Wound care in regency England

Nov 11, 2020 20:34

Hello! I was just wondering if anyone would happen to know anything about wound care towards the end of the regency period, round about 1820. I have two characters, both medical students at Oxford University (so they have some medical training/knowledge), one of whom has received a deep cut on the chest from a sharp ring in a fight - the kind that ( Read more... )

1810-1819, ~medicine: injuries (misc), 1820-1829, uk: history: regency period

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xolo November 15 2020, 19:06:20 UTC
In 1820 there'd have been no effort made to sterilize anything. It wasn't until the 1840s or so that some doctors (notably notably Ignatz Semmelweiss began to theorize that the awful death rate in hospitals might be caused by doctors unwittingly carrying bits of dead tissue on their hands and instruments from the autopsy room to living patients. Although his mechanism was incorrect, his remedy (washing hands between patients) gave a greatly-reduced death rate. In the late 1850s, Louis Pasteur was able to prove that acid fermentation in wine (an unwanted outcome, by which some batches of wine turned sour) was the result of airborne microbes. Joseph Lister began to pursue the idea that airborne microbes, along with those carried on the skin and surgical implements, might be the actual cause of post-operative infections. In the late 1860s he introduced sterile field surgery, with a carbolic acid mister working to keep the field germ-free. The practice met with some resistance, but by the 1880s surgery had gone from a last-ditch gamble to something which might reasonably be expected to do more good than harm.

So, the TLDR answer is that no-one knew anything about germs in the Regency period. The character's chances of survival would be greatly improved if the wound were stitched out of doors, in direct sunlight, by someone with clean hands. And, of course, some people are just resistant to infection.

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lothlaurien November 23 2020, 21:54:35 UTC
Thank you, I suspected it was a little early for sterilization!

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