finished as a circular of the head, thus making the fourth course. Course 5 is to be executed the same as course 3, remembering to overlap in its course, to the distance of one-half or threequarters of its width, the preceding turn. Course 6 is executed the same as course 4, remembering the overlapping. Finally, when you come near the terminal end of your bandage, confine by one or two circular turns about the forehead and occiput, following courses 1 and 2.

USES.-This is a very pretty and firm monocular bandage when evenly applied yet it is one that needs some watching lest some of the courses overslip each other, especially if put on a patient that is not very quiet.

PERFORATED T OF THE HEAD AND EAR.

DESCRIPTION.-The first piece should be three yards long by two inches wide, and to this, perpendicular to its plane, there should be stitched, at eighteen inches from one of its ends, a bandage having the same length and width, save at the extremity attached to the first piece; here it should be semi-oval, with a width two or three times that of the plane of the bandage; this oval part should be perforated by a longitudinal slit of sufficient size as to "take in " the ear.

APPLICATION.-Pass the ear of the diseased side (suppose it to be the right) through the second portion of the bandage, в, bring

ing the bandage closely and snugly up to the head. Carry the shorter end of the horizontal portion of the bandage smoothly around the occiput and forehead, and confine a single horizontal circular turn, 2. Carry, now, the perpendicular portion of the bandage, B, down under the chin, up over the opposite ear to the top of the head

and down to the starting point, thus finishing the first turn of the perpendicular portion of the bandage. Exhaust the remaining portion of the bandage, B, by similar perpendicular turns about the head, and at last confine the end by a pin, to the horizontal turn, 2. This done, exhaust the remaining portion of the roller, A, by horizontal turns about the head, confining as usual.

USES.-This bandage is found very useful in maintaining blisters to the mastoid process, or dressings thereto, as is frequently needed in diseases of the ears. It is equally useful in confining dressings upon the ears, temporal, parotid, and tonsillar regions.

FIGURE OF 8 OF THE NECK AND AXILLA.-(SPICA OF THE
SHOULDER.)

DESCRIPTION.-This bandage should be made from a roller,

six yards in length by two inches in width.

APPLICATION. - Place the initial end of the bandage at the

the anterior surface of the shoulder, from under the axilla, to the back of the neck. Course 5 is made the same as course 3; course 6 as course 4; course 7 as course 5; course 8 as course 6, and so on. At last exhaust the bandage by a single horizontal turn about the neck, and confine as usual.

USES.-To confine dressings to the clavicular, sub-clavicular, and axillary regions; and, also, upon the shoulder.

FIG. 4.

DOUBLE T OF THE BACK OF THE HAND AND WRIST. DESCRIPTION.-The main bandage, A, should be some twentyeight inches in length by one inch in width. At a distance of three inches from the initial end, stitch, at right angles, another bandage, B, twenty inches long, by three-quarters of an inch wide; at a point two inches from this, stitch, at right angles to the plane of the main bandage, and parallel to B, another bandage,

c, of the same dimensions.

FIG. 5.

Con

APPLICATION.-Place the initial end of the bandage, A, upon the back of the wrist, so that the first perpendicular portion of the bandage, B, will correspond to the first interosseous space, and the portion c, with the fourth interosseous space. fine the initial end by a single circular turn, 2, about the wrist. Carry the portion в down the first interosseous space, around over the palmar surface of the first joint of the index finger, and then back, over the second interosseous space, to the wrist; this done, make another circular turn about the wrist with the main bandage, as turn 3, running over the recurrent portion of B at the wrist. Continue these circular turns of A until the bandage is exhausted, when confine with a pin. Conduct, now, the other perpendicu lar portion, c, down the fourth interosseous space, across the palmar surface of the metacarpo-phalangeal articulation of the ring finger, back, over the third interosseous space, to the wrist, here tying with the end of the first portion, в, as at D, after the requisite amount of extension of the palmar tissues, or fingers, has been obtained.

USES.-In cases of burns of the palm of the hand, or extensive suppurations, where vicious cicatricial contractions are to

be feared. In cases of injuries of the finger-clefts, from burns or otherwise; here using compresses, soaked in carbolized oil, to prevent the union of the sides of the fingers from "angular" granulation. Also for confining dressings to the back of the hand.

VARIETY.-Single T of the Back of the Hand and Wrist.-In this case but one perpendicular portion of the bandage is used, as B, or c; it being applied between any finger clefts desired, and in a manner similar to the above.

The uses are similar to the Double T just described, only are more limited.

POSTERIOR DOUBLE FIGURE OF 8 OF THE ELBOW AND THE OPPOSITE AXILLA.

DESCRIPTION. This bandage should be a cravat two yards in length by eight or ten inches in width. It can be made out of a small shawl, if necessary.

APPLICATION.-Standing in front of your patient, and holding

FIG. 6.

the bandage with its cen

Posterior Double Figure of 8 of the Elbow and the Opposite Axiila,

tre across the palm of the hand, place the centre of the cravat over the

elbow, A, of the injured. member, both ends hanging down toward the floor. Seize the innermost extremity and carry it a, across the inside of the arm, under the diseased axilla, up in front of the same axilla obliquely down across the

and over the same shoulder, and then back, B, to the opposite axilla, where you surround the shoulder with the same extremity of the cravat, at last entrusting it to the care of an assistant. Carry the other extremity of the cravat forward across the bend of the elbow, and over the other end of the bandage, then backward, under the diseased axilla, as c, and then finally upward to the opposite shoulder, there confining by

tying, after the arm has been sufficiently extended backward. You will then need a "sling," for the horizontal support of the forearm and hand, which can be pinned to the cravat as it crosses the shoulder, or about the neck.

USES.-This bandage was designed by Dr. E. M. Moore to take the place of the numerous dressings for fractured clavicle. It dispenses with the "axillary pad," and the more complicated system of Fox and Desault, and seems, from certain anatomical reasons, to be superior to them for maintaining a coaptation of the clavicular extremities. It certainly has the argument of simplicity in its favor.

FIGURE OF 8 OF THE FOOT AND ANKLE.

DESCRIPTION.-This should be a roller two and a half yards in length by one and three-quarter inches in width.

APPLICATION.-Place the initial end, 1, at the front of the

FIG. 7.

leg, a few fingers' breadth above the
ankle, and confine it by the horizontal
circular turn, 2.
Continue on in the

same course till you come to the inner malleolus again, supposing it to be the left foot that you are dressing, when you descend obliquely across the dorsum of the foot to the fifth metatarsus, thus completing course 3. Make, then, a circular turn about the metatarsal bones (course 4), coming obliquely across the dorsum of the foot, from within outwards, to the outer malleolus, thus completing course 5. Course 6 is made similarly to course 3, course 7 to course 5, and so on. At last exhaust the bandage by circular turns about the lower portion of the leg, and confine in the ordinary way.

USES. For confining dressings either to the dorsum of the foot, or to the surface contiguous to the malleoli. Also for com