Word: ascroft
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...hands for new jobs: chic, leggy (5 ft. 111n., 130 Ibs.) Anne Scott-James, 44, who left the Sunday Dispatch fortnight ago to fill the specially created post of adviser to the Beaverbrook empire (four papers with a total circulation of more than 8,000,000); buxom, blonde Eileen Ascroft, forty-sixish, who will leave Beaverbrook's Evening Standard in April to primp up the score of dowdy women's magazines that Press Lord Cecil King (the Daily Mirror-Sunday Pictorial group) got when he bought Amalgamated Press...
Most important point in Major Ascroft's paper: "We believe it is better not to operate in forward areas [on patients with head wounds], provided that the patient can reach a fully equipped base hospital within 48 to 72 hours of injury." This agrees with the late, great Dr. Harvey Cushing's World War I finding that "incomplete operations were more dangerous than a few more hours of delay." But Major Ascroft points out that "in this war most casualties have not reached a base hospital under 48 hours or more...
...Major Ascroft's chief reason for operating at a base hospital: there the surgeon can use 1) the X-ray (which is not always available in forward zones); 2) a suction apparatus to remove injured brain tissues and debris and an electric cautery to stop bleeding. Neither device is obtainable near a swiftly moving front...
Wide-Open Wounds. Major Ascroft finds only three valid reasons for treating head-wound cases at the front: 1) severe shock (but "shock is seldom severe in head wounds"), which makes it impossible to move a patient at once; 2) need for immediate surgery to relieve pressure on the brain; 3) no possibility of reaching a base hospital in 72 hours. For such cases he recommends "an operation of expedience"-a cleanup after which the wound is left wide-open, protected only by a plaster-of-paris bandage. A diagram of the wound may be drawn on the bandage...
...Other Ascroft ideas...