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Updated: May 17, 2025
The Government under these circumstances would pay the expenses of a wife or mother to come over and say the last good-bye. After the message went, it seemed that our friend could not last till their arrival, and the colonel decided as a last chance to try intra-venous injections of Eusol, the powerful antiseptic in use at that time in all the hospitals.
All bruised tissue in which gross dirt has become engrained should be cut away with knife or scissors. The raw surface is then cleansed with eusol, washed with sterilised salt solution followed by methylated spirit, and rubbed all over with "bipp" paste.
The occurrence of even slight hæmorrhages from a septic wound in the vicinity of a large blood vessel is to be taken seriously; it is usually necessary to open up the wound, clear out the clots and infected tissues with a sharp spoon, disinfect the walls of the cavity with eusol or hydrogen peroxide, and pack it carefully but not too tightly with gauze impregnated with some antiseptic, such as "bipp," so that, if the bleeding does not recur, it may be left undisturbed for several days.
On entering the ward the next morning the nurse told me with a smiling face, "B. is ever so much better. I think that he will pull through all right." "Then the Eusol injection has done good, I suppose?" "His wife and mother came last night and sat up with him" and I saw a twinkle in the corner of her eye. Eusol injections are now considered inert.
Over this three or four thicknesses of sterilised gauze, wrung out of eusol, creolin, or sterilised water, are applied, and covered by a pad of absorbent wool. As far as possible the part should be kept at rest, and the position should be adjusted so as to favour the circulation in the affected area.
If necessary, the wound should be purified by washing with saline solution or eusol, and the surrounding skin painted with iodine, after which the edges are approximated by sutures. The raw surfaces must be brought into accurate apposition, care being taken that no inversion of the cutaneous surface takes place.
The dressing is changed as often as necessary, and in the intervals when the band is off, gentle active and passive movements should be carried out to prevent the formation of adhesions. After incisions have been made, we have found the immersion of the limb, for a few hours at a time, in a water-bath containing warm boracic lotion or eusol a useful adjuvant to the passive hyperæmia.
Continuous irrigation of the part by a slow, steady stream of lotion, at the body temperature, such as eusol, or Dakin's solution, or boracic acid, or frequent washing with peroxide of hydrogen, has been found of value.
The first indication is the immediate and complete removal of the infected material. The wound must be freely opened, all blood-clot, discharge, or necrosed tissue removed, and the area disinfected by washing with sterilised salt solution, peroxide of hydrogen, or eusol. Stronger lotions are to be avoided as being likely to depress the tissues, and so interfere with protective phagocytosis.
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