The St John Ambulance Gazette (January 1944)

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I A QUI(:K i i SAfE .AND I i EffECTIVE I i TREATMENT i

Will NOT TURN SEPTIC i fOR I

BECAUSE I Sold everywhere in Tablet or Powder

one or other or all of the three races of germs, E 21 Powders or 42 Tablets 1-. !§ form. 8 Powders or 16 Tablets U3. -I

Streptococci, Staphy:loc:occi .and i§ Single Dose Including Purchase Tax. are found in every skill IDfectioll commOIl to tills 1lIIlIlIlIllIIlIIlIlIlIlIlIlIlIlIlIlIlIlIlIIlIlIIllIlIIlIIlIlIlIlIIlIIllIIlIIlIlIlIIlIlIlIlIIlIIlIIlIInlllllllllllllllllih.

country. alld ANTIPEOL OINTMENT the antibodies (alltivirus) of these germs. Healing is expedited by proved .ingre<;lients of the ointment and septtc development IS -stopped or prevented by its antivirus sterile vaccine filtrates. ANTIPEOL OINTMENT is for BURNS and SCALDS, for it is microbicld.e and nOll-adhesive, and dressings do not reqmre to be changed every day.

RH INO-ANTI PEO l

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, B.pyocyal!-eus , pne.umobacilli. enterOCOCCI, M.catarrhaiJs, B.Pfelffer). Rhino-Antipeol is not just a palli.ttive, but is a remover of the cause of the infection. During epidemics it is the ideal preventh'e of microbic development.

OPHTHALMO-ANTIPEOL

is a semi-fluid oimment, more convenien t than the ordinary Antipeol ointment for ocular infections and lesions. Eyes affected by smoke and dust are soothed almost immediately by the application of Ophthalrno-Antipeol, and the antivirus prevents germs from developing.

CLINICAL SAMPLES ON REQUEST FROM MEDICO-BIOLOGICAL LABORATORIES, LTD.

CARGREEN ROAD, SOUTH NORVVOOD, LONDON, S.E.2S

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Edited by GEORGE E. CRAFT, F.R.S.A.

VOL. 17 No. 1. 1 944

EDITORIAL

With the advent of 1944 we take pleasure in placing on record our sincere thanks to all who have assisted in the publication of THE during 1943. To Dr. N. Corbet Fletcher, Surgeon-in-Chie£ of the Brigade, we extend especial thanks for his untiring efforts in answering the questions of those readers who wish to make themselves more efficient. Since the inception of THE GAZETTE the initials" N.C.F." have appeared every month and the time taken and the knowledge gained from the answers cannot be over-estimated. Others to whom we are most grateful are Dr. W. C. Bentall, whose contributions on Civil Defence matters keep members up-to-date in this sphere of their activities; Dr. M. M. Scott, for his instructive articles on physiology; Major A. C. White Knox, for articles which demand attention; and lastly, but by no means the least, to those who month after month send in ne·ws of the activities of the Order in all parts of the world. It is impossible to thank all by name, but we do assure them that their sen'ices have been much appreciated.

And now for 1944. What will the year have in store for us ?

It is apparent that our leaders feel that peace during the year is not a remote possibility. But to reach this end we must all put our shoulders to the wheel. We must continue to.give of our best and never for one moment relax our activities.

The work of the Order of St. John in all its activities has increased manyfold since 1939; but members At-Home and' Overseas have not failed, nor will they, the trust reposed in them. Every day reports reach headquarters of work well done in varying spheres of activities. Each and every one tells its own story of how the honour of St. John is being upheld, from the youngest recruit to the Cadet movement to those holding high positions.

,Ve extend to all members At-Home and Overseas, in H.M. Forces or Civil Defence Service, best wishes for 1944. May our efforts bring forth that and understanding between all nations for which we are now fighting.

NEW APPOINTMENTS TO THE ORDER

Consequent on the death of the Earl of Plymouth, Sub-Prior of the Order of St. John, R.R.R. The Duke of Gloucester, Grand Prior of the Order, has appointed the Earl of Clarendon, K.G., G.C.M.G., P.C., Chancellor of the Order, to be Acting Sub-Prior for the duration of the war.

The Grand Prior has also sanctioned the appointment of the Earl of Cromer, G.C.B., G.C.I:E., G.C.V.O., as Receiver-General of the Order in succession to the late Sir William Goschen.

J obn ambulance .rigabr eberstaS

NEW Z EALAN D CANTERBURY AND WEST COAST DISTRICT.

This District reports the loss of personnel for war service, but the same time the strength of all divisions is being well maintained; in fact the membership of the Ambulance Divisions has increased by 200 and the Nursing Divisions by well over 100. The Cadet strength also shows an increase, the numbers at the end of 1942, were Ambulance Cadets 642, Nursing Cadets, 314.

Cases treated on Public Duty by senior divisions were 5,145, and nearly 1,000 of these were treated by members of the Nursing Divisions. The number treated whilst not on Public .Duty was 12,997, and of these over 1,300 were attended to by members of ursin g Divisions. In many cases members of Cadet Divisions were responsible for giving first aid attention and these were very creditably performed. On Public Duty they attended to 929 cases, and whilst not on Public Duty they attended to 143.

The V.A. Organisation is well established throughout this District and is considered a very important in th.e 1?rigc:de. The total strength in the DIstnct IS 260. Two Provincial Commandants have been appointed, one for Canterbury and one for the West Coast· in addition seven Group have been appointed to train and administer the various Groups of V.A.s formed at Christchurch, Sumner, Kaiapoi , Kaikoura, Greymouth, Westport and Ashburton, where regular practice parades are held. All these Commandants are trained nurses.

Cadet training is progressing most favourably throughout the whole ctistrict. For the year 1942, 15 members have qualified as Grand Prior Cadets and quite a numbe: were expected to take theIr final certIficates early this year.

There were 296 men on Military Service, 18 V.A.s and 18 Ambulance Cadets. This shows a substantial increase. WANGANUI DISTRICT. again.in spite of members being on actIve serVIce this district reports that the membership has increased and the work of Brigade is well maintained. is the Marton Nursing piVIsIOn, In which the membership has Increased. It has the largest number of VO.luntary Aids serving either overseas orIn home hospitals, and the members have reached a high standard. This ctivision has also a fine Transport Section, the members dOIng a considerable amount of work for patriotic purposes.

members, both men and women "by senior Cadets, have yeoman service with the C.P,S. scheme, 4

Home Guard, Women's War Service

Auxiliary, and a high standard of efficiency has been reached in temporary hospital work, First Aid posts and stretcher and sanitary work.

The Cadets in the Taranaki Sub-District are making excellent progress. Two new divisions were formed during 1942 and one more is well under way; several schoo ls hoped to form divisions. There are approximately 500 Cadets in this district.

The No.9 Squadron of the Air Training Corps were in First Aid and Stretcher work. Ambulance and Nursing Cadets are stationed at C.P.S. stations, and besides getting wonderful training, are also learning to fill a useful position, should the need arise.

GREETINGS FROM MALTA

The following message has been received: t Best wishes for Christmas and New Year to all fellow workers from Malta Association and Brigade."

OBITUARY

We regret to announce the death of George Barclay, O.B.E., Krught of St. J Chief Commissioner Brigade Overseas, for New Zealand' which occurred on December 13. se rvices were outstanding and he wa s an original member of the pioneer Overseas Division (t he Dunedin Ambulance Division) , which celebrated its Jubilee o n the 21st December, 1942. The fact that Col. Barclay served continuously for over 51 in the Brigade testifies to the splendid spmt of St. John service which was his It for his competent. that In a Dominion with a populatIOn .of les s than II millions he brought the Bngade to such efficiency and strength there. being over 152 Ambulance, 159 Nursmg and 222 Cadet Divisions . The nu:nber of Grand Prior Cadet Badges gamed by the Dominion was not only more than the rest of the Brigade Oyerseas pu l together, bu;: also r:nore than the Brigade At-Home. Ihe Bngade Overseas has lost a rare and valued Chief Commissioner and our deepest regards go out to those in New. Zealand who have been so suddenly of a well-tried and stalwart fnend.

We regret to announce the death of County Officer and Secretary G. A, Holt of Hampshire and Isle of Wight: whIch occurred on December 2 Mr Holt an Officer of the Order and held SerVIce Medal and Bar. He enrolled 1ll the Southport Ambulance Division was promoted to Ambulance Officer and later Superintendent of this division, He

then became Corps Superintendent of the Southport a position he held for some years. After being detailed to Headquarters No. 4 District, he transferred to Hampshire in 1937, and became County Officer and Secretary, He was an extremely efficient Officer.

We regret to announce the death of }iajor Chappen, R.A.M.C. (Retired), who was County Secretary and Treasurer of the County of Hampshire, S.J.A.B., from 1935 to 1937. From 1931 to 1935 he was Co rps Superintendent of the Bournemouth Corps, being placed on the Brigade Reserve in 1937. .

VIe regret to announce the death of Lady Corps Supt. Mrs. M. Campbell, of Wellingborough, after a comparatively short illness. She joined the Brigade in IIf;H8, and whilst Superintendent of the Victoria Nursing Division her team, under the late Miss Rowlatt, had the honour of winning the "Perrott" Shield in 1932. She was appointed Lady Corps Superintendent in 1938. Mrs, Campbell gave of her best, was an active member of the County Hospital Supply Service and was responsible for organising a Gift Shop at Wellingborough on behalf of the Red Cross and St. John Fund, raising a sum of £2,000

We regret 'to announce the death of Mr. Herbert Boswell Brierley, of Killiney, Fulwood, Preston , on December 3, in his 90th year. He had a life-long interest in the work of the St. John Ambulance ssociation and had served as Han. Secretary to the Preston Centre for 55 years, also the North ,Vest Lancashire County Area. A Serving Brother of the Order, his great services had been recognised by various distinctions. He held the Service Medal specially granted to him for his work on the educational side of the' Order. Ir. Brierley had be en engaged in the cotton industry all his life and was a member of the firm Of Brierley, Bentley Craig & Co., of Preston. A loyal member of the Order, a most efficient Secretary and always giving of his best, Mr. Brierley, who was a widower, leaves one son and daughter. Members of the Centre and Brigade attended the last rites at Broughton Church, when the coffin was covered by the Flag of the Order and Decorations, together with wreaths symbolic of the Order of St. John.

MORE COPIES

The slight easing of the paper restrictions enables us to offer an increased number of copies of "The Gazette" to those whose supply has hitherto been short of requirements. To ensure your supply application should be made immediately to the publishing office, 46/47 Chancery Lane, London, VV.C.2.

A Good Roadside Manner

By Dr. W. P. KENNEDY

It is a common enough thing to say of a doctor that he has a good bedside manner; and everyone knows what that means. All its implications might not be easy to explain, but it might be summed by .s aying that such a doctor inspires ImmedIate confidence. It is worth while for first aiders to think this over rather carefully and to apply it to their own work. But as the scope of this differs from ordinary medical practice, I have called the first aiders' version a "good roadside manner." The first aider who has this will have much more success with his cases than will the one who lacks it. qr, to I?ut it in a less .selfish light, the pahen t will have an eaSler passage at the time of the injury and a better chance of speedy recovery when the man who attends him has this special quality in his personality and his work.

I was reminded of this most vividly the other day in reading "First Aid in the Royal Navy," a new and excellent little textbook. Throughout there is repeated reference to the need for being cheerful and calm in dealing with casualties. The sailor who attends to the ?asualty has a tremendous psychological mfiu(}nce and the case can be improved or made worse to an astonishing degree. In particular, cheering up the patient helps to stave off shock. This is, of course to though not perhaps suffiCIently apprecIated by others. It is an excellent thing, therefore, to have it so with the concerted weight qf the Naval Medical Service behind it. Look again at page 16 of our own manual (39th edition) and you will see the components of the good roadside manner set out. This is not only worth reading again but it is worth careful thought. As an examiner of some experience I am convinced that this page does not get the thought and consideration it deserves. It must be confessed that the majority of examinees, even those sitting for their fourth and fifth exam seem to take the importance of these qualities very much for granted They do not seem at all pleased to be asked questions which bear on the application of these points to any first aid problem for they seem to think that the neat lie of a bandage is much more important. There could not be a g reater misapprehension, One of the medical teachers whom I most revere and from whom I learnt more tha\l from almost any of the others, used to repeat and repeat again, " Gentlemen, you have not come here to my wards to learn how to treat pneumonia and gastric ulcer and heart disease; you have come here to learn how to treat patients with 5 4 B

pnuemonia or gastric or heart disease. I cannot emphasIse too strongly that yonr cases are people and not merely interesting examples of pathological processes." Another example of this great man's teaching was given us when he took a clinical lecture in the final year. He showed us a case of ingro,"ving toe nails, and after sending the man out the lecturer said, " You are, I kno'w , wondering why I have taken the trouble to demonstrate this 'when in a few weeks you will be discussing more weighty matters before the examiners. I did so to bring home to you that although the patient has a minor surgical malady, ninety per cent. of his trouble is mental. Gentlemen, you do not need to shy back in that startled fashion. That man has come tg the doctor in the first instance because he is suffering pain and pain is in the mind. He is also anxious lest the surgical procedures will hurt him, and anxiety is always a disturbing emotion

to the human body. He is, furthe r , worried lest he has to be off work for two or three days, for this is extremely importan{ to a man of his .financial position. ",Vorry is like sand thrown in the wheels of life for it is wearing and destructive."

So he developed the theme and not one of those who listened felt the hour was wasted. On the contrary I am sure there are many like myself who could recall almost all of that magnificent demonstration even after these many years.

I sometimes tell my classes to regard a patient as if he was an employer from whom the student was seeking a job, o r a personable young man with whom a girl was go in g to her first ball. In other words, the patient must be re garded as someone on whom you wish t.o make a good impression. For this cold mechanical ef-ficiency is not enough, neatness in bandaging is excellent but without a good roadside manner it will not take you all the way.

Some Aspects of. (02& Oxy gen A dministration in First Aid

By c. M. KITTO , M.E., A.R.P.S.

(County Officer S.J.A.B.,

Supt. of Rhymney Valley Mine Rescue Tralilillg StattOl/).

Moving in various circles of Mine our hospitals and by general practit.ioners Rescue Work, A.R.P. Work and first aid in cases of collapse and in cases of illne s' at several munition factories, municipal such as Pneumonia where the heart is undertakings and F A. Posts , I find a failing. It is also used by first aiders, great deal of misunderstanding and mis- particularly in chemical works, in ca:;es conception of the use of CO 2 and Oxygen of gassing by different. kinds of gases, and its mixtures in their several ways in such as Monoxide, Titro u s fumes and in First Aid, and for the sake of efficiency cases of town gas accidents. p to 1933 may I be allowed to clear up some of the oxygen was kept in readiness at all coal difficulties oi First Aiders, particularly mines, for use in conjunction with Min e those who may be in charge of centres Rescue Operations in cases of asphyxia by where CO 2 plus 0 is kept and expected methane or poisoning by afterdamp followto be used. ing an explosion, or fumes from an under-

Let me first mention the forms in which ground gob fire, the predominent gas to CO 2 and Oxygen is used, First, the Admin- be countered being Monoxide. istration of pure Oxygen 98 per cent. or As far back as 1900 carbon-dioxide was 99 per cent. purity, administered by Hal- being reco gnised as of value in resuscitadanes apparatus or the more familiar tion, and Dr. Haldane in England, and "Novita." Second, Oxygen of various Prof. Yandell Henderson in America percentages with ordinary air, that is developed the idea about. 1914-1915 enriching ordinary air ,"vith Oxygen. fields so widely separated as childbirth, Third, the full mixture of 93-95 per cent. Mine Rescue \Vork and Fire Fiahtinrr Oxygen plus 7-5 per cent. of CO 2 a mix- Brigades. In 1921 it was in ture knovm as Dicarbox, administered by use , but it was not until 1933, t.hat the the" Novox " apparatus, which may be, then Secretary for l'vIines, l'vfr. Ernest as with the "Nbvita," either hand or Brown, appointed a Committee, under t.he mechanically governed or lung governed; chairmanship of Prof. D. P. D. \Vilkie, fourthly , the use of the CO 2 gun, in which M.D., F.R.C.S., Professor of Surgery at a capsule of CO 2 is pierced giving to the University of Edinburgh, to investigate patient practically pure carbon-dioxide. and rep?rt on effective treatment by In any or either of these methods of carbon-dlOxlde. This report was pu badministration, the first aider should li shed shortly afterwards, and deals ,vith endeavour to work under the supervision men burned and gassed after colliery of a doctor as soon as he can be obtained explosions. but failure of that supervision should not Here it may be said that the effect of prevent him applying treatment as soon small quantities of carbon-dioxide, ran ging as possible and to the best of his ability. up to 10 per cent., on the human ·body, Administration of pure Oxygen has causes heavy and more rapid breathinobeen in vogue for very many years in (above 10 per cent. is dangerous ,

to the diminution of oxygen in the air breathed), nature endeavouring to get rid of carbon-dioxide. To put it more forcibly, nature's endeavour to get rid of carbon-dioxide made in the body is the cause of all expiration, it may then be seen that admittance of outside or foreign carbon-dioxide into the body, up to a certain amount, causes heavy expirations and it must naturally follow heavier or quicker inspirations of fresh air or oxygen. Since CO 2 stimulates breathing there aTe circumstances where this is not advisable.

It is now accepted, that in cases of injury to the lungs by a corrosive gas that CO 2 should not be administered. This is one of the teachings in A .R.P. work and emphasizes that oxygen should be used in wartime gases of the lung type such as Phosgene and Chlorine; but it must not be thought by first aiders that these two gases are the only types of corrosive gas which effect the lungs and bronchial tubes.

In our chemical and munition wo:rks gases such as ammonia, of T.N T., sulphuric acid fumes, nitrous fumes may be mentioned as types met with at modern plants, and here I would appeal to all who may be in charge of First Aid Posts or Ambulance Centr,es, to interest themselves in the kind of gas tney may be called upon to treat. Make sure from

Qrabet j!eW5

No. 1 District.-Recently some 45 Cadets of the Woodford Corps sat for the preliminary first aid certificate, the examination being conducted by Dr. Chard, who made very complimentary remarks on the knowledge displayed by the boys. The results show that 100 per cent. passes were secured. Uniforms have now been ordered and all officers and boys are looking forward to the future with anticipation.

The M ildmay Cadet Division held a tea party on December 15, when District Of-ficer S. H. Collins, Div. Surgeon Oster and representatives of other youth organisations were present. Cadet Officer B. L. Sc1are was in charge. An inspection was carried out by Mr. Collins after which Dr. Oster addressed the gathering. Prizes were presented t o Sergt. Lon g, Corporals Fess and Glover, also Ptes. Petkin and Glover for their outstanding work during the year. A presentation was made to Cadet Officer Sclare by the Cadets for his hard work in forming the Division . Bedfordshire.-The Mayor and Mayoress of Bedford and County Commissioner Capt. Knight were present at a concert given at the Town Hall by the Town Nursing Cadets. In the interval the 7

chemists and doctors whether the kind of gas which may be liberated or come in contact with the workers is corrosive to the lungs or not, and determm.e . the treatment accordingly, thus aVOldmg the first aider's unforgiveable sin of giving wrong treatment. In cases of this sort, only should be given, and If pOSSIble the inhalation tube should be warmed. Passing the tube through water is a simple and easy method whIch ensures that the oxygen is somewhere near the temperature of the body.

The next mention must be made of the dange.r of administration of CO 2 in any form If the pabent's heart is failing, and here the doctor IS the determining person and the fundamental rule "No First Aider must assume doctor's duties" must be adhered to but work done according to orders.

Oxygen only, in cases of heart weakness and corrosives or injury to bronchial or aIr passages.

CO 2 plus 0 in poisonous gases , i.e., monoxide, or in ordinary cases of asphyxia and shock, particularly shock from burns. It may be of interest to know that in South \Vales at least, agreement has been made between Colliery Owners and Civil Defence Works, that oxygen apparatus kept at colhenes may be borrowed in case of need with the stipulation that it must be used by a qualiiied or trained worker.

received her bad ge of vicepreSIdent from a Nursing Cadet and Lady County Cadet Officer Mrs . Hugh McCorquodale congratulated Lady Cadet Supt. Mrs. ",Vest and Lady Cadet Officer Miss Bull on the talents sho'vn by the performers.

Tlie Mayor and Mayoress were also present at a meeting of the London Road, Bedford, Division, on December 10 and presented certificates for life-savino- firefighting clerical ability. Cadet'Supt. Veats receIved the vVarrant of his appointment and was thanked for all he had done.

On December 18, the County Cadet Officer, accompanied by Father Christmas (Cadet Supt. Veats), Lady Cadet Supts. Mrs. Pacey and Miss Cooper, two American Airmen and 25 Tursing Cadets visited St. Peter's and the County Hospital, where carols were sung and parcels sent irom America distributed to the sick children. Later in the afternoon the County Cadet Officer spoke at a concert given by the Great Barford Ambulance and Nursing Cadet Divisions, at which their Vice-President Miss \iVhitchurch, was present. This the second performance, the first being attended by a number of American Air Force officers. Lady Cadet Supt. Mrs. vVormington and Mrs Camden (Jan

Kerrison) who produced th e concert were warmly congratulated.

Cheshire .-The Port Sunlight Cadet Division, formed in March, 1941, has now a bugle band under Mr. E Jacobs. Mr. Maddocks (of the P o rt Sunlight B.B.) gave the initial trainin g Cadet Officer Wardle, who has been in the R.A.F. medical section , has to the division and his knowled ge and experience is benefiting the Cadets. The officers and six senior Cadets are doin g hospital duties at Chatterbridge County Hospital, by kind permission of the Medical Superintendent

Cornwall . - A successful concert was held at Penzance on behalf of the Cadet movement. The compere and organiser was Mr. D . C. N. Wakly. Those present included the Mayor (Ald. Robert Thomas). At the end of the performanc e Mr. \V J. Hichens (vice-president) thanked the audience and explained that the concert would mean that uniforms could be provided for the boys. Supt. T. C. Cooper (Adult Division) thanked the artistes and stressed the importance of the Bri gade. The Cadets were under the command of Cadet Supt. W G. Lewis and Cadet Officer E. J Pryor.

Ess ex.-On December 18, nineteen lads were enrolled in the newly-constituted Dedham Ambulance Cadet Division. Supt. Clary welcomed them and Amb. Officer Hitchcock read the enrolment c eremony Cadets from Mannin gtre e and Boxted were also present and took part in the social events which followed .

Hampshire.-The first anniversary of the Fle et Nursing Cadet Division was held last month.. Those present included Col. Mackenzie and Lady County Officer Mrs Mackenzie, Lady County Officer Miss Mackenzie, Dr. Frere and representatives of other youth or ganisati ons. lVliss Mackenzie presented a useful first aid box with her best wishes and congratulation s on a good year's work. Mrs. Mackenzie announced that she had intended to present the Cadets with their fla g , but unfortunately it had not arrived in time . Vice-president Mrs. Barton presented 22 preliminary Home Nursin g certificates . Lan cash i re.-Miss Louise Morley, of the U.S.A. Office -of War Information, who is in this country to investigate the workin g of our Youth Organisations, paid a twoday ' I'isit to Liverpool. One of her first visits was to the St. John headquarters where representatives from each of the Nursing Cadet Divisions of the Liverpool Nursing Divisions showed the various aspects of Cadet training. Six Ambulance Cadets demonstrated transport . Miss Morley inspected a display of. handwork and cookery by the girls, and later addressed the Cadets, telling them 8

of the Youth Movements in America and the life of the ordinary boy and girl. Commissioner W. G. Smith, Asst Commissioner Col. Simpson, County Surgeon Murray Cairns, Corps President Helena Countess of Sefton, and Col. chairman of the As s ociation, were present to meet Miss Morley, who was accompanied by Mr. Manson, H.M I., and Miss Baven, H.M.I.

After the visitors had left the Cadets enjoyed some of the good things the girls had made.

Northampton.-Present and past members of the Northampton H.Q. Cadet Nursing Division met recently to celebrate its 21st birthday. Those present included County Commissioner Dr. Eric Shaw, Lady County Supt. Mrs. I. Jennin gs, Staff Officer (R) Mrs. Harvey Re eves, also Corps and Divisional Officers. Lady Supt . Miss Cowley gave an account of the divisi o n fror;,- it s formation on November 22, 1922 when 15 m embers enrolled It wa s first in the c o unty and third in the country. Miss Howe was in char ge until her death in 1939 , wh en Mi ss Billinton was appointed. Of the 310 members who have enroll e d, 40 hav e pa sse d the Senior Divisi o n and two have received their Servic e Medal s. 10 Cadets have taken up General and Orthopcedic H ospital trainin g, one has beco m e a children's nurse , others are workin g in Children s w e lfare clinics.

The Commission er con g r a t.ulat.ed the Division, whilst Mrs. ] ennin gs read a letter from the Chief Office r for Nursing Cadets wishin g th e m success in th e future. Lady Cad et Supt. Miss Billinto n thank e d all th os e who had helped.

N ottinghamshir e .-County Commissi oner Dr. S. J. \V. D onald carried out the enrolment ceremony of memb e rs o f the Sutt on- in -A shfie ld Ambulance and N ursin g Cadets last m onth , b e in g s upported by Co uncillor "V. Bau g h (chairman, Sutton U .D,C.) who pre sid e d, Mrs. Bau g h, Mr s Donald , Mr. A. E. \Vin g rove, County Surgeon P . M. Gettle some , Lady County Supt. Mi s s Gibson and other members of the county staff. Bad ges, c e rtificates and rules were presented by Mr. vVin g rove, who r ecalled the days when he formed a Cadet unit in Sutton-the first in the county- with the object of trainin g boys ready for the Ambulance Bri gade. A brief hi story of the Order was given by Dr. Donald, who also welcomed representatives of other organisations. Tea was served by members of the Sutton Nursing Division.

Somerset.-The second competition for the' Cyril Sage' and' F. C. Tarr' Cups was held at Minehead headquarters, the tests being judged by Sergts. F. G. Jones (Continued on page 12)

([be gs,t. Jobn Jjtigabe

N o.1 (P RI NCE O F W ALE S 'S) DI S TR I CT

W ARLINGHAM.-On December 4 Air Marshal Sir Philip Babington visited Warlingham in connection with the RA.F. Benevolent Fund, and before leaving ' he inspected the Ambulance and Nursing Divisions. Asst. Commissioner Major A. C. White Knox, Lady District Officer Miss vVaters (also representing Lad y District Officer Miss Grindley), Supt. Goldie (Croydon) were present, the parade being under the command of Amb. Officer L. Harris and Lady Supt. Miss Willcocks. Nursing Mrs. Battle and Mrs. Harvey and Lady Amb. Officer Mrs Babington were also on parade. Amon g those present were Lady Babington, the Rev. R F. Dickenson (President, Ambulance Division), Mrs. Wood and Mrs. Gannon (president and vice-president, Nursing Division).

Sir Philip referred to the peacetime activities of the Bri gade, which had multiplied so much during the war. He ur ged all present not to sit back and feel that the war was as good as over. could only come to pass when the Nazis were wiped out and the Japanese put back to they belong.

HORNSEY .-At the Homsey General Hospital competitions in Home Nursing v. ere held, by the kindness of the Matron, Miss Gill, for members of the Homsey Nursing Division. Area Cadet Officer Miss Cleasby inspected the uniforms; Div. Surgeon Trotter and District Officer Wells judged the first aid, won by Amb. Sisters Mrs. F. E. Smith and Miss Petheram; whilst Miss Gill conducted the Nursing tests in which Amb. Officer Mrs. F. E. Smyth and Mi ss Hoffman-de-Visme were successful. Amb. Sisters Miss Spender and Miss Davies won the written tests set by Dr. Trotter.

Prizes were provided by Miss Gill , Lady Supt. Miss Hurrell and Dr. Trotter. Miss Gill entertained the officers and competitors at tea.

CO UN T Y O F KENT

WHITSTABLE.-Lady County Supt. Mrs Falwasser carried out th e annual inspection of the Whitstab Nursing Division, accompanied by the Hon. Mrs. C. Jeame. Lady Amb. Officer Mrs. Papworth, who was in charge of the Division, assisted by Nursing Officer Sharman, was congratulated on the efficiency of the members by Mrs. Falwasser, who said she was very pleased to read the letters of thanks f r om the Whitstab l e and Tankerton District Nursing Association for the help given by the Division, and also letters from the P u blic Assistance Department and W.V.S.

CO U NTY OF LANCASHIRE

ATHERToN. - A special service was held recently in Howebridge Church, when a small stained glass window was unveiled and dedicated to the memory of Mary Anne Pasquill, Lady Supt. of the Atherton Nursing Division from 1929 to 1943, and Christopher Robinson, Superintendent of the Atherton Ambulance Division from 1920 to 1930. The service was conducted by the Rev. C. K. K. Prosser , Vicar of Howebridge, and Mr. Clement Fletcher read the lessons.

Prior to the service the parade was inspected by County Commissioner W. G. Smith, accompanied by Lady District. Supt. Mrs. E. A . Tweedale, Mr. Clement Fletcher (president), Mrs. G. E. HayWard (vice president), Div. Surgeon Patton, and Supt. A. Coulton.

Mr. Smith, in an address, gave a brief history of the Order and also the part played by the Brigade. He referred to the activities of the Atherton Divisions which started in 1912 and 1913 The late Supt Robinson, before becoming a member of the Brigade, had been secretary of the Howebridge class for many years. Miss Pasquill served in the Nursing Division from the first day it started to the day of her death, and gave long, generous and fine service.

vVIDNEs. - Asst. Commissioner Col. G. E. C. Simpson recently inspected the newly-formed Divisions at the works of Turners Asbestos Cement Co. Ltd. During the inspection Col. Simpson recognised Pte. B. Jones, who was decorated in the last war with the Military Medal for conspicuous service in the RA.M.C., Col. Simpson being at that time D.A. Director Medical Services.

Displays were given by members and witnessed by Dr. A. Jones, M.O.H. Widnes Div. Surgeon Edwards, Divisional officers and many visitors.

Vice-president K. Neve, Jorth Regional works manager, welcomed Col. Simpson, and expressed the regrets of President Paravicini (works director), who was unable to attend owing to C.D duties. Mr. N eve described the growth of the works first aid system over the past ten years, and was pleased to state that the person who was convinced that the first aid equipment was inadequate, and did not hesitate to say so, was now works Ambulance Officer Hardman and superintendent of the Ambulance Division.

Col. Simpson said it was always good to see a new division and still better to see two new divisions-o n e an ambulance and 'one a nursi n g. D r. J ones thanked the inspecting officer; this being seconded b y Dr. Edwards.

It is rather appropriate to record that the first case treated by the division was that of a fractured femur by Supt. .Hardman.

C O UN T Y O F O XF ORD

'VITNEy.-Supt. J. C. Chesterman of the Witney Division has recently completed 41 years' service with the Brigade. He is the proud possessor of the Service Medal and 5 bars, the Vellum Vote of Thanks of the Order, and is a Serving Brother. He .vas the first superintendent of the vVitney Division which he formed in 1919, and still holds that position.

C OUNTY O F W ORC ES T E R

The Lady Louis Mountbatten (Lady Supt.-in-Chief) paid a two-day visit to the County of vVorcester last month. At Madresfield Court, Malvern, where she was the guest of County President Lady Beauchamp, Lady Louis was met by County Commissioner Dr. F. L. Newton, Lady County Supt. l\11rs. Lechmere , County A.R.P. Officer Bond, County Secretary Miss 'Val ton, Asst. Commissioner Dr. Porter, County Surgeon Ballinger and County Officer Miss J eakes.

On December 8, Lady Louis inspected the Malvern Link F.A. Post, staffed by Brigade members and the Auxiliary Reserve, the ].'V.O. Flying Column which is staffed by Red Cross Detachments and St. John Divisions under County Officer Miss vValton, the Central Hospital Supply Depot at Davenham, the Malvern Mobile F.A. Post staffed by St. John members under Dr. F. L. Newton, the County Brigade headquarters, and the ].\V.O. Civil Defence \Vorkers' Rest Home at the British Camp.

After luncheon, at 'vhich the County Commissioner entertained Lady Louis and her party, the Malvern and Malvern 'VeIls Nursing Divisions were inspected and Lady Louis congratulated the members on their smartness and efficiency.

At the '''inter Gardens a Guard of Honour was formed by the B.R.C.S., St. John and American nurses, and after inspecting the stalls Lady Louis opened bazaar in aid of the Prisoners of War Food Parcels. Over £4,000 was raised, of which amount £700 came from the stalls of the local St. John Nursing Divisions.

During the afternoon Lady Louis inspected the Tursing and Cadet Divisions of the Southern Area at 'Vorcester. Here she was met by the Mayor of \Vorcester (Mrs. Palmer), Lady Deerhurst, Lieut.-Col. G. H. Goddard, vice-chairman County J .\V.O., Dr. Wyndham Parker (County M.O.H.), Association Secretary White, the Chief Constable and other Brigade and public officials. The band of the Evesham Cadet ambulance division played in the forecourl of the Shire Hall. After the and the tea which followed 10

Lady Louis visited the 'Vorcestershire headquarters of the C.H.S.S.

On December 9 the Northern Area was visited. Accompanied by Lady Beauchamp, Commissioner Dr. Newton, Lady County Supt. Mrs. Lechmere, and other County officers, Lady Louis was welcomed by the Mayor and Mayoress of Dudley, and at the Technical College inspected Nursing and Cadet Divisions and met Asst. CommlSSlOner Schofield, County Surgeon Campbell and County Officers Chapman and Porter. The parade was under the command of Corps Officers Miss Wakefield and Miss Dyson.

After the inspection Lady Louis opened a Bazaar, similar to the one held at Malvern, at the Town Hall, where the mayors and mayoresses of Stourbridge and Rowley Regis were present , together with other public officials and officers of the St. John and Red Cross. This bazaar was also an outstanding success, over £2,000 being raised in one day.

Before lunch , at which Dr. Newton entertained Lady Louis and her party, a visit was paid to the Brierley Hill F.A . Post where personnel who are largely Brigade members gave a demonstration . This concluded a mem o rable two-days' visit which has greatly heartened and encouraged all members of the Brigade in 'Vorcestershire.

EAST RIDING OF YORKSHIRE

On December 5, Lady Louis Mountbatten (Lady Supt.-in-Chief) visited Hull. and, accompanied by Irs Arthur \VilsonFilmer, was received at the Victoria Hospital for Sick Children by the Matron (Miss Kennedy), Dr. Dorothy Collisha\\'. Miss Helen Theilmann and County Commissioner Dr. Norman Jennin gs. A tour was made of the wards and the operating theatre. Leaving the hospital Lady Louis was met by Chief Constable T. 'VeIls, who conducted her to the Boulevard Police Boys' Club. "-aiting to receive her was Asst. Chief Constable H. J aram, Supt. Leppington , Inspector vVest (Club leader) and other members. A St. John Ambulance Cadet class was in session. More St. John Ambulance police-trained Cadets were awaiting her at St. Paul's Street club. where she was met by Supt. Edwards. Inspector \Valton (club leader), Asst. County Commissioner G. Edwards, Lady County Supt. Mrs. Edwards, Corps Officer Capstick and Cadet Officer Cawthorpe. The last call was the Dansom Lane Club where many classes were in session. The party included Supt. Edwards and Inspector Ingham (club leader). Lady Louis listened to a lecture by P. C.Fisher and saw a first aid demonstration by Cadet Eric Dobson, who, on behalf of the Club, presented her with a handbag and fan. Included among those present was Hull's

youngest repatriated of war, 18year-old vVilliam Caldlcott, :who taken prisoner when only 15 whIle servmg on a merchant ship. He informed Lady Louis that "We would have starved without the Red Cross parcels." Lady Louis expressed thanks to Mr. Vl ells and the Hull City Police for providing such fine clubs.

At the special invitation of the Hornsea and District Youth Service Committee, Lady Louis visited Hornsea on December 5 to view Youth Organisations. Lady Louis a.nd her party were met by Councillor T. S. Holyman (chairman, Youth Service Committee) and Col. C. G. Wellstead. The visitors included County Commissioner Dr. Jennings, Mr. R. G. Tarran, Miss Goodhall, Mrs. Lloyd, Mrs. Sheppard (Regional Organiser York and [ .E. Riding Red Cross Penny-a-\Veek Fund) and officials of St. John and Red Cross. At the County Library many officials were presented to Lady Louis. The party visited the Council schools, where members of senior Youth Organisations were drawn up, including St John and Red Cross units.

A further march past was held at the Town Hall, and Lady Louis visited the Cottage Hospital, the Ex-Servicemen's Club, where the Sheriff of Hull (Mr. H. I. Loten), as president, explained the value of the Club to the lown, and the 'V.V.S. Depot. At the Floral Hall Councill?r A. V. Anderson (chairman of the CounCIl) presented a cheque for £200 to Lady Louis for the Penny-a-'Veek Fund.

HULL.-The Hull Northern Ambulance and the Hull Haworth Nursing Divisions held a combined social evening on December 11, when about 100 guests were present. The deputy Lady Mayoress, Mrs. J . L. Schultz, presented Hygiene Certificates to the men, whilst County Commissioner Dr.J ennings presented Home Nursing awards to the nurses. Supt. H. Bewell presided, and among those present were Asst. Commissioner Edwards, Lady County Supt. Mrs. Edwards, Lady Count.y Officers Colliver and Leppington, Corps Surgeon Standring, and many Corps officers. The meeting was addressed by the Deputy Lord Mayor, Ald. J. L. Schultz, Dr. Jennings, Supt. Bewell and Lady Sllpt. Mrs. Codd.

WEST RIDING OF YORKSHIRE

A course of lectures for officers of Jursing units of the West Riding was held in 'Leeds on December 4 and 5. Over 150 members were present and were welcomed by a message from Lady Louis Mountbatten.

County Commissioner H. L. Thornton presided on the first day and Lady District Supt. Mrs. Birkbeck on the second. Many interesting l ectures were deliv-

ered. Miss Watson (Staff Officer, Brigade Headquarters) spoke on the of Nursing Divisions and Overseas CIVIlIan Relief work; Dr. Silversides (of Leeds) dealt with the teaching of first aid and home nursing; and Dr. Stanbury (Regional Blood Transfusion Service) lectured on Blood Transfusion.

Asst. Commissioner Dr. vVest \Vatson gave a description of the of war wounds, with a graphIC outlme of the history of surgery from the days of Lister and Pasteur; Mr. R. A. Hall, F.R .C.S., told of the up-to-date-treatment of burns; whilst Dr. Dorothy Priestley dealt with venereal diseases.

The Dowager Viscountess Mountgarret stressed the importance of the Cadet Movement, and Mrs Birkbeck gave an inspiring address on Leadership. The history and growth of the Order's activities were given by Lady County Officer Mrs. E. H. Lodge, whilst District Officer Baker gave a practical demonstration of divisional drill. Miss M. Burke (Supt. of Health Visitors) brought the course to a close with an outline of the present day Child 'iVelfare Services.

POLICE AMBULANCE NEWS

City of London.-The annual competitions for the "Aldermens' Cup" and " Sully Trophy" were held on December 22, when Capt. '-N. Goodley set and judg.ed a very exacting team test and DIstrIct Staff Officer Walsby the individual test. divisional teams competed and at the completion of the contest Supt . J. Lucas announced that A Division had gained the championship a':rard, with C Division winners of the ll1dlVldual trophy. This is a reversal of the 1942 result. Sir Hugh Turnbull (Commissioner), who was supported by Brigadier W. B. G. (Secretary-General of the Order of St. John), Commandant G. T. Foxen, Mr. D. G. Monteith (Competition Secretary, S.J .A.A.) and officers of the Force, presented the awards and extended thanks to the judges. Appreciations were also expressed to Mr. J. Grossman, of .the Associated British Picture Corporahon, and his staff for the excellent staging of the tests. Inspector Mumford was the competition secretary.

Metropolitan Police Y Division.-The annual competIhons of the Y Division were held on December 11, when nine teams competed before Dr. G. M. Shaw Smith and District Officer S. H. Collins. There were many officials present including Sir Maurice Drummond (Deputy Commissioner), D.A.C. Ralphs, Chief Constable Martin, Supt. Ogden, Commandant Bowles and A l d Williams (Mayor of Hornsey). The Trophy was gained by vVood Green WIth Enfield second, and the Sub-Divisio n al

Cup by Eniield Regulars and Enfiel d Specials. Sir Maurice presented the awards and congratulated the competitors.

P Divisio1't.-East Dulwich Regulars gained first place in the Divisional competitions whi ch were judged by Dr J enkins and Corps Supt . Edwards. The visitors included Sir George Abbiss (Asst. Commissioner) , who presented the awards including his own medals, Acting D .A. C. Cole, Supt. Childs, who thanked the judges and Sir George for the assistance, and many other officers. Nine teams competed including Regulars and Auxiliaries.

C Divisio1't -Dr. Basil Steele and District Officer G. Lear judged the annual competitions on December 21, when nin e teams, containing only one experienced man in each, competed. The result was: 1st, C.D. Regulars A Team; 2nd, Women Police; 3 r d, C.D. Regulars B Team.

S?pt. Franklin presented medals, given by SIr George Abbiss (who was present during the competitions) and War Saving Stamps to the winners

5 Divisio1't. - Held at No. 2 District Sports Gr ound, the divisional competitions were by Dr. N. B. Farman (team) and Dlstnct Officer E. J. Garrad (individuals). Finchley (the holders) won the DIVISIOnal « 'V'atkins" Trophy also the « Maughan" Trophy for individu.al work, Whetstone, 2t marks behind gamed second place. Asst. Commissioner ?ir Abbiss presented the awards mdudmg the medals given by himself Supt. Durham announced the results and tha,aked all those, including the competitors, who had assisted. Those present mclu?ed D.A.C. Ralphs, Chief Constable Martm and Commandant Madgett

AN ILLUMINATED RO LL divisions have taken the opportUlllty of ordering copies of the Roll of Honour, details of which were given in the May, 1943, iss u e of THE GAZETTE as tribute to thei r members now m .H.M. Forces. The Roll of Honour whi ch is in eight col ours, is beautifully deSIgned a n d measures 18 in. by 24 in unframed, approximately, and there spp'ce fO.r 40 names, or 66 n ames if displayed m three columns. Sergt A. E. H.edges, who has been handling enquiries, to thank those divisions who have partI.cIpated a.nd made possible the reproductIon .of this worthy tribute. Further reservatIons of copies can now be taken the c<,>st 30s. · pe r copy, including ha n d of divisional name and list of m em b ers. App lications and enq u mes sho ul d be addressed to Sergt Hedges (Secretary, No. 70 D i visio n ): 9 0, Ben two rt h Road, Londo n , W. 12. 12

CADET NEWS -contd. f ro m page g and E. S. Lamb (practical) and Staff Sergt. L. A. Jordan (oral). The r esults were 'Cyril Sage' Cup (seniors ) : Cadet M Land; runner-up Cadet D. G ardner i-mark behind; 'F. C. Tarr' Cup (ju niors) : Cadet F. Board, runner-up Cadet T. Down. The trophies were presented by Lady Supt. Mrs. Clarke who spoke of the hi gh standard of efficiency displayed. Cadet Supt. W. E. Pring thanked Mrs . Clarke and the judges for their kind assistance.

WarwicksMre.-The City of Coventry Ambulance Cadets held their first social evening last month when J: ursing Cadets were the g u ests. The evening was arranged by the Cadets own social committee of N.C.O.'s and Cadets. On December 12 a spec ial parade was held at headquarters Mr. F. H. Harrod, Director of Education after inspecting the members presented awards, remarked on the efficiency of the Cadets. Cadet Supt. 'Y \V Goddard was in cha r ge, with Cadet Officer \Vindridge. TVorcesterskire.--,--At a recent parade of the 111alvem Cadet 1 ursing Division , Comm is sioner Dr. F. L. Tewton inspected the members and presented the division with the Cadet flag. He also presented a number of preliminary first aid and Child " 'elfare certificates. After an inspiring address by the Commissioner, the Cadets gave a demonstration under the supervision of Cadet Lady St:pt. Mrs. S. E. Drew and Lady Cadet Officer :'IIrs . Hyde. Those present included VicePresident 1\1rs. Dyson Perrins, President Mrs. Davis (Adult Division), Div. Surgeons G. 'Waugh Scott and l\Iacdonald, County Secretary Miss 'Wa lton, County Cadet Officer Mrs. Hugh Robinson County Officer Miss Jeakes and of the senior and other Cadet Divisions.

A competition was recentlv held at Halesowen between H alesowen,St. Hubert' s and Qumton Kursing Cadet Divisions for a trophy by Lady Amb. Officer Mrs. Tomlinson (Quinton). County Surgeon. G. C. Campbell judged the team aSSIsted by Supt. orthwood (Brierley HIll) and Lady Amb. Officer Mrs. Northwood viva voce. Corps Office r Miss mspected the uniforms. After a very mteresting competition Halesowen declared the winners and received Cup from Lady County Officer Mrs. OlIver Lee.

W.R Yorks.-The presentation Of first aI? to 30 Cadets of the Yark City DIVISIOn took place St. Williams College. boys were tramed by Cadet Supt. J. Miller, to whom thanks were extended for the work he had done. Lady Corps Supt. Miss Kenny (in the u navoidab le absence of Corps Surgeon Denc h) conducted the enrolment ceremony.

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GENERAL INTEREST

MEDICAL COMFORTS DEPOTS.-In the absence of the Almoner, The Viscount Tredegar, owing to indisposition, Sir Robert \i\ 'ebber (Assistant Almoner) presided at a meeting of th e Almonry Committee of the Priory for 'Val es on Monday, December 6, called to examine the working of the 98 Medical Comforts Depots operating in "Yales.

The Hon. John H. Bruce (Principal Secretary and Commissioner for 'V a l es) gave detai ls as to the future development of the scheme in St. John post-war reconstruction work, pointing out that it was the aim of the Priory for Vilales to establish an adequate provision of Depots in all rural and urban areas. An analysis of the reports revealed that during the past 12 months 10,788 medical requisites and comforts had been issued on loan from the Depots, which were open at regular times daily, and the manner in which the work had been continued during the more strenu ous and exacting conditions of war was highly creditable to those who were giving their services to this work.

Representatives of the Almonry Committee reported on their inspection of Depots in their localities, resulting in a helpful interchange of ideas. The chairman urged those present to follow the example of one area in appealing through the press for the return of articles which resulted not only in the restoration of equipment but also in the gifts of a quantity of material.

V.A.D. AND OTHER NURSING SERVICE. - In a recent circular to Nursing Units, Officers were asked to draw the attention of personnel to the opportunities open to Nursing Members of the Brigade for enrolment as V.A.D. members for medical service with the Armed Forces. Applicants must be between the ages of 19 and 45, but V.A.D members are not employed overseas until they have attained the age of 21. One most satisfactory o utcome of the recent reorganisation of the Voluntary Aid Detachment scheme is the decision that V.A.D. members may continue to wear the uniform of the Body from which they were recruited, viz., St. J ohn or B RC.S., absorption into the A.T.S.-a possible alternative- having been rul ed out.

Another opening for St. J ohn members is offered in the Convalescent Hospitals o f th e Red Cross and St. John War Organisation. The term s and conditions of serv ice in the capacity of nursin g member are comparable to those of the C.N.R Nursing Auxiliary, and the Priory

will be glad to send details of this ser:rice to int erested nursing members on applIcation.

CENTRE REPORTS

DENBIGHSHIRE (EAST) CENTRE -Two of the four repatriated prisoners of war who recently retu'rned to their homes in 'Vr exham, Private J. H. Morris and Sergeant J. R Lloyd, were of the V, ' rexham Division and the DIVJSlOn arranged a reception, which took place with full honours. Thanks to the generosity of the people of the town, in gift and kind, the party enjoyed an excellent. tea.

Lt.-Colonel R C. Roberts presIded, supported by the Rev. T. Jones, chaplain to the Brigade and Divisional Surgeon \Y. Glyn Evans, whose son was recently commended for bravery whilst serving in the Navy. Corps Supt. Percy R Kent welcomed the returned prisoners, quoting a message of congratulations and greetings from the Commissioner for \i\' ales. Mr. Kent said that at the outbreak of war the ' iVrexham Division was 70 strong. Of that number 31 had joined the Forces, 15 going into the RA.M.C., and at present there were 37 members serving in various part s of the world. Sergeant Lloyd, Private l\Iorris , Private Riddle, L /Co rporal J ones and Guardsman T. B. Butterworth, each replied in turn and spoke of the great work the Red Cross and St. John " 'ar Organisation had done for them.

GLAMORGAN CENTRE.-It was announced at the meeting of the Priory Council on December 21 that Colonel Sir Gerald T. Bruce, KC.B., C.M.G., D.S.O., T.D., had accepted the office of President of the Glamorgan Centre, in succession to the late Earl of Plymouth, whom he had succeeded also as Lord Lieutenant of the County. The Centre is extremely fortunate in securing the support of Sir Gerald Bruce in view of his heavy responsibilities as 'Velsh Regional Commis-. sioner for Civil Defence.

All members of the Priory share a deep sense of lo ss in the passing of Mrs. S. B. Turner, wife of the Assistant Commissioner for Caerphilly County Area and Lady County Superintendent for Glamorgan, who died on December 14 Prior to a breakdown in health, Mrs. Turner's whole life was devoted to the furtherance of the work of the Priory. She was an active member of its Ambulance Committee, and throu gh her inspiring lead ership in co-operation with Dr. S. B. Turner, her home toV'm of Bargoed became a stronghold of ambulance work. Many years before the war, she took a leadin g part in anti-gas training with the Brigade, after

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TO THE INJURED & SICK An AdvancedAmbulance Handbook Edited by NORMAN HAMMER, M.R.C.S.,

herself qualifying as an instructo r at a Course for V.A.D. Officers held at Winterbourne Gunner. Nursing Cadets in South Wa les who took advantage of the holiday and training camps held before the war will always remember with affection and es t eem Mrs. Turner's unremitting care and attention as their Camp Commandant.

The Priory was represented by Captain W. J . Canton at a Memorial Service held at St. Gladys's Church, Bargoed, on December 26, at which representatives of all the Divisions of the Brigade in the Caerphilly County Area were present.

The J oint County Committee for Glamorgan of the Red Cross and St. J ohn War Organisation covers the' geographical county, taking in the separate Centres of Cardiff, Swansea, Merthyr, Aberdare and Rhondda, whose Commissioners are included in the membership. A meeting of the Joint Committee was held in Cardiff on December 15, when the Countess of Plymouth was elected Chairman to succeed the late Earl of Plymouth. No more appropriate appointment could have been made as Lady Plymouth is well known and endeared to personnel of the Order as Lady Superinten dent-in - Chief for Wa les, and holds the office of President of the Glamorgan Branch of the Br itish Red Cross Society. In presenting the report of the Executive Committee, the Hon. John Bruce said that during the year 183 visiting relatives to Service patients in Glamorgan hospitals had been assisted with accommodation arranged by liaison officers at a cost of £143. T h e scheme for enrolling vo l unteers from the two Bodies to act as travelling g u ides to accompany Serv ice patients fro m one hospital to another had been organised in the county, and a call had a l ready been made upon the services of one of t he volunteers recruited by the Commissioner for Swansea In dealing with the h elp given by the Committee to the moneyraising efforts in aid of the D u ke of Gloucester's Appeal, i t was noted that t he Penny-a-Week House-to-House Coll ections during January to October, 19 43 , totalled £4 1,445 and Rural Pen ni es h ad realised £1 5 ,4 74 lIs. I d. in t he same period. Sir Ewen J. Maclean as Chair man of the Hospitals Sub-committee, r epo rted on the five convalescent hospital s and one residential nursery in Glamorgan which had received a total o f 8, 129 patients u p to date.

CARDIFF CENTRE.-A Grand Ball was hel d in the City Hall, Cardiff, o n Decem ber 21 , at which over 80 0 guest s were present The event was organised by t h e Ce ntre Comm ittee and proved a g r eat s u ccess fin a nci a ll y and sociall y, tha n ks t o th e un tiring efforts o f t he Chairm a n of the Ball Committee (Mr. A. Hauser), who was 16

s u pported by the Lady Co unt y Supt .

Miss G. Richa r ds. The Tombol a S t a ll was in char ge o f Mr s . Edgar Llewell y n (La d y V i ce-Presi dent of the Centre) a n d M r s. Ha:user, who was assisted by a sp l endi d team bf workers. Amongst the guest s who were received by the Dep u ty Lo r d Mayor and Lady Mayoress we r e D r. Edgar Llewellyn, Commissioner, M r s. Edgar Llewellyn, Asst. Commissioner

Capt. F. P. Robathan, M.C., Lady Co u nty Supt. Miss G. Richards, Lady Co u n t y Officers Miss M. Metcalf and Miss V. Rees. Mr. and Mrs. A. Hauser, County Officer Major A. E. F i el d, Corps Supt. J MacDonald, Div. Surgeon Mary Mackenzie Evans, Amb. ' Officer L. Dayment and Mr. and Mrs. Bernar(i Brown . BOROUGH OF NEWPORT CENTRE.-The following lette r was received by the Commissioner fo r Wales from Corporal T. J. Bramwell , Newport Railway Division, a prisoner of war in Germany :-

" It gives me great p l easure to wri t e in answer to your letter of August 24 and thank you for same as it is very kind of you to trouble. I have p l enty of time on my hands in a non-working camp of N.C.O.s and W.O .s. It may you to know that in the l ast two First Aid Classes run in this camp, 90 per cent. and 98 per cent. passed; tnat is in the last year over 200 men have obtained their First Aid certificates. We are now going to run novice competitions to keep the candidates interested and hope that a good many of them will take up Brigade work in their home towns on their return. The mai n amusement in the camp is sport, s u c h as rugby football and hockey, so yo u can appreciate t hat there is quite a deal o f practical work for our members to do f r om time t o t i me. Well I trust that this will find yo u and all at the Priory Headq -uarters in the best of health as it leaves myself. Again thanking you and hoping to be back to take up Brigade duties a gain."

RAILWAY AMBULANCE NEWS

London, Mid l and and Scottish.-Accordin g to the an nu a l r eport of the L.M.S. Amb ula n ce Ce nt re in Engl and and Wa les, for the year ended June 30, 1943, the n umber of passes gained in first aid was 7,668, b eing a n increase of nea rl y 200 over the 1942 fig u res.

T h e Meritorious First Aid Certificate has been a warded the following for o u tstandin g first aid : W . L. Po ll oack (Bir kenhead), A. H. Underwood , J Postan s a n d H . J Ne llist (Camp H ill), T. Sandell (Com m er ci a l Road), L. E n g lan d (Bath), H. T unnicl iffe, F Hic ki nb o tt om a n d R. ] Bates (Derby), and ] Trayn o r (Kirkham an d Wesham) .

Si n ce t h e fo r ma t io n of t h e Cent re 4 , 361

THE HOUSEHOLD PHYSICIAN

A few 0{ the Sut>jects treated:

Gas Warfare First Aid Lessons

Influenua, Colds, e""...c. Sick Nunln, from A to Z Measle., Mumps, Catarrh Corns and Warts

Physical Culture

What to Do In Emergencies

Treatment for all Skin Diseases

The Lungs, Pleurisy Diseases of Women

HYliene. Anatomy, Pharmacy

The Principles of Nurslnl

The Eye, the Ear

The Throat. the Nose

The Chest. the Heart

The Stomach, the Liver

The Teeth, the Muscles Infant Welfare t"tomoeopathy, Neurasthenia 375 ptionl, etc., etc.

Describes In simple language with helpful coloured plates and diagrams

The COMPLAINTS OF MEN, WOMEN AN D CHILDREN,

Their Cause, Treatment and Cure

THE YOUNG WIFE will find lust the Information she requ i res. ,

MOTHERS who wish their daughters to develop naturally w ill find exactly the teaching they need.

WOMEN OVER 40 will find their difficulties regardln, health frankly discus.sed.

PRESCRIPTIONS-375 proved remedies There are hundr e ds of subjects The muscles. teeth digestion, ha i r, lood values , Ju -ii tsu, Phrenology How co disease s from apoearance of head. face. neck, tongue. throat , chest perspirat ion. etc

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THE BRAIN WORKER

Pres.ent -day co ndi tions a t wo r k and a t Lome often produce a res tless n ess of mind an d body The con sequent l oss of the po" er of coneen tration and of men t a l outpu t oft en indicates t h e n ee d [or a seda ti ve. Of LI lI" many avai lab le forms of analgesic. 'Anadin '-a compound of aspi rin , phen'acetin and caffeine-is especi a ll y well- sui te d to t hi s type of case. I t may in fac t be prescr ibed for p ro l o n ged a d ministr ati on without ha r mful a flcr-rf rects.

T h e ba lanced naLur e of the fo rmul a, main t a in e d in the process of ma nufacture, merits comp le t e confiden ce in i ts effic a cy a nd safety

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Long Service ),Iedals have been awarded, also 3, 51 0 Bars, 5 being for 45 yea r s' service.

During the ' year the Order of St. John recognised the services rendered to the Centre by the promotion of three members, admission of thirty members, and Vellum Vote of Thanks to nine others.

ON ACTIVE SERVICE

The Chief Commissioner, Brigade tHome, regrets to annopnce the fo ll owing cas u alties among members of the B r igade: KILLED

J. W. C. Barnard (Thetford Sergeant-Pilot, in B u rma.

C. J . Scattergood (Meyrick Private Division), Private Division).

ROCKING METHOD OF ARTIFICIAL Private R. ' V. Rawlings ( Torth Bo u rneRESPIRATION mouth Division).

By WILLIAM RILEY, A.RP.S

(Chief Supt , West Yorkshire Mines Central Res cue Station).

I have read with interest the article on page 26 9 of yo u r valu able journal.

In 1932 I collaborated w ith Doctor Frank Eve and Doctor Killick, on the " Eve" method of Artificial Respiration by designing and p r otecting by patent rights No. 25,837/32. The "Riley" Rocking Stretcher for the Eve method of Artificial Respiration

V.'ith the aid of a special meter loaned by the Medical Laboratory I assisted in the large number of tests carried out on lung venti lation. I have no hesitation in confirming the statement made by ]. N. " 'heatley, the Civil Defence Officer, City of Hull.

The latest type of "Riley" Rocking Stretcher provides for the most essential points in recovery. It fo lds for easy transportation, it rocks over the full angle to get full circu lation of the blood, it is fitted 'with the latest method of supplying a mixture of oxygen and CO 2 with a full mask and special inlet va lve also a special b lanket fitted with pockets for four rubber hot water bottles to cover the patient and thus treat fo r shock.

I am jully aware that many rocking devices have been mentioned in the A.R·.P Press during the past few months. I have examined some which are dangerous in several ways, many samples of these improvised stretchers have been sent to me for inspection.

'iVith reference to the remarks made by myoId friend and colleague, C. M. Kitto, M.E., I have always advocated the teaching of the manual method of Schafer's Artificial Respiration, knowing f ull well with forty years' experience in and about mines and as a member of the S. ]. A.B. that this method is a lways to ha n d for the trained man or woman; in fact I have r ecently had cause to -try this method for a period of three' full hours underground, in a position where no mechanical means could be used.

I know full well and so does my f rie n d that we are both working for the Same cause and I do not mind what method is u sed if it is the means of saving life : that is our li fe's work, so why enter into u seiess discussion ? 18

Private L. A. H. Phillips (Southbourne Division).

Sergeant J. ' V. Young (Southbourne Division).

Sergeant H. T. Cole (Southbourne Division).

Private B. Hallett (Southbourne Division). _

Private Hall, P /0 RN. (Transport, Bournemouth Division).

Private F. Young (Transport, Bournemouth Division).

Private]. Barrow (Bournemouth Division).

Corporal E. A. Felton (Gosport DIvision).

Private C. J. Sudcliffe (Romsey Division).

Private L. S. Thorrowgood (Ramsey Division).

Sergeant R E. Gillingham (Eastleigh Division).

Private K. Burro 'ws ('Yhitehill DIvision).

Private H. '''-. Giles (Basingstoke Division).

L/A/C. R p, W. Stevens (Whitehill Division).

Sergeant - 0 b s e r v e r Vi'. Woodlands (Cowes and E. Cowes Division).

Private Benjamin Handel (Southgate Division) with the RA.s.C. '

Sergeant H. A. Coley (Brixham Division).

Private W. G. Jones (Willow 'Valk Division).

Private A. Hirshman (East London Division), with the M.E.F

Private Percival Dursby (Hhoose Division), with the RA.F.

Amb Sister D. Masding (South Molton Nursing Division), with the A.T.S. MISS I G

Private George Brazier (Luton Biscot Division) at sea, with the RA.M.C.

Private H. Clark (Southgate Division) with the RA.F,

George H. Kaye (Sutton DiviSIOn), whilst on operations with the RA.F. PRISONERS OF WAR

Private D. Westlake (Southgate Division), with the RA.M.C

Private D. E. Leutchford (So u tho'ate Division), with the RC.S . D

Private R M. Watt (Horseferry Division), with the RA.M.C

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INTERESTING

CASE REPORT No. 242. The Officerin-Charge of the County of Somerset , S.] .A.B., reports the efficient perf.ormance of first aid by a member of the Bndgwater Division in the following circumstances :-.

On September 21, an electrician in Bridgv,rater was fixing overhead cables, when he came in contact ",'ith a high voltage wire and was held against it. Ambulance Officer Wm. Baker, who was employed at nearby workshops, cal1ed for the current to be switched off and for a ladder to be brought. 'Vith assistance he lowered the man to the ground, by sliding him down the ladder. On reaching the ground it was found that the patient's breathing had ceased. Amb. Officer Baker immediately commenced artificial respiration. When the doctor arrived shortly afterwards, the patient had already commenced breathing. He was removed by ambulance to hospital where he is now making progress towards complete re-. covery.

COMMENT.-Patients suffer·ing from asphyxia due to electric shock have often been restored to life afte y four hours continuous performance of respiration. Amb. Officer Raker, therefore, merits cordial congratulations on good work well done on this occasion and also on the fact that his efforts were quickly successful.-N.C F.

CASE REpORT No. 243.-The Officerin-Charge of the County of Hampshire, S.] .A.B., reports the efficient performance of first aid by a member of the Bournemouth Nursing Cadet Division in the following circumstances:-

CASE REPORTS

On December IS, Cadet Sergeant Phyllis Norris saw a boy (Get. 5) knocked down by an A.F.S. car which almost completely severed his leg below the knee. A man tied a scarf round the boy's thigh but this failed to control the bleeding. When she took charge, she at once compressed the femoral artery, and then, with the help of bystanders, she re-applied the ligature and stopped all hGemorrhage. She then covered the boy with her mackintosh and sat close beside him to keep him warm until the ambulance arrived. Soon after Corps Surgeon Ewing arrived and took charge. During his operations Cadet Sergeant Norris held the mackintosh in front of the boy in such a way that he could not receive further shock by seeing his severed leg. Later she accompanied the patient to hospital where she supplied the boy's name and address and particulars of treatment rendered.

The hospital authorities later reported that the prompt attention given .and the application of the tourniquet had saved the boy's life, although the leg had to be amputated. The Corps Surgeon also expressed his satisfaction at the coolness and efficiency shown by Cadet Sergeant Norris.

COMMENT.-It is always pleasing to record good work well done by our Cadets with whom rests the future prosperity oj the Brigade. In these circ1l11J'lstances Cadet Sergeant Phyllis Norris merits cordial congratul,ations on the success wltich attended her efforts.-N.C.F.

QUESTIONS AND ANSWERS

CRUSHED HAND AND FRACTURED FOREARM

G.C. (Surbiton).-At a recent practice a discussion arose as to the correct treatment of a crush which affected the hand and extended up the forearm some :five inches, fracturing the forearm. Some thought that well-padded splints should be applied and the whole treated as for a fractured forearm, the second bandage keeping the hand at rest, with the thumb enclosed. Others suggested doing up the crushed hand first, with two padded splints and then applying the two bandages as for fracture of forearm. Your comments will be esteemed.

The more serious injury and the one which demands preferential treatment is the fractured forearm. Consequently, the first suggestion as to treatment is the correct one.

-N.C.F.

20

SLING FOR FRACTURED ARM AND RIBS

A.C. (Hornchurch).-I shall be pleased if you will inform me which sling should be used in the case of a fractured arm middle of shaft, and of fractured ribs, both injuries on the same side. Some members have suggested the small arm sling, others the large. Your help will be appreciated.

A s the small arm sling could not cause aggravation of the fractured ribs whereas the large arm sling might aggravate the fractured arm, the suggestion that the small arm sling should be used is correct.-N.C.F.

LOADING AMBULANCE

G.P. (Streatham).-I have always instructed my students that when loading stretcher, bearers No.2, 3 and 4 should be on the injured side and No. 1 on the opposite side. I have been informed that this is not correct and that the three

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bearers should be on the left side of the patient unless No.1 decrees otherwise (in such cases as when the patient is too near a wall, etc.). ViTill you please info r m me of the correct method of procedure?

If you refer to the footnote on p. 20 7 of the Textbook you will see that the position of the bearers will be modifi ed at the discretion of No. !. The illustrati ons on pp. 209 to 2 12 all show bearers Nos. 2, 3 and 4 on the left of the pati ent. The ans w er to your query , therefore, 'is that as a general rule these three bearers should be on the l eft of the patient unless there are exceptional circ u mstances w hich would J'ustify bearer No. 1 making a change. Furth er, it is bette1' to retain a regular system as the efficien cy of the drill w i ll be less likely to be upset.-N.C F.

TREATMENT OF CRUSHED TH I GH AND KNEECAP

B.G. (Putney) -In a recent competition the patient had sustained a fracture of the thigh with a badly-crushed patella . I n fact the thigh in the region of the knee was mostly pulp. ViTould you please state what treatment you wou ld give? There was no severe hremorrhage present .

It would be exceedingly difficult for a first aider to determine the extent of the damag e in such a case. In these circumstances I would treat the fractured femur and remove the patient to hospital as quickly as possible. The application of cold dressings to the kneecap, if immediately ava i lable, might be useful and w ould be i n accord with th e teach i ng of the Textbook. - N.C F.

TREATMENT OF BLEEDING FROM lOSE

P.C. (Coventry).-Will you please tell me why the hands are raised above the head in the treatment of bleeding from the nose?

Elevation of the upper limbs above the head causes enlargement of the cavity of the chest, and consequently the lungs expand. When this happens, the large venous trunks entering the heart dilate so that the return of venous blood to the heart is facilitated and the bleeding from the nose lessened.N.C.F.

FRACTURED BASE OF SKULL C.P. (Leyton).-At a recent competition the patient was supposed to be s u ffering from a fractured base of the sku ll. The signs and symptoms given were right eye, and bruise right side of f orehead with signs and symptoms of concu ss ion . Do you think that it is possibl e fo r a first aider to diagnose such an injury from the signs and symptoms given ? The p a tient was conscio u s.

The T extbook (p. 7 0) te lls u s th a t fr ac t ure s of t he base of sku ll may be " caused by indi r ect vi olenc e t hroug h a f all on the he ad . . ."

Consequently the bruise on forehead and the bloodshot eye should lead a competitor to consider the possibility of fractured base At the sam e tirne I cOllfess that I should be more confident of th e diagnosis had the. injury been to th e do m e of th e skull and not to the forehead. - N.C.F.

FRACTURED NECK OF FEMUR

G.C. (Surbiton) .-1 be much obliged if you would give me the sig ns and symptoms of a fracture of the thigh at the neck of the femur. Would j u st a swelling be enou g h to indicate such an inj ury in an aged person ?

Swelling in the r egion. of the hip joint would certainly not be suffici ent to cause_ me to diagnose fracture of neck of f emur. If, ho w ever, that was accompani ed by eversion of the foot, loss of po we r, and pq,in, th e diagnosis would r est on a sound basis (see par. 2, pp. 18 and 19 of Textbook) -N C.F.

TREATMENT OF INSENSIBILITY

F.R. (Catford).-On p. 155 of the Textbook, in the treatment of insensibility, it states, " On return to c o nsciousness, water may be given to drink in sips If the pulse is feeble give hot, strong tea or coffee " Does this contra-indicate hot tea or coffee if the patient's condition is goo d and the pulse not feeble? If so, will you please give the reas o n? Thanking y o u for your kind assis tanc e.

The adm i n i stratio n of h ot t ea or coffee can do no h a rm t o a pati e nt w h ose g e n eral condition and puls e are both g ood on re covery from in se nsib i lity. Th es e st i mula71ts, ho weve r, are indi cat ed w h e n th e r ev ers e holds good.

N ev erth eless, on general principles it is better for first aiders to follow th e instructions of the T extbook w hich t ells them to g i v e sips of cold w ater to all su c h cas es and then to follow up with hot tea or coffee if the pati en t's condition is poor. - KC.F.

DIAGNOSrs OF DEATH

P.R. (Brixton) -At a recent practice we were asked what we would do if we were called to a person who was thought to be dead.

We all agreed that, as first aiders, we should not assume death, but would test for heart beat and respiration. Opinion, however, was divided, whether on finding these absent, artificial respiration should be performed or not vVe shall appreciate your kind ruling.

Presumably there was no external evidence of severe injury in the case w hich you quote. I n suc h circu1nstances doctors rely on other signs and factors which are no t avai la bl e t o firs t a iders. It f oll ows, the r efore , t hat i t i s good first aid t o commence artifici al respiration if breathing ha s f ai l ed, a n d to persevere until t he arriva l of the d octor .-N .C. F 22

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S.J.A. REGULATION COAT

Cut and tailored from fully shrunk and showerproofed material, half lined with grey Italian cloth. Pr ices include buttons. An official order for H.Q. to supply us with badges and buttons must be sent with every order. Women's Sizes 99/6 O.S. £5.5.0

STOCK SIZES- Women's :

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S J.A. REGULATION HAT for Officers, Wool Felt, 19/11, Ambulance • Sisters, Felt, 16/11. Badges are only obtainable from H.Q. Sizes: 61, 6i-, 6t, 6i, 7, 7f, 71,71. Storm Cap 17/11.

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