Excerpt from Surgical and Gyn?cological Nursing
In preparing the second edition of this book the original arrangement has been adhered to. The introduction of new matter has been balanced by an equal condensation and elision, so that the size of the book has not been increased. Many minor changes have been introduced to make the teaching conform to a later view or to correct some points which we believed were open to just criticism. The chapter on fractures has been rewitten and other chapters have been revised in part. The surgical lessons of the war have naturally had a dominating influence over the revision, but only those subjects are presented which it is thought will be found of value in civilian nursing.
The most important addition is believed to be the chapter on the Carrel-Dakin treatment of infected wounds. To a surgeon who has been accustomed to the smooth working of a Carrel-Dakin unit in a well organized Base Hospital, one of the most annoying difficulties encountered in using the method in civil practice is the lack of a trained nursing team; while to a surgeon who has not had the advantage of that experience the handicap is even greater, for books on the subject, written for the surgeon, do not give in detail that part of the exacting technic, which falls to the nurse. Nevertheless the obligation to employ the treatment in severe septic conditions (excluding those in the peritoneum), is imperative, since by its means, a fulminating infection, presenting the gravest prognosis under any of the older methods, can be brought back to the safety line within forty-eight hours, and, in other cases, the duration of morbidity and hospitalization can be shortened by weeks or months. It therefore appears that a detailed description of the technic from the nurse"s standpoint fills a definite need.
Our thanks are due to Dr. John W. Thomson and Dr. Sewell N. Pilchard for valuable assistance in the preparation of this chapter, and to" Dr. R. Y. Sullivan and Dr. L. A. Martel for criticisms and suggestions.
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