File:Interstate medical journal (1917) (14781375344).jpg

Identifier: interstatemedica2419unse (find matches)
Title: Interstate medical journal
Year: 1917 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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cine.. This syringe can be used equally well for thoraco-centesis or as an ordinary hypodermic syringe. PIRQUET SCARIFIER.In the majority of cases there is no need of doing an intracuta-neous test for the purpose of determining whether a child has a Levinso?i: A Pediatric Outfit 563 tuberculous infection. A cutaneous test will usually do. For thistest the Pirquet scarifier is of great assistance. This instrumentconsists of a platinum stylet and a rather heavy handle. Thelonger the handle the easier to scarify and the better. Of course,when no Pirquet is to be had, an ordinary needle will do, althoughthe reaction is not as defined as when done according to the Pirquetmethod. The Pirquet scarifier has been used and is being used by somephysicians for smallpox vaccination. The result is much neaterthan when the operation is done with a needle. INTUBATION OUTFIT.Antitoxin excepted, intubation has saved more thousands of babieslives from the scourge of diphtheria than any other means. Even
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Fig. 6.—ODwyer intubation set. a, mouth-gag; b, obturators; c, hard rubbertubes; </, introducer; e, extubator. to this day when antitoxin is so commonly made use of, intubationsteps in every once in a while as a life-saving measure. A physi-cian who expects to practise pediatrics should have an intubation setwith him for emergency work. There are two popular outfits on themarket: The ODwyer (Fig. 6) and the Ferroud (Fig. 7). TheODwyer consists of hard rubber tubes lined with metal sheeting,an obturator for each tube, and a separate introducer and extractor.The Ferroud instrument consists of metal tubes with one instru-ment to be used both for intubation and extubation. Both setshave a mouth gag that is used for keeping the childs mouth openduring the operation. Either type of instrument can be used to 564 INTERSTATE MEDICAL JOURNAL good advantage. The hard rubber tubes, it is true, are less liableto produce ulceratiorrof the larynx than the metal ones. However,after being subject

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