Activity 1: Aseptics, Anaesthetics, X Ray & Blood Henry Gray Development of Aseptic surgery in the FWW By October 1914, Gray realised the importance of removing all devitalised and contaminated tissues from wounds. In 1915, the technique of...
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Activity 1: Aseptics, Anaesthetics, X Ray & Blood Henry Gray Development of Aseptic surgery in the FWW By October 1914, Gray realised the importance of removing all devitalised and contaminated tissues from wounds. In 1915, the technique of wound excision became firmly established. The anaerobic conditions predisposing to gas gangrene were thereby eliminated. Sometimes wounds looked innocuous and there was a temptation to transfer patients with such wounds to base hospitals for surgery. This was a mistake, because tissue contamination was always worse than first appearances sometimes suggested. The field dressing and splint were removed under general anaesthesia in an operating theatre in the CCS. Entrance and exit wounds were extended widely. There was invariably a huge amount of dead muscle which was excised until only healthy bleeding muscle remained. Bone ends were cleansed of filth, and loose fragments of bone with no soft tissue attachments were removed.
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