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. 2000 Feb 5;320(7231):383.

Not such distant mirrors

Warm tap water by the bucketful may be useful in flushing body cavities and wounds

J W Dickson 1
PMCID: PMC1127161  PMID: 10657351

Editor—An excerpt from One hundred years ago describes the flushing of the peritoneum introduced by Lawson Tait as being “greatly to the patient's advantage.”1

In the closing years of the first world war my mother was ward and theatre sister to the celebrated gynaecologist Russell Howard at the London Hospital. She used to tell me how he would empty a bucketful of warm tap water into the abdomen at the end of an operation before sewing up, pelvic peritonitis being then prevalent in Whitechapel.

I found this an excellent way of cleaning up nasty compound fractures before routine debridement.

References

BMJ. 2000 Feb 5;320(7231):383.

Coffee enemas may be effective shock treatment

James C Watts 1

Editor—The treatment of shock is described in an excerpt from One hundred years ago.1-1 I think that it is worth mentioning that by 1934 the treatment of shock had advanced sufficiently to suggest other methods of management. I have a textbook of the time which states: “Weak hot tea, or coffee, may be given if he [the patient] can swallow, otherwise about a pint of warm coffee can be injected into the rectum, provided this is done with the minimum of disturbance.”1-2

References

  • 1-1.One hundred years ago: Treatment of shock. BMJ. 1999;319:1193. . (30 October.) [Google Scholar]
  • 1-2.A General Practitioner. The illustrated family doctor. Dunstable: Waterlow and Sons; 1934. [Google Scholar]

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