Medical Compend for Commanding Officers of Naval Vessels to Which
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C F N AVAL VESSELS 1941 MEDICAL COMPEND For Commanding Officers of Naval Vessels to Which no Member of the Medical Department of the United States Navy Is Attached To accompany -Srfedici««<^Sox PUBLISHED BY THE BUREAU OF MEDICINE AND SURGERY UNDER THE AUTHORITY OF THE SECRETARY OF THE NAVY UNITED STATES GOVERNMENT PRINTING OFFICE WASHINGTON : 1941 For sale by the Superintendent of Documents, Washington, D. C. - -- -- - - - Price 60 cents Bureau of Medicine and Surgery, Navy Department, Washington , D. C., July i, 1911. This Medical Compend for commanding officers of naval vessels to which no member of the Medical Department of the United States Navy is attached, is published for their aid in the knowledge and use of the contents of the Medicine Box, United States Navy, as well as to be a general guide in the preservation of the health of the per- sonnel under their command. Ross T. McIntire, General United States . Surgeon , Navy CONTENTS Page Chapter I. Introduction 1 Contents of medicine boxes 3 The medicine box 3 The supplemental medicine box 4 The medical boat box 5 Directions for the use of medical supplies 6 Chapter II. First aid 10 Chapter III. Special diseases 32 Chapter IV. Venereal diseases and prophylaxis 61 Chapter V. Hospitalization 67 Chapter VI. Deaths 70 Chapter VII. Personal hygiene 76 Chapter VIII. Preventive medicine 78 Chapter IX. Quarantine, disinfection, bills of health 83 Glossary 111 Index - - 115 Chapter I MEDICAL SUPPLIES Introduction This Medical Compend, which accompanies the medicine box, is published primarily for the use of commanding officers of naval vessels to which no representative of the medical department is attached. In its preparation, an endeavor has been made to cover, in nontechnical language, the recognition and emergency treatment of those injuries and diseases commonly met with on board ship, as well as to provide directions for the management of quarantinable diseases and those cases beyond the ability of the ship’s force to handle. It is not intended that use of these instructions shall replace the services of a medical officer or civilian doctor whenever one can be contacted, nor take the place of Iiospitalization whenever or wherever such facilities are available. On the contrary, it is desired that com- manding officers of naval vessels to which no member of the medical department of the Navy is attached, consult freely with medical and dental officers of the Navy, whenever opportunity offers, both ashore and afloat, regarding the care and treatment of the sick, as well as the general health of the crew and the sanitation of the ship. The medical and dental officer of a yard or station will be found at the dispensary, where, with the approval of the commandant, assistance and advice in the treatment and care of the sick may be received. So far as possible the treatment outlined in this compend has been restricted to the employment of those agencies supplied in the medi- cine box or which may be obtained in the customary ship’s stores. Suggestions as to any special agencies which are mandatory, and which should be obtained ashore at the earliest opportunity, are so indicated. In addition to first-aid measures and the treatment of special diseases, there have been included chapters on hospitalization, pre- ventive medicine, personal hygiene, quarantine and bills of health, and the disinfection and fumigation of ships, as well as the action to be taken in cases of death which may occur on board. At the end of the volume is a glossary containing some of the terms used in the text which will aid in interpreting the instructions given. 1 2 MEDICAL COMPEND FOR COMMANDERS OF NAVAL VESSELS The outfits of medicines and medical supplies furnished consist, as listed, of either (a) the Medicine Box, Navy standard, or (6) the Medical Boat Box, Navy standard. The Supplemental Medicine Box, containing additional medical supplies in an ordinary packing case, is obtainable on requisition as needed. Medical stores should be obtained in advance of actual need. They may be requisitioned separately by items or in the form of the Supplemental Medicine Box, complete, as listed. Certain items have been designated as deteriorative, such as rubber goods, etc., and these should be checked occasionally and replenished when unserviceable. Medical supplies may be procured, as required, on the Medical Sup- ply Depot Requisition and Invoice (NMS Form 4). Requisitions, Avhen approved by the Bureau, will be filled by the naval medical sup- ply depot most convenient to the ship; that is, if in Atlantic waters, by the depot in Brooklyn, N. Y.; if in Pacific waters, by the depot at Mare Island, Calif.; and if in the Philippines or on the Asiatic station, by the depot at Canacao, P. I. A supply of the requisition forms may be obtained from any supply depot, but if this form is not available on board the ship, a request for additional supplies may be made by letter addressed to the Bu- reau of Medicine and Surgery. Requisitions should be restricted to the items listed and should correspond in amounts with the packages as indicated. Advantage should be taken of opportunities when in the vicinity of a naval medical supply depot, or when at navy yards or in dry- dock, to replenish the stock of medicines and medical supplies, but if the need is urgent the stock may be replenished from the medical stores of any yard, station, or other ship. Figure 1.-—The Medicine Box, United States Navy. Plywood case and con- tents shown. Figure 2.—The Medicine Box, United States Navy. Illustration shows stowing of contents of Box. Shelves are detachable. Contents of Medicine Boxes The Medicine Box (Case, Tablets) Alkaline and Aromatic (Seiler) bottle 1 Aspirin (Acetylsalicylic acid) 5 grains do 1 Azochloramid saline mixture tablets do 1 Bismuth Subnitrate (powdered) do 1 Borax (powdered) do 1 Brown Mixture, 1 dram do 1 Calomel, y2 grain do 1 Cascara Sagrada, 4 grains do 1 Cathartic, vegetable do 1 Coryza do 1 Dover’s Powders, 5 grains do 1 Iron, Quinine, Arsenic, and Strychnine do 1 Phenacetin, 5 grains do 1 Phenobarbital, I 1/} grains do 1 Quinine Sulfate, 3 grains do 1 Soda Mint, 5 grains do 1 Sodium Salicylate, 5 grains do 1 Case, Tablets, U. S. N., empty 1 (Medicines, Dressings, Etc.) Adhesive Plaster, 2 inches by 5 yards (deteriorative) spool 1 Bag, hot water (deteriorative) 1 Bag, ice (deteriorative) 1 Bandage, gauze, 1 inch dozen 1 Bandage, gauze, 2 inch do 2 Bandage, gauze, 3 inch do 1 Bandage, suspensory 2 Basin, dressing 1 Box medicine, empty 1 _ 1 Castor Oil tin 1 Catheter, soft rubber, No. 10 P (deteriorative) 1 Catheter, soft rubber, No. 12 P (deteriorative) 1 Catheter, soft rubber, No. 14 P (deteriorative) 1 Catheter, soft rubber, No. 16 P (deteriorative) 1 Catheter, soft rubber, No. 18 F (deteriorative) 1 Catheter, soft rubber, No. 20 P (deteriorative) 1 Collodion, flexible bottle 1 Colloidal Silver (argyrol) do 1 Cotton, absorbent roll 1 Dentalone bottle 1 Epsom salt tin— 1 — Eye Bath , 2 3 4 MEDICAL COMPEND FOR COMMANDERS OF NAVAL VESSELS The Medicine Box —Continued (Medicines, Dkessings, Etc.) —Continued First-aid Packet 6 Forceps, hemostatic 2 Formaldehyde Solution bottle— 1 Fountain Syringe ( deteriorative ) 1 Gauze, plain, absorbent roll 1 Iodine Tincture, 3 vials in package package— 2 Lint, absorbent roll— 1 Medicine Glass 2 Muslin yard— 5 Ointment, Boric Acid tube 2 Ointment, Sulfur jar 1 Ointment, Yellow Oxide of Mercury tube— 3 Ointment, Zinc Oxide jar 1 Pencil, hair 2 Pins, Scissors, and Dressing Forceps (set, in case) ; set 1 Prophylactic Tubes tube 100 Soap Liniment bottle 1 Soda Bicarbonate carton 1 Spatula, 3 inch 1 Spirit of Ammonia, aromatic bottle 1 Suture, surgical gut, untreated, boilabie, No. 2, threaded in needle .tube 6 Suture, surgical gut, mild treatment, boilabie, No. 2, threaded in needle tube— 6 Syringe, penis, rubber {deteriorative) 2 Tannic Acid Jelly tube 4 Thermometer, clinical 2 Tourniquet, instant, (rubber), ( deteriorative) 2 Vaseline tin 1 Wire Mesh (for splints) piece.. 3 Medical Compend book 1 The Supplemental Medicine Box (Tablets) Alkaline and Aromatic ( Seiler) bottle— 1 Aspirin, (Acetylsalicylic acid), 5 grains do 1 Brown Mixture, 1 dram do 2 Cascara Sagrada, 5 grains do 1 Cathartic, vegetable do 1 Phenacetin, 5 grains do 1 Quinine Sulfate, 3 grains do 3 Sodium Salicylate, 5 grains do 1 (Medicines, Dressings, Etc.) by yards spool. Adhesive Plaster, 2 inches 5 _ 2 Bandage, gauze, 1 inch dozen 1 Bandage, gauze, 2 inch do 2 Bandage, gauze, 3 inch do 1 MEDICAL SUPPLIES 5 The Supplemental Medicine Box—Continued (Medicines, Dressings, Etc.)—Continued Bandage, suspensory 0 Bismuth Subnitrate (powdered) bottle 1 Castor Oil tin__ 3 Collodion, flexible bottle— 4 Colloidal Silver (argyrol) do 5 Cotton, absorbent roll 2 Epsom salt tin— 3 Eye Bath 2 Formaldehyde Solution bottle 2 Gauze, plain, absorbent roll 2 Iodine Tincture (3 vials in package) package 2 Lint, absorbent do 2 Medicine Glass 2 Ointment, Boric Acid tube 2 Ointment, Yellow Oxide of Mercury tube 3 Pencil, hair 4 Prophylactic Tubes tube 100 Soap Liniment bottle 2 Soda Bicarbonate carton 2 Syringe, penis, rubber 12 Tannic Acid Jelly , tube 6 Thermometer, clinical 2 Tourniquet, instant (rubber) ( deteriorative ) 2 Vaseline tin„ 4 The Medical Boat Box Jelly of Tannic Acid 4-ounce tube 3 Spirit of Ammonia, aromatic, tube and paper cup 4 in package 3 Acid, Acetylsalicylic, 5 grains 100 in bottle— 1 Colocynth and Jalap Compound, N. F do 1 Soda Mint, 5 grains do 1 Sodium Chloride, 10 grains (for sodium chloride dispensers) do 1 Tincture of Iodine, Mild, 10 cc.