IT will frequently be. foun.d that when a patient IS in a state of nervous tension his digestion and powers of assimilation are affected. In such cases the provision of some easily assimilated food which meets every metabolic n ee d will result in a definit e improvement of the patient's nervous condition.
For this purpose, both as an emergency m eas ur e 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 constitu ents of 'Ovaltine' are rapidly assimilated, providing 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' is widely used in the wartime hospital service, both at home and overseas. Supplies are available to hospi tals in special packings and at special prices.
Wriu for dttails Ie A. Wandtr, Ltd., King's Langley, Herts.
tl3e bffidClf ournClf of t13t in t13t OGritis6 (RtClfm of t13t of t13t lI5os1'itClf of ,io13n of ,itrusClftm
Edited by GEORGE E. CRAFT, F.R.S.A.
VOL. I7. No.6. JUNE, 1944
EDITORIAL
The annual report of the Chief Commissioner, Brigade Overseas, for 1943, sets out another year of excellent progress and one of which members can be justly proud.
During last year there was a net increase of over 200 divisions and an increase of 7,415 personnel; the total personnel of adult members now being 65,030 and 2,029 divisions. This is a magnificent result of the work done under the command of Col. J. L. Sleeman (Chief Commissioner) and the Hon. Mrs. Copland-Griffiths (Superintendent-in-Chief) who have such excellent officers in the various Brigades Overseas ..
In addition the Cadet Movement has also made good progress and during 1943, 112 new divisions were formed and personnel increased by 1,350 boys and 1, 063 girls making a grand total of 529 divisions with 12,105 personnel. The combined adult and cadet personnel is, therefore 77,135.
New Zealand still leads in the number of Grand Prior's Cadet Badges and out of the total of 602 gained by Overseas Cadets no less than 578 have been awarded to that country.
A graph is included in the report which clearly shows how the Brigade Overseas has grown in strength since 1903. Since 1930 when Col. Sleeman was appointed Chief Commissioner, the membership has grown from approximately 11,000 to its present day total. Even since the commencement of the war membership has increased by over 30,000 which clearly indicates that the work of the Brigade is an essential part of the task undertaken by the British Empire and Commonwealth of Nations in the cause of humanity.
ANNUAL ST. JOHN CELEBRATIONS
As already announced a Communion Service will be held at 8.30 a.m. in the Chapel Royal, St. Jame s's Palace, on June 24. The Bishop of Kensington will officiate, assisted by the Dean of Bocking (Succentor) and the Rev. Dr. C. D. Symons, Chaplain-General to the Forces. It is hoped that as many members of the Order, the Association and the Brigade as is possible will attend.
On Sunday, June 25, a Service will be held at 6.30 p.m. in Westminster Abbey, the preacher will be Dr. Frank Lash, Captain and Navy Staff Chaplain, U .S. Naval Forces in Europe. Applications for seats by members of Chapter-General should be made to the Secretary-General.
There will also be a parade of St. John Ambulance Brigade members prior to the Service.
THE PREVENTION OF WOUND C ONTAMINATION
A wound causes a breach in the skin and unless the correct treatment is given, germs will enter the broken, cut, or crushed skin and penetrate into the recesses of the wound. By this means the wound will become contaminated, infected, septic or poisoned.
As good first aiders it is our duty to prevent the occurrence of this.
Germs are very minute living cells and whilst invisible to the eye are present and living everywhere-on our clothing, on our skin, in the air we breathe, in the water we drink, and on the food we eat. Once germs have entered the body they increase and multiply very quickly; and whereas a few harmful germs may do little damage, from these are born in a very short period thousands of other germs which may cause trouble.
Years ago when little or nothing was known about germs, it was expected that every wound would, as a matter of course, become dirty and filled with matter or pus.
Later, a French scientist named Louis Pasteur discovered the existence of germs; whilst an English surgeon, .T oseph Lister, realised that living germs caused all that we now know by the name of sepsis.
come germ-free by the of an antiseptic which will actually klll the germs.
Secondly, water used to wash a wound must be sterile (asepsis), poured directly on to the centre of the wound and not first on to the surrounding skin and thence to the vl,ound.
Thirdly, the wound must not be left exposed to the air, which contains germs; and the dressings used must be germ-free (aseptic). The ideal dressings are those which consist of a sterilised (germ-free) piece of gauze or lint attached to a roller bandage. Such dressings are enclosed in a sealed wax-paper covering, which should not be, opened until actually required.
Having once sterilised the hands or rendered them germ-free, they must not touch anything that is not sterile. On so many occasions we have noticed at competitions the bearers sterilising their hands and immediately after touching dirty coverings of packets.
It is not good first aid if a wound that is at first slightly contaminated, becomes more so, by faults in the aseptic or strict germ-free cleanliness of the first aider's hands, water used, dressings, or instruments.
ur;be 3f obn ambulance rsrigabe ®berl1tRS
The Priory in Southern Africa
A report from the Port Alfred Nursing Division states that this Division is very handicapped in its work owing to the lack of petrol for transport, several country members being unable to attend meetings with any regularity. However, a letter of thanks from the Senior Medical Officer of 43 Air School, shows that members' services at the Camp Hospital were fully appreciated; once more it was transport difficulties that necessitated this service being abandoned.
Public Duties have been done such as Bioscope, Sports and Nursing Home, and members have been in attendance at several public functions. Six junior members joined the Division in May, 1943.
1st Grahamstown Nursing Division
During 1943 one more member has gone on active service.
bers as much practical experience as possible and many public duties are carried out, and a course of lectures proved very popular.
Until a full-time Ambulance staff was appointed members were called out on a number of occasions; they have also helped at the Settler's Hospital on halfdays and during vacations. Fourteen members went to Port Elizabeth to assist at Libe!i:y Cavalcade.
The Chief Commissioner, Brigade Overseas, regrets to announce the death of the following members whilst on active service :-
Div. Surgeon E. McArthur Sheppard (Newcastle Division, Australia).
Private L. A. Ruffles (Cape Town Division, South Africa).
Private G. T. Reid (Umtali Railway Division, Rhodesia).
Private R. E. Williams (Salisbury Railway Division, Rhodesia).
Private D. Goodwin (Cust Division , New Zealand).
LI FE SAVERS
It was Lister who said that if, while the surgeon was operating, the germs jn his hands, his instruments, the patient's skin and surroundings could be killed, few, if any, would remain iR the wound and a clean healing would result. Therefore, he did all his operations under an antiseptic (" germ-killing") spray, which contained carbolic acid. Although Lister's method was not entirely successful it was an epoch-making advance and many lives were saved. In certain instances, operations were made possible. Other surgeons who followed Lister went a step further. They were of the opinion that better Brenda, Lady Hickman, County Officer results would be obtained if, instead of Nursing Divisions , County of Stafford, killing as many of the germs as possible S.J.A.B., has had the 'honour of being as they entered the w01,md, steps could be awarded and decorated with the Insignia taken to prevent them from entering the of Knight of the Order of Orange Nassau wound at all. They endeavoured, there- for valuable services rendered to the fore, to have the patient's skin and Dutch. Lady Hickman is Commandant surroundings entirely free from germs of the Little Wyrley Hospital, Pelsall, before making their incisions; to make Walsall, a hospital of the J .W.O ., and the the surgeon's hands and instruments free investiture took place in London, by the from germs; and to see that nothing that Dutch Minister of War on behalf of H.M. was not absolutely sterile (that is, free Queen Wilhelmina.from germs) even touched the patient. Supt. S. G. Appleton, of the TeignThus began the aseptic method of operat- mouth Ambulance Division, has been ing which is universal to-day. awarded the D.S.C. for gallantry in operaThe conditions under which first aiders tions with the 8th Army in North Africa work does not lend itself to the carrying and Italy. out of this asepsis method; and certain Private E. Simmons (Corporal in the rules must be carried out before we can R.A.M.C.), a member of the Blyth and combine asepsis and antisepsis methods. District Division has been mentioned in First, we must be sure that our hands are for carrying on with his duty sterile (antisepsis). Our hands can be- after being wounded.
124
To avoid contamination of wounds, it is therefore desirable (1) to follow strictly the instruction of the Textbook; (2) to have hands as surgically clean as is possible; (3) to use only sterile dressings; (4) to be careful that during the dressing of a wound the hands, instruments, dressings, etc., which are to be used, do not contact with anything that is not itself sterile.
HO NOUR S
Members have assisted at the Settlers' Hospital, the Albany llTsing Home and at school and college sanatoriums. Some have been assisting regularly at the Hospital over long periods, others have gone as emergency required. Private nursing has been undertaken where no trained nurse was available. One member put in 1,478 hours of hospital attendance and private nursing during the year.
Public duties have been carried out and demonstrations given at lectures in first aid and home nursing. Members went out with the Municipal Ambulance, until different arrangements were made.
2nd Grahamstown Division.
This Division is largely dependent for its personnel on the student members from the University and in consequence lose a certain number of trained members each year; however, the aim is to give mem-
Up to the end of 1943, 202,000 bottles' of dried and fluid plasma-the contribution of 450,000 blood donors-had been exported for the use of Forces overseas.
Five donors are needed to make two bottles of plasma, and transfusions are usually given in the proportion of one bottle of whole blood to every two bottles of plasma. Several transfusions must often be given to save one wounded man.
More and more blood donors are needed as the demands of battle increase. Everyone, by giving blood, can help to save a life on the battlefield.
of tue
At the request of many readers we are publis.hing the Prayer of the Order. This is not so well known as it might be and bearing in mind the religious foundation of the Order and the fact that to-day we are passing through times never seen before, it is hoped that it will be used on every suitable occasion. ,
FOR THE SERVICE OF HUMANITY
" Let us pray God, through Jesus Christ our Lord, that as we wear the sign of our Redemption so we may ever remember in our lives that its four arms symbolise the Christian VirtuesPrudence, Temperance, Justice and Fortitude; that its points represent the eight Beatitudes which spring from the practice of those Virtues ; and that its whiteness is the emblem of that purity of life required in those who fight for the defence of the Christian Faith and live for the service of the poor and suffering. Amen."
POLICE AMBULANCE NEWS
'City of Londo,,:,.-The City o'f Police scored a tnple success III the field, E.C. First Aid competition, ? Dl:'lsion winning the Men's trophy, III splte of a sixth handicap, and the (Offices) team winning the Women s trophy. The latter team tied with W.A.P.C. (Garage) team for the IndIVIdual trophy. Lady Turnbull, wife .of Sir Hugh Turnbull, Commissioner, CIty of London police, presented the awards.
METROPOLITAN
'Parsons' Final.- The annual competition for the Parsons' Shield was held on May 30, when eight the teams in the eliminating rounds Judged by Drs. M. M. Scott and Basil Steele, competed before Drs. E. S. Abraham and M. N. Oster. The tests were varied and the work done was of a high standard. Once again F Division were successful in winning the trophy and also the Plaque for the highest individual aggregate.
Sir George Abbiss, who announced the results stated that it was 66 years ago, almost'to the day, that first aid commenced in the Metropolitan and that it was 30 years ago when MaJor Parsons, then a Chief Constable, his shield. The plaque was presented III 1930. Sir George thanked the judges for their valuable services and congratulated all teams. on their support to the movement.
Sir Philip Game, Commissioner, presented the awards and stressed the importance of first aid.
sented the trophy, for their Those present included the Com:UlsslOner, the Deputy Commissioner, SIr George Abbiss and many other officers of the Force.
No 3 District Finals were won by .G Division Regulars for the 4th year I? succession. They had a hard fight this year with J Regulars who gained the same number of marks but less in the individual room.
M Division.-Dr. Abraham judged the final of the "Sir Cecil Bigwood" Cup competition which was by the Women Police team, with Rotherhithe runners-up.
Special Constabulary.---r-The final for the Staff Officers' Cup was held on May 26, when the four District winners competed before Dr. H. C. Stewart and Corps Supt. Edwards. Those present included Major Vivian Rogers (Commandant-in-Chief) supported by many of his Sir Philip Game, Sir George Abblss, DAC Dalton and DAC Hannaford and many officials of the Regular force. Sir George Abbiss, who presented the trophy to the winning team, kindly offered to present medals to the members of the winning team.
The result") were as follows: 1. Vl Division; 2, T Division; 3, Y Division; 4, G Division.
OBITUARY
We regret to announce the death of Major C. W. Anderson, R.E., late superintendent of the Paignton Ambulance Division. He had been instructor at Longmore Camp for years.
No. 1 District.-The second enrolment ceremony of the Shirley Nursing Division was carried out by Area Cadet Officer Miss White in the presence of District Officer Miss Tuckwell, Councillor and Mrs. Lewin (President) and Mr. J. A. Parke (Vice-president of the Adult division). Cadets were presented with certificates gained during the year, Mrs. Lewin handing the" Dane" Cup to Peggy Algar, winner of the first aid competition. Demonstrations of competition and first aid team work, also bandaging followed, credit for the fine display being due to Cadet Supt. Miss Hayward and Amb. Sister Miss Ludkin. The girls carry out duties at war-time nurseries and hospitals, and are collectors for the salvage campaign.
Bedfordshire.-An enrolment ceremony of the London Road, Bedford, Ambulance and Nursing Cadet Divisions was held on May 7. Over 100 cadets were present and 24 were enrolled by County Cadet Officer Mrs. Hugh McCorquodale. After the service an inspection was held and the Couhty Cadet officer escorted the Mayoress, Mrs. F. A. Rickard, through the ranks representing the London Road, Kempston and St. Cuthbert's Divisions.
Those present included Div. Surgeon F. S. Vaughan, Vice-president W. B. Ingram, Cadet Supts. W. Yeats, Mrs. Pacey and Miss Cooper.
Deppt by sorting, counting and tying' together packs of playing cards for the Forces overseas.
On May 14, Cadets from Ambulance and Nursing Divisions took part in the Centenary Celebrations of St. Peter's Church, Earley.
On Empire youth Sunday, 30 ambulance and Nursing Cadets of the Reading Corps attended a United Youth Service at the Town Hall. Cadet Supts. F. G. Carter and Mrs. M. Bailey were in charge.
Birmingham. County.-On May 20, the final competitions of the Nursing Cadet Corps of the County were held under the direction of Corps Supt. Mrs. Nicol. The judges, Supts. Miss White and Miss Darby and Divisional Officer Miss Payton placed St. Hubert's first and they received a cup, kindly presented by County Vice-president Lady Ford. Fourteen teams originally entered the competition. Visitors saw a very interesting exhibition of Handiwork, which had been judged by County Vice-president Mrs. Paul Cadbury County Cadet Officer Rev. W. H. Hargreaves complimented those who had written such fine essays on the History of the Order.
A display of country dancing followed tea and was given by the St. Hubert's Cadets under Nursing Sister Miss Meredith.
Also of Corps Supt. Mrs. E. R. Haley, of Hull Nursing Corps No. 1. She had over 35 years' service in the Brigade and was admitted a Serving Sister of the Order in 1937. Many County and Divisional officers were present at the interment.
We regret that Supt. Osborne of the Selby Division, to gether with his wife and two children, were killed recently when an aeroplane crashed on his house.
Dr. H. Fingleton-Sayliss, Div. Surgeon of the Sharrow Ambulance and Nursing Division, died on May 18.
Vivian Rogers' Final.-This was held on May 9, when eight finalists, winners and runners-up of the districts, presented themselves before Dr. W. D. Jenkins (individual practical) and Lord Amulree (viva voce). After a closely contested competition Sir George Abbiss the winner was S. P. S. Clay of F DlVISlOn who is, therefore, the champion first aider of the Force for this year. P. S. Williamson of V Division was runner-up. Sir George thanked the judges and stated that 272 Regulars, 149 Auxiliaries, and 22 Women had competed in the preliminary rounds, all of which were judged by members of the S.J .A .B. Major Rogers (Commandant-in-Chief of the Metro. Specials) 1939/43 STAR AND THE AFRICAN STAR presented his cup and also certificates to Red Cross and St. John are anxious to the finalists. trace some of their personnel who may Lady Abbiss Cup.-This competition, be eligible for the above awards. open to Women Police teams, was held Many personnel who have served overon May 23, when Drs. Shaw-Smith and seas, however, cannot be traced owing to Abraham judged the work of five teams. change of address and it is these members Supt. Peto announced the results which the Red Cross and St. John wish to find. showed that No.4 District B team (VV Personnel in this country who served Division) had gained first place followed overseas in the early days ' of the war by No.3 District team She thanked the should contact the Director of Personnel judges and also Lady Abbiss, who pre- at 14, Grosvenor Crescent, London, S.W.I.
On May 14, 23 Cadets of the Sandy Cadet Ambulance and Nursing Divisions were enrolled in, Sandy Church. The Service was taken by the Rector, the Rev. Strong, and the enrolment ceremony performed by the County Cadet Officer. An inspection followed under the direction of Cadet Supts. Linford and Mrs. Davidson.
A social entertainment was given by Ambulance and Nursing Cadets of the Great Barford Divisions on May 6 at the School Hall. The proceeds amounting to £12 were given to the fund for the Great Barford men serving in H.M. Forces.
Berkshire .-A Band of 14 Ambulance Cadets, under Cadet Supt. E. J. Hamblin, led the paJade at a recent Church Parade of some 150 Ambulance and Nursing Cadets, under County Officer F. A. C. Jarvis, at the Trinity Congregational Church, Reading. After the service which was conducted by the Minister, Rev. C. E. Surman, County Commissioner C. A. Poole took the salute at the march past. Those present included County Supt. the Hon. Mrs. Leslie Gamage, County Cadet Officer Mrs. Poole and Corps Supt. Miss Gibbons.
The cadets of th e county have been doing good work for the Army Comforts
127
The County Commissioner presented Grand Prior Cadet Badges to Iris Plant and Lois Duffield, both of the Bourneville Cadet Nursing Division.
In proposing a vote of thanks to those who had helped, the County Cadet Officer referred to the inspiring leadership of County Commissioner Col. Sir Bertram Ford and to the splendid work of Corps Supt. Mrs. Nicol and her Corps officers.
On the occasion of Empire Youth Sunday some 800 Ambulance and Nursing Cadets of the two Birmingham Corps, under Corps Supts. Col. H. H. Clee and Mrs. Nicol, marched to St. Paul's Church, headed by the massed bands of Sutton Coldfield, Smethwick, G.E.C. and Quinton Divisions, The Rector, the Rev. H. Fletcher ga ve an inspiring sermon; County Commissioner Col. Sir Bertram Ford r ead the Lesson.
The County Commissioner took the salute at the march past.
Cheshire.-Asst. Commissioner J. Cotter enrolled 16 Ambulance and 25 Nursing Cadets in New Mills and Newtown Cadet Divisions. Those present included President Huberts Swindells, Vice-president Mrs. Burgar, Div. Surgeon A. D. Shubsachs, Supts. Wild and Mrs. Carrington, Cadet Officers Gordon and Fox. After presenting awards Mr. Cotter
spoke to the Cadets on the Order and the duties they had undertaken.
Cornwall.-On May 12, Mrs. Pryor presented awards to members of the Penzance Ambulance Cadet Division, also the Divisional Cup to CorpI. Ash and other prizes for work and general co?-duct during the past year. Mr. W: J. Hlchens presided supported by Mrs. Hlchens, Cadet Supt. Lewis, Cadet Officer Pryor, Supt. and Mrs. Cooper, the Rev. H. E. Gardner and others
The Chairman impressed upon the Cadets , the fact that their job was not necessarily a war one. It was fitting them for peace.
Mr. Lewis gave particulars of the year's activities and paid tribute to the assistance received from Mr. D. C. N. Wakley and the Rev. Buckley. Cadet Officer Pryor announced that the funds had soared from £20 to £89.
Gloucestershire.-A competition for the" Best Nursing Cadet of the Year (1943) Cup " was held at Tewkesbury, County Officer Mrs. Purefoy being the judge. Cadet CorpI. Joyce Prichard of Cheltenham No. 1 Cadet Nursing Division was declared the winner after a close contest.
The cup was presented by County Cadet Officer Miss Trimmer at a joint presentation of awards to the Cheltenham Divisions, on May 4. Other awards included Cadet War Service Badge to CorpI. Eva Welsh, also proficiency badges, service stars and stripes. Miss Crook received her warrant as Cadet Officer. Among those present were the County Commissioner, Asst. Commissioner, County Superintendent and County Cadet Vice-president. Hertfordshire. - Harlow Nursing Cadet Division are to be congratulated on their excellent progress. They have 56 members with 15 probationers, hold no less than 142 badge certificates, 26 proficiency badges, two War Service Badges and three adult first aid and home nursing certificates. Six cadets have gained three proficiency badges and have therefore qualified for the coveted Grand Prior's Cadet Badge.
The Hitchin Cadet Divisions held their annual competitions on May 6, when No. 3 team (leader, C/CorpI. G. Marshall) gained the" Douglas" Cup for team work, and C/CorpI. Marshall the" Times" Cup for individual tests.
The judges were Supt. Skinner, Sergt. Savage and Corpl. Cook, The trophies were presented. by Capt. Times.
The first County Ambulance Cadet Competition was held on May 27, when seven teams competed for the honour of holding the "Pettengell" Cup for the first time. The judges were Supt. Greenwood (Stevenage) and Amb. Officer Marriott (N o. 1 District) After an ,
interesting contest County H. Langley Jones announced that Hitchm Division had gained first place followed by Ware. He presented the trophy, which had been donated by Cadet Supt. Pettengell of the Hitchin Division. The Commissioner expressed thanks to the Herts Cadet Advisory Council for the excellent work the members were doing and congratulated the Cadets on their efforts. Cadet Supt. G. Henderson Smith extended thanks to the Commissioner, the judges and the ladies for their support.
Leicestershire.-This year Cadets have had to stagger their Old Age Pensioners' parties. Over. 300 have. been entertained and on Apnl 29 the Le2cester and Ayles/one Cadet Nursing Divisio?-s entertained pensioners of Aylestone Dlstrict. Supt. Mrs. ' Hall of Aylestone and Cadet Supt. Mrs. Payne in charge, those present including the VIcar and Mrs. Adams who takes great interest in tlie work.
Northumberland. - The Forest Hall Ambulance and Nursing Cadet Divisions staged a Rabbit Show in connection with a course for the proficiency certificate, "Knowledge and Care of Animals." Nearly 40 rabbits of various breeds were on show and examined by Mr. Clulow, adviser to the Heaton Rabbit Club, who criticised the 'exhibits and gave an instructive talk on war-time feeding, and also answered many questions. A practical demonstration of the correct methods of killing and pelting a fur rabbit was given. The show has resulted in a request that a Rabbit Club be formed by the members of the two divisions.
Staffordshire.-During the Walsall " Salute the Soldier" Week members of the W alsalt, Bloxwich and Palfrey Cadet Divisions gave displays of first aid on May 11, 12 and 13. This included an aeroplane crash, and loading and unloading ambulances. The work was carried out in such a creditable manner that a repeat performance was requested for Whit Monday.
Cadet Supts. Cooper, Wilcox and Hughes together with Cadet Evans and Whitehouse were for the arrangements which were so highly commendable.
Suffolk. -A County Cadet Committee has been set up by the County Commissioner to advise the CelUnty Staff on Cadet Work generally. The members were selected by the County Commissioner and so that as many officers as possible may get this administration experience, two members are to be changed each year.
A separate County Cadet Fund is to be inaugurated.
The first meeting of the Committee was held on May 13, when County Supt. Miss A. M. Walker presided. The objects of the Committee were stated and general discussion on Cadet work took place.
An. was held recently by the IPSW2Ch Nursmg Cadet Division, when 10 Cadets were enrolled by County Cadet Officer Miss Botwood, who was supported by County Miss Baldwin, Corps Supt. Mrs. Gosselin and divisional officers.
After the ceremony Miss Botwood gave a talk to the members and Mr. T. Gostling Gooderham presented a silver cup for competition.
Mrs. T. G. Gooderham r eceived her as Cadet Officer, other presentatIOns by MISS Baldwin being a War Service to Ivy Watson, also numerous first aId and home nursing certificates.
A home nursing demonstration was gIven to parents and friends present by the Cadets.
Surrey.-Making their first venture in amateur theatricals, members of the Godstone Ambulance and Nursing Cadets recently produced "The Old and the New," which ran for three performances. Great credit is due to all performers and producers.
West Riding of Yorks. -Canon P. E. J ames (Corps Chaplain) conducted the enrolment arranged by the three Cadet DIVISIOns 1ll Halifax. About 70 <;adets were presented with first aid certificates, record card and divisional rules. County Cadet Officer Mrs. Ford, who had examined the 4 Cadet Officers introduced Canon James . the ceremony a concert was given orgalllsed by Miss V. Luxton and compered by. Amb. ?ister F. Luxton. Those mcluded Corps President Mr. GIlbert Gledhill, M.P., Supt. Naylor, Amb. Officer aylor and Supt. Mrs. Sutcliffe of Hebden Bridge Corps.
It is interesting to note that it is only months since the Cadet movement was mtroduced in Halifax and some 75 Cadets with approximately 50 m .trammg. Funds for the provision of ulllforms were given a good start throu gh a organised by the Gordon Mitchell SOCIety whic? realised £143. A Corps IS now m formation. It is hoped to regIster a further division shortly Worcestershire. - The first competitIon Cadet Divisions of Dudley Corps w3:s by Brierley Nursmg Cadet DIVISIOn. This diviSIOn, together with Brierley Hill Cadet Division, will represent the Corps agamst the North W orcestershire Corps for the cup presented last year by County Commissioner Dr. L. Newton.
SIGNS OF INTERNAL HJEMORRHAGE
By Dr. W. P. KENNEDY
One of the commonest errors among examination candidates for first aid certificates is misunderstanding internal When asked how to recoglllse presence of internal bleeding, six out of seven say it is coughed and vomited up. It is true to some extent that bleeding into the lungs or into the stomach cavity is internal but this is not what is generally. meant. In the great number of cases of internal bleeding, no blood appears to the outside of the body. Injuries to the liver, spleen and the blood vessels in the abdominal cavity are typical examples. How then are we to recognise the cases?
THESE ARE THE SYMPTOMS
The signs and symptons are the same as those for external bleeding excepting only that no blood is seen. There is a history of accident or disease, rapid weak pulse, pallor, cold clammy skin, faintness, restlessness and thirst, and as the bleeding continues, unconsciousness, collapse and death. If there has been an abdominal injury as in crushing or from a heavy blow, extensive bruising may be present. Whether there is external sign of injury or not pain is felt in the abdomen and while severe, the patient cannot say exactly where it is. In these cases, no ?lood is coughed or vomited up, nor does It appear from -the bowel or in the urine. This is because the abdomen is a closed cavity through which the alimentary canal passes. Blood from a torn liver or spleen trickles down into the spaces of the abdominal cavity and is thus lost to the circulation although it does not leave the body.
DANGEROUS CONDITION
Internal bleeding into the abdominal cavity is always a dangerous condition. requires surgical treatment, and that 2mmediately. If this condition is diagnosed or suspected, the patient should be laid down and kept warm with blankets and hot water bottles though overheating be avoided. Nothing should be gIven mouth. He should r est as quiet pOSSIble but at the same time it is most Important to encourage him to try to allay fears. He should be trans"ported , to hospItal by ambulance without delay and the hospital be warned that he being sent in and what is the nature of the case.
The two important things are that he should be kept as quiet as possible and he reach the surgeon as qUlckly as pOSSIble. Even a few minutes make all the difference.
Qr;be J ot.m }irtgabe
HEADQUARTER NOTES President c,?uncillor Mrs. E. Bevan and DORCHESTER HOTEL CLASSEs.-During the Rev. Bndge. fi ld N g Divi the run of a recent first aid class held at On May 6 the ethe Dorchester Hotel. London. Lady si<;>ll yisited II this being Louis Mountbatten paid a visit and ad- DIvISlOn <l: FIrst AId qUIZ:£< R C S 1 dressed the members present. She ex- a return VISIt. Mr. QUl.St. tended thanks to Dr. Mosely (Div. Sur- Harefield. acted as geon Wandsworth Gas Company) for his home team were agalll success u . as lecturer at this and other COUNTY OF BEDFORD classes and paid tribute to the work BEDFORD.-Some 100 members. of the carried out by Mrs. Peter Cheyney. who Bedford Town Ambulance and N and had organised classes at the Dorchester Ambulance and Nursing Cadet Hotel for over four years. During that also St. Cuthbert'.s Ambulance a e time 32 courses in first aid and home Division. took part m a church ,Parade nursing had been held. at which nearly May 7. attendmg St. Cuthbert s Churc • 1.700 students had attended. Not all had where the the Lane, gave an entered for the examination, but over interesting and mstructIve sermon. The 1,100 passes had been gained. parade was under the command of Supt. " STAR II BALL.-Lady Louis Mount- W. J. Poulter. Also present were batten attended the ball organised by the ments from the B R.C.S., the collectlOn London Star newspaper on the occasion of amounted to £40 for the Pnsoners of War the annual professional and amateur ball- Fund. room dancing championship finals, to-
COUNTY OF BERKSHIRE gether with Lord Iliffe and Mrs. A. Faw- Div. Surgeon A. Barbour of cus. Sir Walter Layton, Chairman of the Maidenhead Ambulance DIv.ISlOn, has been Star, handed a cheque for £1,000 to Lady appointed County Surgeon m place of pr. Louis for the Red Cross and St. John J. G. Bird, resigned.. .. . Fund. Amb. Sister C. Eppstem of Readmg ST. JOHN TRAINING CENTRE.-H.RH. West Nursing Division was the County The Princess Royal visited the St. John representative at the Central F lag Day Training Centre at Stratton Audley on Depot on May 16, when Her the April 30. This Centre was opened by Mrs. Queen visited the Depot and the Pnsoner Beckwith-Smith (Asst. Supt.-in-Chief) in of War Exhibition at Clarence House, St. 1939. and since then over 1,400 students James Palace. have attended the courses. READING.-Over 400 members of the No.1 (PRINCE OF WALES'S) Brigade and B.RC.S., under County DISTRICT ComIDlSSlOner C. A. Poole, paraded on SOUTHERN AREA.-The annual inspec- Red Cross and St. John Church tion will be held on June 24, when Major- were al.so. J:eld by Didcot, Theale General R J. Blackham ,¥ill be the in- and Wmdsor DIVISlOns. . t ffi A lecture on X ray Apparatus was gIven spec mg 0 cer. b f th Reading PECKHAM.-The Peckham Nursing Divi- to officers and mem 0 e sion is now an established fact after Corps by Mr. W. Renme of the being known as the Peckham Section of Company. The County ComIDlsthe Lewisham Nursing Division for over SlOner mtroduced the who a year. the of Slllce
An official opening of the Division was ItS dIscovery by Rontgen m 1896. . held on April 20 when President Mrs. On May 20 four teams Nurslllg , D' d' fi t d d home Evan Cook (Matron of St. Giles Hospital), m rs al. an re Vice-President Mayoress Mrs. B. Round. nursmg competitions. The ,Judges we and Div. Surgeon Daniel Hughes at- County Officer F: A. C: J arv.Is and tended, together with officers and mem- Supt. Mrs. M. Bailey Aid) and SIster bers of the Division, and Supt. Miss Pearce V. M. Crofts (home .tursmg), C<?unty Supt. and other members of the Lewisham the Hon. Mrs. LeslIe Gamage )udgmg the Nursing Division. uniforms.
RICKMANSWORTH NURSING DIVISION. Theale Division won the cup presented -At a social evening held recently , Div. by the County Commissioner. Those Surgeon S. D. Adam presented awards, present included County Surgeon .A. including the Silver Cup (presented by Buchanan Barbour, County Officer SkidVice-President the Rev. W. F. Bridge) to more. County Cadet Mrs. C. A. A/S. Mrs. Warrell, and a nursing book to P?ole, Supts. Wmterbourne and A/S. Miss K. Gander as runner-up. War- Miss D. GIbbons. rants of appointments were also presented Through of Mr. an: d Mrs . to five members. Those present included Drew and theIr Commlttee, a Mobile F.A.
130
Post Trailer has been presented to the County ?f Berkshire, S.J .A.B. The gift was receIved by the County Commissioner on May 20, when a Guard of Honour was formed by officers and members of Ambulance and Nursing and Cadet Divisions. Those present included County Supt. the Hon. Mrs. Leslie Gamage, County Officers Jarvis and Skidmore. County Cadet Officer Mrs. Poole, Corps Supt. Miss Gibbons and divisional officers.
THEALE.-The County Commissioner took the salute at a church parade which members of the Nursing. Nursing Cadet and Ambulance Cadet Divisions attended recently.
WINDSOR.-County Commissioner C. A. Poole was present on the occasion of H.M. the Queen's visit to Queensmep.d C.D. Workers Rest Home, Windsor. Amb. E. Clinch (Reading West Nursing DiVIsion) was presented to the Queen who asked her about her work in the Brigade. of which she had been a member for 20 years.
COUNTY OF DERBY
Lady Louis Mountbatten (Supe,rintendent-in-Chief) paid a visit to Derbyshire last month.
On May 13 she arrived at Chapel-enIe-Frith. and after being entertained by Mr. A. L. Turner (President. Chapel Ambulance Division) and Mrs. Turner. she took the salute at a march past led by the Chapel Town Band. The parade. which was marred by heavy rain. consisted of 8 Ambulance,S Nursing, and 2 Cadet Divisions. but all ranks were inspected. At the Town Hall Lady Louis addressed the members, and presented a framed" Roll of Service II to the Chapel Ambulance Division. This was appropriately received by L.-Sergt. H. K. Hadfield, RA.M.C., a member home on leave from a General Hospital in Malta. Some 300 members were on parade.
On May 14 Lady Louis journeyed to Chesterfield, where she inspected 6 Ambulance, 4 Nursing, and 4 Cadet Divisions at the Bradbury Hall. The salute was given by the Dronfield Cadet Band. Those on parade included members of the Tibshelf Nursing Division. which has a continuous record of service since 1888. At Bradbury Hall. Lady Louis was received by the Mayor and Mayoress of Chesterfield; there were 290 members on parade. Staveley was the next place visited. and here units of the Staveley Corps (4 Ambulance. 1 Nu.rsing, and 4 Cadet Divisions), together WIth 4 Nursing. and 1 Cadet DIVISIOn from neighbouring districts. were inspected. Nearly 500 members were on parade, and the march past was led by a massed band of 80, which mclucled the Military Band of the Stp.veley Co .• Ltd. (of wireless fame).
After luncheon at Ringwood Hall, by invitation of Mr. D. N. Turner, J.P., President of the Staveley Corps, Lady Louis and her party left for Belper, where 250 members paraded. Tea was taken with the directors of Messrs. Rolls-Royce, Ltd ., at Derby, where a parade was held in the Welfare Hall of the firm, this being the final function of the visit. This ineluded 11 units of the Derby and District Corps, and 3 visiting Nursing Divisions. Space was somewhat limited, but there were some 350 members on parade.
During the lightning tour of the County, Lady Louis met and addressed· 64 Divisions out of the County total of 97, and at each inspection the Superintendent. in-Chief spoke to every member. Her inspiring speeches, together with her visit and personal interest, were much appreciated by all ranks.
MApPERLEY COLLIERY.-In connection with the West Hallam "Salute the Soldier" Week, Mapperley Colliery Division gave a demonstration, under Sergt. J. A. Atkin. This included stretcher drill, handling and loading of casualties, improvi$ation, and a semi-dramatic turn as a finale. All members taking part were congratulated on their smartness and efficiency.
COUNTY OF LEICESTER
The third annual individual competition of the Leicester Jubilee Nursing Division was held on May 10, when Supt. Mrs. E. York, in the unavoidable absence of Div. Surgeon S. A. Carlton, set and judged the first aid test. Miss E. Goodrich, S.RN., judged the Nursing Test, and Corps Officer Miss M. W. Bates the uniforms. The trophy (a silver vase) and book prizes were presented by Corps Supt. Miss F. E. Allen. The result was 1st, Amb. Sister D. M. Page; 2nd, Amb. Sister 1. Sanders (Prince of Wales District, attached); 3rd, Sergt. W. N. Goodwin.
Supt. Miss H. E. Rich, S.RN., S.C.M., thanked the judges and all who had assisted for their kindly help and interest.
COUNTY OF NORTHAMPTON
KETTERING.-Members of the BroughDivisions, including Nursing Cadets, III response to a suggestion by the Rector. the Rev. E. A. L. Donaldson, M.A., presented a cross for the altar of the Parish Church. The cross, which was designed by Messrs. Blackwell and Storry, of Kettering, was executed in oak with the Cross of the Order in black and silver inset and forming the centre-piece.
The presentation took place on April 16, being made by Supt. Charles Nonnan. supported by Supt. Miss Riggall and Amb. Officer Miss J. Knibbs. The cross was placed on the altar by the Rector, and consecrated by the Lord Bishop131
Assis t ant of Peterborough (Bishop Norman Lan g). The presentation service was well attended, those present included Corps. Supt. Mrs. Gibbons a n d Corps Officer Miss Tinkler. Amb SIster Mrs. Loomes was at the organ .
NORTH, EAST AND MID-DEVON
On May 20, Lady Louis Mountbatten (Superintendent-in-Chief) Ambulance, Nursing, and Cadet DIVISIOns at Exeter.
After visiting the J.W.O Convalescent Home at Combe House, of which Mrs. De la Pryme is Commandant, and which is staffed almost entirely by Brigade personnel, Lady Louis left for and was welcomed by County CommIsSIOner Herbert J. Vick, who introduced .Lady Louis, County President Lady Clinton, and Mrs. De la Pryme to the Mayor and Mayoress, civic officials, and staff officers of the Brigade. Luncheon was by the kind invitation of the Mayor.
After lunch the mayoral party drove to St Luke's College, where divisions drawn up i n review order. In addItIon to the Mayor and Mayoress, the Town Clerk, Sheriff, and other civic officials, there was a l so present Countess Fortescue, President, and Col. Notley, Director, of the B.R.C.S., Mr. A. C. Reed, M.P., and Mrs. Reed, the D eputy Mayor and Mrs. Rew, Alderman and Mrs. Cottey, Alderman and Mrs. Tarr, as well as a number of Presidents and Vice-Presidents of Areas and Divisions.
Accompanied by the President, County Commissioner and County Superintendent , Lady Louis inspected all ranks. Exeter was well represented, also Exmouth, Sid mouth, Paignton, ewton Abbot and Torquay. Other Divisions from North and East Devon were represented, also Ambulance and Nursing Cadets. Some 750 members were on parade, and Lady Louis spoke to each one.
After the march past, the Superintendent-in-Chief thanked the Mayor and all those who supported the work of the Brigade in Devon. She especially mentioned County Supt. Mrs. De la Pryme and County Commissioner H. J Vick. Mr. Vick thanked Lady Louis for her visit and stated that the members present represented about one-third of the total County strength. C.D. duties or transport difficulties prevented others being present. He also thanked Sqd. Leader Greenslade for the se r vices of the band of the 184 7 Squadron A.T .C., and Rev. Preb. Collins for use of the College.
The mayor al party t h en proceeded to tea, where Lady Louis was a ble to meet some of t h e Bri gade officer s and visitor s. Tea fo r members was p rovided by the Exeter b r anch of the S. J .A.A.
PLYMOUTH, S. W . DEVON AND CORNWALL
On May 2 1, accompanied by La d y Astor, M.P ., Lady Mayoress of Plymouth a n d Co u nty P r esident, S .J A.B., Louis Mo u ntbatten (S u pen ntenden t- m Ch ief) visited Plymouth. The firs t was at the Central Ambulance StatIon wher e she was received by County Commissioner Lt.-Col. J. P. Stephens Ward , Mr. Edwin Beckly (chairman) and Mr H . V. Miller (director) of the and D istrict Ambulance SerVIce. The Certificate of Honour awarded to Transport Corporal A. S. Hooper was by Lady Louis. This was gained ?is re scue of a man from a perilous posItIon over 60 ft. from the ground.
The next visit was to the C.D. First Aid Post at or th Hill where Dr. T. Peirson (M.O.H.) conducted the party round the post Greenbank Road Section of the Prince of "'Tales's Hospital came n e lCt and the Matron, Miss Francis, received Lady Louis . At the R.N Hospital Lady L o uis was received by Surgeon R ear Admiral G Twiggs, R.N., Officer-in-Command, and the Matron.
Luncheon was provided at the residence of Lord and Lady Astor. Unfortunately the Lord Mayor was indisposed and the Deputy Lord Mayor, Mr. VV . J. Modley deputised for him.
In the aftern oo n Lady L ouis insp ected the County of Plymouth, S. \V. D e von and E. Cornwall p ersonnel in th e Guildhall Square. Notwithstandin g the fact that Plymouth is a banned a r ea, the parade was a large one. Accompani ed by the County Commissioner, Mr. H edley y Miller (Staff Officer to the Chief Commissioner), the Lady Mayoress , Admiral Sir Ralph L eatham (Commander-in-Chief), Col. Thomps on (Garrison Commander), Surge on Rear Admiral Twiggs and County Lt -Col.
A H. O. Youn g , th e Superintend e ntin-Chief made a close insp ection of all ranks.
Afte r the inspection a short Service was held in the Garden Church of St Andrew which was conducted by the Vicar, the Rev . Clifford A. Martin.
Since her return to town, Lady Louis has sent a letter to the County Commissioner expressing her pleasure at the visit and con gratulatin g all ranks on their efficiency, smartness and keenness. -
COUNTY OF NOTTINGHAM
A one-day course of instruction for wome n officers was held in Nottingham, a t which 140 officers from all parts of the County were present.
County Commissioner Dr. S. J. A. Donald p r esided at the morning sessio n , 132
The principle behind Wright's Coal ·Tar Soap
In Liqu or Carbonis D ete rgens the antiseptic and antipruritic agents in Coal Tar were isolated for the first time from the inert residuum of su bstances lacking tberapeutlC value, an d th e preparatio n has been u sed and recommended by skin specialists for over 80 years. It naturally follo w ed that Liquor Carbonis D etergens was inclu d ed in the basic formula of WrigH's Coal Tar Soap This powerful antiseptic principl e gave the soap a character and value exclusively its own without the slightest risk COAL of harshness to the skin .pcPt:? Wright'sisspeciallysooth- § ing and particularly thorou gh in its cleansing
Confidence • In
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which was opened by County Commissioner Capt. G. B. Armstrong (Lincolnshire), who spoke on the relation of the Brigade to the Order and the Association. District Officer Mrs. Rayner (No. 1 District) followed with Procedure and Discipline, and Some Aspects of District and Divisional Organisation, which included very helpful hints on the completion of forms.
The afternoon session was opened by Dr. Cyril Banks (M.O.H for Nottingham, and President of the Nottingha.m Corps), whose subject was The National Health Service Vlhite Paper. The final lecture was given by Miss V. Cunard, Chief officer Nursing Cadets, who spoke on The Future Development of Cadet Divisions. The Chairman of the County Youth Organisations , Alderman L. V-I A. White, presided at this lecture, and supplemented Miss Cunard's excellent advice with information re garding local facilities available to Cadet Divisions.
Her Grace Winifred Duchess of Portland, County President for Nursing Divisions, attended Miss Cunard's lecture, and spoke inspiringly of her long association with the Order, and her interest in the present and future work of the Brigade.
COUNTY OF WILTSHIRE
SWINDON.-County Commissioner A. R. Towerzey presided at the annual meeting of the Swindon Central Nursing Division, and congratulated the Division upon the work undertaken by the members.
According to the annual report, members have done duty at the local cinemas, and five are doing full-time and three part-time duty at the F.A. posts. Four members are also doing full-time hospital duty, and one part-time. Two members spent a week each in London hospitals. The Skating Rink and Medical Comforts Depot have also been staffed. Assistance has been rendered in connection with the Prisoners of War at the Packing Centre, at cinema collections, fun fairs , and the flag day, and in the Gift shop. Two members have volunteered as guides to the Wounded and have undertaken several trips in this connection.
In addition to the foregoing, other functions have been attended, and lectures and examinations arranged in first aid, home nursing, and child welfare.
COUNTY OF WARWICKSHIRE
CoVENTRY.-The Coventry (Central) Corps has decided to commence the " Quiz" League competitions again. Teams will meet alternately each Tuesday and Thursday, and the winners and runners-up will receive a trophy.
I t has been decided to form a Corps Band. A generous donor has proJDised to 134
defray all expenses. Mrs. March (wife of Corps Supt. March), who is well known in the musical world, having performed with her ladies' band on the wireless, and on the stage as Dorothy Holbrook's Harmony Hussars, has offered to assist and train the band.
COUNTY OF WORCESTER
A meeting was held in Dudley Town Hall when presentations were made to the former Assistant Commissioner (Northern Area), Mr. P. H. Schofield, and to representatives of the Northern and Southern Areas.
County Commissioner Dr. F. L. Newton presided, and was supported by Countess Beauchamp, Asst. Commissioners Chapman (Northern), Dr. Porter (Southern), County Surgeon Campbell, County Supts . Mrs. Lechmere and Miss Orton , County Officers Win bow, Mrs. Porter, Miss E. C. J eakes, and County Secretary Miss H. M. ';Valton.
Miss Orton presented trophies which had been subscribed for by Ambulance and Nursing Divisions as a memorial to the late District Commissioner Dr. Orton. The trophies, a plaque designed by the Birmingham School of Art for the Northern Area, and a cup for the Southern Area, will be competed for annually.
County Commissioner Dr. Newton spoke of the wonderful record of service to the Brigade of the late Dr. Orton during 39 y ears' active association.
The Countess Beauchamp (County President) then presented Mr. P. H. Schofield with a framed scroll, pipe, pouch, tobacco, and cheque for £65, with a list of subscribers. She said that the gifts were concrete proof of the good wishes extended to Mr. Schofield on his retirement after 28 years' service for the Brigade. Dr. Newton and Asst. Commissioner Chapman also expressed appreciation of the work done by Mr. Schofield
DUDLEY.-The annual competition for the "Ollis" Shield, open to Ambulance Divisions of the Dudley and District Corps , was held at Stourbridge, the judges being Dr. Bold, assisted by Supt. Price (team), Dr. Daly (individual), and Corps Officer F. Lightfoot (uniforms). Those present included County Surgeon G. C. Campbell, Asst. Commissioner D. M. Chapman, County Officers A Win bow and Dr. Mrs. Porter, Corps Supt. T. C. Lench, Div. Surgeon Miss Howell, and many other Corps and Divisional officers Thr.ee teams competed, and Corps Supt J. A. Harris announced the result as follows: 1st, Brierley Hill; 2nd, Stourbridge; 3rd, Netherton.
(Ccmtinu6d on page 142)
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GENERAL INTEREST
A resolution of sympathy "yjth the Sir John W. Beynon, Bart., in his illness and best wishes for a speedy recovery was passed by the Council of the Priory at its meeting on May 16. Consequent upon the Sub-Prior's illness it was necessary to appoint an Acting SubPrior; and Council cordially welcomed the appointment of Sir William Cope, Bart., K.C., which had been made with the full concurrence of tile higher Executive Officers.
Further additions to the Priory Library and Museum were reported by the Librarian, Sir Leonard Twiston Davies, who referred to the gift of two volumes from Miss G. Richards and Captain W. J. Canton, Ll.B. The Curator of the National Museum of v\'ales, Sir Cyril Fox, is advising on the display of the various objects of interest, including the two rare medals presented recently to the Priory by Col. Sir Edwin King, A collection of insignia of the various grades of membership of the Order is being added. The Countess of PIY1?o?th kindly presented the insignia of Bailiff Grand Cross and Knight of Justice belonging to the late Earl of Plymouth; and the Priory will welcome gifts of full size and miniature badges if members promoted ,¥ill kindly pass on the badges of the lower grade to complete the set.
The Priory Chapter will be meeting in the Council Chamber at the City Hall Cardiff, on Saturday, June 24, and for first time since 1940 mantles will be worn .this meeting and the subsequent unveiling of the Memorial Tablet to H.R.H. the Duke of Kent at the Church of St. John Baptist, to which Chapter Members will proceed, the Lord Mayor and CorporatlOn of Cardiff associating themselves with the Procession.
The Ser:rice will be held at 3.30 p.m. and the Right Reverend the Lord Bishop of St. Asaph, a Sub-Prelate of the Order and Chaplain of the Priory, will give the address. All subscribers to the Memorial Appeal Fund will be given the opportunity of reserved seats and Divisions of the Brigade responding can send two representatives each.
CENTRE REPORTS
Rhyl, Meliden and Prestatyn attended the County School, Rhyl, on May 9, to hear a talk to Youth Organisations by Lt.-Gen. Sir W. G. S. Dobbie. Two Cadet N.C.O's., who presented Sir William with a momento of the occasion, had the privilege of a handshake, and the County Officer has received the following letter :-
Dear Mr. Higgs, " May 10, 1944.
I am writing to thank you and through you all the others concerned for your kindness in making me that presentation yesterday.
I was greatly touched by the kind thought and deeply appreciate the gift.
It is always a real pleasure to meet our members.
Thanking you, Yours very sincerely, (signed) W. G. S. DOBBIE."
MONMOUTHSHIRE CENTRE. - The Hon. John H. Bruce (Principal Secretary and Commissioner for Wales) accompanied by the Assistant Lady Superintendent for Wales attended a function organised by the Machen Ambulance, ursing and Cadet Divisions at which awards gained in recent examinations ' were presented. Mr. T. Harris, Clerk to the Bedwas Urban District Council, and District President presided; and the guests included also Commissioner Captain S. T. Beard, Ruperra Corps Officers and representatives of all the Units in the Corps. The Brigade membership in Machen numbers 76, including 21 men, 21 women, 14 Ambulance Cadets and 20 Nursing Cadets.
CARDIFF CENTRE.-The first member of the Brigade in Wales selected by Brigade Headquarters for duty with an Overseas Relief Unit came from one of the Cardiff Nursing Divisions; and from another Cardiff Nursing Division a member, Miss M. J. M. Benson, has volunteered for the V.A.D. Unit for service in India.
Cardiff members are making a big conto the work of the Hospital Libranes under Glamorgan Joint County Committee, Red Cross and St. John Organisation. Lady Corps Cadet Officer Mrs. Rees has undertaken charge of a Book Repair and Binding Depot to be opened in Cardiff in rent free premises kindly placed at the disposal of the ComFLINTSHIRE CENTRE.-A strong muster mittee by Mr. A. Hauser, a member of of Ambulance and NurSing Cadets from the Cardiff Centre Committee.
l\eme mbr ance
for GARDEN, CHURCHYARD or CEMETERY, provide a fitting and , lasting tribute to the Memory of dear ones departed.
Processed to the designs of eminent artists from actual historic stone from the HOUSES OF PARLIAMENT (damaged by Enemy Action, 1941). and sold to benefit the RED CROSS AND ST. JOHN FUND-owners of the material.
Certificate of Authe nt icity signed by Sir Vincent Baddeley, K.C.B. on behalf Red Cross. given with every piece.
Illustration shows design with Cross inset cut to take growing plants or flowers-prices from £5 5s. -others in our list.
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INTERESTING CASE REPORTS
CASE REpORT No. 252.-The Officer-inCharge of No. 1 (Prince of Wales's) District S. ] .A.B., r eports the efficient p erfo r mance of first aid by a member of the Hayes and Harlington Division in the following circumstances :-
At 1 1 a.m. on October 19, an explosion occurred in a Filling Factory. Pte.]. T. Charman is employed there and at once went to the accident, being joined by a colleague, Mr. Smedmore, who has only recently commenced his first aid training.
The patient was found in the open six feet from the doorway of the building in which the explosion has occurred a n d had been covered by a blanket. The doctor and ambulance had already been summoned. The patient was unconscious and lying on his right side with a fracture of the leg (the foot of which was twisted so that the sole was flat on the ground) and also with a large wound in the region of the right kneecap (part of which was missing). In addition there were bruises and su perficial wounds on head and hand, the skin being pitted where particles of powder had entered.
Pte. Charman decided that splinting was inadvisable; and while his colleague steadied the injured limb, he arranged for the patient to be placed on a stretcher, the injured right limb being supported and immobilised on a wooden frame which was suitably padded to keep the limb in the position as found. At this point the doctor arrived and ordered the r emoval of the patient to the Ambu lance Room for further attention owing to the inclement weather.
There Pte. Charman assisted the doctor in making a complete examination This disclosed a lar ge and deep wound in the region of the right brachial vessels and a punctured wound of the abdomen both of which were promptly dressed. Patient was now semi-conscious, though he had lost a lot of blood. So the doctor administered morphia and ordered his immediate
r e m ov a l b y the ambulance to hospit a l wher e he subsequen t ly made a go od r ecover y.
COMMENT.- T his report relates the oftto ld story of good work efficiently rendered by members of the Brigade. Pte. J. T. Charman and hi s colleague, therefore, merit cordial congratulations on the success which on this occasion attended their efforts . - N. C. F .
CASE REpORT No 253.-The Officerin-Charge of No. 1 (Prince of Wales's) District, S.] .A B., reports the efficient performance of first aid by a member of the Roehampton and Putney Nursing Division in the following circumstances:
On February 22 there was an accident in Putney High Street. Amb Sister M. ]. Basden arrived at the scene of the emergency at 8.30 a.m. and found the patient, an Army Despatch Rider, lyin g on the pavement semi-conscious and bleeding profusely from wounds in the neck. She was informed by o nloo kers that he had fallen from his motor-cycle and had been moved by them from th e roadway t o the pavement.
She at once sent a bystander to telephone for an ambulance and th en proceeded to make an examination as a result of which she found some severe gashes at the side of the neck. As there was no arterial bleedin g , she made a pad out of some clean handkerchiefs which she h eld firmly a gainst the wounds pendin g the arrival of the ambulance and so preve nted further loss of blood. Meanwhile she instructed bystanders to cover patient warmly with coats whilst she reassured him on his partial return to consciousnes s The ambulance attendants in due course dressed the wounds and removed patient to hospital which they reache d at 9 a.m. and where he quickly r ecovered COMMENT.-Th e fa ct s being a s stated, it only remains to congratulate cordi ally A mb.
Sister M J. Basden on her effic i en t action which protected patient from further aggravation on his condition.-N.C.F.
QUESTIONS AND AN SWERS
Placing of Slings
A K. (Camberwell).-Will yo u please inform us where the slings of the stretcher should be placed when loading ambu lance?
On page 215 of the Textbook (par 13) it states ' that slings should be placed on the handles (as in Order 5). We have heard, however, of one medical examiner who has stated that, when loading an ambulance, the slings be p laced a longside the patient. This he con tends is in keeping with the instruction on page 226 that slings should be kept w ith their stretcher.
We shall be pleased to learn your views. It is immaterial wh ether the slings are placed across the handles of th e stretcher or the 'patient. On the contrary, it most to ensure that th e slings should not s12p off the stretcher during transport.
Further, C.D. stretchers are peculiar in that they . have no slings . If, however, these are by the local authority they wi ll be taken away by the Bearers and not sen t to hospital with the stretcher.-N.C.F
Remov a l of Cru shed Patient B C. (Felixstowe).-I look forwa r d to 138
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Comprising Anatomy , Physiology, Haemorrl1a&e. Dislocations and Fractures. Mounted on Linen with roller. 271 6 net. Postage 7d. JOHN WRIGHT & SONS, LTD 28
my ST. JOHN GAZETTE every month for your answers to queries. Now I have one. r am constantly giving lectures on first aid and a lso staging incidents for the Rescue Service to which I am attached.
Last year we d u g a shaft and tunnel under a heap o f b r icks; and I wanted to·see how the Squad went about treating a casualty and getting him out.
I faked a patient suffering from severe crushing across upper part of thighs, and from a large wound on the left forearm; and I placed him lying feet towards shaft. The Squad in my opinion did their work well in treating the injuries and immobilising both limbs. In getting the patient out of the tunnel a portion of the shaft had to be cut away to allow stretcher, on which the patient was roped, to come out head first.
A discussion arose and I gave my views; that the Leader was correct in what he did because the casualty was treated and got out within half-an-hour. But some differed in opinion and said that the patient could have been got out in half the time if they had hauled him out feet first. I disagreed, taking into accou n t the fact that (1) the casual ty was suffering from sever e shock owing to the crushing and (2) that doing this would cause compression in the brain. In other words the Rescue Party would have wasted more time when patient was got out; and they w o uld have to treat him for insensibility as well
Am I co rrect, please? Your ru ling on the subject would be greatly appreciated .
The correct treatment in this case after immobilising the limbs and applying a dressing to the wound was to raise the patient sufficiently to pass the stretcher beneath him and then to remove the stretcher feet foremost into the open.
On the facts as stated by you, there are no grounds for the suggestion that compression of the brain would ensue either from the treatment administered or the method of removal .-N .C .F.
n ot avai lable "in a ll cases a fractured lower limb should b e bandaged to its fe ll ow." (p. 6 7) . Wou ld not these statements iustify the use of the sound leg as an inner splint, as being more in keeping with the spirit of the general instructions fo r immobilisation of fractures than a strict adherence to the letter of the inference from pp. 9 1 and 92-namely, that in the absence of an inner splint the bandages A. B. and C. are still passed round one kgocly?
.
In the teaching of methods of treatment is possible to be too dogmatic. Consequently, bearing in mind that the main object in the treatme11,t of fractures is to prevent aggravation of injury, I ag1'ee that the use of the sound limb as a splint might be justified on occasions.-N .C.F.
:ij,ractures of Both Tibia e
E J. ( ew Quay). - At a recent exercise I labelled the patient as follows:-
" A N.F.S. trailer ran over both legs of this patient, and caused a compound fracture of the left tibia and a simple f r acture of the right tibia."
I said that I would treat the wound first, then splint the simple fracture of tibia and finally tie the limb with the compound fracture of tibia to its fellow with the simple fracture, omitting the triangu lar bandage to ankles and feet.
Our doctor, however , disagreed and said that I should have splinted the compound fracture first and then the simple fracture; and that, this done, I should have tied the two legs together.
Again your kind ruling will oblige.
In this case I agree entirely with the ruling given by your own doctor. Further, I have often stated in this column that, where possible, two or more injuries should be treated separately. By so doing first aiders will facilitate the wo rk of the doctor who later takes charge of their patient and who can thereby examine and treat each injury while leaving the other (or others) for subsequent examination and treatment.-N.C.F.
Fluids fo r C r ush e d Pa ti en t s T r e atment of Fractured Leg A. G. (Kibworth) .-In the treatment W. W. (Windsor).-I was much inter es- of crushed patients A.R.P. Handbook No. ted by your rep ly to the que r y which was 10 tells us to give by the mouth fluids published in the April issue of THE which contain bicarbonate of soda if GAZETTE; and I entirely follow you r very available. We shall be gratefu l if you clear inference from pp. 9 1 and 92 of the will please tell Ui' what happens in these Textbook that" the absence of the inne r cases and how the suggested treatment splint does not alter the usual method 9f alleviates the condition. applying bandages." To give the full effects of crush injuries I should, however, be grateful to know and the reasons for the suggested treatment your opinion of the statements (1) that would occupy more space than is here a1,lailthe fractured limb must be " r endered as able. Briefly then the administration of immovable as practicable by sp lints or fluids (containing alkalies if availab le) other means of r est r a int" (p. 6 6 ), (2) counteracts certain acid poisons found within that b e :: on the the system consequent upon necrosis of the outer and mner slde of the 11 mb (p. 91) crushed tissues and their i ll -effects on t he and (3) that when the r eq u ired splints are kidneys.-N.C.F. 140
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BRIGADE REPORTS-contd. jroni p 134
Dr. Campbell presented the trophy and also the" John and Margaret Campbell " Cup for the Brierley Hill Nursing Division, the only team to enter for the Nursing competitions.
EAST
RIDING OF YORKSHIRE HUMBERSIDE CORPs.-The annual general meeting of the Blackburn Aircraft No. 1 Ambulance Division was held at the company's works, and was attended by Asst. Commissioner G. Edwards, County Secretary A. R. Lidgley, Corps Supt. H. Rankine, Corps Officers W. J. Mowforth and E. vv. Shoebridge, and Div. Surgeon N. Howard Mummery.
Supt. "\Voolner presented the report, which showed a personnel of 40, all of whom are, in addition to their Brigade activities, doing voluntary work with the Defence organisations. Over 3,000 hours of duties had been performed .
Dr. Mummery complimented the Division on its progress, and expressed his pleasure at bein g associated with it since its inception in March, 1943.
Corps Supt. Rankine announced that, owing to pressure of work and ill health, Supt. "\iVoolner had been compelled to tender his resignation, which had been
FirstAid InWar
SERVING BROTHER ORDER ST JOHN. LATE REGIONAL FIRST AID INSTRUCTOR No. 12 REGION.
Foreword by Col. E. L. SANDILAND R A.M.C.T.(Rtd.) , ASST. MEDICAL OFFICER, KENT COUNTY COUNCIL.
FIRST ISSUE SOLD OUT REPRINTED. ORDER NOW FROM THE AUTHOR 14, York Road, TUNBRIDGE WELLS
Price 1/4 lots 1/3
POSTAGE PAID
reluctantly accepted. Tributes were paid to his fine service during the first year of the Division, and to his loyalty and reliability. Asst. Commissioner Edwards presented to Amb. Officer J. his warrant of appointment as supenntendent and assured him of the loyal coof all present.
NORTHERN IRELAND DISTRICT
On May 6 an open-air demonstrati?n of first aid treatment to a street accIdent casualty was given in Belfast by members of the Windsor Ambulance and West Belfast Nursing Divisions. The demonstration was in connection with the local " Salute the Soldier "\iVee k," and a running commentary over the loud-speaker system was given by Acting Commissioner W. M. Brennen, F.R.C.S., to the large crowd assembled.
During the course of the demonstration a series of genuine accidents took place, no fewer than 10 persons receiving injuries, including severe lac eratio n of face, wound in the right thigh, shock, and bruises.
The demonstrators left the platform to give aid to the casualties, and Mr. Brennen switched from the theoretical to the practical side of first aid, giving a commentary on the treatment given.
CLASSIFIED ADVERTISEMENTS
A.dvertisements with remittance should be sent to tM 5t. John A.mbulance Gazette, 46/47 Chancery Lane, London, (to which address replies to Box numbers should bl forwarded). Rate 3d. per word, minimum 4/6. Box numbe" 11- ,xtra.
BLACK SERGE UNIFORM, moderate size, as new, for sale. No coupons, first-class quality, only worn twice. Offers.-Writc Box 4037, clo J E. MAY, LTD., Advt. Agents, 14, New Bridge Street, London, E.C.4.
WANTEO.-Three small Nursing Cadets' Indoor BuCkS.Uniforms.-AYLOTT, Crendon, Beaconsfield,
WANTEO.-Officers' Costumes, bust 34-36 in., and 44 in ; Officers' and Members' Coats, Dress es, Aprons, Collars, Cuffs, Belts.-CORDEN, 27, Derby Road, Stapleford, Nottingham.
WANTEO.-Officer's Striped Dress and GreatCoat. State size; Ambulance Sisters' Dresses. No Woodland View, Congresbury,
FOR SALE.-Lady Corps Officer'S Topcoat, Dresses , Badges, Costume, Blouses, Stars, etc. Bust 40 in Well tailored, excellent condition. Deposit for approval.-llI, c/o PUBLISHERS.
WANTEO.-St. John Nursing Cadet Great Coats, Dresses and Lawn Caps, all sizes. No coup:ms. -MISS PEARCE, 44, Kingsgate Road, Winchester.
WANTEO.-Lady Officer's Costume in good condition, 34 bust. No coupons.-Mrss RAFTERY, Hill Lane, Golden Common, Winchester. FOR Uniform, perfect conclltion Bust 32-34 ms. Rmg, after 7 p.m., Fin. 0897.
COMi»ETlTIONS are won by good coaching. First Aider (either sex) may . coach any ambitioul team-male, female or mixedto. early Competition experience not essential With ne", Gwde.-For particulars !lend stamped envelope to R. JXFFERY, 5, Avenue Gardens, London, WJI.
142
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PUBLICATIONS YOU MUST HAVE FIRST-AID COMPETITION · TRAIN ING by Div. Supt. J. G. Ho ton
Based on actual experience ; other book sets out competition procedure in such a helpful manner.
Handy Quick-Reference Chart TREATMENT AND REMEDIES FOR POISONING. Compiled by Supt, Hawkins Shows at a glance treatment for 30 different types of poisons.
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AIDS TO HOME-NURSING Home-Nursln, Simplified and Tabulated with Aids to Memory. Price 1/- (Post ltd.)
COMMON ERRORS IN FIRST-AID
Errors In First-Aid Detailed and Explained. Price 1/1 (Post ld.)
AMBULANCe COMPETITION TESTS 6 folders. Price 6d. each (Post 2d.)
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Uniform,to selfmeasures from N.O.A. Write for details to
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Carlyle Chambers, Stockport London _ Abbey Hou.e. Westmlnste.... S.W.I Uvarpool _. 57, Renshaw Street Manche.tar 36, Kin, Street Blrmln,ham • •• 3, Ryder Street Nawc.utla-on.Tyne 16, Northumberland St. Southampton • 9, Brunlwlck Place Glallow • III. Union Street
Buttons and Badges PrIce LIsts on applicatIon For all suppllll writ. : ! The Universal Button Co., Ltd. Surat St., Bethnal Green, E.2 1'''-': A.avtMtU TM': BIkJ,lMt4Mf
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ensures correct design, high grade materials selected for smartness and hard wear.
To Uniforms for Officers and Ambulance Sisters a Coupon Equivalent Permit, obtainable from H."Q., must be sent with your 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 order for H.Q. to supply us with badges and buttons be sent with every order. Women's Sizes 99/6 O.S £5.5.0
STOCK SIZES-Women's :
Bust : 32, 32, 33, 34, 35, 36, 36, 36, 37.
Lgth. : 44, 46, 44, "6, 45, "", "6, 48, "7.
Bust : 38, 38, 39, <40, <40, 40
Lgth. : 46, 48, 48, "", 46, 48
O.S. 42, 42, "2, "2 X.O.S. 44, 46 44,46,48,48 48,48
S.J.A. REGULATION HAT for Officers, Wool Felt, 19/11, Ambulance Sisters, Felt, 16/11. Badges are only obtainable from H.Q. Sizes: 61, 61, 61, 6 , 7, 7t, 7l,71. Storm Cap 17/11.
REG U LATI 0 N 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 flannel. "6/6.
PERMIT FOR BUTTONS MUST ACCOMPANY ORDERS FOR DRESSES AND COATS
REGULATION COSTUME for Officers & Ambulance Sisters. Made In X9 Serge, Stock sizes Wm's a 17 6. O.S.
£8 126 Madetomeasure,Wm's£9 15 O.
O S. £10 10 O Made in fine Serge, stock sizes, women's £6 18 6, O.S. £7 15 O. Made to measure Wm's £810 6,O.S. £9 5 O. Stock s izes-Bust 33, 34, 35, 36 37, 38, 39, 40 ins.
Prices of Officers' Uniforms and other items not mentioned in this advertisement sent on request.
REGULATION BLOUSES for Officers and Ambulance Sisters. Made In Ivory Tricoline 21/9 (" coupons), extra collar 3/3 (I coupon). Sizes 131, I", I"t Ins. O.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.
