objection to of a portion of our Civil Defence -Services for the furtherance of help at war, to keep the civilian death rate from air attacks as low as possible, is not likely to lower the devution of our members to the Brigade.
Alterations there must be; and as is usual some read into instructions that s0l11.ething which is not intended nor stated.
BIRTHDAY HONOURS
Among the Honours bestowed by H,M. The King were the following to members of the Order, the Association, and the Brigade:Knight Bachelor. Charles Henry ' O.B.E. Lt.-Col. Thomas Guerin; FredeNewton; Captain Clevelan d Fyfe , C .B.E. rick Keenan Morrow; Patrick O'Neill. K.C.B. Lt.-General Al exander Hood , M.B.E. Frank ,,\iValter Austin; Gertrude C.B.: C.B.E." K.P.H., late R.A.M.C. Josephine, Miss Jude; Archibald
G.C.M.G. Sir Henry Monck-Mason Sawers; :lVIiss Edith M. Fenton; 1\,lrs. MGGre, K.C.M.G. _ E . B. Little; Dr. Frederick Charles C.M.G. Richard Ogilvy Ramage; Co l. Middleton; Hugh Sidney Cann; The H. Des Rosiers; Col. Stuart Taylor Wood. _ Lady Ebbisham.
K.C.V.O. Major Henry Hudson Fraser, B.E.M. Albert E. "\i\Tells; E. Keightley. C.V.O" ,O.B.E. I.8.0. Thomas Daniel ,,\iVilliams.
C.B.E. Col. Sir Philip Carlebach, e..M.G" Kaisar-I-Hind Gold Medal. Grizel, T.D. ; Brigadier RobeI:,t , Marsden The Han. Lady Hope; Emely Luton, M.C. Lady
,
The Future of --the St. John Ambulance Brigade
By N . CO RBET M.A., M. B., M.R .C.S., Surgeon -in-Chief
Recently someone raised a question, as instances the Surgeons are treated as mere to the fuiure of the Brigade and asked figureTheaqs, are given no real insight into what in my opinion will be its likely Divisional activities, and are left to think position at the termination of the present out their own methods for training the hostilities. members and to discover what is happen-
Whilst it is difficult to forecast the exact ing in their units. line of development, some g uidance may It must b(nemembered that the Surgeon, be obtained by looking backwards to the who is the technical head, does not know 'lhr of 1914-18 and by considering how the work of the Brigade to the same extent far the experience of that time will apply as does the Superintendent who is the to the future. executive head of the Division; and that
During the last vVar many new Divi- a Division will o nly be happy and prospersions came into being, and the established ous when these two Officers work hand-inDivisions received many new members. hand. A case can be cited of a general There was a natural desire t <'l help in the practitioner who at the outset ot his war effort and- recruits were encouraged career was asked to assist a Division. to take up work for this purpose. . This He was told that he was far too busy a was a commendable idea . As, howev er, man to attend weekly like the other memthe men and women had joined for war bers and that if he co uld attend once each service, they were perhaps justified in month he would afford help .vhich would thinking that with the end of the ,TVar be gratefully accepted. The outcome of their work also ended. Consequently this was that the enthusiasm of this there was a considerable falling off in the Surgeon was excited; that for many number of Divisions and in the member- years the Superintendent and he used to ship of the Divisions _ whi}:h remained. vie with each other for top place in the Indeed, it was not until 1922 that the ,\nnual reco!"d of attendances at Divisional Brigade Roll was stabilised. This state practices; and that this unit became of affairs is not desirable; and it must be happy and prosperous. the aim of each one of us to maintain our My second and equally important point strength, no less than our efficiency, at is that all members m ust give of their best the end of this war.' in whatsoever ambulance duties they are
At the outbreak of the present hastili- engaged within and without their Divities the Chief Commissioner wisely decided sions. By so doing they will create an that the personnel of the Brigade should atmosphere favourable to the Brigade offer their services, as individuals, to the which may be submerged for a time in local authorities who had been given the the Civil Defence Organisation even if responsibility of the ' casualty at the outbreak of war in 1939 many of service in Civil Defence. To many this its units formed the nucleus of this Service. seemed <1 way of losing our identity as an Nevertheless, the knowledge that they organisatio:q.; and to some this are Brigade members and are giving real was true, though, as the onus was on the help will always be recognised. .local authorities to form the new units, There ha.ve come to my notice instances the step could not be avoided. in which those in charge of local Civil Our problem, however, is to consider Defence units have expressed their satiswhat can ,be dOJle to regain, when fightin g faction with certain individuals and have ends, the standing which we had in 1939, been grateful to the Brigade for the work and then to try to estimate the develop- done in making them so efficient. Again, Ilf.ents which may take place. the officer-in-charge of a certain Blood
First and foremost I would urge the Donor Organisation told ' me that when necessity for maintaining happy and pros- some of our Ambulance Sisters attended perous Divisions, in which the DiviSional for duty, she had no cause to worry Surgeons play a most important part. because those members knew their work ; A good Surgeon will contribute much and she also was grateful to the Brigade towards the maintenance of a good Divi- Again in the voluntary assistance given sion by stimulating the interest of mem- to hospitals Brigade personnel frequently bers and so helping to aUract recruits; stand out as individuals who are highly an.d 'without a good Surgeon no Division efficient and demonstrate the ]jesults of can really :flOl!l!!lfiSfl . goo\i training in the Brigade before they
The majority of Surgeons are eager to took up hospital duties. help and to give of their special know- The effect of the good impressions thu s ledge; but at times they :find that they made will be that in the future as in th e get little assistance from the Lay Officers past there will always remain a high regard of their Division.. J1+ short, in too many for the Brigade and its personnel when 148
the need for their help in Civil Defence has passed Moreover,. the themselves will cease theIr war actIvItIes with the knowledge that it was the Brigade which enabled them to render efficient service and they will r.etain an affection for the organisation which will go a long way towards causing them to remain members of the Brigade.
Whilst it is useful at present to enrol mem bers who are keen to help in the wareffort, it is undesirable to seek such individuals b.ecause we know that many will desert when the war is ended. Building up the membership of our Divisions be done with an eye to the future and Its needs.
Further, it is essential to take steps to keep in touch with those of our present members who are serving in H.M. Forces or for other reasons are temporarily away from home. If these feel that they are forgotten now and that being out sight is being out of mind, they will consider that they are not really wanted, and they will not return to the Brigade for the peace-time work which will surely come.
There may he a tendency for the voluntary organisations interested in first aid to work ' in closer contact and even · to merge. ' Nevertheless, in proportion as our members work efficiently now and do their utmost to uphold the good name and traditions of the Brigade, even so will the standing of the Brigade be raised and its power in any such merging be increased.
It has been said that Civil Defence has come to stay. This means that after the war there will still remain some kind of organisation, possibly under· the local ' authorities, to keep the system in force and ready tor any new emergency. Personally I doubt very much if this will be on a paid basis (except perhaps with a few individuals); and I fancy that it will be established on the voluntary system. In such post-war organisation the Brigade will take its full share, if only we maintain our efficiency to the full and if we-each and all-remain true -to the glorious traditions of The Order and the Brigade. .
OB IT UAR Y
Newly enrolled members should be made to realise that the Brigade is primarily The Brigade Overseas has suffered a a civilian organisation for dealin g with tragic loss in the death of 1\1r. Alex M.civilian emergencies; that it serves its Anderson, O.St .J., Secretary of the most useful purpose in days of peace; Association and Staff Officer to the Command that it will have need for their services andery and Priory of Southern Africa since when the war is over. Further, they the establishment of both. s hould be told something about the Col. Sleeman (Chief Commissioner wonderful history of the Order which is Brigade Overseas) has sent in the following the governi:q.g body and appreciation:ways in which for many centurIes Its As one who had the benefit of his great members have ever sought to give help experience and exceptional ability during to the sick and injured. my official tours of Southern Afii-ca of My third and final point is that every- 1935-36 and 1938 I can truly say that I thing possible should be done to encourage have never been better served, while he our Ambulance and Nursing Cadets on gave the most valuable aid both in the whom the future of the Brigade depends. preparation of the itineraries and during Although it is 20 years since the Cadets tours themselves. A delightful were first admitted to the Brigade, it is personality, strong vigorous character and only in the last two years that a note- devoted to the service of the Order, 1\1r. worthy increase in their numbers has b een Anders.on was also a n;an of almost superobtained. To-day, as part of the Youtp. human energy who expended it all in Movement, boys and girls are being urged helping fon¥ard our work. The Priory to undertake some form of pre-service of Southern Africa and its Association and training; and many have joined our ranks, Bri gade has lost in Mr. Anderson one of thereby obtaining instruction in matters the finest servants of the Order that I which will be of great assistance to them have ever been privileged to know and an throughout their lives. Further, the officer of rare quality whose personality keenness of our Cadets is proverbial; and stretched over every part of the fabric of ere this some have done outstandin g work its work throughout the Union. It will be which has been duly recorded in the remembered that Mr. Anderson attended Interest1:ng Ca.se R eport s of THE GAZETTE. the Centenary Celebrations of the Order As to the future I see no grounds for in ' 1931 and the Jubilee Celebrations of thinking that the main structure of the the Brigade in 1937 in charge of the Brigade will be altered, especially the did representation from Southern Africa proud fact that it is a voluntary organisa- of the Brigade Overseas which won such tion of which all its members, from the admiration from the Brigade At-Home . Chief Commissioner down to its most In all the 200,000 miles of official travel j u nior Cadet, give their services without and notwithstanding the many any payment or other financial reward splendId personalities who gave such 14 9
B
valuable assistance in many parts of the British Commonwealth of Nations, never did l' meet a more zealous and capable offiGial of the Order, or one with whom it was a greater pleasure to travel. In Mr. Anderson's lamented death our Venerable Order has suffered a grievous loss; and Southern Africa one who has done much to both establish its work and to bring it to high efficiency throu ghout the Union.
FIRST 'AID LECTURING
By DR. 'V. P. KENNEDY
\Vhile I was a medical student, there was a in the University about formal lectures which a strong body of opinion wanted to abolish. The argument was that students could read all the matter of lectures in text books, so why must they listen to indifferent lecturers>. The objectors failed to carry their point, for majority opinion held that lecturers gave something which books could not, and moreover it is not a valid criticism of the system to .say that some lecturers are poor.
The recollection of this coupled with recent experiences of examining in fi r st aid made it seem worth while reconsidering what we are trying to. do by lectures. Then the aim and practIce of lecturers appeared to vary so widely that I. was led to put forward some of .my own Ideas partly in the hOFe they might be u sefu l to other l ecturers, and partly that they might attract which would help me.
I start a course by telling the studen'ts
Not only trus but when properly fostered it grows. My own interest has grown for three reasons, of which the first and strongest is that I am continually learnin g more of the subject. First aid is a surgical (or medical) speciality just in the same way as dermatology, orthopedics and the like are specialities, and is perhaps as much outside the ordinary day-to-day work of the practitioner as the specialists' procedures. In the majority of accident cases the doctor does not see the case till after first aid has been render ed by a member of the Brigade or other trained l ayman. In the time which has elap sed the clinical picture has changed, bleeding has been stopped and so on, thus the problem facing the doctor differs from that met with by the first aid er. Then the doctor's extensive knowledge and facilities enab le rum to give full treatment and not merely aid. So I find myself continually learning more about first aid, and as is th'EY case with most studies, the more one goes into a sub j ect the more one d iscovers how big it is. Students tell me of cases they have had or seen, th ey set me posers, books and papers continually bring new points of view to notice: and this all in addition to what one learns from actual experience workin g with first aiders. Much of first aid treatment depends on intelligent improvisation, for it must be given on the spot with the facilities to hand; and these do not always include saline solution, ready padded splints and cups of well-sugared tea. Workin,g out methods of improvisation is fascinating, stimulating and instructive.
I am not goimg to read the poek to them, The second reason for increasing interest nor am I going to deal with every point in the subject is the continual search for menti cmed in th e text. Further, I pro- better methods of exp lanation, especiaUy pose to tell tpem thin gs that are not in for the simplest and most straightforwa rd the book, and so they must re gard the form of words. I tell . my classes that I book and the lectures as complementary, p refer" sweat" to "perspiration" and both being r equired to give the full picture " belly" to "abdomen." These words of the sub ject. In saying that lectures may not be thought elegant in some circles will contain much that is . not in the book, but they are good accurate En glish-and it must be made perfectly clear that this thE! classes have invariably agreed. The does not mean additional doctrine or new most illu strative anecdotes and cases must methods of treatment or ' unorthodox be sou ght and used for well-to ld case opinions are to be aired. Far from it; incidents are r ecalled and their lesson indeed, the principles laid down in the applied when other instruction is forgotSt. John book must be followed ten. It is a good plan to tell an occasional deviation. The extra matter conSists of anecdote with a humorous slant, lor explanation why t.hings h vw laughter now and then eases the descripvarious conditIOns anse and the lik e, and tions of blood and injury which many also anecdote and illustrative story to stude nts find 'So trying at first Besides, point the moral or ornament the bare laughi n g incr eases the blood supply to bones of a subject which can be extra- the brain and promotes alertness and ordinarily fascinating-or extraordinarily attention! One of America's most· pro,dry according to the manner of presenta- mine nt Professors of Surge ry told me tion. _ h e always planned to make his classes
The first duty of a l ecturer is to interest laugh at l east four tim es in an hour's ' the class in a subject. To do this he lecture. "It keeps them from falling mu st himself be thorou ghly interested, as leep" h e said-and he was one of the for interest is a very infectious condition. best lecturers -I have ever heard.
150
The third cause for my greater enth"!lsiasm for first aid training is that I find it wakening in th e student'> more and mo re interest in the wider aspect of health ed ucation. This is excellent and can only bear good fruit. I have not come across 1.ny who have been led into a morbid or hypochondriacal interest, and proper presentation prevents the over enthusiastic student trying to encroach beyond his p rovince.-
But the classes do show interest in health matters th ey have never thought of before and I believe that in addition to their" direct" service, the Association an d the first aid movements are doing valuable work in indirectly interes tin g peo ple in the facts and the value of health. In addition to this oblique stimulation
of interest in health education, there is a direct opportunity for the Brigade and orga nise r s of first aid lectures under the Association to help in the educative cru sade of the IVIinistry of Health and the Central Council for Health Education. It is to run more courses in Home Hygiene and in sanitation. For some r eason, these subjects have been comparatively neglected. Yet they are of first rate importance and intensely interesting. The chance of lecturing in one of these subjects makes a good opportunity for the lecturer who does many ordinary first aid courses to break away from his stereotype methods and freshen up his ideas. We "vill not be too ambitious if we aim at qualifying every holder of a First Aid certificate in Hygiene or Sanitation as well.
t[b e 3f ohn jirigabe
EW ZEALAND. - An encouraging repo rt has been rece ived givin g details of the work done by both Ambu lance and Tursing Divisions. The membership has increased by over 2,500, and 99 new Divisions have b een formed.
lore varied demand s have b ee n made for the services of memb eTs and these have always been well met; 20 men gave their services to help with the tran sfe r of patients from Hospital to a Convalescent Camp, a distance of over 50 miles, 145 stretcher cases being transferred in ambu lances and special trains. Members are also helping in hospital s, Military Medical Boa rds of Examination, Clinics, ' Blood Transfusion Depots and A.R.P. work.
Twelve members have receiv'ed the Service Medal of the Order, an d eleven have received a Bar for five years' additional service .
Cadet Walk has also made wonderful progress, 146 Cadets receivin g the Grand Prior's Cadet Badge. Senior Nursin g Cadets have been helping in the children's wards in the \ Vellington Hospital, and have received great praise for their work.
An ambulance station has been erected at Palm Beach in the Auckland District, a nd steps have also 'been taken to provide a traile-r ambulance for the use of local Divisions.
Members helped with the devastating fi r e at Lytte1,ton on Christmas Eve, rendering first aid 9-nd supplying r efreshments and comforts during the night and the following day. These services earned the thanks and praise of the Borough Council.
INDIA.-Much of the news contained in the Annual Report from India ""'ftas a lre ady. appeared in THE' GAZETTE, but
151
•the following items are of interest:-
Two new Districts and more tha n a hundred new Divisions hav e been formed during the year; the total membership now being 16,274.
As well as the ordinary public duties members have been manning F.A. Posts; in one area over 75 per cent. of the entire Casualty Service has been provided by Brigade personnel and ' all, the remaining volunteers have been trained by the Assodation. The entire persormel for the A.R.P Casualty Services on the North Western and Great Indian Peninsula Railways is being enrolled from the Brigade. In Bombay members of an Ambul ance Division were on duty, by rotation, every night durin g the year in conI;lection with the A.R.P. m eas ures for the port area.
The ]I.lobile Units have done much useful work. . The Bombay Unit has moved in to a new Depot, where, in addition to its garage and workshops, a rest room, dormitory for ten, store room and office are The Unit has a strength of 65 women, including 15 Indian women. Divisions all over India bave given excellent service in helpin g and running canteens, with the transport and care of civil and military casualties, in running a Convalescent Home for British troops, helping ,ovith evacuees, and in many pther ways.
Since the inauguration of the Auxiliary Nursing Service in October, 1941, there has b ee n a very e ncouraging respopse. 15 ,000 have applied for admission; 1,848 members have b ee n trained so far, 1,170 of whom, belonging to 30 nationalities and communities, are serving in mili tary ho spitals in Indi0- and abroad.
«abet J}rws
, County - of Stafford.-LadY DunbarNasmith (Chief Officer Nursing Cadets), accompanied by Miss Cunard, recently visited Staffordshire. May 29 was taken up by a Cadet Officers' Training CQurse held at Stafford, at which some 75 officers attended. The Archdeacon of - r Stafford, The Ven. R. L. Hodson, conducted a short ,Service, this being followed by an inspiring address by Lady Nasmith and interesting and informative talks on the training of Nursing Cadets
On Sunday, May 30, the Chief Officer for Nursing Cadets, accompanied by County CommissioneI; E. E. Dudley, Lady Mander (County President), The Countess of Dartmouth (County Vice-President), Asst. Commissioner Dr. McColl, County Surgeon Capt. F. L. Richard, Lady County Supt. Mrs , Dudson, Staff Officer .Miss Cunard and Lady County Cadet Officer Mrs. Bayley, paid a visit to the Southern Area of the County. At Wednesbury the Mayor (Councillor D. C Jackson) welcomed the party, and Cadet Divisions of the following Corps were inspected:Walsall, West Bromwich, Tipton and Cannock. At the Willenhall F. A. Post the- Local Cadets' were inspected. Proceeding to Wolverhampton the party was joined by the Mayo,r (Dr. A. Byrne-Quinn, County A.R.P. Officer), and the 'Cadet Divisions of the Wolverhampton Corps inspected.
In the afternoon fifteen Divisions ' were ij:lspected at Hanley in the North Staffordshire Area. At the Town Hall, Lady Dunbar-Nasmith and party were joined by the L ord Mayor and Lady Mayoress (Ald. and Mrs. Austin Brook), Sir Francis and Lady Joseph (County President and Vice-President respectively), Commissioner S. W. Malkin and Mrs. Malkin, Asst. Commissioner Dr. Johnston e , County Surgeon J. Manuel Lewnam, District Officer F. G. ·Porter, Lady County Officer Mrs. Penny, Lady County Cadet Officer Mrs. Woolf and officials of the local activities. The Lord Mayor welcomed the guests an d Lady Dunbar-Nasmith gave an encouraging address to the assembled -Cadets. Sir Francis J o;;eph, .Commissioner Malkin and County Commissioner Dudley also. spoke.
Lady CQunty Supt. Mrs. Dudson was responsible for the of the Training Course and Inspections.
Mid Bucks Area.-An Ambulance Cadet _ Officers' Course was held at Slough on May 30. Asst. Commissioner R. J. Collins opened the proceedip.gs, other speakers being County Surgeon Lt .-CoL Hunt, Staff Officer Hannam, -Corps Supt. Druce, and Cadet Supts. Cherlish and Lunnon.
A new Cadet Ambulance Division has been formed at St. David's College, High Wy«ombe. It will be commanded b y Capt. H. West, Headmaster of the School , 36 members being enlisted.
Chalfont St. Peter Cadet Ambulance Division recently held an Enrolment Ceremony when 23 Cadets were enrolled . Asst. Commissioner Lt.-Col. Collins presided, being supported by Corps Supt . Alder, Corps Officer Pitt-Kethley, Supt . Andrews and Cadet Supt. Jackson wh o raised the unit. After the ceremony th e gathering was entertained to a conjurin g show.
Most of the schools in the Area are peing systematically approached and it is hoped to start more divi sions in th e near future.
BirminghawJ, County.-On June 6, a Church Parade of the Birmingham County Cadet Divisions was held at St. Paul' s Church, Birmingham. About 600 Cadets paraded under Corps Supt. Lt.-Col. H. H Clee and Corps Officer W R. Beckwith ,The Service was conducted by the Rev E. A. F. Morgan, M.A , Vicar of Holy Trinity, .Bodesley, who gave also an inspiring sermon. County Cadet Officer Rev. W. H. Hargraves read the L esson and durin g the Service County Commissioner Sir Bertram Ford enrolled 142 ne w Cadets. Those present were much impressed by the enrolment ceremony.
After the Service there was a march past, the salute being taken by the Count y Commissioner.
No. 1 D is t1'ic t .-A team of five girls representing the Enfield Cadet Nursin g Division gained fir st place in a competition held by the Enfield First Aid Leagu e for members of Youth Organi sations
The Countess of Lytton, Vice-President of the Nursing Cadets, visited Muswell Hill for the enrolment of Cadets in th e 32/3 (Horns ey ) Cadet Nursin g Division
Others present included the Rev. Stanle y Spencer (who presided), Mrs. L. D . Gammans (who apologised for the absence of her husband, Capt. Gammans M.P.), Lady District Office r Mrs. Rayner , Lady District Cadet Officer Miss Cleasby , Lady Supt. Miss Hurrell and a large gathering 'of friends. Lady Cadet Supt Miss- Stranger was in charge assisted b y Cadet Officer Miss OUiver. This Divisio n which was formed only a year a go no w has 40 Cadets holding first aid certificates , 20 in Home Nursing, 37 in Child Welfare, 8 in handicrafts, 20 in A.R.P. adull course and 1 in swimming. ' During the last six months the members have perform ed 1,115 hours of duty in hospital, day nurseries and public libraries.
Members of the Tulse Hill Cadet Nur sin.g Diyisi.on _ held a display and conce rt Oil- June 25, under the direction of Lad y 152
Cadet Supt. Miss Barker and Cadet Officer Miss Etheddge. During the prcceedings L ady District Cadet Officer Mrs. Cheyney enro lled three new members. A most I:'njoyable and excellent programme was give n by the Cadets. A c ollection in aid of the Prisoners of War Fund and Cadet Fund raised over £11. Bedfordshire.-300 Cadets from Bedford, K e mpston, Stewartby and Gt Barford were 'entertained at an American Aerod ro me by invitation of the O fficer Command ing to the County Cadet Officer J un ior Commander Mrs. Hugh McCo rquod ale. The Cadets were inspected by Col. Cole man, American Army Air Force, and t he n allowed to see and enter a Flying F ort ress. The Military Hospital at the same aerodrome has been adopted by the Gt. Earford DiVision and Cadets take eggs, frui t, flowers and magaz ines to the American patients every fortnight.
Cadets have ,vritten stories, essays, p oems and histories of their divisions for a book to be published this month t hro ugh the kindness of Mr. V. E. Goodman, D L., J .,P. Special messa ges have been sent for this new venture by ,Lady Lo uis Mountbatten, Lady Dunbar-Nasmith , Major Darvil-Smith and many impo rtant personages in Bedfordsbire.
Plans are being made for two National Serv ice Camps of 250 Cadets to be run in August under the auspices of the Vvar Agr icultural Executive Committee.
Le iceste rshir e and Cadet Officers' School was held over Whitsuntide week-end in Leicester. County Com missioner G F Browne presided at the openirrg ceremony and some 40 Officers (men and women) attended from all parts of the County, some cycling. over 50 miles. Discussion groups were held and many difficu1ties were . solved and enco uragement given.
Call1bridgeshire.-On June 19, a display was given by Ambulance and Nursing Cadets at Houghton Hall, Cambridge. Those prec:ent included Lady Nasmith (Chief Officer Nursing Cadets), County Lord Fairhaven, Lady County President Mrs. A. Fitzpatrick, County Vice-President Major E. Saville Peck, County Commissioner Dr. K. S. Maurice-Smith, Lady County Supt. Mrs. Man ley, County Treasurer Lt.-Col. G. L. Archer , County Cadet Officer Mrs. : A. Ettridge and other office:rs.
The Display opened by Col. Archer speaking on the history of the Order, being followed by short dem.onstra,.tions in first aid, home nursing, child welfare, organised games, etc. At the march past Lady Dunbar-Nasmith tooE; the salute.
Dr. Maurice-Smith congratulated the Cadets on their excellent work and referred to the presence of the Chief Officer for
Nursing Cadets. Lord Fairhaven thanked the Cadets for an enjoyable time.
Lady Dunbar-Nasmith said how much :;he had been with all that the Cadets had done. The work carried out by them was of ' national importance; the future of the Briga.de was ill their hands.
Mrs. Manley proposed a 'Vote of thanks to Lady Dunbar-Nasmith and Col. Archer.
Penzance.-An enjoyable dance was held by the Penzance Ambulance Cadets on May 25, in aid of their contribution to the Cadet orthopcedic cot w.hieh is to be installed in the Truro Hospital.
Wakefield
Cadets with a target of £10, eventually raised £53 in the Wak.efield "Wings for Victory " . Week.
Mineh ead.-The first individual competition for the "Cyril Sage Memorial Cup" among members of the Minehead Cadet Division was held on June 1. This cup was given by members of the Senior in memory of one of their members wbo was' killed' whrlst carrying out; first aid during an air raid. Th-e tests were judged by Supt. F. C. Tarr and Staff Sergt. L. A . Jordan (practical), Sergt. F. G. Jones (oral) and Pte. A. Hawkins (bandaging and handseats).
The result was: I, (Trophy and cul? given by Supt. Tarr and a first aid outfit) Cadet Corpl. W. Board; 2, (first aid outfit) Cadet P. Stubbles _ The awards were presented by Vice-President Mrs G. H. Hawkins. were extended by Cadet Supt. W. Pring who was in charge of arrangements Stourbridge .-On May 25, tbe enrolment of the Stourbridge Cadet N:ursing Division took place, Lady County Cadet Officer Mrs. H. Robinson performing the ceremony. Also p'resent was tbe Mayoress (Mrs. F. J. Pearson).- Lady County Offic.er Mrs . Porter, Corps Supt. A. Wimbow, Lady Corps Officer Miss Div Surgeon C. F. Keane ' and others. '
Lady Supt. Mrs. M. Davies gave particulars of the formation of the Cadet Division and Mrs. Robinson expressed her pleasure in enrolling the first 36 mem- ' bers. This was the seventh division she had enrolled in the County. She presented warrants to Cadet -Supt. lVIiss Freemantle, Cadet Officers Mrs. Simpson and Miss Scriven. -
NorJolk.-Mrs. Chapman Gaymer, VicePresident of the Cringleford Nursing Division, kindly lent her attractive grounds for a Garden Party held on June 5 for the Nursing Cadets, Lady County Supt. Dr. MCl.¥' Rutledge presented aid and home nursing certificates and conducted a1). Enrolment Ceremony. A very happ}:" !tfternoon closed with being ex(COICtinued on pac. 1-()6)
Utbt ·&t. Jobn
HEADQUARTER NOTES
The effie] Commissioner regrets to record the resignation of Lt.-C91.J. E. MccGwire as Asst. Chiet Commissioner and Chief Qfficer for Ambulance Cadets. Col. MccGwire will remain attached to the Staff of the Chief Commissioner as an Inspecting officer.
Matters relating to the organisation and administration of Ambulance Cadets \¥ill be dealt with by the Secretary.
The Standing Conference of National Juvenile Organisatiop.s has under consideration the causes and incident of industrial fatig.ue amongst young people betw€en the ages Qf 14 and 20, in regulated and unregulated employment The Group set. up to investiga:te this question is desIrous , of receiving evidence from Voluntary Youth ' Organisations, from Personnel Managers, Welfare Officers and Club Leaders, and particularly from Medical Practitioners.
Any Doctors who are interested in this question, and who are \:villing to fill up a very short questionnaire, are asked to communicate in the first instance with Surgeon-in-Chief at 166, Haverstock Hill, London, N.W.3.
B.rigade Mackintosh Cycling Capes are availa"ble from Stores Department, price £1 3s. 4d. (titles extra) and 6 coupons. No.1 (PRINCE OF WALES'S) DISTRICT '
To. 10 years as CommisHeadquarter Staff presented to Capt . .W. Goodley a gold wristlet watch, suitabLy inscribed, on June 21. District Staff Officer Green presided. Asst. Commissioner S. J. Warren referred to the most 'successful, if strenuous, period of No.1 District since Capt. Goodley became Commissioner in 1933 During that time many important functions had taken plaee: Jubilee Celebra"tioris, Funeral of King George V, the Coronation, the A.RP. scheme in 1938, and finally the outbreak of war, in 1939 . UNder the wmmand of Capt. Goodley the District had grown from 9,000, to 26,000, nearly one seventh of the whole of the Brigade. Capt. Goodley was on every Committee of the Order and the Brigade and it was hoped that he would be spared to lead them for many to <;.ome. -
Cal?t. Goodley, who was taken by surpnse, returned thanks for the gift. The growth of the district was due to the work of the Headquarter Staff and every member of each and division. The way in which members ·carried out the public duties had made " a name for the District and if future dlilti.es were ca:\ried out in the same way the hicYh standard 0f efficiency expected
No. 1 District would be forthcoming.
Asst. Commissioner Dr. Bendix and Staff Officer BurtoN also paid tribute t o the work of Captain Goodley.
EASTERN AREA.-On June 19, Capt Goodley earned out the inspection of the Eastern Area at Valentines Park, Ilford Some 1,300 members were on parade Asst. Capt. F. E and Ius Area Staff, includin g DIstnct Officers Haines and Laune·Long , Lady DIstnct Officer Mrs. Morrish, District Staff Officer (Ambulance Cadets) Bower, Lady Caqet District Officer Miss Parrott A.RP. Officer Corps Supt. Ambler. companying the Comrr:issioner was th e M,ayor and Mayoress of Iliord (Ald. G. J. Wetton and Mrs. Braithwaite), the Deputy Mayor (Ald. T. Braithwaite) Mrs. Goodley and Mrs. Bendix.
After the march past, music for which was provided by the Ilford St. J ohn Silver Band, Capt. Goodley addressed the parade. After congratulating them on their smart appearance he thanked them for the work they had done in the past and for the work they would be called upon to do in the future.
58/4 (C.T.O.) DIVISION.-Mr. F. Riley, L.T.R. Telegraph Branch and Divisional President presided at the presentatio'n of awards at which Asst. Com. Capt. R V. Steele was present. Mr. H. S. J. Batterbury gave an interestin g talk on the "Historic Traditions of the Order" which was followed by the distribution 99 awards. Mr. Riley spoke of the ur..selfish example shown by the recipient s and promised every assistance to further the work. Amb. Officer C. P. Sampson moved a vote ot thanks.
HIGHBURY NURSING DIVISION.-This Division recently held a First Aid and Home Quiz against the Homsey Nursin g DlvIsl0n. Lady Distrid Officer Mrs. Rayner and Lady Cadet District Officer Miss Cleasby were the umpires and Supt. Turtle (58/6 Division) the question master. After a closely con,tested competition Homsey Nursing Division were the winners b)' 2 marks.
FouND .-A Medallion inscribed" Pressented to Walter E. Luckett, No. 16 Div S.J.A.B., for Services during Air Raids."
The Medallion is of silver with bronze centre and was issued during the last war. As no trace can be found of a member of this name owner can obtain same from Supt. W. H. Webb, 55, Road, S.E.4.
COUNTY OF HAMPSHIRE
H.RH. The Duchess Kent (Lady Pr i0IY for Wales), 1l1spected many divisions of the Central Area on May 22. Accompanied by her ·154
Lady in Waiting, the Lady Herbert, Lady by J;.-ady County Supt. the Hop.. Louis Mountbatten (Lady'Superi'ntendent- Mrs. Cubitt. He referred to the part in-Chief At-Home), County Commissiofler which members could play in the postMajor A. Tennyson Smith, Lady County war reconstruction. Lady County Officer Supt. the Hon. Mrs. S. R. Cubitt, she Mrs. White stated that three new nursing visited Winchester where the Mayor (Lt.- division s had been registered in the disGen. F. H. Griffiths) welcomed the party, trict; 'Wickham, Fareham Youth Centre On parade were four members of the Win- and Portchester. and two new cadet divichester Ambulance Division (RA.M.C.) sions at Fareham and Sarisbury. who had just been r epatr iated from Italy. Warrants of appoi,ntments were preAt Southampton, where some 250 mem- sented to Div. Surgeo n Miss E. E. Lodge, bers w ere on parade , the Mayor met the Mrs Dyke (President), Mrs. Duttson and party and accompanied Her Royal High- Mrs. Barnes (Vice-Presidents) ofthe Youth ness on her to ur of inspection. The next Centre Division, and Mrs. Harman (Presicall was made at T otton where the Duchess dent) of the Portchester Division. was welcomed by Major-Gen. Sir Richard COUNTY OF LANCASHIRE Lee, County Vice-president. Tea was CLEVELEys -The annual presentation provided by Lady County Officer Miss of awards to members of the Cleveleys Everett and the Totton Ambulance and Nursing Division was carried out by Dr. Calmore Nursing Divisions. A. H. Penistan (M.O.H.). Mrs. Penistan The last inspection was carried out at (President) presided and the bad ge of RO'l'II,sey where 2 memb e r s recently re- office was presented to Vice-president patriated from Italy were on parade. Mrs. R F. Hurst. Asst. Commissioner During the course of her different W H. Gastall gave an encouraging talk in spections Her Royal Highness spoke to and emphasised how necessary it was to many officers and members, and Area keep in touch \:vith th e" Black-book." Staffs were presented to her. She ex- COUNTY - OF KENT pressed her approval of the smartness EDENBRlDGE.-The annual inspection and steadiness of the parades. ofthe Edenbridge Nursing and Cadet NursAsst. Commissioner Dr. Clayre was in in g Divisions, was carried out by the Lady charge of the divisions. Violet Astor, County President, accomPORTsMouTH.-The Portsmouth City panied by Asst. Lady County Supt. Miss Ambulance and NursingCorpsrecentlyheld May, and Lady County Officer Mrs. May. a combined Church Parade \:vith members Also present was Vice-president Mrs. D. of the B.RC.S. at St. Mary's Church, Brown , Cadet Vice-president Lady GreenKingston. - The Rev. Canon '-lV. H. way, Dr D. Bro wn, and Mrs. H. Dane. Knight, Chaplain to th e Corps, gave an The cup for the best Cadet of the year interesting address. The Commander.in- was presented by the donor , Lady Violet Chief, Admiral Sir Charles Little, took the Astor, to Cadet Sergt. M. TelfeIO. Three salute at the march past. squads competed f0 11 the cup presented PORTCHESTER.-The annual Church Par- by Mrs. D . Browne, to the Nursing Diviade of the Portchester Nursing and Cadet sion, the winners bein g led by Sergt Steer. Nursing Divisions was held at the Church Amb. Officer Miss Robinson, on behalf in Portchester Castle. The Rev. Spinney of the divisions, presented Mrs. Offard gave the address; and Asst. Commissioner (late Nursing Officer) with a wedding gift Lt.-Col. Marshall accompanied by the and wished her every happiness for the Vicar and Dr. Maybury, inspected the future. parade.
COUNTY OF NORFOLK ANDovER .-Mrs Jenkins made her ini- CRINGLEFORD.-Mr. Chapman Gaymer , tial appearance as Divisional President at Vice-president, presided at the annual meeting of the Andover Nursing meeting of the Cringleford Nursmg DIVlDivision. After inspecting the members sion, held in the grounds loaned by Mrs. she presided at the meeting. Various offi- Gaymer. Lady Supt. Mrs. Dodson gave cers reported on the activities of the Divi- an account of the year's activities, thanksion and it was announced that Cadets ing Dr. Edmondson for giving a course of had been provided \:vith uniforms by lectures , also Sister Bryant. Thanks were coupons given by the parents and cash also extended to Mr. Bulman, Drs. by the Adult division. In addition to Barradell-Smith and Stuart for giving 124 public duties, 785 ambulance and lectures on specialised subjects. Per632 at posts and points had been carried sonnel of the Division staff the 2 Cringleout. Many members were engaged in ford F.A. Points and several work in the C.N.R. and C.D. work. Div. Casualty Services. Assistance is also M. B. Savory and County Surge'on A. A. given at St. Andrew's Hall, Norwich, Cocltayne gave interesting talks before Services' Club Sick Bay. the meeting closed Thanks were expressed to Lady County FAREHAM.-Asst. Com. Lt.-Col. Marsh..all Supt. Dr. May Rutledge, who in turn inspected the Fareham and District thanked Mrs. Gaymer for -her interest in Nursing Divisions, being accompanied the work of the Division. 155
COUNTY OF SUSSEX
The Duchess of Kent recently paid a visit to the County of Sussex and inspected Brigade personnel at Crawley and Bridges, Horsham . Henfield. Lancing. \\ orthing, Littlehampton, Bognor Regis anel Chichester. Throughout" the tour Her Royal Hi ghness was accompanied by Lady Herbert (Lady-in-''Waiting) , the Countess of Bessborollgh (County President), County Commissioner D . Bryce, and Lady County Supt. Miss Hubbard. _ At Horsham the ·Duchess watched with interest a c1emonstration of first aid and was particularly interested in the application of artificial respiration. At Littlehampton. Service Medal Ribbons were presented to County Officer Miss Rockall a,nd Nursing Sister · Mrs. Rockall. Reaching Bognor Regis the Duchess formally opened the new headquarters, receiving the key from Lady Supt Mrs. Pryde.
At every inspection the Duch €ss passed up and the smartly drawn-up lines and expressed satisfaction with all she hael seen. M€mbers of the County Staff, officials of the Local Authorities were presented to the Duchess. A cheery welcome was given at every place visited.
COUNTY OF SURREY
CHERTSEY -At the church parade of (:hertsey Division, members from neighbouring divisions attended, also C.D. personnel, British Legion. \V.J.A.C Sea Cadets and N.F.S. Supt . R. J. Gristock was in charge and the Vicar of .the Parish Church (the Rev. C. L. Holthouse) coItduded the service assisted by the Rev. A. W. Austin (Congregational , Minister). Aftec the service the parade was inspected by Asst. J. P. Flavin accompanied by Lady County Supt. Thomas. Others present in-eluded President Capt. S. Craft. Div. Surgeon J. D Vaile. Mr. F. G. Matthews (Chairman of the Urban Council) and Dr. D. Ward.
ADDLEsToNE.-The Addlestone Nursing Division competed in the Leatherhead confest for First Aid C.D , and were successful in winning the Surrey County Cha:tp.pionship. The First Aid and · Rescue Party of 'the Addlestone BngaGe took part.
'COUNTY OF SOMERSET
PORTISHEAD.-Supt. T. H. Pugsley presided at the annual meeting cif the Portishead and District Division, supported by President the Rev. Canon Lee. After the satisfaetory report the 'Secretary stated that 163 calls had beem made on the ambulance and much valuaMe work had beeR done by the members. Supt. Pugsley meRtioned that 'the Nursing Division was :wel1 esta'Qlished and -ready for- duty. He congratulated
all members on ' their efficiency and the fine team spirit shown. The President paid tribute to the work of the officers. and men at home and in the Forces .
COUNTY OF WORCESTER
DUDLEY.-As a result of the Inter-Corps. competitions of the Dudley and District Corps and the North Worcestershire Corps, Brierley Hill will co mp ete in the AmbuLence and Nursin g County Finals The respective leaders are husband apd wife (Mr. and Mrs. K. Northwooel) anel it is. felt that such a result must be unique in the history of competitions that one town, led by husband and wife, will compete in the same day in a County Competition.
E'·EsHAM -Durin g the rece nt" Wings for Victory" \\l eek th e Evesham Nursing Division Savings Group of 25 members. set a target of £200 . This figure was. smashed most conclusively; the final figure being- 131 S 6s.
NORTHERN IRELAND DISTRICT
During the tirst week in J nne. Lady Louis Mountbatten (Lady Supe rint endentin-Chief) visited the Brigad e in Northern Ireland and sp ent five bu sy days On June 1, C.D , First Aid Post. a Military_ Hospital. an Industrial F.A. Pos t and the Headquarters of the Ulst er Gift F und were among those visi ted in th e Belfa st area. On June 2, the towns of Portad own, Clogher, Dun gann on and Strabane w e re visited.
At L o ndonderry on June 3, Lady Louis visited a U.S. Naval Hospital , the City and County Hospital and the Sailors' Rest In the evening an inspection of Ambulance and Nurs1ng Divisions was held in the Guildhall Square, the Mayor and Mayoress and other local officials welcoming Lady Louis and her attendants . June 4 was another busy day. Lady Louis travelled to Portrush and visited the offices of the War Hospitals Supply Depot followed by an inspection of Brigade personnel. In the afternoon she called at the E.N S.A. Hostel and then proceeded to Ballymoney where further pers.onnel were inspected. Further inspections were carried out that day at Magherafelt and Ballyrnena.
On June 5, Lady Louis inspected the Belfast Emergency Hospital and the offices of the Ulster Red Cross and St. John Joint Committee, th e British Red Cross Society and the , American Red Cross Club where she was receiv ed by Brigadier General Hill (U S.A.) and Mrs. Mackie, Club Director. In the afternoon Lady Louis travelled to Newtownards where she presented the prizes to the succesfuI competitors in the annual competitions of the County Down.
The final event of the tour was a Brigade Rally which took place in the Assembly Hall, Belfast, before a distinguished - (Ccmtinwd on p,,:e 166)
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GENERAL INTEREST the Amb ulan ce Transport Service, The annual of the Chapter o f which dealt with the removal of 20,225 the Priory for Wales, Order of St. J ohn , cases during 1942, involving a total mileheld in the Council Chamber, City Hall, age of 334,618. Cardiff, on St. John 's Day, marked the In his capacity of Assistan t Almoner, beginning of a new r egime Sir J ohn W. Sir Robert Webber gave an account of the Beynon, Bart., C.B.E., who was recently 98 Medical Comforts Depots operating appointed Sub-Prior in s uc cession to the un de r the Priory, from which 10,788 m ediEarl of Plymouth on his assumption of cal requisites and surgical appliances were office in the ,Grand Priory, presided on be- issued on l oan. The majority of the Depots half of the Prior, the Right Hon. D. Lloyd had been grant-aided from the Special George, P.C., O.M., M.l'., and in his first .· Areas F un d; and Sir Robert ass ur ed Chapaddress to Chapte r recorded changes in ter that the Priory's responsibility to the the executive personnel of the Grand public was bein g fully discharged by th e Priory an d Priory for Wales and moved a good use to which the equipment was b eing resolution dealing with the event still put throu g h the voluntary services of th e fresh ip. the memories of Chapter Members Depot Committees and pregnant with all the elements of In the absence of Mr. D : M Evanssorrowful tragedy, placing on record the Bevan, the report of the Treasurer was prbfound sense of irreparable loss s u stained presented by Mr. T. Edgar Smith, who by the Priory by the tragic death of the moved the adoption of the Revenue Prior, H.R.H. the Duke of Kent. Account and Balance Sheet as at Decem5 ir John mo ved also a resolution which ber 31, 194 2. The Assistant Re g istrar, was supported by speakers and passed as a Mr. E. D. Jones , reported on the reco gnitribute of r espect and gratit ude for services tio n of services, and the report of the rendered to the Priory by the Ea rl of Principal Secr'e tary and Commissioner for Plymouth over a period of nearly twelve Wales (the Hon. John H. Bruce) was years. Concluding his address the Sub- adopted. Prior assured Chapter he would be proud Prayers were read by Canon J. A. Lewis , •to play his part t o the best of his ability at whose invitation members had attended and commended their labours to the bless- a service held at noon in the Church of ing of God in spirit and the Order's St. John Baptist, Cardiff, where the admottoes "P-ro fide" and "Pro utilitate dress was given by the Rev. Kingsley homt'11,Um." '\ Archdall, M.A., Principal of St. David 's Sir William Cope, Bart ., KC., t endered College, Lampeter. ' to Sir John Beynon the congratulations CENTRE REPORTS and b est wishes of Chapter Members in his CAERNARvONSHIRE CENTRE new office of S ub- Prior. Sinc e his fi r st On Sunday, June 6, Asst. Commissioner association with the Priory in 191 8 Sir T. J . Pritchard, Chief Constable of CaerJohn had brought to the affairs of the narvonshire, cond ucted the joint annua l Priory the energy, determination and inspection of the Llandudno Ambu lance thoroughness wh ich had distinguished him and the Inland Revenue Nursing Diviin ohis business career; and they desired sions. T he parade arranged b y to express appreciation of the serv i ces he County Officer Major 'Widd icombe, the had rendered personnel paradin g under Div. Supts. H _ The report of th e Director of Ambu- Neville and Miss McGuire. The occasion lance, given by Mr Oliver Harris, in the was noteworthy in that it afforded th e absence of Dr. D. Rocyn J o nes , summar- first opportunity for the members of th e ised the achi evements of the Ambulance Inland Revenue N ur sing Division t o Department during the Priory's 25 years' meet the County Staff and for the latter service. Durin g th e past t we lve months, to make personal contact with the Unit. 24,626 first aid and hom e nursin g awards Th e Divisions reformed, after demonhad b een gain ed in classes held und er the strations, and presentations of awards were Priory throughout th e Principality; and made to members of the Nursing Divisio n the membership of tb:e Brigade in Wales and to members of a" Ranger" Troop (wh o had r eached the totCltI of 19,IS7 Tribute was paid to the manner in which members successful in passing a recent Anti-Gas and o f the Priory had r esponded to the addi- A.R.iP. examination. " tional calls u po n theiF se rvice occasioned The Assistant COn'lmissio ner in his adby the activities of the Red Cross and St. dress said h e was gl ad to have the opporJohn War Or:ganisation. tunity , in th€l absence of the Commissioner Major A W. rep o rted , on for the Co unty , Sir Michael "Assheton behalf of Mr. "James Griffiths, M.P., o n Smith, who is serv in g with the Royal Air 158
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Force, of welcoming the Nursing Division to Wales. In referrmg tQ the Llandudno Ambulance Division, he stated that this Unit, fonned in 1922" was "coming of age"; and it was an interesting point that two of its founder members, J Griffifh and J. ,,\iVinstanley, were on parade that day; He referred with gratitude to the assistance received from Major Widdicombe.
FLINTSHIRE CENTRE
There was a smart parade of Units of the Red Cross and St. John in West Flintshire at Rhyl on May IS. The parade was marshalled by Supt. A. H. Bacen (Prestatyn Division), and an inspection was c'arriecl (,lUt by Lady Mainwaring (President ofthe Flintshire B.R.e.S.), Lady Kenyon (President ?-nd Lady County Supt. of the Brigade), Acting C.ommissioner Dr. Wells, Asst. Commissioner A E. Lindsay, Lieut.Col. Hollobon and Mrs. Hollobon, and Mr. R. H. Roberts, J.P.
Headed by the Rhyl Silver Band, the parC},de marched to St . Thomas' Church, where a special service was conducted by the Vicar of Rhyl (Archdeacon R. H. Roberts, M.A.), assisted by the Rev. Owen Thomas, B.A. (Curate).
Later in the day, an interesting competition took place for a silver cup (kindly presented by Corps Surgeon J. G. MacQueen) for individual and team work. Three teams competed, two from the Rhyl Division and a team from the St. Asaph Division T:he examiners were Corps Surgeon Dobson, Mold (East Flintshire) and Div. Surgeon Collier, Buckley, and the Cup was won by a Rhyl team.
GLAMORGAN CENTRE
The final rounds in the Lindsay St. John Ambulance 'League and Cup competitions were held on June 12, and the Nelson team brought off a " double" by winning both trophies. The judges were Corps Supt. T. E. Davies and Sergt. W. Davies, Bedwas (of the Ruperra Corps); and the officer in charge was Corps Supt. Haydn Jones . Mrs. Higgins, Ystrad Mynach, was the winner of , a special competition. The trophies were presented -by County Officer W." J. Skyrme, who with the judges, congratulated all the competitors MONMOUTHSHIRE CENTRE
Major A. Reade, D.S.G.., President of the Mon.mouth Division, presided at the annual general meeting held J un,e 11, supported by Sir Leonard Twiston Davies) K.B.E., D.L., vice-preside.nt, Div. Supt. Rees Morgan, Lady Corps Supt. Mrs. T. O. Davies and Lady Davies, J.P. Mr. T . Davies reported that 25 ;members were - on aetive service All remaining members were engaged in ,A.R.P. duties doin.g stand:'by ' duty on rota at night. Many were actively engaged in training ·
wardens, ,Home Guard ana G.re. and other organisations in first aid. The ambulance had been called out to lOR serious cases, and numerous minor casualties had been treated. He congratulated the Mayoress, Lady Supt. Davies, on her promotion to Lady Corps Supt. and extended ' thanks to the Mayor (Councillor T. O. Davies) and herself, and to the ex-Mayor and Mayoress, for the assistance they }lad given to the Brigade.
In reporting on' the Nursin g Division, Mrs Harris, placed on record the many activities being carried out
Sir Leonard Twiston Davies, as Chairman of the Monmouthshire area of the Red Cross Penny -a-Week Fund , said he was pleased at the work ,done. Althou gh a large sum was bein g collected h e assured all , that it was being spent as fa st a s it came
The Panteg Nursing Division arran ged an interesting function, on June 5, wh e n medallions, vouchers and certificates were presented to twenty-seven successful candidates. The chair was taken by Major A H, Edwards, M C., supported by County Officer Capt. A. T. \-Vinborn and Corps A.R.P. Officer R. Stephens, M C. Medallions were presente d by Mrs. Winborn and vouchers and certificates by Mrs R. Stephens.
Lady Supt. Mrs. Sadler thanked the Division f-or their co-operation , perseverance and attention to duty during the past year. Mrs. Webber also sp oke.
The Divisional Secre tarv, Mrs. A. iI. Edwards, read a letter from Commissioner Capt. Beard, O.B £ , expressing re gret at his inability to atte nd, and wishing the Division every success.
PEMBROKESHIRE CENTRE
The Pembroke Dock Nursing Division has prepared a splendid report on its activities during the p a st year. In the absence of continu ed air raids various forms of humanitarian w ork has carried out. A few .members have joined the W.V.S., whilst others have given service at the Red Shield Services Canteen and at the Y.M.C.A. canteen. Assistance has been given to the "\iV.V.S. regarding basic training lectures. Lady Supt. Mrs. 1. P. , Hammand is organiser and hon. secretary for the local Penny-a-Week Fund, and large sums have been raised for the Prisoners of War Fund. From May to December, 1942, over £100 was raised for the fund by holding small weekly whist drives Mrs. Hammond is also Hospital Liaison Officer. The total number of hospitai and first aid duty hours given by members was 583. Home Nursing instruction was - given by Nursing Officer Miss Davies-Knight. Members registered with C.D number 23, whilst 13 are part-time a:t;td one full-time C.N.R. member'S Cases of first aid attended were 123.
THE HOUSEHOLD PHYSICIAN
A - few of the Subjects treated:
Gas Warfare
First Aid Lessons
Influenza, Colds, etc.
Sick Nursing from A to Z Measles, Mumps, Catarrh Corns and Warts
Physical Culture
What to Do in Emel'gencie's Treatment for all Skin Diseases
The Lungs, Pleurisy
Diseases of Women
Hygiene, Anatomy, Pharmacy
The Principles of Nursing
The Eye, the Ear
The Throat, the Nose
The Chest, the Heart
The Stomach, the Liver
The Teeth, the Muscles Infant Welfare
Homoeopathy, Neurasthenia
375 Prescri pti-;'ns, etc., etc.
Describes in simple with helpful coloured plates and diagrams
The COMPLAINTS OF MEN; WOMEN AN D CHILDREN,
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THE YOUNG WIFE will find just the information she requires.
M OTHERS who wish their daughters to develop naturally will find exactly the teaching they need.
WOMEN OVER 40 will find their difficulties regar ding health frankly discussed.
PRESCRIPTIONS- 375 proved remedies. There are hundreds of subjects The muscles, teeth, digestion, hair, food values, lu-iitsu. Phrenology, How to d iagnose diseases from appearance of head, face, neck , tongue, throat, chest, perspiration, etc.
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INTERESrlNG CASE REPORTS
CASE REPORT No 230. Th e Offi eer -
in-Charge of the Co unty of Co rn wall, S J A B , r ep orts the efficient perform a n ce of first a id b y a m emb er o f th e· B od min
Divisi on in th e follo wi n g circumsta n ces :_
On. March 17, Pri v a te D. O ke w as o n hi s National S a vings ro und w h e n a n ac ci de nt o ccurred im me diat ely op posite a h ou se a t w hi ch h e was c a lling. P r oc ee din g fo.rthwithto the in ci d e nt h e foun d that a b oy (age d 16) h a d f a ll en from a moto r trac t or and s u st a in e d a compo un d co m m inuted fr acture o f th e l eft ti bia ju st above the a nkle. H avin g n o e qu ipmen t
Oke pr oc ured fro m th e h o u se a sheet - two pieces of woo d a n d a n e n vel ope. Then , w hile 'waiti ng fo r t h e ambu l ance w hich h e h a d r e qui siti oned, he t r eated the fr a cture w i t h i mprovised mater tal as laid d o wn in t h e Textb ook, tearing t h e sheet int o s trip s of su it a bl e breadt h a n d l ength and u sin g th e env el op e ·as d r essin g f or th e w o und ; a n d he 'wr ap p e d his patig,nt warmly a n d adm in istered a cu p o f h ot t ea This done, pati ent was r emove d by ambul a nce t o h ospita l w h er e h e subsequ ently made a c o mplete r ecovery
COMMEN T -Improvisation is the very essence of firs t aid; and nothing tests the efficiency of a fi r s t q,ider more than the need to use w h ate'/1er is at h a nd. T o P rivate D. Oke , therefore, go cordial congratu6ations on his successiu: t treatmen t of a g1'avely
infur ed l a d w here by he preven ted aggrav ation of th e f r a ctured leg.- N .C .F CA SE REPORT No. 23 1. Th e Officerin -Ch a r ge o f N o. 1 (P rin ce o f Wal es's) District r ep o rts th e effici en t p e r fo rm a nce 6f firs t a i d b y a member of the K odak Di vis ion in th e fo ll owin g circ um stanc es :_ At 12 .15 p. m . on J a nu a r y 20 , P r ivat e A. S. Gee was call ed t o a h o u se b y a woman w h o sai d t h at her moth e r had g.asse d h er s elf H e went immediatel y a n d f o un d the p a ti e nt l yin g o n her bed face down ward, un conscious and n ot breathing. As the gas p ipe had been re m oved and the v;rindow widely opened, he commenced artificial respiration without a moment's de l ay and wh ilst so doing gave instr u ctions to summon a doctor. None being available he sent a call for the police who a rrived i n an equippe d r esuscitatio n appar atus. Breathing having by this time been restored, h e proceeded on h is busin ess at 1.15 p.m., leaving the pati e n t i n charge of the police who r emoved h er i n ambu lance to h ospital ""her e she qu ickly r ecovered. COMMENT.- T he perf01'111ance of artificial ,'espiration calls for much patience and perseverance as an asphyxiated patient may seem to be already dead. I n these circumstances P rivate A . S. Gee merits cordial cO'Y?gratulations in that by his efficient action he succeeded in restoring his patient to life_ -N.C.F
QUESTIONS AND ANSWERS
F RACT URE OF SPI NA L CO LUMN remind classes to which I lecture (1) that E. B (H an d swo r t h ).-As t h e spin a l the signs and SY111,ptoms of fracture occur
c o rd exten ds o nl y t o th e se c o nd lu m b a r in tlwee groups and (2) that three times three v ert ebra, wo uld paral ys i s of th e l ower li m bs are nine-namely:
b e ab s ent in cases o f fr actur e o f th e sp in e (1) P ain: Swelling : Loss of Power; b'el ow this p oint a n d wo ul d ·th e ri sk o f (2) D eformity: Crepitus: Unnatura l in efficien '-j: tr e atm ent b e so gr e at ? Mobility; If th e f r a ctur e of spinal co lumn is below (3) History: S nap (heard or felt): th e second ' lum bar verteb'Ya cQmp lete para- (skin or cl oth'ing); and finally ly sis oj t he lower l imbs is not l i k ely to occur . I 'Yemind my students that "deformity" I neffi cien t tr eatment, however, might cause cove1'S three pointsaggravation of injury if fragments of (4) L imb: I nju1'ed pa1't (irregu l arity) -: f 'Y'actu r ed vertebra pressed or otherwis8_in - S horteni11.g of bone. jured t he main nerves to the l owe'Y limbs. - This done I gaJ'ole the members of my N.C.F. class to recite aloud and all together the S IGN S AND SYMPTOM S OF FRACTURE tlwee g'YOUPS of sig11.s and symptoms G C. (S urbiton) .-Recentl y so m e of us Finally , if anyone discove'Ys that "hisdi scu sse d th e b es t way i n whi ch classes tory" is neither sig11. nor symptom, he need sho uld b e t a u ght the si gns a n d sympt oms not write and teU me so of fr a ctures . V a r io u s ways a nd vario u s SILVESTER METHOD tips wer e s u gges t e d but -in th e end we F. F. (Head in gto n). -The T extboo k d e cide d t o a s k yo u w h a t i n yo ur exper i - st ates t hat Sil vester s110 ul d be u sed o nl y en ce i s th e e as iest meth.od o f r em emb eri ng whe n it is impossibZe t o turn the patien t th ese si gn s and sy m ptoms We await on t o hi s back; but since i t wo ul d b e y ou r r eply with inte r es t and t h an k yo u li terall y i mpossible o nl y i n s u c h rar e cirin adv ance. c u mstan ces as w h ere a patien t is pinned T rut h to teU, I g-ave up tips 011. tbese signs d own b y deb r i s , I assu m e tha t t h e wo r d an d sy m ptoms l ong y ears ago. To-d ay I 1 1 imp ossibl e" i s t a k en to indicate in162
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advisable as, ' for example, in such as fractured spine, where the pressure of the operator's hands on the upper part of the chest would do less harm than in the loins, e.g., injury to the abdomen, lower ribs, and pelvis.
I heard many different opinions expressed on this subject. Many people beg the question b:y saying that one should use one's common sense. I feel, however, that a definite ruling by you beforehand on this point would be a better basis for action than one's common sense-however uncommon-applied on the spur of tb.€ moment.
Nobod.y can lay down a ruling w hich will cover all possibilities and all circumstances.
arrival nothing fU'JLther must be done until the arrival of a doctor.-N.C.F.
FRACTURE OF PELVIS
F. K. (Slough).-When I was a of a Nursing Division in the Prince of 'Wales's District I was taught to bandage a fracture of pelvis by applying the broad bandage ' round pel vis and tying in front in the centre, with a soft' pad under the knot to avoid any discomfort which the knot could cause. Since I have been in Slou gh I find the method applied is that of tying on haunch bone on opposite side of presumed injury. The argument put forward in favour of this is that it enables the broadest portion of the bandag e to ' be placed over the injured side of the pelvis. I shall appreciate your ruling. on this point. , .Consequently in actual practice we must depend on the three factors on which rest efficient first aid-com monsense, knowledge Personally, I prefer the for mer m etho d and experience.-N.G.F. because i t provides a more un iform control
CARBOLIC ACID POISONING of the fractur e of the pelvis, the exact site
F. F. (Headington).-In your "Vihy and ex tent of w hi ch cannot be diaf!no sed and Wherefore in First Aid" it is stated until after x -ray examination.-N.C.F. und€r Carbolic Acid Poisoning (p. ' 88) COMPRESSION OF MAIN ARTERIES that" oil in which Carbolic Acid is solu- E ; B. (Handsworth).-The TextboQk ble should be withheld." Yet the Text- in its instructions for compression of the book treatment for Carbolic Acid Poison- subclavian artery tells us in Rule 3, p. ing is an oily substance, medicinal para- to stand at the side of the patient £fin. Your comments ",rill be much appre- Similarly the illu s trations dealing with eiated. digital compression of the upper
My personal opinion is that in treatment points su ggest that the patient is either of Carbolic Acid Poisoning all oily sub- standing or at least sitting. Do not these stances should be withheld; and the instructions conflict with the general rule " British Pharmac eutical Codex -" tells us that in treatment of wounds with arterial that paraffin dissolves phenol (1-100). On hCEmorrhage, patients should be placed the other hand oily substances CQat and pro- "in suitable position"? I welcom e tect from further ulceration the linings of _ your comments. the throat, gullet and stomach; and th i s It is obvious that the instructions of th e wouZd seem to suggest the reason why the Textbook with r ef er ence to compressi on of -Textbook recommends this remedy in the the main arteries of head, neck, and upp er tr.eatment of such cases.-N.C.F. limb a11e intended only for the practice room , - FRACTURE OF CERVICAL SPINE and that they wi ll have to be modified w hen F. F. (Headington).-For lifting a case w e kave to deal wi th such cases in actual of $pinal fracture in the supine position, circumstances.-N.C.F. the , Textbook does not appear to provide ApPLICATION OF THOMAS for the retention of pads under the neck, A. H. (Cullompton).-Please tell - u s which are just left behind when the patient how, when applyin g a Thomas splint , is lifted. Our Divisional Superintendent we should apply bandage to foot, ankle and suggests that a team is justified in adding stirrup (as laid down in Rule 8 on p. 25 4 an extra bandage under the pads to retain of Textbook) when the stirrup is nonthem . in position. This appears to be reversible type and too big t o the obvious solution but l shall be grateful lay a.gainst the sole of the foot, that is for your :ruling the foot passes through the stirrup. The suggestion is worth trying but I The stirrup of the A .R.P. type of Th011'b a s think you will find' that the pads witt not splint is reversible and if the part with th e remain in position even when tied with coiled ring is below the spZi nt, it will an extra bandage, should circumstances be found that the foot of ..the patient will11est compel you tr'J lift patient off the stretcher against the upper pan of the stirrup. on ar'Yival at your desti1'bation. Your suggestion that th e bandage is tak en. If the lifting and 10we'Ying are performed round foot, . anlde and stirrup does not ag'Ye e ca'YefuUx and skilfully, particularly by the with the instructions on p. 254 of the T extbearer at the head of the patient, the move- book. There you are told that the ment at the neck wilt be negligible. Furthe'Y is to be placed round the foot, ankle an d you sh(!Juld tliat the use of pads re- bars; and frhe word " bars JJ 'Yefe'Ys to th e lates only to t'Yansport on st'Yetcheft and that on splint.-N.C F. 164
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BRIGADE REPORTS-contd. from p age 156 gathering. Amongst th ose present were their, Graces the Gov ern or of Northern Ireland and th e Duchess of A bercorn, Brig -Gen. Hill (U.S.A.), Capt. the Eazl of Kilmorey, Brigadier McCombe and representatives of other Services and Organisations. After the inspection by Lady L ouis , a first a id incident was staged bein g followed by a tableau r epresenting th e progress of the Order from 12th century up to the present day. His Grace the Governor presented Ser vice Medals to Lady Supts. lVu:s. E: Moreton (North B elfas t Division) /a nd Mrs. V. Laverty (West Belfast) and Af!lb. Officer Mrs. Th omp so n ("West Belfast).
Lady L oui s was welcomed by Act in g Commissioner Wilfred M. Brennen, F.R.C.S., and in reply exp r ess@d her appreciation of the work done b y the Brigade in -Northern Ireland. Lady Di strict Supt. Mrs. G. N. Wallace expr essed thanks fo Lady Louis for the untirin g manner in which had carried out a long and intensive inspection, a nd for th e resultin g stimulus to the work of the Brigade in the District.
Throu gh out h er to ur Lady Louis vvas ac co mpanied by the Acting Commissioner, the Lady District Sup erinten dent and the Actin g District Surgeen Miss Muriel Frazer.
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CADET NEWS-contd. from page 153 tended to M r s. Gaymer, to Dr. Rutledge a nd members of the e lli or Divis ion fo r t h eir '
PortSl12ou.tll. - p ur ing th e past three months good progress has been made by the Cadet Ambulance Divisions of the Portsmouth City Corps. Several fun ctions of the Portsmouth Youth Committee have been attended and assistance given to the Prisoners of \ Var and Flag day appeals Several lad s have O"iven ser vice at the Ball oon Barrage Hospita l, So uthsea, by diggi n g and weeding the garden. A number of members have been attendin g the Naval Baths for wimming instr ucti on s Promotion classes hav e been held and keenly contested.
"FOREVER AND A DAY"
The proceeds of the rec ent premiere of " Forever and a Day," the R.K.O. fi l m at Leicester Square Th ea tr e, w hi ch has ei gh ty Hollywood favourites appearing in its moving stor y, went to the Red Cr oss and St. John Fund. It is a film worth seein g al'ld the profits are devoted to charities.
Pressure on space has compelled many items to be left over.
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Unlf.orm by Garrould ensures correct design, high grade material. lelected for smartness and hard wear.
PRICE.S QF QFFICE.RS' UNIFQRMS AND QTHE.R ITE.MS NOT ME.NTlONE.D IN THIS AD VE.RTISE.ME.NT SE.NT BY ·RE.Qt:JE.ST PERMIT OR OFFICIAL HEADED PAPER MUST ACCOMPANY EVERY ORDER.
All p"lc.. IIlr. lIabl. to advanc. without notice
Numerals obtainable from headquarters.
S.J.A. REGULATION APRONS for Ambulance Sisters. Made from hardwearing linen-finished apron cloth. Price includes cross.
Waists 26, 28, 30 ins 7/3
Waists 32 and 34 ins 7/11
Waists 37 and 38 ins 8/11
Waists 39 and 40 ins 9/6
All in Lengths 26, 28, 30, 32 ins.
SJ.A. REGULATION COAT
Cut and tailored from fully shrunk and showerproofed material, half lined with grey Italian cloth _ Prices Include buttonl.
An official order for H.Q. to supply UI with badges and buttons must be sent with every order. Women', Sizes 99/6
O.S. l5 5 . 0 Ex. 0 5 l5' 12 : 6
STOCK SIZeS-Women's :
Bust : 32, 32, 33, 34, 35, 16,3',36,17,
Lgth.: «, 46, «, 46, 45, «, 46, 48, 47,
Bust : 38, 38, 39.40, 40, 40
Lgth. : 46, 48, 48,44,46, 48
O S. 42, 42, 42, 42 X O S. 44, 46 44, 46, 48 , 48 <48, 48
REGULATION HAT for Officers, Wool Felt. 19/11 , Ambulance Sisters, Felt, 16/11. Badges are only obtainable from H.Q. Sizes: 6., 6., 6f, 61, 7, 7i, 7i, 7 • Storm Cap 16/6.
REGULATION DRESS for Officers and Ambulance Sisters. Made from good quality Sanforized - Shrunk Wishing material.
REGULATION COSTUME for Officers & Ambulance Sisters. Made in X9 Serge, Stock sizes Wm s l7 17 6. O S. l8 12 O Madetomeasure,Wm'sl9 126. O S. llO 10 O. Made In fine Serge, stock sizes. women's l6 18 6, O S l7 12 6 Made to measure Wm's · l8 9 6, O.S. 19 26. Stock sizes-Bust 33, 34 35, 36,37,38, 39 , 40 ins.
REGULATION CAP for Ambulance Sisters, 27 by 18 In• or 28 by 19 Inl., 2/11
REGULATION CAPE.-Made In regulation grey cloth, lined with all wool red flannel,
REGULATION BLOUSES. For Officers and Ambulance Sis terr. Made in Pique Art Silk including extra collar, 30/In Ivory Tricoline, 19/ II, extra:collar, 2/9. Sizes 13t , 14, 14t, IS in.
EDITORIAL OFFICES : ST. JOHN'S GATE, LONDON, E.C . l (All reports, etc should reach the Editor not later than the 28th of the month.)
PUBLISHING OFFICES: 46-47, CH A NCERY L A NE , LONDON, W C 2
HEN working und er conditions, either in a military hospital or among the civil p op ulation, every nurse knows that , far more than at normal the majority of patients admitted are acutel y III and 111 a state of hIgh nervous t e nsion.
These abnormal conditions greatly emphasize' the need for some easily assimilated form of restorative nourishment. For this purpose, the nurse will find , Ovaltine' of outstanding valu e, either as an measure ' or a re g ular routine. 'Ovaltine' IS completely and easily a ss imilated , even when the patient is in a very low state of vitality.
: Ovaltine : possesses many It is rich 111 strengtherung, energy-giving nourishment; it nervous tension and promotes sound , ressleep. 'Ovaltine' is highly concentrated , and IS p repared by exclusive scientific processes. It contams essential vitamins and valuabl e mineral. salts, "first-class" protein, carbohydrate and fat m carefully a ;lJusted ratio.
Now, as 1914-19!8, 'Ovaltine is widely used in the war-time hospItal service, both at home and S.upplies are available to hospitals in speCIal packmgs and at special prices
t13e 30urn«f of t13e (j'riorB in t13e OGritia13 (Re«fm of t13e of t13e i)oavH«f of 3013n of 3erus«fem
Edited by GEORGE E. CRAFT, F.R.S.A.
EDITORIAL
In a letter received recently from a reader we were asked, " Can you give particulars of the advantages of being a member of the St. John Ambulance Brigade ?"
The question is ambiguous because the word "advantage" has many me anings including those of benefit, profit, gain, opportunity and convenience. ,\Ve will, therefore, first look at the question from the individual aspect . To be able to give ready assistance in cases of sudden accident or illness, to be able to save life, to be able to impart instruction which might be the means of saving Me or easing pain, to be able to enthuse others with these same ideals of service. These are some of the advantages from the member's point of view, if the word" advantages" is the correct one to use. Most members of the Briga de have in their character the magnificent ideals of the Knights of St. John ; an d to them the word" advantage," as such, means not personal advantage but world ly advantage.
From the general point of view the public at large receive any advantages there might be from membership with the Brigade. To them it means prompt a ttention in cases of accident, efficient service when and where necessary, no matter who it is that requires attention. To them is the gain, to them the profit of membership.
Like all humanitarian undertakings it is the givers who have to suffer the inconvenience, 'who sacrifice their time, money and the like in the service of others.
Therefore, the question can be answered quite simply: There are no real advantages of being a member of the St. John Ambulance Brigade except personal satisfaction of having done, or being able to do , one's best for one's fellow men and wom,e n. And what better service can pne render?
KNIGHTS OF ST. JOHN
. The Marching SQJ.'l.g written by Barbara Cartland (Lady County Cadet Officer :Mrs. Hugh McCorquoda:le) with Jan Kerrison and dedicated to Lady Louis Mountbatten has been tak en up by nearly every county in the British Isles. It is the hope of the compiler that the song will be -sung by all Cadets at their weekly meetings and by adu lt members on sp.ecial occasions. Copies can be obtained Mrs. McCorquodale, River Cottage, Great Barford, Bedfordshire, or from the publishers, Messrs. Hutchinson & Co., Ltd., 47, Princes Gate, London, S.YV.7., 8c) , :per GO:py.
PHYSIOLOGY IN FIRST AID
By M. M. ,Scott, M.R.C.S., L.R.C.,P.
(Member of the Textbook Revision Committee and Divisional Surgeon, S.].A .B.) METABOLISM
" Metabolism " is the comprehensive breakdown of ' b ody cells, These are term used to indicate the chemical changes utilised in, precisely the same way as thos e occuring in the living cells of the body which have become available from the during their growth and· activity. These food, so that part of the Urea and Uric changes may be of a Constructive nature acid in the urine may be derived from th e (Anabolism) or of a Destructive character body wastage (Endogenous) and from th e (Katabolism), each contributing towards food proteins (Exogenous). the vital functions of the cells. Th e Metabolism of Carbohydrate s and Fat s Anabolism is the process which builds Tissue activity is produced b y the body cells and stores heat and energy, " Energy" w hich is liberated by th e and is therefore mo st active from infan cy breakdown of certain sub stanc es a bsorbed to the stage of adolesGep-ce, the period from the di gested food, some of which ' when the body increases in weight and are utilised immediately, and others size. In later , life the process is more stored until r equired. Energy manifests c(;mcerned with replacing and repairin g itself as a combination of \ i\Tork a nd Heat, worn tissues and maintaining the norm a l the latter contributing towards the mainbody temperature and weight. tenanc e of correct body temperature.
Katabolism controls the breakdo'wn of Carbohyd rates and Fats form the the cells and the using up of energy. principal sources of energy, the former Cells are continuously being broken down constituting the bulk of the average diet. as a result of activity, whether muscular Fats may oxid ise, when n ecessary, in th e or mental, 'particularly the former , so presence of carbohydrates, and a r eserve that katabolism is most active durin g is always present to a gr eate r or lesser muscular exercises, and least so durin g degree in the various fat store depots eleep. of the body. Carbohydrates enter the
The rate of Metabolism also varies with blood str ea m in the form of glucose and other factors-age, climate, sex, state of any excess over immediate requirements mind, nature of work, and of clothing is sto r ed in the liver in the form of gl yco-worn, and all playing an appreciable part gen. The glycogen is utilised as required
It is now appreciated (see Jun e, 1943, and by its breakin g dO'wn and oxidation issu€ of THE GAZET-:r:E) that the end pro- produces energy. ducts of digestion are absorbed as Amino- The waste products resulting from the acids, fats and glucose, the fats entering oxidation of carb ohydrates and fats a r e the blood stream throu gh the thoracic Carbon Dioxide a nd \ Vater , the fonner duds, the amino-acids and glucose enter- b ein g excreted from the body by the lun gs ing - direct throu gh the Villi of the small and skin, and the latter by the kidney s intestine. in additi on.
The Metabolism of Amino -Acid s. Basal Metabolism. The metabolic rate Amino-ac-ids are used to replace the pr o- is lowest when the body is in a condition toplasm of eells destroyed or worn .durin g of mental and ph ys ical rest, and in this ac.fivity, and to provide for cell growth. conqition the amount of food r equired is When the cells have extracted their r e- at its minimum. This l owes t possible quirements, unwanted amino-acids are rate o f metabolism is referred to as " Basal conveyed to the liver, where, by enzyme Metabolism," and varies inversely with , action, the "Amino" component is the size of the individual, b ecause the separated out and converted to " Urea." surface area of the body i s greater in pr o(Urea is ultir;nately by the kidneys port:ion in smaller people (especially babies) as one of the components of Urine). lhe so that more heat is th ereby l ost by the Amino free part of the amino-acid is skin.
Id ea of the average calorie of. the Man at rest in e asa ea. m ain groups of foodstuffs in : approximately 1,500 to 1,700 calones.
1 gram of Protein yields 4.1 - calones, Sedentary worker approximately 2,.000 h d t . Ids 4 1 to 2 500 calories.
1 .gram of y ra e Yle . manual wo rker approximately calones, . 1 gram of Fat yields 9.3 calones. 3,500 calones.
h f t th t so many members have made on all sec ons 0 e , there have been four new Public Duty, the l oyal , 'f d now a total number of keenness of the members ena e a c s
DIVlSH:>llS orme 'b h' f 1 718' 276 to be carried out with satisfactory results.
56 vn.th a mem ers Ip 0 , , t S II Pox scare in are with the Forces, either at were used ho rne o r abroad. - lini' 0 dB' de V A D's
' Members r endered aid on 2,740 occa - as VaccmatI.on c cs an uga , , hil blic duty and 3 213 cases assisted whilst at the C.P.S. Headquarters on duty. In Medical Staff assisted by Nursci addition members have attended re.gu- members vacmated several thousan la rly at hospitals To assist. the _ CItizens. .' _ services in the event of au r aIds, the Speciai wart1me .duties u:clude .-Un services of members were accepted for loading hospital ships, Duties at d uty in first aid posts, and exerCIses have Dressing Stations when convoys m been held regularly. port; Orderly and Duties. Since the outbreak of war 29,000 King's House Auxiliary J\1i?tary H.osp1tal, persons have qualified. in first aId; .19 Ambu lance Drivers (Nursrng durrng the m embers have qualified for serVIce _ day time hours and, Anl:bulance a wards comprising 15 medals, two 1st durin a the -night hOurs); Duties at bars 2nd bar and one 3rd bar. Hospital, King Edward year 'has Hospital, Entabeni Enfield NUrSID& been one of increased actIv1ty. Much Home; first aid tUltIon work has b een accomplished by the mem - Association classes; first aId tUlbon to bers towards the efficiency of departina troops. personnel in first aid and home nursIDg. t> ______
A new Ambulance Division has bee.n ST. JOHN AMBULANCE re gistered durin g the year and IS every prospect of a new Nursing DlV1S:o?- ASSOCIATION being formed There are 17 dlVl- Bristol.-Owing to war con.ditions the sions, including 4 DIVlslons. annual competitions of the Bnstol c;entre In addition to first aId and home nurs- hav e n ot been h eld since 1940, but It was ing, members have f oun.d time to felt that the juniors should with camouflage n et making and p.ospltal d therefore the competition for the 'wo rk, and also some have become blood Cup ,: was held o n July 3, when donor s. 8 teams (s1..'C of -girls 2 of boys) entered).
9-gain restored by the blood stream t o the Th e vital activities of th e body, e.g., tissues where it can be oxidised to form the action of the heart , lun gs , a nd various a source of energy. The proteins of the internal organs, are always in action, but cell nuclei (Nucleo-proteins) contain Nu- ove r and above these are the effects of deic Acid which is utilised for building muscular and. mental action-more parthe nuclei of the body cells. Any nucleic ticularly the former, so that in a man aCid in excess over body requirement i s doing h eavy muscular ' work the meta- , converted by the - liver -into ' Uric acid, bolic rate is increase d, and there is an which is' likewise secreted by the kind.eys added call for food to maintain the nece sin the Urine It must be noted that sary production 0f energy. during the process of k?-tab'olism, amino- It has been found experimentally that acids become' avaitable as a result of the the amount of heat produced when 172 . h It will be seen, therefore, that fat repre- specific foodstuffs are burned. rn t e :pre- sents the most economical source of stored sense of oxy gen bears a defirnte relatIonship to the energy-prod ucin g value of experiment, it is possible to the food concerned. This h e at can calculate from the amount of oxyg.eLl measured in t erms of calories (a calone b belOng the amount of h eat necessary to in r espiration h o-:v much food IS erng f t oxidised in the tI ssues, and the results raise the t emperatur e of one litre 0 wa will be seen to vary with the type of wO.rk fr om point to one CentI- , al bl ome being performed by the indivldu ,YI z : grade) and the following ta e glVes s b d (B 1 M t bolIsm)
Durina the year visits were paid to the Dr. H. G. Kyle (Chairman o.f the fo llowing Sub-Centres :-Burnie , Ulver- d D C C Lavin oton (VIce-preSIdent) sto ne Devenport and Lau ceston. In a ll t e'sts, be;g thanked by Lady t hese'Sub-Centres the keenness of members ) t> S t M Sarah. After a keen was obvious, and also a desire to East were t he work of the Order to the best of the1r ad'udo ed the winners Wlth Bustol S?,:,-th abNiliatyta'Z D ';strict .-The membership is well Cadets second . . !n • to the cup memb ers of the WlllIlll?-g te 3 new Nursin g ,and 1 Il ew d a diploma' and It was Cadet Nursing Divisions were r ecelVe Mr H' T Jefferies (an f t h C d t D announced that during the year. Two 0 e a e 1":1- officl'al of the Centre) had offered to pro- sions have doubled the1r ' memb ershIp vide a cup for the runners-up. d uring the 173
·CIVIL DEFENCE SERVICES
By C. .Bentall, C.B.E., F.R.C.S., F.R.G.S.
GAs-=-LA TEST TEACHING quickly per.formed and accurately From 193.) to 1940 we taught" gas" / out, pre;ent this ghastl the eleven V.A. for Grade 1 progress to the final death. y but expenence, changing 1. Pho sgene.-Symptoms :-All our tacbcs of war attack, has, still is, basic training remains unchan ed wIll contll1ue to create changes . The delayed symptoms deceiving g whIch as good students and in the first hours may fail to im of the C.D. we. must pace wl,th . us with the dan gerous fact thai the The mformatlOn tends to patient has phosgene POisoliing at all. . lessen. the Importance of Tear and Therefore, if we have been informed Sneezlll9" a:r:td to increase that that phosgene has been used in th e of Cho:{:mg and BlIster gases. Impor- neighbourhood, or if we see an T cases tance IS att.ached to the of with the early symptoms on be such lather to the - detailed very cautious and careful, and if in chemIcal iormulce, ?-nd any doubt, make all possible cases 0 :ranebes of gases. In words it slow, use no violent exercises or IS more and more the operatIOnal aspect walking, and make sure that the of. that rather than their appreciate the danger and report sC Ientific first appearance of choking or coughing " In as m there is to a doctor and F.A. Post. The choki11 BaSIC tramu:g whIch IS essential is usually the first symptom for the foundatIOn our but to us first aiders the most HIgher and Important. It is a continuous harasthe .we cough to begin with and becomes use m HIgher Tramm g mcreasingly severe as time goes on such -as Pnonty of Treatment" and after about an hour the patient apply equally to our gas treatment looks bluish in the face like g radually cases. '\A/hat 'Vle used to learn in the developing asphyxia. This is what i s days of the London courses at the called the Blue Stage. Durin th e Great C:entral Hotel has. becom e of next hour this is likely to greater Importance than namel y, which means that vYith develo in that Tear Gases and Sneezmg Gases asphyxia the heart· is O'ettinO' p g never kill b t Ch k' d Bl' b b mor e ,u 0 mg Ister venous blood and l ess oxyO'en and Gases often do. . th't If b . b , A " en 1 se egms to be embarrassed 11 tb.e lat est focus on in action, impeding healthy circulation or Gas, and on and pallor gradually replaces the blue1 or hster Gas-the .for.mer ness. This cannot go on for Ion may m an unpr otected. c<tSe kill m 4 without" l eading to h e art failure ho.urs, and th e latter m 4 days A death bnef statement for purposes of easy All these symptoms are produced memorising is b h Phosgene cau ses in y t .e action of this gas wh.ich first untatmg the breathing passages / 1st hour chokin&" sets up the irritatin g cough, then th e 2nd hour blueness b , ronchial irritation causes excessive 3rd hQur incre().sing pa11 or, secretion of fluid all down the throat 4th hour death. bronchi to bronchioles and alveoli so Mustard causes in that the patient is a lm ost like a. 1st day inflammatipn of eyes, ing one, i e., unable to get air into the 2nd day a brassy cough and .lungs because water-logged, and so produces simi lar asphyxia. Next this 3rd day Blisters on body, poisonous sec r etion gets into the blood 4th day Broneho-pnuemonia and and cau'ses it to thicken so that if a death. - N b l ood-vessel.be opened by a doctor, ow let us pass to more detailed the blood WIll not flow beca use it is symp tom s, by which we may recognise congealed and thick. You can thu s them, and treatment that may if see how increasingly dangero us th e 174
condition becomes, the danger of water- him l Of course, the usual simple logging as in drowning plus the con- remedie s of warmth and comfort that gea led blood not onl y prevents respira- are associated 'with shock may be tion, but delays blood circulation applied, though you must watch whic h quickly ends in death . the sweetened tea can be Treatment is evident to a good first taken easily by the patient, and if not aider if they can understand these go slow or desist from giving it· symptoms. In the first stage Absolute rest-not a single movement or All further treatment must be in. exertion must be allowed by the first hospit-aZ under doctors or trained aider who realises what 1,s happening. nurses. Oxygen must only be given Such a patient by movement increases by these people, not by first aiders, the embarrassment of the asphyxia and because the amount and method of increases the chance of speedy death. administration can only be safe in the Therefore keep your patient absolutely hands of a fully trained medical person still-lift him with the l east possible and may even be dangerous. Bloodmovement-hand seats if no stretcher letting while the blood ,Yill flow , or but no walking at aU. Beyond Rest saline infusions into a vein may be the first aider can do little. Artificial successfully done, but these cases are respiration is contra-indicated because it treacherous in their reacti ons to various would embarrass the already weakened forms of treatment and take much blood flow and no air can be pumped care to prevent death. in through the water-logged bronchial In my next article I shall follow tubes . You might just as well per- with the symptoms and treatment of form artificial respiration to a patient. Mustard gas with its latest teaching under th e water which is drowning for first aiders.
Cadets. Lady County Cadet Officer :Mrs. J. Shulman .was also present and hoped Lady Louis Mountbatten took the salute that more Grand Prior's Cadet Badges and inspected a combined rally of 16 would be gained by the Nursing Division. Rugby Youth Organisations on June 26. Bedfordshire .-There has been such St John Cadets were well represented, splendid response by Cadets to work in and Lady Louis expressed her pleasure at the two Brigade National Service Camps their smart appearance. She was pre- arranged by Lady County Cadet Officer sented with a wood carving portraying Mrs. Hugh McCorquodale and the vVar the St. J ohn Insignia, the work being Agricu ltural Executive Committee, that carried out by Cadet A. Grimes, of Rugby. many applications have had to be refused B.vighton .-The first competitions for after the limit of 550 had been reached. ambulance and nursin g Cadets were held At Dunstable, where five new divisions on July 1 , before a large audience. The are in the process · of being formed, a tests were set by County Officer F. A. concert was arranged by Div. President Trott, and judged by Supt. L. Butcher l\1rs. Kelsall Thomas, the invitations being and Lady Supt. Mrs. Butcher, of the sent out by the Mayor and Mayoress. 'Northing Divisions. The" George" Cup Members of the Luton Town, Great was won by Brighton (fo rmed 15 months Barford and Sandy Ambulance and Nursago) and the H Peter Stuttaford " Trophy, in g Cadet Divisions ,,,ere enrolled by the a QTonze figure of a Knight of St. John, Lady County Cadet Officer. by the Patcham Nursin g Division. Tro- No. 1 Distric t.-The Ambulance and phies were by A ld . Miss Nursing Cadets in the Northern Area, at Margaret Hardy and Mrs. Stuttaford. the invitation of the Rev. Edwards, Gifts were ma.de to the judges; while attended a Church Parade at St. Andrews thanks were extended to Corps Surgeon Church, Muswell Hill, on J nne 27. District and Supt. Dr. Stuttaford who presided. Officer Collins was in charge, and some Lady Badd eley and Mrs. Lewis vVhite 260 members, together with some mem-were among those present. bers of the loc al B.R.C , were present.
Coventry.-District Staff Officer (in Dr. vVyndham Gittens preached the charge of Cadets) VV. A. Jennings recently sermon. Lady District Cadet Officer presented awards to the Holbrooks Am- Miss Cleasby hopes that this parade will bulance and Nursing Cadets. In addition become an annual event. to certificates, proficiency badges, etc. , a Members of the Ealing Ambulance and Grand Prior's Cadet Badge was presented Nursin g Cadet Divisions held a combined to Cadet Sergt. L. C. Skinner. This is outing to Runnymede on July 17. Cadet the 28th such award gain ed by Holbr ooks Officer D. Mahoney and Cadet Supt. Miss , 175
H. V'lilder had charge of some 45 members, who spent an enjoyable time.
The members of the Rickmansworth AmbulaIl:ce Cadet Division celebrated the anp.Iversary of their formation by a VlSlt. to a cinema followed by a tea. Pres.Ident Mr. T. J. O. Sullivan ' and others made short speeches, whilst Amb. C?fficer G. E. Mitchinson (Watford DivisIOn) gave a brief outline of " The History of the Order." -
Mid-Bucks. Area.-The annual inspection of the Chesham, Amersham, Chalfont St. Peter, Aylesbury and "\iVendover Ambulance and Nursing Cadet Divisions took place at Amersham on July 17.
Lady: Dunbar-Nasmith (Chief Officer accompanied by Com?J-lsslOIl:er MaJOr:. Darvil-Smith, was the rn.spectrng officer, Corps Officer R S. Pltt- Kethley beir:g in charge of the parade. new Nursrng Division has been regIstered at St. Davids College, High where an ambulance division IS already in being.
South Bucks.-Cadets from Marlow Wooburn Green and District were by Lady Dunbar-Nasmith, accomby Commissioner Major DarvilSIDlth, on July 17. Nearly 400 Cadets were on parade under Corps Stlpt. Druce Asst. Commissioner F. ' H. Schoolin; arranged the After the was a of drill,:first aid1 etc., under the dIrection of County SurG"eon Weaver Adams. t>
Ramsgate:-County Officer J. Baker carned out the rnspection of the Ramsgate. Town A.mbulance pivislOn, the parade berng under the command of Cadet -yv. W. J.. Norris. Following the realistic demonstrations were gIven, and presented to numerous It was announced that Mr. Williams, who was invalided out of the Royal Navy "after serving as a Sick Petty .Officer (he was mentioned despatches rn connection with the landrng on the. Red Sea Coast at Assab) had been appornted Cadet Officer.
Cornwal'l .-To celebrate the 21st aaniversary of the formation of the Cadets the West Cornwall area formed itself into two groups. The Truro group held a church parade and a plaque was unveiled on the Cadets' Cot in the Royal Cornwall Infirmary, Truro, by Lady County Officer 11:s. Blackwood. The cot is being maintamed by the Cadets in West Cornwall At Redruth a Bazaar and of Cadet Work and Training was held the proGeeds (approximately £40) bein g to the Camborne-Redruth General HospItal. The function was by Mr. D. W. Thomas, Chairman of the Cornwall County Youth Committee.
The annual competition for . the West
Cornwall Cup was held at Camborne. Truro Ambulance Cadets gained first place, and Cadet L. DO'vvrick the County Officers' Cup.
A gathering was held at the house of County Officer Mrs. Oakley attended by Nancy Lady Vivian, Lady County President, Asst . Commissioner S. M. Landrey Lady Co:unty Supt. Miss Grylls, Lady County Cadet Officer Miss Warren and others.
President ' s and Vice-president's badges ' were presented to Mrs. Tame, Mrs. Adkins and H.H. The Princess Chula Chakrabongse of Thailand, by Lady Vivian. Mrs. Oakley welcomed the oruests and stressed the iniportance of the Cadet Movement. Mr. Landrey gave an account of the Movement in Cornwall.
Gainsborough.-The Nursing Cadets officially enrolled by the Rev. NIcholson, Priest-in-Charge St. Michael 's Church and Chaplain to the local Youth Organisations. He gave ' an inspiring after which Cadet Officer Mrs. Hill extended thanks
ON ACTIVE SERVICE
The Chief Commission&, Brigade AtHome, regrets to report the following casualties among members of the Brigade.
KILLED
Corpl. Division,
S.B.A. Division.
Broom of the Portis head m North Africa Edwin Garnett of the Nelson
J. McMahon of the Wrexham DIVlslOn, with the RA.F.
. Private H . W. RefIold, Staines Division, m North Africa
. Pri:rate Henry Potter, I-lope Vale DiviAfrica (previously reported IDlssrng now presumed killed).
S.B.P.O. John Henry Wilkinson Division, as the result of aCCIdent.
Privat;" R Courtney, Croydon and Division, as the result of enemy action on this country.
MISSING
Private E. R. Dixey of the Newport (Mon.) Police Division.
Private N. Martin of the Beckton DiviSlOn.
.Private F. W. Turner, Chertsey Division With the RA.F. PRISONERS OF WAR Officer L. A. Cox of the Mitcham DIVlslOn, previously reported MissinG" in t>
Aircraftman James ' Garbntt of the in Japanese hands.
Pnvate A. Marsham, Staines Division, m Malaya.
Private E. F. Darling, Lenham Division, rn Java after being 'f missing " for 16 nths.
176 •
HEADQUARTER NOTES
Badges of Rank.-The following new rank badges are approved:Chief Commissione'Y : Crossed Stretchers Star and Crown.
Su,'geon-in-Chief: Crossed Stretchers a nd Crown.
Lady Superin tendent-in-Chief: Crossed St retchers and Crown.
(The Surgeon-in-Chief and the Assistant Surgeon-in-Chief will wear Red Pipin g on the shoulder straps).
S ervice 11lIedal Star.-The wearing of t his will be discontinued forthwith.
No.1 (PRINCE
OF WALES'S) DISTRICT
EDMONTON.-After a lapse of four years the annual team and individual competitions of the Edmonton Division were held last month. The team shield was won by Sgt. Baker, Privates Hughes, Weston and Judge , and the individual cup, presented by the Edmonton Rotary e lu b, by Sergt. Baker. Both competitions were keenly contested.
Much assistance was received from the Y Division Metropolitan Special Constabu1ary, members of which arranged the co mpetitions, whilst Mr. Marshal of the Y Division Police acted as judge for both tests.
LEWTSHAM.-The Peckham Section of the Lewisham Nursing Division held a display, dance and social on July 10, when the Mayor and Mayoress of Camberwell (Mr. Evan-took , J.P. and 1YIrs. EvanCeok), Mrs. Pierpoint, Dr. Daniel Hughes (Lecturing Surgeon), Dr. King-Browne, Dr Helen Meyrick and many other distinguished gues-ts were present. The Mayor and Mayoress inspected the parade, and Lady Supt. Miss Pearce explained that as there was no Nursing Division in the Borough of Camberwell the present Section was the start for that purpose.
Miss Read and Miss Guest would be in charge of the Section.
After the inspection and demonstrations the Mayor expressed his pleasure with all he had seen and welcomed " the invaders from Lewisham " into Peckham, since they were invaders of real work. He hoped that a would soon be commeneed in the Borough.
HAREFIELD -For the third successive year the Uxbridge District Superintendent's Cup for First Aid and Rescue Work was won by Harefield Depot, who obtained first and second place. MOwn originally as Ambulance Station" A," the post is
manned by members of the Harefield Ambulance Division.
No. 58/5 AMBULANCE AND 115 NURSING DIVISIONS.-An If At Home" was held by the members of . these Divisions on July 17, when Supt. Allen and Lady Supt. Mrs. Allen welcomed · many guests including Miss "\iValker, District Officer McBride, Lady District Officer Mrs. Tapp1y, Ald. Stiles-Allen (Vice-president) and Mrs. Stiles-Allen , also representatives of the Home Guard and local Civil Defence Services. Refreshments were provided and a social programme presented by members and friends.
PONDERS END.-A new Nursing - Division has been formed at Ponders End and at the inauguration ceremony Lady District Officer Mrs. Burns presided supported by District Officers Collins and Ml"s. Rayner, Lady Amb. Officet Mrs. Vaughan, who is in charge of the new division, and representatives of surroundin g divisions, and other organisations Good wishes were expressed by numerous _ speakers.
COUNTY OF BUCKS
The Viscountess Dawson of Penn, Vicepresident of Bucks. Nursing Divisions, accompanied by Lady County Officer Miss Savory, recently visited many divisions in the County. At Wolverton the Nursing and Cadet Nursing Divisions were on parade with President Mrs. Peters present. At Newport Pagnell she was met by Div. Surgeon Bailey and 1\l\:rs. Bailey, Lady Supt. Mrs. Casstles, and Miss Bull, late Div, Supt.
The tour, on this occasion, ended at Olney where Asst. Commissioner Surgeon Capt. G. O. M. Dickens0n, Col. and Mrs. Coke (the latter "being President), Lady Supt. Mrs. DL'{ and Cadet Surgeon K. Craddock , welcomed the visitors. Lady Dawson spoke to each member and paid special attention to the Cadets.
July 11, Lady Dawson, again accompanied by Miss Savory, visited Bletchley Nursing and Cadet Nursing Divisions. Present was Div. Surgeon Lufkin and President Mrs. Reynold. Lady Dawson then went on to Aylesbury where she met officers and members in charge of Ladi Corps Supt. Miss Sale. After tea the County Vicepresident proceeded to Leighton Buzzard where she performed the enrolment ceremony of the recently qualified Cadets.
COUNTY OF CAMBRIDGE
The Lady Louis Mountbatten (Lady Superindent-in-Chief) paid a two day visit to the County last month.
On July 15, after opening the Agricu1177
tural Gift Shop at Cable Market, Cambndge, she was welcomed County Officers. After luncheon she Ins:pected the Trumpington Mobile Unit which. manned by Brigade sonnel, and by kind permission of Dr. A. J. Smythe, M.O.H. Cambridge Bor0.ugh, members put on a short demonstrahon. After Lady Louis had tea at the Cambridge Corps Headquarters,she met Corps and divisional officers the Mayor and Mayoress of the Regional Commissioner (Sir Will Spens) and -Lady Spens, The Earl of Cranbrook (County Commissioner for Suffolk), and Capt. Briscoe (Lord Lieutfor Cambridgeshire). The Cambndge Corps gave a demonstra tion which was followed by an inspection and march ,
On July 16, Lady Louis commenced the day by vis.iting the Gogs Convalescent Home, Cambndge, and the Palace Convalescent Home, Ely. Both of these Homes run by the J .W O. Lady Louis then Ambulanc e, Nursing and Cadet at March and '\iVisbech, finally .to Ely for an inspectio n of DIVISIOns In that area.
During the t:"o-days tour Lady Louis V:'as accom pamed by Coun ty CommisSIOner Dr. K. S. Maurice-Smith Lady County Supt. Mr.s. Manley, CountY President.the Lord FaIrhaven and Lady County PresIdent Mrs. A. R Fitzpatrick.
COUNTY OF CHESHIRE
STALYBRIDGE.-'!'he Stalybridge Ambul<l:nce and Nursmg Divisions, accompallled by representatives of other local orgalllsatIOns, attended Service at the Baptist Church, they were met by the Mayo.r and Mayoress, Ald. G L. Flint, J.P (Presldent ?f. the Ambulance Divisio'n), I?r.. YVilliams (President of the Nursmg DlVIsIOn), Mrs. Grey (Vice-president Cheshire County B.RC.S.), and Chief CoJ1lstable S. Pickering (Vice-President Division). Supt. O. Kirk, by Amb. Officer L. Hardy, was In <?f the men, with Mrs. Broadley and Miss SImpson in charge of the Nurses. Cadet Supt. Mrs Mills was in char ge of the Cadets. The service was conducted by the Rev. William Scragg, of Rochdale.
After the service the parade re-formed at the War Memorial, where Supt . Kirk and Supt Mrs. Broadley laid a m the fGrm of the St. John Cross 11). memory of members who fell in the last and in the present war. The parade then marched past the Mayor, who took the
Over £250 has raised by Chief COI?-st.abie Pickering on behalf of the Fund of the Stalybridge DiviSIOns.
COUNTY OF DERBY
:!?ERBy.-The Derby and District Corps has recently b een formed an:d the Ambulance, Nursing and Cadet DIVISIOns of D e rby, Messrs. Rolls Royce and Alvaston, attended Divine Service at the Cathedral on July 18 , under the command of Corps Supt. F. Shelley. The salute taken en route by A/County H C. Chambers. After the serVIce Mr. Chambers presented Service Awards to various meD?-bers of the Derby Ambulance and Nursmg Divisions and Messrs. Rolls Royce Division.
MAPPERLEY COLLIERY.-The annual presentation of awards was held durin cr a recent social evening. Divisional dent Mr. S. Barber, distributed the awards and congratulated Amb. Officer G. and Sergt. J. A. Atkins who mstructed the Division and the Bn.gade over a period of 10 years, durin g whIch time only three persons had failed to pass the examination. On behalf of the presented the two instructors WIth SUItable gifts.
COUNTY OF ESSEX
annual cup competition for Nursing DIVISIOns was held at Colchester on July 17, w?en. Chelmsford (Lady Supt. Miss ChaplIn, In charge) gained first place followed by West Mersea (1942 winners) .Manningtree B. Asst. County mISSIOner J. T. ,\iVhitley set and judged the first aId test, the Matron, Essex County Hospltal the Bedmakin cr and After-Care tests.
D
COUNTY OF -GLOUCESTER competitions for DI,,:sIOns (m abeyance since 1939) were . this year. The County was dlVIded Into five areas and winning from each competed in the final which was held in Cheltenham on July 3 Th..e were ;presented by Lady County PresIdent VIscountess Bledisloe. The , " Bledisloe" Trophy for the best team won by Painswick (leader, Lady Supt. Miss Tuck); the "Faber" Cup for the runners-up , by Brockley (leader' Lady Supt Mrs. Gordon-Alexander)' " " Cup for the best'Bedmaking paIr, by Amb. Sisters Miss and Mrs. Wrathall, Cheltenham DIVISIOn
COUNTY OF HAMPSHIRE
BOYRNEMOUTH. - The Southbourne Division recently receiv ed from Misses Sowto.n silver challenge cup m memory of theIr sIster-Miss Katharine M. L. Sowton-Iate Divisional Superintendent,. for annual competition among the Nursmg Divisions of the Bournemouth Corps for home nursing team test. .The competition was jud ge d by MISS Richards?n, RRC., Miss Bradley and Mrs. WatkIn S, the winning t e am bein cr 178 D
Southbourne A, who received the cup from lVIiss Mable Sowton. Those present in cluded County Officers Major J A. Coghlan, Miss Hyla Greves, Mrs. Hayes , Miss Hayes and )Y.[rs. Leonard, Lady Corp Supt. Miss Aish, also Viscountess F rankfprt, Mrs. Durrant, Mrs. Schollick a nd other B.RC.S officers.
COUNTY OF HERTFORD
W ARE.-County Commissioner H L angl ey J ones inspectedroembers of the Ambu lance and Cadet Divisions from 'Nare, Hertford, Hodd esdon and Standon a t a parade in the groun ds of The Priory, W are, on July 10. Accompanied by Co unty Surgeon W. Norman Booth, County Officer E. Keightley and County Cadet Secretary Miss D. Sparkes, the Commissioner was received by Corps Office r T. C. Forbes, who was in charge of the parade. Whilst Mr. Langley Jones was inspecting transport units, the County Surgeo n, assisted by Drs. VV. G. Stewart and C. St. A. Vivian, watched demonstrations carri ed out by ambulance and Cadet personnel.
The Commissioner congratulated the divisions on their enthuSi.'asm and efficiency, and spoke special words of encouragement to the Cadets.
COUNTY OF NORTHAMPTON
HIGHAM FERRERs.-The Mayor (Ald. J. W. Barker) presided at a meeting held in the F.A. Post, being supported by Mrs. Lady Corps Supt. Mrs. Stevenson, Lady Supt. Miss H. Haddon, Mrs. A. S. Campbell (Chairman, Wellingborough D. D.C. and Secretary Wellingborough Division), and many office rs of neighbouring di·,risions. Presentations were made to numerous members including the Service Medal to Lady Supt. Miss Haddon by Lady Corps Supt. Mrs. Stevenson. ,\Varrants of appointments were made to Ald. Barker as Prestdent, Lady Amb. Office r Mrs. M. Souter, Cadet Supt. Miss Green and also to Amb. Sisters Morley and Biggs on appointment as Cadet Officers. The latter also rec eived the uniform priz e Amb. Sister Mrs. Wagstaff thanked IVIiss Haddon for her work and on behalf of the division presented her with an inscribed book on the Order of St. John and a cheque. Miss Haddon, in returnin g thanks, said that it had afforded her much pleasure in doin g the work for 23 years. The Mayor also added praise of Miss Haddon.
NORTHAMPToN. - On July 22, County Commissioner Dr Eric Shaw presented the parchment and ribbon of the insi gnia of Serving Sister to Lady Amb. Officer Miss Hull, and expressed his appreciation of the work she had done.
had organised the training of C.D. and ambulance personnel and about 880 had passed. tbe examination. She had also helped to train the C.N. Reserves. PLYMOUTH, S.W. DEVON AND E. CORNWALL
On July 21, County Commissioner L t.-Col. J. P. S . Ward presented an e lectri c table lamp and a book of Natipnal Savings Stamps to Mr. vVilliam John Rich, who after 45 years of active service has been placed on the Reserve, and a purse to Mrs. Rich on b ehalf of the members of the Millbay Railway Division. Mr. Rich enrolled in the Brigade in February, 1898 and gained the Service Medal and five Bars. vVith the Great Western Railway he gained the IS -year Gold Medal and gold bars for twenty further years of efficient service. In 1900 he went to the Sonth African '\iVar as a member of the Plymouth St. John Ambulance Brigade Unit.
COUNTY OF SOMERSET HIGHBRIDGE.-The
new and ous headquarters of the Highbridge and Burnham Division were officially opened by County Commissioner Dr. Hu gh Powell, wbo prior to the ceremony inspected the Ambulance, Nursing and Cadet personnel on parade. Those present included Lad y County President Mrs. Luttrell, Lady County Supt. Dr. Danby , Asst. Commissioner E. '\iVevell, Div. Surgeon Burns , Div. Surgeon Phyllis Burns, - irs. YV. J Greener (President, Nursing Division), Mr. E. C. Talbot (Vice-chairman of the Urban Council), Miss Taylor (Matron, Burnham Vlar Memorial Hospital), Mrs. R M. Clapperton (Asst. Commandant) and other officers of the Burnham B.RC.S. Dr. Powell congratulated the divisions on the possession of the new headquarters. Receiving the key from Lady Supt. WIrs. Lumber, Dr. Powell unlocked the door and formally declared the premises open. He then handed the key to A/Supt. YV. H. G. Young, who described the occasion as one of the proudest moments of his life He paid tribute to the work of Sergt. May, Privates Hain es and Clapp and others who had worked so hard with the decorations and black- out, etc. COUNTY OF
SURREY
On Saturday, July 10, H.R.H. the Duchess of Kent, Lady Superintendentin-Chief , Priory for \Vales, inspected many umts vf the Brigade in Surrey.
The F.A. Post at Rei gate, where Lady Amb. Officer Tisdale is in charge of personnel, 'was inspected and Dr. Milner, Officer-in-Cbarge, conducted the Duchess and her party around the post.
Lady Supt. Miss Gainsford, who presided at the meeting, said that Miss Hull 179
After lunch, held at the Town Hail by invitation of the Mayor , an i.nsp e ction and the dedication of a new ambulance was to have been beld on the Bedhill sports
Gron-nd but unfo'rtunately inclement weather made this impossible. The parade was marshalled into the Central Hall where "Commissj.oner W. Papt expressed thanks to the Duchess for her .presence, which would increase enthusiasm throughout the Brigade in Surrey. The Rev. Canon W. P. Godwin, Rural Dean of Reigate, dedicated the ' new ambulance from the steps of the Hall. · Her Royal .Highness expressed her disappointment at not being- able to carry out the inspection.
At Walton-on-Thames members from numerous divisions were drawn up on the parade ground under Asst. Commissioner Flavin, County Officers Capt. Thomas and Mrs. Harper. Demonstrations of various activities were given by ambulance, nursing and cadet personnel. Members of the Local Cogncil wele presented, inclusiing the Chairman, who officially welcomed the Duchess and paid tribute to the work of the Brigade. County Cadet Officer W. H. Harris was present in his official capacity of Clerk to the Council.
Continuing to Sunningdale Her Royal Highness inspected the Surrey Joint War Committee at Greenways, and afterwards inspected Brigade personnel drawn up on the lawns. She graciously presented a Service Medal to Sergt. Warren of the Camberley DIVIsion and a Grand Prior's Cadet Badge to Cadet Corpl. (now Amb. Sister) Houlton of Guildford, the first such badge to be gained in Surrey. Tea was provided by the Viscountess Garnock. ThFoughout the tour Her Royal Highness :vas accompanied by Lady Herbert (LadyIll-Waiting), Commissioner VV. G. Pape, County President The Dowager Viscountess Harcourt, County Surgeon Col. J ames, Lady County Supt'. Mrs. Thomas, Lady County Officer Mrs. Heald, County Cadet Officers Harris and Mrs. Charrington. Also on parade was County Officer Ellis.
COUNTY OF SUSSEX
To Dr. Geo. Locke, one of tlie pioneers of the St. John Movement in Sussex, goes hearty .congratulations · on reaching his 90th bIrthday. An ex-Assistant Commissioner for Sussex, Dr. Locke founded the Hastings Division and tells ' how he led his members on their first march. The- then Chief Constable, after much persuasion, allowed the " procession" to keep close to the curb and walk in the gutter.
The annual inspection of the combined Steyning, aI?-d Beeding Ambulance, N ursIllg and Cadet Divisions waS' out by County Commissioner DaVId Bryce, accompanied by County President of Bessborough, Lady County Supt. MISS Hubbard, County Officers C. W. L. Pile and Mrs. Brodie
and County Cadet Officer Miss Trill. After the inspection and presentation of awards by President Capt. Purchase, the parade adjourned to the Town Hall, where a remarkable demonstration of Past and Present Methods of First Aid was staged under the direction of Div. Surgeon C. W. Wheeler-Bennett, who acted as commentator.
COUNTY OF WARWICK
Commissioner Major E. S. Phillips carried out an inspection of the Wilnecote Ambulance, Ambulance and Nursing Cadets, Coleshill Ambulance, Nursing and Ambulance Cadet and the Polesworth Nursing Divisions on July 3, at '\Vilnecote. First aid tests were judged by Dr. Gant, assisted by Dr. McColl (Asst. Commissioner of Staffordshire), whose presence y.ras much appreciated. At the saluting base the Commissioner was accompanied by President the Han. Mrs. Fitzroy Newdegate, Sir John Mellor, M.P., and other distinguished visitors. Corps Officer George Parker was responsible for the arrangements.
COVENTRY. - President P. Cleydon presided at the inaugural dinner of the Standard Aero Division at which County Officers Harris ana Mrs ShulmaB., Corps Supt. March, Corps Officer Orme and Vicepresident H. Sharratt were present, also Mr. R. B. Cole (Director) and Mr. A. Blundell (Manager).
Mr. Cole expressed the appreciation of the management of the work done by the division. Thanks to the enthusiasm of Div. Surgeon Shulman and Supt. Neale, personnel now numbered 3S. He was grateful to the members who took charge of the Works Ambulance each night.
A cup for the best individual members was presented to Private N. Lee by Mrs. Brown, wife of Amb. Officer Brown. COUNTY OF WOROESTER
Brierley Hill Divisions won all three County Finals, receiving the following awards from the County President: County Ambulance Shield, Ollis Nursing Shield and the Newton Cadet Cup. Redditch Ambulance team received the Commissioners Cup as and also the" G. G. Lewis" Cup as winners oi the Southern Area competition. The Nuell Cup for the Southern Area Cadet Competition was presented to Nursing Cadet J. Acock.
It is thought that the record of three winning teams from one town constitutes a record.
The annual church parade of the North Worcestershire Corps was held at the Parish Church, Halesowen. The Mayor, Aldermen and Councillors attended, also representatives of other organisations. The Lesson was read by Supt. F. G. Price (Halesowen). The collection of £IS was
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After the Service Asst. Commissioner P. H. Scho:f;ield, who was accompanied by County Officer D. M. Chapman, took the salute at the march past.
WEST RIDING OF YORKSHIRE
Lady Louis Mountbatten, accompanied by. Lady District Supt. Mrs. Birkbeck, Vlslted the Bai."nsley Tm'Vll Hall in connection ,¥ith the Wings for Victory campaign and then proceeded to:vVorsboro' Bridge, where was entertained to tea by Asst. ComIlllsslOner Dr. Beverley and Mrs. Beverley, after inspecting the Worsboro' and Barnsley Corps and Cadets. - A meeting was held in the Headquarters of the Worsboro'. Corps, which was addressed by Lady LoUls, who expressed her appreciation of the work being done.
At Bradford Lady Louis was met by County Commissioner H. r. Thornton Asst. Commissioner Dr. "Vest-Watson and County Cadet Officer Robinia, Viscountess - Mountgarret, at a meeting at which the Lord Mayor took the chair. She spoke to members who came from Bradford Keighley, Shipley and Halifax and spected the par?-de drawn up along the Broadway.
Ir: cO?I?-ection \¥ith the Toc H. Lady L?Uls VISIted Leeds and after lunching WIth the Lord Mayor (Miss Kitson) she spoke to a large meeting on the subject. After this proceeded to Dewsbury, she lllspected ambulance, nursing and cadet personnel from Dewsbury, Spen Valley and Huddersfield. This was followed by a meetin g in the Dewsbury Hall, where the Mayor, who preSIded, stated that he owed his life to the knowledge of first aid when he lost his arm in the last war.
Hearty votes of thanks to Lady Louis concluded a memorable two days for the Vvest Riding St. John personnel.
During her visit to Doncaster H.R.H. The Duchess of Gloucester inspected the No.1 F.A. Post at Edenfield, where Asst. Commissioner Dr. J. J. Huey and Lady District Officer Mrs. Rogers presented officers of the Brigade, including District Officers Mrs. Hunter, S. Bunting and Miss Ashbury.
After passing through a guard of honour composed of Nursing personnel, Cadets, C.N. Reserve' and Civil Defence a thorough inspection was made of' the Mobile Unit and the F.A. Post.
EAST RIDING OF YORKSHIRE HUMBERSIDE CORPs.-In connection \¥ith the Aappeallaunched by this Corps a garden fete was held on July 10, in the grounds of Mr. Arnold Reckitt's house at Brantinghamthorpe. Col. V.l. H. Carver, M.P., acted as Ch8;irman ' and introduced
Bell, who opened the fete. In presentlllg the new ambulance on behalf of all subscribers Mrs. Arnold Reckitt paid high tribute to all who had 'worked hard and contributed so nobly to make the ambulance service an established fact. Co rps Surg eon Geoffrey Thompson, who ,¥ith Mrs. Thompson had sacrificed much time and effort to the success of the appeal, received the ambulance on behalf of the Corps. The Rev. L. \lV. Twelvetrees perform ed the dedication ceremony.
Dr. .r orman Jennings, pr?pOslllg a. vote of thanks to all helpers, saId that this Corps was the first in East Ridin g, outside Hull, to start an Ambulance Service. He congratulated the Corps on the progress made and referred enthusiastically to the work done by Dr. Thompson and Corps Supt Rankine, throu gh whose efforts the Corps now has 3 Ambulance and 3 Nursing Divisions.
Amon g the many attractions at the fete was a first-aid comp etition judged by Holt, which was won by Blackburn Aucraft No. 1 Division.
NORTHERN IRELAND DISTRICT
The annual District were held at the Queens Univer sity , Belfast. Includin g the eliminating rounds, some being held in County areas, no fewer than 934 competitors entered the vari ou s events.
O\¥in g to pressure on space it is not possible to give a detailed list of results but the \¥inners of the ev ents wer e follows :-
" Belfast Challeng e Cup" (senior men) : Broadstone G. S. Railway: " Lord Cup " men) : Glenagaery; \7Vhltaker Memonal Cup" (senior women): vVest Belfast; "The Nursing \7Vhitaker Cup" (novice women): Newtownards and Hovvth and Sutton tied'
" 'District Surgeon's Cup" (Boy C,adets: B.B., Scouts): City of Dublin Cadets; " Girl Cadet Cup" (Nursing Cadets and Guides), Bangor and Banbridg e Cadets tied; "Lady Dixon Shield" (Belfast Nursing Divisions): Belfast Central'
" Viscount Graigavon Cup" (Royal Constabulary): "B" District Team 1 . "Ian Fraser Cup" (Individual men) H Boyce (L.S.A. Belfast) Division; Mr. Wilfred Brennen's Cup" (Individual women): Miss K. O'Neill, Portrush N. Divisi.on; "The Strachan Cup" (teams of Bngade members from industrial concerns) : Broadstone G. S. Railway; "The P::?gress Cup " by Prof. Gregg Wilson for compehtlOn among all ambulance and nursing divisions): Coagh Divisio.n; "Mrs. Lockhart's Cup (NOVIce Nurslllg Cadets): Clifton ville Cadets No.2 team. 182
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ADDRESS
ll}riorp for Headquarters Priory House, 4, Cathedral Road, Cardiff
GENERAL INTEREST Medical Adviser, Anglesey Home Guard, through the Commissioner, Sir Henry Mulleneux Grayson, Bart., an unsolicited testimony to the value of Brigade Services rendered to the Home Guard, an extract from which reads: "As Zone Medical Adviser, Anglesey Home Guard, I am very grateful for all the help that has been given the Anglesey' Home Guard by the Priory for Wales. It may interest you to know that in No. 1 Battalion there is one First Aid Certificated man in eve ry 18, which is an extremely high proportion.
The Ambulance Committee of the Priory for Wales at its meeting, over which Dr. D. Rocyn Jones presided, on July 20, discussed the question of Civilian Relief Work Overseas in conjunction with the responsibilities undertaken by the Red Cross and St John V,Tar Organisation, which has set up a Pre-Armistice Civilian Relief Overseas Committee. The Committee decided that it would be in the best interests of the Priory to have a representative for the purpose of dealing with this important matter in ' each centre; the Commissioners have been asked toappoint sueh Officers and notify their names to Priory Headquarters.
In receiving a report from the Motor Ambulance Iransport Sub-Committee, which met under the Chairmanship of Major A . "",V. Anderson, it was noted that during the quarter ended June 30, 1943, the Priory Ambulances had conveyed 5,636 cases, involving an aggregate mileage of 88,360, an increase of 764 and 6,807 respectively on the 1942 June quarter. Approval "was given to items of expenditure necessary to maintain the fleet of 27 ambulances, all of which are · in day and night cQmmission.
A vote of thanks was . accorded to the Rev. William Evans (Wil Ivan) for composing a special hymn for the use of Cadet Ambulance and Nursing Personnel of the Brigade in V,Tales, this having been undertaken at the request of the Commissioner for the Rhondda, Captain T. E. Richards. Sanction was given to the formation of the Dolgarrog Works and Glasinfryn Ambulance Divisions (Caernarvonshire); the Rhiwderin and Maesycwmmer Nursing Divisions (Monmouthshire) ; the Llanberis, Glasinfryn and Caernarvon (Caernarvonshire) and Pontypool Road Rail. way (Monrnouthshire) Cadet Ambulance Divisions and the ]Iolyhead (Anglesey) Cadet Nursing Division.
The Sub-Prior, Sir W. John Beynon, Bart., at the meeting of Council on July 19, which passed a vote of thanks to the Librarian, Sir Leon,ard Twiston Davies, for the gift of a handsome Georgian mahogany book case to the Priory Library. Council re-elected the Hon. John H. Bruee (Principal Secretary and Commissioner for Wales) to represent the Priory on the Joint War and Joint War Finance Committees of the Joint Council, Order of St. John and British Red Cross Society.
CENTRE REPORTS J ANGLESEY CENTRE
It is very satisfactory to the Priory to receive from Lt.-Col. J. L. Moir, Zone
I cannot too highly 0:( the efficiency and .. teaching ability of the St. John instructors. I have a fairly extensive experience of first aid and I can say I have never come across a finer body of First Aid Instructors. I t has been a privileg e to me to have worke d with such first-class First Aiders."
EAST DENBIGHSHIRE C ENTRE
The Commission er, Colon el Sir Charles Lowther, Bart., presided over the quarterly meeting of the Centre Committee held in the County Buildin gs, Wrex ham, on July 1, tvh en he was well supp orted by Corps and Divisional Officers. The Honorary Secretary and Asst. Commissioner, - Captain R. G. Evans, drew attention to communications from the Princi,pal Secretary on the subject of the First Aid in Coal Mines Course. The Committee undertook to do everything possible to popularise the course; and the Honorary Secretary is approaching colliery owners and manag ers to this end.
MONMOUTHSHlRE CENTRE.
The first Corps in-spection of the Silurian Corps, consisting of Units from Monmouth, Chepstow and Llanishen, paraded in charge of Div. Supt. Rees Morg an, accompanied by ex-Div. Supt. C H. Muschamp and Ambulance Officer Cavell, of Chepstow. The Nursing Division was in charge of Lady Div. Supt. Mrs. Webb, the Nursing Cadets in charge of Cadet Officer Miss M. Hunt, and the Ambulance Cadets were in the capable hands of Mr. A. Stibbs.
The personnel were inspected by Sir Leonard Twiston Davies, K.B.E. (Asst. Commissioner for Wales), Commissioner Capt. S. T " Beard, Lady Twiston Davies, Lady CQunty Supt., County Officer H. J. Lewis and County A.R.P, Officer C. Winbourne.
- The Units underwent valiious to show their efficiency. Afterwards all present were entertained to tea at the Beaufort Arms Hotel, by the Mayor (Councillor T. 0; Davies) and the MayoreSlO (Lady Corps Superintendent).
(Continued on page 190) 184
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porated both antacids and digestive ferments. It h a s a fresh miot flavour , rend eri ng i t palatable to the most fas .idiom p a tient. It is easil y m iscible with milk or water a nd consti .'atiog effects are preve n ted by the action of Mag. C a rbo Levi 3
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When women members of St. John First Aid units are asked for advice by those who suffer from acute functional menstrual pain, they can confidence recommend BAXEN, whkh is In and powder form from a specialist ,s the relief of pain durin: women s trying days
• •
Many hospital nurses and those in charge of welfare work In factories, use and recommend Baxen. because it is perfectly safe and gives such relIef. from pain. It contains no aspirin or anythlng t.o dIsturb heart. stomach, or natural functions. Two Baxen Tablets usually give relief in less than 10 minutes.
• •
Free Trial Supply of Baxen will be xladly sent to Equipment Officers to St. John Units on application, accompanIed. by a penny stamp, to Clinical Dept., -E. GrIffiths Hughes, Ltd., (Key No. 54), Adelphi, Salford 3, Manchester. • Obtainable from all chemists. Baxen Tablets (IS in flat box) Is-. Sd. Baxen powders 2d. each. (Tax included).
INTERESTING
CASE REPORT No. 232. The Chief C;ommissioner, Brigade Overseas, reports the efficient performance of first aid by members of the Kenya Police Ambulance Division in the following circumstances :_
On the night of January 31, a native containing 18 passengers fell from a road in the yeri township, a distance of 281 feet down almost vertical country, into the Chania River. Three persons were killed outright and one died the fOllowing day. All the occupants 'were infured :
"When the police arrived on the scene, the dead, injured, and pieces of the bus were strewn over an extremely steep hillside; and r escue work was difficult. IVIi. G. R JI. Gribble, Asst. Supt. of Police, however, managed to climb dO 'wn the precipice carrying the first aid have]-sack.
A short way dO 'wn a dead woman was found. Continuing, he found another patient about 150 feet down, who was likely to continue falling at any moment.
By hacking a hole in the cliff he managed to seat him comfortably 'and dressed his wound. He then continued to a point about 200 feet dmrn where he found a dead man, a dying man, and three others. He first went to the dying man; but he died as he commenced examining him. He left him and attended to another who was bleeding from the knee (not seriously) and had a broken left and right humerus. These he splinted and slung He then covered him and his companion with his overcoat as he could find no obvious injury to wl-uch to attend. The third 'was a juvenile with head injuries. These he dressed and made him lie in a hollow and covered him with his tunic.
By this time the police car had arrived with the information that the Sub Assistant Surgeon and extra police with stretchers were apprpaching from the main r oad along the river bank. He sent the injured at the top of the cliff by the police car to hospital. It was impo ssible
CASE REPORTS
to move tile others without stretchers
The Sub-Assistant Surgeon saw the patients. As, apparently, nothing further could be done for them there, he returned to hospital to r eceive the patients. Then, with the assistance of a European and hi s car, and the energy of Corporal Wambua and the police constables who came 'with him, the balance of the patients was carried and lowered to the river below and to the main road where they were taken to hospital in relays. The area wa s searched for other wounded or dead but none were found. The dead were removed to the mortuary by midnight.
COMMENT.-From this r eport it is clear that ve1'Y efficient first aid was rende11 ed in circumstanc es by members of the Kenya Pol ice A11'ibuZance D ivision to w ho m the Brigade At-Home and Overseas tender cordial cong1 atu,lations.-I C.F.
CASE REpORT No. 233. The Officerin-Charge of the County of Nottingham, S. J .A.B., reports the efficient performance of first aid by a member of the ·St. Ann's Divisions, Nottingham Corps, in the follo\oving circumstances:-
About 6.45 a.m. on May 3, Div. Supt. H. \ iVatson 'was called to'a house near his home where he found a man suffering coal gas poisoning, the patient being uncon scious, not breathing and the pulse being imperceptible at the wrist. He at once commenced artificial respiration and after thirty minute s succeeded, with the help of P.C. D. Lewer, in restolin g the patient to full consciousness. By 7.30 a .m the patient had bee n removed by ambulance to hospital where he made a quick and complete recovery.
COMMENT.-This rep01't tells of the good work so often done by 1nembers of the Brigade At-Home and Ov erseas. Div. Supt. H. Watson therefore merits cordial congratulations by reason of his effic'iency and pe11 sistence in rendering artificial resp 'iration whereby his pa tient's life was saved.N.C.F.
QUESTIONS AND ANSWERS
,ELEVATION OF FRACTURES
A. M. (Hull).-At a r ecent Quiz arranged by our Division the question ( What fractures shou ld be eleva ted ? was asked, the reply given being ( None.' At a later discussion, the questioner said the answer expected was fra<::j:ured skull, but opinion amongst Our members was about equally divided as to the correctness of this statement. 'Will you please give an answer throu gh the inedium of THE GAZETTE? We are agreed, of course, that a fractured patella should .be raised.
The q1;testion was incorrectly phrased because no) fracture should be elevated. EvidentZy the questioner desired to ask what parts should be raised when a fracture is preSe1'it. Unde,r this definition the injuries which caU for some deg11 ee of elevation of the part associated with the fractu1 1e a1' e fracturred fm 'earm, crushed hand, fractured pate lla, c1'ushed foot, fract'llwed skull (if signs of compression of brain are present) and fractured pelvis (if pain aggravated by extension of limb) .-N.C.F. -186
THE IDEAL
FIRST AID
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tects against germ infection, prevents blood polsonlni. and promotes rapid healing! Germolene causes the broken tissues to u nlto. ,rows new .kJn and heals over the broken place cleanly. It soothes at a touch. ends pain and brings ease At the present time. NO shOUld be without a tin of the world a quickest healln, ointment. Get youn to day I WOUNDS. CUTS, BURNS. SKIN IRRITATION
The antiseptic iC and antipruritic principle in WRIGHT'S COAL TAR SOAP
Somewhere about the middle of la.st century determined effort was made to Isolate the antiseptic properties of Coal from the inert residuum of therapeutic value. This was m 1862 in Wright'S Liquor Carborus Detergens and this preparation has been used. recommended for 80 years by skin and specified repeatedly in reference works.
A.SEPTIC OINTMENT
1/4 and 3/3 per tin \ (including Purchase Tax) J
*WRIGHT'S LIQUOR CARBONIS DETERGENS
Uniform
Will ' be made a I /.J.>;',-\ tailor-service which gives style and durability combined with strict con for mit y with S.J.A.B. regulation if you order
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It followed that the inclusion ?f this Liquor Carbonis ill the basic formula of Wnght s Coal Tar Soap gave to the a character as individual as Its own healthful aroma. It that this powerful prmclple could be-and has beer:-mcorporated withQut the least ?arshness to the skin. Wnght s mdeed has been recognised for generations as a supreme toilet and nursery soap.
COMPRESSION ARTERY
H. N. (Weston-super-Mare).-On p. 38 of your Common Errors in First A id you desclibe the pad which we should use for compression of the axillary artery; and you then ' state you have never been able to convert a triangular bandage into such a pad. In these circumstances I enclose a triangular bandage which has been compressed into a triangular pad, all three sides of which measure three inches ;- and I should welcome your findings and remarks, At the same time I should like to congI'atulate you on this book from which I .have learned much.
Ypur pad, ingenious though it is, fails in its purpose because it cannot 'be inserted deep into the ar111:Pit which is a narrow triangular space, As a fact, the only sui table pad is one which is "the size, shape 'and consistency" of a billiards ball, (as stated in the paragraph from which you quote) or which-in other words is-something small, round, smooth and hard such as a billiard, golf or fives ball or a stone.
Incidentally, -it is most essential to loosen clothing freely if the pad is to be in the correct position and so do its work,N,C.F.
USE OF ST. JOHN SLING
M. N. (Chiswick).-I have- long been puzzled as to the reason why the Textbook tells us to use a St. John sling in the treatment of a wound of the palm with arterial bleeding. I have asked senior ambulance members and two doctors, but thus far I have never received an answer which was completely satisfactory. In t4ese circumstances I now seek your help; and I know from past experience that you will supply the necessary information for which I thank you in advance.
In the palm of the hand there is a strong layer oj condensed connective tissue which is calJed "fascia," Now, if you extend an upper limb and then stretch to the full the thumb and fingers you can easily feel the facsia in the palm of the hand with the fingers of your other hand. Next, place the limb as in a St. John sling and try to extend the thumb and fingers. You witt find that this cannot be done so easily and that the layer of fascia is not so taut.
'When we were very yoU/ng and, being in disgrace, were told to " hold out the hand" for the cane, we instinctively stretched out the thumb and fingers because experience taught us that the ' pain from the cane was less severe if the hand was stretched (and thereby the fascia tightened) than if the hand was limp and semi-flexed.
The p'Yactical point, therefore" is that with ' wounds of the palm this fascia (which was so useful in our early years) may inter' Jere with the cont'Yel of se'Yious bleeding from the plam unless ' it is somehow kept loose. H encet-he use of the So. John
SPECIAL BANDAGE FOR FRACTURED FOREARM
F. K. (Slough). - My query is in regard to the special bandage applied to forearm and hand for fractured -forearm. I apply this so that the finished bandage appears exactly as in Fig. 45 of the Textbook except that after the slant turn is brought back to the wrist the diagram appears to give a further turn round the wrist which covers the base of the slant turn. If making the :first turn round the wrist before ascending to round the hand, there does not seem sufficient material left to go round the hand again after returning to the wrist. Here again, I find differences, and have seen this bandage passed as correct when the slant turn is done in the opposite direction, i e" from between thumb and forefinger, slanting across back of hand to opposite side of wrist.
I would be grateful if you would make these matters clear so that with your ruling all further ar gum ent will be unnecessary.,
This is a freak bandage of whi ch the on e and 011ly advantage is that it serves th e purpo se of t w o bandages. Rumour has it that man y examiners are not inte1' es ted and that for A s sociation awards they are ready to accept thr ee bandages in the t1 ' eatm ent of fractured forearm , as in pre-1937 day s of the Textbook. Fig. 45 can be r eprodu ced if the bandage is applied as follo w s:-
The patient's upper limb be i ng flexed at the elbow and the palm of the hand being turned towards his body, a narrow bandage is placed between the for ear m and the body with a short end which just co vers the front splint. The long end is th en brought" from without in" (and over the splint), wrapp ed firmly twice round the lower end of the forearm immediately abo ve the wri st, passed as a figure-of-eight round the hand, and then brought back with a sloping turn to the lower end of the forearm where the two ends are tied off on the splint. It is noteworthy that, though in this instance, the triangular bandage is used as a roller bandage the golden rule of bandaging "from within out" has been broken.-N.C.F.
DEFINITION
OF
PRESSURE POINT
R. C. (Chelsea).-Recently we were discussing the meaning of the term" pressure point" but could not discover a definition _ which was completely satisfactory. So, once again we ask your kind help. It is curious that the Textbook does not supply ci definition " and the one which I suggest is as follows :-
A pressure paint is tfte exact point along , the course of an artery at which the onward flow of blood through the vessel can be most effectively stopped by digital or instrumental pressure.-N.C.F.
188
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Children do not dread the application of Of 1,lodlne" because, unlike many othet antiseptiCs, It does not hurt or sting. It 15 Ideal for cleansing and Iterilising all surface injuries, and hasten, healing wit h 0 u t leaving a !Scar.
IGLODINE
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B. H. HAYDEN, of the 12th Field S.A.M.C., writes :-" May I
Priory for Wales- con.td. from page 184.
Sir Leonard Twiston Davies , p r oposing a vo t e of t h an k s to t h ei r Host a n d Hostess, sai d it was a :fine gestu re on t liei r part to ente rt a in them to t ea. The Monmouth Divisi on , .he said, was one of many he h a d visited in his capacity as Assistant Co m missio n er , b u t he fe lt more closely co nn ect ed wit h it beca u se he was one of t h e p ioneer s of th e amb ulance movement in Mo nm ou t h
T h e Cadets, he said, should' be kept fo r e m ost in their minds ' as their future m emb er s a n d h e urged parents to encourage their boys.to j oin. It ,"vas anno u nced that t he Mayo r and Mayoress had kindly p r esen ted a c u p to be competed for by the Cadets.
Capt . S. T. Beard, seconding, wished ' t h e Mayor and Mayoress a l1appy year of offi ce a n d he hoped that M-rs. Davies wou ld b e with th e Brigade for many years. B oth Sir Leonard and him elf were very p leased wi t h the efficiency of the Division, a nd t h ey congrat ul ated the Nursi ng and A mbul a n ce Cadets on .their very smart a p pear ance. Lady Corps Supt. Davies r esponding, declar ed that both the Mayor a n d herse lf were p l eased to ha ve the oppo r t u nity of entertaining them all.
WA'LL CHARTS ANATOMICAL DIAG'RAMS AND OSTEOLOGY
FOR LECTURES BOOKS AMBULANCE FOR WORKERS
H. K. LEWIS & Co. Ltd. t36 Gower Street. London. W.C.1 EUSton 4282 (5 lines )
-Giving hints on the Bugle ; Drum and Flute, also Paradl! Formations. ure of Parade Cane. Staff. etc., 6d. post paid. (Broken). Po. t f1e.h hoop. Ready lapped head returned aame day aa r.ecelved.
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SWANSEA CENTRE.
The Com m issioner for \ iVales, t h e Hon. J ohn H. Bruce, and Lady Staff Officer for \ i\Ta les, t h e Hon. Mrs. J. H. Bruce, inspected t h e Swansea and Clydach Un i ts outside the Brigade Headquarters, whicl1 the Commissioner for \ i\Tales forma 11 y opened a year ago.
There was a good muster on parade of men and nurses under the command of Dr. Urban Marks, Commissioner for Swansea area, who was supported by Lady Co u nty Supt . Mrs. Urban Marks, Asst. Commissioner H. S. Cann, Mr. Lew is J on es, M. P., and lVII's. Lew is Jones, the Chief Constable Mr. D. V. Turner and Deputy, Mr. D. A. Cooper.
Both the Hon. John and Mrs. Bruce expressed gratification at the numbers on parade and in the hall after the inspection, Dr. Urban Marks in the chair, the Commissioner addressed the gathering. He referred to the importance of the Swansea area in the early history of the Order; and urged the desirability of securing the interest of all sections of the pu blic through an influential Centre Committee.
Mr. Bruce took the opportunity of congratulating Asst. Commissioner Cann on his New Year's hono u r by the Kin g .
CLASSIFIED ADVERTISEMENTS
Advertisements with re mittance should be sent to the St John A1ubulance Gazette, 46/47 Cllal/eery Lane, London, W.C.2. (to which address rep/z:es 10 Box I1ltmbtirs shotdd be jor!IJCl!rded) Rate 3d. per word, m11li11111"Jit 11/6. Eo,]; m/.-II/ber s 1/- eJ'Ctra
FOR SALE.-Corps Officer's Tunic and Trousers, 6 ft. 2 in , 42 in. chest, never worn; also Me s Jacket and Ves t. No coupons. Barga in, 10 gu incas.Box 105 , c/o PUBLISHERS
FOR SA Ia E.-O utsize Engl.ish Ambulance Sistcr' Greatcoat.-Apply HON. SECRETARY, Nursing Division, Hay, via Hereford
U RGENTLY REQUIRED.-Second-hand Male Uniforms.-Particulars to G. H SCRTVE, s, Holmleigh, Downlield Road, Stroud, GJos. ___
NEW DIVISION wishes to purchase Sl. John Ambulance Uniforms (male) ; must be in good condition -Particulars, DIV. SUPT. F. 14, W embley Avenue, Thornton, Bradiord, Yorkshire.
FIRST-AID COMPETITIONS are won b y goo d coaching An y Fi rs t Aid er (ei ther sex ) may coach a n y ambitio us team-ma le, female or rnixedto early success. Competi tion experience not essentia l wi th new Guide -Fo r particulars se nd stamped envelope to R. J EFFERY , 5, Avenue Gardens, L ond on, W 3
W ANTED. - S.].A.B Coat and Skirt, also Blouse, O.S., good Gonditiol1 -GoRDoN, 2, Shonenest Street, LORdon, W.<b
THE LATEST and best method of dealing in a pl'actical way with large numbers of casualties is fully described in " First Ai el in Civil Defence," by Corps Officer R. G. Winder,' St. John Ambulance Brigade. Price l/3 (postage 2m ) from THE FOUNTAIN PR7l:SS , 46-47 Ch ancery Lan e, London, W C.2. 19.0
EVERYTHING FOR SAFETY
EVERYWHERE
, NOVOX' and 'NOVITA' Oxygen + COl or Oxygen RESUSCITATING APPARATUS for the apparently asphyxiated or drowned •
SMOKE HELMETS of .11 Pattern• •
C PROTO' and C SALVUS' OXYGEN _ BREATHING APPARATUS
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by N. CORBET FLETCHER , M.B., B.C., M A (Cantab ), M.R.C.S.
WHY & WHEREFORE IN FIRST-AID (6th Ed ) Difficulties solved by 2d )
AIDS TO FIRST·AID (7th Ed.)
First-Aid Simplified Tabulated with Aids t) Memory Price 1/3 (Post 2d.
EFFICIENCY IN FIRST-AID (3rd Ed.)
Problems in Study, Treatment and Examination solved for Senior Students. Price 1/· (Post 3d.)
AIDS TO HOME-NURSING
Home Nursln, Simplified Tabulated, Aids to Memory. PrIce 1/· (Post 11· COMMON ERRORS IN FIRST·AID
Errors In First-Aid Detailed and Explained Price 4 /3 (Post 2d )
AMBULANCE COMPETITION TESTS
Stretcher Indiv idual and. Ques t1oll Each Folder contains speCIal artIcle on CompetitIon No I, Training of Competition No.2, Conduct of Team In Room No 3 Common Errors in CompetItIon; No.4: Further Errors in ; No. 5, History of CompetItIon Tests , No.6, Preparation of Tests. 6 Folders. Price 6d. each (Post 2d.)
Obtainable from :
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GARROULD L
Te/ellrom" GARROULD, PADD., LONDON 150-162, EDGWARE ROAD, LONDON, W.2
TO OBTAIN UNIFORMS without Coupons FOR OFFICERS & MEMBERS, a Coupon Equivalent Permit must 'be sent with your order, which can be obtained from the Officer-in-charge
PERMIT OR OFFICIAL HEADED PAPER MUST ACCOMPANY EVERY ORDER.
SJ.A. REGULATION APRONS for Ambulance Sisters. Made from hardwearing linen-finished apron cloth. Price includes cross.
Waists 26, 28, 30 Ins. 7/3
Waists 32 and 34' ins 7/11
Waists 37 and 38 ins. 8/11
Waists 39 and 40 ins. 9/6
All in Lengths 26, 28,30,32 ins.
SJ.A. REGULATION COAT
Cut and tailored from fully shrunk and showerproofed material, half lined with grey Italian cloth. Prlce.s Include buttons. An official order for H.Q. to supply UI with badge, and button, must be sent with every order. Women', Size. 99/6 0.5. l5, 5 0 Ex. O.S. l5, 12 6
S.J.A. REGULATION HAT for Officers, Wool Felt. 19 fI I, Ambulance Sisters, Felt, 16/11. Badges are only obtainable from H.Q. Sizes: 61. 61, 6f, 6f. 7, 7i. 7i, 71. Storm Cap 17/1 I.
REGULATION DRESS for Officers and Ambulance Sisters. Made from good quality Sanforized - Shrunk washing material.
REGULATION COSTUME for Officers & Ambulance Sisters. Made in X9 Serge, Stock sizes Wm's l7 17 6. O.S. l8 126. Madetomeasure,Wm'sl9 15 O. O.S. llO 10 O. Made in fine Serge, stock sizes, women's l6 186, O.S. l7 15 O. Made to measure Wm's £810 6,O.S. £9 5 O. Stock sizes-Bust 33, 34,35. 36 ,37. 38. 39, 40 ins.
REGULATION CAP for Ambulance Sisters. 27 by 18 Ins. or 28 by 19 Ins.• 3/3
REGULATION CAPE.-Made In regulation grey cloth, lined with all wool red flannel. Price on application.
Uniform by Garrould ensures correct design, high grade materlall selected for smartness and hard wear. OF OFFICERS' UNIFORMS AND OTHER ITEMS NOT MENTIONED IN THIS AD VERTISEMENT SENT BY REQUEST
All prlc are liable to advance without notice Numerals obtainable (rom headquarters.
REGULATION BLOUSES. For Officers and Ambulance Sisters. Made In Pique Art Silk Including extra collar, 32/6. In Ivory Tricoline, 21/-, extra collar, 2/9. Sizes 13t, 14, 14t, 15 in.
t6e ,iourncd' of t6e in t6e (Feafm of t6e (ptneraBfe <Droer of f6e i)ostJffaf of !Sf. )"06n of )"erusafem
VOL. 16. NO.9 SEPTEMBER, 1943
CONTENTS:
EDITORIAL
PHYSIOLOGY IN FIRST AID ON ACTIVE SERVICE
POLICE AMBULANCE NEWS
THE ST. JOHN AMBULANCE BRIGADE OVERSEAS
CADET NEWS
CIVIL DEFENCE _ SERVICES .,
THE ST" JOHN AMBULANCE BRIGADE (AT-HOME)
PRIORY FOR WALES
INTERESTING CASE REPORTS
QUESTIONS AND ANSWERS
RECEIVED
RAILWAY AMBULANCE NEWS
EDITORIAL OFFICES : ST. JOHN'S GATE, LONDON. E.C.l
(All reports. etc., should reach the Editor not later than the 28th of the month.)
PUBLISlIING OFFICES: 46-47, CHANCERY LANE ; LONDON, W.C.2
WILL NOT TURN ·SEPTIC
- IF TREATED WITH
ANTIPEOL OINTMENT
CUTANEOUS VACCINE BECAUSE
one or other or all of the three races of germs, Streptococci, Staphylococci and B.pyocyaneus are found in every skin infection co=on to this country, and ANTIPEOL OINTMEl':/T the antibodies (antivirus) of these germs. H eallng is expedited by the proved ingredients of the ointment, and septic development is stopped or prevented by its antivirus sterile vaccine filtrates. ANTIPEOL OINTMENT is unsurpassed for BURNS and SCALDS, for it is microbicide and non-adhesive, and dressings do not require to be changed every day.
RHI NO-ANTI PEOl
affords rapid relief of COMMON COLDS, INFLUENZA AND CATARRH. Containin g the antibodies of the germs common to infection s of the nose and pbarynx (Staphylococci, streptococci, B.pyocyaneus, pneumococci, pneumobacilli, enterococci, M.catarrhalis, B.Pfeiffer), Rbino Antipeol is not just a palliative, but is a remover of the cause of the infection. During epidemics it is the ideal preventive of microbi c development.
.OP:HTHALMO-ANTIP-EOL
is a semi-fluid ointment, more convenient than the ordinary Antipeol ointment for ocular infections and lesious. Eyes affected by smoke and dust are soothed almost i=ediately by the application of Ophthalmo-Antipeol, and the antivirus prevents germs from developing.
PHYSICIANS' f'rOo()lJ REMEDY
Cephos does not affect the heart. Sold everywhere in Tablet or Powder form, 8 Powders or 16 Tablets 1/3. 21 Powders or 42, Tablets 3/SINGLE ld DOSE
t13e ciourno.f of t6e in t13e OOrifis13 (Reo.fm of t13e of t13e lI5os.pifo.f of cio13n of cieruso.fem
Edited by GEORGE E. CRAFT, F.R.S.A.
EDITORIAL
PRICE Tmuntp1I:NcIt per AnnumJ post free
One very interesting item occurs in the annual report of the St. John Ambu lance Association lor the year 194 2; it is that an increase of over 500 certifica tes were gained in the subject of Hygiene. Many members of the Association are concerned ",,,ith fir. t aid and home nursing only and are unaware that certifica tes in other subjects are issued. \ Ve 'would emphasise the fact that four of t he five subjects for which certificates are issued are of the greatest importance to -day even lTlore than in days of peace They are first aid, home nursing, hyg iene and sanitation. The last two would complete, as far as is possible, th e t raining of the ideal first aider after having obtained the certificate for first aid a nd home nursing.
During 1942 the number of classes examined in England and To rthern Ire land under the Association "vas 10,259, being an increase of over 200 for the "c ar 1941. In first aid the number of certificates issued increased bv over 4,000 10 108 , 188, due mainly to the l arge number of Vi,Tar Constabulary of the Metropolitan Police who were examined during the year. It· is interesting Lo note that since the inception of the certificate over hvo and three-quarter m.inio n have been issued in England and .r orthern Ireland, with a further 1,473,555 overseas. Re-examination awards also increased by over 4,000 to 94, 581.
Mention is made in the annual report that ove r 2! million copies of the First Aid Textbook have been printed and distributed by the Stores Department J anuary, 1938 ; whilst the total number of copies issued since it first appeared in 1878 to Jun e 30, 1942, ,,"as 7 ,054,705, made up as follO\;y s : Home, 6,468, 555 ; India, 137 ,500; Local Reprints, 262,405; Translations, 186 , 300.
The three motor amb ulances of the Invalid Transport Corps, stationed at St. John 's Gate, were in constant u se and over 700 patients ,>;rere removed with a mileage of 43,782.
Once again the Association r ecords its indebtedness to members of the medical professiOll; also:to members of the nursing profession who have co-operated in the work of instructing and examining Home Nursing Classes.
PHYSIOLOGY IN FIRST AID
By M. M. Scott, M.R.C.S ., L.R . C.P.
( M em be r of the Te xtbook Re vi sion Comm i t tee and D ivi si onal S urgeon, S.J.A B )
THE URINARY SYSTEM
The Urinary system forms part of the excretory mechanism of the body, becau se it eliminates the products resulting from the b r eakdown of the proteins during the process of metabolism, as well as many other substances when present in excessive amounts in the blood Moreover, it keeps the chemical of the blood 9lightly acid " by eliminatin g those substances which would otherwise alter this.
The organs comprising the system are: .
The Kidneys which secrete the urine.
The. Ureters (or tubes) - which convey tpe unne from the kidneys to the bladder.
The B ladder which acts as a reservoir for the urine-
The Urethra which conveys the urine from the b ladder to the exterior.
T he Kidneys are two in number, lymg on each side of the vertebra l column on the posterior abdominal wall and ,?ehind the peritoneum. The shape each IS characteristic, the indentation on the inner surface bein g known as the Hilum . The hilum is the place through which the nerves , b lood vessels and the ureter en ter or leave the kidney according to theIr In. size , each kidnpy is approXImately 4t ill. long, 2t in in breadth and 1 in. thick, the adult kidney welghmg from 4 to 6 ounces. The position of each can be accurately gau ged because it lies over the transverse processes of the upp er three lumbar vertebrae. The ' left kidn ey is positioned slightly high er than the n ght, because the fornier overlaps both the lIth and 12th ribs, while the latter overlaps only the 12th rib. The upper pole of each kidney is overlapped by the Suprarenal Gland, while the anterior surface is in contact with the abdominal viscera and the peritoneum In addihon the kidneys are embedded in fat as padding and helps to retaill them m position
Gross. of the K idney. Each kidney IS closely invested by a thin layer of tissue, known · the Capsule. On sectlOn, the kIdney substance is seen to be of an outer part, the Cortex, whIch IS of a uniform brownish red co lour, and ' an inner section, the Med ull a. .The medu ll a is formed by about fiftee n ? r SIxteen conicat masses, the Renal PyramIds, of which lie against the. Cortex, the apices or Rena1 Papill CB, a r e d Irecte d towards t h e hilum 0p'en in to c.<;>llecting t ubes or Calyces: whIch 10 unite to fo r m the Pel vis of
the kidney. The pelvis narrow s as i t approaches the hilum, and so the Uretel is formed.
.1YJinute Structure of the Kidney. Th e Indney is for'med by a large number 0 minute tubes, the Renal Tubules, thei l associated blood vessels, and the connec tive tissue which unites them to gether
Each tu bule be g ins in the Cortex as a Malpi15hian Body, the component parts of which are a microscopic sac formed b y a layer of flattened cells (Bowman's Capsule) invaginatin g which is a tuft of rena l capillaries (or glomerulus). The cavity of the capsule opens into the tu bule which pursues a complicated course to the apex of one of the renal pyramids. The first part of the tubul e is the " sec retin O''' portion, the latter part bein g more cgncerned the collecting and transferring of the unne formed to the calyces.
It will be appreciated that although the secreting capacity of each tu bul e is of n ecessity minute, the very large number of them will enable the kidneys to sec rete an. average amount daily of about 50 flUId ounces of urine in a normal human sub ject. -
Th e U ,'e te1's. These are the mu sc ular
t ubes, two in which convey the ur ine from the kidneys to the bladder
Each is about the thickne ss of a gooseq uill, 14 to 16 in ches long , and commencinO" at the pelvis of the kidney. It then p:sses do\¥uwards, lying o n the deep muscles at the back of the adominal cavity to reach the rim of the bony pelvis. From here it runs dm¥uwards laying on the lateral wall of the bony pelvis and then tnr ns forw'ards and inwards, so as to !lter the bladder obliquely b et ween its m uscular walls. The urine is propelled along the ureters by peristaltic action, which also serves to pre vent backflow when the bladder contracts. Moreover, th e muscular walis of the bladder, which su rround the entrance of the ureters, also helps in the latter connection by tending to close the ureteric openings on contrac-
The Urinary Bladder. The Urinary Bladder acts as the reservoir for urine l.n til it is voided by the act of micturition. It lies in the front of the true bony pelvis, ItS capacity varying considerably in differcnt individuals. Moreover, it is extremely distensible, because of the plain muscle contained within its walls. "When emEty, Th e bladder lies entirely within the pelvis m d it is somewhat pear shaped, the apex .aying forwards ibehind the pUb.is. Th:e lo west part, which lays postenorly, IS kn own as the Base, and is fixed, while upper p,art, or Fundus, rises out .of the pelvis into the abdomen when dISte nded. The two ur ete rs enter the bladde r at the upper and late ral angles of the
base, whilst the Urethra (the exit tube) l eaves from the base in front. It will be observed that a triangular area is thus formed by the . entrances of the two ureters and- the beginning of the., urethra, this , re gion being known as Trigone. The Ur ethra is the canal which conveys the urine from the bladder to the external opening, and as it passes. through the pelvis , it is surrounded by a cITcular layer of voluntary muscle, which prevents the es cape of urine. The of the urethra varies considerably Wlth the sex becau se of the differences in anatomical construction, the female urethra being 1 to 1 t inches long as opposed to 7 to 9 inches in the male . (To be continued).
o'N ACTiVE SERVICE
The Chief Commissioner, Brigade AtHome regrets, to report the casualties among members of the Bngade : Kill ed
Private H. Hanlon, of the Middleton Division, on June 6
Private Richard K. Betchley of Barclays Bank Diyjsion, with the R.A F.
Private Eric Bramwell of the Newto\¥ll and New Mills Division, in Sicily. P.ri soners of War.
Private Own of the Haggerston DIVision, previously reported missing, now kno\\Tn to be in Java.
Private A. B. Emery of the Fulham and Chelsea Division, in Japanese hands. Ambulance Officer H. W. Bailey, Hamp:ltead Division, in Japanese hands after beinO' "missing" for 18 months.
The Chief Commissioner, Brigade Overseas, regrets to report the following deaths whilst on active service:- ·Corporal Frederick Jack Newman, 'Mount Albert Ambulance Division, Auckland District, New Zealand, while serving with the R.N.Z.A F. 1'.'liss Eva Treadaway, Calcutta No: 1 City Nursing Division, No . 2 DIstnct, India.
POLICE AMBUL A N C E
lVJe tropolitan M Division.-The Pau:s Competition for the cup presented by SIT Cecil Biowood was held recently. Supt. Ro bertsgn announced the and thanked Dr. Abraham, who set and Judged very interesting and instructive for his assistance, and also the large ,:udlence for their support. Those present lllcluded D. A. C. Archer, Major Rogers, Commandant Matthews a n d Dr. White Knox. lYIrs. HodO'kins wife of Chief Inspector Hodgkins,b the trophy and prizes as follows: 1, W omen (Miss Sidney and Miss Good), 2, Kenrungton, 3, Rotherhithe. 197 B
A. Suprarenal Gland
B Capsule
C. Renal Pyramids
D. Pelvis
Cortex S ubstance
Ureter
31 obn ,Stas
70 New. South 'District.-During N E 0 members a.re doing the work of th e 1942 mne new dlVlsIOns were registered .: ServIce, whIch has been consistentl y 2 Ambulance, 3 1 by those members of th l' Cadet and 3 Nursmg Cadet, this makes Nursmg who wer e seconde(l a 'total of 39 Ambulance 37 Nursina 5 to the NatIOnal Emergency Or a a t' Se ti d 27 C ' 0' S b nisa IOn cons ,:n adet DIVlsIOns with a orne of the CIty Aid Posts are com 1 t 1 membership of. 3,897, an increase of 623 staffed by St. ] ohn A b I P e ,e ), ?ver the preVlous year. These figures Nursina D' . . m u ance an e mclude Officers and members serving ''' 'I'th b b. IVlsIOns, whIle at others memth A' I F vv ers aSSIst the E S D ' e : and Commonwealth Military year the St ] h' P erVlce. unng th E: and forces, both men and was the w" o n ost at Camperdow n womeJ?-. Durmg the year 82,428 cases of tT mner of the Emer gency Com:first aId were attended. held for the FIrst Aid Post s
Since last year the work of V A Coudo tout the D t hID a e work IS ' e ac ents has greatly increased. Now it h b th progressm g, althou gh there are 71 enlisted St. ] ohn Aids doin a e worst year ever experienced duty: some others in /a , ?enior Cadets ar hospItals and hospital ships. There are or in cam ar. an m other countries also 842 members doino' part time duty h ps theIr own country. Som e m Naval, Military and Air Force t:: e eve.n paId supreme s acrific e in m New South \i\Tales. As the call becomes of theIr ' country. At th e greater , so the members may be relied upon Suo r' t g of the ,yea r the first State Cadet to answer the demand for such service S pe m t endents Conference was hel d
During 1941, two X-ray Mobile i ndents n: om all parts of were presented to the Army for servl'ce d fi \'" ales attended; It proved such a I e m e success that 't' h overseas. n 1942 a cheque was sent to 't I IS oped to mak e th D t' 1 an annual event e. epar ment of Arr for the purchase In' , of SIX Kerosene Refrigerators for use b spIte of the .call up of m e n, and the the medical establishments of the R A A FY fvanous organIsatIOns for women, report f th - rom all the Corps h th or e storage of vaccines and human th B' . s ow at th e work 01 serum for transfusion purposes. Another IS bein g more than ampl y che<;lue has been sent to the Royal Aus- read and '. members are always tralian avy for the purchase of bacterio y t d willmg t o serve whenever call ed laboratory equipment for a naval 0 so. Lack of space prevents a hospItal. . e a 1 account of all the various way s
23 Service medals 7 first Bars 7 second m 11Ch our members ar€ rendering thi s B "serVIce and also th d'ffi 1 ars,and 1 fourth Bar have been awarded nd r ' 'h' h e I cu t conditions and also 3 Grand Prior Cadet Badges' e t they work. Each Corps two girls and one boy. por e contmued loyalty and c o-
€abet j}eWg
No. 1 District.-On August 21, the Area held its :first Cadet Sports meetmg at Hendon Schools Sports Ground arranged by District Officer S. H. Collins Lady District Officer Mrs. Rayner Lady Area Cadet Officer Miss Cleasby and In to the sports a :first aid comJ?etItIOn was held for ambulance and nursmg which were won by Southgate and Palmers Green resp ectively cup by Mr. Montague Pozne; (VIce-presIdent Hendon Ambulance Cadets) for the division gaining the highest number of marks in the sports was won by Rickmansworth. The Mayor and Mayoress of Hendon were among those present, the for .mer presenting the awards .the close of the meeting. Many other were. present includin g Lady Distnct Supt. MISS Workman, who inspected the parade before the ,sports begap, Miss
198
operatIOn of member.
Walker, County Surgeon Farmer District Officer Wells, Miss Cunard (Staff Offi to ChIef Officer Nursing Cadets) and other Lady Area Cadet Officers.
To mark the completion of their first Romford Cadets held a birthday p dyon July 24. Bed-making, stretcher drill, .folk and dances by both bo s and gIrls were mcluded in the programm{ Th e .ceremony of enrolling new Cadets ca.rned out by Lady Area Cadet Officer Parrott. Two cups presented on behalf N rs. ]oJ:'ce Upton (at present serving in orth Afnca as a Welfare Officer) were receIved, one for boys and one for girls.
On August 15 members of the PostaZ and St. M arylebone Amb I th S ] ' u ance and e t. ohn Wood Nmsing Cadet Divisions held a combmed outing. Commencin at 9 a.m. and returning at 8-25 pm gth Cadets, 46, and 12 ach;lt; a splendId day including races in Wind Great Park. sor
Cadets of the 22 / 1 Nursing Division recently gave an interesting a nd efficient display. District Officer Collins presided whilst Lady District Officer Mrs. Rayner gave a talk on the history of the Order. Others present inclu ded District Officer Wells, Lady Area Cadet Officer Miss Cleasby and Div. Surgeon Margaret Trotter. Following a d isplay of bandaging a badge demonstration was given, the subjects including Home Nursing, Child \i\Telfare, Signalling, A.RP ., Life Saving, Nature Study and Handicrafts.
An enrolment ceremony and social evening was spent by members of t he 32 / 3 Hornsey' TUl;'sing Division on Aug u st 11, when Lady Area Cadet Officer Miss Cleasby officiated. District Officer Wells presided, being sup ported by the Rev. Paterson, Lady Supt. Miss Hurrell, Lady Amb. Officer Do cwra, Lady Cadet Supt!. Miss Stranger and Lady Cadet Officer Miss Olliver.
Bedfordshire.-Excellent work was done by the 550 Cadets and Officers who a ttended the S.J.A.B. ational Service Camps at Sharnbrook during the first two weeks in August. Two special broadcasts by Cadets in camp were given on the Overseas and North America wave lengths. Officers from a U.S.A.A F. Aerodrome were very interested and besides helping with entertainment and taking part in B rains Trust, arranged for Cadets to be t aught baseball with a U.S. Sergeant Instructor.
A publication entitled "The S.] .A .B . Cadets of Bedfordshire, 1943 " mainly written by the Cadets themselves has been a great success and Lady County Cadet Office r Mrs Hugh McCorquodale has received many charming letters of congratulation including one from the Chief Co mmissioner, Sir Clive Liddell. County Commissioner Capt. Knight was p resent at a demonstration and enr olment at ;the Town Hall, Luton, on August 26. The County Cadet Officer enroll ed 18 nursing and 7 Ambulance Cadets of the Lu ton TO 'wn ;Divisions.
Cornwall.-Nineteen boys of the Penand Ne wlyn divisions joined 'with t he 1st Gulval Scouts at camp which was held at Bostrase. An interesting and enjoyable time was had by all and many a ctivities were held during the camp.
Ke111,psey.-The :first enrolm ent ceremony of the Kempsey Nursing Cadet Division was held recently when Lady Co unty Cadet Officer Mrs. Hugh Robinson officiated. The ceremony was witnessed by the Divisional Officer, Vice-p,resident, and After the ceremony a display was gIVen under the direction of Mrs. W. A. Hetherington (prospective
Cadet Supt.) assisted by Lady Div. Secretary Miss E. Scott.
Nwthall.-At a social evening held on August 12, demonstrations in P.T., first a id, country dances, etc., were followed by dramatic incidents from the lives of Florence Nightingale, M. Curie , Nurse Cavell and Dr. Anderson. The proceedings concluded with a spirited rendering of " Knights of St. ]ohn." During the interval certificates were presented including the first two War Service Badges to Cadets Rachel Yates and Paula Chambers for duty in hospital and for toy malfulg.
Leicester.-The Ambulance and NursingCadets raised £115 for the Prisoners-ofWar Fund by the performance of a Pageant. The cheque was handed to Lady Oliver, County Vice-President, at a concert given to all cadets who took part in the pageant. As a special effort for the Hospitals ' in Malta the pageant will be repeated on October 2 at the Co-operative Hall, Belgrave Gate, Leicester. The cadets·contributed £10 from their own funds for production purposes.
On Farm Sunday 80 Cadets attended a special parade and service in Leicester, and on August 14 some 150 ambulance and nursing Cadets, under Cadet Sergt.:Major Harbutt joined in a big parade to terminate Leicester's Stay-At-Home holidays.
Derbyshire.-Some 20 Cadets of the H asland an.d Grassmoor Collierv Division attended camp at Cromford ill' Gompany with 20 members of the adult division. Cadet Officer R Millward was in char ge of the Cadets and on Sunday morning the Cadet Band, under Cadet Officer ]. H. Orme , led a march for church parade In the afternoon Mrs. Chambers, wife of Asst. Commissioner H. C. Chambers presented certificates gained at a recent examination.
Corps Supt. F. Shelley recently enrolled 17 members of the A lvaston Nursing Division. On August Bank holiday a Garden Fete was held to raise funds, County Cadet Officer Miss Elsie Bell opening the proceedings. Miss Bell and Dr. Mary Bell judged a competition for the best capelline bandage. The effort was successful in raising £25 5s. Sd S'IImd e·yland.-The Nursing Cadets of the Sunderland Corps were inspected by Lady County Cadet Officer Mrs. M. Kirkup. The Mayor (Councillor Myers V\Tayman), Corps Supt. D. Te lson, Lady Corps Officers 1\11. Snaith and M. Crew were among those present. The Individual Honours Silver Cup for Swimming has been won by Florence Farrow of No. 5 Division: she having won the girls' Championship at the s\;vimming gala held in connection with the J .O.C. annually.
(Continued on 201)
CI'YIL ' DEFENCE S'ERYICES
By W. C. Bentall, C.B.E., 'F.R.C.S.,
MUSTARD GAS-SYMPTOMS AND TREATMENT
The higher training in dealing with Mustard Gas, the outstanding Blister Ga.s, or Skin irritant, based on operational experience does not in any way minimise the scientific facts associated with this gas, and the physical properties and 'chemical action on the human body, or other material matter. The things which we heard in the basic training on which the higher training is based, just as in first aid our peacetime instruction and certificate following examination constitute the basic training forming a sound foundation , which is essential before dealing 'with the variou's operational procedures resulting from new experience technically called " Higher Training," so in Gas the same procedure occurs. Wartime first aid 0T gas is no contradiction of peace-time first aid or Gas teaching but its adoption to the passing conditions of war-time practice.
It is well never to for ge t the subtlety of the symptoms of Mustard Gas, and the rnaj ority of the cases we may see give us no symptoms by which to recognise the infection. Every case to be successfully treated must be dealt with hours before any symptoms appeal', for every symptom is a delayed symptom. Thus in vapour gas--even in high concentration, the first symptom appears in the redd ening of the eyes, and this may not appear for several hours following the .infection . The brassy cough may be delayed for 12 hoyrs or more, and the actual blisters even 24 hours or longer. When we see symptoms there is little if anything to be, gained by first aid treatment. Whatever is possible for us to do to prevent troubles must be done within the first five minutes if the eyes can be prevented from the inflammation with its redness and inflammation, and pain. When these symptoms appear the case can only be dealt with by the Surgeon and trained nurse under him, And because of this much of our early training of douching at the F.A. Post has fallen out. We first taught eye douching in the C3 Room where the showers are,
then we put the douch cans in the C2 Room where the underclothes ar e removed, and there was some talk about ·douching the eyes in C 1 Room where the outer clothing is removed The idea of this being to treat them as early as possible; and yet how seldom would such douching at a F.A. Post be possible within 15 minutes of th e infection of the eyes. Whereas we know that mustard gas-even liquid , takes longer to penetrate the clothing , and the rate of its penetration is proportionate to the permeability of the clothes. Thus gas will take long er t o go through thick clothing than thin of equal material. But it will take longer to go through a thin mackintosh , cycling cape or waterproof coat than it wo uld to go through a cloth overcoat or jacket. And as soon as an infected person arrives at the Cleansing Entrance of the F.A. Post outer clothing must be removed and handled in that practical way in the C1 Room which is well open to the air, and with a concrete floor which can be flushed down frequ ently becau se mustard gas is hea vier than air and will sink to the floor. It is therefore imperative now that the floor of this outer first room has a sloping floor with a drain to the main pipes and a tap on the wall or a hose from nearby by which the flushin g may be done, When a drop of liquid Mustard Gas touches the eyes, we used to teach with some hesitancy that the members of a first aid party in the street shoul d empty their water bottle into th e affected eye for complete and effective flushing, and send them straight to a hospital, not. a Post, for more drastic and more scientific treatment by the doctors and nurses. Now this is the recognised higher training for essential practice, because time lost in going to a Post for first aid treatment may prevent the successful and more scientific treatment at a hospital b eing in time to prevent the loss of the eye and of permanent blindness! "Speed is the essence of treatment" is an old phrase, but it is emphasised much more now than it ever was and certainly the risk of delay caused by arguing the point 200
is an unpardonable mistake, and none b ut the most foolish would do so! Exercises have shown a very common omission in handling gas cases , namely first aid of wounds or gassed cas es on t he down wind side of a puddle of liquid m ustard gas on the road, garden or p ath That means that you are keeping the patient exposed to gas. vapour a ll the time. Before everything else y ou must carry the patient up wind fr om the pool of gas, and in strong wind a few yards wou ld be enough, and in a slight wind a little further sti ll. In one exercise I once sa.w a warden anxious to help the ·first aid p a rty when they arrived. His prote cting glove had actually touched the liquid gas and in his zeal he placed that gas -infected gloved hand under the b ack of the woman's head to help them carry her up-wind! . . Amongst some of the local authonbes m uch practice with the personnel and imaginary patients is carried out at P ublic Cleansing Stations and F.A. P osts. But in many places there are no practices, and sucJ:: actual p ractices of undressmg, handhng infected clothing, actually cleansmg t he patient by (1) spraying with water, (2 ) soaping and (3) rinsing under se cond shower, no amount of readmg the subject ,¥ill give speed an d perfection of dealmg Wlth such cases.
A cook may study many a cookery book but until she has made some in the kitchen they will not be worth eating; a surgeon may master all books of surgery, but I hope he will not operate on me before he has done m any operations-and no amount of knowledge of war gas ses will make you a n effective first aider until yo u have often practic ed the actual j ob ! Much is being taught now that in rural areas, a nd even people's own bathrooms t?-at a re near at hand, it is quicker and Wlser to go to the nearest house, remove clothing, and get a wash down, even only by stripping in the back yard, a nd getting washed down with a bucket of warm water , soaping and a clean rinse. Many areas have had elaborate practices not only of this procedure but of systematic collection of the infected clothing by trained men in pre-arranged vans. All this )leeds much practice, rehearsing and experience.
CADET NEWS-contd. from page 199 Worthing.- Lady County Officer Trill enrolled boys and girls at Worthing on August 8, assisted 1;>y La.dy County Officer Mrs. Brodie. Miss Trill congratulated Lady Cadet Officer Mrs. K. Lashmar on the way she had worked up to strength of the division. Certificates were handed to girls for several Badge sub j ects and to boys for first aid and fire fighting. Efficiency awards were presented. Cadet Officer West was ill charge of the boys.
Pr esco t.-At the annual s ocial and presentation of .to of the Prescot Cadet DIVlSlOn, Mr. -Tinker (M .P. for Leigh) presented the Wm. Saunders Challenge Cup to Sergt. Molley; Sergt Cheetham being a .close New members rec eived therr preliminary certificates and 35 Cadets their second efficiency stripe. Those present included Commissioner W. G. Smith, Mr. (Chairman Prescot Council), Councillor and Mrs. Cadet Supt Hugp.es
Glo ucestershire.-Some 90 members from Blockley, Mickleton, Weston -sub-Ed g€ and Cheltenham attend ed a successful camp for ambu lance and Nursing Cadets at Stanton. Cadet Supt. J. Haw ley (Cheltenham) was camp Commandant assisted by Lady Supt. Mrs. GordonAlexander (Blockley). Visitors to camp included Col. Sleeman (Chief Commissioner, Brigade Overseas), County Commissioner Dr. Barrett Cardew, Lady County Supt. JVIiss Faber, Lady County Officer Mrs. Mews, and County Cadet Officer Rev. Eldridge. Lady County Cad et Officer Miss Trimmer was preSlent at the camp for the week-end.
The St. John Cross.-At many Cadet socials the St. John Cross has been formed by members with the aid. of roller bandages. This is very attractive , and to help tho se divisions who are unable to make this Lady Cadet Supt. Miss Barker of the Tulse Hill Nursing Division has had p.repared instructions and showmg how it can be done. Those mterested can obtain same on application to Miss Barker at 46, Kilmartin Avenue, Norbury , London, S W.16, enclosin g stamped addr essed envelope; plus 3d. to cover cost of the printing.
Praylets.-Three playlets are available at 1 j- each from Area
Peter Cheyney (6, PrlOry ManslOns, Drayton Gardens, London , written for Cadets. They are Gas (by Nursing Cadet Doreen Lew?-s) , ".The Evacuees" (by Nursing Cadet Hilda PIke), and" A Helping Hand" (by Lady Cadet Officer Miss Etheridge).
201
Qtbe 6t. J obn
HEADQUARTER NOTES
CONTENTS OF POUCHES.-Owing to shortage of Sal Volatile its place will be taken by L iqu A mmon. A rom at. and par. 6, page 6 of Dress Reg ulations will be altered accordingly.
HEALTH TALKS. - Divisions are asked to co-operate with the special campaign against venereal disease which. is being run by the Central Council for Health Education. It is suggested that County Commissioners should contact the County Medical Officer of Health to arrange talks to be given by Local Medical Officers of Health.
BRIGADE SUB-COMMITTEE.-The next meeting will be held on October 20, and Commissioners wishing to bring imp ortant matters before the Committee should communicate "vith their Regional Representative
CADET: RE-EXAMINATIO s.-,-Commencing September I , all re-examinations for Cadets in first aid and/or Home Nursing will be as laid down on Form B.F.C.jRE. Commissioners will send this form to examiners on application. The form will be returned to the County Commissioner accompanied by the B.F.C. /11 b in triplicate.
No.1 (PRINCE 6F WALES'S ) DISTRICT
On Sunday, August 29, the Southern Area Church Parade and Inspection was held under the direction of Major A. C. White Knox, M.C., M.B. (Asst. Commissioner) Some 1,250 ambulance, nursin g and Cadet perso nnel paraded at Mary Datchelor's School, Camberwell and headed by the 44th London Home Guard Band, marched to St. Giles' Parish Church where a special service was conducted by the Rev. A. Toller, B.A The Assistant Commissioner read the Lessons . A collection was taken on behalf of the Camberwell Merchant Navy Week and resulted in £17 17s. 10d. Commissioner Capt. VV. Goodley, O.B E., M.C., accompanied by the Mayor of Camberwell (Councillor J H. Round , J.P.) were received by a g uard of honour from the New Cross Division After the service the parade assembled in the church grounds where th e Mayor, who had to leave for another engagement, praised the voluntary efforts of the members.
Capt. ' Goodley inspected the parade and complimenteEi the Atea on its smart appearance and the work being done. On hehalf of the Chief Commissioner he presented a Meritorious Service Certificate to . Amb. Officer Stephen Dimitresco, of the New Cross Division, for gallant and devoted service during air raids. Lady
District Supt. Miss Workman, Mrs. White Knox and members of the Area staff were . present during the parade.
C O UNTY OF BERKSHIRE
Lady Louis Mountbatten (Lady Superintendent-in-Chief) inspected r epresentatives of all Divisions in the County on August 8, when over 800 all ranks paraded on the playing fields of Reading School, County Commissioner C. A. Poole, Acting Lady Co unty Supt. Mrs. Porter and County Cadet Officer Mrs. Poole accompanied th e inspecting officer.
After the inspection and march past Lady Louis presented num ero u s Service Medals, S ervice Bars and Grand Prior CadetBad ges. Prior to the presentations Lady Louis invested Mr. Vl,T. E. C. McIlroy (Mayor of Reading) with the insignia of an Officer of the Order, and County Officer F. A. C. J arvis with that of a Serving Brother.
Lady Louis expressed her entire sat.isfaction with the smart appearance of members and on the work they were doing throughout the · Co unty.
Later, Lady Louis, accompanied by the County Commissioner, the A.RP Officer _ of Reading and the Staff Officer of the Reading Casualty ervice, visited an F.A. Post,' a P ublic Gas Cleansing Station and a combined First Aid and Ambulance
COUNTY OF CHESHIRE
Over 70 officers of the Cheshire Corps and Divisions met in Stockport to make a presentation to Lt.-Col. W. Chaloner , O.B.E., T.D., J.P ., who fOl- many year s was Commissioner of the County and is now County President.
The tribute took the form of two shiel ds which were <;lesigned by Supt. W. F. Jone s (Bebington Ambulance Division) and were made und e r his supervision by students at the Wirral Grammar School.
Supt. H. Roberts (Altrincham) wh o presided, paid tribute to the work Col. Chaloner had done for th e Brigade and referred to the remarkable growth in the County whilst h e had been Commissioner.
In accepting the shields Col. Chaloner said he was proud that his name and that of hi s wife would b e assQciated with the future work of "the Brigade. He had great pleas ure in handing the shields over to Commissioner Capt. P Reay, hoping that in the near future they would be competed for by the Boy and Girl Cadets in Cheshire.
Capt. Reay said that it was with real pleasure he accepted the shields and promised that a suitable competition would be arran'ged as soon as it wa s practicabl e.
COUNTY OF CORNWALL
The first annual inspection of the Launceston Nursin g Division was carried out 202
by Lady County Officer Mrs. W. V. N. Oakley accompanied by County Cadet Officer Miss U. St . L. Warren. Lady Supt. lVl iss E. Chudleigh was in charge with Mrs . Symons in command of the Cadets
The inspecting officer congratulated the members on their smart appearance and also Miss Chudleigh and Lady Amb. Officer Miss Warren on having attended an Officers' Course at Oxford. Miss J. M. 1\Iooney (Div. Secretary) was congratulated on having completed a week's duty at St. Bartholomews Hospital, Lo..nd on, a nd was invited to recount some details uf her work. Mrs. Oakley also thanked ') upt. W. G. Mooney and Amb. Officer \V T. Mills for th e interest and assistance to the nursing division.
COUNTY OF HAMPSHIRE
County Commissioner Major A. Tennyso n-Smith recently carried out a tour of lUspection of all divisions (ambulance, n.ursing and cadet) in the Northern Area. P laces visited included Andover, Farnb Ol:ough, Aldershot, Fleet, Whitehill and \lto n. t Basingstoke a Chu rch Parade was held at the Parish Church, the parade be ing inspected in the Vicarage Gardens. r he Commissioner expressed thanks to S upt. S. J. White and congratulated him on the honour of recei ving the Meritorious Certificate of the Southern Railway Centre and also thanked tadet Heelcoop , fo r the excellent work done by him in saving the lives of two members of the p ublic on recent dates.
Throughout the tour the Commissioner was accompanied by County Officer Dr. .\. Cockay ne (in charge of the Area) ," Co unty Officers T R Turnbull and L. H Allum, Lady Co unty Officer Mrs J. ::.\ Iackenzie and Lady County Cadet Officer \Iiss J.
BASINGSTOKE.-During the first six months of the year 50 members passed th e re-examination. and classes and (lemonstrations provided for Home Guards, Civil Defence and \ Norks Units. Public d uties amounted to ove r 200 and Motor Transport Duties exceeded th e correspo nding six months of last year by nearly 100, making 600 duties in all.
COUNTY OF KENT
DARTFORD.-The 5th anniversary of the opening of the Serena Memorial Headquarters of the Dartford Brigade was celebrated by representatives of ambulance, nursing and cadet divisions attending Eve n so n g at the Parish Church. The Rev Canon Eliot Mitchell welcomed the officers and members and spoke of the importance of their work. Supt. Brookwell was in chaJ;ge.
At a.recent meeting held at h eadquarters a handsome silver cup was presented to the Nursing Division by Alderman and
Mrs. Alec Webb. Dr. Thompson presided and announced that thanks to the kindness' of Ald. Webb, their Vice-president, and Mrs. Webb, they were able to offer a cup f<;>r the best nurse of the year. J:Ie paid tribute to Lady County Officer Miss Allen, whom they regarded as their ambassador. After receiving the c;:up on behalf of the Commissioner Miss Allen hand ed it to Lady Amb. Officer Miss Tann er.
Ald. Webb said that he and his wife were delighted to help forward the work of the Brigade and thanked the members for the work they were doing.
COUNTY OF LINCOLN
Lady Louis Mountbatten (Lady intendent-in-Chief) paid a two-day ViSit to Lincoln covering some 300 miles in the cou rse of her tour.
She 'was met at P e terborou gh by County Commissioner Capt. G. B. Armstrong who conveyed her to Grimsby for the first inspection. Luncheon was provided Asst. Commissioner Dr. M. C. Lavm and Mrs. Lavin, others in attendance bein g the Mayors and Mayoresses of Grimsby and Cleethorpes, the Minister of Pensions, Sir \ Valter \ iVomersley, M.P. for Grimsby, and Lady \ iVomersley, Lord Heneage, Chairman of the County J \V.O After lunch Lady Louis visited an Art Exhibition on behalf of the Merchant Seamen and then proceeded to the Park where ambulance , nursing and cadet personnel from Grimsby, Cl eethorpes, Louth, Barton on Humber , N e'w Holland , Alford, Burton by Lincoln and vValtham were on parade .. Tea was provided by the l\Iay?r of Grimsby, after which the party VlSited Scunthorpe where members of the Scunthorpe Corps paraded on the Football Field. "
The final inspection for the first day was at Gainsborough where the local Divisions paraded
On the second day, after VlsitIng the Lincoln Cath edral , Lady L ouis inspected the U nits of the Lincoln Corps in the "Arbo['etum " This "was followed by a kindly act on the part of Lady Louis Mrs. Lambert, the widow of the founder member of the St. J ohn in the County and a Lady Officer of the Brigade, was to be on parade owing to b eing an lllvalid and Lady Louis kindly visited her at her h ome.
Spalding was the next call, Here Lad y Louis was the gu est of honour at. a.luncheon given by the County ComrrusslOner and Mrs. Armstrong, supported by the Chairman of the Council, the County A.R.P. Controller, the Divisional President and others. The inspection of members from Spalding, Boston, Holbeach, Lon g
203
Sutton, Skegness, Sleaford and Crowland fonowed, and after tea provided by the Spalding Nursing Divisions, Stamford was visited for an inspection of local units and the Bourne Division. The Mayor of Stamford and the Marquis and Marchioness of Exeter (the divisional President) were among those present.
After a short call at Burleigh House, the party journeyd to Peterborough and so the tour was brought to a close :
At each inspection a march past was held and the County Commissioner expressed the pleasure of the County at the presence of the Lady Superintendent-inChief. Lady Louis congratulated all on parade on the work they were doin g
COUNTY OF SOMERSET
Lady Louis Mountbatten (Lady Superintendent-in-Chief) , paid a three-'day visit to Somerset on August 13 to 15 , and inspected many units of the Brigade.
The tour started at the County Nursing Cadet Camp at Blue Anchor, where some 140 Cadets were in camp, with Dr. Gladys Danby as Camp Commandant. Lady Louis made an inspection of the camp and presented various prizes and cups. Those present included the Earl and Countess of Cromer.
Later that day she held an inspection at Dunster Castle where units from Dunster, Minehead, Washford, "'Tatchet, Dulverton, and Bishops Lydeard paraded _ under Asst. Commissioner VI/evell.
On August 14 , Lady Louis proceeded to La Retraite Convalescent Home, Weston-Super-Mare, where she was met by the Mayor and Mayoress of the Borough. In her tOllr of the wards she was accompanied by Miss Nash, the Commandant, and Miss Spafford, the Matron. Next the F.A. Post in the town was visited and the Mobile Unit. Both are staffed by voluntary St. John and Red Cross personnel who did such excellent work in the several raids on the town. She was conducted by Mr. Saunders (Area Organiser for Civil Defence) and Drs. Kamester and Kirkwood, medical officers of the Post and Units respectively.
Lady Louis then went to Ambulance Headquarters where she inspected members from Weston, Cheddar, Long Ashton, and other nearby divisions. Those present included Col. J. L. Sleeman (Chief Commissioner, Brigade Overseas) who was present as Regional Commissioner, Mrs. Greeves Knyfton, County VicePresident B.R.C.S., and others.
After lunch ,the party journeyed to Taunton where the County Nursing Headquarters and office were inspected. A reception was held at the \ Castle Hotel, the guests including the Mayor, Chairman of the County Council, Sir Arthur Hob204
house, Mrs. Ridley (County President of theB.R.C.S .),Col.Allfrey (County Director) and others.' The reception was arrange d by County Officer Mrs. Vivian-Neal.
After tea Lady Louis inspected members from Taunton, Wellington, Bridgwater, Highbrid ge, Bawdrip, Montacute , Chard, Castle Cary, Stoke-under-Ham , and others, in the old Taunton Castle.
After visiting two further Convalescen t Hom es of the J ."'T.O. she }(roceeded to Bath on August 15 , where she was met by' the Marquess of Bath, the Lord lieutenant of the County, and County AlsQ present was Lady I slin gton, Lad y Vice-president, Asst. Commissioner Dr . Beath.
Units from Bath, Portishead, Batheaston, Norton-Radstock, Timsbury an d other places paraded outside the Abbey and after the inspection the Archdeacon of Bath conducted a special service. '
Throughout the whole of the tour Lad y Louis was accompanied by County Commissioner Dr. Hugh Powell, Mrs. Geoffrey Luttrell, Lady County President, Lad y County Supt. Dr. Gladys Danby an d other members of the County Staff.
COUNTY OF SUSSEX
On August 8, Asst Surgeon-in-Chief Dr. "'T. C. Bentall inspected the Brighton Corps. Corps Surgeon and Supt. Dr. Stuttaford was in charge of the parad e which consisted of men and women o f th<:! several divisions comprising the Corps
The inspectin g officer was accompanie d by Commissioner D. Bryce, Asst. Commissioner Trotter, County Surgeon Harp e r , Lady County Supt. Miss Hubbar d and . other members of the Counil' Staff . Lady Buxton, County Vice-president, wa s also present.
Dr. Bentall after inspecting the members, expressed the Chief Commissioner 's regret that he was unable to be present, and on his b ehalf presented a Meritoriou s Service Certificate to Lady Div. Supt . Mrs. L. A. of the Roedean Nursing Division for devotion to duty durin g enemy raids. Lady Buxton presented Service Medals to Lady Amb. Ofncer M. Cocks of the Brighton Division and Copl. L. G. Harding of the Brighton Police Division, and Second Bars to Lady Supt. Miss Collinson, Lady Amb. Officer C. J Mills and Amb. Sister A. M. Ellwood of the Preston Division.
The inspectin g officer congratulated th e me;nbers on their work and drew attention to the change in the Civil Defence work. The Mayor of Brighton, who was accompanied by the Mayoress, paid tribute t o the work being done by members in th e Civil Defence and thanked them for their valuable assistance.
(Continued on page 208)
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The St. John Cadet Movement attains its coming-of-age this year; and the 21 years' experience in Wales provides ample evidence that it has caught on and come to stay.
The first Cadet Units to be formed in Wales were the Maesteg (Central ) Cadet Ambulance in February, and th.e Cwm Colliery Nursing in September, 1923. By the end of 1923, 8 Cadet Units had been registered; and in 1930 there were 83 Cadet Ambulance and 13 Cadet Nursing Units with a stren gth of 1,809 boys and 280 gi rls, while in 1942 there were 171 Cadet Ambulance and 90 Cadet Nursing Units 'with a strength of 3,866 boys and 1,91$ girls, a total of 5,784 , out of a total Brigade strength of 19 , 187 The Nursing S embership in Wales h as always been weaker than in Englahd by comparison with the male strength, involving a torrespondin'g disparity between the number of boy and girl Cadets in ; but in spite of g irl Cadets in England so greatly outnumbering those in , Vales, , i\Telsh strength immediately preceding the ,Var was considerably more than one-quarter of the strength in the British Empire excluding Wales, and the boy Cadet personnel exceeded half the strength of that in England. The welcome impetus imparted to Cadet reorganisation during the War has enabled more gaps to be filled in England than yet there is room for development in the Principality by the formation of a Cadet Ambulance and Cadet Nursing Unit wherever Senior Divisions are in existence.
A recent questionnaire to Cadet Superintendents has already elicited some excellent reports from about one-third of the Units circularised, all of wh.ich indicate many ways in which the value of peace-time training has been turned to good account in the War effort: Many Nursing Cadets are giving u seful service at Nurseries and a large number of Ambulance Cadets are enrolled as messengers for the Civil Defence, Special Police and Nationa.l Fire Service. The boys particularly are most enthusiastic in competitive 'work; and it frequently happens that Cadets are called up on to render first aid to accidents occurring in the School. Hundreds of evacuees from the blitzed towns of England have been welcomed at Cadet Classes and in a large majority of cases as members of Cadet Divisions.
CAERNARVONSHIRE CENTRE.
Ambulance and Nursing Cadets from Llandudno, Llandilo Junction, Conway and Penmaenmawr, in the Arfon Corps were in camp at Bettwsycoed from Saturday till Tuesday (Bank hon.day weekend). On Sunday morning there was a Church parade, and visitors to the Camp that day included Sir "Wynne Cemlyn J ones, Captain Wynne Cemlyn J ones and Mrs. I vo r Lloyd, while on Monday Lord Penrhyn, President of the Centre, inspected the Cadets and presented vVarrants of appointment to Officers and J.C.O.s of the Penmaenmawr Nursing Cadet Division of which Mrs. Vl. M. vVilliams- J ones is Superintendent. Other visitors were the Arfon Corps President Mrs. Williams-Ellis, County Officer E9ward Williams and County Officer Major A. Guy Widdicombe and Dr. Huw s Williams.
MERIONETHSHIRE CENTRE.
The following is an extract of a report on the Blaenau Festinio g Cadet Ambul ance Division received from the Commissioner, Dr. E. Lewys- Lloyd, on his recent visit to' the Priory Headquarters :-
" The classes for 1942-1943 were begun in August, 1942, with 30 members, a faU in numb er from the preceding year due to a number of evac uees leavin g the district and some going away to work. By J anuary, 1943 , the number on the register had increased to 42. It further increased to 47 but again a few have left, leaving the total number at present on the register at 41.
During the period August to Decemlder classes were held and instruction given in Fire-Fighting and Signallin g by Cade t Officer H. Kirkman, B.sc., the first aid part of thi s course being taken by Cadet Supt. Gwyn Davies ass isted by Cadet Officer J. P. 'i\Tilliams. On January 26 an examination .was h eld in Fire-Fighting and the Cadets were thoroughly and efficiently examined by Mr. Elwyn Owen, Leading Fireman, L.A.R.P The result 'was that 31 Cadets passed out of the 38 who presented themselves for examination
After this, the course in Preliminary First Aid was taken and carried on 'efficiently by Cadet Supt. Gwyn Davies assisted by the two Officers. The examination was conducted by the Div. Surgeon O. Glyn Jones, to whom we are very grateful for all his kind h elp. All the 31 Cadets who presented themselves for examination were s uccesstul.
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The Cadets presented themselves for parade during the Wings for Victory Week and attended the Gymanfa Pro, cessions of the Calvinistic Methodists and Independents as usual on May 1 and 29 respectively. On June 18, the Cadets took part -in a procession with a detachment of the British Red Cross to the Church Hall to attend a meeting for handing over the proceeds of the Special Effort Prisoners of vVar Fund to 'a representative of the Duke of Gloucester. Cadet Corporal John R Davies was elected by the Cadets to have the honour of presenting the cheque for £311 8s 4d. to this repr.esentative.
Our Headquarters for year 1942 had been at the St. David's Church Hall but owing to the place being required for Church activities we had to find other accommodation. So an application was xnade to the local School Managers for the use of a room at the Central School, and from January this year we have taken the Central ScheJol as our Headquarters.
We have been fortunate in obtainin g some equipment for the Cadets but no uniforms. ' vVe have had haversacks, belts and field service caps, at a cost of about £32, provided by the Senior Division."
GLAMORGAN CENTRE.
The Hon. John H. Bruce, Commissioner for Wales, inspected the Lindsay Corps at Nelson. Before the inspection in the Llanfabon Council School ground, the personnel paraded the principal streets, headed by Caerphilly A.T.C. Bu gle Band.
As the procession passed the Cenotaph , the salute was taken by the Hon. John Bruce who was accompanied by the Hon. Mrs. J. H. (Lady Staff Officer for Wales), Dr. R - H . Terry, J.P., and Mrs Terry, County Officer Miss E. Gravenor (Matron, Gellygaer I?olation Hospital), County Officer W. J. Skyrme, Ystrad Mynach , Corps Supt. Haydn Jones, New Tredegar, Corps Secretary Sam Hu ghes, Nelson, and ex-Corps Supt. William Evans, Trelewis
The Commissioner congratulated all ranks on their smartness and proficiency and gave an address on " The War-Time Work of the Order of St. John." He expressed ' pleasure on learning that Corps Secretary S. Hughes, who was responsible for the arrangements, had received g ood news of his son, a prisoner of war in Java.
MONMOUTHSHIRE CENTRE.
Awards gained by members of St. Mellons Nursing Division were presel'lted
at the Women's Institute, St. Mellons.
The Chairman was the President of the Division, Sir vVilliam Cope, Bart, ICC., who spoke on the aims of and the qualities essential in a good nurse. He was supported by Dr. Gwyn Rocyn Jones, the Assistant Commissioner for Gwent County Area.
208
An ambulance display was given b y the members of the Bedwas Division under Amb. Officer H. Hendy, the demonstrators being Sergts. W. Davies, F. Phipps, D. Jones and H. R SUlway. A home nursing display was given by Miss E. Ford, Mrs . Palmer, Miss G . Inseal and Miss C. Gerrish of the St. Mellons Division
The Lady Supt. thanked the teams and also all members for their continued interest in their work, and added a special word of thank s to Dr. Nathan Roc y n J ones (Divisional Surg eon) and Mr. Co x. Miss Davies took the opportunity of presenting on behalf of the Division a gift to Mrs. Maplestone on the occasion of her marriage.
BR.IGADE REPORTS-contd. j"o?1'L p. 204 COUNTY OF WORCESTER
Th e County final for the " Christopher Darby " Ha e morrhag e shield co mp etition was held at Kidderminste r and was jud ged by County Surgeo n Campb ell ahd Co unty Officer Mrs. Porter, Two candidates from each Area comp e ted and the ,'linner , was Sergt. S Philp ott o f the Brierly Hill Ambulance Division
The Shield was presented by Lad y County Supt Mrs. L echme re, and amon g those pres ent w er e A sst Commissioners P H . Schoffield and Dr. C. P . Porter , County Officer Chapman , Cadet County Officer Mrs. Hu gh R o binso n, Corps Supts. Lench, Win bow and Fulloway. WEST RIDING OF YORKSHIRE
Members of the Sharrow Division recently competed a gainst members of the Hope Valley Division in a first aid competition, and narrowly won by 5 marks. Supt. Pl].ilbey adjudicated, whilst Supt. C. H. Faris (Sharrow) thanked Supt. Wolsey (Hope Valley) and his members for the opportunity of visitin g them and for the arrangements conducing to such a pleasing and successful event. '
The annual Drumhead Service of the Farsl ey Ambulance and Nursin g Divisions was held in the Hainsworth Park, with Supt. C. Rhodes and Lady Supt. Miss M. Hirst in charge of the parade. Councillor Fred Pattison (President) presided over the proceedings and the Rev. C. C. MacKay. (Vicar of Farsley) conducted the Service, the Lessons being read by the Rev. E. W. Perry. After the service the parade was inspected by Lady District Supt. Mrs. M. Birkbeck who was accompani\,!d by Dist. Officer R H. Baker, Corps Supt. M. B. :Fenton and Lady Corps Supt Miss E. Kirklee
The annual inspection of the Hucknall Division was carried out by Dist. Officer Weller, 'o/ho pF€sented badges of ofiice' to President Mr. S. S. J.P., and vice-presidents, Messrs. J. H. Harmon and W. Sheldon.
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Wartime necessitates many changes in ways of living-changes both of occupation and environment. These disturbances are reilected in the noticeable increase .in menstrual complaints.
• Anadin' is of great value in the treatment of forms of primary dysmenon:hrea. Its action combats but also any accompanymg headache. not only the uterme pam l't IS' not hahit-formmg' and can be adIIlUllstered to • Anarun is safe; your patients with absolute confidence.
INTERESTING
CASE REPORT No. 234. The Officerin-Charge of the County of Hampshire, S.J .A. B., reports the efficient performance of first aid by a member of the Basingstoke Cadet Division in the following circumstances :-
On June 29, a woman attempted suicide in a locked 'bathroom above a shop, by taking an extra dose of sleeping draught and then by getting into a bath full of water.
On being notified of this Corpl. T. Hulcoop (;pt. 17) forced open the 1?athroom door and having got the patient from the bath applied artificial respiration. In the meantime he gave instructions for hot water bottles and blankets also for the attendance 'of a doctor, the police and the ambulance. After 20 minutes the patient r esponded to his treatment. Shortly afterwards the doctor arrived, ordered the patient to hospital and highly praised Corpl. Hulcoop for his efficient work and first aid, and clear instructions and ,report of the case.
COMMENT.·-Good wo?'k done by our Cadets makes pleasant reading. Cadet Corporal T. Hulcoop, there-fore, merits cordia l congratulations on his very efficient actitJn not only on this, but also on a previous occasion when he successfully treated a woman , for shock and severe scalp wound caused by a falling plate glass shelf.-N.C.F.
CASE REPORT No. 235. The Officerin-Charge of the County of Bristol, S.J.A.B., reports the efficient performance of first aid by a member of the Bristol Central Divisioll in the following circumstances :-
CASE : REPORTS
On Thursday, May 20, Ambulance Driver George Bennett was called to a house in Southmead where he found an old man (aet. 77) unconscio u s, not breathin g and apparently dead as the result of a seizure and of exposure to coal gas which had escaped into the room when in his fall the patient accidentally turned on the gas tap. The patient's wife was the only other person in th e house; and, being old and a confirmed invalid, she could afford no assistance.
Promptly examining the patient, Driver B ennett discovered that both dentures had slipped down his throat and being fixed by the wire attachments were obstructing breathing. With considerable difficulty the dentures were removed. Artificial r espirat ion was then commenced, and maintained for half-an-hour before a neighbour arrived and was sent to summon further help. Approximately one hour after treatment had been commenced, the Police arrived and shared the task of resuscitation for a further tlrree-quarters of an hour at the end of which the patient had r ecove red sufficiently to be removed by ambulance to hospital. The patient died three weeks later from the effects of cerebral haemorrhage.
COMMENT.-No operation tries the patience and experience offirst aiders more than does artificial respiration, especially when, as often happens, the response to treatment is slow. I n these ci?'cumstances Ambulance Driver Ge orge Bennett merits cordia l congratulations on the success which on this occasion attended his efforts and which resulted in restoring a patient to life, even though he died three weeks later from other causes.
-N .C.F.
QUESTIONS AND ANSWERS
SILVESTER METHOD
P. P. (Higham Ferrers).-Being an interested reader of THE GAZETTE I note that a correspondent (who submitted a - query which was published under the above headin g in the July issue) states that Silvester method should be u sed only when it is impossible to turn patient" on his back." I take it that this is merel y a printer's error for " o n his face ." Am I :right?
Yes.-N.C.F.
STAGES OF ALCOHOLIC POISONING
D. S. (East London) .-At a recent Practice someone asked what are the stages of alcoholic poisoning,. To this a member of the Division replied, Jocose, Verbose, Bellicose, Morose and Comatos e.' Then we all laughed! !
Good J Next, please J J- N.C.F.
TRANSPORT OF FRACTURED SPINE
A. J. (Victoria, B.C., Canada).-In a rec ent practice test the patient was supposed to have been involved in a motor accident and to have sustained multiple injuries including facture of spine in lumb ar region. The marking sheet r equired patient to be loaded face-down-. wards o n stretcher. It was subsequently argued that if you place an uncon scious patient on his face, the pad under his chest would interfere with his r espiration. Please give yom: rulin g on this point. It is unlikely that in the circumstances 11Jam,ed there would be any interference with breathing; and it is considered more important to concentrate on th e treatment of the fractured spine. Inc identally, many peq;PZe actuably sleep in the prone position, with head turned to one side.-N.C.F. 210
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FRACTURES OF STERNUM AND CLAVICLE
A. J. (Victoria'; B.C., Canada)-In another test a cylist was thrown from his cycle and sustained a transverse wound of the abdomen (bowel protruding) compound fractures of jaw and clavicle, and a simple fracture of sternum.
Aiterwq.rds discussion arose as to the use of the St. John Sling and the body bandage ' in treatment of the fractured clavicle, as it was thought that these would aggravate the fractured sternum. On this point also I ask your kind ·ruling.
If I had to deal with such C1t combination of injuries, I would first deal with the abdominal wound and then the fractured jaw, after which I would apply the pad, St. John sling and body bandage to control the fractured clavicle as laid down in the Textbook. In so doing I would have no fear of causing aggravation of the fractured sternum.-N.C.F.
COMPRESSION OF AXILLARY ARTERY
P. M. (Homerton) .-For compression of the axillary artery the Textbook (p. 120) tells us to insert a small bad in axilla and to tie the upper limb, flexed at the elbow, across the chest. As none of us have so far succeeded in compressing this artery, we welcome your comments.
Clearly you have failed because you have used a large soft pad such as one made from a triangular bandage; and you forget that the axilla is a small triangular space that the pad must be pressed up into the apex of the triangle.
Rule 1 on page 120 of the Textbook is not as definite as it might be and should be replaced by instructions such as follows :Take a small, round, smooth and hard pad (such as a billiard, golf or fives ball or a stone of size, shape and consistency of a billiard ball), loosen clothing and push pad well up into axilla.
This done, complete treatment as laid down in Rules 2 and 3; and you will obtain immediate success. Incidentally, if you cannot obtain a pad such as is suggested above, then take your briar pipe, insert the bowl into the axiUa with open mouth downwards and stem forward, and you will be equaZZy successful.-N.C.F.
TREATMENT OF INFLAMMATION
N. O. (penzance) .-Recently a friend asked me if I could afford him relief for what seemed to be a boil on the back. I put on a hot fomentation and advised him to consult his doctor who next day operated for fistula. Please advise as to the correctness or otherwise of my action.
On your staZement of fact I believe that you acted wiseZy, because the fomentation gave temporary relief and the advice probably caused your friend to consult his doctor more quickly than possibly he might have done.-N.C.F.
212
COMPRESSION OF BRAIN OR ApOPLEXY
N.M. (Finchley) .--=-Recently we were discussing compression and apoplexy and we wondered how far the former condition resembles the latter. As we could not agree we decidej to refer the problem to you.
Except in mode of causation the resemblance is complete. Both conditions result from the bursting of a blood v essel, both produce the same si gns and symptoms, and both call for the s ame treatment. In compres sion, however, accident; in apoplexy, disease, is 'he cause of the r'lltptured vessel.N.C.F.
RATE OF HEART BEAT
N. M. (Cardiff) .-The Textbook (p. 99) tells us that the heart contracts 72 times per minute and that its rate increases as the position is changed "from the lying to the sitting or standing position." Please tell us for which of these three positions the rate of 72 times per minute holds good.
For each of us there is an average rate of heart-beat. The rate of 72 times per minute is assumed on the law of average to be normal when we are resting quietly-without mental or physical exertion-in a sitting position. The rate usually drops a little (68) when we lie down and rises when we stand on our feet (76) .-N.C.F.
RECEIVED
"Civil Defence: A basic Trainin g Manual" by Lt. Commander F. A. M Eden, R.N. This is the 2nd edition, which has been thorou ghly revised and several chapters completely re-written to bring the book into line with the latest development in Civil Defence practice. The book was written at the request of members of the B.R.C.S. to provide under one cover the technical side of Defence against Gas, Elementary Protection a&f-inst High Explosives, and the control of"Incendiary Bombs. It can be obtained from the publishers: Messrs.] ordan and SOI}.S, Ltd., 116, Chancery Lane, W.C.2, price 2s. 2d., post free. "250 N.F.S. Questions Answered." This is the combined effort of three authors, 'and although dealing with , N.F.S. there are some 50 extra questions answered which deal exclusively with Fire Guard. This is also published by Messrs. Jordan and Sons, Ltd., at 2s. 2d., post free.
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RAILWAY AMBULANCE NEWS
LONDON AN D NORTH EASTERN RAILWAY.
Nor th Eastern A1'ea . - T h e a n n u a l report sh ows that 14 5 classes were con d u cted d urin g t h e year e n ded Ju ne 30, 1943, and 2,345 award s ga in ed. Although both these fi g ures ar e b elow th ose o f the previous y e ar th e r es ults a r e highl y satisfactory takin g into co n sider ation the red uction of staff. Sin ce the for m a t ion of the Cenire o ve r 76,000 a \"ra r ds have been gained. R e turn s for the year give the fig u re of 60,967 a s th e cases treate d .
Comp etiti o n s have bee n hel d i It- a ll six distri cb , a t each o f wh ich large audiences were prese nt. The res ul ts we r e as fo ll ow s :
D a rlin gt on Distri ct : Darlington North R oad L oco 'V'lorks "B" (Judges, Drs.
.IGLODINE HEALS WITHOUT HURTING
' Children do not dread the application of Iglodine because, unlike many othe, antiseptics, it does not hu rl or sting. It is i.deal for cleansing and sterilising all surface injuries, and hastens healing wit h 0 u t leaving a scar,
·IGLODINE
THE SA FE. ANTISEPTIC 8d., 1/-, 'flot, 2/11.
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F1RST-MD COMI3ETITIDNS are won by good coaching. Any First Aider (either sex) ma y coach any ambiiious team-ma le, female or mi xedto early success. Competition experience not essential with new Guide -Fer p a rticulars senGI stamped envelope to R. ]Ii:FFERY, 5. Avenue Gardens, London, W.8
C . D. "\iVilson a n d W. A . .H ogg) ; Hull D istrict; Hull Po lice (Ju dges, D r s. G. Mac D ougall and 1. Du n n); Leeds D istric t: Sta r beck (J u dges, Drs. 1'. R. H unter an d H F. Ho llis) ; Midd le brough District ; M iddl esbrough (J udges Drs. A. Mac K ay and W. M. Ritchie) ; Newcastle District: Tyne Dock (J udO'e, Dr. W H. Pallet t); York District : York Carriage 'Works No. 1 (Judges, Drs. T. R. Hunter and O. M. Cameron)
Du r ing the year 43 Long Service Meda ls; ten 20-year Bars, two 25-year Bars, five 30-year Bars, and two Bars have been approved . Mr. S . Cooper i n his concludi ng remarks tenders thanks to the Centre President, Mr. C. M. Jenkin Jones and the District Officers for t.heir val uable a '; sis tance
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214
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bers of St. John Fi rst A id uniU When wornlln b those who suffer from acute a re asked for adVice y h with confidence functional in tablet and re commend s ecialist s prescript. ion fo r powder form from p , tryi ng days ". t he relief of pain dunng women s . . . , d h charge of welfare
Many hospital nurses an t o se Bax en because work In factories, use ;nd reco s : ch quick relief fr om it is perfectly safe an or anything to d isturb Two t iny Ba x en usuallY' give relief i n less than 10 minutes. e e Free Trial Supply of Baxen will be !\:Iadly sent to Equipment to John Units on applicatIOn, accompanied ffib\s to Clinical Dept" E. Gn It pennh y stLatmdP'(Key No. 54} , Adel phi, Salford 3, Hug es, ., Manchester. e
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EDITORIAL OFFICES: ST. JOHN'S GATE. LONDON, E.C l (All etc., should reach the Ed!tor not later than the 28th of the month.)
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IT will frequently be found when a patient is m a state of nervous his digestion and powers of assimilation are affected. In such cases the of some easily asslmllated food which meets every metabolic n eed will result in a definite im provement of the patient's nervous condition.
For this purpose, both as an emerge ncy measure and as a regular routin e, ' Ovaltine' has special advant ages This food beverage is a unique combination. The manufacture. is carried out by exscientific processes, such a way that all the Important dietetic qualities are fully conserved.
The and energising constItuents of 'Ovaltine' a::e .rapidly assimilated, 'proV:1dmg every di et ary esse ntIal, and at the same tim e exerting a helpful sedative effect on th e nervous system. , Ovaltine' possesses many advantages, and its outstanding usefulness receives even greater emphasis in wartime practice, both civil and military. Now, as in 1914-1918, 'Ovaltine' is widely used in the wartime hospital service, both at and overseas. Suppbes are available to hospitals in special packings arid at special prices.
Write for details to A. Wander, Ltd., 184, Queen's Gate, London, S.W.7
t13e ,1ournQ.f of t13e in t6e (ReQ.fm of t13e (h'enetQ.Sfe of t6e of ,106n of ,1trusQ.fem
Edited by GEORGE E. CRAFT. F.R.S.A.
VOL. 16. No. 10 O CTOBER, 1943
EDITORIAL
Great strides were made in the membership of the Brigade Overseas during the year 1942, accordil'lg to the annual report of the Chief Commissioner, Col. J L. Sleeman.
A net increase in divisions of 279 with a net increase in personnel of 11, 557 (6,372 men and 5,185 women) brings the strength of the Brigade Overseas to 1,825 Divisions (1,092 ambulance and 733 1: ursing) ,;<,rith a personnel of 57 ,615 (36,4-60 men and 21,155 women). In addition there were 90 new Cadet Divisions (37 Ambulance and 53 Nursing) with an increase in personnel of 1,986, making a total strength amongst Cadets at the end of 194-2 of 435 Divisions (241 Ambulance and 194 J: ursing) with 5,634 boys and 4,058 gil-Is.
These increases definitely show, if any proof were needed, that the work of the Order by our brothers and sisters Overseas will continue to be carried out in the true traditions of the Order, as has been done in the past.
Among the many awards gained during 1942 were 128 Grand Prior's Cadet Badges, 140 Service Medals, 74 Service Medal bars . A wonderful record can be claimed by New Zealand in the fact that out ·of 448 Grand Prior's Cadet Badges gained by m embers Overseas, 432 have gone to Cadets in that country.
In spite of call-ups to serve with H.M. Forces the work of the Brigade continues to be carried out; and approximately 134,974 cases of injury were treated by members on Public Duties, excluding transport duties, hospital attendances and the like.
The heavi est los ses ever sustained by the Order in all its long history is that of members in Burma, Malaya and Hong Kong, wllo, after rendering splendid service during the Japan ese attacks and gallantly sustaining the traditions of the Order, suffered the fate of the garrisons. ' /\Then the full story is known of the gall ant efforts of these members, history will be given that will find its way into the annals of the Order for all time.
The report includ es a sho rt report of the activities of the numerous Districts com prising the Brigade Overseas, in which the flag of the Order is being kept flying.
DEATH OF THE SUB-PRIOR
We much regret to announce the death of the Earl of P l ymouth, P.C., which occurred sudde11ly on October 1, at his home near Card iff, at the age of 54. '
Lord Plymouth succeed.ed Lord Scarbrou gh as Sub-Prior in February last, having been Sub-Prior of the Priory for \ Vales for over 12 years. He had many years' active connections with the Order , mostly in the Priory fo r "Wales , where in 1927 he was appointed one of the Trustees of the Priory, and in March, 1928, he succeeded the late Lord Plymouth to the Executive office of Seneschal.
By the death of Lord Plymouth the Order has lost an efficient and hard-w orking member, and the country a man whose dev otion to duty was of the highest standard.
PHYSIOLOGY IN FfRST AID
By M. M. Scott, M.R.C.S., L.R.C.P.
(Mimber of the Textbook Revision Committee and Divisional Surgeon, S J.A B.) THE URINARY SYSTEM
(Co ntinued from page 197, September, 1943, issue)
U1'ine.-Urine is derived from the blood tities of sugar in the diet, but in the disease the 'action of the kidneys. Normally " Diabetes Mellitus," the ti ss ues are unIt IS a clear amber coloured fluid, slightly to utilise s?gar normally ingested acid in reaction and varying in specific (thIS latter pomt w111 be referred to again gravity from 1015 to 1025. The average in a s ub sequent article). quantity secreted daily in man is approxi- Bloo.-d. Blood in the urine (Hcemamately SO fluid ounces. If, however, turea) indicates 8: l esion in the urinary urine is left to stand, its urea content be- If III very small quantities, comes decomposed by bacterial action, It gnre the urme a " smoky" appearance, Ammonia being formed which is easily although III larger quantiti es it colours recognised by its smell. The specific it red or bright red. gravity quantity passed also varies Pus. in the .urine (Pyurea) indiaccording to circumstances, e.g., after cates an IllfiammatIOn of the urinary drinking large quantities of fluid, a lar ge r tract. amount of urine of low specific gravity is Bile. Bile pigments colour the urine passed, whereas after profuse sweating of patients suffering from jaundice. the quantity is small and the specific MICTURITION . gravity is raised. The urine formed in the kidneys now Composition of Nor11'tal Urine. The travel s through the ureter s to the bladder principal constituents of urine are approxi- being propelled along by the mately as follows: ,\iVater, 96 per cent.; action of the muscle in the Ureteric walls. Urea, 2 per cent. ; and Uric Acid, Urates, As the urine accumulates in the bladder Chlorides, Phosphates, Sulphates, Oxal- there is a gradual stretching of the bladde; ates, Pigments, etc., comprising the last walls, which re sults in a stim ulation of 2 per cent. the bladder n erve endings. Some of the Secretion of Urine. The secretion of nervous impulses arising from this are urine serves to keep the composition of conveyed to the brain, giving rise to the the blood constant by eliminating waste sensation of fullness in the bladder. products and those chemicals which would Other nervous impulses act "reflexly" alter its normal chemical reaction. Nor- on the bladder mu s (l,le throu gh the spinal mally sugar and protein are not secreted cord so that the bladder contracts rythmiand their presence usually indicates disease cally and the sphincter muscle is relaxed.
Re[,ationship of Urina1'Y Sec1'etion to the In infants, this is sufficient to initiate the Circulation. The quantity of fluid filtered '" act of micturition, but later, the addithe through the glomeruli tional contraction of the abdominal Illcreases WIth the rise of the blood pres- muscles is a lso required. This has the sure, and vice versa. It therefore follows great advantage of "Control," so that the general blood pressure is when necessary, micturition can be initiraIsed, as III muscular exercise, more urine ated at will. Once the act is commenced will pass tlhough the glomeruli, and waste the urine is driven through the urethra products are r emoved all the more quickly. by the contractioI'l of the bladder until ?n the other hand, should profuse sweat- it has completely emptied. ' Illg occur, the tubules will re-absorb some of the fluid from the filtrated so lution in order to compensate for the skin l oss.
.J;'he total quantity of urine ultimately passed may therefore not be increased although its concentration wo uld be gFeater.
ABNORMAL URINARY CONTENTS
A The presence of the protein albumin in the urin e is referred to as " Albuminurea." It indi cates an inflammation of th.e kidney, because normally the glomerulI do not allow albumin to filter throu.gh them.
?uga:., The presence of sugar in the -:- unne IS referred to as "Glycosurea. "
.Temporary glycosurea may occur from ,the ingestion ' of large quan-
220
VLbe 3f ohn mbulantt jSrigabt
The Hon. Mrs Copland-Griffiths, Lady- Ambulance and Nursing members Superintendent-in-Chief, represented the also members of the Blood TransfUSIOn Order at the Mass in Westminster Cathe- Service. dral on Malta Day, September 8. Miss Nursing Cadets have been helping atMavrojani, Staff Officer, was present at the Wellin gton Hospital and have received the Reception at the Overseas praise for their work from the Matron. that when the news was receIved Durin g the year the work of the Brigade of Italy s surrender. has extended so much in the Manawatu . NE.W . District, that a Sub-District was formed, Wel12ngton work of this kno-vm as the Manawatu Sub-Di:itrict. District has been carried on although H k B D ' t . t D 't th the Divisions have been hampered by the awes.zy IS nc. - cSpl e e loss of members who have gone overseas, calls on personnel,. t.he DIVISor who have joined Home Defence. The IOns have thur strength E.P.S. gave members a great deal of work, and contlllued .u sual work. qne and they are to be congratulated on the and two way it was done. Ten Divisions and a DIVISIOns have regIstered the Corps have been re gistered. year 1942. It IS most encouragmg to The ,\iVellington Corps was kept busy know .there are some very strong with work at the Casualty Clearing Station Cadet DIVISIOns on the arrival of hospital ships returning The Ambulance Divisions have been with sick and wounded troops; each time carrying out duties in connection with approximately 8 to 12 men worked three the Military Medical Boards as well as full days and evenings, making about undertaking instructional work for E.P.S., 2,060 hours during the year. This does not Home Guard and other bodies The include the hundreds of hours duty Nursing Divisions are working to full carried out on ho sp ital trains and boat capacity and are takin g their full in journeys. The men worked as Orderlies V.A. and E.P.S. activities. Quite a nUHlescorting sick and wounded troops to ber of these Divisions are in small country many places, indudin g Auckland, Gis- centres where in the event of emergency borne, .r apier, etc. One day twenty men or epidemic they would form a very useful worked all day in conjunction with nursin g auxiliary.
Wellington Free Ambulance, transferring Cadet work is progressing steadily. 200 long stay hospital patients; 145 Five new Cadet Nursing Divisions and stretcher cases were transferred in ambu- two Cadet Ambulance Divisions have been lances and a special railway train, a total formed. All Cadet Divisions' are keenly of 226 hours work was done in the day. interested in Proficiency work, and more This work received the thanks and appre- use has been made of the Cadet Ambulance ciation from the doctor in charge. members to assist on public duty and on Members of Nursing Divisions report E .P.S. Dressing Stations . at the Wellington Hospital for duty at Instruction work has been carried on the week-ends, and many members have in First Aid to school children and a conattended patients after discharge from siderable number trained in the primary hospitals. A lar ge number of both schools are joining Cadet Divisions.
ON ACTIVE SERVICE
OBITUARY
"We regret to announce the death of Mis s Annie Smith, for many years a leading figure in the ambulance work in '\Yellingborough. She resigned the positIon of Lady Corps Superintendent at the end of 1938; previously to holding that office she had been Lady Divisional Superintendent of the Wellingborough Headquarters Nursing Division. Her service extended over a period of 37 years and during the last war she was Commandant of the V.A.D. Hospital in Wellingborough. Many officers andmembers of the Brigade gathered to pay their last respects at the funeral held on September 22.
Private Harold Hickson , of the Hull
The Chief Commissioner, Bri gade At- B.O.C.M. Division, with the R.A.M.C. Home, regrets to report the foll?wing Pr isoner of War casualities among members of the Bngade: Private N Martin, of the Beckton Killed. Division, previously reported missing, Private S. Wilchick, of the No. 30 now known to' be in Jap anese hands. (Ea5t London) in Sicily. Er'ratu m.
Private E. C. Wllllams,/,- of the Newport The Chief Commissioner is pleased to Railway Division, with the R.A.F.. report that the death of Private E. Private William Marsh, of the Chfton Bramwell, of Newton and New Mill Division, in North Africa. Division, was in error.
Corporal ]. Williams, of the Onllwyn Seven Sisters Division.
Corporal John W. Bentley, of the Stockport Division, in Sicily.
Lance-Corporal E. D. Carr, of the Portland Division, in Sicily.
Private Edward Hemsley, of the Armley and Wortley Division, on board a troopship.
HONOUR
The Chief Commissioner reports that Private Edward ,\iVhite , of the Bourneville Division, has been awarded the British Empire Medal for an act of great bravery in rescuing wounded airmen from a blazing bomber which had crashed.
221 B
Cadets from the No. 25 (Finchley and Southgate) Cadet Nursing division gave demonstrations in resuscitation drill, first aid, bandaging, Child Welfare, ap.d other subjects. During the evening Cadet Sergi. Edna Say was presented with her Grand Prior's Cadet Badge.
A garden fete was orga.nised by the members of the No. 98 (M inchenden ) Cadet Nursing Division in aid of Merchant Navy Week. Over 250 people attended and a cheque for £50 was forwarded to the fund.
Parents and friends of members of the No 30 (Hendon) Cadet Nursing Division were able to see the Cadets at work on September 13, when, after an inspection by Lady Superintendfnt Mrs. Thwaites, demonstrations of bandaging were followed by squad drill (under Corpl. Doreen Gittoes), hand-seat drill (under Corpl. Gwen Lanchbery) and stretcher drill (under Corpi. Rita Watson). Superintendent Wood (of Finchley) addressed the Cadets on the value of the work they were doing, whilst. Lady Amb. Officer Mrs. Evans presented the" Evans Efficiency Cup" to Cadet Doreen Cooper.
Thanks to the generosity of Lady County Officer Mrs. Ronald Tree, 14 members of the No. 32/3 (Hornsey) Cadet Nursing Division spent an enjoyable "holiday at Dytchley Park, Oxfordshire, • the supervision of Amb. Sister Miss A. · M. Lanhlois. Each day the Cadets did various" farm duties" and worked in groups keeping the place clean. At the end of their visit the Cadets expressed sincere appreciations to Mrs. Ronald Tree for all her kindnesss. . In answer to the Government's appeal for help in bringing in the Harvest, 12 of the senior Nursing Cadets from H ornsey 32/3 Division went to Upper Farm, Hambledon, Surrey, where for a fortnight they put in 750 hOtl.J:s of work, which included fruit picking, threshing, stacking , etc.
Bedfordshire -A garden arranged by Acting Cadet Supt. Mrs. Davison and the Sandy Cadet Nursing Division, held in the garden of Vice-president Mrs. Davison, realised £61. The London Road Division, Bedford, have begun a series of Mortday evening entertainments, the first taking place on September 13. Visitors included members from Gt. Barford, Stewartby and Bedford Town, also Guides, Scouts, and the G T C. On September ' 20, Lady County Cadet Officer Junior Commander Mrs. McCor:qlaodale enrolled a large number of Ambulance and Nursing :Cadets. Acting Supt. Veats reminded the large audien,ce that the Division star' ted in November, 1942, with 7 members; now there was a meml?ership of 150 Twenty-three Nursing Cadets of the
224
Ampthill Division were enrolled ,by the Lady County Cadet Officer on September 24. Prior to the ceremony an excellent entertainment was provided, the Cadets showing great talent. Several bad street accidents have been dealt with recently by the Ampthill Cadets and Mrs. McCorquodal e highly commended the excellent training they have received under Acting Cadet Supt. Miss Grimmer.
Several new first aid classes have been started in the county by Divisional Supt. Hartwell.
Cheshire.-On September 11, Councillor A. E. D. Mitchell (Chairman of the Hoylake V.D.C.) presented 21 first aid and 38 home nursing certificates to members of the Hoylake Ambulance and Nursing Cadet Divisions. The Cadets gave an excellent display. Supt. Benson gave a short discourse on the work of the Cadets the success of the divisions being due to Cadet. Supts Nobes and Mrs. Ross and Cadet Officer Miss Marsden. Dr. Phyllis Marsh (the examiner) and Supt. Mrs. Storey were among those present.
Worcestershire.-Lady County Cadet Officer Mrs. Hugh Robinson attended the enrolment of 17 Cadets at Tenter Street F.A. Post, Halesowen. President Mrs. Frank Somers, Lady Supt. Miss Ashton and others were present, and after a short talk on the History of the Order by Mrs. Robinson, the ' Cadets gave a display of drill, first aid and home nursing under their officers, Cadet Supt. Mrs. Lamb and Cadet Officer Miss Bidmead.
At the recent Inter-Pre-Service Sports held at Evesham, members of the Evesham Ambulance and Nursing Cadets gave a display under Supt. E. T. Holloway . . The efficiency with which the Cadets carried out the various treatments earned great applause and was a credit to the untiring work of their instructors.
N ortharnpton.-An instructional course for Cadet Officers and Cadets 'was held on September 18. The programrrie inc)uded practical activities and talks on numerous subjects. Lady County Cadet Officer Mrs. E. Shaw J.ftesided, alld at the close of the course thanked all who had helped to make the function a success.
The speakers in,cluded Miss Berry (P.T. instructor to Paddington Trade School), Miss Longden (Cadet HeadquaFter Staff Officer), Mr. S Carpenter, M.R.S.T., and others. An imaginary accident was staged and dealt with by some Cadets present.
Lady Corps Supt. Mrs. Carpenter arranged the meetin g and among those present was Lady County Supt. Mrs. Jennings.
Nottingharn.-On September 4, the youth of Nottingham contributed thei-r part to the Holidays-at-Home programme.
(C@ntinued on page 228:)
Qtbe J abn
No.1 (PRINCE OF WALES'S) the" John Ormerod " Challenge Cup, presDISTRICT ented for open" competition between
On September 17, Lady Louis Mount- divisions of the Corps, to " C" team led batten, Lady pre- by Amb. Offlcer T. O'Sullivan. sented a shield, on behalf of the Mecca A surprise presentation was a fireSIde Cafes, Ltd., to the No. 58/3 (KE.B. and chair and an illuminated address to the Boro' of Holborn) Ambulance and the oldest Brigade member in WallaseyNo. 87 (Holborn) Nursing Divisions, as Mrs. S. Sutton of the N ursin g Division. an appreciation of the services rendered This was made by the President on behalf by the members of the'two divisions in of the vVallasey Division, who referred their regular attendance at the Royal to the 25 years' service given to the Brigade Opera House, Covent Garden. During by the recipient. the interval members of the divisions COUNTY OF DORSET _ marched on to the dance floor where Lady PARKsToNE.-A pleasant evening was Louis, accompanied by the Mayor of spent recently by members of the ParkHolborn (President of the Ambulance stone Division, the occasion being a presDivision) and Mrs. Bailey, Lord South- entation, in the form of a barometer, to wood (President Nursing Division), Ald. Mr. G. Caswell, who was superintendent Aubertin and Major Stanley (Vice-presi- of the division from 1929 to 1943 and has dents) and ' Mrs. Stanley, Commissioner now been promoted Corps Stores Officer. Capt. W. Goodley, Asst. Commissioner Supt. L. Penny made the presentation Capt. Russell Steele , Sir Henry and Lady and paid tribute t o the work and service Bashford (representing the G.P.O.), Dis- untiringly given by Mr. Caswell. Corps trict Officers McBride and Mrs. Tapply, Supt. E. Paddock and Corps Secretary made the presentation. She expressed F. C. Bryant also paid tribute. thanks to the directors for their gift, and Mr. Caswell, who expressed thanks for gave the shield into the care of Supt. the gift, hoped that the same support G. E. Bates and Lady Supt. Miss Myson. would be given to Mr. Penny as had been A bouquet was presented to Lady Louis received by him. by a Nursing Cadet. Capt. Steele also Corps Supt. Paddock then presented expressed thanks to the management. warrants of appointment to Sergt. S Three of the No. 71 (City) Viney and Corp 1. Crewe; also certificates ursing Division, who were attached to to successful canditates. the F.A. Post at St. Paul's Cathedral COUNTY OF HAMPSHIRE AND d urin g the Battle of Britain, formed part ISLE OF WIGHT of the Guard of Honour at the special A Conference of Officers, with Presidents Service held at the Cathedral on Sunday, and Vice-presidents of Divisions of the September 26, and Lady Supt. Miss Harris Eastern Area was held at the Five Arches had the. honour of being presented to 'Club, Fareham, on August 22, under the Their Majesties. chairmanship of Asst. County CommisCOUNTY OF CHESHIRE sioner Lt.-Col. P. H. Marshall. Over 100 WALLAsEY.-The presentation of attended, including the chairman of the awards was made to members of the Fareham U.D.C., Lady Louis Mountbatten Wallasey Division by Mr. John Ormerod (Lady Superintendent-in-Chief and (Chief Constable and President of the County President), County Commissioner \i\Tallasey Corps) at a social held recently. Major A. Tennyson Smith, Lady County Supt. C. Evans presided and welcomed Supt. the Hon. Mrs. S. R. Cubitt. the guests including members of the The Chairman of the Council welcomed B.R.C.S., with whom closer co-operation the members; whilst Col. Marshall rewas so necessary during the present ferred to the past, present and future times. The Rev. C. R. Troughton (Divi- work of the Area. sional Chaplain and Vice-president) called Lady Louis gave an inspiring address, for God's blessing on the work; and Mr. whilst the County Commissioner thanked T. Magee, replying on behalf of the all officers and members for the enormous B.R.C.S., stated that he qualified in first amount of work done during the last year. aid with the S.J .A.A. many years ago. The present number of divisions in the He also stressed the importance of closer Eastern Area, and approximately as co-operation between th e two organisa- re gards personnel, exoeeded the numbers tions. of the whole County of 1935. Mrs. Cubitt Included in the presentations was also addressed the meeting. a Vice-presidency to Mr. Gordon Porter, inspection of the who expressed thanks to the Corps Portsmouth City Police Corps, PortsPresident , mouth City Corps and Portsmouth City County Corps Supt. Armitage presented Nursing Corps was held in the groundS 225
of the. City Police Headquarters. 1;he Officer was County CommisSIOner Major .A. Tennyson who was accom pamed by: the Lord Mayor and Lady Mayoress (SIr Denis and Lady Daley), the Chief Constable (Mr. A. C. West), Asst. Commissioner Lt.-Col. Marshall and· Lady County Supt.· the Hon Mrs. S. R. Cubitt. .
At the request of the Commissioner the Lord presented Supt. P. Hammond Wlth the Certificate and Ribbon of Brother of the Order, and also Certificates and Ribbons of the Service 23 Officers and men of the CIty PolIce Corps. Warrants of appointments were presented to the Ch· f and Major C. HanJl].ngton (VIce-president) of the Police Corps.
HOUND .AND NETLEV DIVISION.-Members of this division met recently for the pres.entatIon of awards by tb.e President (Major T. H. Denman) and included warrant of aJ?pointment to Mr. Stephen Clarke c:S Ylce-president. Corps Supt. Thomas llltroduced Mr. Clarke and spoke of the many duties which the Brigade had to fulfil. He also thanked Sister vVare for . her lectu:es to the ladies and the Pansh CouncIl for their help.
RVDE.-The annual presentation of awards to members 01 the Ryde Division held was the first occasion that the DIVlslOn, the Railwaymen's Division and the Cadet. Corps, had combined under · the new supenntendent, Mr. A. Maybury
The Mayor presided at the supported by the Mayoress, Dr. and Mrs Carpenter, Supt. Maybury, Mrs. F: Kennedy,. and other Brigade officers and local offiCIals.
Addresses on the history of the Brigade by Dr.. Carpenter, and its work in connectIon wIth the Railways ' by Mr Ga d (Island S S r ener upt. .R.) were of great interest Mrs. SpIcer, on behalf of the Chief stable, urged greater membership.
. Mayor distributed the awards congratulatingMr. H. Fiddler gallllllg the Southern Railway 21 years' gold. medal, and Mr. E. Randall, on the receIpb- of the 14 years' silver medal
A pres€(ntation was made to Mr G Vi Sloacombe, ,who. retired many years actIve service COUNTY OF KENT C TUNBRIDGE !VELLs.-Asst. Lady Tounty Supt. MISS May inspected the . unbndge Wells NursiIlg Division on September 10,. when Lady Supt. Miss R was III charge. Miss May plImeflted the members on their work and smart appearance and the improve- · ment generally since her last visit and expressed her pleasure that the had been fortunate enough to have both
a Divisional S,:rgeon and a Nursing Officer :who was Illterested in the work.
MISS Dupond reported that the average nurJ?- ber of cases attended and transport dutIes undertaken had practically doublec! dunng the present year.
COUNTY OF LANCASHIRE
21st anniversary of the LIverpool South Division was held on August 28, when the President, Mr. Porter, supplied a Birthday Cake wIth 21 candles.
The celebrations took the form of a dlllner and after the Loyal Toast had been receIved Commissioner W. G. Smith presented the Rev J. Russell Pope with the VIce-president, and said that the divlslOns must be on their 'toes after the war. I t was necessary to encourage members, especially boys and youths, III preparation for the time when normal conditions prevail.
The new Vice-president proposed the toast of ." The Brigade" to which Supt L. SmIth replied. The <;:ounty on behalf of the visitors, whilst DJ.VlSlOnal Surgeon H. McWilliams Daniel replied on behalf of the medical profession. event concluded with the President wlshiI?-g the members happy returns of the Buthday; and for happy returns of each 21st recurr:ng birthday.
PRESTON.-A speCIal meeting was held at St. John Ambulance Headquarters in honour of Lady C?rps Secretary Miss K. W. Turnbull, who IS going on the Reserve after 32 years' service with the Preston Corps. Lady District Officer Miss M. R. Moore preSIded, being supported by Corps Supt. .. !? Millington and other Corps and DivislOnal Officers.
Turnbull worked at Moor Park HospItal during the last war and has been a compet.itor at many Dis,trict competItIons. She IS a Serving Sister of the Order and holds the Service Medal and three Bars. She is also a L A R P Instructor.
expressions of appreciations were VOIced and a bicycle and cheque were to her as a token of affection and gratItude.
ATHERTON.-At a social evening held III the Hall, Councillor C. Fletcher (PreSIdent) introduced District Officer F. Lomax , who presented Mrs A. Ward.ley with her badge of as VIce-presIdent of the Nursing Division. "Wakes" Holiday EqUItable Ambulance and Cadet DiviSIons held a successlul camp at Towyn -North Wfles, under 'Amb. Officer G. W: assIsted by Supt. W. Jones (Central DlVlslOn) and Cadet -Officer W. Newton . Some 34 a:dults and 56 cadets were in camp, WhICh proved very enjoyable although the inclement weather did not 226
help. Excursions were made to Llandudno field Hall. On returning to Norwich Sir and sports held. Clive and Lady Louis went direct to COUNTY OF NORFOLK Samson and Hurcules House, where a On September 8, Lady Louis Mount- Guard of Honour of Nursing Cadets, inbatten, Lady Supt.-in-Chief, visited King's - cluding 18 Grand Prior Cadets, lined Lynn, where she was met by Lady County the steps. Among the 200 present were Supt. Dr. May Rutledge, Lady Corps Presidents, Vice-presidents and Divisional President Lady Fermoy and Lady Corps officers, all of whom were presented to Supt. Mrs. Donald Jackson. After in- the Inspecting Officers. specting the "\i\Test Norfolk and I-Gng's Then followed the iJispection of members Lynn hospital, Lady Louis visited the in the shadow of the ancient Cathedral; J .W.O. Convalescent Home at Stow Hall; and after the march past a hollow square later inspecting the Mobile Canteen of the was formed and Lady Louis presented West Norfolk and King's Lynn Corps. Lady Mbemarle with the badge of offi <?e The of the Corps, which is as County Vice-president of Cadets. a Training Centre and has been allocated Sir Clive presented a Meritorious Service to the Civil Defence Women's Medical Certificate to Mrs. Jackson, a member of Services in case of emergency, was inspec- the Great Yarmouth Nursing Division, ted and demonstrations carried out by and addressing the parade complimented members. the members on their smart appearance.
After a private dinner given by Lady Lady Louis also addressed the parade Fermoy,attended hythe Mayor and Mayor- and expressed her appreciation of all she ess (Mr. and Mrs. Allflatt), the Earl of Albe- had seen during her visit. She cornmenmarle (County President), Asst. Commis- ted on the excellent service rendered to sioner Dr. Wm. Rutledge, Lady County the Brigade by Dr. Lund in London for Supt. Dr. May Rutledge, Lady Corps Supt. many since the beginning of Mrs. Jackson, Mr. J. H. Catleugh (C.D. the ,var, as Acting Commissioner for Controller), and Mrs. Catleugh, Mrs. Norfolk. She also referred to the remarkOtter, Dr. Eleanor MacIntosh and Mrs. able increase in the strength of the NursRamsden (Divisional Presidenks), Lady ing Divisions from two in September, Louis inspected the Nursing Corps, there 1938, to 32 at the present time. This being 8 divisions on parade. After the was 'due mamly to the unflagging zeal march past , demonstrations were given of Dr. May Rutledge. under the supervision of Lady Supt. Mrs. COUNTY OF NORTHAMPTON C. Archdale ( o. 1 Division) assisted by On September 8, the r orthampton HeadLady Ambu l ance Ofiicer Mrs. R. A. Valen- quarters Nursing Division was inspected tia. e (No.3 Division). The 12 Challenge by County Commissioner Dr. Eric Shaw, Trophies of the Corps were presented to who afterwards presented Service awards the winners by Lady Louis. for 1942. Sergt. Miss G. \i\Thitlock and In reply to expressions of welcome Amb. Sister Mrs. George received Service given by the Mayor and Dr. May Rutledge, Medal Ribbons and certificates , Lady Lady Louis spoke of the tireless work ih Amb. Officer Mrs. "Wilkinson and Amb. Norfolk of Dr. Rutledge and Dr. May Sister Mrs. v\lhiting receiving a third B ar Rutledge, the latter being an inspired to their medal. Dr. Shaw mentioned leader of the Nursing Divisions. that it was his first visit to them since On September 9, Lady Louis inspected his appointment, and congratulated the the Senmowe Park Nursing Division, members on their smart appearance. raised by Lady Cook (Lady County Presi- Lady Supt. Miss Cowley thanked Dr. dent), who accompanied the inspecting Shaw and mentioned the untiring help officer to Norwich where the Chief Com- he had always given to the Division when missioner, Sir Clive Liddell, and Lady he was the Divisional Surgeon. Louis inspected some 1 ,000 members of COUNTY OF SUFFOLK the Norwich Corps and County Divisions. On September 5, members of the • The Inspecting Officers were received Ipswich Corps held their annual inspecby Acting Commissioner Dr. K. H. Lund tion. Under the command of Corps Supt. who escorted them to the City Hall where F.E.Godtlard, theparaB.emarchedtoChristthe Lord Mayor and Lady Mayoress of church Park, where the Earl of Cranbrook Norwich and County Officers, together (Commissioner for Suffolk), supported by with the Sheriff and his lady and otller County Officers, took the salute and Civic dignitaries, awaited them. After a inspected the parade. luncheon given by the Presidents and Addressing , the parade the CommisCounty Officers, at which the g u ests in- sioner expressed his thanks for · such a. eluded the Lord Lieutenant, the Dean of good muster and for the way in which Norwich and others, visits were 'Paid members had turned out in regard to to the Sick Bay of the Norwich Services dress. To the Cadets, he hoped they Club, the Catiteen at Thorpe Station, and would do the best at their work, in the the J W.O. Convalescent Home at Blo- Order, and show their thanks to their 227
Officers for the interest taken in them by carrying out the duties they had undertaken.
To clos@ the summer programme of Church Parades the inspection was followed by a Drumhead Service, which was conducted by the Rev. Harold Green, Vicar of St. Nicholas Church, being assisted by the Rev. C. H. Hewland, fastor of St. Nicholas Congregational Church_ The Corps Band led the singing. COUNTY OF WARWICK STOKE AND ALDERMOOR. - On September 1, the Stoke and Aldermoor Ambulance Cadet, Nursing and Nursing Cadet Divisions paraded to receive equipment and other gifts from Mr. Allan Botwood, Managing Director of the HUlllbeT , Ltd., the gifts being made in recognition of the valuable services rendered by members of the divisions to the Factory. Every member of the Adult division is a member of the Factory F.A. Party and Supt. Taylor is First Aid Officer.
The divisions were formed in April last and now have personnel of 166 being composed of 67 men, 64 ambulance Cadets, 35 Nurses and Cadet. Ten members are serving with H.M. Forces.
TI:-ose present at the presentation included President William Barnes, Vicepresidents T. R. Mulcaster, F. J. Warren and R. T. Green, Lady Supt. Parrett and Mrs. E. Edgerton; General Secretary of Humber, Ltd.
COUNTY OF WORCESTER
DUDLEY.-The Dudley and District Corps held two competitions during last month. The eliminating round for the " Capt. and Mrs. Lechmere " cup, recently presented for open competition between ambulance and nursing divisions in the County, was won by the Brierley Hill Nursing Division, with the Brierley Hill Ambulance Division as runners-up.
The second competition was for the " Whorton and Christopher" Cup, which was won by Brierley Hill Ambulance Division. In normal times the rules are that 8 men must parade and that a draw be made to find the five men for th€ team. Owing to wartime conditions the number has been reduced to 6.
At both functions County Officers and COJ;'ps Officers attended in great strength . Both the Brierley Hill Ambulance and the Brierley Hill Nursing Divisions are to be congratulated on their latest successes.
BROMSGROVE.-A successful dance was organised by the Bromsgrove Ambulance and Nursing Divi sions recently, at which the Deputy Regional Commissioner, MF. G. S. Lindren was present. He desired it to be known how much the services of the volunteers in Civil Defence were appreciated and that the efficiency of
the first aid personnel could not have been attained nor maintained hq,d it not been for the devotion of the members of the St. J olm Ambulance Brigade. / NORTHERN IRELAND DISTRICT
Shortly after the r ecent inspiring visit of Lady Louis Mountbatten, the Shankill Ambulance Division held a s eries of Public \iVeIfare lectures durin g the month of August, 'With the dual object of stimulating public interest in the work of the Order and in Social Hygiene Brigade Surgeons dealt with Post-ViTal' Outlook and Work of the Brigade (Actin g Commissioner \iV. M. Brennan), Blood Transfu sion (Acting District Surg eon Muriel Frazer), Aspects of Chemical Warfare (Div. Surgeon J. S. Erwin), whilst specialists gave lectures on Venereal Diseases, Tub erculosis, Local Public Health Acts , Road and Factory Accidents.
CADET NEWS-co n td. from page 224 Vari o us or ganisations to ok part in Sports Finals and ea<;:h org anisation put on a show on the Cadet Ground. The Nottin gham Ambulance and Tursing Cadets put on 17 teams of 4 Cadets and the Lord Mayor and Lady Mayoress , and Sheriffs , took a keen interest in each team. There are approximately 300 Ambulance and 300 Nursin g Cadets in... Nottingham.
Wetherby.-The vVetherby Cadet I ursing Division has had a successful year so far, as can be noted from a report of the activities since the beginnin g of the year. Two Cadets have started in general hospital training, all members have passed the home nursing examination, 8 passed the Knowledge of the Order, and 13 the Child. Welfare. War Service ' includes collecting for the Red Cross Fund , collecting books for the hospital libraries, herb gathering and salvage. One Cadet is A.R.P. ambulance driver. In addition to inspections, atten,dances at various parades, the Cadets have been on duty at two public functions, and have forwarded donations to the Nurses Malta Fund. Lady Cadet Supt. Miss B3.s1eigh and Lady Cadet Officer Miss Baines are in charge of the activities of the division.
Hinckley.-County Commissioner G. F. Browne and County Cadet Officer Miss Wollaston officiated at the enrolment ceremony of 60 Cadets into the Hinckley Cadet Nursing Division, on September 25. The parade was under the command Cadet Supt. A. Jayes, assisted by Cadet Officers Fairbrother, Dawson and Holder. Dr. Margaret Cruickshanks, Mrs. P. Atkins (Nursing Divisional President) and others were present. Following the ceremony a demonstration was given, and appreciations to visiting officers expressed by Supt. (R) A. Mehew.
Will NOT TURN SEPTIC
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BECAUSE
one or other or all of the races of Streptococci StaphylococCI. and B. PyocY t this ' kin infection common 0 are found md OINTMENT conta!ns country. an ..) f th erms Healing the antibodies (antiVITllS 0 d gedien'ts of the d't d by the prove mgr eand is. d b its antiVIrus sterile vaccme OINTMENT is Bl'RNS and SCALDS, for It IS IDlC!oblcld.e nOli-adhesive, and dressings do not reqUll'e be changed every da y.
RHINO-ANTIPEOL
ff d rapid relief of COMMON iNF'LtJENZA AND CATARRH. h tibodies of the germs common to nose and pharynx (Staphyloc.OCC1, streptococci, B.pyocyaneus, pneurooc.ocCl, pne.umobacilli enterococci, M.cararrhahs, Rbino:Antipeol is not just a but a remover of the of the J?unn,g epidemics it is the ideal preventive of IDlC!oblC development.
OPHTHALMO-ANTIPEOL
is a semi-fluid ointment, more convenient the ordinary Antipeol ointment for ocular 10fections and lesions. Eyes by smoke and dust are soothed almost munediately by th.e application of Ophthalmo-Antipeol,. and the antivirus preveDJs germs from develop1Og.
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GENERAL INTEREST
Through the good offices of Captain R. G. Evans, Asst. Commissioner and Centre Secretary of the East Denbighshire Centre, the First Aid in Mines Course has been intrQduced to the employees of the Black Park Colliery Company, a step which it is hoped may be followed by the general adoption of the Course among first aid students in the North vVales The Priory for Wales was not only singled out for the distinction of producing a new textbook, but also put on its mettle to set the pace in "Wales before the scheme could be applied to the English Coalfield. It is therefore greatly indebted to those Colliery Managers who are going ahead at a time when a Specialised Course might well hang fire in the face of presentday difficulties.
I t is now hvo years since the Priory issued a circular inviting the assistance of Brigade Officers in the Colliery districts in popularising the new Course. No doubt Divisional Superintendents have had a share in the formation of the 36 Classes with 433 students so far heW, but there are no less than 196 Divisions in the coalfields where Mining Classes be expected to originate under Brigade auspices; and Units associated with the Mining Industry are urged to make this Autumn Session a high water mark in " First Aid in Mines" history. Such an appeal cannot be regarded as outside tl;te war effort, as a return 'of older men to the pits and the employment of novices must make Safety in Mines and First Aid measures more important for the avoidance and treatment of accidents in the interest of 'coal production.
A most encouraging step forward has been taken by the South Wales Branch Council of the Association of Mining Electrical Engineers in presenting to each member a free copy of the textbook at the same time urging them to · interest themselves in first aid, This distribution of 400 copies should prove of great value in the promotion of the Class work anc;l general interest in subject; and the Priory is most grateful to the Branch HoIv.' Secretary, Mr. J, Vaughan-Harris. CENTRE REPORTS .j ANGLESEY CENTRE. '
The Marchicmess of Anglesey, new J oint President for the Anglesey Centre, carried out an inspection of Nursing Divisions in the Hqlyhead area on September 2. Accompanying her were Sir Henry Mullenepx Grayson, Bart,
K.B.E. (Commissioner for the County), Asst. Commissioner R. H. Prothero (Chief Constable), County Surgeon G. P Williams, and Mrs. Mary S. Lowe, new Lady Supt for the County, and County Officer C. R. Hollyoake.
At the Gors Auxiliary Hospital, Holyhead, Lady Anglesey inspected the r ecently founded Nursing Cadet Division. Als o present were members of the Holyhead Nursing Division (in charge of Mrs. A. L. Stirratt), J: ursin g Officer Roberts, Amb. Officer Dryhurst J ones and Matron G. M. Williams (of Gors Hospital). In welcoming Lady Anglesey, ' Sir Henry Grayson said the county was well aware of the splendid work that she was doing, and they Were delighted to know of her interest in the work of the Order of St. John. Lady Anglesey, who said she was proud to be able t o do something to serve the interests of such an excellent organisation, presented warrants of promotiop to Mrs. Mary S. Lowe , as Lady County Superintendent, and Mrs. J. Burdon-Jones as Lady Cadet Superintendent. In a brief survey of the work of the Order since its formation in Anglesey, County Officer Hollyoake stated that progress had been slow but certain. To-day there were four nursin g divisions, two Ambulance Cadet Units and one Nursing Cadet Unit in the county . Dr. G. P. Williams declared that the most potential improvement to the St. John service in Anglesey was the opening of the Gors hospital. Members of the Holyhead Nursing Division were devotin g their time voluntarily to serve at the hospital, which was unique for one reason - it was the only joint war ho spital in the country where the work of storing blood supplies was done. A display of first aid bandaging was gi ven by the juniors and First Aid certificates were then presented to 13 cadets.
Members of the Rhoscolyn Division paraded at Ty Crainc, home of Lady Supt Mrs. Rae, where the proceedings were presided over by Mr. C. J. L. Coole (President of the Division). The parade was in charge of Nursing Officer Mrs. Magowan. Sir Grayson outlined the advantages of being a member of the Order; and County Ofiicer Hollyoake that the Rhoscolyn Division registered last December had already justified its existence, this statement being demonstrated by a home nursing display given by the members who afterwards received their efficiency awards ;
There was a smart turn out to greet the Joint President at Tabor Hall, Valley 1 230
THE HOUSEHOLD PHYSICIAN
A few of the Subjects treated:
Gas Warfare
First Aid Lessons
, Influenza, Colds, etc.
Sick Nursing from A to Z
Measles, Mumps, Catarrh Corns and Warts
Physical Culture
What to Do in Emergencies
Treatment for all Skin Diseases
The Lungs, Pleurisy
Diseases of Women
Hygiene, Anatomy, Pharmacy
The Principles of Nursing
The Eye, the Ear
The Throat, the Nose
The Chest. the Heart
The Stomach, the Liver
The Teeth, the Muscles
Infant Welfare
Homoeopathy, Neurasthenia
375 Prescri ptions, etc., etc.
Describes in simple language with helpful coloured plates and diagrams
The C 'OMPLAINTS OF MEN, WOMEN AN D CHILDREN,
Their Cause, Treatment and Cure
THE YOUNG WIFE will find just the information she requires.
M OTHERS who wish their daughters to develop naturally will find exactly the teaching they need.
WOMEN OVER 40 will find their difficulties regarding health frankly discussed.
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• ADDRESS
and District, where the Division under the command of Amb. Officer D. Rowlands and the Supt. Miss C. M: Jones , paraded in uniform, Lady Supt. Mrs. E. Gardner occupied the chair,. and received from Lady Anglesey her warrant of appointment. vVelcome was extended by Mrs. Gardner, who spoke in optimistic terms of the future of the Division in the Anglesey area. County Officer Hollyoake intimated that the Division comprising some 20 members had made rapid strides since its registration in December last; and the Unit gave a most impressive first aid demonstration.
GLAMORGAN CENTRE.
The Division , Dulais Valley Corps, had the pleasm;e of welcoming Corporal Ernest Sparks, M.M., R.A.M.C., on his return home from an Italian Prisoner-of-War Camp. Corporal Sparks was in the evacuation of Dunkirk and subsequentlyoserved in the Syrian campaign where was awarded the Military Medal for bra very under fire. In response to a letter of commendation from the Commissioner for Wales, Corporal Sparks modestly repli ed that he had simply done his duty, which he hopes to continue to do until Victory is won. Like many other Brigade members, Corporal Sparks found his first aid training of great value. He served as Hospital attendant in the Prison Camp.
CARDIFF CENTRE.
Officers and members of the Car diff Centre have welcomed the announcement that Dr Edgar Llewellyn has been leased on health grounds from his duties as Squadron Leader in the Auxiliary Air Force and resumes activities as Commissioner for Cardiff. Though the doctor has been serving since August, 1939 , he has lost no opportunity of demonstrating his keen interest iln Ambulance Work and the Order of St. John, having given first aid lectures to troops on board ship and taken advantage of meeting the Commander of the Commandery of the Order in South Africa at whose invitatiou he was privileged to attend the annual Commandery Meeting. During Dr. Llewellyn's absence Asst. Commissioner Capt. F. P. Robathan, M.C., has carried out the duties of Acting Commissioner, assisted on the Nursing side by Lady County Supt. Miss G. Richards; ' to whom thanks hav(? been tendered by the Commissioner for Wales. The Cardiff and District Ambulance and Nursing Cadets, held an Arts and Crafts Exhibition on September 18, the event being the first of its kind in the Centre, demonstrating a new sphere of work among the Cadet membership. The Exhibition was opened by the Commissioner for Wales, the Hon. John Bruce, who was met by Asst. Commissioner B.
E. Maberly, Lady County Supt. · Miss G Richards, the Lady Vice-president Mrs , Eagar Llewellyn, together with County Officers Miss E. M. Prichard Williams , Miss V. W. Rees arid Miss M. Metcalf, R.R.C. Corps Cadet Officer vel. Thomas, and Lady Corps Cadet Officer Mrs. M. A Stephens arranged a Guard of Honour of Ambulance and Nursing Cadets. Advantage was taken of the occasion to present certificates won in a sports event recently held in Llandaff Fields , Cardiff, by the Chief Cadet Ambulance Officer for Wales, Capt. D. G. Richards, and Mrs. Mary Ingledew, Chief Cadet Nursing Officer for "Vales. Great interest was taken in this Exhibition . Some splendid examples of work including needlework and knitting, carpentry, toy making, leather work , etc ., were displayed.
RHONDDA CENTRE.
The Cadet Rally held in Gelligaled Park, Ystrad, Rhondda, on September 11 , proved a successful and inspirin g event. All Cadet Units in th e Rhondda Fach, Upper Rhondda, Mid Rhondda and Lower Rhondda Corps were represented in th e parad e of over 200 cadets, which formed up under the command of the County Cadet Officer and marched to the Park, where the salute was taken by the Hon John Bruce (Commissioner for Wales), who was supported by the Lady President of the Rhondda, Lady Rhys-\Villiams , D.B.E., Mrs. Ingledew and Capt. D. G. Richards, Chief Cadet Officers for 'Va les, Asst. Commissioner J. H. Davies, County Officers Mrs . Morris-Thomas and Mrs. M. W. Powell and Cadet County Officer Mrs. Hardie. The Commissioner was represented by his daughter, Miss G. Richards. Displays given by the various Units included P.T. and Bed-making on the part of the Nursing Cadets and FireFighting by the Ambulance Cadets. Several members of the Abergorky Cadet Nursing Division received Proficiency badges; and the Rally ended by sports, a Flag being preseuted by the Asst Commissioner to the Corps gaining the most points. This distinction fell 'to the Lower Rhondda Corps.
POLICE AMBULANCE NEWS
Metropolitan.-The annual competitions of No.1 District were held on September 17, when 12 teams competed before Dr. Abraham (Team ) and Dr. Payne (Individual). There were present many officers of the Force including 53ir Philip Game (Commissioner), Sir George Abbiss (Asst Commissioner), D. A. C. )VIajor Margetson, and Chief Constable Bennett. Major Margetso n announced the reslillts and thanked the judges for their services. He also thanked Sergt. King of Chelsea (Continued @n page 238) 232
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INTERESTING
CASE REPORT No. 236. The Officerin-Charge of the County of Cormvall S.J.A.B., reports the efficient performance of fidt aid by four members of the Pendeen Division in the following dangerous and difficult circumstances:-
On the afternoon of May 26 at the North Lawn Kenidjack Castle a sergeant of the R.A.F. slipped over the cliff a drop of 15 feet, rolled down a steep incline of 155 feet, his progress being slowed by jutting rocks, and thence down another sheer drop of 30 feet onto a ledge which saved him from going down into the water.
Fortunately for 41e patient Ambulance Officer D. J. Briggs and three members of the Division-Privates VV. James, G. Pender and R. H. Matthews-were nearby and responded at once to the c,\ll for help, the first-named quickly summing up the situation and skilfully directing operations. With great difficulty the rescuing party reached the ledge, administered the necessary first aid for the injuries (which included fractures of frontal bone, of both forearms and of six ribs), then strapped patient tq a plank stretcher, which had first to- be lowered a distance of 46 feet into the water and then up 48 feet over large and small rocks before the rescuers could reach a very narrow path.
This task, apart from being difficult in itself, had to be performed against time, because the tide was coming in fast. Transport along the narrow path was extremely hazardous and a little further on there was a fall of ground which ,Jiid not help matterS:-. Ambulance Officer Briggs, howev er, immediately set to work with one- of his colleagues digging with their hands and making footholds in the ground which facilitated the carriage of the stretcher up and then down on to the continuation of the original path. At this point a doctor arrived, examined the patient and injected morphia. Further help also became available and the stretcher was carried along the difficult cliff path a distance of 440 yards to a point where an ambulance was waiting and quickly conveyed the patient to hospital. The ' latest report is that the patient is making a good recovery.
COMMENT.-The three prima'Yy objects of
CASE REPORTS
first aid are preservation of life, prevention of aggravation of injury or condition, and provision of proper transport; and thi s report repeats the oft-told story of difficulties faced and overcome by members of the Brigade in rendering first aid.
Consequently the Brigade tenders cordial congratulations to Ambulance Officer D. ]. B11iggs and the other members of the Pendeen Division on the successful way in which on this occasion they car1'ied out all three objects of first aid.-N.C.F.
CASE REPORT o. 237. The Officer-inCharge of the Kettering Nursing Corps, S.J.A.B., r epo rts the efficie nt periorIX).ance of first aid by two members in the following circumstances :-
On May 20 members of the Corps were assenlb led at a cinema preparing to make a collection for the Pri80ners of vVar Fund. The commissionaire, on being sent to the manager's office for the collecting tins , returned saying that he was unable to open the door. The manager then forced his way in and discovered a woman hanging from the office door. - He cut her down and immediately summoned the Ambulance >, Sisters.
Lady Supt. Miss Rene of Broughton Nursing Division Amb. Sister Mabel Tuckwell, of Kettering Headquarters Nursing Division, went at once to the office and discovered the patient not breathing and with the pulse not discernible at the wrist. The rope was twisted tim es round the neck. They immediately cut the r estriction; and artificial re spiration was applied by Amb. Sister Tuckwell with the result that breathing was restored before the arrival of a d octor summoned by at the direction of Lady Supt. Miss Riggall, who also sent for an ambulance.
... The two Ambulance Sisters accompanied tbe patient to hospital , where they remained with her for three hours until the arrival of a policewoman who then took charge, and where she made a complete recovery.
COMMENT.-This report tells its own tale; and all that remains is to offer c011 dial congratulations to th ese membe'Ys of the Kettering Nursing Corps on the success. which on this occasion attended their efforts.-N.C.F.
QUESTIONS AND ANSWERS
ELECTRICITY BURNS it may cause burns which will vary in sev,erity T.D (Rainham).-I shall be grateful with the strength of Gur'Yent applied and if you will tell me what are the signs of which will present the usual signs and sympburning electricity and if the burns toms of any such injury due to dry heat; are the same as those caused by dry heat. namely, reddening, blistering, and charring Eltectricity may cause death from shock of the part whe'Ye contact takes place.without any abrasion o,n the surface. Again N.C.F.
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THOMAS SPLINT
S.G. (Alfrest on). - l w as v e ry interes t ed and incide ntally rath er pr oud, t o r ead in th e Augu st iss u e of THE GAZETTE a bout the m e th o d o f a pplyin g the s eco nd band a ge in Fig 45 , p. 85 of the T extb oo k. The m e th o d which yo u d escrib e is on e w hich I fi sh ed o ut " s om e year s ago, an d wh ich I h ave u sed a s a n instru ct or eve r since.
I wo ul d like t o menti on m y m eth o d o f applyin g t h e b a n dage t o f oo t an d s tirru p w hen appl y ing t h e Th omas Splint. I fix stirrup with co ile d rin g o n t op, place o f band age ove r to p o f foo t , cross under sole, then proceed as p e r T extb oo k.
Lat e r a l move m ent is then pra ctica lly nil.
The stirrup a nd splint a r e h e ld steady b y i wo bandages or oth e r s uita ble mat e ri a l
b e in g t h r ead ed thro u gh the rin g a n d
E,·ecure d t o each sid e of th e stret c h er. I would lik e yo ur o pinion o n t his, an d than k y o u in advan ce
It seems to me t hat your method of applyi n g the bandage t o f oo t and sp lin t in use of T hom a s S p lint w ou l d immobi lise t he limb, alth ough personally I see no reason f or r ever sing t he instruc tions of the T extbook.-
N.C F.
TREAT MEN T OF CA RBO LI C P OI SONING
A.W. (Wellin gb or ou gh ).-l h ave for so me tim e queri ed th e o bj ect o f givin g liquid para ffin in tr eatment o f carb o lic aGid p ois onin g (T extb ook p 173 ) Th e matter was br ou ght t o a h ea d w h e n I was aske d a b out it b y m emb er s o f m y Di v i sio n. I t old tb.em that the p a r a ffin was t o a ct a s a d e mulcent, th ou gh it a pp e are d t o m e that il'he dir ect a ntid ot e (Eps om s alts) would be b e tter administe red fir st.
Moreover , w h e n I look e d up carb o lic acid in s ev e ral b ooks (includin g Martindal e ) I found tha t in all Ep so m or Gl a ub er salts are rec o mm ende d a s a ntido t e, wher ea s liquid p araffin is sta ted to disso lve carbolic a cid , formin g a 1 p e r ce nt. saturated-soluti on , and when warm to dissolve more than thi s.
Surely an oily saturate d solution of carbolic remainin g in the stomach and intestines would b e very harmful to the s y stem and cau se pr olon ged ab s orption
Further, as Lyso l p o iso nin g is n ot an infrequ ent ehoice of would-b e suicid.es, I think that th e proble m is importa nt
On all po in t s I agr ee wi th y ou; and I can only su rmi se that th e T extb ook r eco m m ends administration of li qui d paraffin as a t emporary measure an d demulcent, pending t he imm ediate transfer of the pati ent to ho spital where expert treatment can be admini ster ed without delay, - N.C.F. •
I t each the m e mb e r s of m y Div ision to s tead y b oth legs, and to p ut up on e l eg a s p e r a nd th en to do up the seco nd l eg, u sin g th e t r eat ed leg a s a splin t and app ly in g the b a n dages ro un d b oth legs I w elcome yo u r views on th e p r o blem
From t he ' medical point of view you r method would probably do all that is necessary F ,'om the first ai d point of vi ew , however, I t hi nk that it is better to tr eat each l eg separate ly as p er T extbook a'nd then t o bandage both legs tog ether.
With m ore than on e injury such actio n has the merit of di 1 ' ecting the atten tion of th e doctor w ho receiv es the patient to t he fac t that more than one injury is present, and at t he same time of facilitating his task of exami ning and treat'ing both injtwies.-
N C.F.
FRACTURE OF ARM AND FOREA RM
W.V-I. (Open shaw).-Recently at Divisional practice I was to ld to treat a p a ti ent for simple f r actu r es of a n n (mi dd le of sh aft) a nd t he for earm (b oth b ones ). Now I wonder if we shou l d treat t h e fract ur ed a rm and a lso t h e fra ctured forearm as laid down in T extbook a n d, t h is done, sup p ort the limb in a l a r ge arm. sling, or i f we sho uld omi t the sp lints to .fi.x the frac t u r ed a r m , b a n dage t he arm to the b ody with tw o b r oad bandages arid then treat t h e f ract ur ed forea r m as i n Textb ook.
For the reasons giv en in my reply to t he query on " Frac tures of Both Legs" I prefer your firs t suggesti on exc ept tha t I wotdd support the limb in a sma ll arm sling.N.C.F.
A SP HYX IA WITH F RAC TURED FEMU R ].]. (Hackney )- Kin d ly h elp u s w ith your g ui din g opinio n a.s to th e b est tr eatm e nt for th e foll owin g, as we fa il t o agree: Ma n found ly in g 0 1+ b ack asp h yxiated an d h as fr a ctured fe\ll ur F irst sugges ti on :
Turn p a tie nt over on t o his fa c e, apply Schafer 's method of art ificia l r esp iration till th e breathing comme nc es a nd th en tutn him back a nd treat fractur e d fe mur.
Second su gg estion: Co mm ene e Silv e ste r 's m ethod w hil e oth er s treated femur , splint t o r e ach to hip \iVh e n se cure d, th e n turn over and pro ce ed w ith
Schafer' s method
T he correc t treat ment of su ch a cas e, i n my opinion, would be r apidly t o tie th e injured to th e u ninju re d lim b and t hen to comme'ltoC e
S chafer: s me thod of artificial espi rat i on, Th en, w hen breathin g ha s been r e-es tablis hed , pati en t s hou ld be turn ed fac e u pw ard and th e fractured thi g h controlled as laid down i n the T extbook.
S i lvest er's m ethod (w hich is r egarded by FRACTURES OF BOTH LEGS mo st experts as le s s effi cient tha r; S chafer' s C.C. (Worcester),-Re.cently discus sion m ethod) is only to be used w hen i t is impos sarose as to the proper tr eatme nt of ible to turn the patient on to his facesimple fractures of both bones of both legs . N.C,F . 236 ,
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POLICE REPORTS- contd. from, p. 23 2. fo r h is worn as Competition Secr etary. D uri ng the past year No. 1 District ga ined 2n d p lace in the Parsons Shield, 2nd and 3rd in the Vivian Rogers Competition, and 3rd in the Lady Abbiss Cup for 'Women Po li ce. Sir Philip presented the trophy and prizes as follows: 1, F Division A team; 2, ' 1\,T omen Po lice; 3, V Division. Best Auxiliary team ,vas V D i vision.
City of London.-The Novices competition fo r the "Mumford Cu p" was he ld o n Aug u st 20, when six teams (incl u ding two fr om the \l\,T.A.P.C.) competed. The j u dges wer e District Officer Haines (team), Distr ict Officer ' VeIls and Su pt. Norman (individuals) of the St John Ambu l?-nce Brigade. Lucas presented the trophy (donated by Inspector Mumford) to C Division, who '"ere declared the w inners after an interesting contest.
RAILWAY AMBULANCE NEWS
L. P .T. B. (Met. Lines) -The annual distrib u tion of awards was held on Septe m ber 18, w h en Mr Evan Evans (President of. the Centre) presided, He welcomed Lord Ashfiel d, Major A. C. 'White Knox (who gave an interesting talk on "Aids to teaching including faking of inj uries "), Asst. Commissioner Capt.
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R u ssell S t eele, Mrs. Tapp l y, Capt. Claridge a n d oth er s. Mr. \lVebb (Ch airman of the Cen tre) read th e r eport of t h e Secr e t ary, who was u nfo r t unatel y absent owing to ill ness. It was reso lved to send a message of goodvvill to M r. Gravestock Jor a speedy r ecovery.
Lo r d Ashfield presented the fo ll owing awards: Certificates 42, Vouchers 26, Medallions 32, Labels 11 6, a total of 216 out of 2 18 candidates. In addition 30 labels were presented to memb ers of the L.P.T.B.· Nursing Div ision. Hygiene certificates n u mbered 4 7, whilst Messrs Ernest Baker, W ill iam Edward , and Stanley Wee k es were awarded Meritorio u s First Aid Certificates for performances worthy of recognition. In the" Hally " Tablet Competition Miss Rose Cole gained fi r st pJace for 1st year members, Charle s Teasdale for 2nd year members, and J ohn Thirlwell for 3rd year members. Miss E Bristol' gained first p lace in the "Vebb Trophy competition.
Lord Ashfie ld spoke on the exce ll ent work carried out by the membe r s and mentioned that t h e first vo lu nteers to come forward to man the Undergro u nd shel ters' were members of Centre. Owing to pressure on spac e it- has bee n found necessary to hold over som e Reports, etc.
CLASSIFIED ADVERTISEMENTS
Advertisements with remittance should be sent to the St. J o/m Amb! dance Gazette 46/47 Chancery Lane, L ondon W C 2. (to which address rePUes to Box m£mbers should be forwarded). R ate 3d per word, minmm1n 4/6 Box mtmbers 1/ - extra.
FOR SALE , A number of second-hand Ambulance uniforms. App ly to' SUPT. WEBB, 55, Endwell Road London, S EA.
, WANTED, Regulation Jacket, Skirt and Blouse , must be good condition; height ft., bust 34 in waist 30 in. , hips 42 in.-Details to 106, c/o PUBL ISHERS
FIRST AID IN CIVIL DEFENCE, by Corps Officer R. G. Winder, St. J ohn Ambulance Brigade 'T he most practical book for information concerning t reatment of large numbers of cas ua lties Price I s 3d (postage 2d.), from THE FOUNTAIN PRESS, 46-47 , Chancery Lane, London, W C 2.
PRACTICAL BOOKS
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AIDS TO FIRST-AID (7th Ed )
First-Aid Simplified and Tabulated with Aids t o Memory Price 1/- (Post 2d. )
AIDS TO HOME-NURSING
Home-Nursing Simplified and Tabulated with Aids to Memory. Price 1/- (Post 2td. )
COMMON ERRORS IN FIRST-AIDErrors in First-Aid Detailed and Explained. Price 1/3 (Post 2d. )
AMBULANCE COMPETITION TESTS
6 folders. Price 6d. each (Post 2d.)
Obtainable (rom : THE FOUNTAIN PRES S 46/47, Chancery Lane, London, W.C.2.
238
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To obtain Uniforms for OfJicers and AmbulaJJce Sisters a Cot/pon Equivalel7t Permit, obtainable jrom H.Q., must be sent 2vith )JOllr order.
S.J.A. REGULATION COAT
Cut and tailored from fully shrunk and showerproofed material, half lined with grey Italian cloth. Prices Include buttons. An official ol-der for H Q. to supply us with badges and buttons must be sent with every order. Women's Sizes 99 /6
S.J.A. REGULATION HAT for Officers, Wool Felt, 19/11, Ambulance Sisters, Felt, 16 / 11. Badges are only obtainable from H Q. Sizes : 6 }, 6 3-, 6 l, 6k, 7, Tk, 7;\:,?t Storm Cap 17 / 11.
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S.J.A. REGULATION APRONS for Ambulance Sisters. Made from hardwearing linen-finished apron cloth. Price includes cross.
Waists 26, 28, 30 ins. 7/3
Waists 32 and 34 ins. 7/11
Waists 37 and 38 ins. 8/11
Waists 39 and 40 ins. 9/6
All in Lengths 26, 28, 30, 32 ins.
REGULATION CAP for Ambulance Sisters,27 by 18 ins. or 28 by 19 ins. 3/3
O"ders of 20 /- and over 'sent post free PRICES OF OFFICERS' UNIFORMS AND OTHER ITEMS NOT MENTIONED IN THIS ADVERTISEMENT SENT BY REQUEST.
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INTERESTING CASE REPORTS QUESTIONS AND ANSWERS CHRISTMAS CARDS
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one or other or all of the three races of germs, Streptococci, Stapbylococci and B.pyocyaneus are found in every skin infection common to this country. and ANTI PEaL O1NTMENT contains tbe antibvdies (antivirus) of these germs. Healing is expedited by tbe proved ingredients of tbe ointment, and septic development is stopped or prevented by i ts antivirus sterile vaccine filtrates ANTI P Ea L O1NTMENT is unsurpassed for BUR NS and SCALDS, for it is mi crobicide and n on-adhesi ve, and dressings do not require to be changed every day.
RHINO-ANTIPEoL
affords rapid relief of COMMON COLDS, INFLUE NZA AND CATARRH. Contai ning the anti bodies of the germs common to infectio ns of the nose and pbarynx (Sta pbylococci, streptococci, B pyocyaneus , pneumococci, pneumobacilli, enterococci, M.catarrbalis, B.Pfeiffer) Rhino-An tipeol is not just a palliative, but is a remover of the cause of the infection. During epidemics it is the ideal preventive of microbic development.
OPHTHALMO-ANTIPEOL
is a semi -fluid ointment, more convenient than the ordinary Antipeol ointment for ocular infections and lesions Eyes affected by smoke and dust are soothed almost ililllDediately by the application of Ophthal rno- Antipe01, a nd the antivirus prevents germs from developing
CLINICAL SAMPLES ON REQUEST FROM MEDICO-BIOLOGICAL LABORATORIES, LTD.
CARGREEN ROAD, SOUTH NORVVOOD, LONDON, S.E.2S
Will be made by a tailor-service which gives style and durability combined with strict con for mit y with S.J.AB. regulation if you order
Uniform, to selfmeasures , from N.O.A. Write for details to
Ma"meater • 36, Kine Street ."rmln,nam. • • • 3, Ryder Str••e Newca.tle-on-Tyne 26, Northumberland St. Southampton - 9, Brunswick Place Glaalow - III, Union Street
t6e .3ourno.f of t6e (priorB in t6e oarifis6 (Reo.fm of t6e (penero.Sfe of t6e jL)osl'ito.f of . .306n of .3eruso.fem
Edited
by
GEORGE E. CRAFT,
F.R.S.A. V OL. 16. No. 1 I NOVEMBER, 1943
EDITORIAL
It is very surprising to read of the great increases which have occurred in the r anks of the Brigade At-Home and Overseas; more especially as so many of t he general public are compelled to do ' voluntary' duties every month. It is a sure sign that individuals are realising that to-day it is not good enough to give that which is compulsory, but that there is something further to be done t o the community at large. Admitted, nursing has been greatly advert ised as a profession by the Government Departments, and the importance of pre-service training has been stressed on many occasions. Nevertheless, the Brigade has appealed to many who are outside the present-day call-ups, and has been the means of greater interest taken in the health and well-being of the general public: This is a ll the more pleasing when one remembers that to belong t o the Brigade means paying one's own expep.ses, buying one's 0'\¥Il uniform, and giving u p one's own t ime" Further, membership does not mean that those who undertake Brigade activities are excluded from other v,rork such as Fire and the like, unless, of course, they undertook Civil Defence ,\;<'Tork before t he compulsory order came into being.
It is the old story that we of this island take things for granted until such time as something, suc h ,as a war, brings home to us the importance of the vol u-ntary organisations, more especiall y those 'which serve t he general publjc without payment and without thought of reward. I n the past the services of the Brigade have been taken for grant ed. Very few · non-members knew how much time a nd money was sacrificed by the members; and very few cared! But to-day a different story is being told. Thanks to the efforts of every member, from the highest d O,\¥Il to the youngest cadet, the work of the Brigade has n ever been appredated so much as it is to-day. The number of tributes received from assisted persons; the number of " Case Reports" received by the Surgeon-in-Chief, all pay personal contribution to th e excellence and usefulness of the Brigade. To-day the flag of the Order is being kept flying by the unselfishness of the Brigade m embers Long may it be so, not only during this time of strife, but in the days of peace that will follow.
DEATH OF MRS. REGINALD McKENNA
We r egret to announce the death of Mrs. Reginal d :McI{enna, on. November 1 , by a fa U from a train. Mrs. McKenna was appointed s.ta:tf Officer to the Lady Supenntendent-in-Cbief in November, 1939 , b eing promoted to Asst. Lady Superintep.some 12 months ago. During her connections with the Brigade she carned out her duties .with that kindly manner so characteristic of her which endeared her to all with whom she came in contact. She was a Dame of Grace of the Order. \
Memorial Service to the Sub. Prior
A memorial service to the Sub-Prior t he Earl of Plymojth, was ' held at St' Margaret, Westminster, on October 14 when. m.embers of Chapter-General, AssocIation and Brigade, together with others, attended. The Service was conducted Canon A. C. Don, the Bisho of Kerrsmgton 'and the Chaplain-GenerB. of the Forces taking part. Th.e Queen was represented by RearSir Basil Brooke, Queen Mary by MaJor John ,\iVickham, the Grand Prior (Duke of Gloucester) by Sir Godfrey Thomas, and the Duchess of Kent by Capt. the Lord Herbert.
included Lady Dorothy Chartens, Miss Beatrice Grosvenor, Brig.Ge:r;teral Charles Higgins (representing MaJor Hugh Montgomery) Lady Paget the Earl of Clarendon of Order), Brigadier W. B. G. Barne (SecreCol. Woolrych Perowne (Hospitaller), Sir Gerald Woollaston
D. M. Gordon (Secretary), SIr LIdd ell (Director of Ambulanc e and ChIef Commissi0ner, At-Home), J. L. Sleeman (Chief Commissioner Bngade 0yerseas), Lady (representing Lady Louis Mountbatten Lady Supt.-in-Chief, At-Home) The Hon Mrs. Copland-Griffiths (Lady' St' Ch' f . up -mte, Bngade Overseas), The Earl 'and Countess of Cromer, the Earl and Count of Lytt V' ess . on, Isco unt and Viscountess Biedisloe, Field-Marshal Sir Phil' Chetwode the J.W .O.), Countess of Limenck (representing th e B.R.C.S.), tQe Dean of Bocking the Belgium Ambassador, the Czecho;lovak Ambassador, the Estonian Minister, the Counsellor of the Latvian Le t' ( ga lOn representtng the LatvIan Minister) Vicomte de Lantsheere (Counsellor, Belgian Embassy), also many other members of the and representatives of other orgamsattons.
tEbe J abn JArigabe <!E>btrSeas
KENYA.
Prior to the Chief Commissioner's visit ill 1938 the only Division was that by the Police, but public ' mterest was 'so sttmulated during his stay the S.t. J Ambulance Association WaS formed, With headquarters in Nairobi and br3:nches Mombasa and Nairobi. Classes m first aId and home nursin g were chiefly in these two tmvns but later m other parts of th e Co l ony.
Students, on passing the examination were encourag.ed to join the Brigade and the first Nursmg Division was in 1938, in Nairobi. In the followtwo Ambulance and two Nursing were form ed in Mombasa, w m 1 one Ambulance and two Nursmg DlvlslOns were re gistered one of t he being composed of ladles. In 1941 two Ambulance DlvlslOns were formed in Nairobi the p.ersonnel of one being-with the of the com.missioned officers-entirely
.? Nursing and 1 Cadet DIVlslOns, with a total membershlp of 964.
Indian in are building up a splendId. Nursmg Division, holdin g meetmgs tW1ce. a month. Both firs t aid and home nursmg examinations have t o be before the students can join the. dlVlslOn. Classes are given in Gujeratt Urd u , and handbooks are ava ilable m these .languages. Some girls wh o cannot eIther of these lan guages have own notes from lectures in Hmdustaru, and have passed their exami natlOns extremely well.
The Nairobi Indian Jur sing Division C?nSlsts at present of twenty women and glrl.S. fi;fteen others have le ft N auo.bl after completing their trainin ' a:r;td SlX others are attached to the A R Guls the age of ) 1 are first aId at the Government Indian School WIth. the intention of forming a Nursmg Division. and this splendid w.ork .IS gomg on m Nairobi und er th e of the Kenya Branch of the Bngade, undoubt ed l y the spread of kr:owledge m first aid and home nursin WIll. be as beneficial to the health of of the public in Ken a as It IS provmg to be in India itself. y
This year also saw th e inaugurao f th.e first Cadet Nursing Division II?- Narrobl,. I.n 1939, two auxiliary SlOns, cons1sttr:g. of Africans who had p.assed Prelimlr:ary First Aid examinatton, formed m Mombasa. The first Corps In the territory was formed in Apnl, 1943; as a result of a tour mcIJde by the CO rps Superintendent with a vi.ew to the activities of the Railway OBITUARY SectlOn, another division has been formed aht Nakuru, which it is hoped to register We to announce the death of s ortly. Dr. A. OlIver, divisional surgeon of the The strength of the Brigade l'S 8 Thetford (Norfolk) Ambulance Division at the age of 63. ' 244
CIVIL DEFENCE SERVICES
By W. C. Bentall, O.B.E., . F.R.G.S.
AMALGAMATE D RESCUE AND FIRST AID PARTIES
This union and co-operation of First Aid and Rescue work to form th e " Rescue Service" is practically now completed for the nation-all honour to those who conceived and inaugurated the whole scheme. It is sound and satisfactory by tho,se who laid the plans, and by those in each of the Services who l oyally put it quickly into practice, and has already proved its benefici a l action after incidents to all who have quickly and non-entically gained experience in actual aerial attacks. Though easily understandable criticism has been that at the first tum out on the alert there has been a little delay with the more cumbersome vehicle, and the inexperience of the personnel. At the second or third turn: out in the incidents on the S.E. coastal towns this Ras been easily overcome.
A few extracts from Handbook No. 10 (se cond edition), which came out in the latter part of last year, and of which a third and fuller edition is now under way, will be of guidance and help to thos.e who study them, with the desire of helpful co-operation. This handbook is .purchasable through any local stationer, who if you give them its name as " Air Raid Precautions Handbook No. 10 (2nd edition): Training in First Aid for Civil Defence Personnel" will procure it for you from H.M. Stationery Office, price 6d. (N.B.-To those who say they cannot afford it-less than a packet of cigarettes or a glass of beer! !)
It is divided into 2 parts:
Chapter Two: "General description of the Parties in War," which refers to Stationing and Despatch; co-operation with Ambulances; authorised equipment; procedure on arrival at the incident; contact with doctor, incident officer, etc. ; sorting of casualties, priority of removal and treatment; casualties grossly contaminated by liquid gas; poisoning by phosgene gas; general directions for Parties.
This second chapter has a paragraph which is worth its weight in gold. It reads: "Members of Parties should remember that First Aid should be as simple as possible; that most urgent cases be dealt with first; that calm, gentle initial handling with reassurance of the patient and keeping him. warm have proved of great importance in treating shock, and that early removal to shelter and skilled attention, either in a First A id Post or Hospital is essential."
Part Two. First Aid. This is divided into vario us subjects, and details are given under each head for the importance of the subjects we know so well and their important special use in a blitz. In this part the chapters deal 'with-Types of injury, Haemorrhage, Shock, Fractures, Crush Injuries, Bums and Scalds including acids, alkalies and phosphorus, Wounds of the Abdominal Wall with bowel extrusion and witJaout, and treatment of asphyxia.
Under the latter section the book is
Part 1. Training of Parties in First plainly illu strated, though there are a few mistakes, which have been already corrected by issued addenda, and will be added to in the third edition Please do not wait for that, but get tliis edition quickly if you would make your help fOF Aid.
Part 2. First Aid. life saving in a blitz as thorough and valuable as yo u would wish it to be. Both sections are of great value to all first aiders and any who have not got it, and carefully studied it, are not fair to themselves or their country-whether they are in those Services, either as part- time or whole-time. It does for us in M etropolitan.-The final round of the Civil Defence what the training books " Par,sons" Shield and Plague was held for our old members of St. John in the on October 14, at Caxton Hall Eight R.A.M.C. Service are learning for their teams (seven men, one woman) from the special job. Preliminary rounds competed before POLICE AMBULANCE NEWS
Part One. Training of Parties in First Major A C. \i\'hite Knox (team) and Dr. Aid deals in the well ind exed chapters G . M. Stoker (individuals) and the stan' with many sections; most interesting dard 'of work displayed was of the highest and helpful to us are the following: Staging effects were again ab ly carried Chapter One: Enrolment, elementary out by the Associated British picture training., second stage training, T eam and Corporation, und er the direction of Mr. Collective Training, Combined Training, J. Grossman, the Competition Secretary Practical and Collective Trainin g, Inter being Chief Insp ector Frith. Services Training. These last are in- Mr Herbert Morrison (Home Secretary), cluded ' in the words" Higher Training , , speaking at the presentation of awards which are often referred to in lecturin g. paid tribute to the work of the Police and 245 B
referred to the keenness and enthusiasm of the members in first aid. He expressed regrets at the absence of Sir Philip Game who they. all hoped would soon be with them agalll.
Sir George Abbiss announced the results as I, M. Divisi?n, 423 marks; 2, Di.Y1SlOn, 392; 3, Women Police No. 4 389. Other teams in order of ment were x', J, V, F, H.
The ·preliminary rounds, in which 27 t.eams took part, were judged by Capt r:. Bendix (team) ' and Dr.
C'/,ty 0/ London.-Teams from the City sc?r.e? another double success when A DIVlslOn and the Garage W.A.P.C. teams first place in the men's and women. s competitions of the Smithfield F!rst 'AId Competition. There were 9 men s teams and five women's teams.
ON ACTIVE SERVICE
The Chief Commissioner, Brigade AtHome, regrets to report the following casualtIes among members of the Brigade: KILLED
Sergt.-Pilot Raymond TroyerFowan of the. Well Engineering Co's. Amb ulance DIVIsIOn, in a flying accident.
Pnvate H. Gibson, of the Hunslet and Holbeck Division, reported missing June 1942, now presumed killed. '
Kenneth H. Hill, of the Hatfield DIVISIOn, missing-presumed killed.
PRISONERS OF vVAR E. Glenister of the No 89 / 2 DIVISIGn, previously mIssmg, now m Japanese hands.
Pnvates J. Mayne, W. Butters and H. Sansome, of the Hinckley Division in Japanese hands.
H. Tomkins and K. Muskin of the in Italy.
The Chief CommIssIOner, Brigade Overseas, regrets to report the death of Private ' George E. Whelan of the Cape Town Stores Railway Ambulance Division S.A.R. &; H District, killed in action.
RAILWAY AMBULANCE
NEWS
Londem, Midland and $eottish.-In co?sequence of his retirement from the raIlway Mr. E. T. Milburn has resigned the Hon Ambulance Secretaryship of the No. District He has been assocIated WIth the Railway Ambulance for nearly 40 years and for Over 30 years acted as a District Ambulance Secretary. His work bas been acknowledged by the Order b' admitted as a Serving Brother 'in and. t.o Officer in 1940, In I:is raIlway duties Mr. Milburn IS also Dlstnct Staff Officer Headquarte Staff of the S.J.A.B., being secretary to the Surgeon-in-Chief, in 1936
Mr.. Milburn is succeeded by Mr. Hopkins, a member of the Staff of the Labour and Establishment Department and who is well known in ' London as an enthusiastic first aider.
RECEIVED
" First A id Training," by J. G. Horton. The author of this booklet is .Casualty Staff Officer and Senio; FIrst Aid Instructor for the Metropolitan of Wandsworth, sets out clearly the objects of competitions and how members should go about their work There are. special notes to the team as whole, pomts to watch in the competition room, how to act regarding doctor and ambulance, how to handle the conscious and unconscious patient, general points and lastly stretcher work. This booklet should be of the greatest interest to all who in large or small first aid competItIons. Copies can b e obtamed from the Fountain Press 46-47 Chancery Lane London W C 2: bein g 9d., plus postage ' ..,
lltW6
Bueks.-.A course of instruction for Cadet Officers was held at 3, Belgrave October 24, County Major Dar vil-Smith presIdmg. The. speakers inc1uded Lady (Chief Officer Nursing Cadets), County Cadet Officer Pile (West Sussex), Mr. G. E. Craft, Miss V. Cunard (Staff Officer, Headquarters). District Officer E. Walsby (No. 1 District) Asst Secretary J. S. Hannam' Dlstnct Officer Stratton (No. 1 tnct). Some forty members were present and an interesting programme arranged.
No. 1 D is triet.-The sum of £15 lOs. was , collected. towards the funds of the No. 54 NurslDg Cadet Division as the result of a whist drive held recently at the F.A.P " F," Berrid ge House. Hampsh'tre.-:-Recently the Aldershot Officers and Nursing Cadets gave a social t.e other youth organisations (A T C Girl Gu.ides, Boy Scouts, ) . WhICh Cadet Officer Levy acted as 'M C Those present included Lady CouU:ty Officer Mrs. l\!ackenzie, Lady County Cadet C?ffi.cer Miss Mackenzie, Lady Supt. Mrs. WIlson, and other officers.
Hereford.-The members of the Ambc:lance and Nursing Cadet Divisions of Kmgton held an enjoyable social eveninO' recent.ly when Dr. Logan Jack presented first aId certificates to Ambulance Cadets and Dr. Mrs. Winter a SlIver cup for competition nursmg Cadets. A similar cup has already been p:-esent:d to the Ambulance Cadets by theIr semor division.
246
Kent - The first annual inspection of t h e Gillingham Nursing Cadet Division was carried out by Lady County Cadet Officer Miss Curzon Smith, who complim ented the officers on the splendid work of the Cadets. Some 50 Cadets were p resent under Lady Cadet Supt. Mrs. Li ndsay and Lady Cadet Officer Miss L ester. Those who witnessed the inspection included Corps Supt. Mrs. Muir, Mrs. Nash, Mrs. Perris, and members of the Adult Division.
Northumberland. - During September six Ambulance and Nursing Cadet Divisio ns of the North Tyneside Corps held a f ull and varied sports programme in the B ackworth Park, arranged by Cadet Supt. R. H. Lowe . After the events, 150 Cadets a nd some 50 officers and friends were entertained to tea when Supt .. R. Curry, on behalf of the Wallsend Borough Amb ulance Division, presented to Corps Supt. S. J. Coyde a magnificent silver cup a s a sports trophy to be competed for a nnually by th e Cadet Divisions in the Corps. The initial winners were Forest Hall Ambulance Cadet Divisions, the run ners-up being Wallsend Ambulance a nd Forest Hall Nursing Divisions, who ti ed Shiremoor Divisions provided pri.zes for the winning teams. Those present at t he meeting included County Cadet Officer W. Nix:on, Lady County Cadet Officer Mrs. Layc ock, and Lady Corps Officer Mrs. Stephenson Arran gements have recently been completed for the formation of a Football Le ague among Ambulance Cadet Divisions i n Tyneside area. Nine teams will compete, and the first matches played on Octo ber 16.
Lineoln.-The Rev. C. H. Dunford cond ucted the enrolment ceremony of 20 Ambulance Cadets of the Gainsborough Di vision, being supported by Supt. R. P. White, Lady Supt. Mrs. E D. Robinson , N ursitlg Cadet Officer Mrs. P. Hill, and Mr. C. V. Albert (member-in-charge').
Peterborough -On September 30, a h undred Nursing Cadets of the Peterbo rough Corps gave a display on the Market Place in aid of the Merchant Navy . A running commentary was given by Lady Area Officer for Nursing Cadets Mrs . K. G. F ryer, and £23 was collected for the fund.
The 18 Divisions of the Corps were visited on October 20 and 21 by Lady C6unty Cadet Officer Mrs. Shaw, and she congratulated Betty Curtis and Barbara Simpson on being the first Nursing Cadets in the county to gain the War Service Badge.
Wortliing.-On October 10 the members of the Worthing Nursing Cadet Division were inspected by Lady County Cadet Officer Miss Trill, who was accompanied by Lady Cadet Officer Mrs. Brodie.
Wyken.-O n October 13 the presentation of awards and enrolment ceremony of the Wyken and District Ambulance Cadet Divisions was .carried out by County Offiqer G. J. Fowler, who impressed on the minds of the members the importance of the work in which they were now a part.
Aeomb.-On October 6 the first social evening of the Acomb Ambulance Cadet Division was held, under the supervision of Cadet Supt. W. Moses. In the absence of their President, Councillor B Colley (Vice-President) presented certificates, and praised the work they had undertaken. On October 8, the Cadets held their first dance, which helped to increase their funds, whilst on October 10 the first church parade was held.
Wiltshire.-A Cadet Officers' course was held at Salisbury on October 9 and 10, with the County President, the Lady Janet Bailey in the chair. A short service was taken by Chancellor Dimont , Chaplain of the Order, on October 10 . The speakers included Miss V. Cunard (Staff Officer to the Chief Officer, Nursing Cadets), Lady County Supt. Mrs. Beckwith-Smith (Oxon). County Vice-President Miss Pearson (Nursing Cadets), Miss Johns (Matron. Bathampton Convalescent Home). County Officer F . A . Trott (Sussex), Amb. Officer Kirkbride (Salisbury) , Lady County Supt. Mrs. Battye spoke at the close of the course. Ardwiek.-October 9 was a " red letter day" in the history of the Ardwick Cadet Nursing Division (now four years old) , because four Cadets were presented with the Grand Prior's Cadet Badge. The recipients were Alam Hamnett, Joyce Hamnett, Joyce Wbittaker, and Joyce Holbrook, who received the awards from Supt White of the Ardwick Ambulance Division. Other awards, including proficiency badges, were also presented. Lady Supt. Mrs. Hughes thank ed Cadet Officer Miss A. Birch for the hard work and keen interest she had shown in the Cadets.
Hull.-During the year team and individual championship competitions have been held among the numerous Cadet Divisions. Throughout the summer months the team league was run, and on the finals day Boulevard B. was successful against Sutton Division In the individual competition, Cadet M. Willis (Boulevard B.) was the winner, 'with Cadet B Kirby (Sutton) second, and Cadet G Eyre (St. Aiden's) third. Prizes for this event included a silver challenge cup presented by Supt S. Burnley, Officer in Charge of Cadet Divisions; whilst for team test there was the Dr. Rymer Cadet Shield, silver medal, and savings ce.ItifiC3.tes (also given by County Surgeon Rymer) to each member of the winning team. 247
Qrbt J ob , n
No.1 (PRINCE OF WALES'S) t Bl DISTRICT 0 et,chley where members from BletchKNIGHTSBRIDGE.-On 18 a LeIght.on, Linsdale and paraded very interesting talk was given by the S r :spectlOn. Tea was provIded by Lad y Hon. Mrs. Copland-Griffiths (Lady Supt NUuPrs: MDrs: ,v:aughan and the Bletchley Chi f mg IVlSlOns lll-. e, Overseas), on the work of the At each l' ".. " BrIgade Overseas, stressing the importance starred d p ace an. mCldent was ?f the activ.ities of members, especially the PresIdents and others m the Nursmg Sechon who did work which in this country was only S.RN.s. OF !here .were n:any VlSltors present P D: . .t?-t the of the lllcludmg MISS Mavrojani (Staff Officer) C ye IVlSlOn at the PresIdent, Mr Mrs. Rodwell and Miss Findley of Jamaica O. Sta,nley, presIded, Supt. Anderso n Graha,m and Mrs. Hammett, of tarh,culars the work carried out Smgapore, Mrs., Lee (Pehang), Mrs. ership had mcreased and in COffiPreston Mrs. Spencer, who did the first were gaine d such magnificent work in Calcutta, Lady thi t e Corps c?mpehtIOns and second , Brabourne and others. Lady Supt. Noel C rd an.d,fourth m the Railway Orphanage Countess of Rothes presided being' ompetltlOn. The efficiency Cup had bee n , , won by CIS 1 supported by Perowne (President), ful orp ett who led the successAsst. CommlssIOner Capt. Russell Steele, out team. Pubh? had been carried Lady District Officer Mrs. Tapply, Mrs. N .and exammatlOns held in Home Orpltn and Miss Ross of the B.RC.S. ursmg. . HORNsEY.-On October 14 a well- th who was. supported b y attended" Quiz" was held between teams Vlce-president, Mr. J. C. Hodson, an d from Hornsey and Highbury Nursinrr .er f officers, expressed pleasure at the D 0 sabs actory way' h' h ' IVlSlOns. Supt. Turtle was question- til W IC the DIvIsIon master,Lady District Officer Mrs. Rayner due m first place to the and Area Cadet Officer Miss Cleasby 1. Id leadership given by Supt aGting as referees. Hornsey won the n erson. contest by 8 marks. COUNTY OF CHESHIRE Competitions.-At a recent meeting . The first competition for members of Commissioner Capt. Goodley .stated that the Wallasey Nursing Corps for th e from January to June of this year members Cup presented by Lady Corps of No District had judged some 80 upt. MISS Chesterman was held on SepcompebtlOns for the Metropolitan Police. 28, when Corps Surgeon J BIRMINGHAM COUNTY illiams and judged the tests.
Sergt. Eric Platnauer, 27, RA.M.C., a mcluded the Mayoress, Mrs. member of the Mitchells and Butlers b illlmgton, who was presented with her Division has been awarded the Honorary o.f .office as Ylce-President, Mrs Testimonial Parchment of the Royal -¥ (PreSIdent), Corps Officer Humane Sdclety for saving the life of Pte . M urcell. and other officers. E. J. Layton, also of the RA.M C whilst' rs·t·tPennmgton congratulated th e ., compe I ors 0 th' k sWlmmmg at Mount Lavinia Beach, th t n err. wor and presented Colombo, Ceylon. in e to the wmners, Liscard NursCOUNTY OF BUCKINGHAM mgd lDl lvlslOn; also individual prizes e a lOns and labels ' Duchess of Kent (Lady Supt.-m-Chief for Wales) inspected Nurs- L COUNTY OF <?ORNWALL ing Divisions in Bucks on October Su (Deptuy Lady 11. by Lady Rachael t Pc m lei) paId a three-day visit County Com- ornwall , m plac.e of ,La?y Louis mlSSlOner Malo,r ' DarVlI-Smith, County had who, to mdisposition , Surgeon Asst. Com. Surgeon-Capt. her VISIt to a date G. O M. DIckenson, Lady Cmmty Supt. Lt C 1 P med by County CommIssioner the VIscountess Dawson of Penn and V". 0 , W. Blackwood, Nancy Lady County Officer Miss Savory, The President), Mrs. Bolitho :G.rst inspected the Olney Nursin w oun y resIdent, B.RC.S.), Asst. Com. Division, the senior Nursing divisiong H '1 W. Lady County Su pt. Miss to gether with Nursing Cadets. At N e ry Is, Lady County Supt. for Wolverton members of the fonowing C ll Cadets Mrs. Langton, Lady Divisions, Nursing and Cadets, paraded : y Officer Mrs. W. N: Oakley and Buckingham, Aylesbury, N ewport- PagnelJi t d y <;ounty Cadet Officer MISS Warren, the Wol.verton and Aston Clinton. t.our c0.r:nmenced on October 8, Flllally the Duchess of Kent proceeded J W OanC lllspectlOn of the Trewidden , onvalescent Home, and . ' later :248
units from St. Just, St. Levan, St. Ives, record of voluntary service rendered by 'Long Rock, Mousehole, Hayle, Sancrees members of the Redruth Division were and Penzance paraded at Penzance. At paid at a lar gely-attended meeting on Cambourne a Service Medal was presented October 18 to celebrate the golden jubilee to Amb. Officer G. Williams, and the F.A. of the formation of the Division which po st inspected. was the pioneer in the West of England. At Redruth headquarters, where the County Commissioner Lt.-Col. Blackwood inspecting officer remarked on the mag- presided, and among those present was nificent hall, members from Portreath, Mr. J. F. Rashleigh, aged 72, the sole Ill ogan, Poole, Redruth and other places survivor of the original Division, and were inspected Mr. H. H Sanders, who joined shortly
The Mayor and Mayoress welcomed afterwards.
t h e party at Truro and after the inspection Col. Blacbvood stated that one great L ady Dunbar-Nasmith congratulated the secret of the Division's success was the T ruro Xmbulance Cadets on winning the spirit of comradeship which had always W est Cornwall Cup and the Blackwood been displayed by officers and men, Cup. accompanied by smartness on parade
Units from Penryn, Budock, Helston, which was an example to the whole F almouth and Ma"vnan were inspected at county. Now serving on the County Staff F almouth, those present including the were the Assistant Commissioner, the Mayor and Mayoress of Falmouth and the Lady Superintendent, and a County Mayor of Penryn. Officer , all old members of the Division.
On October 9 the eastern end of the The Canon H. R Jennings (Chaplain county was visited , commencing at of the Order) conducted a reli gious service; W adebridge and then Camelford where Asst. Com. Johnston dealt with the work D ivisions were inspected. At Launceston of the Division from 1903 to 1913, and sh e was received by the Mayor and also County Officer Tresidder spoke in remat Liskeard where the party had lunch. iniscent vein of his association with the n arrival at the Guildhall, Lostwithiel, Division. t h e party was cordial1y welcomed by the COUNTY OF NORTH, EAST AND Mayor and May oress and further in- MID-DEVON sp ections took place.
During the year one Ambulance, four At Fowey, Mrs Treffry (President, Nursing and six Nursing Cadet Divisions F owey Nursing Division) placed her have been registered . gr ounds at the disposal of the Brigade Col. A. L. Crockford, M.C , T.D. for the inspection at which Lady Dunbar- (RA.M C.) divisional surgeon, Axminster, N asmith was received by the Mayor, who and chairman of the Axminster branch is President of the Ambulance Division. of the Association, has been awarded the The ooncluding visit of the second day D S O. whilst on active service w as at th e Par F.A.P. where members The Nursing Divisions in North Devon o f the Par and St. Blazey Divisions have sustained a great loss throu gh the p arad ed. death of Lady Corps Supt. Mrs. Olive
On the last day a call was made at the Knott. She was the original superintendJ.W.O St. Rumons Convalescent Home, ent of the Barnstaple Nursing Division. where Lady Dunbar-Nasmith was wt.l- An old member of the Torquay Arobcomed by Miss Jennin gs, the Command- ulance Division, Amb -Officer J. L. a nt, and staff. Later at the Ambulance Pawley, passed away last month He was H all, Newquay, she inspected members of a Serving Brother of the Order and was t he local divisions and presented Warrants on the staff of Col. Ellis when the latter of Appointments to the President and was Commissioner of No, 9 District. Vice-President. COUNTY OF GLOUCESTER
The final visit was to Bodmin E.M.S. The annual inspection of the Gloucester Hospital, where personnel of the Bodmin Rotol Ambulance and Nursing Divisions Divisions paraded. Lady Dunbar-Nasmith was held on October 3, the inspecting was conducted over the hospital by the officer being Col. J. L. Sleeman (Chief ,matron, accompanied by Viscount Clifden Commissioner, Brigade Overseas) accom(County Controller, B .RC.S.) the Mayor parried by County Commissioner Dr. and Mayoress of Bodmin and others. Bat;Tett Cardew, Lady County Supt Miss Lady Dunbar-Nasmith congratulated D. Faber, Vice-president E. O. Cameron the County on its splendid activity and (general Secretary), Div. Surgeon H. G. was particularly impressed by the number Dowler and Mr. Wilkinson (Security of fine ambulance halls and ambulances. Officer). Mr. R. Stammers (President and The tour covered 240 II,liles and all but General Manager) was unable to be two units were inspected. County Officer present.
Tressider was responsible for the arrange- Supt . Dent. commanded the parade ments. with Lady Supt. Wakeland in 'charge of REDRuTH.-Tributes to the outstanding the Nursing Division. After the in249
s:r;>ection Col. Sleeman remarked on the higli standard <;>f. work and discipline, the spmt which animated the Order. The. County CommISSIOner paId special tribute to the alertness of the Nursing Division , whilst M:. Cameron on behalf of the company that _they were only too pleased to gtve help to the Division Dr. Dowler expressed 'thanks to Col Sleeman for his presence and also took the opportunity of thanking Mr. Stammers Mr. and the company for great help gIven to the Division.
COUNTY OF HEREFORD
KINGToN.-The annual inspection of th:e Ambulance, Nursing and Cadet was held recently, the Inspectlllg Officer being Asst'- Com G N Bullock and Lady Co unty Supt. Mrs: Hopton Each Division was well represented inspecting officers expressed theIr satisfaction with the efficiency shown Accompanying the officers were Lady County Officer Mrs. Hodgson and County Sergt.-Major Roe.
. Officer H . J. Harris gave an lantern lecture on the Order w,Ith reference to the property of histonc mterest in the County of Hereford. PONTRILAS.-The Ambulance Nursin and Cadet Divisions met at the Parisf Iiall for the purpose of taking farewell to Lady. Supt. Mrs. Farquhar, who is leavirig the dIstnct The Asst. Commissioner who presented her with a .sih1er egg- and some decanters as an appreciation of present, Supt. Badham and vicepresIdents Mrs. Allfrey and the Rev. C. Porter all spoke in glowing termS of the good work done by her. The presentation was followed by a lantern lecture by County Officer H. J Harris
COUNTY OF LEICESTER
- A combined Field Day was held recently at Thorpe Ludenham Hall by the Market and Lubenham Ambulance and Cadet Divisions. The • the patients and many varied aBd caSes received attention. Tea was provIdeq at which Commissoner G . F. Browne expressed thanks to Sir Harold Lady Wernher for their help and ki?dness III allowing the use of such splendId grounds. dedication service for the South :Wlgston Nursing, Nursing Cadets and Wigston Ambulance and Ambulance Cadets was held at St. Thomas's Church the Rev. J. H. Proctor gave mS!,H!rmg. sermoN. on "Service." County Supt. MISS G. E. Partridge read the lesson. Those present included Lad County Officer Lady Oiliver, Officers E. Heywood Smith and MISS E. L. Wollaston, Corps President Miss
M .' 1. Partridge and Lady Supt. Miss Geeves.
. COUNTY OF NORFOLK
.CROMER. - On October 19 Mr. H A Mitchell (Chairman, Cromer V .D.C.) sen ted Awards to members of the Cromer DIVISIOn. Among them were Bar for three members of the Randall famil y total service is 95 years and S lllcludes 40 years' service from the form er upt and present Secretary Mr R L Randall.,.
His two sons, Ambulance Officer T. L. and R. E. R. have 35 and 20 years serv.Ice respectively Each receiv e d a Bar as did Supt. F. R. Carter (35 years ) and Ambulance Officer F. H. Pearce (2 0 years). J H. Tarling and Private G.- Boldero receIved the Service Medal.
COUNTY OF SHROPSHIRE
Last month Lady Louis Mountbatten L.a?y Supt.-in-Chief, paid a three-day VISIt to Shropshire. Accompanied b y Lady County Supt. Miss Helen Corser, the tour began at the Donnington Ordnance Depot, where Lady Supt. Mrs. Macpherson has recently raised a Nursing Division among the civilian staff. Brigadier d e Wool.f and his staff welcomed Lady Louis , who mspected the Nursing Division. St. Dunstan's, Church Stretton, was the next call. Fraser (on behalf of Lt.-C olonel SIr Ian Fraser), Mr. Daveport Supt.) and Mrs. Bankes-Williams (DIrector of Training) welcomed the visitors, who .made a tour of the workshops. also visited a Hostel for blind gIrls mJured in munition factories (in charge of Ambulance Sister Miss Watson S.J .A.B.) and later the hospital St. John and Red Cross nursing members presented to her. After taking tea WIth the Matron (Miss Posthlewaite) Lady: Louis inspected the Church Nursmg Division. The F.A.P. (under the of Divisional Surgeon Anthony McClintock) and the Mobile Post (under A/S Grace Cadman) was also inspected.
O.n the second day Lady Louis accompallIed by Miss Corser, County Officer Capt. Evans and County Cadet Officer Mrs. Downer, visited the Leighton Hall Convalescent Home for Service patients Mrs. Lloyd Priestley), where DIVISIOnal Sur.geon Whitney (Medical Officer) and MISS Wilson (Matron) conducted the party round the hospi.tal Later, the Orleton Hall Hospital Lady Supt. Mrs. Pearce), which IS entu:ely by Brigade personnel was VISIted . '
At Orleton Hall, members of the J .W.O. Committee, County CommiSSIoneF Lt -Colonel C. W. Eames County S';!rgeon W. H. R. Pooler (who also MedIcal Officer at Orleton), Lad y 250
County President the Lady Forester, and Co unty Officer Irwin, met Lady Louis, w ho after inspecting the hospital with Miss G unn (Matron) reviewed the East Shropsh ire Divisions. Ambulance, Nursin g and Cadet personnel from Wellington, Oakengate, Albrighton, High Ercall, Gt Bolas, E llerdine and St. George's were on parade under County Officer Captain Evans. '
The Brigade Headquarters at Wellingt on were visited, Lady Louis being welco med by Supt Williams, who raised funds for the building, and Lady Ambulance Officer Mrs . Wooley.
After being entertained to tea by Lady Fo rester at Willey Park, the party proceeded to Ironbrid ge Drill Hall, where members f:r:om Madeley, Ironbridge, Wenlock and Broseley were inspected. A Service Medal Bar was presented to Lady Supt Miss Lowe (Madeley) and Lady Louis saw handicraft and knitting done by the Ironbridge Cadets, who keep a minesweeper supplied with woollen garments. After the inspection, which was under the command of Co unty Officer Clode, demonstrations and displays were given. The Mayor of Wenlock welcomed Lady Louis, who expressed her pleasure at being in Shropshire. Arrangements at Ironbridge were und ertaken by Lady Forester and Cadet Supt. Mrs. Potts, and among those present was Mrs. E. R. Andres for many years County Officer of the County until her retirement in 1938
On the last day Lady Louis, accompanied by Lady Forester, County Sllrgeon F. H. Edwards and Miss Corser, went to Oswestry and visited Brogynton Convalescent Home for Service Women, the Commandant being Mrs. Sholto Douglas and the staff St. J 0hn personnel. On arrival Lady Louis was welcomed by Lady Harlech, Mrs. Douglas and Major Wynn Werninck (Milit:"ry Registrar) and inspected the Oswestry Nursing Division and Cadets A Service Medal Bar was presented to Lady Supt. Miss A. M. pugh and also to Lady Ambulance Officer Miss E. Pugh, and a Service Medal Ribbon to Lady Ambulance Officer Mrs. French. Divisional Surgeon Marshall (Medical Officx.r), Miss Evans (Matron) and the Commandant conducted Lady Louis round the hospital.
After luncheon with Lady Harlech, Lady Louis and her party returned to Shrewsbury for the last inspection. Here she was met by the County Commissioner, Lord Powis (Lord Lieutenant of Shropshire), the Mayor of Shrewsbury, Mr. G. A. V. Duckworth, M.P., and Mrs. Downer.' On parade were the followin g divisions :- Shrewsbury and Hanwood Ambulance, 1st, 2nd and 3rd Shrewsbury NurSing, Market Drayton and Hinton Nursing, with Cadet Nursing Divisions
from 1st, 2nd and 3rd Shrewsbury and Mal ket Drayton. Lady Louis presented thE certificate of the Grand Prior's Badge to Cadet Joan Davies (1st Shrewsbury), the first winner of this award in Shropshire. The parade was under the command of Captain Evans, accompanied by Divisional Surgeon J. C. Spencer. Among those presented to Lady Louis was Supt. George (Hanwood), who has over 40 years' service to his credit.
After the inspection Lady Louis saw the Shrewsbury St. J oM Ambulance, in charge of Transport Officer Edwards. Subs'equently Miss Corser provided tea at her home, where _ she entertained Lady Louis, the Lord Lieutenant, the Mayor and Mayoress of Shrewsbury and members of the County Staff, the B.R.C.S., and other friends of the Brigade .
COUNTY OF STAFFORD
MATLocKs.-Acting Commissioner H. C. Chambers, accompanied by District Officer J. T. Goodwin, County Cadet Officer C. 1. Margerrison and Lad y Supt. Mrs. C. M . Davie, inspected the Matlocks Ambulance, Nursing and Ambulance Cadet Divisions on the Sports Ground. The parade was in charge of S. F. Hambleton Virith Lady Supt. Mrs. Gouge in charge of the Nurses and Cadet Supt. Tomlinson the Cadets.
After the il?-spection the Commissioner congratulated the members on their smart appearance. The Ambulance Divis ion was formed in 1928 and the Nursing Division in 1939. The Ambulance Cadets was formed in 1942 and he appealed to the boys to continue with the good work. He presented Service Medal Ribbons to Ambulance Officer G. H. Woodhouse, Sergeant Wm. Good , Corporal M. Turner, Corporal Wm Cobb and Cadet Officer Hayes; also third Service Medal Bar to Private J. E. Jacks on. In addition numerous Service Chevrons were presented.
TAMWORTH.-The annual inspection of the Ambulance and Nursing Divisions was carried out by County Surgeon Richard, who remarked that the Ambulance Division was the second oldest in the County. He presented Service Medal Ribbons to Sergeants Wagstaffe and Corporals Leedham and Banks and Private Win cote, also Lay Instructor Certificates to Corporal Banks and Hon. Sergeant Postlethwaite. Mrs. E. V. de Hamel (President) presented two surgical haversacks to the Nursing Division and later a cheque for £25, the results of her own efforts.
WELLlNGTON.-To celebrate the winning of the " Janet Saklatvala Cup" the Wellington Tube Works Division h eld a dinner and concert in the staff canteen of the works. -Frivate A. L Dawes introduced the President (Mr. , 251
Douglas W. Turner, J.P.), ' whilst Saklatvala handed her cup to the Presid'ent and wished the Division success in the coming year. Mr. Turner expressed thanks to the donor and said he was proud to receive the cup. He also made a special appeal to the ladies present to form a Nursing Division. Mr. Turner also expressed thanks to Mr. T om Dean for holding the fort for a number of years prior to the formation of the Division and for his services as first Supt. of the Division. He congratulated Mr. Randall, the present Supt., on 'the success of the Division. Dr. Saklatvala complimented tbe Division which was a credit to the West Bromwich and, District Corps.
The chairman presented a. cheque from the Division for £1 0 towards the Corps Building Fund, for which Corps Supt. Powell returned thanks.
THOMAS BOLTON & SONS, LTD.-The inauguration and inspection of the newly formed Corps was held on October 2 when County Commissioner E. E. Dudley, accompanied by Asst. Commissioner Dr. J. M. Johnstone, inspected the parade, und er District Officer F. G. Porter.
Following the inspection the Corps was formally handed over to Corps Supt. C G. Tipper, who led the march past. This was followed by the first official meeting over which Dr. Aikins (vice-president and joint works manager) presided, being supported by Divisional Presidents and Officers, also County Staff. He welcomed the officials, their presence being regarded as an encouragement and a testimony of the interest in the" new child."
After expressing thanks for the welcome, Commissioner Dudley badges of offioe to Dr. Aikins, Mr. Badger, Mrs. Aikins, Mr. and Mrs. Bolton as Divisional Presidents.
Corps Supt. Tipper presented a review of the past 12 months, following which Mr. Dudley addressed the meeting. Lady County Supt. Mrs. Dudson also spoke, being thanked by Lady Supt. D. V. Prestwood.
COUNTY OF SURREY
County Commissioner W. G. Pape, accompanied by Mrs. Pape, visited the Airscrew Works Division when members entertained some 120 disabled Service men and women of the last war and of the present conflict. They were provided with a concert by the works employees, also with tea and cigarettes. Supt. Coughlin voiced the feelings of the whole Division when he said that he had really enjoyed seeing the mem and women so
Officer Mrs. King, inspected the Division. The members were complimented on their work and smart appearance and Miss Hubbard was very interested in the various accidents which were staged.
COUNTY OF WORCESTER
An inspection of the North Worcestershire Corps was held at Old Hill, being taken by County Commissioner Dr. F. L. Newton, who was accompanied by County President Countess Beauchamp. Those present included Asst. Com. P. H. Schofield (Northern Area), County Surgeon G. C. Campbell, County Officers D. M. Chapman, Mrs. Porter, Corps Surgeon E. G. Baird, Corps Supt. T. C. Lench , Corps Officers Lightfoot and Greaves, and Miss Dyson.
After the inspection and demonstrations, tea was provided during which several awards were presented by Lady Beauchamp_
MALVERN.-A special meeting was held by members of the Malvern Nursing Division to pay tribute to the work of their former Supt , Miss D. VV. Jones, on her appointment as Corps Secretary of the South Worcestershire Corps.
President Mrs. F. K. R. Davis presented Miss Jones with a brown leather despatch case and cheque, together with an illuminated address with names of subscribers Mrs. Davies spoke of the very valuable and efficient work done by Miss J ones and the esteem and affection in which she was held by all members. Those present included Lady County Officer Miss Eo' C. J eakes, County Secretary Miss H. M. Walton and Divisional Surgeon Macdonald.
DUDLEY AND DISTRICT CORPs.-T. W
Lench's Ambulance Division won the final round of the "Lechmere Cup" competition, which was held at Stourbridge. The judges were County Commissioner Dr. F. L. Newton (team) and County Officer Dr. Mrs. Porter (individual), the trophy being for competition among the County Divisions. The second team was Brierley Hill Nursing Division. All County trophies have been won this year by teams from the North of the County, and in nearly every case by a Division from the Dudley and District Cprps. The Ambulance, Nursing and Cadet Divisions of Brierley Hill are to be congratulated on their very excellent training which enabled :them to win at least nine major competitions during the t year.
HONOUR
happy. The Chief Commissioner, Brigade AtCOUNTY OF SUSSEX Home, is pleased to Feport that Private WORTHING.-The Worthing Nursing Lewis Leonard, of the Batley Ambulance Division held their annual inspection on Division, has been awarded the Military Octopet 10, when Lady County .supt. Miss Medal for gallantry whilst engaged ,as a Hubbard, accompanied by Lady County stretcher bearer in Sicily.
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GENERAL INTEREST passing of the Earl of Plymouth. Sir PRIORY HEADQUARTER MEETINGS.-Dr. L. :.I'wiston Davies, K.B.E., reported, in D. Rocyn Jones, C.B.E., presided over his capacity of Librarian, on several the Ambulance Committee on October gifts recently made to the Priory Library 19, at which a report was received from including 130 volumes from the Librarian the preceding meeting of the Motor of the Order, and was authorised to take Ambulance Transport Sub-Committee. steps with a view to the History of the The number of cases carried by the Priory Priory for Wales being brought up to date . Ambulances stationed at 20 Centres in the Cadet Nursing Officers' Confe1 ence.South Wales coalfield during the quarter Officers of Cadet Nursing Divisions from ended September 30 was 5,408, involving Merthyr, Aberdare, Rhondda, Neath, an aggregate mileage of 87,752; these Swansea, Pontypridd, Bridgend and other figures showing increases of 356 cases and places in the counties of Glamorgan, 2,607 miles on the September quarter of Monmouthshire and Carmarthenshire, 1942. Several proposals for extending the attended a Conference held in Cardiff, on service were considered resulting in October 16, arranged by Mrs. Mary decisions to establish a Station at Swansea Jngledew, Chief Officer for Nursing Cadets with the latest limousine type of car and in Wales. another at Cwmamman to relieve the Lady County Supt. Miss G . . Richards pressure on the stations in the Western presided; ahd the Hon John H. Bruce Area. .r (principal secretary and Commissioner for Sanction was given to the formation Wales) in his opening remarks referred to of a Nursing Corps in \-Vest Flintshire the growth of the St. John Cadet moveembracing Nursing and Cadet Nursing ment which attains its coming-of-age Units at Meliden, Prestatyn and Rhyl. this year; and recalled that the first Cadet New Divisions sanctioned included the Units to be formed in Wales were the Kayser-Bondor Ambulance Division Maesteg (Central) Cadet Ambulance in (Merthyr Tydfil), Gorseinon Nursin.g Div- February, 1923, and the Cwm Colliery ision, Cadet Ambulance Units at Tregarth, Nursing in September, 1923, while in 1942 Nantle Vale and Llandudno (Caernarvon- there were 171 Cadet Ambulance and 90 shire) and Cadet Nursing Divisions at Cadet Nursing Units with a strength of Dowlais Works (Cardiff), Pwll and Morfa 3,866 boys and 1,918 girls, a total of (Llanelly) and Ystrad Rhonnda. 5,784 out of a total Brigade strength of A report on classes arranged by the 19,187. The welcome impetus imparted Priory for awards of the Association to Cadet reorganisation during the war showed that 205 examinations had been had revealed room for development in the held during the last three months. In Principality by the formation of a Cadet recognition of services as honorary Ambulance and Cadet Nursing Unit Lecturer to Home"Nursing Classes, Lady wherever Senior Divisions were in existCounty Officer Miss E. A. Gravenor ence, while peace-time training had been (Matron, Gellygaer Isolation Hospital) was turned to good account in many directions, appointed an Honorary Life Member of a number of Nursing Cadets giving useful the Priory. The following rp.embers of the service at Nurseries, while about 100 medical profession were elected to the Cadets had become trained nurses. examining staff :-Div. Surgeon H. H. The gathering was addressed also by Warren (Pentwyn Ambulance :qivision); Mrs. M. Ingledew; and Miss Cunard (Staff Corps Surgeon R. W. Scanlon (West Officer for Nursing Cadets in England), Monmouthshire Corps); Div. Surgeon who lec.tured on efficiency and proficiency, J. T. Smith (Cross Keys Division) ; Div. was accorded a warm welcome. Questions Surgeon J. Griffiths (Llandyssul Nursing were invited and many matters discussed. Division) and Div. Surgeon S C. Cimmer- Other speakers included Miss M. Metcalf, ing (Llwynypia Division). R.R.C. (Lady County Officer Reserve, The Priory for Wales is to be directly Cardiff), and Miss E. A. Gravenor (Lady represented on the St. John Reccmstruc- County Officer, Glamorgan). Tea was tion and War Relief Committee, of which provided by the officers of the Cardiff and Sir William Shenton is chairman and District Nursing Corps. Lady Louis MOlmtbatten vice-president, The late EM! of Plymouth -The close by its pdncipal secretary, the Hon. J onn and lon g-standing association of Lord H. Bruce. Plymouth with the Order of St. John Sir .Jiohn W. Beynon, Bart., C.B.E., was demonstrated at the Memorial SerSub-Prior, presided at the following vice held on October 6, at the Church of meeting of Council which placed on record St. J oho Baptist, Cardiff, at which seats the Priory's profound sense of loss in the were reserved for the Chapter of the 254
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Priory. The large congregation was representative of the many organisations -social, civic and political-which his Lordship had served with devotion and distinction. The Grand Priory in the British Realm of the Venerable Order of the Hospital of St. John of Jerusalem, of which Lord Plymouth was Sub-Prior, was by Sir John W. Beynon, Bart., Sub-Prior of the Priory for Wales in the unavoidable absence of the Prior, the Right Hon. D. Lloyd George. The Han. John H. Bruce, J .P ., D.L. (Principal Secretary and Commissioner for Wales) represented Major-General the Earl of Scarbrough (until recently Sub-Prior of the Order) as BailiH of Eagle, Order of St. John.
Glamorgan Joint County Committee, Red Cross and St. John War Organisation, of which Lord Plymouth was chairman, was represented by the vice-chairman, Sir Ewen J. MacLean. M.D. CENTRE REPORTS
FLINTSHIRE CENTRE.-Tribute to the Rhyl Division was paid by Capt. S. T Beard, Commissioner for Monmouthshire, when he paid a surprise visit to the Conservative Assembly Rooms, where members of the Division were practising under the leadership of Amb. Officer David Lloyd, in the place of Supt. H. S. Turner, who was unavoidably absent owing to other duties Captain Beard made himself known to the Division in the course of a short address, in which he outlined the manner in which the Order had progressed from the early days of its existence. He recalled the times when he had seen killed and injured tended by members of the Brigade following colliery accidents, and conveyed to their homes in coal carts. But through the growth of the Order at the collieries, all districts in the South Wales coalfield at least now had welltrained and up-to-date motor ambulances. Thanks to Captain Beard f0r his visit and words of encouragement were expressed by Amb. Officer Lloyd, seconded by Mr. R. Davies , hon secretary. EAST DENBIGHSHIRE CENTRE.-A social evening was held at Gresford Colliery on October 9, when the St. John Ambulance First Aid men and those interested in their work were entertained by Major P. D. Dennis , managing director of the company. Some 80 persons were present. Mr. W. J. Charlton, Mining Agent, reminded those present that they we:re there at the invitation of Major Dennis to pay tribut e to the St. John Ambulance men who served the workers year in and. year out without payment. Represented at the meeting were · the owners, management, underground officials and the workmen, and on behalf of them all he wished to - thank the men for their untiring efforts.
·
Mr. Charlton asked for the senior first aid men to take the" First Aid in Coal Mines ). course, and for them to recruit junior members to take the ordinary first aid course. Major Dennis in presenting the a wards thanked the men for their interest and hard work in taking the classes and examinations in the service of their fellow workers. He assured them that both himself and the Board of Directors were keenly interested in their work. Capt. R. G. Evans, East Denbighshire Centre, spoke of the great work of St. John Ambulance men in relieving suffering and commended the United Westminster and Wrexham Collieries Company for their interest shown in this excellent work.
The quarterly meeting of the East Denbighshire Centre Committee was held in the County Buildings, Wrexham (by kind permission of the Chief Constable) on October 7, the Commissioner, Colo nel Sir Charles Lowther, Bart., presiding. A considerable ' amount of interest was displayed in the First Aid in Coal Mines course, the general feeling being that the additional knowledge received would be of the greatest benefit to persons taking the course as well as their own workmates. It was felt in particular that the information gained of the various mine gases, their properties and effects, together with the handling of the resuscita tion apparatus, coupled with the knowledge by tours of underground and surface workings, wo ul d be of great value and interest. It was rep orted that courses in the new subject would definitely b e held in Rhosllanechrugog and Gresford. An invitation from the East Denbighshire Branch of the Emergency Help Committee of the Order of St. John and British Red Cross Society was received for the appointment of a member ' of the Centre Committee; and Mr. E. M. Roberts, hon. treasurer, was nominated.
MONMOUTHSHIRE CENTRE.-The new Headquarters of the Blaenavon Ambulance and Nursing Divisions in Broad Street were officially opened on October 2 by the Hon. J. H. Bruce, Principal Secretary and Commissioner for -Wales. The _ building has been purchased by the Division at a cost of about £600, thanks to the generosity of the Blaenavon Miners' Combine and the South Wales and Monmouthshire Committee of the Miners' Welfare Fund, who respectively contributed £250 and £200. Members of the Division themselves raised about £100 by various efforts aJnd the Miners' Welfare are also contributing a substantial sum towards the furnishin g of the premises. Many hundreds of townspeople witnessed the opening of the Hall in the presence of the parade of Ambulance men and women, (Continued on page 262)
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ADDRESS
Wartime ne cessitates many changes in ways of living-ehanges both of occupation and environment. These disturbances are reflected in the noticeable increase in menstrual complainta.
, Anadin' is of great value in the treatment of the milder forms of primary dysmenorrhrea. Its analgesic action combats not the uterine pain but also any accom.panying headache.
, Anadin is safe; it is not habit-forming and can be administered to · your patients with absolute confidence.
INTERESTING
CASE REPORT No. 238.-The Officer-inCharge of the Leeds Corps, S.J.A.B., reports the efficient performance of first aid in the following circumstances :_
In the black-out on the night of January 7 a boy (aet. 14) was going to his home in LeeLis by way of the back door when he trod on a flagstone covering a disused well Letween 70 and 80 feet deep. The flagstone broke and he fell down the well. Then his mother, hearing her son's cries for help, dashed out by the back door of the house and in her turn fell down the well.
Among those who came to the resc:ue were Section Leader John Munns of the National Fire Service and Ambulance Attendant Norman Fisher, who is a sergeant in the Central Division of the Leeds Corps. The former volunteered to oe lowered down the well risking possible sewer gas and water at the bottom, and was followed by the latter. With the help of these two men and that of those on the surface, the boy was first raised and shortly afterwards the mother was pulled out of the well. The boy was found to be suffering from concussion of brain and was quickly removed to the Infirmary; but the mother had sustained multiple injuries and was dead.
COMMENT.-To render efficient first aid in safe surroundings requires knowledge and experience; 'but to render it in circumstances which involve risk to life and limb on the
CASE REPORTS
part of the first aider requires also pluck and perseverance.
Such being the case, both men merit cordial congratulations on the good work which they did in the black-out and which has been recognised by the Carnegie Hero Trust Fund. -N.C.F
CASE REpORT No. 239.-The Officerin-Charge of the West Riding of Yorkshire, S.J .A B., reports the efficient performance of first aid by a member of the Kippax NurSing Division in the follOwing circumstances :-
On Thursday, August 26, a young man (aet. 25) living in Swillington was working on the roof of a greenhouse when he fell throu gh the roof and sustained an extensive wound of the left buttock due to glass, a large piece of which penetrated to a depth of over four inches and caused profuse haemorrhage.
Ambulance Si ster Mrs. Kate Fisher wa s sent for and by prompt first aid measures controlled the bleeding until the arrival of the doctor wh o, with her assistance , stitched up the wound and ordered the patient s removal to hospital where it was found necessary to give a blood transfusion Patient subequently made a complete recovery. • '. COMMENT.-This report tells its own tale; and all that remains is to tender cordial congratulations to Amb. Sister Mr$ Fisher who rendered prompt and efficient first aid to a gravely injured patient .-N.C.F.
. QUESTIONS AND ANSWERS
END OF AORTA
S.<;-. (Alfreston).-In the May, 1942, issue of THE GAZETTE in replying to a query which was published under the heading" Start and Finish of Aorta," you say that the descending aorta terminates opposite the f(!)Urth vertebra. The Textbook, however, on page 113, says that it ends just below the second vertebra. I always say the fourth if anyone asks me. Most textbooks of anatomy name the fourth vertebra as the place where the descending aorta divides into the iliac arteries.
It is an interesting fact that, in spite of the descr.iption on p. 113, the diagram of the skeleton affixed to the front cover of the Textbook shows the bifurcation of the descending . aorta opposite the fourth ve'Ytebra !-N.C.F.
sequent on a 'plane crash, would be in a condition to complain of pain in the various parts of his body, as set out on the sheet.
This question has caused a lot of discussion among members of the Brigade, and if you would be so kind as to express your opinion upon this and any other portion of the marking sheet which I enclose, we shall be very grateful.
A s it is possible that a patient with grave multiple injuries may be fully conscious immediately after the accident, and as the marking sheet insinuates that he was, it follows that such a w01t4ld be able to complain of pain in the parts.N.C.F
CONSCIOUSNESS WITH MULTIPLE INJURIES SIGNS AND SYMPTOMS OF FRACTURE
W.D. (Letchworth).-On August 21, i A.V. (Rayleigh).-With reference to attended an ambulance competition in the your answer to the query which was district, and after perusing the marking published under the above heading in the sheet was very doubtful as to whether a June issue 0f THE GAZETTE, there is an patient with grave multiple injuies, CO!lll.- easy method of teaching the signs and 258
Originofa 'household
word ,
IGLODINE · HEALS y(ITHOUT HURTING
Children do not dread the application of It Iclodlne" because, unlike many other antiseptics, it does not hun ,lor .ting. It I. Ideal for jll cleansing and .terillsing all !:'\I surface injuries, and hasten. healing wit h
*
WRIGHT'S LIQUOR CARBONIS 'DETERGENS
By the preparation of Liquor Carbonis D etergens 80 years ago, the powerful antiseptic and antipruritic agents in Coal Tar were isolated for the first time from the residuary content of irritants and non-therapeutic substances. Publicly commended by an impressive succession of notable authorities, Liquor Carbonis Detergens soon provided the basis for a toilet soap that has been a household word for generations. Discouraging germs, Wright'S Coal Tar Soap a generous lather, specially soothing and very thorough in its cleansing.
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symptoms (which was recommended to me and which I have proved most effective) and of memorising them in the following sentence, the initial letters of which bring tc mind Pain, Loss of Power, etc. :Please Let Sixpence Drop Into Uncle's Cap. Tut! Tut !! What next? I gave you an easy way of remembering all the 12 points named on page 65 of the Textbaok under " General Signs and Symptoms" ; and you reply with the insinuation that your single sentence is better, although it only gives 7 out of the 12 points!
Further, I wrote that I gave up tips in connection with these signs and sy'YrI(jJtoms years ago; and you reply by quoting one which I rejected as incomplete when I was a raw student! /-N.C.F.
ARTIFICIAL RESPIRATION
P. N. (Taunton).-Please tell me if the movements of artificial respiration can actually re-start the heart.
If the muscular contractions of the heart have definitely ceased, it is very unlikely that artificial respiration will have any effect. What usually occurs is that, although the beat of the heart cannot be detected, some contractiJ)n is still operating: and it is this weak action which artificial respiration may stimulate to greater activity in view of the fact that in such cases the respiratory centre in the brain fails three or four minutes before the circulatory centre.-N.C.F.
TREATMENT OF FRACTURED LEG
M. R. (Ealing).-In treating a fractured leg first aiders are bidden on pp. 91 and 92 of the Textbook to steady and straighten the limb (Rules 1 and 2), to apply (Rule 3), to secure by bandages, ABC, etc. (Rule 4). Does this mean that the splints are to be held in position (by the assistant) while the bandages are passed under the limb?
I have seen this done; and it has the merit that the splints help te· prevent displacement of the fragments while band: ages are being placed in position. Most students seem to find the opposite method (i.e., bandages placed first and splints placed afterwards) is less clumsy and falls more into line with the treatment of fractured thigh
Meanwhile I await and thank you for your ruling.
If competitors wish to comply strictly with the wording of the Textbook they should
provided that the treatment was effective. -N.C.F.
HUMOUR IN FIRST AID
C. P. (Midlands)-An incident recently happened which my County Commissioner suggests that I relate for your possible amusement :-
I was returning in my car from a Brigade meeting at his house and when nearin g my home was asked by a sailor and his " friend" to bring them into the town. It was just after black-out time; and I suppose that the sailor did not recognise my dark uniform for, as I dropped them, he expressed a genuine appreciation by tipping me two shillings I Good! Next, please! / By the way, did you pocket the tip ?-N.C.F.
ALCOHOL WITH RABID ANIMAL BITE
N. C. (Cardiff).-I shall be grateful if you will tell me why th€' Textbook (p. 134) tells us to administer alcohol to a patient suffering from a bite by a rabid animal.
I have been told by one doctor that alcohol tends to counteract the poison and that when the patient shows of being intoxicated one may infer that the danger of infection is past, whereas another maintained that alcohol only has the effect of making the patient comparatively happy.
The reasons quoted by yo "" ar e new to me Perso n ally I always thought that alcohol was administered to stimulate th e heart which acts feebly consequ en t on the effects of the poison.-N.C.F.
MEDDLESOME FIRST AID
A. L. (Mill Hill).-Recently a friend was returning home after taking her boy to school when she Was attacked by a dog which bit her forearm. Hearing sounds of a scuffle a neighbour came out and took my friend into his house where he heated a needle and cauterised the tooth marks. When I was told about the incident I wondered if the first aid treatment rendered was correct especially as ' there was a hospital within easy reach; I shall be pleased to have your comments.
On your statement of facts, the first aider was guilty of meddlesome first aid because cauterisation of an animal bite is only to be perfQjIm.ed after a person has been bitten by a rabid animal or 01M suspected of having rab i es (Textbook, p. 133), and rabies is not prevalent in this country.-N.F.C.
CHRISTMAS CARDS place the bandages first in position in their Christmas Cards of the 'Order are now treatment of a fractured thigh and the splints available at the cost of sixpence each, plus first in that of a fractured leg. While I postage. They may be obtained from cannot explain this difference in instr'llbciions the Storys Department, Willey Park, I expeet that it has resulted fr01n the various Broseley, Shropshire, or from St. John's ,.evisions of the Textbook and that it has been Gate, London., for personal callers. The overlooked. A t the same time I confess that cards will be 4 pages interfolded with if I were acting as judge in a competition, greetings and a photograph of the Grand I should give equal marks for either method Prior. 260
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Milk of Magnesia' is the Registered Trade Mark of the Phillips' preparation of magnesia. 261
Rlv\Y FOR WALES-cant. frampage 256 with the Ambulance and Nursin g Cadets which have a combin ed strength of 12 2. Dedicatory prayer was offered by the Rev. G. E. Ash, Abersychan, after which the Commission er for Wales unlocked the door and guests and members of Units assembled in the nice ly decorated and furnish ed new hall, with its artistic gall ery. Speeches of congratulation and thanks were mad e by the H on. John H. Bnlce, who presided, Messrs. G. Gwillim, R. Lewis, W. Davies, C. F. Sullivan, W. Daniel and E. Davies, Cadet Supt. A. Goulding and Supt. H. Harris. Captain S. T. Beard, O.B.E., Commissioner for Monmouthshire, appealed to officers to devote thems elves to imp ort an t work of training Cadets. A mong the gu ests were
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A dvertisements with remittance sh01'('ld be sent to the St John Ambulance Gazette, 46/47 Chancery Lane, Londo'(I>, W.C.2. (to which address replies to Box nt'('mbers s/lol'('/d be forwar ded). Rate 3d. per w ord, minimu m 4/6. Box numbers 1/- extra.
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FIRST-AID COMPETITIONS are wo n by good coaching. Any F irst Aider (either sex) may coach any ambitious team-male, female or mixedto early success. Competition experience not essential with new Guide.-For particulars send stamped envelope JEFFERY, 5, Avenue Gardens, London, W.3
QUESTIONS AND ANSWERS, etc., in First Aid. Sixth Edition. Forty-sixth Thousand. Highly commended by Doctors and the Press.-Supplied direct b y r:. G. HARWOOD. "Hurstbourne," H orsell Rise, Waking, Surrey.
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Its History and its Part in the Ambulance Movement
By N. CQRBET FLETCHER, M.A., M.B .• M.R.C.S.
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Dr. Maurice Goldin , who, b efore rem oval to Halifax: a year a go, was a keen supporter of the Blaenau Division.
Many supporters of the St. J ohn Ambu l ance a nd Jursing movements attended the garden party held at " The Brooklands," Maesycwmmer (kindl y lent by Mrs. M. G. Thomas), on what was described by Lady S upt . Hacker as a r ed- letter day for their cau se locall y. Councillor T. Thomas (representing the Bedwas and 1'I'1achen U.D.C.) presided, supported by the Hon. J ohn Bruce (Principal Secretary and Commissio n er fo r \ Vales), Supt. T. Gameson, Mrs. L. S. H acker, Mrs. Ivor J ames , J.P. (Lady President), Mrs. 1\1. G. Thomas (vicepresident), Capt. R. M. Evans (A.R.P. Officer, Bedwellty area) and many others.
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• PROTO' and ·SALVUS' OXYGEN BREATHING APPARATUS
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ALL A.R.P. EQUIPMENT
DUST and SPRAY MASKS and all other Safety and Protective Devices.
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S.J A. REGULATION COAT
Cut and tailored from fully shrunk and showerproofed material, half lined with grey Italian cloth Pr ices include buttons
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Bust : 32, 32, 33 , 34, 35, 36, 36, 36 , 37.
Lgth. : 44, 46, 44, 46, 45, 44, 46, 48, 47.
Bust : 38, 38, 39, 40, 40, 40
Lgth . : 46, 48, 48, 44, 46, 48
0 5. 42,42,42,42 X.O.S. 44, 46
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REGULATION DRESS for Officers a nd Ambulance Sisters. Made from good quality Sanforized - Shrunk washing material.
Bodice unlined women's 22/60.5.24/6
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REGULATION BLOUSES for Officers and Ambulance Sisters. Made in Art Silk Pique, including e xt ra collar, 32 /6 (5 coupons) Also in Ivory Tricoline 21/9 (4 coupons), extra collar 3/3 (I coupon). Sizes 13 !, 14 , 14r ins 0 5 22/9. (Civilian coupons must be surrendered for blouses).
S.J.A. REGULATION APRONS for Ambulance Sisters Made from hardwearing linen-finished apron cloth Price includes cross
Waists 26, 28, 30 ins 7 / 3
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Waists 39 and 40 ins. 9/6
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REGULATION CAP for Ambulance Sisters, 27 by 18 ins or 28 by 19 ins 3/3
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t6e I :3"ournetf of t6e <Brcmb in t6e Ol3riti.66 (Feo.fm of t6e (bltneretBfe of f6e E, o.6-l'itetf of .§f . .106n of .1eru13etfem
VOL. 16. No. 12 DECEMBER , 1943
CONTENTS:
EDITORIAL
THE ST JOHN AMBULANCE BRIGADE OVERSEAS
THE EVE ROCKING STRETCHER
THE ROCKING STRETCHER AND SPINAL BOARD ON ACTIVE SERVICE
CADET NEWS
THE ST. JOHN AMBULANCE BRIGADE AT- HOME
MAORI METHOD OF ARTIFICIAL RESPIRATION
OBITUARY
POLICE AMBULANCE NEWS
PROMOTIONS AND APPOINTMENTS
PRIORY FOR WALES
INTERESTING CASE REPORTS
QUESTIONS AND ANSWERS
RAILWAY AMBULANCE NEWS
EDITORIAL OFFICES : ST. JOHN'S GATE, LONDON, E.C l
(All reports, etc ., should reach the Editor not later than the 28th of the month.) .
HEN working under war -time conditions either in a military hospital or amon g the civil every nurse knows that, far more than at normal majority patients admitted are acutely ill and m a state of high nervou s tension.
These abnormal eonditions greatly emphasize the need for some easily assimilated form of restorative nourishment. For this purpose, the nurse will find , Ovaltine' of outstanding value, either as an measure or a regular routine. 'Ovaltine' IS completely and easily assimilated, even when the patient is in a veT'! low state of vitality.
: Ovaltine' many advantages. It is rich m strengthemng, e?-ergy-giving nourishment; it nervous tenSIOn and prom otes sound, ressleep. 'Ovaltine r is highly concentrated, and IS p:-epared by exclusive scientific processes. It contams tl!e essential vitamins and valuable mineral. salts, protein, carbohydrate and f9-t m carefully adjusted ratio.
Now, as 1914-19:8, ' Ovaltine ' is widely used in the war-hme hospItal service, both a t home and S.upplies are available to hospitals in specIal packmgs and at special prices.
Write for details to :A. WANDER, LTD., 184, Queen's Gate, London, S .W. 7
t13t I 3'ourno.f of t13t in f13t OOrifis13 of of f13t of 3'o13n of
Edited by GEORGE E. CRAFT, F.R.S.A.
VOL. 16. No. 1 2 D ECEMBER, 1943
EDITORIAL
" Peace on earth, goodwill towards men" was a saying heard on every side about this time of the year, in bygone days. Then there ,vere no such things as air raids, our friends and colleagues were not absent from home, and we had no fear of having our jollifications interrupted by "wailing vVinnies." They were times when real friendships were cemented by.good cheer; when peace and goodwill were in our hearts.
To-day, however, this has been changed by the prevailing circumstances. Although a peace-loving nation, and almost unprepared, we went to the assistance of the oppressed, and during the past four years many of ou r members ha ve paid the full sacrifice either on the battlefields as serving members of the Forces or as civilians on the Home Front.
Let us, therefore, at this Christmastide turn our thoughts in remembrance . to those who have passed over and those who mourn their loss . Let us rem.ember that their sacrifice has been for the benefit of mankind throughout the world, and l et us resolve that their sacrifice shall not have been in vain.
Members of the St. J ohn Organisation, with its activities wherever the British flag flies, can do much to make this world a better place for the generation to come after. For ffiC:\,ny of us, our time is limited; for the younger members their time is to come. And it is for th e youngsters of to-day that we must make sure that peace will not be for a few years but for all time.
To members of St. J olm At-Home and Overseas, on Active Service in the Forces or in the C.D. work, to each and everyone we send cordial greetings with the sincere wish that peace , lasting peace, will, with God's help, be with us again in the near futur e.
CIVILIAN RELIEF OVERSEAS SERVICE
St. J 01111 volunteers (especially men) are now required for this humanitarian work, which, as members will appreciate, is very much in keeping ""rith the fine traditions of the Order of St. J ohn.
Opportunities are now availabl e for work abroad, in medical and nursing units, and in the care of the destitute, which service the Brigade and the British Red Cross Society are jointly undertakin g.
A le aflet (reference FWR/A) gives brief details. Maintenance will be provided for Civilian Relief Units, and, where ;required, pay will be available on a recognised scale accordin g tG the individual appointment Applications for enrolment should be mad e on form F\iVR / 1 through Divisional Superintendent; non-Brigade n1.embers should apply dir ect for information to The St. J 01111 Reconstruction and vVar R elief D epartment, 3, Belgrave Square, London, S.vV.l.
INDIA
J obn ebetStag
Reports show what great progress has been made during 1942. Two new Districts and 101 Ambulance and Nursing Divisions were formed, making the total strength of the Brigade, 565 Divisions and 16,274 members. The Viceroy commended the work which had been done in the reception and care of evacuees from Burma, during enemy air raids on Calcutta, in the care of the sick and wounded from an theatr es of war, and the many other calls that had been made, and responded to, often at short notice, without neglecting normal peacetime activities.
Twenty-seven Mobile Nursing and Ambulance Squads have been formed in different Districts.
The Camac Street Convalescent Hostel for British troops is being run entirely by the No.1 Calcutta City Nursing Division, whilst members of other Divisions do duty at the British Military Hospital. In Madras St. J ohn personnel have been the backbone of the First Aid Posts, parties and units of the C.D. Service throughout the vulnerable towns in the Presidency:
In Gwalior a very thorough and intensive course has been taken in seve ral branches of A.R.p. work, and quite a number of members have qualified for instructors ' and ordinary certificates.
In Bengal the Dacca Police Ambulance Division rendered first aid to students injured during the 'disturbances at the University, and also attended to several cases of. minor injuri es during the Mohurrun festival. The Sealdah Railway Police Ambulance Division gave first aid to a large number, of persons during the exodus from Calcutta after air raids .
Twenty-five members of the ,_Nursi ng Divisions of the No. III (Bombay) District are attached to the Combined General Hospital, as nurses, and one dispenser. The Dadar and Bandra Divisions supply nurses to the Kolwade Camp Hospital; H.M. Mint Dispensary is attended daily by members of the Central I?ivision.; and memb er,s of Gther DiviSlOns who are unable to give full time to hospital duties are attached to A.R.P. F.A. Posts.
The Parsi Ambulance Division of Bombay has 114 members. They; like the other Divisions, have been very busy with their ordinary work as well as undertaking training in various branches of A.R.P. work. An A.R.P. Exhibition was join.tly with. the Parsi Nursing DIVlslOn, demonstration& in
268
first aid, home nursing, rescue work, etc. Poona and Kirlree Nursing Divisions send volunteers dail y to military hospitals in those areas, to the Occupational Therapy Ward, and the Arsenal Dispel11" sary. Every member of the Belgaum Nursing Division works full time at the Combined General Hospital, Belgaum. The Hubli 'Nursing Division has contributed 14 General Service Members to the Auxiliary Nursing Service.
The Parsi Ambulance Division tended to seven injured persons and removed them to hospital when a bomb was thrown on a police party. They also carried out the removal of all the patients to new premises when the Bomanjee Dinshaw Petit Parsi General Hospital was taken over by military authorities. The Ahmedabad Ambulance Division rendered useful service during last year's floods and disturbances, and is now actively co-operating with the local A.R.P. authorities by arranging joint rallies, demonstrations, etc.
A camp was held for Cadet Ambulances Divisions of Allahabad, and also training camps at Baghar River, Farrukhabad, Lucknow, and Cawnpore. The No. 2 Nursing Division , Cawnpore, has been given an ambulance and has trained 12 members as drivers.
HONOUR
The Chief Commissioner, Brigade AtHome, is pleased to announce that Private Edwun Bufton, of the Borough of Ealing Division, has been awarded the British Empire Medal (Military Division) in reco gnition of gallant and distinguished service in the South-West Pacific. Private Bufton is at present serving with the R. A.M.C.
RECEIVED
" A dvanced A .R.P. Questions Answered" by R. D. Wormald, M.A., L.A.R.P., L.F.G.I., and J. M. Young, M.A., L.A.R.P., L.F.G r. This booklet, which contains some 400 questions and answers, has been compiled by the authors of " 250 A.R.P. Questions Answered" who have turned their attention to the more advanced subjects, including first aid in air raids, light rescue, fire-p:rotection on business premises, decontamination, and incident control. Numerous illustrations are included in the booklet which can be obtained from Jordan & Sons, Ltd., 116, Chancery Lane, London, W.C 2. Price 2s. 6d., plus postage.
THE EVE ROCKING STRETCHER
By J. N. WHEATLEY, Civil D efence Medical Officer, City of Hull. E.R. Yorks. County Civil Defence Officer, B.R.C.S.
Major Knox hopes that supporters of the Rocking method of Artificial Respiration will enter into a discussion of this "newish gadget."
As it was in 1932 that Eve first published his paper in the medical press, and various experiments in rocking have been conducted during the last eleven years, the idea is not a " newish gadget."
Major Knox's attack on th e Rocking method is most misleading, because it bases it on a false analogy. He compares the lungs to a sponge which need compressing for expiration, and expand elastically for inspiration. This analpgy is simple, but unfortunately inaccurate, for nature's method is exactly the opposite; the elastic contraction of the lungs is constantly pulling up the diaphragm into a dome, and when the diaphragm contracts, this dome is lo wered to produce inspiration. More important still is the fact that when the diaphragm loses all its tone, as it does in bad drowning cases, the contract into extreme expiration, and then Schafer's method is useless; air will ne.ither enter nor leave the lungs, as Surg.-Lieut found in the I avy, which now advises the Rocking method in preference to all others, because tone is maintained __
Major Knox proceeds to argue that the Rocking method should not work because the effective weight of the abdominal organs would not be sufficient to compress the sponge. However, the method does work, as he can easily prove by allowing himself to be rocked. He would find that he had rio need to breathe-the rocking wou ld do the breathing for him. Moreover, Killick and Eve found in the Leeds Physiological Laboratory in 1933 that 10 rocks per minute, at 50 degrees angle, produced the ample ventilation of 600 c.cs. and left enough CO 2 in the expired air. Professo'r Macintosh, at Oxford, has
recently imitated the condition of a drowned man by deeply ancesthetising him, waShing out CO 2 and then carrying out artificial respiration by different methods. He found that Schafer's method gave a ventilation of 320 c.cs., Silvester's 400 c.cs., and the Eve Rocking method (10 rocks per m.i.r:l.ute at 45 degrees), 580 c.cs.
The term "artificial respiration" has neyer been a good choice of tenninology, for one is not only concerned ,,,ith tb.e establishment of breathing-failure of circulation is equally fatal, and it is just as VItal to establish circulation as breathing.
Major Knox considers that anything that causes an ancemic condition of the respiratory centre is definitely harmful to respiration. I would put the case more strongly, and say that if the nerve cells of the brain, which maintain tone and respiration, do not receive a supply of oxygenated hcemoglobin , rjthin four minutes, they will die and aU chances of recovery are gone. If Schafer's method were done with the head low it would assist the circulation in the brain but would hinder the establishment of ation, but the Eve Rocking method overcomes these difficulties. Undoubtedly the establishment of respiration is facilitated, and Sir Leonard Hill has shown that these nerve cells can be kept going by alternate head up and head down postures, thence he considers rocking the best method of artificial respiration.
Incidentally, many of the rockinO' devices illustrated in the medical and A.R.P. Press do not give sufficient rocking angle. It is necessary for the stretcher to make an angle with the gTound of 45 degrees, and to obtain this "ith a standard 7ft. 9 in. A.R.P. stretcher, th,e centre of the stretcher must be pivoted 34 in. above the floor. The rate of rocking should not exceed 10 times per minute.
THE ROCKING STRETCHER AND SPINAL BOARD
By C. lVI. KITTO, M.E. (Supt. Rhymney Valley NIine1' s Rescue Trainina Station, Member of Textbook Committee of First Aid
in Mines. A.R.P. County S.j..d .D.)
Major Knox, in the October 1943, issue oth ers have watched it more from a of THE GAZETTE, rai: ses a very important layman's point of view or may I say the subject and he may rest assured that he personal point of view, of the man who is not the only one who has been watching has to perform the operation, the man the trend of development of artificial who is on the spot when artificial respirarespiration by mechanical means. He tion is required, before the doctor arrives, llas watched it and expressed himself very and after, under the doctor's supervision. clearly from a doctor's point of view, Quite a few mechanical means have
269 B
been devis ed of la t e year s , t o en a ble , a rtificial respir a ti on t o b e tarri ed on w ith l ess strenuous eff ort a nd f or l en gth y or ind efinite l en gths of tim e, und er w hi ch heading , I b elieve, comes the Ir on L un g, t h e " Drinker Res pirat or" and the " Bragg -Paul P ulsator , " a l so the" Riley Rocking Str etch er. " But t hese are essentially hospital treatments a n d it would be difficult for a l ayman like m yself, t o consider t hem to be of any great val ue :,,'hen the person has to be dragged out of the wat er , or has been gassed in the mine,. or in a ny o f the vario u s circums t ances where a rtifi cia l r espir ation is called for m a h u rry, and the firs t princi p l e of artificial r espir atio n i s t o appl y immediately.
is v ery m a rk ed a nd th e m eth od has b een ver y favo u rably comm ent ed up on by m ed ical m en , inclu ding D r. G. P. Cr ow d en , D. S.C., reader i n I nd u strial P h ysi ol ogy . The r ockers actin g as a safeguard t o prevent patie n t fall ing off and in sp i nal or pel vic cases the patient can be placed or tied i n the most favourable position. This spinal board and rockj.ng stretcher has been installed in all the mines in the area connected to t llis Rescue Station and being simple in construction, a number can be made ap.d kept at suitable points, always availab le in case of need. I agree with Dr. Knox, when he says, that firs t aiders should not give up practising Schafer's and Silvester 's methods.
qrabtt jietus
No. 1 D istrict.-D uring the i nterval at a concert given by t h e Ea ling ance an d Nursing Cad ets , L ady Supt. Miss Baxter presented 18 A. R P. certificates and 7 preliminary first aid. War Service Badges for 1942 and 1943 were presented to. Doreen Hilman, the first cadet to earn the award in Ealing.
It is now generally accepted that Schafer ' s method is t he most suitable in the majority of cases and I woul d readily agree with Dr. Knox, that the adive part of artificial respiration is expirati on ,. but to those of .us who hav;e had expenence of performmg Schafer s met hod, w h en the patieut does not respond, when every movement is like handling a lu mp of p u tty or dough , when none of the muscles respond, 'when the abdominal m u scles are gone beyond response, at that The Chief Commissioner, Brigade Atmoment , when human energy is beaten, Home, re grets to announc:e the following a wish a,nd a prayer comes for some casualties among of the Brigade: method which w ill give res ults.
I accept the medical figures as to the weights of the various organs which can be made u se of i n the t il ting method of the Rocking Str etcher and agr ee that the weight is n owh er e sufficient, but if this wei ght i s assisted b y Schafer 's method of expellin g exp ired air from the lu ngs and t h en when t he a ir has b een expell ed, the to t a l dep t h of d isp lacement, fall of t h e or gan s into t heir normal pos Ition when t h e fee t a r e l owered will tend to ventilate the lun gs exten sivel y, and if coupl ed t o a "Novox " a pp aratu s suppl ying 9 3 per cent. o plu s 7 p er cent. the effect be c ombination of R ocki n g Stretch e r wIth the full eff e ct of Sch a fer 's met h od ; and when the p atient h a s co m m enced inh a ling 93 per cent. 0 plus 7 cent. CO 2 n or:n a l breathin g i s atta in ed wIt ho u t the c ontm ua nc e of artificial r espira tion . My a ssist a nt . a nd I h av e w orked on th ese lines for sev eral y ears and hav e d evis ed what we .ca ll th e " K.J. rocking stretch er a nd spm a l board "
Undoubtedly artificial respiration is neglected by first aiders, and naturally enough, because of the heavy labour involved. Very much of the hard work is done away with by the "K. J. Stretcher," an operator can keep going for an hour if needed with Schafer's method.
ON 'ACTIVE SERVIC E
KILLED
Private Haro ld King, Horley Division, with the RA .lVr.C. in the Middle East.
P r ivate J. Kenny, Stairfoot Division, w ith the R.A.F. as a \i\Tireless-OperatorRear -Gu nner.
Private F Ogden, Tottington Division, with the RA.M.C
Private Donald H. Fudge, Shirehampton Divisi on, with the RA.F. as an AirGunner.
Private Clifford Parker, Dukinfiel d Division, with the RA.F. in Jaffa
Private W a lt er R ow, Brighouse N orth D ivisio n, with t he RA.M.C. in Ital y
P r ivate 1. J. Sims, Bristol Cen tra l D ivision, with the RA.F as a Ser geantObserv er -Navigato r , previou sly repo r te d m i ssin g D I ED
P li vate J. Gor don, Cwmgwrach D i vision , a Military Hospit a ls Reser vist , wh ilst a prisoner of war in I-l on g Ko n g .
P ri vat e D on a ld Sipt h orpe, R edruth Divisi on, w hil st a p r iso n e r of war.in J a va. Priva t e Cyril L eslie J ones, \ i\Tr exh a m Di v i sion , fr om typh oid fever in India, w hile on a ctiv e w ith th e R .A. F
A board six foot lon g an d 18 inch es w ide i s fitted with rocker s 7 inch es high, u po n which the p a ti ent is pla ced and Schafer' s method applied. With the ex piration action, the str et ch er i s rocked forward PRI S ON E RS OF WAR using the or gan s of the body as w en as Priva t e H. N. Cla yton, So uthport Divithe operators hands for expelling the a ir. sion , p r e viou sly r eported mis sin g , now in As the wei ght is taken off th e hand [2 , the Japan ese hands. stretcher is tilted or rocked backwards Priv ates H. H e mmi n gs , R. Worrall, allowing th e organs to fall into their J Wilcox and N. D. Smith , all of the normal position. Ventilation o f the lungs Hanley Division. .
Twelve members of the Barking Cadet Nursing Division entered fo r the" Donald Mackenzie" trophy compet ition, which was judged by Area Cadet Officer Miss Parrott and Lady Supt Miss Swann. Cadet Jean Dewing gained first place followed by Lorna Foote and Patricia Bones. Hon. president Miss Smith presented the trophy and an individual prize from Lady Supt. Miss Howes. Lady Cadet Supt . l\Iiss Kindon thanked the judges. Miss Parrott congratulated the cadets on the toys they had made for vVartime Nurseries.
A first aid "bee" between Cadets of Edmonton and Lo wer Edmonton Kursing Division was won by Edm'onton with 70 points to- 56. Lady Supt. Miss Parish and Miss l\Iorris (of the 56 N. Nursing Division) were question-master and timekeeper respectively. After the "bee" Home Nursing certificates were presented. Bedfordshire.-County Cadet Officer lVIrs. Hugh McCorquodale enrolled 34 Jursing and 12 Ambulance Cadets of the Luton T-Vardown Divisions on Kovember 6. County Officer vVeatherhead, Corps Supt. Slater, Lady Corps Supt. Miss Brown and Corps Su rgeon Gould were among those present. Mrs. McCorquodale congTatulated Acting Cadet Supt. Mrs. Stevens and Supt. Stevens on their splendid work in the divisions
Corps Supt. Slater judged the individual tests for the" D illingham" Cu p-for Nu r si ng Cadets at t h e Town Hall, on November 4 .
Me mb er s of t he L ondon Road, Bedford, Div isi on h ave passed their F ire-fightin g examinatio n , a nd h ave adopte d the h ospital a t the Barrack s. -The Cadets visit the p a t ient s every Sunday
Chesh'ire.-Th e presen tatio n o f awar ds a n d enr olment ceremony of t he S ale N ursin g Cad ets was ca rried out by the R ev. H. Cla rke and Asst. Cemmissio n e r Co tter on Novemb er 6 . After an inspecti on Mr. Co tter h anded Cadet Office r Mr s. Rob erts h er warra n t of ap pointment; an d th e e nr olm ent w a s foll ow e d b y a display of bandagin g. D erbys kire.-Th e Alvast on Am'bula nce Cadets were e nroll ed on Novemb er 20 by Lady Corp s Supt. Mis s Drury. Nursing Certific ates w ere presented t o 23 members of the Alvaston - Cadet Nursing Division, The enrolment m a rked the
fo r mation of 4 divisions in less t han three year s D evon .-Lady Cou n ty Officer Dr. M ar gar et Wells enrolled 22 Nursin g Cadets a t Newton Abbot on November 4 . Those p r esent included County Commissioner H . J. Vick, Lady County Officer :Miss \i\Thitehead, the Hon. Mrs. Adams and many par ents and friends An entertainment followed consisting of two parades The first illustrated by means of banners the work undertaken month by month from the time Lady Cadet Supt. Mrs Neale and Lady Cadet Officer Mrs. Padden took over the division. The Cadets run a magazine and in vVings for Victo r y week collected £53 17s. 6d , and later in " Raise the Standard" £49 15s. H ertfordshire.-The inaugural meeting of the L etchworth Cadet Division was held recently, the speakers included County Cadet Secretary l\Iiss Sparks, County Corps Officer \v. E. Douglas, Lady Supt . Mrs. Dames (Harlow) and others K ent .-On November 20, the first joint enrolment ceremony for Ambulance and Nursing Cadets of the Gillinghani Corps "vas carried out by County Cadet Officer J. Baker and Lady County Cadet Officer Miss Curzon Smith resp ecti, -ely; IS boys and 20 girls ,vere enrolled. Amb. Officer R Vrolyk presided over a large gatherin g of officers and members, also tives from Farnin gham The ceremony was brought to a close by the Cadets singing the " Kni ghts of St. John." Lancashi'ye -Divisional Supt. :\lrs. ]\I Bossier recently enrolled 15 members of the Jllfiddleton Nursing Cadet Division. The l\Iayoress (:\1rs. H. Pakes) presented first aid and home nursing certificates and stressed the ideals and tradition of Nursing. She thanked Cadet Supt. Mrs. 1. J. Brown and Cadet Officer lVIrs. Hynes for their efforts in training the Cadets. The annual presentation of certificates and Cup of the Prescot Nursing Cadet Division was hel d recently, l\1r. P . Ryder (Chairman P r escot U.D.C.) p r esi ding. I n 'the a b sence of Cadet Supt. R. Haydon who "vas in d isposed, Lady S u pt. 1\1iss B r own r ead the annual report. The · , 'Vinner of the cup presented by Vicep r esident IVIes. J. Rogers, was Cadet M Doward, with 1. Bayliss runner up.
Le-ic es tershire.-Members of the Church Gresley N ursing Cadet Division hav e r aised £ 7 fo r t he Stalingrad Hosp ital; co llect e d 3 cwt. of onion s and prese n te d th em to t h e N.A.A.F.1.; whilst Cadet Betty B loo r , aged 14, won t h e cu p a t th e Yo u t h R a lly ports, ope n to all local youth or ganisatio n s On No vemb er 19 , the ehrol ment cerem on y of the Gipsy Lane A mbu la n ce Cadet Division was carried out b y Cou n ty Cadet Officer Miss Wdllast on. Co rpi. I vis on an d 271
Private Willis were in charge of the Cadets, others present included Divisional Surgeon Hughes , Supt. Hames and parents.
North ants.-The first Grand Prior's Badges to be awarded in the County were presented to members of the Rothwell Ambulance and Nursing Cadets by the Lord Lieutenant of the County, th e Marquess of Exeter, who was accompanied by County President the Marchioness of Exeter. The ceremony was witnessed by representative Cadets from all corps of the County and all divisions of the Kettering Corps. Previous to the presentations Lord Exeter inspected the Cadets, this being followed by demonstrations in various subjects. The Lord Lieutenant was welcomed by Cadet Officer J. C. L. Austin, whilst County Commissioner Dr. E. H. Shaw extended thanks to him. This was supported by Lady County Supt. I\1rs. 1. Jennings. Those present included
Capt. L. W. Vo gel, U.S. Forces, Chief Constable Capt. Bolton, County Surgeon Major Gibbons, County Cadet Officers Curtis and I\1rs. Shaw. The arrangements were carried out under the supervision of Cadet Officer Austin and Lady Cadet Supt. Mrs. Austin:
Notts.-Durin g a combined evening held by members of the Nottingham City Ambulance and Nursing Cadets Lady County Supt. Miss Gibson presented the" Gwenneth Rangdale Trophy" for the highest efficiency during the past six months, to Corpl. D. Gibson. County Cadet Officer Miss Muschamp presented 30 preliminary certificates. Supt. Lon gstaff presided.
Members of both divisions took part in the Youth Rally held in the Albert Hall. Norfolk.-The distribution of certificates to the re-established Nursing Cadet Division at G,'e at Yar'mouth took place recently, when the Mayor, Ald. Debbage, who was accompanied by the Mayoress, presented the Dr. Wainwright (M.O.H.) presided, being also supported by the Chief Constable. Demonstrations :were given uflder the directions of I\1rs. Wainwright and Miss Hacon.
NorthumberZand.-The third annual competition for the" Hartford Challen ge. Cup," arranged by the Bedlingtonshire Corps for'Junior Youth Organisations, was won by the Sleekburn Ambulance Cadets. Cambois Nursing Cadets were second and WansbeGk Nursing Gadets third. The judges were Dr. J. Brown (team), and Mrs. J. Philipson (oral), The cup and prizes were presented to the successful competitors by County Cadet Officer Wm. Nixon.
Suffolk.-Over 40 Nursing Cadets were present at a training w.eek-end recently held in Ipswich. Lady County Supt. Miss Parker and County Cadet Officer Miss Botwood were in charge, while
officers filled such posts as M.O., Q.M., etc. County President the Lady Blade Cobbold visited the course, other visitors being County Officer Miss Bald win, the Rev. Tattersall, Miss N. Miller and Miss Wilby.
On October 23 Cadet Hessie Porter, of the Holbrook Nursing Cadets, married Charles Smith, RA.C., at St. Mary's Church, Tattingstone. Four members of the division formed a guard of honour.
Warwickshire.-The Holbrooks Ambulance and Nursing Cadet Divisions held a combined social and display r ece ntly, and among those present was County Commissioner Major Phillips, Lady County Supt, Miss Orton, Lady County Cadet Officer I\1rs. Shulman. The event was organised by Lady Corps Officer Mrs. Skinner, and Cadet Supt. Howe acted as M,C. The Commissioner presented 4 first aid certificates to Ambulance Cadets and 15 home nursing to Nursing Cadets. He informed the gathe rin g that news had just been received of the death on Active Service of Sergeant John Curzon, RA.F., whilst on a night raid on Germany. Sergeant Curzon was a Grand Prior Cadet of the Holbrooks Ambulance Cadet Division and as a token of respect all pres en t stood in silence. Major Phillips then presented each Division with a Cadet Flag given by Lady Corps Officer I\1rs. Skinner.
The c'ity of Coventry Ambulance Cadet Division held a parent's night on Nov. 13, and among the visitors were Cadet County Officer A. J ennin gs, Corps Supt. L. T. March, Supt, E. Taylor. Cadet Supt. Goddard and Cadet Officer A. Smith. Eighteen Cadets received first aid, certificates and were enrolled, Displays in various subjects, also a film show, was given.
W.R. Yorks,-An enrolment ceremony for members of the Horsforth and Rodley Ambulance and Nursing Cadet Divisions was held recently, Councillor H. Hod gso n presided and referred to the excellent work of the Bri gade Twenty-nine AmbIance and 42 Nursing Cadets, the foundation members of the two divisions, received their first aid certificates from District Officer Baker and Lady Corps Supt. Miss Kirkley. Corps Supt. Fenton spoke on the work of the Cadets, whilst the Rev. H. A. Wareham spoke appreciations of the Brigade.
County Cadet Officer W, Banham officiated at the first re-examination of the Pitsmoor Ambulance Cadet Division, when he inspected a parade of 68 members. Cadet Supt. R Wainwright and Acting-Cadet Officer W. Rigby were in charge; those present included DivisioD:al Surgeon P. N. Grinling and Supt. G, Buxton.
{Z12
Qtbe 31 abn §mbulanct Jirigabe
HEADQUARTER NOTES
PEAK CAPs.-Peak Caps for ofncers and members of Nursing Divisions, (Storm Caps) are obtainable from the Stores Department, price 12s. 7d. J?ad g e extra. CAPES ,-Cashmere Mackintosh Capes for men, price £1 3s. 4d. (6 coupons) are obtainable from the Stores Department, Willey Park, Broseley, Shropshire ANNUAL RETURNS FORMS-All Divisions who have not receiv ed copies of the Annual Return Forms for 1944, or who have not received sufficient for the current year, should apply forthwith to I, Grosvenor Crescent, London, S.W.1 for number required.
No.1 (PRINCE OF WALES'S) DISTRICT
HAMPSTEAD,-On ovember 17, the Hon. Mrs. Copland-Griffiths (Lady Supt.in-Chief, Overseas) gave a talk to members and friends of the Hampstead , Nursing Division on th e work of the Brigade Overseas. Lady Supt. :Miss Finch welcomed her, and presided over the meeting. Thosepresentincluded l\.1issMavrojani (Staff Officer, Brigade Overseas), Lady District Officers lVIiss Rodick and I\1rs. Rayner, also representatives of the Brigade Overseas from Calcutta, Jamaica, South Africa, The members listened with great interest to the talk, Mrs. Rayner extending thanks to the speaker.
COUNTY OF BUCKINGHAM
PRINCES - RISBOROUGH.-At a recent social evening held at the Guides' Hut, Divisional Surgeon Conoley presented seven members with their Service Chevrons and congratulated the division on the work they were doing. Lady County
D,S.O., Lord Lieutenant of Cornwall and County President of Ambulance Divisions in Cornwall.
COUNTY OF CHESHIRE
PORT SUNLIGHT.-On November 13, the Bromborough Margarine vVorks Division held a successful effort to raise funds for the Prisoners of War in the form of a dance. All branches of H.M. Forces, male and female, were present, also C. D. personnel , Mercantile Marine, Nurses, and membe r s of Canadian, Australian and American Forces. The guest of the evening was Private Campbell (of the Gloucester Regiment) recently repatriated after being a prisoner of war in Germany for 3i years. County Officer Anthony expressed Private Campbell ' s appre ciation on behalf of all the boys in ' enemy hands for the Red Cross parcels which helped to mitigate the monotony of their lives and- to save them from slow starvation.
The evening's target of 100 parcels was soon passed and thanks are due to Supt. J. Collinson and his Social Committee. The sum of £72 was handed over to the vVar Organisation, This amount now brings the efforts of the Division to over £100 for the year.
COUNTY OF HERTFORD LETCHWORTH,-At a Concert held on November 20, Vice-president P. L. Tinkler presented awards to members of the Letchworth Division, which included four Lay Instructor Certificates to Amb. Officer Serge ants Barnes, Savage and Seaton, Sergeant Barnes also received the Ribbon of the Service Medal of the Order, and Privates Hare and Mudd Seryice Chevrons.
Officer Miss F, C. Mitchell, who was intro- ISLE OF MAN COUNTY duced by Lady Supt. Mrs. M. C. Bower, On a r ecent visit to the Isle of Man, addressed th e members and remarked on H.R.H. The Princess Royal inspected the number of duties and attendances a combined parade of Red Cross and St. made at the F.A. Post. John personn el. The Princess was accom-
A book on Nursing was presented to a panied by H.E. the Li eutenant-Governor, youJ,1g m ember for passin g a recent Vice-Admiral the Earl of Granville, and nursing examination with a high standard the Lady County President, the Countess of marks. of Granville. Lady County Officer Mrs. COUNTY OF CORNWALL J. W. Young and Lady County Vice-
In the October, 1943, issue of THE president Mrs. Cunningha.m received h,er GAZETTE an interesting case was r eported on behalf of St. John. on page 234, in which Amb. Officer D. J. COUNTY OF Briggs and Privates James , G, Pender GILLINGHAM.-FortIie Gillingham Nursand R. H. Matthews (of the Pendeen ing Division 1943 has proved a very Division) r escu ed an R.A.F. sergeant who satisfactory year. Membership has inhad fallen over a steep cliff. creased to 72 , the maj'orlty of members
We are pleased to announce that the being engaged in part-time or full-time four members of the ' Brigade hav e beeD: C.D. and -Wartime -Nursery work. Lady awarded the Testimonial on Vellum by Supt. Mrs. Muir has been promoted to the Royal Humane Society. These certi- Lady Corps Superintendent, four corporals ficates were presented to the men on have been promoted ' to sergeants and five October 14, by Col. , E. H. VV. Bolitho, members to corporals. Five memb ers 273
have successfully passed the Lay Instructor examinations. Mrs. Muir and Amb. Sister Mrs. Powell have received their Service Medals.
The Duchess of Kent officiated as Inspecting Officer at the annual inspection.
A pleasing time was h ad at a Sale-ofWork held on November 13, when Lady County Officer Miss E. Allen presided at the opening ceremony. The proceeds, £274, have been added to the Corps Building Fund.
FARNINGHAM.-Supt. A Brown has forwarded particulars of the work done by Transport Sergt. H. Spice on the ambulance. Although having worked a ll night at his ordinary work, on one occasion he was on duty with the ambulance at 9 a.m., having left home at 8.30. He then proceeded to Dartford to pick-up a patient, proceeded to Eynsford vnth the patient, and returned to the garage at 10.50. At 10.55 he l eft for Fawkham, then on to King's College, London, with a patient, arriving at the garage in Farningham at 1.45. He was inform ed that during his absence a doctor had telephoned for another case to be removed and so at 2.45 he l eft for Beesfield Lane, Farningham, and again took a patient to King's College, London On his return to Farningham at 5.30 he tidied and cleaned the ambulance ready for the next call and arrived home at 7.5 p.m. after doing nearly 12 hours' duty. He then had to get a meal, prepare for his return to work, leaving his home at 9.30. This is but one Qf the many duties T /Sergt Spice has carried out in his ., l eisure" time ; and we him on his excellent record.
COUNTY OF LANCASHIRE '
LIVERPOOL.-At a recent meeting held at Headquarters of the Liverpo ol Nursing Division, Corps Surgeon \ A7. Murray Cairns presented Major Wm. Denton with his badge of office as President of the Division. At the request of Divisional Surgeon -Hanson, who presided , Mrs. Denton presented warrant of appointment to Cadet Officer Miss M. Clark, also War Service Bars and preliminary home n ursing certificates to Nursing Cadets. Among those present were Corps Officer D. Pender and Mrs Pender, Corps Officer Miss Bellasis. Lady Supt. Miss M. Jefferson proposed a vote of thanks, seconded by Lady Amb. Officer Miss Swift, to Dr. Murray Cairns and Mrs. benton.
COUNTY OF LEICESTER
MELTON MOWBRA Y.-At a recent fete organised by the Waltham Section of the Melton -Mowbray Nursing ' Division, together with the Cadet £150 was raised for the Prisoners of War Fund .
The proceedings were opened by the Duchess of Rutland supported by Lady County Officer Miss Burns Hartopp, Divisional Surgeon Mrs. M, Wood, Lady Supt. Mrs. \iVatson, Nursing Officer Miss Atkinson, and others.
The Section consists of 12 Ambulance Sisters and a Division of 12 Cadets who have collected 500 books for the Forces and raised £86 for the village men on service. They are one year old this December.
COUNTY OF
SOMERSET
CLEVEDoN.-The Cl eve don ursing Division, which was formed in 1936 , has 28 members of which 18 are in the C.N.R. or V.A.D. Much u se ful work is done each week at the Clevedon Cottage Hospital and at the F.A. Post the Sea Front during Summer months.
A Cadet Corps was formed this year and eleven members with their Superintendent, Miss 1. Youde, a very acti,' e member of the Adult division, attended the annual camp at Blue Anchor, Somerset
COUNTY OF SUFFOLK FELIX"STOWE.-To provide equipment for their new headquarters, which is shared with Ambulance Division, the Feli..'Cstowe Nursing Division held a bazaar on November 4. Lady de Saumarez, in the presence of a large gathering ove r which President :Mrs. Dawson presided, opened the function, being supported by Mr. A. Goffin, Dr. P. L. Giuseppi, Vicepresidents Mrs. Sherren and Mrs. Cocks, Lady Supt. Mrs. Goffin and other Officers.
Lady de Saumarez said that asamember of the British Red Cross Society she fe lt it a great honour to have been asked by the St. J ohn organisation to come and assist in the opening of their bazaar. She paid tribute to the work of Dr. Giuseppi and congratulated all who had given time to organise the bazaar, especially mentioning Mrs. Goffin, Mrs. Summers and Mr s. Dewhurst.
COUNTY OF SUSSEX
An Officers' Training COl1rse was held at Brighton, on November 27 and 28, und er the chairmanslup of County Commissioner D. Bryce. Some 100 officers attended from all parts of the County and listened intently to lectures and took part freely in discussions concerning a progressive plan: for the Brigade and its services to mankind in Sussex. Some of the topics discussed were Provision of Ambulance Services, general divisional routine, special training, finance, competitions, th e importance of efficiency, and the value of planning divisional activities.
The speakers included As s t. Commissioner V,r. J. B. Trotter, COl1nty Surgeons
Capt. R. S. Harper, and Miss Dear, County Officers F A. Trott, A. G King , 274
and A. J. Burnage, and Hon. Treasurer H. L. Gregory. Others who took part in the course were Asst. Commissioners Heywood and \i\ Tilloughby-Bullock, Lady County Supt. Miss Hubbard, County Officer Pile and Lady County Officer :Miss Trill.
The Rev. H. H. Tarrant of Southwick, condncted a Service on Sunday morning.
COUNTY OF E.R. YORKSHIRE HUMBERsIDE CORPs -The Ambulance Service of the Corps is now an established feature and the proof of its necessity lies in the fact that during the first two months it has been in oper ation almost 2,000 miles have been covered conveying civilian sick and r oad casualties. That it is appreciated is sho'¥ll by the amazing financial response there has been for its provision.
There has been an equally gratifying " response to an appeal for drivers and attendants; and th e ambulance maintains a 24-hour service with voluntary helpers from the six division comprising the Corps.
OBITUARY
The County Commissioner, 'Nest Riding of Yorkshire; regrets to report the death of Corps Supt. D. Ross of the Maltby Main Corps, on Tovember 15.
The Chief Commissioner, Brigade Overseas, regrets to announce the death of Mr. A. J. Kingsley Heath, O.B.E., in an air accident. 1fr. Heath was Commissioner of Police for Kenya and Asst. Commissioner in charge of the Kenya District of the Brigade Oversea_s_.___
(individual). After an interesting show, Supt. Purbrick anno-qnced that Regulars had gained first place, WIth Brixton Regulars as runners-up. D eputy Commissioner Sir Maurice Drumm,md presented the "Rugg" Challenge Cup and individual prizes, and congratulated the compet:itors on their work. present included Asst. Commissioner SIr George Abbiss, Chief Constable Cole, Supt. Robertson (M Division), Commandant Rugg (donor of the trophy), and many divisional offi·cers.
City of London v. ] Division, Metropohtan.-The annual competition for the " Guildhall Splint" was held on November 27 when each force entered one Regula;, one 'War Reserve, and one Special Constabulary team . Capt. VV. Goodley, assisted by District Staff Officer T. \Valsby, judged the test, and the tea was served to competitors and fnends. The result was announced by Supt. Lucas as follows: 1, City Re gulars; 2, J. Division Regulars-; 3, J Specials; 4, J \Yar Reserves; 5, City Specials; 6, City \lVar Reserve. Sir Hugh Turnbull welcomed the visitors an-d presented the trophy to the winning team. Those present Chief Constable Quincey, Supt. BraZIer, Commandants Foxon (City) and Dawe (J), Chief Inspector Powell, and many other officers of both Forces. Each Force has now won the competition three times,
MAORI METHOD OF ARTIFICIAL RESPIRATION
rdr. Alan Gardiner, of Marrange Bay, New Zealand, vvrit es : POLICE AMBULANCE NEWS The Maori method o£ artificial respiraNI D ivision, llIetropolita,n v. City of ti on, to which reference was made in Case London.-On Saturday, November 13, Report Ko. 203, has been known to me for teams from 1\I Division and the City of a number of years. It has been used by London competed for the N ews of the the natives on se,'eral occasions within World Cup. Dr. M. M. Scott judged the recent years, and I have discussed the team test, and Dr. Abraham the indivi- results with several of the old chiefs, parduals. After a very interesting competi- ricularly in the Rotorua District, tion, - the City of London Regulars were there is still a lar ge Maori population. This declared the winners with the City method is not confined to the Maoris alone \lV.A.F.C. second, and M Division Regulars but is us ed by the natives of a number of third. Each force entered a Regular, a the Pacific islands. War Reserve, a Special Constabulary, and \7'\7b.en a fisherman or person in a canoe a Women's team. Sir Hugh Turnbull on l ake or river met 'with an accident, a (Commissioner, City of London), presented fire, or several fires, were quickly kindled the trophy. Those present included Lady by the wahines (women) on the shore. By Turnbull, Chief Constable Cole, Supts. the time the victim was brought ashore Robertson (M Division), Peto (Vlom en), these were ready for use. The patient was and Lucas (City), Capt. Griffiths (Asst. by two of the men as h e. lay face Commissioner, City), Commandant-in- downwards and one on either slde they Chief Major Rogers, Commandants Foxon held him head downward over the fire. (City) and MC).tthews (M Division), also This position was held for a few seconds many, officers and friends of both Forces. and then he was stood upon his feet. The L Div'ision, Metropolitan Police.-The head down and the feet down positions annual competitions of the Division were were contin ued until breathing was reheld on November 25,' 'when eight teams established. competed before Dr. VV. \iV. _King-Bro'wn If the first fire was extingu ished by the (team), and District Officer P. B \lVickens water expelled from the patIent, then he 275
His Majesty the King has been graciously pleased to sanction the following Promotions in, and Appointments to, The Venerable Order of the of St. John of Jerusalem COMMANDERY IN CANADA For A<ilnission in the Grade of For Promotion to the Grade of Knight Associate Serving Brother
For ' Promotion to the Grade of Satish Chandra Biswas, M.R.C.S., C d (B othe ) L.R.CP., D.P.H. omman er r r Syed Ahmed Hasan.
Brigadier Raymond Myers GorssJine, For Admission in the Grade of D.S O., M.B., D.P.H. (from Officer), Serving Sister For Promotion to the Grade of Ethel, Mrs. Dawes. (Brother) For Admission in the Grade of Andrew Borton Proven. Associate Serving Sister
Ernest Henry Starr. Mary Nogi, Mrs. ClnbwC1.11a.(Both from ,Serving Brother.) COMMANDERY OF THE For Admission in the Grade of AUSTRALIAN COMMONWEALTH Officer (Brother) For Promotion to the Grade of Harold Joseph Bowen. Commander (Brother)
Kenneth Pryde Groves, M.D. Captain Harold Francis Joseph Norrie, John Knox. M.B.
Walter Henry Lougheed. Albert John Williams. Chester Fish McGuffin, D.S.O., M.D, (Both from Officer.)
Colonel John Cumming Mackenzie, M.D. For Promotion to the Grade of Robert Reginald Roger, M.D. Officer (Sister)
Harold Balfour Sbaw. Katie, Mrs. Ardill-Brice, O.B.E., M.B.
Fredrick Baird Walls. (from Serving Sister).
For Admission in the Grade of For Admission in the Grade of Serving Brother Serving John Bertie Carter. Lester George Davison.
Albert John Edward Chandler. Hellry Rohertson Smith.
Isaac Newton Fanjoy. Francis Mowbray Noble.
Major Jack McKenty. William Dalton.
Samuel Edgar Turner. HC1.wld Chisholm Worch, M.B. Robert Churchill Molyneux.
For Admission in the Grade of Edwin Josiah Windows. Serving Sister William Simpson. Marjorie, Miss Jenkins. Oscar Arnold Browne.
Jennie Elizabeth, M:r:s. Smale. Edgar Charlys James Holmes. INDIA William Howard Julian.
For Admission in the - Grade of Charles Angus Wiles, M.B. Serving Brother Sydney William Moorhouse. Paul Thangasami Jesu Doss, M.B ., D.P.H. lame" Pirie, L.R.C.P. and S.
Continued from page 275. was moved over to the, next one. By this method a " rocking stretcher" movement was produced and the abdominal viscera were alternately forced against and then , away from the diaphragm. The smoke and CO 2 from the fires provided the respiratory stimulant. I trust this information will be of interest to you.
The wood usually used (for the fire) was manuka, or as we " pakehas " (white men) call it, ti-tree. It is a small tree or shrub that grows all over the country and burns easily even when green, It has a pleasant smelling smoke aI'ld th.e Maoris attribute the high percentage of successes to this rather pleasing odour.
RE PAT RIATED PRISONERS
Many members of the Brigade At-Home are among the repatriated prisoners from Germany.
The Commissioner for Wales reports that Private W. Miles (Albion Colliery Division), Private C. Plant (Dyfan, Barry Division), Private J. W. Morris and Sergt. J. R. Lloyd (both of thA W rexham \, Division) have returned to their homes.
Private C. J Quirke (Dukinfield Div,i.sion) has also returned to this country, whilst Messrs, Williams, Coad, and Care of the St. I ves Division received an official welcome by the County of Cornwall.
WILL NOT TURN SEPTIC IF TREATED WITH
CUTANEOUS VACCINE
OINTMENT
BECAUSE
one or otber or all of the three races of germs, Streptococci, Stapbyloc,occi ,and are found in every skin lOfectlOn common to thiS country , and ANTTPEOL OINTMENT the (antivirus) of these germs. Healing is expedited by tbe proved ingredients of tbe ointment and septic development is stopped or prevented by its antivirus sterile vaccine filtrates. ANTIPEOL OINTMENT is unsurpassed for BURNS and SCALDS, for it is microbicid,e and non-adbesive, and dressings do not reqwre to be changed every day.
RHINO-ANTIPEOl
affords rapid relief of COMMON COLDS INFLUENZA AND CATARRH, Containing the antibodies of tbe germs common to infections of the nose and pbarynx (Stapbylococci streptococci, B.pyocyancus, pneumoc,occi, pue.umobacilli enterococci, M,catarrbahs, B.Pfelffer), is not just a pallidtive, but is a remover of the caltse of the infection. During epidemics it is the ideal preventive of microbic development.
OP»THALMO-ANTJPEOL
is a semi-fluid ointment, more con venient tban the ordinary Antipeol ointment for ocular infections and lesions. Eyes affected by smoke and dust are soothed almost immediately by the application of Ophtbalmo-Antipeoi,. and the antivirus prevents germs from developmg.
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GENERAL INTEREST and expressed a message of good wishes HEADQUARTER NOTEs.-The Council of to the Priory for Wales he was asked to the Priory, which met under the chair- convey by the Commander of the Commanship of Sir John Vi. Beynon, on mandery of the Orde r in South Africa, November 16, decided to erect a memorial at whose invitation he attended a meeting to the late Earl of Plynloutb, Sub-Prior of the Commandery. of the Order. Canon J. A. Le'wis, Vicar CADET ACTIVITIES,-MrS. In gledew, of the Church of St. John Baptist, Cardiff, Chief Nursing Cadet Officer for "\;Vales, and a Chaplain of the Order, agreed to visited Cardiganshire and Pembrokeshire associate the Vicar and Churchwardens during the first week of November. At of St. John Baptist Church, Cardiff, with Aberystwyth, Mrs, Ingl edew attended a a Sub-Committee appointed by the Priory conference with the Superintendent and comprising the following members :-Sir Officers of the Nursing and Cadet DiviJohn Beynon, Sir Robert "\;Vebber, Sir sions and a parade of the Aberystwyth William Cope, Mr. N. Ingledew and the Nursing a.nd Cadet Ambulance and NursHon. J ohn H. Bruce. Two memorials to ing ' Divisions. At Llandyssul she met past Officers-the late Sir Herbert Lewis, the officers of the Nursing Division; and K.B.E., first Principal Secretary and during the course of her tour paid a visit Commissioner for "\i\Tales and the late Mr. to Llwyndyrys Convalescent HospitaL Hugh M. Ingledew, first Honorary Solici- She met also the Lady County Officer and tor, are already in existence in a side aisle Officers of Haverfordwest Nursing Diviof the church which it is proposed to sion. Mrs. Ingledew was able to report dedicate to the uses of the Order of St. great enthusiasm for the Cadet movement J OhD. in these places.
Plans were reported for the preparation TwentY-l1ine members of the Penmaenof 'a Hi.story of the Order in "\;Vales to mark mawr NUl" jug Cadet Di,Tision have quahthe completion of 25 years establishment fied for Proficiency Certificates as a r esult of the Priory for Wales 'While the early of a Fire-Fighting Examination conducted activities of the Order in "\iVales must be by officers of the National Fire Service, entrusted to a skilled Historian, the Llandudno The high standard of effiHistory of the Priory can be written from ciency shown by the whole class in the records at Pr:iory House and reminis- assimilating a subject outside the basic cenCes of those who have played a notable cnrriculum, r e fl ected gr eat credit on the part in promoting Ambulance activities. work of the Instructor (Leading Fireman The Librarian, Sir Leonard Twiston Hughes, P enmaemawr), to whom the Davies, will be glad to receive contribu- Centre is most gratefuL [ tions from those who have been intimately Another interestin g note of Cadet new s connected with the Priory. comes from Mrs. M. J. Davies of Narberth, A report on the Department r esponsible who reports that Cadet Divisions of B oys for the First Aid and Home Nursing and Girls are in course of formation, 30 Classes in "\Vales presented to the Ambul- boys and 33 girls having attended classes ance Committee, over which Mr. Oliver reglliarly for some time. Drill insiTuction Harris presided, showed that 72 examina- is bein g given by a Sergeant from the tions for awards of the S.J.A.A. had been B.D.S.; and the members are eagerly arranged in tIle month of October, bring- anticipating their enrolment into a Unit ing t.he tota.l number of examinations of the Brigade. dUl:ing the year to 1,080. For NOTICE TO O/C DIVISIONS. -Units are gratuitous services as Honorary Lecturers, urged to forward Form B.F.vV./24 and the following members of the Medical B.F.W./C5 to the Commissioner (AssisProfession were el ected to Honorary Life tant Commissioners in Glamorgan) on the membership of the Priory :-Dr. first day of January and the complete M. Herbert (Divisional Surgeon, Parcyr- returns by t he 10th of that month. Nonhun Nursing Division) and Dr. Tudor D. compliance with this instruction causes Llewellyn (Division Surgeon, Taibach and considerable inconvenience and unnecesPort Talbot Division). sary trouble at Headqu arters.
Dr. Edgar Llewellyn, Commissioner for TRAVELLING GUIDES FOR SE]?VICE Cardiff, was accorded a welcome on his PATOCENTS.-St. John members are partic.ifirst attendance since his discharge on pating in the local operation of the Tnany medical grounds from the R.A.F., in services rendered by the Red Cross and which he served since 1939. Dr. Llewellyn St. Jolln \iVar Organisation. A good gave an interesting account of contacts he number are enlployed full or part-time in made with members of the Order abroad the Convalescent Hospitals and Residen278
THE HOUSEHOLD PHYSICIAN
A few of the Subjects treated:
Gas Warfare
First Aid Lessons
Influenza, Colds, etc.
Sick Nursing from A to Z
Measles, Mumps, Catarrh
Corns and Warts
Physical Culture
What to Do in Emergencies
Treatmer.lt for all Skin Diseases
The Lungs, Pleurisy
Diseases of Women
Hygiene, Anatomy, Pharmacy
The Principles of Nursing
The Eye, the Ear
The Throat, the Nose
The Chest the Heart
The Stomach, the Liver
The Teeth, the Muscles
Infant Welfare
Homoeopathy, Neurasthenia
375 Prescriptions, etc., etc.
Describes in simple language with helpful coloured plates and diagrams
The COMPLAINTS OF MEN, WOMEN AN D CHILDREN,
Their Cause, Treatment and Cure
THE WIFE will find just the information she requires.
M who wish their daughters to develop natlH'aJly will find exactly the teaching they need.
WOMEN OVER 40 will find their difficulties regardin, health frankly discussed.
PRESCRIPTI 0 NS-375 proved remedies There are hu.ndreds of The muscles, teeth, digestion, hair, food values, JU-Iltsu, Phrenology. How to diagnoie diseases from appearance of head, face, neck, tongue, throat, chest, perspiration, etc.
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The high bactericidal efficiency of 'Dettol' combined with special properties of safety and convenience have won for it a place in hospitals and private practice. The efficiency of 'Dettol ' is well maintained when blood or pus - even in considerable quantity - is present and can be used in high concentration, thus giving a wider margin of safety. It is absolutely non-poisonous, non-staining and possesses a distinctly pleasant smell.
-hal Nurseries controlled by the Joint County Committees. Valuable part-time service is being given also in looking after the comfort and welfare of relatives of gervice patients seriously ill in hospital whom they visit, . others work as Voluntary Librarians, some as Searchers who help trace memb ers of the Forces posted " missing," while large· numbers are organising or co-operating in the main sections of the A ppeal r espo nsible for raisin g H.R.H the Duke of Glouc ester s Red Cross and St. ] ohn Fund, such as the Penny-a-vVeek Fund, Rural .Penniesscheme, Flag Days, etc
A new call upon the services of certain personnel is wade by the ex.r-tension of the Hospital Liaison work by a new Scheme to provide" Travellin g Guides" to accompany patients (1) who are proceeding on leave from Military and E.M.S. Hospitals and (2) who are not stretcher patients and are being transported by ordinary passen ge r transport from one Hospital to another. The object of this scheme is to ensure that when, in the opinion of the Officer Co:rp.manding or Medical Superintendent of a Despatching Hospital, the condition of a patient r ende rs the employment of a Guide desirable, one will be provided, in order to enable the patient to arrive safely at his d estination after a carefree journey.
Guides who are members of the B.R.C.S. or S.] .A.B. Vlrill. wear the uniform of the appropriate Body. Other Guides must wear civilian dress No other uniform may be worn, but all Guides will wear the B.R.C.S. and S.] .A.B. Brassard, which will be provided, on the left sleeve.
Commissioners have been asked to supply the names of suitable members"':"'" men or women-who can volunteer for this type of service to enable the County Liaison Offtcer (appointed by the Joint County Committee) to prepare a rota in order to meet calls as they arise at short notice. Few St. John members have ' much leisure a t their disposal, but tbose who can commit themselves to be called upon, if only on one specified day of the week, are urged to volunteer. Full details as to the duties of Travelling Guides can be obtained on application to the Principal Secretary at Priory House.
CENTRE REPORTS
GLAMORGAN .--A repatriated Prisoner of War has been welcomed back to the Albion Colliery Division, ' Pontypridd. Private W. R. Miles was mobilised on the outbreak -G''f war as a member of the Military Hospitals Reserve for R.A M.C. duty and was taken in the evacuation of Crete.
On October 28, he w.as met at the Cardiff
Station by a party including his mother and fiancee, Councillor 1'. Clayton, Supt. E . .T. Edwards and an N.C.O. of his Unit, the Chairman of the Cilfynydd vVelcomehom e Committee, :the Hon. J ohn H. Bruce, Principal Secretary a nd Commissioner for Wales and Mr. W. Mabon Abrah?-m, Brigade Secretary.
On Jovember 9, the Brigade Secretary attended a Concert at the vVorkmen's Hall, Cilfynydd, when an enthusiastic gathering of ambulance p erso nnel and their families were prese nt. The warmth of this welcome was demonstrated by the prese ntati c;m of a barometer to Mr. Miles by Supt. E. J. Edwards on behalf of the Division. The speakers were Asst. Commissioner Tudor -Williams, who presided, the Brigade Secretary, who ga ve some interesting details of the services the War Organisation is rendering to Prisoners of Vlar, and Mr. J. 1. Morley, who has most generously supported l ocal Ambulance work and the Duke of Gloucester's Red Cross and St. John Fund. Others present on this happy occasion inclu ded the President -of Albion Colliery Division, Mr. J. W. Jordan (Colliery Manager), and Mrs Jordan , Councillor T. Clayton, Mrs. Miles, Miss Jon es (fiancee), Lady County Officer (Mrs.) Tudor Williams, County Officer H . Clift, Corps and Divisional Officers and senior and Cadet members.
CITY OF CARDIFF. -Cardiff has the distinction of providing the first Brigade Volunteer in Wales for Overseas Relief Work to be accepted by the Selection - Board set up by the Red Cross and St. John \iVar Organisation. To Miss Jean Maberly, a member of the Cardiff Emergency Division who has been serving since the outbreak of war as a C.N.R. Auxiliary at vVhitchurch Emergency Hospital, falls this honour; and she will take with her the best wishes of the Centre, when she departs with the R elief Unit.
-MERIONETHSHIRE CENTRE.-Mrs. Inge, Lady President of the Centre, forwarded to Priory Headquarters the following report on the Blaenau Festiniog Division: " In this village the ambulance movement is rendering useful service, particularly in the quarries. \iVh en war broke out, nearly all the old members left the district, but fortunately new members were enrolled to keep the good work going and Supt. R. D Williams reports that at the beginning of the year there were 14 members, but during the year the number w"!-s increased to 25. Every member serves in the Civil Defence. A dance was held at the Town H a ll and a profit of £24 was obtained for Divisionai funds. The Division is responsible for collections on behalf of the Red Cross Periny-a-Week Fund, a sum of £400 was collected during the year." 280
GASTRIC
Minor gastric disorders, consequent upon changed occupation and work under unaccustomed conditions, neceSsitate palliative treatment.
'BiSoDoL' is an ideal meclicament for such cases. In this finely-clivided powder are incor-
porated both antacids and cligestive ferments. It has a pleasant fresh mint flavour, renderin g it . palatable to the most patient. It is easily miscible with milk or water and constipating effects are prevented by the action of Mag. Carb. Levis.
BiSoDoL
c Dressing are the means of protecting minor InJunes. Aft:-r clea ning the wound it takes but a few seconds to s lect a size of d ress ing, apply the antlSeptIC pad and press down the adhe si ve The cc D oc t ors' Set" illustrated comprises I06 fteshdressings of various siz es, m a metal case.
·INTERESTING
CASE REpORT No. 240.-The Officerin-Charge of the Country of Somerset, S.] .A.B., reports the efficient performance of first aid by a member of the Bridgwater Ambulance Division in the following circumstances :-=-
During the evening of August 12, Corporal C. Palmer was passing along West Quay, BJiidgwater, when he heard cries from people along the river. He hurri ed to the spot and saw a child in the water. Quickly divesting himself of his coat Corporal Palmer plun ged into the river, swam to the little girl and held her up until the arrival of a boat, as a hi gh wall prevented him getting the child out of the river. The boat took Corporal Palmer and the child (aet 4) to an iron ladder, above which an ambulance was waitIng to remove rescu er and rescu ed to hospitaL
COMMENT.-To render efficient first aid in safe surroundings requires knowledge and experience; but-to render it in surroundings which involve risk of l ife to the first aider requires also pluck and perseverance. In these circu11'/,stances Corporal C. Palme1 ' merits cordial congratulations on the success which on the occasion attended his efforts, and also on being awarded the Testimonial on Parchment of the Royal Humane Society.
-N.C.F.
CASE REPORTS
CASE REPORT No. 241. The Officerof the County of Cornwall, S.].A.B., reports the efficient performance of first aid by a member of the Newlyn Cadet Division in the following circumstances :-
On the night of September 8, Cadet Officer Arthur Harvey was detailed to proceed to Mousehole where a man was reported to be over the cliff. On arrival and after a most diffi c ult descent, he found that th e man had inflicted on himself very severe wounds of the throat and that he had lacerated both wrists and ankles.
Owing to the inj urics and the excepti onal weight of the patient, Cadet Officer Harvey directed the operation of getting him by boat to Mousehole whence he was conveyed by ambulance to hospital. Although up to his waist in water, Harvey carried out his work with such zeal and efficiency that. he was complimented by the doctor who took cbarge of the patient.
COMME TT.-This report tells its own tale; and it only remains to tender cordiaZ congratulations to Cadet Of/j.cer A rtlmr Harvey on the which attended his efforts to save the life of a gravety injured patient.
-N. C. F.
QUESTIONS AND ANSWERS
TREATMENT OF CARBOLIC POISONING
N. T. (Basingstoke).-I have been greatly interested in the correspondence on the above subject in the October issue of THE GAZETTE. I have always understood the reasons for administration of oil (not necessarily Liq. Par.), to be as follows :-
(1) To act as a demulcent and protective.
(2) To dilute the acid (a,lthough ot-I.IOO with Liq. Par., it appears to be free ly soluble in most :6xed oils) and' hold it in solution thus preventing absorption and subsequent systematic symptoms.
(3) To act as a vehicle for tbe removal of the acid.
opinion and advice. At a r ecent Practice we. bad a d emcnstration of the L- shaped sphnt which is llsed in treatm ent of simple fracture of the leg.
A discussion arose concerning this splint. Some of the members maintained that we should keep strictly to the method set out in the t extbook. Others, however, favoured the above-mentionecl. splint for the following reasons: (1) it is quicker and easier to apply; (2) it only requires bandages plus padding; (3) the under splint is more efficient than the side splint; (4) a better control and extension is made; also (5) it can be u se d for fracture of patella and leg near ankle.
I realise my reasoning may be at fault Fi'Jlst Aid makes use of " whatever is at and I would welcome your comment on my views. hand." On the other hand this is a special
Your Zo#er merely amplifies the state- splint which is available at hospital and rments made by my previous correspondent occasio.nally at first aid posts. Its uses are 'lJ ko is a Brigade Swrgeon; and so I have limited; and consequentZy it cannot be 1'/;(i)thing t@ add on the subject.-N. C. F. regarded as suitable for first aid work.
TREATMENT OF FREACTURD LEG Further, it cannot be carried in the haversack H. S. (Guildford).-The members of my which contains all necessary splints for division would very much appreciate your treating fractures of limbs.-N. c. F.
r
GERMOLENE instantly
FOR tects against germ infection, WOUNDS, prevents blood poisoning, and proCUTS, BURNS, SKIN motes rapid beallng I Ger molene causes the broken tissues to unite, grows new skin and heals over the broken place cleanly, It soothes at a touch. ends pain and brings ease At IRRITATION the present time. NO home shOUld be without a tin of the world's quickest healing ointment. Get your. to day I
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Somewhere about the middle of last century a determined effort was made to isolate the known antiseptic properties of Coal Tar from the inert residuum of substances lacking therapeutic value . This was achieved in 1862 in Wright's Liquor Carbonis Detergens and this preparation has been used and recommended for 80 years by skin specialists and specified repeatedly in authoritative reference works.
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* WRIGHT'S LIQUOR CARBONIS DETERGENS
It followed that the inclusion of this Liquor Carbonis Detergens in the basic formula of Wright's Coal Tar Soap gave to the soap a character as individual as its own healthful aroma. I t followed also that this powerful antiseptic principle could be-and has been-incorporated without the least risk of harshness to the skin. Wright's indeed has been recognised for generations as a supreme toilet and
ADMINISTRATION OF ASPIRIN
J. S. (Cr icklew o od) .-I r em emb er r eading an an swe r some .year s a g o , in T H!l: GAZETT E, t o th e effect th a t m emb ers of t h e B r iga d e on d u ty s h o uld n ot · give aspirin , a s t his co]nes u nder the heading " Dru g s " an d co n seq u entl y o ut side t he pr ovirrce o f fi rst a id. Wo uld yo u p l ease tell m e if it i s still defi ni tel y against the rules t o give asp iri n an d , if s o, w h a t advice can be given, say in a Forces' Ca ntee n , to one asking for th e m ?
W hi le it is perfectly tha t l ay 11'lembers of' the Brigade are no t permitted to adminis ter ,d1' ugs, there a1' e n o legal restrictions on the sale of aspirin. Consequently, it is doubtful if-harm would result from the administrati on of a single dose (t w o tablets) of a spirin to a patient w ho was in the habit of t aking this drug. I t is , howev er , notew orthy that aspirin gi ves its best results if the recipient can rest quietly for a period after s wallowing the tabl ets - N C. F.
CHOK I NG BY TONGUE.
N. B (F i nchl ey) -The T extb oo k on p 149 t ells u s th a t wi t h an insen sib le pati e n t lyi n g on his back" th er e is a great danger o f obstr u cti on of. th e win dpipe by the to n gue fa lling b ackwar ds over t he top of it " As s leep is one of the three forms of insen sibility named in Text book, I wonder if t his accident can occur while we are asleep. Yo ur r ep ly is awaited with int er est.
D uring consciou snes s the Voluntary musc les are al ways in a s t ate of tension ; a nd consequently there is no " s lack" to be ov ercome when they are called into action. T his t ension is called "the t one" of the mus cle . D uring sleep muscle-tone is decre a sed ; and in the other forms of insensibi l ity it may disappear entirely w hence arises the danger of suffocation.
who sl eep on their backs someti mes experie1'l Ce the fee ling of suffocation cons equen t on t he f all ing baekwards of the t ongue and ar e th ereby awake ned at once fro m deep s leep. T he majority , however, sle ep on t heir sides ; a nd so t heir to ngues canno t fall back on t heir throa t s even if m u scle t one has almos t comp lete ly disa.ppe areg, H ence the instruction to keep i n sensible pati en ts lying on t heir ba ck s with he ad turned to one side.-N. C. F.
TREATMENT OF HERNIA
P. S. (C olchest er). - The T extbook on p. 183 t e lls us und e r the treatment of hernia <t to apply' a c old comp ress to th e affected part." A ·coll ea gu e di sa gr ees and arg ues that cold would have th e eff ect of causing contraction of the abdominal wall and so further increase the risk of s trangulation of th e hernia, whereas
284
warmth w ould a ssist t h e i n testin es to co ntinu e fun ctionin g . We sh a ll w elcome yo ur v iews i on th s point.
T he effec ts of cold ",£pon the muscles of th e abdomina l wall are small indeed as compa1'ed with those upon a P01,ti on of t h e bowe l pro truding through th ese muscles and cove1'ed only by the s l.tperficial tissues ; and the 1everse applie s to w armth. I n these circumstances I a dv is e you to stand by the instru.ctions of the T e,ytb ook, lest you spriously aggravate a dang erous con diti on.-
N. C. F.
PULSE T AlONG WITH THUMB
N. O . (Card iff).-A collea g u e recentl y s t ated that t he pu lse is usually stronger in the r ight radia l artery than in the left. I s this true?
Al so, will you please tell me why the thumb i s not u sed for taking the p ulse?
The pu l se is u sually of th e sam p strength in the right and lPjt radial arteri es Occasionally, ho w ev e y, d1:tjerenc es are noted, these being due to the fa ct that one artery 1S smaller than the other
T/you place your han d flat on the tab le YO'l£ w ill find that your thumb is hlted to w ard s the fin ge rs at an angle of 45 deg ree s Thi s peculiar r elationship, th eref ore, ca u s es y ou to fe el the puls e in your own thu m b if yo u attempt to take a pat ie 11 t' s p uls e 'If.. ith your t humb and so spoils th e re sults of your investif{ation.-N . C F
RAILWAY AMBULANCE NEWS
Great Western R ailway.-A t the present ation of awar ds t o 90 membe rs o f t h e N ewto n Abbot class, Mr. H. A. G. Worth (D ivis io n a l S u perinte n de n t) d istri b u ted cer tifica t es , vo u chers, medall ions, etc H e compli me n te d t he candidates on th eir sple ndi d a chievem ent in obta ining a 100 p er ce nt. p as s. Oppo rtunit y was taken t o prese nt Dr. Scrase, w h o thi s yea r celebrated 40 y ear s' assoc ia ti on w ith the N e wt on A bb ot G W R. Class, with a b oo k by hi s fa vo urite auth o r a nd a lso boo k t okens . Mr. T. W . Hall (A ss t. L o co. Superintendent) presid ed o v er the meeting. .
London & N orth Eas tern R ai lw ay.-Durin g the haH yep.1' end e d Septem b eT 30 , 1943, 14 memb ers of th e N orth E a ste rn Area g ained the Lon g S ervi ce Me d a l of the L. & N.E. Railway. In additi o n, four members gain e d the bar for 20 years' se rvice, one for 25 years, three for thirty y ears and one for forty years .
w. H. BAILEY & SON LTD.
A real necessity now-and always Singer's" Simplex" Tourniquet (PATENT No. 291600) Pre ure Regulated by Simply Turning a Knob
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286
CLASSIFIED ADVERTISEMENTS
A dvertisements with remittance shol,/d be sent to St. John Ambtdance Ga zette, Chancery Lane, London, W.C.2. (to which address replies to Box b, forwarded). Rate 3d. per word, 4/6. Box numbers 1/- extra.
FIRST-AID Comp etition Training, by J. G. Horton. Notes for the Guidance of Competitors, 9d. post free lId.-FoUNTAIN PRESS, 46, Chancery Laue , London, W.C.2.
REQUIRED urgently, three Ambulance Division Uniforms.-Write A/O. H. J. Adcock, Ellerslie Station Road, Broxbourne, Herts.
Ambulance Officer's Dress, Greatcoat, or Raincoat Bust 36 in., hips 44 in., second-hand.-BuRSTOWE, 14, Ham Road, Shorehamby-Sea.
WANTED.-Ambulance Cadet Shirts, good condition.-Details to W. G. TARRANT, Div. Supt., 24, Horning Road, Branksome, Dorset.
FOR SALE.-One o.s. Costume, one o.s. Gr eatcoat, two Grey Dr esses.-Replies to Bo x 108, c/o PUBLISHERS.
FOR SALE.-Supt., small women's, no coupons, Costume, Gr eat Coat, Indoor Uniform, Aprons, Bl.ouses, littl e worn.-Box 107, c/o PUBLISHERS.
FOR SALE.-Lady Officer'S Overcoat, l ength 48 in., bust 36 in , condition as new price £7 7s.-Box 109, c/o PUBLISHERS.
FIRST-AfDCoMPETlTIONS are won by good coaching. Any First Aider (either sex) may coach any ambitions team-male, female <!Ir mixedto early success. Competition experience not essential with new Guide.-For particulars send stamped envelope to R. JEFFERY, 5, Avenue Gardens, London, W o. WANTED, OFFICER'S OVERCOAT for man 5 ft. ' 7 in., 42-in. chest; good conditi on -98, Mile Road, Bedford.
EVERYTHING FOR SAFETY EVERYWHERE NOVOX' and' NOVITA' Oxygen + CO 2 or Oxygen RESUSCITATI NG APPARATUS (or the apparently asphyxiated or drowned. SMOKE HELMETS of all Pattern•. 'PROTO' and 'SALVUS' OXYGEN BREATHING APPARATU'S 'PURETHA' GAS MASKS for Naval, Military and Industrial purpose. and for Civilian use.
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SJ.A. REGULATION COAT
Cut and tailored from fully shrunk and showerproofed mater ial, half lined with grey Italian cloth. Prices include buttons. An official order for H.Q to supply us with badges and buttons must be sent with every order. Women's Sizes 99/6
SJ.A. REGULATION HAT for Officers. Wool Felt, 19/11. Am bulance Sisters, Felt, 16 II I. Badges are only obtainable from H Q Sizes: 6!, 61 6t, 6i. 7. 7t, 71,71. Storm Cap 17/11.
REGULATION DRESS for Officers and Ambulance Sisters. Made from good quality Sanforized - Shrunk washing material.
Bodice unlined. women's 22/6 O S. 24/6 Bodice lined, women's 27/- O.S. 29/6
REGULATION CAPE.-Made in regulation grey cloth. lined with all wool red flan nel. 46/6.
REGULATION BLOUSES for Officers and Ambulance Sisters. Made I-n Art Silk Pique. including extra collar, 32/6 (5 coupons). Also In Ivo r y Tricollne 21/9 (4 coupons), extra collar 3/3 (I coupon). Sizes 13t, 14. 141 Ins 0.S.22/9. (Civilian coupons must be surrendered for blouses).
SJ.A. REGULATION APRONS for Ambulance Sisters. Made from hardwearing linen-finished apron cloth. Price Includes cross.
Waists 26. 28,30 Ins. 7/3
Waists 32 and 34 Ins 7/11
Waists 37 and 38 Ins. 8/11
Waists 39 tfld 40 ins. 9/6
All In Lengths 26. 28. 30. 32 Ins.
REGULATION CAP for _ Ambulance Sisters. 27 by 18 Ins. or 28 by 19 Ins. 3/3
Order. 0120/- and over sent post free
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