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THE BRITISH MEDICAL ASSOCIATION. 78Th ANNUATI MEETING, LONDON, JULY 22Nd to JULY 29Th, 1910

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THE BRITISH MEDICAL ASSOCIATION. 78Th ANNUATI MEETING, LONDON, JULY 22Nd to JULY 29Th, 1910 S U PPI3 EME NT TO THE BRITISH MEDICAL JOURNAL. LONDON: SATURDAY, JUNE 18TH, 1910. CONTENTS. PAGE _ i'GE The Seventy-eighth Annual Meeting of the British Notice of Extraordinary General Meetings, and of Medical Asseciation.-PROGRAMME OF BsINESS. .. 381 Special and General Meetings of council ... ... 400 DISPENSING AND PRESCRIBING.-Conference between the Meetings of Branches and Divisions: British Medical Association Hitb and Bristol Branch: Trowbridge Division 396 and the British Pharmaceatical G(lasgow and West of Scotland Branen: Glasgow North-Western Conference ... ... ... ... ... 402 Division ... ... .. -. ... 336 METROPOLITAN COUNTIES BRANCH .. ... 402 rLaneashire and Cheshire Branch: Manchester Central DivisIon 396 Metropolitan Counties Branch: City Division ... ... 396 VITAL STATISTICS .... .... 402 Norwood Division ... ... 398 NAVAL AND MILITARY APPOINTMENTS- .... ... 402 Westminster Division ... 398 North Lancashire and South Westmorland Branch: Furness VACANCIES AND APPOINTMENTS ... ... 403 Division ... ... ... 398 BIRTHS, MABRIAGES. AND DBATHS South-Eastern Branch: Eastbourne Division ... 399 ... " .. 403 Folkestone Division ... ... 399 DIARY FOR THE WEEK ... ... 403 Reigate Division ... 399 OALENDAR ... ... 404 Tunbridge Wells Division ... ... 399 S3outhern Branch: Jersey Division.. ... ... ... 400 ANNUAL MEETING.-List of Hotels and Boarding-houses ... 406 THE BRITISH MEDICAL ASSOCIATION. 78th ANNUATI MEETING, LONDON, JULY 22nd to JULY 29th, 1910. 5 HE Annual General Meeting of the British The University possesses a large number of spacious Medical Association this year will be held on rooms which will be available for the general purposes July 22nd, 26th, 27th, 28th, and 29th, in the Uoiver- of the Annual Meeting, including the Reception Room, sity of London and the adjacent collegiate buildings Pathological Museum, and the Annual Exhibition, at South Kensington. as well as for some of the Sections. Other accommo- The Annual Representative Meetitig, which will dation for Sections will be provided in the sevetal assemble on Friday morning, July 22nd, will meet buildings of the Imperial College of Science and ia the Council Cbamber of the Guildhall, by kind Technology. permission of the Lord Mayor and Corporation of the City of London. The South Kensington stations of the District The seat of the University was removed to the Railway and of the Brompton and Piccadilly Imperial Institute Buildings at South Kensington in Electric Tube are about seven minutes' walk from March, 1900. The main central portion of this fine the University buildiDgs, and omnibus lines pass building, including the great hall and grand entrance, along Cromwell Road to the south, and Kensing- and the east wing and its accessory structures are ton Gore to the north, within about five minutes' appropriated to the use of the University. walk. President Chairman of Representative Meetings: Sir WILLIAM WHITLA, M.-D., LL.D., Professor of Materia Medica HAMILTON ASHLEY BALLANCE, M.S., Surgeon, Norfolk and and Therapeutics, Queen's College, Belfast. Norwich Hospital, Norwich. President-elect: Chalrman of Council: H. T. BUTLIN, D.C L., LL.D., P.R.C.S., Consulting Surgeon, EDMUND OWEN, LL.D., D.Sc., F.R,C.S., Consulting Surgeon to St. Bartholomew's Hospital, London. St. Mary's Hospital, London. Past President: Treasurer: SINCLAIR WHITE, M.D., M.Ch., F.R.C.S., Senior Honorary EDWIN RAYNER, M.D., F.R.C.S., Consulting Surgeon, Stockport Surgeon, The Royal Infirmary, Sheffield. Infirmary, Stockport. Honorary Local Secretaries of the London Meeting Dr. EDWARD W. GOODALL, Dr. WILLIAM GRIFFITH, Dr. LAURISTON E. SHIAW, Eastern Hospital, Homerton, N.E. 1, Chester Gate, Regent's Park, N.We 64, Harley Street, W. [32I] 332- BAIsTluSPHPLMF'ZmDzINOTALTOJOTUHRRNALI PROGRAMME OF ANNUAL MEETING. riUNE 18, 1910; f ing a maximum strength of vapour of chloroform for PROGRAMME OF BUSINESS. ordinary cases. (ii) Whether present methods supply The Address in Medicine will be delivered by JOHN an adequate means of supplying and controlling the MITCHELL BRUCE, M.D., F.R.C.P., London. strength of vapour supplied. (iii) Whether dosimetry The Address in Surgery will be delivered by HARRY offers a more efficient means of achieving this end. (iv) What is the best known way of practising dosi- GILBERT BARLING, B.S., F.R.C.S., Birmingham. metry in chloroform inhalation which is applicable to everyday work by practitioners who are not experts. THE SECTIONS. (v) What are the objections to dosimetry, and how THE scientifl business of the meeting will be con- such objections may be met. (vi) Failing dosimetry ducted in twenty-one Sections, which will meet on in chloroform inhalation, what safeguards can be Wednesday, July 27th, Thursday, July 28th, and offered which will give promise of safe anaesthesia by Friday, July 29th. that anaesthetic. (vii) What criteria of safety are The President, Vice-Presidents, and Honorary Secre- best, those derived from observing the effects of doses taries of each Section constitute a Committee of of the anaesthetic, the amount of which can only be Reference for that Section, and exercise the power of guessed by such effects; or those derived from an inviting, accepting, or declining any paper, and of accurate knowledge acquired by experiments which arranging the order in which accepted papers shall have proved that certain percentages of chloroform be read. Communications with respect to papers produce certain effects. should be addressed to one of the Honorary (b) Professor WALLER: It is desirable that the inhala- Secretaries. tion of chloroform'vapour should be uniform and, as A paper read in the Section must not exceed fifteen far as possible, continuous, at a percentage of between minutes, and no subsequent speech must exceed ten 1 and 2. This indication can be fulfilled without minutes. apparatus, but is most easily fulfilled with the aid of apparatus. Apparatus worked on the plenumn principle Papers read are the property of the British Medical is preferable to apparatus on the vacuum principle. Association, and cannot be published elsewhere than Any increase of respiratory work by obstruction of the in the BRITISH MEDICAL JOURNAL without special airway is an unfavourable condition. p6rmission. The following are the general so far Thursday, July 28th.-1O a.m., Discussion on The arrangements "Open " System of Ether Administration. To be as they are yet complete: opened by Mr. Bellamy Gardner and Mr. A. L. Flemming ; followed by Messrs. G. Rowell, H. J. ANAESTHETICS. Paterson, Alexander Brownlee, E. J. Quirk, G. A. H. President: FREDERIC WILLIAM HEWITT, M.V.O., Barton, and Dr. Stuart V. Stock. M.D., London. The following are synopses of the two papers intro- Vice-Presidents: DONALD C. A. McALLum, Edin. ductory to this discussion: burgh; GEORGE ROWELL, F.R.C.S., ALEXANDER London; (a) Mr. BELLAmY GARDNER: (1) The open system WILSON,.F.R.C.S., Manchester. consists in the avoidance of all extrinsic mechanical Honorary Secretaries: Miss ADA M. BROWNE, L.S.A., factors which otherwise cause laboured respiration in 64, Belsize Park, N.W.; WILLIAM JOSEPH MCCARDIE, the patient. (2) Abolition of the rebreathing of M.B, 89, Cornwall Street, Birmingham; HERBERT J. expiratory products. Method: A preliminary hypo- SCHARLIEB, C.M.G., M.D., 49, Wimpole Street, W. dermic injection of atropinae sulphatis gr. I, which keeps the air passages clear of mucus, preventa The following subjects have been selected for sweating, and diminishes surgical shock. This is -discussion: combined in very athletic, nervous and alcoholic sub- -Wednesday, July 27th.-10 a.m., Discussion on The jects with morphinae acetatis gr. Apparatus: Percentage System of Chloroform Administration. To A wire mask covered with twelve layers of; gauze be opened by Dr. Dudley Buxton and Professor Waller, intended to be laid upon a gauze face pad, and a large F.R.S., followed by Mr. Alexander Wilson, Dr. Herbert ether drop bottle. A surgical mouth,prop for inser- Scharlieb, Dr. Pautl Chapman, Dr. A. G. Levy, and -tion between the side teeth, and a tongue clip to ,ieutenant-Colonel Lawrie. maintain an oral airway. After -the operation The following are synopses of the two opening ;the patient to be propped up im bed and papers: encouraged to clear the airways it mucus be pre- (a) Dr. DUDLEY BUXTON: Unless chloroform differs sent. Reslts' Suirgical anaesthesia of a- singularly from all other drugs it must produce effects pro- perfect type, with regular, moderately :deeprespira- 'portional to the strength of the dose inhaled. It tion, strong pulse, absence of reflex disturbance by operative measures, and entire absence of after- possibly affects different individuals more or less sickness in the great majority of case*. Remarks: when the same strength of dose is given as do other and 'drugs; the difference is one of degree, not of kind. The method is suitable for all kinds of abdominal Idiosyncrasy, if it exists, is displaced in this way, other operations requiring complete muscular relaxa- tion. The safety and obtundent effect of ether in ,a small producing unusually severe effects. dose. preventing shock are; remarkably apparent. The Chloroform, it has been stated ?produces results which danger of Acidosis with chloroform in cases of acute vary in degree directly as the strength of the vapour is avoided, inhaled. The evidence of this was produced by septic infection and in children entirely Snow, Bert, Clover, Dubois, Lister. The work of the and adds greatly to its value. Dental operations may Special Chloroform Committee of the British Medical safely be performed in the dental chai: in the sitting ,Association supports their view. WaiUer has insisted position under its influence. Warnings: An inelastic chest wall, chronic bronchitis, and emphysema are upon this, and advanced evidence to prove it. The complete contraindications, acute bronchitis and evidence from all sources is derived, in part from ensue in such experiment upon the lower animals and in part by pneumonia being liable to subjects. clinical examination of patients subjected to chloro. -(b) Dr. A. L. FLEMMING: (1) The propertywhich ether form inhalation.
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