The St. John Gazette (February 1947)

/

Proper of Pain

Treatment is easy, thoug ht is hard, but treatment after thought is proper and profitable" was one of th e precepts of Hippocrates, t.he Greek "Father of Medioine" who lived about 400 B O.

'Cogene' is a 'treatment' for the relief of headaches, rheumatism and all other nerve pains. It is an easy -one tablet taken in a little water-but it can claim to be a "proper and profitable" one, since it is the result of expeliment and research.

'Cogene' is a direct of t h e discovery that a small quantIty of a powerful drug will do the work of a largo dose provided that it is backed the right combination of other drugs ill t h e right proportions. In 'Co gene' fou r drugs have been scientificall y blende d t o produce an analgesic which will 'rea ch'

HUMAN OSTEOLOCY, ANATOMY, ETC.

The high bactericidal efficiency of 'Dettol' combined with special properties of safety and convenience have won for it a leading place in hospitals and private practice. The efficiency of Dettol is well maintained when blood or pus - even in considerable quantity - is present and can be used in high concentration, thus giving a wider margin of safety. It is absolutely non-poisonous, non-staining and possesses a distinctly pleasant smell.

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WITHOUT THIS NO FIRST-AID KIT IS COMPLETE

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PROPRIETORS: PORTLAND PLASTICS LTD., ABBEY HOUSE, WESTMINSTER, LONDON 40

Itht ClHllriiil A J ottrttiil of the (lIranb JlrinrJ! in V the 1!lriti.h tteiilm of ft1.7e tT entrahlt Q9rbtr of t1.7t 1iofipitalof ,olnt of Jerusalem ." GBORGB B. CRAFT, O.Se.J., F.R.S.A.

VOL. 20. No.2.

FIFTY YEARS OF COMPETITIONS FEBRUARY, 1947.

EDITORIAL

In the year r897 the St. John Ambulance Association institute d three Ambulance Competitions: (r) General (open to all centres and branches of the Association) ; (2) Railway (open to all railways in England and Wales) ; and (3) Brigade (open to all Corps and Divisions of the Brigade)

The first was not held again; but the other two are still very active and this year will see a resumption of both since the outbreak of hostilities in r939.

The Railway Competition was initiated by the efforts of ]vir. W. J. Church Brazier and IVIr. VV. Rea Edwards; the winning Company being the old Great Eastern Railway who received the Championship Shield presented by the Association.

The Brigade Competitions, informally instituted in r893, were won by St. John's Gate Division and received the Shield presented by Sir Thomas Dewar, Sheriff of London, to "commemorate the Diamond Jubilee and the valuable services of the St. John Ambulance Brigade".

Thus, a new sphere of activity was opened up in the First Aid world. How different are the competitions of to-day in comparison to those of fifty years ago.

From the early "card" attached to the patient, when no diagnosis was required, no time limit included, to the present high standard of work. Gradually the competitions changed. First a time limit was instituted; then diagnosis was introduced; and finally the introduction of faked injuries made the competitions as near realism as possible. Other methods have been tried, such as the introduction of the test by films (which, however, broke at the crucial moment) ; but it has been found that action introductions are by far the best methods.

It was not until r922 that the Nursing personnel of the Brigade had their own National Competitions. In this year the late Sir Herbert Perrott and Lady Perrott (then Lady Superintendent-in-Chief) presented for annual competition the now known" Perrott Shield ". To Dublin Headquarters Nursing Division goes the honour of gaining the trophy at the initial competition.

Competitions are, however, but a means to an end. The winning of a trophy is not all-important. Competitions are (or should be) used for training purposes; to make for better efficiency; to overcome that self-consciousness when attending cases in front of the general public; to have the courage to carry out one 's training when surrounded by those who" know all " but do not offer to assist. That is the trying time of all first aiders; and competitions can (and do) greatly assist in overcoming these factors.

lttealm of ijt1]e {it;anb i9rhTtJ! in t1]e J&ritis1] lTen£rahl£ @rb£r of the 1iozpital of 11l JIohn of :1Jeruzalem the

His May"esty the King has been graciously pleased to sanction the following Promotions in, and Appointments to, The Venerable Order of the Hospital of St. John of Jerusalem.

FOR PROMOTION TO THE GRADE OF Major John Ambrose Coghlan. DAME GRAND CROSS Albert Ramah Harrop.

The Countess of Plymouth (from Dame).

FOR PROMOTION TO THE GRADE OF KNIGHT

Captain Herbert Oakes-Jones, M.B.E.

George Hally.

Major-General Sir Ralph Bignell Ainsworth, C.B ., O.RE., D.S.O., K.H.P. (From Commander.)

FOR ADMISSION IN THE GRADE OF KNIGHT

Admiral of the Fleet Sir James Fownes Somerville, G.C.B., G.B.E., D.S.O.

His EXGellency Mr. Francis Campbell Ross Douglas.

Surgeon Vice-Admiral Henry St. Clair Colson, Air Andrew Grant, K.B.E., C.B , K.H.S., M.B.

Sir Thomas Innes of Learney, K.C.V.O.

The Rt. Hon. Sir Basil Stanlake Brooke, Bt., C.RE., M.C., D.L., M.P.

H.E. Lillut.-General Sir John Dudley Lavarack, K.B.E., C.B., e.M.G., D.S.O.

Lieut.-General Sir Donald Kenneth McLeod, K.C.I.E., C.B., D.S.O.

Major-General Sir Richard Granville Hylton Howard-Vyse, K.C.M.G., D.S.O.

FOR PROMOTION TO THE GRADE OF COMMANDER (BROTHER)

Major-General Sir Herbert Ralph Hone, K B.E , M.C., K.C.

Joseph Patrick MacNamara.

Frederick William Morton Palmer, M.D.

George Wilfred Hingston. Walter Banham. (From Officer.)

FOR ADMISSION IN THE GRADE OF COMMANDER (BROTHER)

Major-General John Cecil Alexander Dowse, C.B.E., M.C.

Lieut.-General Sir Ronald Mackenzie Scobie, K.I!.E., e.B., M.C.

Ambrose James Sherwill, C.B.E., M.C.

FOR PROMOTION TO THE GRADE OF COMMANDER (SISTER)

Emily, Miss Pl'ovis.

The Viscountess Kemsley. (From Officer.)

FOR ADMISSION IN THE GRADE OF COMMANDER (SISTER)

The Duchess of Marlborough. Muriel, Mrs. Bromley-Davenport.

The Lady Deramore.

FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)

Henry Percy Ralph, M.C.

Lieut.-Colenel Percy Harold Marshall, O.B.E.

Colonel Richard Irvine Poston, T.D., M.D., late R.A.M.C.

Graham HalIDert.

Edward James Hayward.

Charles Joseph Wood. Ernest Bakel'. Joseph Ash.

Michael Colin Lavin, M.B., M.R.C.S.

George Burton Fuller.

Arthur John Warner.

Ernest William Smith.

Henry Burton Pare, M.B.

Arthur Jarratt. (All from Serving Brother.)

FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Alastair Roger Goldsworthy (on appointment as Personal Esquire to the Hon. Sir Arthur Stanley).

Robert Charles Hannaford, O B E

Major Philip Reginald Margetson, M.e.

Nicholas Godfrey Morrison

Reginald Poulton Biddle.

Major John Desmond Henderson, and John Michael Barne, M.e. (on arpoinrment as Personal Esquire to the Earl 0 Shaftesbury).

Neville Gilbert Barraclough, O B.E. (on appointment as Personal Esquires to the Hon. J. M. Balfour).

Alpheus Fuller Williams, Jnr. (on appointment as Personal Esquire to Mr. A. F. Williams).

William Anthony Twiston-Davies (on appointment as Personal Esquire to The Hon. J obn Bruce).

The Viscount Clliden, M.V.O.

Frederick Stanley Coote.

Brigadier Christopher George Ling.

Colonel William Bingbam.

Lieut.-General Sir Robert Harold Carrington, K.C.B , D.S.O.

The Rev. Augustus Powell Miller ( Sub-Chaplain)

William James Moore.

The Rev. Edward Louis Frossard (Sub-Chaplain).

FOR PROMOTION TO THE GRADE OF OFFICER (SISTER)

Agnes Marie, Mrs. Blackwood.

Ida Fanny, Miss Chapman.

Emmeline Elisabeth, Miss Cowley.

Amy, Mrs. Waterworth.

Grace Wynifred, Mrs. Lodge. (From Serving Sister.)

FOR ADMISSION IN THE GRADE OF OFFICER (SISTER)

Mabel, Miss Johnson, O.B.E.

Aileen Crawford, Miss Wells.

Winifred Nellie Vale, Mrs. Oakley, M.B.E.

Edna Margaret, Mrs. -Epton.

Amy Henrietta, Lady Blane, O.B.E.

Millicent Evelyn Cecilia Georgina, Lady Inglefield.

The Countess of Eldon.

Jeannette Ellen Mary, Miss Fanshawe.

FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Wilfred Kitchin.

Harry Timmins.

John Alfred Cook.

J ames Frederick Kendall.

William Joseph Callcott Milne.

Anthony John Joseph O'Sullivan, M.B.

Daniel J 0seph O'Brien.

William Cecil Robinson.

Howard Charles Rowcliffe.

Reginald Herbert Blanchford.

Thomas Reginald Marquand.

William Russell Cambridge.

42

Charles Edward Honoratus Lloyd

Dr. Harold Hyam Goodman.

Dr. William Lumsden Walker.

Frederick William Woods.

Noel Stevens.

Major Ernest Albert McIver, M.M., T.D.

William Blunt Munro.

David James Briggs

Frederick Polkinghorne.

William Henry Toy.

Robert Burns Eadie, M.B.

John Craw, M.B.

Fred Hardy.

Tom Routledge.

Frank Bradley.

George William Cruddace.

John Thomas Birtley.

Arthur Newman.

Thomas William Pearson.

Thomas Joseph Smith.

William Taylor.

George Stephenson

Joseph Mattimoe.

Major Aubrey Guy Widdicombe.

Joseph Morris, M.B.

J obn Thomas Skempton.

Hugh Alexander Robertson, M.B., M.R.C.P

Alfred Davies Devonsher Brougbton, M.B., M.R.e.S.

Frederick Erridge Pritchard. Arthur Hooper.

Walter Bateson.

Frank Ridsdale.

Herbert Howell Ridsdale.

William Henry Ottewell.

Harold Hinchliffe.

James Calvert.

William Wilkin s on

James Henry Skalley.

Arthur James Daly

Ernest Boreham

Sydney Charles D earmer.

Leslie Frederick Henry Hall.

Albert Erne s t Greenwood.

Ernest Fr a ncis Sheldrick.

John Robert M owatt.

FOR ADMISSION IN THE GRADE OF SERVING SISTER

Josephine Mary, Miss O'Neill

The Lady Waleran. Margarita Elsie, Mrs. Marquand.

Gladys Mary, Miss de Gans.

Nora Bridget, Mrs. Last.

Dora Evelyn Redvers, Miss Redwood.

Barbara Hamilton, Mrs. McCorquodale. Eva, Mrs. Dearmer. Olive, Mrs. Carden.

Hilda Emmeline, Mrs. Maber.

Alice Lillian, Mrs. Monks.

Cecil Frances, Mrs. St. John Mildmay. Maud Mary, Mrs. Knight. Edith Emily, Miss Gurney.

Ethel Florence, Mrs. Page. Minnie Gertrude, Mrs. Cattell. Celia Caroline, Miss Waldock. Ethel Rose, Miss Griffin. Dorothy Eliza, Miss Bromley. May, Miss Middleton. Lilian, Miss Greasley. Norah Mitchell, Mrs. Bream. Christina Dorothy, Miss Fern

Violet Frances Emily, Miss Atkinson-Grimshaw. Ethel Marion, Miss Leverson, M.B.E.

Isobel Catherine, Dr. Allardyce.

Myrtle Freda, Miss Beardwell.

Norah Lettice, Miss Saxton.

Elizabeth, Miss Watkis.

Marjorie Sophia, Miss Holmes a Court. Vivien Mildred, Miss Leather.

Mary Louise, Mrs. Barraclough.

Beatrice Anne, Miss Kay.

Ethel Isabel, Mrs. Harman.

Alexandra Maud Venetia, Mrs. Fawcus.

Muriel Lloyd, Mrs. Roberts.

Gladys Laura, Miss White.

Eth!!1 Mary, Miss Denne. • Dorothea, Miss Aplin.

Katharine Violet Sarle, Miss Merriman.

Ellen, Mrs. Gale.

Phoebe, Miss Steele.

Ethel, Miss Hudson.

Hilda Florence, Mrs. Burrows.

Sophia Mary, Miss Charter.

Phyllis, Mrs. Spencer-Phillips

Dorothy Irene, Mrs. Newman

Annie, Mrs. Mills.

Marguerite, Mrs. Forrest Hamilton.

Benita Mary, Miss de Roemer.

ST. JOHN COUNTY COUNCILS

SUSSEX Th e quarterl y meeting of the Sussex County St. John Council was h eld at Lewes on January 23, when Mr. David Bryce presided. H e r ef err e d to the illness of Dr. Bentall (the Chairman); and welcomed to the me eting Major-G eneral J. E. T. Younger (Secretary of the Order) and Sir H. C. Sinderson.

The Countess of B essborough (as Chairman of the Propaganda Committee) announc e d that H.R.H. The Duchess of Kent had graciously consented to be present at th e Dedication of County St. John Colour and the Pageant of St. John which would follow; both functions to be held in Brighton on May 18.

Particulars w ere given of the work undertaken by the Joint Committee and the importance of continued co-op eration with the British Red Cross Society.

Mr. Bryce (as County Commissioner) gave a brief account of the activities of the Brigade, pre facing his remarks with a few words on the connections between the Order, the Association, and the Brigade.

VISCOUNTESS MOUNTBATTEN OF BURMA

Viscountess Mountbatten of Burma has agreed to retain her appointment as Superintendent-in-Chief of the Brigade At-Home during her absence in India for the term of her husband's Viceroyalty. Her Deputy, Lady Dunbar Nasmith, will act for her during her absence.

Lady Mountbatten regrets that under the present conditions she will be unahle to accept the Lady Presidency of Nursing Divisions of the Brigade Overseas, Malta District, which she had intended during her husband.'s command there.

Whilst in India, Lady Mountbatten will have yet another link with St. John as Lady President of St. John in India.

43

MALTA, G .C.

The following is an extract from a newspaper cutting

"This ereat orgalllzatlOn, which now extends throughout the British Empire, has been built up from small beginnings and has an unsurpassed record of pu bhc service maintained at the maximum in wartime and continuous in peacetime .... I want to congratulate all members of the Briaade for the splendid record clearly appbarent in the Commissioner's report."

The above tribute was paid by His Excellency the Governor when he addressed the members of the Brigade; it was fully in keeping with the traditions of chivalry and self-sacrifice handed down through the centuries in this, the ancient Order of St. John.

The Commissioner presented a summarized annual report in which he dealt briefly with the history of the Brigade and its link with Malta's past, to maintain which the Corps bears the names of Grand Masters of the Order. The report went on to describe how post-war reorganization had been completed in 1945 and during the year now ending the normal First Aid work at race meetings, football matches, and wherever big crowds congregate, had been satisfactorily carried out and there had been no lack of volunteers. Special reference ·was made to the gift of a motor ambulance from the Joint War Organization of the British Red Cross Society and the Order of St. John, through the efforts of the Lady Superintendent-in-Chief of the S.].A.B. Overseas, and a further gift of 30 eases of hospital equipment and games, with which stores it was proposed to open medical comforts depots early in the New Year. The latter gift had been made possible through the efforts of Miss Diana Schreiber.

After watching a display of First Aid given by the winning team of the St. Elmo Cup (for Ambulance Divisions) and the of the Police Cup, Douglas, in

winding up his closing address, said "as head of the Civil Government I would like to acknowledge how helpful the Brigade has been ", adCling that it had been a public service to Malta. He was glad to see the Police Force taking: such an active part in the work of especially when it was borne In mmd that they were very often the first on the scene of an accident.

HONG KONG.

Extract a leLter dated December 10, 1946.

St. John are being most helpful i? connection with the rather senous epIdemic of smallpox here involving a twothirds case mortality With the help o[ a number of volunteers [rom St. John units on both sides of the harbour, the vacinnators have clone well over a million in the past three monlhs.

FIJI.

As a result of a decision by the Education Department in 19-14 to encourage the teaching of First Aid and Home Tursing in schools, the Cadet movement has been firmly established in the Suva Grammar Schools.

During 19-16 the training of members of the Fiji Police has begun and a Fiji Police Ambulance Division has been formed. There are now one Tur ing Division, two Ambulance Divisions, and two Cadet Divisions. It was hoped that many more would be formed in all parts of the Colony.

One of the greatest needs of the Association and the Brigade was a Headquarters, suitable for lectures, for keeping divisional stores, and as a common centre; the authorities were constantly on the look-out for such a building. Another urgent need was a Motor Ambulance Service belonging to the Brigade, but at the present time this was unfortunately beset with finan cial and administrative difficulties.

" WINCHFI 'ELD LODGE CONVALESCENT HOME, HAMPSHIRE

Winchfield Lodge is now open for the concerned, also a medical certificate. reception of State Registered Nurses In view of the limit ed number of beds and for Women Officers and members available, the period of convalescence of the Brigade. Applications for admission will be fourteen days, which period may be should be made to the Director of Medical extended for a further period if considered Services, Hospital and Medical Dept., necessary and circumstances permit. No of the Joint Committee, 2 Gre>svenor charge is made, but patients will be Crescent, London, S.W. 1, and accom- invited to make a contribution towards panied by full details concerning the the cost of their stay according to their service and position held of the person means, up to a maximum of 35 s. per week. 44

At the funeral of the late Commission€lr of No.1 District, the service held at the City of London Crematorium was attended by Major-General ]. E. T. (Secretary of the Order, also representIng the Sub-Prior and the Secretary-General), Major P. M. Beachcroft (also the Chancellor), Sir Clive Liddell (Ch1ef Commissioner), Viscountess Mountbatten of Burma (Superintendent-in-Chief), Dunbar- Tasmith (Deputy Supenntendent-in-Chief), Mrs. Girouard (Assistant uperintendent-in-Chief), Major P. G. Darvil-Smith (Brigade Secretary. and Chief Officer Ambu lan ce Cadets), MISS V. Cunard ( hief Officer I Cadets), Asst. Commissioner H. J. Wngglesworth (. tores Manager, also representing Assistant Director of Ambulance), ActIng Commi ss ion r Capt. A. C. 'White District Supts :Miss \Vorkman and. \Valkel', members o[ the TO: 1 Distnct Headquarters Staff, A s sistant. mission e rs and theIr Staffs, Commissioner DaHon (also representIng Sir Harold Scott, om mi s sioner, Metropolitan Police), l\Jajor Vivian Ro.gers (Commandant-in-Chief, Ietropohtan Special Constabulary), upt.]. Lucas (also l'epre enting Sir Hugh Commissioner, City of London Pollee), Chief taff Officer H. \ - Brown (also representing lhe Commandant, City of London ' pecial Constabulary), Mr. A. E. H. I3rown (also representing lY!r. V. 1\1. Barringlon-Ward, L.N.E.R.), lYhss G. Co leman (:ecretary), County Supt. Irs. Heald (also representing the Commissioner [or urrey) , County Officer Miss Sparkes (also representi?g County Commissioner for Hertfordshire), representatives of the Loyalty Lodge and Chapter, Mrs. O. S. .(also representing the Countess of LImenck, of London British Red Cross Miss Ross (also representing the BntIsh Red Cross Society and Joint County Committee), together with members of the Brigade Headq uarters and relnesentatives of numerous DIVlSIOns of No.1 District, also representatives of the March

General of the Order), Mr. H. W. Fincham (Assistant Librarian, also representing the Chancellor), Major-General F. B. Witts (Assistant Director of Ambulance, also representing the Director of Ambulance), Lady Dunbar-Nasmith (also representing the Chi.ef and the Superintendent-In-ChIef),. SIr Ha:old Scott (Commissioner, Metropolitan Police), Mrs. Blagdon (also representing Lady Greenwood and the Hon. Mrs. Simon Rodney), The Marchioness of Acting Commissioner A: C. \Vhlte Knox, together with Headquarters Staff, ASSIstant Commissioner and theIr Staff, members from many Ambulance, a?d Cadet Divisions throughout the Dlstnct, representatives from the London and No.rth Eastern Railway, City of London PolIce, and the Loyalty Lodge.

AN APPRECIATION

County Commissioner H. Langley Jones (Hertfordshire) writes as follows :-

"William Goodley exemplified in his life the spirit of thousands of St. ) oh n men and women. He took ul? work in his youth, and contIllued devotion to these ideals a ll rest. .hIS days. His earlier training III a J?IVlSIO? in Cambridgeshire, together. :"'lth h.IS successes in National CompetItIons, laId the foundations of a sound background for the development and control of the thousands of members he was eventually to administer. It accounted, also, for the requests by other authorities for the compilation of innumerable papers as well as for advice on competItIon work.

" Captain Good ley hid under a brusque manner a great kindliness ?f heart. He was a genial and generous who was given to little acts of affectIOnate thoughtfulness (as the '¥Titer has often experienced)

" He was strong in his to the tradit i ons of the order ; lll. SUl?port of his officers; and, III decisions, he gave first place to what Ill. hIS opinion 'was for the good of .the Orgalllzation. While jealous of the nghts of No.1 District, he could still stand out for the claims of the Brigade as a whole: He over-exerted himself in 'his to MEMORIAL SERVICE Brigade duties. Time after tIme, at the A Memorial Service was held in St. end of a long day at Committees, he would , Ch 1 Cl k nwell Green on say' I must go on the Gate '. James s urc 1, er e , " And this unselfish devotIOn. perSIst.ed January 26, when the Rt. Rev. The Lord t d Bishop of Kensington of even into his last illness. I saw hIm ea Illg the Order) conducted the serVIce aSSIsted No. 1 District at the inspection by Lord by the Rev. C. L. Park,e, r. The ar;:hem, Louis Mountbatten a few ago, " God be in my Head and the Con- and I marvelled at his courage III takion of the Faithful Departed" was taking this duty. I noted the preCIse, sung by the City of London Police Choir. soldierly manner in which he gave Those attending the service included salute and wheeled to Pc:ss Brigadier W. B. G. Barne (Secretary- base-so indicative of hIS c arac ens IC 45

viaour which had conquered for the his grave physical disability.

« He had carried out this duly for the last tim € ; he knew it, and many of .his friends realized it with sorrow and admrration. Such was his devotion to the Eightpointed Cross to the very end of his life !

THANKS

Mrs. Goodley and her family h<l:ve .asked us to extend, on their b ehalf, therr smcere thanks for the many hundreds of messages and flo wers received. It will not be pO SS Ible to acknowledge personally all letters of condolence; but such messages were much appreciated.

NEW YEAR HONOURS

The following members of th e Order, As so ciation , and the Brigade wer e honoured by H .M The King in the New Year Honours :-

P. -C.-The Hon. Ian Alistair Mackenzie, KC.

Knighthood. - Henry Mendelssohn Hake, C.B.E.; Major-General Hu gh Clive Buckley, C.S.I., I.M.S.; Hugh Stuart Town.

C.B.-Brigadier (Te mporary) Gilbert Leonard Appleton, O.B E

G.C.M.G.-Major-General Sir Philip Euen Mitchell, KC.M G., M.C.

C.M.G.-Albert Ray Southward, E .D., M.D.

K.B.E.-Sir William Valentine Wood.

D.B.E.-Eileen Mary, Lady Walwyn.

C.B.E.-Cha rles Mark Jenkin Jones.

O.B.E.-Geoffrey Vau ghan Blackstone, G.M. ; Thomas Herbert Lewis; George Dey; Lieut.-Col. Ernest Gordan Fish.

M.B.E.-George Gillanders; Mrs. M. H. South; W. J Williams.

B.E.M.-Miss K Santo Kaisar-i-Hind Gold MedaI.-William Robert Tennant; Lady Wyllie. CONFERENCES

cerebral palsy. The H on. Mrs. Leslie Gamage was the St. John representative.

OBITUARY

We regret t o announce the death of the following :-

Miss Clara Hulley .-Miss Hulley was Superintendent of the Lyne Nursing Divisi on for thnty -fi ve years, retiring ju st over a year ago . Durin a the 1914- 18 War she was l\Iatr on of thet> V.A.D. H osp ital and received the R.R.C. in 19 17 . She was a Servin g Sister of the Order.

Supt. Fred Taylor.-A member of the Brigade for for ty years, Mr. Taylor was Sup erintend ent of the Rawlenstall and Wat er foo t Di visio n for twelve years. He was a pioneer in the Cadet Movement and l ectur ed to the first byel ve b oys who formed the Rawtenstall adet Div ision. H e was admiUed a Serving Brother of the Order in 1939.

Supt. CR.) J. Holmes .-Haworth Division has lost a keen member in the passing of Mr. Holm es, who had carried on during the last war und er exlreme per onal illn ess, suff ering from Angina P ctori Amb. Officer F. J. Peck. -E\"acualed from London D istrict during the \V ar, Mr. Peck became attached to the lIorccambe Division, where he did much i.o further the work of the Brigade. He was Competition Secretary for a ll events , Transp ort Clerk, and Chairman of the Social Committee.

Pte. E. Winsor. -With the death of Mr. Winsor, th e Hull Docks Di\' i ion has lost one of its founder member He was a k ee n and en thusiastic member and during the past three years he performed 273 duties. Du r ing the airraids on Hull he was injured on one occasion whilst engaged in removing patients.

HOSPITAL SATURDAY FUND CENTRE

During the month of December, St . This Centre, which hacl to hibernate John delegates attended the following itself during the war when its headquarters interesting conferences on subjects con- were damage d by enemy action, has, nected with Brigade activ ities :- during th e past t en months, provided On December 7, a one-day Conference facilities for stud y in Child Welfare, at the Cowdray Hall on "Health and Hygiene, and First Aid. The Centre is Social Service-the New Situation" or- open to run classes in all the s ubj ects ganized by the British Federation of Social sponsored b y the Order provided the Workers in collaboration with the British necessary support is obtaine d. Some 12 Council for Rehabilit;;ttion, at which St. to 20 regular r eg istered stud ent s are John was represented by Major A. C. nece ssary and those int e r este d shou ld send White Knox and Miss Longden . their nam es and addres ses to the H on.

A meeting on December 12 called by Secretary, Mr. Jo seph Ash, 59 Park Lane, the British Association for the Welfare of Wallington, Surrey, who is compiling a Spastics to discuss the formation of a list of names of applicants . The lectures British Council for the Welfare of Spastics are given at 29 Museum Street, near for the purpose of promoting the welfare Holbom Tube Station, and commence at of children and adults suffering from 6 or 6.30 p.m.

46

SHOCK IN PRACTICE

FIRST AID TEACHING AND IN AN AVERAGE DiVISION

By Lieut .- Col. N. W. HAMMER

(Co unty Surgeon , Norther11, Area, No. I (Prince of Wales's) District)

(Co ntinu ed fr om page 12, Ja nuary , 1947, issue)

HOW CAN THE FIRST AID WORKER DEAL WITH PRIMARY INJURY-SHOCK, AND GUARD AGA INST OR MINIMIZE SECONDARY INJURY-SHOCK?

Work out, and r eme mb er , the n ecessary st eps by enumerating and considering th e individual causative factors contrib uting:

(I) Pain.

Pain can be relieved :-

(a) by appropriate adj u stment of the casualty's posture, with suitable support before, during and after placing on the stretcher.

(b) by support of injur ed limbs in th e correct position.

(c) by immobilization (in appropria t e cases and in appropriate circumstances by rapin field methods) of fractured, crushed or badly lacerated limbs, or of joint-wounds.

(d) by suitable first aid dressings, including th e sealing or covering of burned areas.

(e) by the administration o f suitable pain-deadening drugs by the Medical Officer.

Pain can be avoided :-

(f) by keeping all handling, lifting and movement down to a minimum; by extreme gentleness in essential handling; by making lifting and movement even and smooth. Gentleness is not incompatible with the avo idance of timewasting.

(g) by the measures adopted for th e immobilization of injur e d parts being crficient, giving adequat e stabilization without undu e pressure, or « biting" of bandages, etc.

(h) by maintaining appropriate posture of the bod y w hile on the stretcher during transport.

(i) by good stret che r work, avoiding jolts and jars; by careful loading th e ambulance vehicle; by ambulance drivers driving carefully, eschewmg th e dramatic, but j e rky, bumping and painful « rush to hospital". Normally, the speed of an ambulance vehicle conveying recently-injured people should not exceed IS m p.h.

(2) Loss of Body-ftuid .

All sources of loss of fluid from th e b ody must be dealt with before transport. Th ese sources may includ e seve r e , profuse, bleeding; continued oozing of blood as from a shallow wound of the fl eshy part of the body; and continued discharge of watery serum from are as'which have b ee n burned or scalded. Note that steady oozing from a shallow and apparently unimportant wound may cause much loss of fluid during an ambulance journey to hospital, thus adding to the risk of Secondary Injury-Shock. Packing may be necessary.

Fluids may be restored to the body :-

(i) for those who can be allowed to take fluid by the mouth, hot tea (sug a r not saccharine) is excellent for restoring fluid and also for warmmg the casualty. Other fluids may be given such as hot sweet coffee, hot meat extracts, hot milk and water, or water to which salt has been added.

(ii) by transfusions and infusions of blood (vide Dr. Juan Jorda's « Bottled Blood " as used in the Spanish Civil War under Dr. Trieta, teported to me, 47

approved by the D.G.E.M.S , a nd adopted b y' the Services under Brigadi er Sir Lionel Whitby).

(3) Loss of Body H eat.

The body-temperature falls rapidly after injury. This tendency must be combated :-

(i) b y avoiding any unn ecessary of clothing. ., (ii) by wrapping in blankets (usmg standard methods mcludmg Grogano ' s " '\iVood ford and Wanstead " method, approved by me for adoptIon by the Civil D efence Services, inserted in A.R.P. Handbook TO. 10 and adopted by the Army and b y St. John). Note that a patient must be protected on t he stretcher by waterproof sheeting and/or blankets under as well as over and round him.

(iii) by restoring heat (and fluid) t o the bod y by warm drinks. Hot drinks mu st not, ho wever, be given until all bleedmg has been (iv) by the application of artificial heat, as aud when cIrcumstances allow.

A rtificial H eating of the Shocked Casualty.

This is very conveniently done as a first aid by means of rubber hot water bottles, so placed that they warm the clrcu1atmg blood "'here mam arteries run n ear the surface of the body, for example, between the trunk and the outspread arms (for the axillary arteries); laid across the of both thighs (for the femoral arteries); and at the feet. The usual precautton must be taken ; hot wat er bottles should not be laid on the bare skin but should be wrapped in suitable (e.g. woo llen) material.

When hot water bottles are not available in the numbers required (a sometimes in the field), any suitable containers may be used. If glass (beer OT wine) bottles are us ed, care m u st be taken not to crack th em by pouring in water to o hot; and to prevent th em from being broken (and the casualty hurt) by clumsy and hurri ed lifting and moving.

In hospitals and first aid centres (at factori es, mines, docks, etc.)' it i sometim es possible and us eful to have a room specially warmed for the resu citation (e.g. by the" Trestle " Method) of numbers of shocked casualties arriving, e.g., from a big accid ent or from a railway or mine disaster. Methods of resusc itation are described in, R.A .M C. Training and other Manuals.

As pointed out in th e St John Supple m ent, it should be borne in mind that in some circumstances (e.g. in tropical climates) measures adopted to prevent loss of body heat may b e overdone, and that the casualty may be made worse, through depletion of body fluid, if excessive sweating is caused. The St. J ohn Textbook goes all over the world ; and th e caution in th e Supplement is wise. It repeats the cautionary advice of official and oth er first aid books published in 1 939 and 1940 respective ly, but the danger of overwarming, possibly real in Burma, is remote in the Unit ed Kingdom, except in very special circumstances indeed, e.g., as when casualties may have t o be retained for a long while (because of difficulty or impossibility of r e mo val) in hot, close, confined places such as stokeholds or boiler rooms ; mine galleries obstructed and overheated; ships' holds with i:r:J.adequate heating loss, etc.

Removal to shelter and professional care should n ot be delayed unduly: if easua1ties have to wait for their turn to b e load ed into ambulance-vehicles, in proper priority according to their individual n eeds, th ey should be kept in shelters, or in convenient buildings or houses, at or near th e ambulance loading-point.

(4) Absorption of Poi s onous Product s of Ti ssue Damage

When tissues (especially muscular tissue) are burnt, cru shed, or torn, poisonous products are evolved which on absorption into the blo od-str eam tend t o increase Injury-Shock.

This is especially so in the case of deep or extensive burns . In th ese cases, air should be excluded from the affected part as soon as possible

In the case of crushed or ma:r:J.gled limbs, great care should be taken that the affeGted part;s are handled gently, and are supported and secblrGl d (by immobilization) in as comfortable a position as possible.

48

Tourniqu et s should not be us ed unless absolutely necessary. If (in rare cases) accurately localiz e d pressure on an arterial pressure point is indicated, it i s important that th e tourniqu et should n o t be l eft tightene d for too long. Tourniqu ets should always be clearly and obviously indicated by a labe l and/or a tag. In the case of a limb torn off or so severely mangled that amputation appears ine v itabl e , th e rubber-band or Esmarch tourniqu et should b e applied as low down th e limb as possible, since for a number of important r easons, the operating surgeo n w ill prefer t o include th e t ourniqu et in th e portion of th e limb he removes.

The" Shuttle" System.

From many points of view, t hat of Injury-Shock particularly, movement of an injured person from one stretcher to another must be avoided. Th e , , imm ediat e exchange " , or ' ( shu ttle " system for stretchers, blankets , and other non-expendible items of first aid eq uipm ent is d esigne d to keep the casualty undisturbed and on the original stretcher, from the plac e where he was injur e d into the collecting am bulance vehicle, from th e vehicle into th e ho spital's reception-room, from there to his bed or th e operating theatre's annexe. This " i mmediate exchange II system applies all down th e lin e, and implies th e necessity for an organized system with :-

(r) a d<:mble banked initial issue to first aid ambulance vehicles.

(2) dumps for" immediate exchange" a t a id posts and hospitals.

Finally.

Although Primary Injury-Shock canno t be prevented, much can be don e to guard against or combat the factors l eading t o Secondary Injury -Shock , and so to i mprove th e chances of the cases we d ea l wit h.

Appropriate first aid measures (not elaborate, not lengthy, but simple, correct, gentle and smooth) can do much t o prevent casualties arriving at hospital in a condition of Secondary I njury-Shock, which makes them far less fit to stand operat ion, and even prevent casualties dying of Secondary I njury -Shock in the ambulance v ehic le on th e way to hospital, or in the hospital's reception r oom, before they r each the surgeon.

I t is the duty of Fi1'st Aid TVorkers to deal with, and remove, injured persons in such a way that econdary I njury - Shock is prevented or minimized, and their vita lity is couserved to stand transport and subsequent surgical operation.

Note that fai lur e to observe the simpl e precautions set out may cause Secondary Injury-Shock to deve lop after the casualty has left the hands of the fi1 1 St aid worker , in th e ambulance, in the r eception room or on the operating table: th e careless first aid v;orker does no t see the patient die; but he killed him.

S eco ndary Injury-Shock may cause death directly: in any event, its appearance grave l y pr e judices th e patient's chance of r ecovery. It is to a great extent preventable by simp le careful preca utions. Observance of th ese precautions is tru e First A id . Neglect of th em, through ignorance, carelessness, or ill-disciplined hustle, is a disgrace. This applied in th e field; it applied in air raids; it applies in p e ace-tim e first aid jus t as much.

Nothing p art i cularly n ew has b ee n said in all th e foregoing. Some repetition and o ve r-empha sis may b e thought to have developed. No apology is made. Experience during th e past few years has stressed th e imp o rtance of what has been s et out. Th ese n o t es are to be r e ad with, and considered in conjunction with, the official inst ru cti ons of the Textbook to which th ey are intended as commentary and a s "teaching notes" f or first aid instructors and leaders. They are not intended to b e an amateurish a ttem pt at a ps e udo-sci entific paper on Injury-Shock; they are written with th e practical t eaching of practical, useful first aid personnel in mind, so that sever ely injur e d, wounded or burn ed persons may be so dealt with that they reach hospital with vitality and resistance conserved as much as possible, to give them a better chance than if vitality and resistance have been damaged and lowered by lack of appropriate, informed, careful first aid handling.

It is said, my friends, that this is the age of progress. Unfortunately with progress comes the multiplication of forms. Before one issues new forms one should be certain that in the first pl ace they are absolutely necessary, and secondly that the information required should be reduced to a minimum. This brings me to the news that you 'will be asked to complete an annual return form (to be known as MCD/4), for the compiling, in this office, of necess ary information The decision to issue this form has not been made lightly and the reasons for doing so are that at the mom ent we have no re li able information that can be used for propaganda purposes or for information necessary to help inquirers. I know tha t there are 452 Depots in existence but I do not know now many articles you issue in a year. Think of the propaganda value of an announcem ent that the M.C.D.s have helped, say, 40,000 people in one year. To-da y I have recei ved an inquiry for a wheeled chair. I have sent the inquirer a list of six local D epots in the hope that at least one Depot keeps such an article. How much nicer and easier it would be to be able to give one address, knowing that the Depot in question has the required article in stock. Another question is finance. Does a Medical Comforts Depot r eceive sufficient revenue to be self-supporting?

I think and hope that it does but I have not a single balance sheet a va ila ble to consult.

Th e form is simple and easy to complete It will list the u s ual articles kept by Depots and yo u will be asked to say how many of each of these articles you possess. A space has been allowed for articles not listed. You will be asked to state the numb er of articles loaned during the year ana complete a very simp le latement of Accounts. The balance of the Statement of Accounts must be entered in the respective receipts and payments columns of the Brigade Balance Sheet (BF. 12 ). You may perhaps wonder why I tell you in February of a form you will not recei ve until ovember, but you \ "ill agree I know that it would not be fair to ask you to produce at the last moment a set of figures that wou ld take considerable time to \-york ouL. rnO\yiug what is coming the wise secretary of your Depot will carry the figures of loans forward at the end of ach mon lh and so have them ready. He or she \\ill also make early arrangements for Lhe auditing of the Statement of Accounts and so save the final rush.

The figures for Depots are gradually mounting so please do your best by adding one more new Depot.

THE SECRETARY, .II.C.D. COlHmittee.

BRIGADE HELP TO MENTAL INSTITUTI ONS

One of the branches of nursing acutely affected by the present shortage of nurses is that of mental nursing, which results in voluntary cases, the high majority of Whom would benefit from treatment , having to be by the Mental Institutions with not only the consequent tragedy of the individual case, but also the resulting difficulties for their families.

The Board of Control appealed to the St. John Ambulance Brigade, Women's Voluntary Services and British Red Cross Soeiety for general staffing help to certain Mental Institutions where the need is particularly acute.

Brigade Nursing Divisions have respondep. splendidly to this appeal and Brigade volunteers are undertaking duties at selected Institutions in Norfolk Essex Lincolnshire and Somerset, thereby greatly relieving the staff shortage. The value of their help is gratefully acknowledged by the Medical Superintendents, Matrons and Nursing Staff, and reports from these state that the members, in 50

addition to doing a most usefu l j ob, are finding the work intensely interesting.

Brigade assistance is chiefly on the nursing side and therapy work such as occupational therapy and recreational activitie , which are an important part of modern treatment of mental disorders. One member is teaching occupational therapy three days a week to a ward of sixty pati.eJ?-ts w ho made noticeable progress, in additI on to produ cing useful goods, through the organization of this interest for them. Generally, the duties undertaken are varied according to the needs at the Institution in the interests of the patients and the relief of the Nursing Staff

Other Counties are also being approached to help acutely short-staffed Institutions similarly referred to the Brigade, W.V.S. B.R.C.S. by the Board of Contro l. and It IS hoped that in all cases the Brigade may be able to provide an equally fine response of service to that which has been given on the initial appeals.

"My lots of Certificates before April"

"Why April? Because after March 31st you won't be able to buy the present l\ind any more. Mind you, I expect the new Savjngs Certificates, starting next April, will have their good points too, but they're not likely to yield quite the same profit on my savings. So I'm taking advantage of the next few months to buy all I can - while the buying's extra good /"

HOBSON &SONS (LONDON), Ltd.

FOUNDED 1850 Specialists in Uniforms for St. John Ambulance Brigade JACKETS, TROUSERS, GREATCOATS, CAPS, GLOVES, HAVERSACKS.

PRICE LIST AND PA TTERNS ON REQUEST

All enquiries to : 154-164 TOOLEY STREET LONDON BRIDGE, S.E.1

Telephone: Telegrams: Hop 1476 (4 lines) Hobson, Boroh, london "

Will be made by a tailor-service which gives style and durability combined with strict con for m, I t y with S.J.A.B. regula. tion If you order

U n I for m. to self· measures from N.O.A. Write for details to NURSES'

THE BRIGADE FINALS

After a lap se of seven years the Brigade Finals will aga in be h eld. Although the o ld days of the "Great Central Hotel" will be missing, it is hoped that great success will attend this year's effort.

The Victoria Halls, B loomsb ury Square, London, have been booked for June 13, when the "Dewar", "Perrott," and oUler trophies will be open for competition among the winners of the Regional Competitions. Fuller particulars will be announced lal er.

APPOINTMENTS

County urgeon Frederick W. Morton Palmer to be Counly Comm issioner, Torth, Ea t, and :\[id De"on, vice "AIr. H. J. Vick, resigned.

ounly OtTlc r John Fowler t o be A isLant Commi sioner, County of \Varwick.

ounly ommissioner Capt. P. Reay Lo b H epr entali\'e Commi siOlle r for Region lO on the Brigade Su b-Committee.

No.1 (PRI ' CE OF WALES'S ) DISTRICT

No rth ern Area -The first annual competilion b lw en Hickmansworlh Ambulance and I - ursing Division for the " Burrows Cup" was judged by County Officer Major \Yi dd icombe (Hertfo rd), who placed the Tur ing Division first. Di trict Officer 1\1rs. Burns presented the trophy Lo Lh winning team.

Capt. E. Stanmore Lewis , and Mr. A. Burns (treasurers respectively of the Ambulance and Nursing Divisions).

Cricklewood.-A New Year's Dance was held by the Cricklewood Division. The Mayor of Willesden, who was accompanied by the Mayoress, expressed his pleasure at - being present; and Supt. Capt A. W. Journet thanked the Mayor for his good wishes. Div. Surgeon H. A. Faulkner introduced his new plan for instruction (which began in the first week of February). Spot prizes, etc., were presented by Mrs. Faulkner.

Southeru Area.-On January 15 the members of the Eastern Sector visited the Tramways Repair Depot, Charlton, to hear a talk given by Mr. G. E. Craft on the" Order of St. John and its Ambulance Department". County Surgeon W. W. King-Brown presided and referred to the passing of the Commissioner, and asked all present to stand in silent homage. Mr. Craft first gave a shori history of the Order, followed by that of the Association and Brigade. Questions were later asked and answered; and thanks extended to the speaker. Those present included Mrs. King-Brown and District Officer Hallock.

Bromley.-£50 was raised by a Bazaar and Sale of Work for the Building Fund of the Ambulance, Nursing, and Cadet Divisions of Bromley. Major-General C. W. Norman (Chairman of the Fund) supported Mrs. Norman. who opened the bazaar and was presented with a bouquet by the youngest member of the Nursing Cadet Division.

Western Area.-Asst. Commissioner Trott (Sussex) judged a friendly competition held at Southfields between Divisions in the locality. \i\Tandsworth and Southfields Division was placed first with No. 88 Nursing Division a close second. District Officer Stratton praised the work of the competitors.

COUNTY OF BERKSHIRE

Bnrnet. - welcome home dinner and dance was h Id r cently by the Barnet Ambulance and ' ursing Diyi i ons, advantage being Laken Lo inaugurale a building fund for new headquarters. At the end of the e"ening the Fund had amounted to £135. Counci ll or II. E. Hewes presided, being su pporLed by Asst. Commissioner G. P. Hart, who referred to the steady progress of both Di,-isio ns and praised the work of their respective leaders, Supts. A. R. Hawkins and Miss \?Y. Lock. He al 0 welcomed new members and Reading.-The Reading Southern pointed out that the work of the Brigade Division gave a dinner and concert to was steadily increasing. Supt. Hawkins welcome back their members from the extended a hearty welcome to the ex- Forces. Some seventy members and service members and referred to the friends were present and after the Loyal prospects of obtaining new headquarters. Toast, submitted by Asst. Commissioner The Chairman, responding to the toast of F. A. C. Jarvis, Supt. Pope in a very " President, Vice-Presidents, and happy and well worded speech extended Patrons", referred to his early associa- a heart welcome to those members who tions with the Divisions, whilst Mrs. Grace had returned. He was proud to be in Hart responded on behalf of "The charge of such a happy Division. He asked Ladies". Those present included Di.strict all present to stand in silent memory of Supt. Miss Workman, District Officers Sergt. Wyatt who had died on active Mrs. Burns and Miss Vi cary, County service. After dinner an excellent concert Officer Capt A. G. Widdicombe (Hertford), was presented, the whole of the evening 53

being in the hands of Amb. Officer F. Marshall.

COUNTY OF BUCKINGHAM

Aston CHnton.-A wh ist drive and dance held recently proved very enjoyable. AI. the prizes had been donated, and during the evening soft toys, given by Miss Birch, were auctioned.

Newport Pagnell.-The reunion of the Ambulance and Nursing Divisions was held last month. Short speeches were followed by a social and novel games. Supt Casstles expressed the hope that the evening would enable the Divi sions to get fully organized once again, with an increased membership and the spur to train and work even more wholeheartedly in the cause they all had at heart High Wycomhe.-Mr. Osborne, Plastic Surgeon at Stoke Mandeville Hospital, gave a very interesting lecture to Brigade members and hospital workers. The subject was the modern treatm ent of burns arld the lecture was illust rated by short films in technicolour. One of these <included the skin grafting treatment in the case of County Officer Day, who had been badly burned when an aeroplane crashed during the war.

COUNTY OF CAMBRIDGE

Cambridge.-Du ring the winter months a series of Old-Time Dances have been arranged by the Cambridge Corps. On January 4 a party of forty members and friends visited St. John 's Gate, and attended a theatre in the evening. Two members of the Ely Corps were also present.

COUNTY OF CORNWALL

Redruth.-A r eunion dinner was held by the Redruth and Redruth "A" Divisions in the Ambulance Hall to

A ST. JOHN FAMILY.

Supt . E. J. Rowe, Staple Hill (Bristol) Division., together with his wife, three ,sons, one daughter, :and two daughters. . " ' . .

welcome home the members who had served in the Forces. The President, Mr. Harry Rich, was presen t, and some thirty members who had returned to St. John work. Corp Supt G. C. PelJowe proposed the silent toast to the fivc members who had maJe the suprem e sacrifice. Supts F. Polkinghome and R. J. Blarney welcomed the returnin g members , whilst Pte. H. H. \V hltfield and J. Bosanko replied.

COUNTY OF GUERN EY

At the first drill meeting of the Torthcrn Ambulance Division a lecture on lIysteri a was given by Div. urgeon Ha) worth before a large number of memb e r s. Later President Deputy "\ ]. Corbet and Mrs. Corbet attended to pre ent cups gamed during the past year The" Bird" Cup was gained by lIon. ,ergt. E. A. Lowe's squad. l\lcdals \\ere given L1li s year by the d onors o f the.: cup. :\Iessr '. Fa l la Bros. Corpl R L. Rihoy received the Proficiency Test Cu p u pt 11 P au nder thanked Mr and illrs . Corbet for th e interest taken in the DivisIOn, and :\1 r. Corbet stated that he wou lei gl \e a cu p for competition among the private. urin g last year members of th Division a( tended 573 public duties and 265 tran s port calls.

CO NTY OF KE:'IT

Herne Bay.-ilTr R. \\'alk r Pre iclcnt of the Association and Brigade in K ' nya ) recently gave an lllterestlllg talk on the country of Kenya to members of the Ambulance and 1 ursing Dl\·lsion. Supt. Hogbin presided, and thanked Supt. 1\1. A. ToveU for arranging lhe VlSlt.

Mr Walker mentioned numerous places and gave the strength of the Brigade at each. He also described good work

done when refugees passed through the country, and how his wife, his son, and two friends fed some 300 Poles in a few hours. Mr. Walker has gone to a great dea l of trouble training natives and arranging s uitable uniform s for th.em. CUUllty Surgeun J. R. Hamerton thanked Mr. Walker for his most interesting talk. Those present included Div. Surgeon D. N. Allen, County Nursing Ofncer Miss A Reynolds, and Supt. A. Keeler.

CO NTY OF LEICESTER

Leice ter. -The Gipsy Lane Division, with members of the Nursing Cadets , presentcd the pantomime Cinderella, by Supt. T. Hames, on January 16 and 17, at the Gipsy Lane W.M. Club. Both nights the hall was crowded and owing to many requests the show will be given again at a later dale.

COUNTY OF LANCASHIRE

Nordeo.-Hecenllv members of the orden ' ursmg Di;ision honoured one of their mo t faithful members. At a dance and sot;ial, lJi\'. , urgeon A. 1\1. McMaster, on b e h a lf of pa s t and pre ent members, handed to :'Ili ss A. A. Hastings an adjustable reading lamp and Sa\ing Certificates, pa) ing- tnbute to the qualities of H a stings and her service to the ambulance wo rk O\'e r the past forty-two years. i\I iss J. Parkinson, who presided, and many o thers abo paid tnbute, whilst many I 'Hers Wl!re recei\ ' ed eulogizing the work of l\lis IIa lings, who is at pre 'ent in charge of the ?ll,edical Comforts D pot of the Division which was one of the first ten to be started in the country some twenty y ars ago.

Todmord n.-The annual meeting of the Todmorelen Ambulance and ursing Divisions 1\Iedical Comforts Committee was pre ided over by District Cadet Offi.cer i\lrs. Bayley. The year showed steady progress, 422 articles having been loaned. In July last, another subdepot was opened; the third, and the Central Depot and the sub-depots have now become an institution in the life of the town. 0 charge is made for the loan of the comforts. The outstanding feature of the year was the presentation of a se1£propelled chair by ex-prisoners of war in Japan in memory of their comrades who did not return. The Mayor, Councillor F. Sunder, presided at the presentation ceremony, the chair being dedicated by the Rev. W. P. Black, assisted by the Rev ]. Scott. The Hall was packed, and the chair presented by a returned soldier and accepted by Mr. Bayley.

W. W. M. McKinney (now District Officer). In their first competition they gained third place out of six, but at the Barrow-in-Furness competitions carried off the "Kimberley Silver Cup". At Ulverston they missed the Silver Bowl by one mark. When the Corps inaugurated the competition week last September, the team competed against mixed teams from Northern Ireland, Yorkshire, Lancashire, Durham, and other cou nties for the "Jean Platten" trophy, and succeeded in being finalists. Finally, in December last they entered for the " Hewitt" Cup and succeeded in wresting the trophy from their Corps brothers. Since the promotion of Dr. McKinney, Amb. Officer Mrs. Edmundson and Div. Surgeon J Hodge have trained the team.

St. Helens.-Members of thirteen Ambulan ce and Nursing Divisions met recently in St. Helens for a combined social. It is hoped that this will be followed by others and the commencement of a First Aid Quiz League.

COUNTY OF NORFOLK

King's Lynn.-Supt. F. ]. Strangleman presided at the annual meeting of the No. 1 Division when it was announce d that it was hoped, with Mr. R. B. Walker ' s permission, to make the" Walker Ambulance Cup" an area competition.

Sheringham.-The Sheringham Division have received from the Lobster Thrift Club a donation of £4 lO s. , made possible by members foregoing their share of interest.

East Harling.-The Ambulance and Nursing Divisions held a combined social when over seventy members and friends attended. During the evening Div. Surgeon F . R. Wilson, supported by Supt. M. E. Sheldrake, introduced Major C. E. V. Sams, the County Organizer, who later presented the awards to the Ambulance Division.

Norwich.-At a meeting of the Corporation Division, at which Asst. Commissioner Dr. VV. E. Rutledge was present, it was decided to approach the Civic authorities for official recognition and assistance with the provision of uniforms and equipment.

Thetford.-President A. J. Garrod presided at the annual meeting of the Nursing Division. Supt. Mrs. Martin gave her annual report, whilst the Secretary, Miss Turrington, gave particulars of the actiyities carried out by the members.

COUNTY OF OXFORD

Heysham.-The Nursing Division of the Banbnry.-Three members of the :Ylorecambe and Heysham Corps was Nursing Division received from County formed in 1943, and entered competition Commissioner Dr. C. Gardiner-Hill the work under the training of Div. Surgeon riband of Serving Sister of the Order at S5

a recent meeting. At the same time Cemnty Supt. Miss Fanshaw received the riband of Officer (Sister). The Commissioner, accompanied by Miss Fanshaw, County Officer Mrs. Barrett, and the Mayor and Mayoress of Banbury (Councillor and Mrs. Braggins), inspected the parade and made the presentations to Supernumerary Supt. Mrs. Cattell (one of the original members of the Division , formed in 1930), Supt. Miss C. Waldock (also an original member), and Nursing Officer Mrs. Page, the latter being well knm"lIl for her work for the Banbury and District Nursing Association.

The Mayor congratulated the Brigade on its work and referred to the work of the Division for the Horton G eneral Hospital, the Elms Maternity Home, and the ·Warwick Road Institutions.

Wychwoods.-On January 25 the Wychwoods Division recei ved a new ambulance, together with a cheque for £ 180 towards its maintenance. Nearly five years ago a fund was raise d for the provision of an ambulance which was presented to the government A committee was formed and made themselves responsible for the driver's salary and maintenance costs. It did good work during the blitz and at the end of the war was returned, but found unsuited for the country area. The first aid party with the help of their old le ader, Mr. W. Beck, and Dr. Gordon Scott, formed the Wychwood Ambulance Division, and a new ambulance was bought with the money received from the

sale of the old vehicle and other moneys which had been collected. The Vicar of Milton-under-Wychwo od (the Re v E. Pearson ) presided at the presentation, supported by County Dr. C. Gardiner-Hill. County Ofhcer H. E. Howard. and Mr. Eric Meecham. the latter being head of the AI?bulaJ.?-ce Committee

The chairman paid tnbute to the generosity and initiative of Mrs. D'Arcy Hall. of Shipton Court, who gave a further donation of £100. apart from the £180, and to the work of Mr. Eric Meecham and Supt. Beck.

COUNTY OF SURREY

Addiscombe.-At a party at which the Southern Railway Class j oined with the Addiscombe Divisi on, District Officer E. ]. Prew presented the Service Medal of the Order to Amb. Ofucer C. L. Cri pin. Mr. Prew received a gift fr om the members of the Southern Railway Classe in appreciation of his many years' service as Centre Secretary.

Chertsey.-Supt. R. J. Gristock, Sergt. R. Balchin. Corpl. J. Duke, and Pte. C. Billing have been awarded the Ser -ice Medal of the Order.

January 2 County Officer Capt. Ellis presented Amb. Officer Thomson with the Service Medal of the Order. He referred to the work of Mr. Thomson as being the mainstay of the Division. A purse contributed by members was also handed to him \,ith

good wishes and thanks for services rendered . The fund for the new headquarters had now reached £300. It is estimated that 11, 000 is required and every effort is being made to collect this sum so that the Ambu lance, ursing, and Cadet Divisions can have suitable accommodation.

COUNTY OF SUSSEX

H.R.H. The Duchess of Kent has co n sente d to be present at the Dedication of the County OIOUT and to attend the Pagea n t of St . John, to be held in Brighton on 1Iay 18.

Wortbiog.-O n January 13 four Nursing and two mbulance teams competed in a First Aid Quiz; the ultimate winners being Tursing Division D Team. Div. S urge ons "\\' . O. Pitt (judge), H. Rosenberg (quest.ion-ma ler). and D. McCall (referee) kindly gave up their time to conduct the quiz.

CO TY OF STAFFORD

Darla lon. -A guard of hon our was formed by memo rs of the Darlaston J\mbu lan ce and Ul" ing Divisions at the "'eJding of Cadet ·upL."\ alLer John Gill and 1\1i s Phyllis Johnson, a member of t.he ' ur s ing Di\"ision.

CO OF WORCE TER

orps ·upt. l'rice pre ided at a ceremony arranged to pay honour to Asst. Comm i sione r T. . L uch and County Sergt -:'Iajor E. F. Preece. Before their promo Lions bot.h were officers in the North "\Vorcest.er hire Corps. Corps Secretary I'. Lightfoot made the presentation to l\Ir. Lench, who had joined the T. W Lench's Di\ision in 1922 as a private and in 1938 obta ined the Service Medal and not. lon g afterwards was admitted to the Order of St. ] ohn, being promoted to Officer in 1946. Councillor Hanson made the presentation to Mr. Preece and expressed his amazement at the amount of time which officers put in. A bouquet was also presented to Mrs. Preece. Both recipients suitably replied. W orcester.-According to the annual report of the Worcester Nursing Division Clinic, duties have been undertaken and visits paid to the Occupational Therapy department of the \ Vorcester Royal Infirmary. Nursing duties have also been undertaken at Shrub Hill Infirmary .

of the Scarborough Division. he knew of the work of the Nursing Division and of the great credit due to them for their care of the wounded during the war. Those present included County Supt. Miss A. Jacklin. Corps Officer P. Smith. Supts. J. Wherritt and Miss M. Moorhouse. Sister K Halliday, and other ofucers. An excellent supper was arranged by members of the social committee under A/S Mrs. ]. Hawxwell.

WEST RIDING OF YORKSIDRE

Dewsbury.-The" Hammerton Shield" Competition for teams within the Dews- ' bury and District Corps was held at Ravensthorpe. Six teams competed. the judges being Corps Surgeon S. M. Newman (team) and Corps Surgeon R. Dick (Spen Valley). the individual section County Surgeon Col. G. H. L. Hammerton, donor of the Shield, was unable to attend. Batley B team was placed first. Dewsbury A and B teams occ up ying second and third places, ' respectively. Individual prizes were awarded T. Butler (Mirfield), A. Dudding (Batley B). H. Builth (Dewsbury A). and E. W. "\iVood (Dewsbury A). Asst. Commissioner H. Harrison presented the trophy and other prizes, and was thanked by Corps Supt. H. Horne, who also expressed thanks to the judges. organizing committee, stewards, etc. Asst. Commissioner Harrison - also presented the following awards: Service Medal Ribbon to Corps Surgeon Dick and Pte. H. Armitage (Ravensthorp e); 1st Service Medal Bar to Supt. Miss M. H. Kendall (Ossett), Amb. Officer Miss F. K. Wilby (Ossett). and Pte. Ambler (Ossett); 2nd Service Medal Bar to Sergt. T. Peach (Dewsbury). On January 12 members of the Dewsbury and District Corps gathered to do honour to Mrs. C. A. Mitchell, the occasion being to mark her retirement from the office of Corps Superintendent after twenty-six years' devoted duty. Corps Supt. Horne presided, being accompanied by Mrs. Horne. County Commissioner H. L. Thornton, Asst. Commissioner Harrison and Mrs. Harrison, County Supt. Mrs. M. E. Birkbeck, and other Corps Officers, together with representatives from Divisions in the Corps, the Mayor and Mayoress of Dewsbury (Ald. and Mrs. John Mayman), and the Deputy Mayor and Mayoress (Councillor and Mrs. W. H. Hooper). After eulogizing the work carried out by Mrs. Mitchell.

NORTH RIDING OF YORKSHIRE who was admitted to the Order in 1924. Scarhorough.-The Mayor of Scar- promoted to Officer (Sister) in 1942. borough, speaking at a social of the Mrs. Birkbeck made the presentation of Scarborough Nursing Division, said that an illuminated address and dressing case the work the memb e rs were doing was on behalf of the members. as vital in peacetime as it was during the annual mee?ng of war. In his capacity as Vice-President the Harrogate DiVlsIOn Supt. A. Ridsdale 57

of. Joseph Sankey & Ltd Division and Wolverhampton

Nursmg DiVlsIOn (WolverhamptIOn & DIStrict Corps) with trophies won in competitions during 1946. 56

referred to the establishment of roadside first aid huts round the town. Another demand in Harrogate was for a Medical Comforts Depot and it was hoped that this would be met in connection with the Nursing Division. Div. Surgeon H. Mathers presided, and referred to the difficulty of obtaining recruits owing to the young men from the Cadet Division being called up. Supt. Ridsdale gave particulars of war-time activities and thanked the Mayor (President of the Division), the Corporation of Harro gate, the Medical Profession, the Press, and the public for their support. It was announced that Pte. W. Mann had gained the Division's Silver Vase for Meritorious Work; he was also awarded the trophy for having attended the most cases during the year. The Duty Cup has been won by Amb. Officer E. Haynes, but he had declined to accept the offer in favour of Corp I. F. Smith and C. B. Fewkes, both Qf whom recently won the Home Guard Cup. The Division accepted with regret the resignation of Amb. Officer F. Wain (Hon. Treasurer), to whom Dr. Mathers presented a gift of pipes from the members. Sergt. Bradley (Hon. Secretary) stated that 793 duties were undertaken, whilst a report on the Cadet Divisio n was given by Cadet Supt. W. Binks.

RAILWAY AMBULANCE NEWS

THE INTER. RAIL WAY FIRST AID COMPETITION

The annual competition for the National Trophy and prizes presented by the Order of St. John will be held at the Borough Polytechnic, London, S.E. 1, on Jun e 20. This will be the first competition since 1939, when Camden "A ", repres enting the London , Mldland, and Scottish Railway, gained the Championship award. prelimin.ary round for the Ungrouped Railways will be held in Macnaghton HClUse, Judd Street, London, W .C. 1, on March 21.

GREAT WESTERN

to which Dr. R. H. Pryce (Chairman, G.W.R. Divisional Ambulance Committee) responded.

Drinnick HilI.-Mr. J . S. Paerson (District Traffic Manager, Plymouth) presided at the presentation of awards, being supported by Drs. Wilson and Crabtree. A cheque was presented to Mr. W . Stevens, who had recently retired after 50 years' service with the Company, during which time he had given 2S years' service to the ambulance movement.

Llantrisant and Llanharan.-Mr. C. L. Simpson (Div. Loco. Supt.), presided at the presentation of awards, and Mr. H. H. Swift (Div. Traffic Supt.) presented the awards. Mr. E. C. Cookson (Divisional Engineer) and Mr. J. H . Page (Asst. Div. Supt.) were among those present.

LONDON, MIDLAND, AND SCOTTISH

London.-On January 2S the Sou them Area and London District Trophies were competed for by 7 teams. The judges were Mr. G. E. Craft (t eam) , nIr. H. R. Potter (individual) , and i\Ir. \ Edgson (for the viva voce). 1\1r. . Purvis (Chairman of the TO. 1 District Committee) presided at the prize distribution and thanked the judges for their assistance. Mr. H. Hopkins ( ecretary) announced the results which were:

Southern Area Cup-1st, Camden" A ", 2nd, St. Albans, 3rd, St. Pancras. London District Tr ophy (No. 2 Division)Camden B " Woodgate Indi\ 'idual Cup-H. Aldridge (captain of Camden " B "). Mrs. H. Hopkins pres ented the trophies.

LONDON AND NORTH EASTERN

Southern Area.-Mr. Cecil Greenwood has been appointed Ambulance Centre Secretary of the Southern Area (G.C., G.E., and G N. Centres) in succession to the late Capt. W. Goodley. Mr. Greenwood has been an active member in the ambulance world for 19 years and since 1936 has been Superintendent of the Stevenage Di vision of the St. J ohn Ambulance Brigade.

North Eastern Centre.-District competition for 1947 will be held as follows: March 5; Middlesbrough, March 19, Darlington, March 29; Newcastle, April 12 ; Leeds, April 26; Hull, May 27; Centre Final for the" Wharton Shield ", York, May 17. Bala.-The presentation of awards was held under the chairmanship of Mr. T. R. Jones. Mr. N. H. Briant (Div. Traffic presented the awards and expressed hls pleasure on the successful Class which so supported by the foremost clhzens ill the County. Councillor J. B. Parry, High Sheriff for the County of Mer-ioneth, proposed the Toast of the SOUTHERN Western Railway to which Mr. .Meritorious Certi6cate.-Ganger W . nant responded. Presentations were Mltchtlll, Cahrd J unction, has been made to Dr. R. J one, Class Lecturer and awarded the Meritorious First Aid Certito S:<:mncillor W. T. who is shortly ficate of the Southern Railway Centre for from the serVIce ?,f the C<;H!1pan!,. the efficient treatment of a lengthman r. van Jones proposed The VIsItors. suffering from severe bleeding.

58

Ashford.-The annual" Maunsell Cup" Com petition was held at Ashford where six teams competed before Dr. Sheila Niall and Mr. F. A. Trott. Dr. Niall presented the trophy and prizes and a frame d certificate to Mr . B. J. Green for 30 years' continuous ambulance service. The winning team was lead by S. Knight with G. Holtum, A. Cowell. H. Edginton, and F. W. Paine as members of the team.

Oakhampton.-P resentation of awards and a concert was held recently at which Mr. Weaver presided, supported by Mr. F. A. Trott (Centre Secretary), the Deputy Mayor and Mayoress, Supt. Tothill, Dr. King. Class Lecturer, and Mr. W. Rooks (District Secretary).

Redbill.-Mr H Huoneybell gained the " Anstey Chave Cup" at the recent co mpetitions, with Mr. A. James as r unner-up. Mr. F. A. Trott (Centre Secretary) jud ged the work done and congratulated a ll competitors on their efforts.

Asst. Div. Supt. Mr. B. BushelJ presented the trophy and prizes and extended the hope that the Redhill Class would secure the premier trophy of the Railways.

Addi combe.- rIembers of the Southern Railway Centre joined with the Addiscombe Di\'i ion of the Brigade in an enjoyable party. District Officer E. J. Prew was welcomed back after his recen t ilJness, and the members heartily supported A. Botting. who, on their behalf, presented him with a gift from the members of t.he oUlhern H.ailway Classes in loken of their appreciation of his many years' service as Centre Secretary.

Exeter.-At a concert and presentation of awards i\Ir. E. V. Brady, Div. Engineer, presided and awards were presented to the Exmouth Junction Class by Dr. W. J. Walter (Lecturer) and to the Exeter Central Class by Dr. J. B. Tracey.

Southampton Docks.-Forgetting splints and bandages for one evening a most enjoy able variety programme was provided by London artists. During the evening when a wards were presen ted Mr . R. P. Bidd le, Docks and Marine Manager, introduced Mr. J. H. Chitty, Welfare Officer, who in a short, bright and snappy speech thanked the docto rs for their kindly help and Mr. Petty and his class members for their valuable support.

Yeovil.-Following the annual presentation of awards the individual first aid competition for the It Warner" Cup was held and for the" Gooding" trophy which had been presented during the evening by Driver H. Gooding to mark his bappy association with the Yeovil Class and to encourage beginners Dr. P. C. Parker judged the tests, Mr. McVeigh winning the It Warner" cup and Mr. Saunders the It Gooding" Trophy.

RedhilI.-Horsham No.1 again gained first place in the District 4A First Aid Quiz which was held recently. Eight teams competed, and Brighton Engineers were the runners-up. Mr. S. W \\'inni· frith, Station Master, Redhill, presented the prizes.

EFFICIENT ASSISTANCE

The value of first aid was demonstrated by Sergeant F. Wright of the Grimsby Division on the morning of November 27 when he found a shunter in a lonely Goods Yard Siding suffering from a crushed hand and shock. With little first aid material available Sergeant Wright realized that improvisation was necessary. He had with him a clean dry dressing and a sling which he applied and as the person was suffering from severe shock he summoned transport immediately with the result that the patient was in hospital within 25 minutes of being found

One of the duties undertaken by members of the Brigade is that of Public Duty; and the following case emphasizes the importance of training received by members. At a Bonfire Carnival held at Hellingly, Sussex, the fancy dress costume of a young woman taking part caught fire. The flames were smothered by other participants but she sustained severe burns on her face, neck and hands. Fortunately, (as was stated in the Press report) trained assistance was available for an ambulance of the Hailsham St. John Ambulance Division was in the procession and personnel (men and women) rendered first aid. The patient was taken to the doctor and thence to a hospital in Eastbourne where she was detained. Eleven other casualties were also dealt with by the Brigade personnel, mostly burns caused by fireworks.

CASUALTIES UNION

The fifth annual re-union of the Union is to take place on June 22 at the Chiswiek Road Transport Depot. The programme will consist of two competitions, followed by a demonstration.

The competitions are open to all: (1) First aid competition for teams of four; (2) Diagnosis competition for teams of two. As these competitions will be run concurrently, it will not be possible for competitors to compete in both. Entries should be forwarded to the Hon. Organizer, 64, Chi Item Road, Sutton, Surrey, not later than March 31, accompanied by entrance fees which are lOs for the team and 5s. for the diagnosis test.

HONOURS

The Chief Commissioner, Brigade AtHelme, has pleasure in announcing that following members were Mentioned In Dispatches for their service in S.E.A .C. :Mrs. Girouard (Assistant Superintendent-in-Chief, N.D.); Miss M. Miller, S.R.N. (County Nursing Officer, Suffolk).

IN PRAISE OF MOBILE V.A. D.s

The following letter has been received from Mr. W. Grayson of 'Worthing:"Will you please allow me space to pay a small measure of praise to a body of women who seem to have been forgotten in the praise department. I refer to the Mobile V.A.D. nurses. I speak from experience, having been a patient in a large Military Hospital in the South of England where two St. ] ohn nurses worked.

"Those two nurses did more real work than many others, and their devotion to duty, often under intense aerial activity, their efficiency, sympathy, and understanding, were ever a source of wonder and admiration to myself and my fellow patients. We all agreed that their most comforting attention help ed us to recover y much quicker than expected. Since leaving the Army I have joined St. John and have looked in vain for the rec ognition due to the Mobile V.A.D., but I only read about the work of the Civil D efence, and as many Civil Defence members never saw action or real patients, my friends and I from Military Hospitals think this is grossly unfair.

"Could not the V.A.D. be given a special medal, brooch or ribbon to wear on their uniform to denote their devotion to the splendid work of nursing the wounded men, often under active service conditions as dangerous as ours were overseas. The s pirit of Florence Nightingale lived again in these nurses, and though very modest about their work, we feel sure that they would appreciate a little recognition now."

THE HOSPITALLERS' CLUB

The annual general meeting was held on January 10, with President ]. A. Gravestock in the chair. The members stood in memory of the late Capt. Goodley.

Mr. Gravestock thanked the members for their support during his term of office and proposed that Mr. C. E. Bower be ele<eted Pre:oident for the following year This was unanimously carried 60

Other elections resulted in th e following :-Vice-president, Mr. A. Turtle; Treasurer, Mr. K. Stallard; Secretary, Mr. S. J. Stillwell; Social Secretary, Mr. J. Kemp; Committee members, Messrs. G. E. Craft, G. P. Hart, H. Dunford, and G. Lear. The auditors, Messrs. Elvin and Bandy, were re-elected.

The Secretary, in his report, sta ted that the Club had 141 members, an average of 50 attending the meetings. He expressed thanks to the Secretary-General of the Order for the u se of offices at t John's Gate for Committee meetings. A hearty vote of thanks was extended 1\1r. Stillwell for his excellent work during the past year.

Mr. Standingford presented the Treasurer's report. Unforlunately, owing to indifferent health he would not be able to continue in the office. The President and many members paid tribute to the work and services rendered to the Club over a number of years by 1\1r. Slandingford.

POLICE AMBULANCE NEWS

National Trophy.-Owin g to the shortage of man-po\yer it has been d cided that the National Police First Aid Competil io n for the "PYl\I" Trophy and prizes presented by the St. John Ambulance Associati on will not be held during 19-17.

VOLUNTARY RELIEF WORK IN GERMANY

The report which appeared in the Ja nuary, 1947, issue of The Gaz ette 'vas taken from the report of the Council of British Societies for Relief Abroad "'lYe r egret that this acknowledgment was not given at the time.

RUBBER BANDAGE

The rubber bandage for use in the treatment of hcemorrhage (see Supp lement to First Aid to the Injured, page 26) can now be obtained from the Stores Department, St. John's Gate, London, E.C. 1.

MORE COPIES

It is now possible to supply more copies of The Gazette. Divisions requiring monthly parcels, also members requiring copies sent by post each month, should send their orders to the Publishing Office, 46-47 Chancery Lane, London, W.C. 2.

Headq uarters: Priory House, 4 Cathedral Road, Cardiff. GENERAL INTEREST

ursin g personnel of the Brigade in VIales are maki ng a good response to the appeal of the Assistant Lady Superintendent for "Va les (the I-Ion. Mrs. J. H. Bruce), for volunteers for part-time nursing work in hospital. Following on the approach made to Brigade Headquarters by the l\linistry of Health for the help of the Brigade in connection 'w ith the Part -tin:- e Tur sing Campaign to be launched m selected areas, the Priory indicaled to the \Vehh Board of lleallh a readiness to cu-operate in \\' alcs. The Board for particulars as to lhe personnel aVallable ; and the result of a queslionnaire, though \,et incomplete, r 'presents an offer of scn'ice during mornings, ailernoons, nights, or wcck- nds on .the part of many memh rs in mosl COllnltes. Employment und r lhis sch me will be subject to rates of pay in accordance "i1.h the Hushcliffc CUI11mill The BrIgade IS mak in g a uhstantial contribution in helping to meel the increc:sed demaJ?-ds for hospital nurs es. A big proportlOn of the member ' hip leave it s rank year b\' year to ' nler lhe profession, a desire to riur c ha\ ing been stimulaled no by divi:,ional inslruclion and prac.t1ce; and many of tho e wbo took up auxIlIary nur ing during the war are now in of training. During the recent Cardlff and District Nursing H.ccr uitment Campaign, four members of CardifI Divisions enrolled fur hospital tralOlOg, while many of the young inquire r.s. not u ld enough to go into hospital cadet units as a slep towards reahz1l1g their ambiliun. In this connect ion it is gralifying to know that 1Iinistry of Labour and .1. -ational SerVlce has recently sent out a circular to its local officers suggesting that where other pre-nursing opportunilies are not. a\'allable the Cadet organizatiun one way of ensuring that sC:ltable. boys girls maintain a l1vely illterest ill

Miss E. A. Gravenor, Matron of the Gellygaer I solation Hospital, may be of interest to Cadet Officers :-Babies' Wa?'d: Senior Cadets could assist with changing bath waters , toilet, beds, and general tidying up of wards and bathroon::s; helping with bottle feeds and nursillg the baby whilst feeding. Toddlers' : Assisting with the preparation and of meals, fixing bibs and serVlettes; sponging hands and face before, c:nd cleansing teeth after meals; helpillg with spoon feeding; reading telling stories, playing games , and tak0g children for walks (if a ll owed); prepanng for bed; seeing to toilet; assistin1? with bathing; helping staff with check0g. of clean and soiled linen; general hdymg of ward and bathroom; taking flowers out of wards at night; changing water in vases and refilling hot-water bottles. Adult Wards (Women's): Assisting preparing patients' meal trays; cutt:ng and serving bread and patients' drinking-water washillg tumblers; giving out washing bowls on trays and handing toilet bags, toothbrushes, and water from lockers. to patients; clearing al?-d cleanillg bowls; stacking them tidily ill the bathroom; preparing toilet ready !or staff, i.e. back tray, etc. ; clearung dressillg bowls and receivers; counting clean and soiled l aundry; refilling hot-water bottles; removing flower vases fr?m wards in the evening and changillg tid ying locker tops and beds bedstead castors in wards; tid yillg up ward and bathroom; fetching and c;arrying for staff as writing c:nd posting letters for patients; collectillg and distributing weekly and magazines and changing books; mann:ng telephone during slack periods and taking messages to B?y Cadets might carry out Jobs 10. s similar to those done by gl1'ls ill Women s Wards.

nursing until they c:re enough. to CENTRE REPORTS enter full -t ime nurslOg 10 a hospltal, CARMARTHENSHIRE thereby" bridging the gap " Several of J P D L t Offi have Sir Evan '.iVilliams, Bart., , .., the juvenile Employmen cers t' already applied to the Cadet. Reg.lOnal presided over the first post-war 109 S M h I of the Carmarthenshire Centre Commlttee, Representatives for '.iVales (]I lC .ae of which he is President, convened by the Duff, Bart., and Lady Twiston-DaYl:es, Centre Secretary, Mr. Emald H. Jones, J.P.) for particulars ot local Cc:det Umts. at the Town Hall, Llanelly, on January 18. In addition to holdmg the of D L would-be nursing trainees, Cadets 10 the The Hon. John H. Bruce, J.P .' areas of hospitals are giving useful (Principal Secretary and Comn::lsslOner in many directions; and the followmg for yvales), addressed the meetrng and t' b Lady County Officer conSiderable business was transacted, sugges IOns y 61

including the establishment of an Awards Sub-Committee for the purpose of bringing to the notice of the Priory services worthy of recognition. The resignation of Mr. T. H . Lewis, Chief Constable, fr om the office of Commissioner, tendered on the grounds of pressure of other work, had been accepted with regret and t he Centre is fortunate in finding a successo r in one so well qualified as Mr. D avid Cecil Williams., whose app ointm en t has been approved by the Pri or, the E a rl of Powis.

GLAMORGANSHIRE

Barry County Area records in a report on activiti€s during 1946 a total of 2,970 cases of accident or illness treated. Of this number, 2,180 were attended at the First Aid Station at Barr y Isla nd , w h e r e in addition, 787 lost children w ere l ooked after at the children's creche until being restored to their parents The B arry Borough CouI;lcil has express ed grateful thanks to the Brigade for the s ervices rendered by the members in undertaking voluntary duty daily at the Sta ti on and Creche during week- ends and h oliday periods throughout the summer.

In the Caerphilly County Area , the annual presentation of a w ards t o m e mb er s of Caerphilly Town Division was a n

occasion for a visit from the H o n. H. J Bruce, J P , D L. (Pri nc i pa l Sec r et a r y and Commiss ion er for Wa les), a nd the Hon. Mrs . J. H. B ru ce (Ass ist a nt L a dy Supe rint en de n t for W a les) . M r. J. Aubr e y Nich olas p res id ed a n d Co l. D J. D avies (A ss ist a n t Co u nty Di recto r, B. R C S.) , on be ha lf of the D iv ision , prese n te d Mr Bruce wit h a reading lamp made by Sergea n t S. J . Boobyer , as a token of r e cognit i on of his great services t o the Or der. Co l. Davies associated h i mself wit h th is tr ib u te from friends and admirers at Cae rphilly. Acknow ledging the gift an d the act of kindness iL represented , Mr. Bru ce sa id it was a challenge to the fu t u re in which they all shared. Referri n g t o the work of the Priory, he sa id that on e of the most important aclivities was the organization of classes in all parts of \Vales to ensure that all sections of the community would ha\-e an opportuniLy of learning first aid, home nursing, and allied subjects In this w o rk they were greatly indebted to the medical profession a n d to the secretaries of classes and d ivisions whose services were so often unrecognized. .

Supt. Charles Cavill recei\'ed from the Pr incipal Secretary the ribbon of a Serving Brother of the Order, the honour conferred upon him in 194G following service

in the Caerphilly T own Division, dating back to 1928 . Other presentations included that of a reading lamp pres ented b y Col. D. J. Davies to Mrs. Cavill f or s ervi ces rend e r ed; the Mrs. M. L. B lack Cup, b y Co unty Officer W. J. Skyr me, t o L eo n a rd Martin, winner of the co mp et iti on for fir s t -year m e n, in w hi ch t he 2nd pr ize went to William J ames, a n d t he 3 rcl to Georg e H. Black. Cyri l J ames , w inn er i n the Cad et co mpeL i Lio n , Bryan 'Wi lm ott and Co lin J ames, 2nd and 3rd, respec tively , r ece ive d prizes fro111 i>Irs. 1\1. A. T h omas ; a n d the Caerph ill y and Distr ict L eag u e Cu p , won by t h e Tow n Di v isi on , was p r ese nt ed to the captain, Sergeant E. Gree n , b y Corps Su pt. R J. Carter.

The H o n :\l rs. J H. Br u ce , in h er address. said she wou ld a lways re m emb er Caerphill y for the a sistance rendered to drivers of molor ambulances d u ri n g t h e CardilI blitzes in li ghting their w ay t o Caerph illy and Di5trict Miners' H osp ita l with miners' Jamps. 1\1rs. Bru ce hoped ther wou ld be an act i\.-e u rsing Cade t Di\' ision al Ca rphi ll y in the n ea r f u t ure.

MERIONETH HIRE

nIem b ers and Iri n ds of the Co r we n Di\ i ion mel at the en tra l Hotel, Corwen, Ior the presentation of awards gained since 19-12 The H onorary Presiden t, Edeyrnion ;\ 111 bu lance Di\"lsi o n, Admira l R G. A. \ \'. Stap leton -Cotto n , C.13. , pr ided, supported by Asst . Co mmisioner Richard Jones , Chief Constab le , Commission r Dr. E. Lewys-Lloyd b ein g una uidab l y absent. A pprec iative references to t h e serv ices o f Div Su rgeo n n. R Edwards and D i v. S u p t. J . Fred O we n were mad by the speak er s and a bap py gathe ri ng was conclud ed wi t h th e singing of the \\ e ls h and Nati onal Anthe m s.

MONMOUTHSHIRE

T h e H on J. H Bruce, J.P , D L. (P rin cipa l Sec r et a r y and Co mmiss ioner for \ \Ta les) , was prin cipal guest at a social or ganiz e d b y the Rh y mn e y V a lley Corps in h on o ur of Co unty O ffice r Alb ert Willi a ms who rec ei ve d hi s fir st warrant of a p p ointm e nt to Brigad e office in the Rhy mne y Di v isi on just thirty years ago. Hold er of th e S ervice :Medal and four Bars, si g nify in g th irt y-five y ears ' e ffici ent Brigade s ervice, County Officer Williams was admitted to the Order as a Serving Brother in 1925; and members and friends of the Corps had subscribed to a wa ll e t of Treasury notes, which was handed to him by the Commissioner for Wales in appreciation of his Assistant Commissioner WaIter Pnce p resided.

63

The success of the Tredegar Cadet Ambulance Division in winning the Isca Shield in two consecutive years at the National EistedcHod Gf Wales has been marked by the gift of a silver trophy for annual competition in Tredegar amongst Cadet Teams in South Wales and Monmouthshire. The first contest brought teams from Trelewis, Newport, Ebbw Vale, Bargoed, and Blaenavon. Th e judges, Div. Surgeon T. R. Bryant and Cadet Surgeon S. Kennedy, placed the teams in the following order:(1) Tre lewis, (2) Ebbw Vale, (3) Blaenavon. Th e President, Mr. D. Morgan, M E., pr es ented the Cup and prizes to the winning teams. The competition arrangements were carried out by Cadet Supt. C. J. Parry, Cadet Officer T. J. Harding, and the Cadet N. C. Os.

RHONDDA

A t th e Ambulance Hall, Ynyshir, on J a n u ar y 9, an interesting lantern lecture on the History of the Order of St. John w a s given b y Mrs. M. Morgan, B.A., d epicting many major incidents in the Order ' s hi story, the slides being lent fro m Priory Head quarters. Lady Div. Supt. Mrs. M. Pugh, S.RN , presided, a nd Div . Supt. A. E. Holman and Mr. E. T. Harcomb e , F.C.I., thanked those who had contributed to the success of a function or ganiz ed with the object of encouraging n e w r ecruits to the Senior and Cadet Di visi ons. Cadet Supt. Boncil Moxham m a de an appeal for new members of the Yn yshir Cadet Division.

THE ROYAL COLLEGE OF SURGEONS OF ENGLAND

In pre-war days it was quite a feature to be able to visit the Hunterian Museum of the Royal College of Surgeons in Lin coln's Inn Fields, London, where many int eresting and instructive hours were spent by members of the Brigade. We have been advised by the Assistant Secretary of the College that recently a number of requests have been received from Brigade Divisions asking that these visits be again permitted.

Unfortunately, the greater part of the Museum was destroyed by enemy action, and it will be a considerable time before the Collections are restored sufficiently to be of use to members of the Brigade.

It is, therefore, impossible to arrange these visits at the present time, and Officers-in-Charge are asked tel make a note of this. When the Museum is again open to Brigade personnel, a notic€ to this effect will be inserted in the Gazette.

Division trophies gained durin g 1946, including the Isca Shield won III the open competItIon for boys at the National Eisteddfod of Wales 62

INTERESTING CASE REPORTS

- CASE REPORT No. 3I5.-The Officer-in-Charge of the Co.unty of Sussex S.J.A.B. reports the efficient assistance rendered by of the Steyning Bramber and Beeding Division in the followmg clTcumstances :-

- At 7 a.m. on October zz Superintendent A. C. Hollov"ay received a telephc:me call from a doctor who said that he had had a call from Ashurst (about 3 mIles away) to come quickly to a man who had in to the river and. asked to go with him and to assist with r eS uscItatIOn although the patJent mIght already be d ead. The doctor called for Supt. Holloway in his car, and or: arrival at Ashurst they found that the patient had been out of the ;nver ar:d taken indoors. He was stiff as frozen meat and blue-red In colour; hIS nostrIls were blocked with slime, and his teeth were clenched. The doctor found that there were still signs of life and asked Supt. Holloway to start Schafer's method of artificial respiration while he cut a gag to get an oxygen tube into patien t's mouth. After forty-five minutes the police arrived and assisted Holloway by doing Schafer's method while he took charge of the oxygen tube for the doctor who was thus able to give other treatment including a hypodermic injection. After artificial respiration had been performed for z! hours, the patient re\'ived slightly. The doctor, therefore, decided to rush him to hospital in an ambulance, and kept up the administration of oxygen during the journey, assisted by upt. Holloway who eventually returned home at 11.30 a.m. Patient subsequently made a good recovery and was admitted to a mental hospital.

COMMENT.-The report tells the oft-repeated story of the way in which 1Jumbers oj the Brigade, as good first aiders, prove themselves invalttable assistants to the doctors in charge of patients. Consequently it earns for Super1'ntendent A. C. Holloway cordial congratulations on good work well done.-N. CORBET FLETCHER.

CASE REPORT No. 3I6.-The Officer-in-Charge of the No. IV (Lancashire) District, S.J.A.B., reports the efficient performan ce of first aid by a member of the Speke Town Division in the following circumstances :-

On August z3 last Private J. Williams was taking his dog for a customary run near a pit at Speke, Liverpool , when his attention was attracted by th e barking of the animal. -Turning in that direction he saw a woman waving her arms and shouting. Not being able to und erstand her o\;ving to a strong wind he hurried to her and was told that there was a child in the pit. As he ran to the pit he noticed another woman and arrived at the same time as the second woman who, on seeing that it was her own child, waded in, stumbled and fell. Pte. Williams immediately pulled her out of the water. Leaving her in charge of the first woman, he then dived in, reached the child as h e was sinking and succeeded in bringing him to the edge of the pit in spite of great difficulty in getting on to the bank consequent on the slimy walls. At this stage Pte. VVilliams was in a state of collapse, but thanks to the aid of the first woman he quickly r ecovered and proceeded to apply artificial respiration with which he continued until the child showed signs of recovery. During this time the mother went for a doctor; and the first woman, wrapping the child in her coat, helped Pte. Williams carry hin::t to his a short away, where they found the doctor had already arrIved. LeaVIng the child m competent hands Williams return ed to his home. The police called later in the evening and informed him that he had undoubtedly saved the child ' s life.

COMMENT.-Private J. Williams melJlits cordial congratulations on the skill 12!uck fJ,nd persevelJlance with which he dealt with this emergency without thought etther for h1,S personal safety or for the damage done to his clothing in these days of coupon difftculties.-N. C. F. •

ACHILLE SE RE

Standby with BOVRIL

BECAUSE

one 01' other or all of the three races of germs, Streptococci, Staphylococci and B.pyocyaneus are found in every skin infection common to this country, and ANTlPEOL OINTMENT contains the .nJibodies (antivirus) of these germs. Healing is upedited by the proved ingredients of the ointment, and septic development is stopped or prevented by its antivirus sterile vaccine filtrates. ANTIPEOL OINTMENT is unsurpassed for BURNS and SCALDS, for it is microbicide and non-adhesive, and dressings do not require to be changed day.

RHINO-ANTIPEOL

affords rapid relief of COMMON COLDS, INFLUENZA AND CATARRH Containing the antibodies of the germs common to infections of the nose and pharynx (Staphylococci strep- tococci, Rpyocyaneus, pneumococci, pneumo- bacilli, enterococci, M.catarrbalis, B.Pfeiffer), Rhino-Antipeol is not just a palliative, but is a remover of the cause of the infection. - During epidemics it is the ideal preventive of microbic development.

OPHTHALMO-ANTIPEOL

is a semifluid ointment, more convenient than the ordinary Antipeol ointment for ocular infections and lesions. Eyes affected by smoke and dust are soothed almost immediately by the application of Ophthalmo-Antipeol, and the antiVlIUS prevents germs from developing.

OUNIOAL SAMPLES ON REQUEST FROM

ACHILLE

_QUESTIONS AND ANSWERS

Fractured Neck of Femur

P. S. (Manchester) .-Please tell m e how we should tr eat a pati ent suffering from fracture of n ec k .of femur. Should we tr eat as for fracture of pelvis? Also please tell me in what position the foot on th e affected side wou ld be found.

The Te x tbook do es not expect first aiders to diagnose exactly th e site of a fractured fe mur Co nsequently , you should treat all cas es of this injury as laid on p. 88 of the T extbook. With fracture of neck of femur the 171J1.b wdl 'Ln all probab'Lhty be fo und with the f oot lying on its outer side.- I C. F

Dressing Bandage for Skull

G. S. (Alfr eton). - In the D ecember issue of The Gazette a correspondel:t us how to hold a dressing or rin g pad on th e skull. Th e members of our DlvlslOn have used this method for a lon g time, and you will find it described, with diagram, on p I30 of the Ha ndbook of Fint Aid and Bandaging by Belilios, Mulvany and Armstrong. I can ass ur e you that the dressing bandage is easy to fix and very effic ient.

lVIany thanks f or your letter.-N. C F.

Artificial Respiration

G. S. (Alfreton) .-Many th anks for your helpful answer to the q u ry which was published under the above heading in the December issue of Th e Ga ze lle. I suppose that the times per minute will be omitted wh n the T ·xtbook is revised.

Your suppo sition is not correct " and the times per minute will certainly 1Iot be omitted in the revised Edition of the Textb ook . The ti)ni11g of the movem en ts is a very important factor in artificial respiration " and what I wro te in my previolls reply was that the effective performance of the 1nov ement was m ore essenlia l than concentration on a stop - watch.-N. C. F.

Examination Howler

G. S. (Alfreton).-Finally if yo u can b ear with me a little long r, I send the following examination howler to finish off with :-The doctor asked one candidate in a recent examination what he would do if he found a man ly in g at the side of the road The candidate quickly replied: "I would go through hi pockets to s c if he was unconscious ! 11

Good I Next please II-N. C. F.

Injury to Liver and Fractured Clavicle

F. C. (Catford).-In a recent t es t I had to deal with a man who had sustained a fractured rib with injury to liver (internal hcemorrhage) and a fracture of the clavicle on. the left side. After apply ing a cold compress over the liv er and th e St. John slmg to I was und ecided wheth er or no to apply th e bandage round the body to ImmobilIze the arm, bearing in mind that instructions not to place bandages round th e chest in cases of fractured ribs involving an internal organ M.ay I ask, therefore, how treat such a combination of injuries?

Thanking you for the great aSSIstanc e gIven on past occasions.

In a,ll cases in ze: hich t w o or m.0re injuries. require treatment it is necessary to deternnne tho se w htch should r ece'LVe p'Yeferent2al attention and where necessa1'y to modify the t1'e atment of the oth er inju'Yies. yvith combination of injuries quoted by you, the dangers associated with the 'LnJured hver a'Ye g'Yeater than tho se wtth the fractured clavicle. Consequently you should Gonc.entrate on .the tre atmen t of the former and support th e upper limb wit h a St. ,({)hn sh'!2g but om'LZ the body bandage. far the /'Yactured clavicle in conformity with the 'Lnstructwns of the Tex tbook (p. 80) ?In relatwn to complicated fractur e of ribsN. C. F.

MEDICAL practice at home and overseas throws gre at emphasis on the need for a form of concentrated nourishment-a perfect invalid food. This is interpreted in day-to-day practice as the necessity for a liquid food which completely me ets every metabolic need, is readily accepted by the patient and is immediately assimilated.

. Ovaltine' meets this n ecessity in a highly satisfactory manner, b ot h as an emergency measure and as a regular routine. The nutritive and energizing co ns tituents of ' Ov alt ine are rapidly assimilated, providing every dietary essential and, at the same time, allaying nervous tension in a most h elpfu l manner.

• Ovaltine' is a n atural food tonic prepared from milk, eggs and malt extract. Supplies are avai l ab le to hospitals in special packings and at special p rices.

A liberal s upply foy clini c al trial se nt f re e on req u est.

A. Wander, Ltd., 5 and 7 Albert Hall Mansions, S.W. 7·

CELLON SERVICE SKLEN

PLASTIC BANDAGE REMOVER

(non-inflammable)

A solution for dissolVing the adhesive of pbstic bandages, enabling easy removal of the plaster and subsequent cleansing of the adhesive remaining on the skin. Also invaluable for cleanSing the skin prior to applying the bandage.

Strong or Weak Tea

J. C. (Nottingham).-As a regular reader of The Gazette I much appreciate the answers which you give to our problems. . Will you please tell me why, in the to the w,e are mstructed in the treatment of burns and scalds to gIve sweet tea whIch IS only warm and weak?

The treatment of shock calls for the administration of fluids combined with a mild stimulant such as tea or coffee, and in most cases of shock. a dnnk of hot tea or coffee will do all that is necessary. liVhen, however, the shock 7,S to bU1'ns or scalds a different condition calls for treatment, because the body a1'e dnven from th e veins of the victim into the tissues. Consequently our good 0/ hot tea or coffee cannot do what is necessary, and better results obta'lned if flU7,ds a1'e ministered over a period, which fact necessitates 0/ the. si'lmulant, be thts tea or coffee. Hence in cases of burns and scalds the 7,nstructwn m the upplement to the Textbook are to " give large quantities of warm and sweet tea" .-I C. F.

Schafer's Artificial Respiration

E. ]. (Swansea).-When the Revision Committee dealing with. method of artificial respiration, they may like to consIder POI?tS which I venture to submit herewith . By the way, my quah.ficatI ons for darmg to offer these are that I am the holder of the Award of 1erit of th e H.L.S.S.

Point 1. Patient's position.

At once lay patient in prone position with arms extended above the head, then bend right arm and 'place patient's right cheek on back of hand.

My reason for this is that, with the patient in this position his face will be slightly raised off the sand or floor whereby the risk of his inhaling sand or dirt is eliminated.

Point 2. Rhythmic Movements.

Stress the point that movements must be rhythmic and not performed in jerks.

My reason for this addition is that I have attended many classes and that invariably I have observed the tendency to try to force out the air by jerks.

Point 3. Indicat ions for Schafe r's Method.

State that this method may be used in all cases except when patient is suffering from severe abdominal injuries and the more advanced cases of pregnancy.

My reason for this addition is that I have heard that at least 80 per cent of really good first aiders say that they would not use it in cases in which the patient is suffering from fractured ribs.

Point 4. Timing of Movements.

State that operator should say aloud" One thousand; two thousand; thr ee thousand; four thousand; five thousand".

My reason for this addition is that in my experience this m ethod ena,bles the operator to get the timing right and stops them from going too fast.

Point 1. If you extend both arms above the patient's head, you cause the chest cavity to become enlarged. Provided , therefore, both arms (as you suggest) are extended above the head before one fo rearm is flexed, I cannot see that any harm would result.

the above was written, Capta in Alwyn E. Biscoe of the Royal Life Saving S?c7,ety has me the late Professor Schafer was approached some time before h'lS death on th7,s subJect and that he gave the follow ing ruling :_ ." I think that the arms mcry advantageously be placed at right angles to the trunk w7,th the elbows bent; and I think that it is a good plan to allow the cheek to rest on the hand, but these things are nat essentiaZ."

Point.2 This w,arning is already in Textbook which on p. 147 tells you that exertwn 7,S requwed and that the body 7,S to swing slowly forwards and backwards.

Point 3· This warning also is already in the Textbook which on p . 149 tells you 68

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69 For colds or I take

Cephos makes short work of colds and chills. Sold everywhere in Tablet or Powder form. 8 doses 1/3, 21 doses 3/-. single dose 2d. including purchase tax.

CEPHOS DOES NOT AFFECT THE HEART

that Silvester' s Method is to be when it is impossible to twrn patient on to his o r her fac e.

Point 4. Tips and aids to memO?'y hav e no place .in. a T extb.ook. this suggestion is not approved . Further, for correct hmmg the hp (w Inc h, hke you, I favour) must be repeated slowly and deli ber at ely.- N C. F.

Road Safety Camp a ign

E J. (Swansea).-Also as part of the" K eep D eath off th e Road " Campaign I would like to suggest that the Association should issue strips which could be labelled " First Aid Kit in this Car " a nd adorn ed , vith the St. J ohn Cross fore and aft and w hich could be stuck on th e back windows of members' cars. To this end the Association could issue a small kit which can be carried in the d ash pocket and which should consist of 2 or 3 emergency dr ess ings, 2 triangular bandages, a small bottle of sal vo latile and a small bott le of disinfec tant.

Your letter has been pas se d to the Chief S ec?'etary who inform s me that this and similar sugges tions have been considered from time to time in the past and hav e not been thought practicable -N C F.

Varicose Veins

J. P . (Hounslow).-Is the treatm ent of hcemorrhage from a \'aricose vein now similar to that for an ord in ary wound accompanied by hcemorrhage, as desc ri bed in the Supplement to th e Textbook? Meanwhile please accept my best thanks for answering both queries

You wi ll find that all the original instructions in the Textbook are contained in the Supplement and that the second bandage is mentioned in Clause 9 on p. 26 of the latter. -N. C. F

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FOR SALE.-New Style, Lady Office r's Gostume, greatcoat, and hat Bust, 36 in. ; hips, 40 in. Replies to-S.J. 59.

W ANTED.-Ambulance Officer's uniform complete with greatcoat. Chest, 40 in. ; waist, 38 in.; inside leg, 29 in.; hat, 6i .-Write or pbone, CAPTAIN D. LAFFERTY, 44 Chapel Way, Tattenham Corner, Epsom. Tel. Burgh Heath 1457·

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PRACTICAL BOOKS

by N. CORBET FLETCHER, M.B., B.C., M.A.(Cantab.), M.R.C.S.

WHY & WHEREFORE IN FIRST-AID (6th Ed.)

Difficulties solved by Question and Answer

Price 1/ 3 (Post 2d )

AIDS TO FIRST-AID (7th Ed.)

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EFFICIENCY IN FIRST-AID (3rd Ed.)

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AMBULANCE COMPETITION TESTS

Stretcher, Individual and Question.

Each Folder contains special article on Competition No. I. Training of Competition Teams; No 2. Conduct of Team in Competition Room No.3. Common Errors in Competition: No 4. Further Errors In Treotment: No.5. History of Competition Tests, No.6. Preparation of Tests.

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Permit or official headed paper must accompany every order.

S.J.A. REGULATION COAT

Cut and tailored from fully shrunk and showerproofed material, half lined with grey Italian cloth. An official order for H.Q. to supply us with badges and buttons must be sent with every order Stock sizes only Women's Sizes, £4/16/4; O S , £5/10/10.

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Buttons, 3/8 extra

S.J.A. REGULATION HAT fo r Officers, Wool Felt, 18/-. Ambulance Sisters, Felt, 18 /-. Box and postage 2/1. Badges are only obtainable from H.Q. Sizes : 6t, 6i, 61, 6t, 7, 71, 7t, 71' Storm Cap 17/11. Box and postage 1/4.

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