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wooden legs fourteen and one-half inches long, and weighed twenty-five pounds. It was a serviceable litter, and only when we contrast it with our present litter do we remember that the old one was heavy; that costo del diflucan its legs were unnecessarily long, apt to become loose and un- steady, and to shut generic diflucan fluconazole up unexpectedly; that its length and legs prevented its fitting into an ambulance, and that every wounded man on the way to hospital must there- fore be lifted from litter to ambulance and from ambu- lance to litter, thereby wasting time and adding to the patient's suffering. The buy generic diflucan online present litter of the United States Army, model of 1895, weighs sixteen and one-half pounds. It folds com- pactly, and may be carried on the shoulder almost as easily as a rifle. The fixed wrought-iron stirrup-shaped legs, or rather feet, raise it four inches from the ground. The side-poles are seven feet six inches long, and the can- vas bed six feet long by twenty-two inches wide. Two of the litters can be placed side by side in the regulation ambulance. Litter-slings — bands of worsted webbing to be passed over the shoulders and attached to the handles — are issued to the bearers as a part of their equipment, and are very valuable when the loaded litter is to be car- ried far. The corps of trained men and the improved litter just described would seem to perfect the means ot transport- ing the wounded to the first-dressing station. But there is still a weak point in the working of our scheme. Expe- rience has shown that when the litters are wanted at the front in action, they how much diflucan cost are often far away in the rear with the ambulance-train, upon which they are carried. Troops, artillery, generic diflucan online and ammunition-wagons have the right of way when battle is imminent, and ambulances and supply- wagons must not encumber the roads and must seek a place of safety. Thus it often happens that during an engagement, and diflucan 150 mg costo perhaps for some time after, the litters are detained miles away from the battle-field. It has been recommended that pack-mules be used to bring litters and medical supplies promptly upon the field. In the war with China, 1894 and 1895, the Japanese suc- cessfully used pack-horses for this work. The diflucan 150 costo use of pack-animals seems the natural solution of the difficulty, for they can follow wherever troops go without obstruct- ing the movements of the column. Yet, if pfizer diflucan costo for any reason pack-animals cannot be secured, men of the sanitary force Fig. 2. The litter-carrier in diflucan cost without insurance use. could be required to carry the litters. Under these cir- cumstances, when troops are in the vicinity of the enemy and battle is probable, the bearers should be ordered be- generic diflucan 150 mg fore leaving the ambulance-train to take the litters, one to every four men, and to carry them as they march in rear of the regiment. The light, compact litter now in use is easily carried by two men, and in fact is not an excessive diflucan gel costo burden for one man ; and should the wheeled litter-carrier described below, or some similar device, be adopted, the diflucan cost work would be still further lightened. At the first-dressing station dressings are applied. Digitized by Google May 14, 1898] TRANSPORTATION OF THE WOUNDED IN WAR. 623 urgent operations performed, and the wounded made ready for transfer to the ambulance station. The ambulance-station is presumably 1000 or 1200 yards beyond the dressing-station, established "at some place of security in generic diflucan cost the rear, or in some convenient building near the field of battle. " The site should have a convenient water-supply, and if possible it should be easy of access. To this station the wounded are brought in ambulances when practicable. If, however, on account of bad roads, or no roads, or the encumber- ment of the way by troops and wagons, the ambulances cannot reach the first-dressing station, then litters must discount diflucan be used for the intervening distance. The ambulance, like the litter, has been evolved from more or less crude beginnings, but it is not yet as well suited to its purpose as is the hand-litter. The pattern now in use in our army, adopted in 1 892, carries two pa- tients lying down or eight sitting up. When required for recumbent patients, the removable seats diflucan compresse costo are hung against the sides of the vehicle, leaving a floor space which just which rest two three-leaved springs, placed twenty-two inches apart, so that the poles of the regulation litter may rest upon them. The litter is fastened to the car- rier by a pin which is attached to the lower side of each litter pole, and passes through a hole in the diflucan cost with insurance spring, .where it is made fast by a cross-pin. Folding legs are let down to hold the carrier firmly in position when the litter is to be put on or taken off. The litter-car- diflucan costo rier thus adjusted, with the litter placed upon it, generic diflucan over counter is about thirty inches in height, generic diflucan no prescription and could serve on oc- casion as an operating-table. When the carrier is in motion, the legs fold back, and are secured by a simple device to the litter poles. The wheel is readily de- tached from the frame, and the whole can then be

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