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115 Cards in this Set

  • Front
  • Back

Order for solution for 3 problems of surgery

Pain, infection, blood loss

How was the pain of surgery solved

Chloroform

Facts for chloroform (4)

-james Simpson discovered


- John snow found dosage


- Queen Vic made it fashionable


- Hannah greener overdosed

Anaesthetics prior to chloroform

Alcohol, laughing gas

What was the period between Simpson and Lister known as

The dark period of surgery as although patients had no pain, they were now dying of infection and blood loss as surgeries were longer

What was sprayed as an antiseptic

Carbolic acid sprayed as an antiseptic

Problem of carbolic acid

Made surgery slippery

When were blood groups discovered

19th Century

Positive of blood groups discovery

Meant blood transfusions could take place so surgery improved

What was medieval idea on the cause of disease

Miasma a form of bad air

Ideas for causes of black death (3)

Miasma


Unusual positioning of planets


God's punishment for sins

When was the black death

1348

Facts about black death (3)

½ population of Britain died


Spread in crowded areas


Wages went up

Facts about medieval physicians (4)

Went to university


Very expensive


Diagnosed but rarely treated


Used urine charts and astronomy charts

Facts about apothecary (4)

More popular than physicians


Made potions and remedies


Less expensive than physicians


Used passed down knowledge

What did vesalius disprove of Galen

That the human jawbone was two bones instead of the correct- one

What book did vesalius write and when

1543, fabrica

What did Harvey disprove about Galen and when

Galen thought blood was used up and made in the liver, when it is actually circulated 1628

When was printing press made

1440

Positives of printing press (2)

Medical books no longer have to be censored by church


More people can read and write

Overview of renaissance

New ideas about anatomy but no new ideas about causes of disease

When were microscopes developed

1702 - Anthony Van leeuwenhoek

When was the royal society established

1660

What did leeuwenhoek call microscopic organism

Animacules

How many mistakes of Galen did vesalius discover

300

Which religious leader goes against punishment theory (for bubonic plague) and what did he say

Archbishop Zouche of York issued a warning of 'great mortalities, pestilences and infections of the air'.

What did Pare do

made an ointment while treating war wounds, instead of using cauterisation which meant less agony for soldiers

What was pares ointment made of

rose oil, turpentine, egg yolk

Parts of the public health act of 1875 (4)

compulsory medical officers


provision of clean water


sewage drainage


local authorities could knock down slum housing

Why was Ether controversial

it was flammable and irritated the lungs

Why was the chadwick report unsuccessful and when was it

1842, there was a lack of implementing the changes it suggested

Conclusion from industrial period

pasteur, lister and simpson all had big discoveries, but limitation was the government implementing those discoveries

name of report that suggested a national health service

1942, beveridge report

What was the national insurance act

a law passed in 1911 that gave sick pay and unemployment pay

When was penicillin discovered

1928

When was the NHS created

1948

Queen Victoria quote on Chloroform

she gave birth to Prince Leopold and said it was 'delightful beyond measure'

when was the industrial revolution

1760-1840

what was in the Chadwick report

a link between poor living standards and the spread and growth of diseases

What was the theory for disease in the early 18th century

spontaneous generation

When was germ theory published

1861

principles of Pasteur's germ theory (3)

microbes can be killed by heating them


the air contains living micro-organisms


microbes in the air cause decay



For how long was spontaneous generation theory in britain

until the 1870s

what discoveries did Robert Koch have (2)

discovered the bacteria causing anthrax and tuberculosis


identified cholera and proved it was in water supplies



Who first developed vaccines

Edward Jenner

When was Jenner's work for vaccines

1796

Who did Jenner test his theory on

James Phipps

Who discovered penicillin

Alexander Fleming

Who developed the findings of Fleming

Florey and Chain

What enabled the development of penicillin

1942WW2 which caused the US government to fund Florey and Chain


and US drug companies mass produced it

How many soldiers saved by penicillin

one in 7 UK soldiers

Who is credited for the discovery of the human gene

Watson and Crick

when was the human genome project launched

1990

question types

2 features of


how useful


how could you follow up


explain one way ... similar/different


explain why


how far do you agree

first station for chain of evacuation

regimental aid post

Who gave first aid at the Regiment aid post and what was the transportation to there

first aid administered by regimental medical officers and carried there by stretcher bearers

Second stage for chain of evacuation

Dressing station

How were soldiers brought to dressing station

field ambulances as they were carrying a mile back from front line

third stage for chain of evacuation

casualty clearing station

Features of Casualty clearing station (4)

several miles back


well equipped


staffed by doctors and nurses


used triage system

What was developed by CCS

The triage system where life-threatening injuries are prioritised

Stage 4 for chain of evacuation

Base hospitals

Features of base hospitals (4)

located on the coast


many medical staff


some patients sent home by ship


specialised treatments

What was Hippocrates' main ideas

four humours and observation

Sydenham key points (4)

disagreed with 4 humours


classified different diseases


observed symptoms


humanist

What did John Harrington do

invented a way to flush away sewage

Florence Nightingale key points

believed in miasma so emphasised cleanliness and hygiene


cut the death rate in Scutari hospital from 42 to 2%


helped during Crimean war 1853-1856

What vaccines did Pasteur develop (3)

Chicken cholera, anthrax, rabies

when was the structure of DNA discovered

1953

who led the Human Genome Project

James Watson

when were the four blood types discovered

1901-02

What does FANY stand for

First Aid Nursing Yeomanry

what was added to blood to stop it clotting and when

1915 Sodium citrate, and then 1916, citrate glucose= could be stored even longer

What happened at the battle of cambrai

1917, blood stored in preparation for in 'blood depot'

what were Harvey Cushing discoveries (2)

local anaesthetic better than general anaesthetic for brain surgery


he used magnets to remove metal fragments

What did the Thomas Splint do + %

kept leg rigid


survival rate went from 20-82%

type of source for statistical questions

official RAMC records

when was the great plague

1665

ideas about causes of Great Plague

astrology (previous year)


miasma - stinking rubbish


punishment from God


from other people

Royal College of Physicians advice during Great Plague

1. Pray


2. Quarantine


3. Special diet


4. smelling herbs



what was the government action during the great plague (4)

all streets kept clean


quarantining


carts to collect the dead bodies


large gatherings banned

treatments for black death

confess sins


bleeding and purging


smelling herbs


remedies from apothecaries


praying

main belief for cause of disease 1250-1500

religious explanations


leprosy


astrology


theory of the four humours


miasma

why was there a continuation of ideas in the Middle Ages

Churches censorship + love of Galen


lack of alternatives - dissections not allowed

Features of middle ages hospitals

did not treat the sick


offered hospitality


run by nuns


kept clean


pregnant women often not allowed


sharing of beds



renaissance time period

1500-1700

continuity of ideas for renaissance (2)

miasma still believed


remedies and cures



Change in ideas for renaissance (4)

rise of humanism


improved ideas on anatomy


disease came from outside the body


new herbal remedies

what is humanism

idea that God isn't responsible for everything

Example of new remedies during renaissance

yellow herbs to treat jaundice

when did The British Government make Edward Jenner's vaccine compulsory

1852

Continuity of ideas 1700-1900

1700, miasma



Change of ideas 1700-1900

no belief in 4 Humours


spontaneous generation -> germ theory


aseptic surgery


anaesthetics

Koch influence

stains for microbes


discovery of microbes that cause diseases (diphtheria)


new method of growing microbes - used by other scientists

Technological factors affecting understanding of the causes of disease 1700-1900 (3)

microscopes


petri dish


dyes to see bacteria

individuals factors affecting understanding of the causes of disease 1700-1900 (2)

Pasteur - Germ Theory 1861


Koch - proved link between bacteria and disease


institutions factors affecting understanding of the causes of disease 1700-1900 (2)

British government did not help improve understanding as they were hands off until 19th century


they couldn't implement anything as a result of Germ theory

Societal attitudes factors affecting understanding of the causes of disease 1700-1900 (2)

enlightenment in Europe - encouragement to think for yourself


overcrowded cities

hospitals by 1900 features (4)

different wards, separate operating theatre


used antiseptics


a place for treatment


more doctors

what did John Snow do (3)

Realised cholera was effecting people who drank from a street pump


Removed the handle, infections decreased


Made link between sewage water infiltrating water supply

When was the electron microscope developed

1931 and helpful with genetic discoveries

what was the first magic bullet

Salvarsan 606 -syphilis

magic bullet for blood poisoning

prontosil

what did FANY do (4)

drive ambulances


drove supplies to frontline


mobile bath unit


volunteers

trench system key points (2)

trenches formed zig-zag to absorb power of artillery


communication trenches linked rows of trenches



example of disease for soldier on the western front (6)

Gas attacks


shell shock


bullet wounds


trench foot


trench fever


head injuries

When were Brodie helmets issued

late 1915

horse drawn carriage + and -

didn't break down


coped well on rough terrain




injured were shaken about


too high influx of injuries

Motorised ambulances + and -

broke down




smoother journey


fast

What did barge + ship ambulances do

took wounded to base hospitals

What method of transportation were there

stretcher bearer


horse drawn ambulances


motorised ambulances


ambulance trains


barge + ship ambulance

reason for public health act 1875

more men could vote

when did Joseph lister first use carbolic acid

1865

when did James Simpson discover chloroform

1847

when was the crimean war

1853-1856