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Left: Surgical instruments for amputation (ca.1770). | Publication with the permission of Dr. Robert Greenspan Right: Surgical instruments for stopping blood loss and cautherization of wounds. (ca.1860). | Idem Left below: Amputations in: A General System of Surgery (1743) by Laurence Heister. | Publication with the permission of Dr.Robert E.Greenspan, author of: Medicine, Perspectives in History and Art. Alexandria,VA,Ponteverde Press, 2006 101 make three rounds of all wards. If haemorrhages or complica- injuries. Also a broken leg, a wound to the leg, a shattered tions occurred, he had to alert the surgeon-major who was on shoulder and a chest wound. Finally, one officer lost a foot and call. The friars had to do the rounds of all wards every thirty a second officer both legs due to canon fire. The latter victim minutes and make sure that the patients were given their was hit while walking on the Vrijthof. The fact that only medicines and that the caretakers or carers had broth or barley wounds sustained by officers were described, can be explained water at the ready at all times. by the fact that ordinary soldiers were held in low esteem in Because of an initial shortage of caretakers for the the eighteenth century. Their only value was in their numbers wounded, on 17 April each military unit in the garrison was and equipment. Officers on the other hand were usually ordered to send a drummer to the large hospital to be deployed members of the nobility and their experiences are often in the care of the patients. From the garrison of between eight described extensively. and ten thousand troops, the extraordinary hospitals received a Amputation of limbs hit by missiles was the treatment total of approximately 540 wounded during the siege which of preference. This explains why four hundred wound dressings lasted from 15 April to 3 May. In the regular garrison hospital for amputations had to be available in the town. For fractures 481 sick soldiers were admitted between 10 April and 10 May. special bandages with bands and straps were used; probably by way of splints. During the siege, 915 jars of brandy and 1212 jars of wine were used in the hospitals. Alcohol was often War wounds mixed in the mash that was applied to wounds after the bleeding had been stopped. The temptation to use these drinks Little is known about the nature of the wounds sustained by the also internally led to instructions from The Hague in February soldiers during the siege in 1748. There are brief descriptions 1748 to reduce their medicinal use as much as possible. of eleven wounds of officers. Two officers had sustained burns due to explosions, and gunshots were the cause of three


Geneeskundeboek-Opmaak Binnenwerk-ENG.indd
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