In old and debilitated patients the septic absorption taking place from
a bed-sore often proves a serious complication of other surgical
conditions. From this cause, for example, old people may succumb during
the treatment of a fractured thigh.
The granulating surface left on the separation of the slough tends to
heal comparatively rapidly.
_Prevention of Bed-sores._--The first essential in the prevention of
bed-sores is the regular changing of the patient's position, so that no
one part of the body is continuously pressed upon for any length of
time. Ring-pads of wool, air-cushions, or water-beds are necessary to
remove pressure from prominent parts. Absolute dryness of the skin is
all-important. At least once a day, the sacrum, buttocks,
shoulder-blades, heels, elbows, malleoli, or other parts exposed to
pressure, must be sponged with soap and water, thoroughly dried, and
then rubbed with methylated spirit, which is allowed to dry on the skin.
Dusting the part with boracic acid powder not only keeps it dry, but
prevents the development of bacteria in the skin secretions.
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