Bloodletting

 Bleeding

Bleeding is sometimes necessary at once in certain accidents, such as concussion, and therefore it is well to know how to do this. First of all, bind up the arm above the elbow with a piece of bandage or a handkerchief pretty firmly, then place your finger over one of the veins at the bend of the arm, and feel if there is any pulsation; if there is, try another vein, and if it does not pulsate or beat, choose that one. Now rub the arm from the wrist towards the elbow, place the left thumb upon the vein, and hold the lancet as you would a pen, and nearly at right angles to the vein, taking care to prevent its going in too far, by keeping the thumb near to the point, and resting the hand upon the little finger. Now place the point of the lancet on the vein, push it suddenly inwards, depress the elbow, and raise the hand upwards and outwards, so as to cut obliquely across  the vein.

When sufficient blood is drawn off, which is known by feeling the pulse at the wrist, and near the thumb, bandage the arm. If the pulse feel like a piece of cord, more blood should be taken away, but if it is soft, and can be easily pressed, the bleeding should be stopped. When you bandage the arm, place a piece of lint over the opening made by the lancet, and pass a bandage lightly but firmly around the arm, so as to cross it over the bend of the elbow, in form of a figure 8.