Camping and woodcraft - Scoutmastercg.com

ACCIDENTS AND EMERGENCIES 457When there Is only a bone out of joint, It may bereplaced by pulling strongly upon the hand.Elbow.—Leave this dislocation tor a surgeon,if practicable. Otherwise, have the patient sit ona chair or log, and plant your foot against it. Placeyour knee against the front of his upper arm justabove the bend of the elbow. Then, grasping thebone of the upper arm with your right hand, andthe wrist with your left, forcibly bend the forearm,using your knee as a fulcrum. If the dislocationIs forward, however, pull upon the forearmwhile the upper arm Is fixed. Your thumb canassist In pressing the head of the bone in the desireddirection. Put the arm in a sling (handhigher than elbow) and bandage it in place toprevent movement.Shoulder.—About one-half of all cases of dislocationare of the shoulder joint. Have the manlie down flat on his back, and seat yourself by hisside, facing him. Remove your shoe, put your footin his arm-pit, grasp the dislocated arm In bothhands, push outward and upward with the heel,and at the same time pull the w^rlst downward andoutward, then suddenly bring It against the patient'ship. When a snap Is heard or felt, the jointis In place. Bandage the upper arm to the side,with a thick pad under the arm-pit, forearm carriedacross chest, and hand on opposite shoulder.Lower Jaw.—This dislocation must be reducedImmediately. It looks serious, and alarms the patient,but in realitv Is very simple to reduce. Wrapboth of your thumbs In several thicknesses of cloth,to protect them. Place them upon the patient'slower back teeth, and press forcibly downward andbackward, while the fingers force the chin upward.As soon as the jaw starts Into place, slip yourthumbs off the teeth Into the cheeks, to avoid beingseverely bitten. Put a jaw bandage on the patient.Hip.—To reduce this dislocation Is a job fornobody but a good surgeon.