18.Thefollowingshouldbethestateofmattersonthefirstapplicationofthebandage.Thepersontowhomithasbeenappliedshouldsaythathefeelsthecompressionparticularlyattheseatoftheinjury，butverylittleattheextremities;thepartsshouldbeadjustedbutnotpressedtogether，andthatratherbythenumberofthebandagesthanbytheforceoftheconstriction;andthetightnessshouldratherbeontheincreaseduringthefirstdayandnight;butonthenextitshouldbeless，andonthethirdthebandagesshouldbeloose.Onthenextdayasoftswellingshouldbeobservedintheextremities;andonthethirdday，whenthebandagingisloosed，theswellingshouldbefounddiminishedinsize，andthisshouldbethecaseeverytimethebandagesareremoved.
Atthesecondapplicationofthebandage，itshouldbeascertainedwhetherthedressinghasbeenproperlydone，andthengreatercompressionshouldbemade，andwithmorebandages;andonthethird，stillgreater，andstillmore.Ontheseventhdayfromthefirstdressing，whenthebandagesareloosed，thelimbshouldbefoundslenderandthebonesmobile.Wemustthenhaverecoursetothesplints，providedthelimbbefreeofswelling，pruritus，andulceration，andallowthemtoremainuntiltwentydaysaftertheaccident;butifanysuspicionsarise，thebandagesmustbeloosedintheinterval.Thesplintsshouldbetightenedeverythirdday.
19.Thesuspendingofafracturedlimbinasling，thedispositionofit，andthebandaging，allhavefortheirobjecttopreserveitinposition.Theprincipalconsiderationswithregardtothepositionarethehabitsandthepeculiarnatureofeachofthelimbs：thevarietiesareshowninrunning，walking，standing，lying，action，repose.
20.Itshouldbekeptinmindthatexercisestrengthens，andinactivitywastes.
21.Compressionshouldbeproducedbythenumberofbandages，ratherthanbytheforceoftheconstriction.
22.Incasesofecchymosis，contusions，sprains，orswellingsnotattendedwithinflammations，bloodistobeexpelledfromthewound，ingreatestquantitytotheupperpart，andinsmallesttotheinferior;neitherthearmnorthelegshouldbeplacedinadecliningposition：theheadofthebandageshouldbeplacedonthewound，andtherethegreatestpressureshouldbemade;theleastattheextremities，andintermediatelyinthemiddle;thelastfoldofthebandageshouldbeattheupperpartofthebody.Astobindingandcompression，theseobjectsaretobeattainedratherbythenumberofthebandagesthantheforceoftheconstriction;andmoreover，inthesecasesthebandagesshouldbethin，light，soft，clean，broad，sound，sothattheymayeffecttheirpurpose，evenwithoutsplints.
Andwemustuseaffusions.
23.Dislocations，sprains，diastasesofbones，violentseparation，abruptionoftheextremitiesofbones，anddistrainings，soastoinducevarusorvalgus，inthesecaseswemustapplythebandagessoasnottocompressthepartwhencethedisplacementtookplace，andthatwemayrenderthemtightatthesidetowhichthedisplacementwas，andgivethelimbaninclinationintheoppositedirection，andthatinanexcessivedegree.Weemploybandages，compresses，suspensionofthelimbinasling，attitude，extension，friction，rectification;andalongwiththesetheaffusionofmuchwater.
24.Intreatingpartswhichareatrophied，wemustcomprehendaconsiderablepartofthesoundlimbwiththebandage，sothatbytheinfluxtherebyproduced，thewastedpartmayacquireasupplygreaterthanitsloss，andmaybethusdisposedtogrowthandrestorationofitsfleshyparts.Itisbetteralsotobandagethepartsabove，asthethighinthecaseoftheleg，andalsothethighandlegoftheoppositeside，sothattheymaybeplacedinsimilarcircumstances，andmaybothequallybedeprivedofmotion;andthatthesupplyofnourishmentmaybealikecurtailedandopentoboth.Thecompressionshouldbetheeffectratherofthenumberofthebandagesthanoftheirtightness.Werelaxfirstthepartmostrequiringit，andhaverecoursetothatkindoffrictionwhichwillpromotethegrowthofflesh，andtoaffusion.Nosplints.
25.Thosethingswhichareforthepurposeofgivingsupportandstrengthtothepart，astothebreast，side，head，andsoforth，areusedinsuchcasesasthefollowing：forpulsations，thattheremaybenomotioninthepart;andinseparationatthesuturesoftheskull，inordertogivesupport;andinordertostrengthenthechestandhead，incoughs，sneezings，andothermovements.Inallthesecasesthesamemeasureofbandagingistobeobserved，forwheretheinjuryis，therethebandageshouldcompressmost，andsomethingsoftistobeplacedbelowthatsuitswiththecomplaint;andwemustnotapplythebandagestighterthanjusttostopthepulsationsfromcreatingdisturbance，andthattheseparatedpartsatthesuturesmaybebroughtintocontact，theymustnotbesuchasabsolutelytostopthecoughsandsneezings，butsoastogivesupport，and，withoutoccasioninguneasiness，preventthepartsfrombeingshaken.
