O.S.J.J. Annual Report, 1884 by Museum of the Order of St John

---

ti.e1.tL-lSoJ. $ir tij.erbert IS lr.erro.tt t I

----

~ art.

o.S.J.J.

REPORTS & PAMPHLETS 1884-1886

Contents

1 Re po rt of the Chapter of the Order of st London, 188L~

Jo~n

of Je :. . usalell

2 British Ophthalrni.~ HDS!J~t ·)l .. 2nd I~nnual Repo l.'tQ Lond:Jn 188{+ (inclurl i.,1Q:) A Visit to the British ophthalrnic Hospital and Hosp ice of the 2A O:.:-dec of St .Joh n (t:nglish Language ) at Je rusalem . D8c ~ 1883 ~3

5 First Aid to the III jured . General Assembly 1884.

.. .

Report of the Central Exe ciJ t i 'Je cttee London, 1884

T~e Roval Hos~italler. 6 WOOJ, Re ll. Thomas William. Chapel Royal, Savoy at Annual Co~me~o ratio n SerVi ce .

SSl'llOn at London,1884

9 Roll of the S:. xt 1 or Eng li sh Langue of the O:.:-de -c' of St JO I1"1 of Je r.Jsals'1l . Lond on , 1885 10 Report ooP the ChapteJ:' 1885. London 1885 i

PfJ~

16 pp. 121 pp • 9 pp.

7 Duplicate of no.4 8 HUTTO\], SlJrg.-Major GelJT:;Je A. , Facts and Figures connected with first Aid. Paper read at So'.::i31 Science Congress, Birming ham , 1884, wit n adde"ldum 'Jy WaYllnan Di.xon. LDndoll, 1884

pp~

St Joh~ A~bulance As~~ci3tio~. Conference 8n 21 July, 1884: FURLEY, John, The Carciage and ReffiO\f3l of the S:.ck and Injured; BARRINGTQN-KENNErr, Vince nt , The Ambulance Organisati on of t e M8tE~p01is dur i ng Epidemics

4 MUNDY, Baron Dr Faronir, The Urgent Necessity foi' lla'-'ing Surgical Provision for Railway Accidentsu Paper read at Royal United SGrvi~e Institution. Lonj on , 1884

;;

11 First Aid t.J 4:he Injur.ed. O+-f""'

I nnrln,....,

Re;Jo:t of the

12 pp. 39 pp. 24 pp.

Centra.l I:..Aecutive Ctt8;3

1 qRr;

12 British Ophthalmic

Hospl~aL.

13 Report o-P the Chapter 1886. 14 First Aid to the Injured LrJndoll, 1886 15 Br i ti sh Op hthalmic Ho sp i tal.

~ra

Annual Report.

LondOrl, 1885

London, 1886 RBport of

t~e

P~).

24 pp. Central Executive

Ctte e~

fD-'rth Annual ~8PJ .':'. (Lon don) 1886

148 pp. 26 pp.

161 PRE jVlI LL Y, J. de , Perrott (Le Baro!lnet Sir Edward-Geo ege-Lambert) , in Tablettes Biographiques, Memorial Uni v8'['sel des HOrlm es du Temps, Paris? 1886 (4)pp.

11A FURLEY, John, On some of the Results of Eight Years' Work of the st John Ambulance Association (London, 1885) (incorporated in Central Executive Committee Report 1885, between pp.36-37, separately paginated)

11 pp.

REPORT OF TllE OIIAPTER OF TilE

~rhcr

~t. ~lrglt

~Cnt5a1em

(EngH%fJ rLanguage): READ AT TilE

E~ER

L A SEMBLY

On Tuesday, the "24th of June, 1

THE CHANCERY OF THE

ORDE~

ST. JOHN'S GATE, CLERKENWELL.

DON:

IIA.RRISON AND SOr , ST. MARTIN'S L NE, Printers in O/'dilla)'!! to Her l1Iajest.l/'

1 84.

~arh

:t1rior.

Ills GRAOE SIR , YILLIAM DROGO, DUKE OF MANOHESTER, K.P . ~tTili(f

Df <6uglc.

The Right 1l0nolU'able \VILLIA~I IIE~RY, BARO;{ LEIGH. [ge (Gauntt[.

Pl'fsidfnt-- en eral ~ 'ir JOIIX ~ T. GEORGE, K .C.B. 'rhc: Right Honourable the Earl of GLA ·GOIV. The Right Rev. the Lord Bishop of 'T. ALBANS ( Chaplain- General). ~ ~ ir EDWARD G . L . PERROTT, Bart. General 'ir H. C. B . DAUBK\-:EY, G.C.B. nptain R. . F. DALLA . Rev. IIEXRY , VIIITE, l\I.A.

f!:r.ccuti&e ©fficers. (TVlw are ex-officio Members of ihe Council.)

(?w12cellor-G 'lleral ir JOII;{ T. GEORGE, K.C.B. ec'r eta?'Y- ir E . A. II. LEOIDIERE, Bart., l\I.P., F . '.A. Receh·pl'-EmTIN FRESIlFIELD, Esq., L L.D ., V.P . . . Rppist'J'a?'-Li ut.-Colonel OULD IIUXTER-\\ E TOX, F . .A. A 117lone7'-General the Vi. count TE~IPLETO\\N, K .U.B . As istant-..cl 1mone?,-l\Iajor JAJ\lE GILDEA., 4th Batt. Royal , Varwi k hire Regt. Genealog1' t - , V. AfiIHUR T T . A:\ITIERST, Esq.) M.P., F .S. . Lib1'a?·ian- Rev. , V. K . R. BEDFORD, :M.A . .A s. istant- l'C7'eta1'y- Captain H . C. PERROTT, 3rd Batt. East K nt Regt. Ambulance DppaTtment- Director : JOfu~ FURLEY, E <]. Banl..:eTs- T IlE LO;{DOi Ai D , VEST.:\lIN TER BANK (Chief Office, 41, Lothbury, E .C.) Communications may be atl drcssed to the ecr etary of the Order of t . .J ohn, St. J ohu's Gate, Clerlcenw il, L ondon, E .G A 2

CONTENTS.

REPORT8, ORDER OF ST. JOHN. REPORT, BRITISlI IIOSPICE AND OPlITHALMIC DISPENSARY AT JERUSALEM.

Notes upon the Castle of BuclrUn (Halicarnassus), and its association with the Knights of St. John of Jerusalem."

(By Mr. Amherst.)

"On the Carriage and Removal of the Sick and InjUl'ed."

(By Mr. John

FUl'ley), and "On the Ambulance Organisation of the Metropolis during Epidemics."

(By

Papers read at a Conference (Sir James Paget, Bart., presiding) at the International Health Exhibition, July 21st, 1884.

Mr. V. Barrington-Kennett.) "The urgent necessity for making SUl'gical Provision for Railway Accidents." Baron Dr. Mundy.) REPORT8, ST. JOHN AMEULANCE ASSOCUTION.

(By

COPIES OF THE SERMON Preached at the Anniversary Commemoration Service on St . John Baptist's Day, dedicated to ,the Memory of His Late Royal Highness the Duke of Albany, by special permission of Her Royal Highness the Duchess of Albany, can be obtained l from the Rev. T . W . WOOD, Eldersfield Vicarage, Near Tewkesbury ; Or, from the Assistant Secretary, O. S. J. J., St. John's Gate, Clerkenwell, E.C. Prjce 6d. per Copy. The proceeds of the sale will be devoted to the funds of the Hanley Castle Comm andery.

REPORT 11he Chapter of the Order of St. J ohn communicates the following Report to the General As embly :T he English Language has su tained some great and unexp-9ctedlo ses chu'ing the past year. The iUu trious Prince. the Duke of Albany, had only been recently elected a .Member of the Order, the reception of His Royal Highness into the Order taking place at Buckingham Palace in J une last year, but he had e inc d the gTeatest intere. ,t in its constitution and objects, anI, had his life been par el, he would no doubt have br ought his active intellect, and his loye of all that ' 'ira good and noble to bear upon the developm nt of our humanitarian object His aim and efforts were ever directed to the be t meRns of ameliorating the condition of the people, and more especially of promoting their l' covcry from the effects of ickne sand <.l isease, and Lis whole life was complet ely in accord with the e lIo pitaller duties) which he had learnt to appreciate, and which he knew so w 11 how to di charge. <

A deputation of the Ord er attended the funeral, and consisted of the Chancellor, General Sir J OHN ST. GEORGE; the Secretary, Sir E. LECHMERE ; the Genealogist, :1\11'. Al\IIlERST ; the Director of the Ambulance D partment, M1'. FURLEY; the AsslRtant Almoner, Major GILDEA; the Assistant Secretary, Captain PERROTT; and General Sir H. C. B. DAUBENEY. By permission of Her Majesty, the evening before the funeral a floral offering from the Order, consisting of a very handsome eight-pointed cross, formed of the choicest white flowers, was sent. down to Wind or by a special messenger ana was subsequently placed near the bier on which IIi Royal Highness's remains were depo ited in the Mortuary Chapel prepared for the purpose, adjoining St. George's Chapel. 'rhe wreath bore this inscription :J

"In Affectionate :1\lemory of HIS ROYAL HIGIIKE S PRL'\OE LEOPOLD,

DUKE

ALBANY, K.G.,

(COP!! 0/ .A clcn01vledgment.) (( CLAREMONT, (( ESIIER,

" j}fay

"DEAR SIR EDMUND,-

"I beg to enclose herewith the Duchess of Albany's answer to the Address of Condolence forwarded by you; an d I am to thank you also on the Duchess's behalf for your kind letter which accompanied the Address. It is no slight solace to the Duchess to receive so many proofs of the regard in which the Duke of Albany was so deservedly held. "I remain, "Very faithfully yours, (igned)

" CLAREMONT,

" JIay 22, 1 84.

His sorrowing con/Te?'eS of the English Langue of the Order of St. John of Jerusalem." The following Address of Condolence was sent to Her Royal Highness the Duchess of Albany, and has been duly acknowledged by H er Royal HighneBs s Equerry, Sir Robert Collins:" To lIe?' Royal IIighnes8 the Duchess of Albany. "The Chevaliers of Justice of the Sixth or English Lallguage of the Order of St. John of Jerusalem, in Chapter assembled, desire to be allowed to convey their heartfelt sympathy with your Royal Highness in your great bereavem nt, and their deep sense of the loss which their Order has sustained in the death of their most illustrious con/TeTe, lIis Royal IIighness the Duke of Albany. "Signed on behalf of the Chapter, at the Chancery, the 22nd April, 1884:. MANOIIESTER, P1'ioT;

"R. H. COLLI.!: S."

( Copy.)

FRO:\I

"JOHN ST. GEORGE, " r.1z.'lnr,e/l.nr;

22, ] 884.

EDMUND A. H. LEOHMERE, Sec1'etaTY."

" ir Robert Collins has receiyad the commands of the Duch s' of Albany to express Her Royal Highnes 's true and heartfelt thanks to the Chevaliers of Justice of the English Language of the Order of t. John of Jerusalem for the kind word of condolence ,,,hich they have addTes ed to her Oll the death of hoI' beloved hu banel. " To Si?, Edm,u,nd A. II. Lechrne're, Ba?,t., (Sec?'eta?'y to the OTde?')." COLONEL RYLANDS, resid nt in Canada) was one of 01.11' olde t members, and, though separated £:0111 u by the Atlantic, he kept up an occa ional communication mth u, and vinced grcat intorest in om' proceeding. TilE DUOA DI BROLO wa a frequent corre pondent, and ropros nted the int 1'8 ts of the Ellgli h Language in Italy. Although himsc;lf a member (d t.be Roman Catholic Church, he warmly spou ed our cau e, and was vel' ready to defend us from the attacks of those who endeavom'ecl to dispute our A3

legiti.macy. Nothing afforded him greater pleaslue than an occasional visit of any member of the Order to Palermo, where he resided, and where he was greatly beloved and esteemed for his private virtues, as well as for his public services in the cause of literature and philantm:opy.

to which Mr. E. Freshfield has been appointed, Sir C. Daubeney rcsuming his place on the Council in succession to Sir H. Loch, of whose able services we are deprived in consequence of his appointment to the Governorship of Victoria, Australia.

Sm BARTLE FRERE was one of our Honorary Associates, whose brilliant talents and many virtues ren lered him worthy of any honour which his countrymen could bestow upon him. Although, from his public engagements, he had' few opportunities of taking part in our proceedings, we have the satisfaction of knowing that he greatly valued his as ociation with OUT works of usefulness, as was proved by his readines to aid OUT Ambulance Department by presiding at meetings at the Putney and Wandsworth District, of which he was President .

GENERAL DE BAUMGARTEl , another of our Honorary Associates, was well kno\\ln, not only as a gallant soldier, but as the President of the Rus ian Red Cro s Society, whose affairs he administered with great skill and ability. Admissions to the Order have been made chuing the past year as follo\\ls : ELECTIONS. As Chevaliers of J~tstice.-Colonel Sir Charles \ValTen R.C.M.G., Royal Engineers; Captain J. C. Dalton R. . (promoted from E quire); Lieut. Aylmer Gould Hunter-\Veston B..E.; Marquis of\Vaterford, K.P. ' As a Chaplain.-The Rev. Charles John Martyn. As a Dame Ohevaliere of Justice.-·Miss Evelyn Duncombe. As a Chevalie?' of Grace.-Sir lIenry James Burford BurfordHancock, Chief Justice of Gibraltar. As Esquire.- Edwin Hanson Freshfield, Esq. As I-Iono?'a1'Y Associates.-Madame Edma Helene de Bustros . V~ce-AdmiJ:al John Ross Ward, R.N.; Miss Caroline Anne Lloyd; Su Francis Philip Cunliffe Owen, K.C.M.G., C.B., C.LE. As Donat.-Mrs. Elizabeth Surtees-Allnatt.

The following official changes have taken place during the year:-

p~st

General Sir C. Daubeney has r esigned the office of Receiver,

The Council has been re-appointed as follows:PTesident-General Sir .JOHN ST. GEORGE, K.C.B. The Right Honourable the Earl of GLA~GOW. The Right Rev. the Lord Bishop of ST. ALBAKS. ( Chaplain- Genend.) Sir EDWARD G. L. PERROTT, Bart. General i1' H. C. B. DA.UBENEY, G.C.B. Captain R. C. F. DALLAS. Rev. HEKRY WHITE, M.A. The Executive Officers whose offices had become vacant in compliance with the statutes have been re-elected. ®ncnfi.b.e

Qj ffiurs.

(Who are ex-officio M embers oj the Council.)

Ohancell01'- General iT J OR T ST. GEORGE, K.C.B. eC1'eta?'y- ir E. A. H. LECHMERE, Bart., M.P., F.S.A. Receive?' - ElJWN FRESID'IELD, Esq.) LL.D., V.P.S A. Regi. t1'C11'-Lieut.-Colonel GOULD HUXTER-\\ E,-,TO~, F.S.A. .A lmone7'-General the Yi count TEi\IPLETO\D\ R.C.B. A sistant Almoner-MFl.jor JA~JE GILDEA, 4th Batt. Royal \Varwick lill:e R gt. Genealogi. t-\V. Ar.rTlUR T T. Ai\IHER T, E q ., M.P., F.S A. Liu)'aJ·ian-Rev. \V. K. R. BEDFORD, LA. .A s ·istant ecreta1'y-Captain H. C. PERROTT, 3rd Batt. Ea t. Kent Regt. Amuulance Department-Director: JOIIX FURLEY, Esq.

One of the mo t memorable events of the pa t year "as the great me ting of the t. John Ambulance ociatioll) held in the uildlwll, under the presidency of the Lord Mayor, when IIis ROytLl Ilighne s the Duke of Connaught deliyer d an adrhe s) and present d the certificate, and ub equently vi itec1 t. J ahn' Gate. Nothing was 'wanting to make this me ting a complete

success, creditable alike to the Order, and to the Ambulance Association. Whilst thanking all who contributed to thi.s satisfactory result, the Chapter hal::) much plcasure in specially acknowledging the excellent arrangements made with much skill and energy by 1\11'. EASTERBROOK, the S cretary of tho City Centre of the St. John's Ambulance Association.

by the Mayor of L eeds at a public meeting held at the Town IIall.

At St. John's Gate His Royal Ilighness, accompanied by the Lord l\Iayor, who came in State, was receivod by the L ord Prior, the Officers, and other fembers, and Assoctates of the Order. After inspecting the Chapter Room and hancery, and partaking of refreshments prepared for him in the hn.ll, Ilis R oyal Highness vi ited the Stores Del artment of the t . .r ohn Ambulance Association, where the variou appliances were xplainod to him by the Ilonorary Director of Stores, Jr. Jon FURLEY. I

The :l\fedals of the Order have been appli d for, and awarded in the following cases : The Bronze Medal to Robcrt N 01 on and \\ illjam or on, members of the Liverpool Police Free, for pur. uiug and destroying a mad dog, the pre. 'entation being made by tho ·M ayor of Liverpool, in tbe pr ence of ov l' two hundred constables, the ,Vatoh Committec, and other pectators. The Bronze Medal to Julia Ilatcher, a girl of sevente n years of age, who, under circum. tances of gr at personal danger and difficulty, saved the life of a boy who had b n gored and tossed several times by a bull. The ~leclal ,yaH presented to the recipient at a Vestry me tillg heJd ill the parish School-room at l\Iarllhllll, ncar horborne, by the Rector of the parish, the Rev. R. B. Kennard, and in the presence of the boy whose life she had been the means of saving. The third case in which the Medal. of the Order have been awarded, was one which occurred on the occasion of the c1isastr01.lR explosion at the vVharncliiIe Carlton Colli ry, Ball1s]ey, in October last, when 1\11'. Arnold Lupton, Instructor at the Yorkshire College, and a collier named Tom Rowley, succeeded at the ut.most peril of their liv es in r cscuillg two men who were lost in tho workings of the pit, nearly a mile from the shaft. rrhe Medals wero presented to tho recipi nts

It was felt by the Chapter that the eminent services r endered to the English Language, and indeed to the Order at large, by Genoral PORTER, whose "History of the Knights of St. John," in a very carefully revised and enlarged form, appeared last autuIDJ1, should be formally recognised, and the following resolution was adopted at the Chapter held in February la 't, and a copy sent to General P ORTER : "The :Members of the Chapter of the Engli h Langue of the Order of t. J ohl1 of Jerusalem, at their meeting on the 1ULh of February, 1 84, desire to con\ey to their much esteemed C07~r}'e1'e, the IIonorary Commander Major-General WBITWORTII PORTER, R.E., their high sen e of the value and importance of the new and enlarg' d edition of his well-known 'IIi tory of the Order of St. J ohn,' which has lately been pubE hed by him, and th y take this opportunity of ex pres ing their hearty appreciation of thi late t proof of hi d ep and long continued intere t in all that l'elat s to the Engli h Langue of the Venerable Order." An additional intorest and value is attached to this latest and most oomplete edition of General PORTER'S work, inasmuch as at a fir e which took place in Paterno tel' Row at the commencement of this y aI', almost all the remaining stock (amounting to between 700 and 00 copies) were destroyed. The continued development of the Ambulance Department of the Or leI', better known as the t. J ohn Ambulance Association, will be detailed in the report of its Committee. The Chapter has great atisfaction in noticing the steady progress and extension of the work, both at home and aoroad, during the past year. Amongst th more inter esting eV"ent of the year worthy of special mentioll is the development of the t. J ohn Ambulance Corp , for the transport from any eli'tance of invalid and pOl' on who have b en injured oy ever e accidents, under the illlm cliate direction of Ir. J OR. . FURLEY. The fir t wagon de ign ed for this ,,'ark by 11'. J OII~ FURLEY has been pre onted to th Ambulance D epartment by a member of the Order, Captain R. C. F. DALLA. to whom the thanks of

the Chapter are eminently due for his generous aid at a time when it was much required. The Chapter are greatly indebted to the Honorary Director of Stores for his excellent arrangement of the exhibits of the Ambulance Association at the International Health Exhibition, to which they desire to direct the attention of member of the Or~er, more especially to the invalid and other carriages desIgned by Ml'. FURLEY, which have met with such well merited commendation from the experienced medical men as well as the civil and military officers who have examined them. The Chapter, having taken into consideration the preponderance of testimony in favour of the Ashford \Vheelecl Litter, llivented by lUI'. FURLEY, for police, as well as for other purposes, over the Litter originally known as the N eu -Manley or "St. John Litter," have decided upon withdrawing the latt~r from further general i sue, though it can be still ob~ained if preferred.

Report, culminated in thcir entire disuse by these two hospitals, on the unfortunate disagreement between the governing bodies of these institutions and that of St. John's House, Norfolk Street, where the diets for these hospitals w ere prepared and issued.

With a view to give the increasing number of pupils who pass tlu'ough the advanced Nursing Classes the means of acquiring practical instruction in nursing the sick, the Committee of the St. John Ambulance Association have accepted an offer made by the Committee of St. John's IIouse at "\Vorcester to receive from time to time certificated pupil of the A.ssociation, with a view to their being taught by the Supermtendent, and obtaining experience by mean ' of vi its in company with the Lady Nurses of the Institution to the hou es of the sick poor in ,~T ore ester and its neighbolu·hood. St. .T ohn's House, which is in connection with the Order of St. J ohn, is a nursing institution for the sick poor, and the Superintendent, Miss Topping, is herself an experienced nurse trained at St. Thomas's Hospital, and subsequently was one the Superintendents of the District Nursing IIomes of the Metropolitan National NUl'sing Association .

The Sisters of t. Phillip's Mission, Lloyd Square, continue to cook and dispense in the most kind and satisfactory manner the diets issued to patients of the Finsbury Dispensary and the Royal Free Hospital. Each patient has been individually vi ited, and no single instance of complaint or abuse of the system has been reported. The present income available for the diets may be roughly e timated at 70l. per annum, whereas the actual amount spent in diets at the present time is between 80l. and 90l.; the number of diets therefore in the coming year must be considerably reduced unless more fund, are available. The ALMO)'TERS al 0 regret to report that the presentation of lIo pital L tters to their epartment has much fallen off; those e. p cia11y for Convalescent Homes and Ho pitals would prove a special boon in the entire restoration to health of many bread WInners. I

Return for Quarter entllng

1883

1884

~al eb.

Total Females. Patient·

Total Diets. I

Cost per Di et.

42.1,

s. d. 1 01

£ s. d. 22 16 2

25th Dec.

337

18 2 0

25th March

390

0 \

19 10 2

475

2.,1, 11

29th Sept.

2·1Lh Juno

0;'

. T~e ALMONE~ reports that the number of patients relieved and diets Issued durmg the year will be found in the annexed table The falling off i.n the diets placed at the disposal of Kil1g'~ College and the Charmg Cross HosIJitals, (,allllded to'111 Ias t 's year

Total Cost

1,626

-------

O~ I

8.,1, 19

Number of Patients from King's College ITospital*==l. Royal Free IIospital == 26. The Finsbury Di, penslry==36.

• N.H.-Tho issuc of Diets to King's College IIospital ceased in July, 1883.

1()

The following are the Annual Subscriptions and Donations to the Almoner's Department for the current year:£

s. 0 2 0 G

5 2 2 1 1

Visc01mt Templetown Lord Leigh .. Mrs. IIarford Peal' on Lady Lechmere Lady t. George Mr . DUllcan Mrs. Gild a .. ~barl ~ L. :Methu n, Esq ... Mr. Bul'llS Mr. Edwl1.rd Maberly Rev. A .•' had well ..

1 1

1 1 1

]

0 0 0

d. 0

0 0 6 0 0 0 0 0 0 0

The Almoners also thankfully acknowledge the receipt of IIospital Letters from Lord Leigh, and Sir John and Lady St. George. The Commander of the ,Vorcestershire (Hanley Castle) Commandery reports as follows : -

c,)C\l~OC\llQ ~

The u ual half-yearly meetir-gs of the members of the ommandery were helcl in October, at Rhydd Court, and in April, at W Ol'cester, which were well attended.

~~~;;~~ ~

The following cases have been sent during the year to the ,Ve t of England anatoI'lum, at ,Ve ton-super-Mare, the expens s having been provided by the Funds of the Commandery:No .

Age.

Sex.

'T ime of stay.

Suffering from

1 2 3 4 5 6

7 8 9 10 11 12

21 33 50 2 15 30 19

56 26

F. F.

M. M.

M. l:!'. M.

F. F. :M.

D i case of Lungs .......... , .....

2 weeks. 2 " 3 Amenorrhea. and Debility " 2 Pneumonia " 2 Di Cll e of Lomach 2 Lorine displacement General Debility .................... 2 2 Phlebites after ChildbirLh 2 Qvere Rhenmatism 2 Bronchitis I1nd Debility 2 Bronchitis and Debility 2 Debility

••••

,oo

••••••

••••••••

It.O , •• 0····

••

••••••••••••••••

•••••••

.....

•••

o .......

•

••

••••

••

·O

•••

••••••••••

••

••••

••

••••••

•••

•••••••

•••

••••

0·

•••

"'.

••••

00··

18 The Diet system, which has now been continued [or, everal years, in connection with the \NOl'cester Dispensary, has been carried on with the usual beneficial results, and is thus referred to in the Report of the Medical Staff. " T he system of District Nursing continues to be most helpe, ful in the treatment of di ease as well as the Diets which " have been supplied as heretofore by the Order of Saint J ohn · , of J erusalem. " £32 158. 4d. was paid by the Dispensary, and £4.~ 148. ~d. " by the Order of Saint John of Jerusalem," The following Table gives the particulars of the Diets : DIETARY

Quarter ending

.g s:§ ~ I ~ w-U::sC3 "Coo A 3~ ~ ~ .~~ ~~ .... 0 -_ E-q :=l ::: ~~~ ' OO '"P< ~ ~~ p.., f;r; ~

CIl

a; '" :<:!

~ ~~ ~

1883 29th Sept.

RETURN,

- - - - ,35

287

C,)

zE t

Nel Cost to 51l~ Cost to Tolal Cost. ~ Comtr s:: Dispensary 0 .... '" mantlel'Y.

.. ""

O..c:: . ~ I I ZC,)Q -----------

10 ~

£ ~ . d_ 13 12 11

20 11 11

25th Dec.

455

10 ~

1884 25th Mar.

525

10! , 22

24th June

--1-

2 3

-£

182

,q.

11.

8 13

182

4 9

182

7 12 9

£ R• rI. 4 19 11

I 12 I 14

- [- ---------1-

7 2 9

T he Offertory last year at \V Drcester Cathedral, in aid of the work of the Commandery, amounted to £ 38. lId. The Committee of the Ophthalmic HORpital at Jerusalem report that up to December, 1 ) 3, the number of individual cases registered on the books of the IIospital amounted to 2,546, and the number of attendances during the year to 11,343. Dr. WADDELL report ed that the patients came from alJ part/:! of the country, and in very many cases from great distances. He reported the satisfadory completion of the r 'pairs of the Hospital, and the preparation of some of the rooms as wards for patients requiring operations or special attention. He further r eported that the IIospital building: now that it was put in complete repair, was estimated to be worth £ 1,500, independently of the six acres of land, of' which ono acro, the gift of His Maj esty the Sultan, was inalienably attached to the H ospital.

All that was then wanting was the means of maintaining a limited number of in-patients, for whom the beds were ready, In January, 1884, Dr, VVADDELL was attacked by serious iUn ss, and his hoalth was so much affected that it waf? considerod necessary that he should return to England, which he did in May last. The Committee in England proceeded at Ollce to advertise for a successor, and received several applications fo)' the post. The ouly difficulty in the way of' securing the appointment of a thoroughly qualified ophthalmic surgeon who would devote himself permanontly to the work appeared to be the amount of' salary offered. This oh -tacle was promptly removed by the gon rous oITerR of La,fly LECIDIERE and nIl'. Tys E A:\1HER, -T to cOlltribute £50 neh for throe y ars towards the salary of the .-urg 'on making it £200 a year . The Committee, who havo throughout their enquiries and negotiatiolls had the valuable aid and co-operation of Ml'. BRUDE:--''ELL ARTER the IIonol'ary Consulting • urgeon of the Hospital, hope v ery, -hortly to announce the selection of a gentleman r> 'ommended1>y fr, ARTER, who would leave England for J 'ru, alom oarly in ctobor next, iu order to resume the good work begun hy Dr. "\VADDELL, and which was proceeding 0 suec {ully until the occurr n 'e of hi ' unfol'ttUlate illne . I-

llis oyal ilighllCSS the Prince uf \Vale' continues to take gl' 'at inter 'st in the proOTess of the Ho, pital, and at his reque t Jr. 0)1 'UL MOORE sont a -pecial rOlort to lli' Royal llighne .' ill .July last, wllich His Royal llighne s graciou -ly allowed to be made public. Thl.- report, as w 11 as other details relating to the Hospital, will 1)0 publish d ill tho Circular Report which will be shortly issued tu the subscriber, . 'rho post of IIollonny • ~ crGtary has been l' -igned by Maj l' IALET, and Mr. R . HOWE has b n appointed his succ s 01' conjointly -w ith Mr. MAOLEAN. Ir. EAS'I'ERBROOK ha kindly undertaken the office of sistant ~ >cretary. The balance standillg to the 'redit of the Hospital, excluSIV of the subsCl'jptions for the present year which are llOW due, j,' £0 2.

As the Ohapter is already aware, the fortunate circumstance of so advantageous a purchase of a house and land at Jerusalem being obtained was mainly due to the kindly offices of 1\1[1'. SAMUEL vVrSEMAN, Dr. OHAPLIN'S assistant, who first indicated to Dr. VVADDELL the advantages of the site Relected, and who conducted the negotiations for its acquisition with so much skill and circumspection. The Oommittee of the Hospital, desiring in some degree to recognise the services rendered by Mr. WrsKJfAN, presented him with an English saddle and bridle, and the Ohapter, desu:ous of adding an expression of their obligations to Mr. 'VI EMA , adopted the following resolution:" That the best thanks of the Chapter of the Engli h Langue of the Order of St. John of Jerusalem be given to 11r. SAl\fCEL WISEl\IAN, of Jerusalem, for the valuable aid render~d by him to the Chapter, as repre 'ented by the Commander,. ir EmrID.rn LECRl\IERE, Bart., M.P., in the selection and acquisition of the site granted by His Majesty the Sultan for the Ophthalmic IIospital founded by the Order of St. John at Jerusalem."

The REOEIVER reports that the Accounts for the year ending 30th June, 1884, will be duly examined and audited. The cash balance at this date at the London and ,Vestminster Bank is 505l. 38. 8d. The invested securities are :£120 58. Bank of England Stock £200 Q,ueensland 4 per cent. bonds £550 London and Blackwall Railway .. .. Consolidated Stock £260 London and Blackwall Railway 41 per cent. Preference Stock ..

(present value) ..

s. d. £ 369 3 4 202 0 0 676 10 319 16

0 0

The LIBRARIAN reports the following additions to the Library:NAME OF WORK.

First.Aid to the Injured." Dr. A. Von Mosetig .. Lectmes by Dr. ESOlarch on the German Samariter Schulcn at the Berhu Exhibition •• Knight!! of Malta. By Major-General Whitworth Porter

Sir E. Lechmere.

Kennett Govern:nent Proclamations. Mn1ta. 3 volumes .. Proceedings of the National Great Priory of Canada, 1882 and 1883 •.

The Author. Rev. W. Bedford.

Oatalogo dei Libri Existenti nella publica Biblioteca di Malta, Vale Ltf1. 4 volumes. 18-13 and 1844. Unbound Supplemento. 4 volumes. Unbound. 1 73. Report of Lhe Committee of Pri vileges of the Maltese

DONOR.

Mr. John Furley.

The Author.

IJieut. - Oolonel McL. Moore.

Rev. W. Bedford.

Sir E. Lechmere. Mrs. Johnston Mitchell.

Nobility The Sufferer's Guide .. The Electric Light as adapted for Picking up Wounded on the Battle Field (pamph.) Questions Philanthropiques (Oomte de Beaufort) .. Rapport, 1 72, and Bulletin :ro. 40 of the Societe Fran9aise de Secours aux Bles os Militaires Gloucestershire J otes and Q,ueries, Part XXI.

Mr. John Furley.

SUo' Brook Kay.

llanley and the Hou e of Lechmere, 18 3

Sir E. Lechmere.

Malta Corre pondence (Bluo Book) •. On the Importance of a Knowledge of the Elements of Practical urgery to Javal and Military Officers (pumph). By William H. Fowler, E g., F.R.O.S. .. L'Improvisation des Moyens de Secours d'apres Ie Dr. Port, de funich. By Dr. Appia Zweiter Iahresbericht des Deutschen amariter-Verein zu

The Author.

Dr. Esmarch.

Kiel,18 3 .. Ueber Samariter Schulen.

An Address by Dr. E mo.rch ..

The Author.

Nouvelle Carte Generalle de la Mer Mediterranee ..

Mr. A. M. Broadley.

Annual Reports of the Sl1mariter Verein (six copies) Sixty Books relating to History, &0., of the Order ..

Mr. Furley. Pmchased for Library by Mr. Freshfield. Captain Dallat!. Sir E. Lechmere.

---£1,567

DONOR.

NAME OF WOH.K.

Bullctin InLernaLional; Nos. 55, 56, 57, 58, 59 River Pollution (pamph.). A Papflr read at the International Fisheries Exhibition. By Mr. V. Barrington

Life and Letters of Princess Alice Police Reports, 1 82 and 1884 Reports, Army Medical Department, 1 83.

Do. pecial

Committee, 1883 ..

The Ohapter has had under its consider:;ttion plans for converting the Hall, now little nsed, into the Ohapter Room, and of :;tdapting the present Chapter Room to the purposes of a Library and Museum, which mjght be occasionally used for

2;)

22 meetings and other pUl1)oses cOllnected with the Order. It records with pleasure the following presents to the Order : A yaluable collection of books relating to the Order, collected priucipally at Malta by Mr. BROADLEY, purchased and presented by Mr. FRESHFIELD. A very handsome bookcase, by Mr. BEDFORD, the Librarian. An oak table (at present within the Chapter Room) for the Library, by Sir E. LEOHMERE. And an iron safe, by Mr. AMHERST, the Genealogist . . In conclusion the Chapter desires to acknowledge its obligations to all tho e who have aided them during the past y aI', not only the willing labourers amongRt their own body, who are helping to sustain the honour of the Order by their devotion to its interests, and their efforts to promote its progress, but also to the now increasing number of those who, whethp.r c9nnectecl with our Ambulance organisation, or with the other branches of our Hospitaller W01'k, are directly or indn:ectly helping toward~ the consummation of our desire-that of making the Engli h Lan guage true to the ancient lanrunarks, and jealou ly conservative of the time-honoured usages and glorious as ociatiolls of the Order, yet sufficiently progressive and elastic in the adoption of its functions to the requiJ:ements of this busy and utilitarian nineteenth century.

Order of Stx John of Jerusalem (JEnglisb 1.Language). TRUSTEES. The Right Honourable LORD LEIGIl. ."'jr ED)IUXD A. n. LEOH~JERE, Bart. 1. P. GeneraJ ir JOlIN ST. GEORGE, K.C.B.

FORM OF BEQUEST TO TIlE

©rbtx

,af

~rrglt ,Of ~crl1Saleln ((6nglistr ~nn£nnge).

£t.

I giye and bequeath to the Receiv-er for the time being of the English (Protestant) Language of the Order of St. John of Jerusalem in England the sum of £,_ __ to be applied, at the di cretion of the Chapter of the said Order, towar

the chctritable objects of such Order, and I curect that

the said sum shall be paid, free of legacy duty, out of such part of my personal estate as may be legally bequeathed for charitable purpose '.

Members and Associates are particularly requested to be good enough to notify any change of address wi thout delay to the Assistant Secretary, The Chancery, St. John's Gate, Clerkenwell, E.C.

2-l:

Order of Stx John of Jerusalem (l8ngIisb 7!anguage).

MEDAL Instituted by the Chapter, 1874, as a reward for deeds of gallantry in saving life on land.

OBVERSE .

REVERSE.

The Cross oJ the Order. (Its points anciently 8ymbul-ic oj the eight B eatitudes.)

Tlz,e Badge oj the Order. (The St. J ohn's Wort entwined wit/1, commemorative ribbon. )

~------------------------------I (~

BRITISH OPHTHALMIC HOSPITAL

1boBpice of tbe @rbcr of

St. 3-01)11

(lEl1glisb j£al1g11age)

at 3erusalclll.

SEC 0 N 1)

ANN U A L

E P0 RT ,

\:\1)

A PAPER DESCRIPTIVE OF A RECENT VISIT TO THE HOSPITAL.

JUNE

24TH,

188+.

BRITISH OPHTHALMIC HOSPITAL AX))

1bospice of tbe

~rbcr

St. Jobn (JEnolisb 'JLanDuagc) at 3erueulclll.

- =

-;---

~--~-=

--- - -

_ z ___ •

~:-=-~~

--.::--==:=.--

-- --

SECOND

ANNUAL

REPORT}

June 24th, 1884.

~pbthaI111ic lbospitaI Bnb lbospice of the

18ritisb

ORDER OF ST. JOHN (ENGLISH LANGUAGE) AT JERUSALEM. Watron. K.G.

HIS ROYAL HIGHNESS THE PRINCE OF ' VALES,

Qttairmnn. TIIJ~ RIGHT Hos. TllE EARL OF GLASGOW. JJiec~QtD[drnta1t.

SIR EDMUND A.

LEClIlIIEIlE, BART,

BRITISH

M. P.

Qtommittee : LIONEL

OPHTHAL rIC

PITAL

D HOf 'PI IE OF TIlE ORDER OF

BEALE, ESQ., M.D., F.R.S.

THOMAS CHAPLI~, E.'Q., M .D.

f'T. JOt-IN (E

CAPTAI~ RUPERT C. F. DALLAS.

GLL II LA G AGE) AT JER

'ALEjI.

Sm THOMAS N OltTll DICK-LAUDER, BART. LIEUT.-COL. F. DU~CAN, R.A., D.C.L., LL.D.

IN snumitting their Report fol' the year 1 )'3:1--1<, the Committee

EDWIN FRE. HFIELD, ESQ., LL.D., V.P.S.A. THE RIGHT REV. TllE L ORD BISllOP OF GIBRALTAH. MAJOR J AllIES GILDEA. V. BAHRIXGTO~ KE:\SETT, ESQ., M. A., LL. U.

1'.1 ICll AEL

LASERON, ESQ.,

M. D.

Sm WiLLIAM UACCORlIIAC, :JLA., F.R.C . . MAJOR GUILBERT EDWARD ,VYXDIlAlII MALET. NOEL TElIIPLE MOORE, ESQ., C.M.G.,

H.B.JJ. COllsnl cti

JCl'llSCtlClI1.

GEORGE PADlER, ESQ. CAPTAIX HERBERT CHARLES PERROTT. THE RIGIIT HON. THE EARL OF

llAFTESBURY, K.G.

H. SIEVEKING, ESQ., M.D., F.S.A.

GRsEnAT, TIIR VISCOUXT TElIIPLETOWN, K:C.B. HENRY

WAKE:\IAX, ESQ., M.A.

~onorar!!

(Consulting 'surgeon.

RoBERT BRUDEXELL CARTER, ESQ., F.R.C.

)1~onoraq1

,Secretaries,

ROBERT MAOLEAN MACLEA~, ESQ.

RICllARD REYNOLD::; Ro\\' E, E~Q.,

{[rrasurC!. W.

A.lIIIIURST T. AMHI<;RST, ESQ., M.P., r.S.l...

JOllN

cassistant ~emtar1!. H. EASTRHnItOOK, ®ffices.

ESQ.

ST. JOlIN'S GATR, CLEltKENWELL,

E. O.

~anrtcrs. MESSRS. COCKS, BIDDULPlI AND

00., 43,

lLocal C!rommiitet at

Chal'ing Cross,

8. W.

]eru~!:1Tfm.

NOEL TElIIPLE MOORE, ESQ. , C . M.G. i Tnoll1As CUAPLfX, ESQ., JOHN M. COOK, El::lQ.

Jflonorarii W. H.

~ccrct<ll'1!.

l... KAYAT, ESQ.

3aesi1Jent 'smgron . .J OJfN

HOYELLB OCILY J I1"

ESQ .,

L. R. C.. '. ELlin.

M.D.

F .. '. A.

of the British phthal111 ic Hospital and Ho pit;e of the OI'<1er of f't. John (El1(..ji:h Language) at Jerusalem, ha,Te e\Tery rea. on to congratlllate th '111. eh'e and their kin(l tlpporters on the -'lIcce. s which ha. so far lewarclecl their eft'ol'k. p to Decemher, 1 :3, the l111Illl)er of indiyidual ca. es registered on the hooks of the Eo 'pital amonntell to 2.5i:o, and the numher of attendance.' during the y ar to 11,:3i:3. In that month Dr. \\ a l(le11 reported that the patiE.nts came fl'o111 all part.' of the country, and in very many ca. es fronl great distance.', and fully r coo'nizin rr, as they now do, the entIre ab 'ence of any pl'o'ielytizing inten tion, the e poor people freely anJ tbankfully avail tllem. elves of the mean ofiel'cl1 for escape from that gloom and phy. iral ufI'ering \yhich ha ' hitll'rto marred their lives; for not only bas it been fouml po ::-;iblc in the majority of cases to afford at Jeast Rome partial relief, but a very large numher of complete and pel'manent cure' ha\Te been effectell. The sati.'factory compietion of the r pair. of the Ho . . pital, and tho preparation of .'OIlle of the l'ooms a' wanl , for patient )'oCIllil'ing operation. Ol' ~pecial attention, \\'as a1 ,0 l'OPOl ted' antI it was furth er stated that the Ho~pital BllilLlinrr now that it ha. been pnt in complete l' pair is stimated. to be wOl'th .fl:500, illtl opendent1y of tl1C .ix: aCl'e. of land, of whieh ono acre, the gift of His Imperial Uaje. ty the 'ultan, i. inalienably attached to the Hospital. All that was wantillO' wa. the mean.' of . '. b mallltammg a limitel1 nUllloer of in-paticllt ~, for whom the beds wero reutly.

Unfortunately in January of this year, Dr. \Vaddcll ,vas attacked by seriouFl illne. ~, and hi, h alth was so much affected that it was considered nece ary that he houlll return to England, which he did in May last. The Committee in England proceeded at once to adv rti e for a successor, and received everal applications for the po. t. The only difficulty in the way of s curing the appointm nt of a thoroughly qualified Ophthalmic Ul'g on, who woultl d vot himself permanently to the work, appeal'Cd to be the , mall amount of salary, which the limited mean, at the eli posal f the ommittee had permitted them to offer. This obstacle was however promptly remoyed by the generons offers of Lady Lechmere, and 11'. Ty. en Amher. t to contribute £50 each for three year towards the salary of the Ul'(reOll, making it thus £200 per annum. The Committee, who have throughout their enquirie. and negotiations had the valuable aid an I co-operation of Mr. Brudenell Carter, the Honorary Oon ulting urg on of th Hospital, hope very sh0rtly to announce the s -Iection of a gentleman recommended by Mr. arter, ,vho would leaye En rr land for Jerusalem early in October next, in Ol'c1er to r . ume the good work begun uy Dr. \Vaddell, and which wa, procec(ling 0 successfully until the occurrence of hi unfortunate illn .... [While this ?'eport was in lJ7'e s the ~fI07't8 of the C01mnitt e in this cZi?'ection ~ue?'e concluded by the appointment of Jll?'. John llovelle Ogilvie, as ?'e iclent ,'uygeon in charge, a?lcZ ~y the time these pages aI'e in the hands of the JJ7.Lblic, it i lwp J a the Hospital will once mo?'e be opened, and acti1.:ely fulfillinu it..., humane and gene1'ous purpose, under CO?1cZitions /I'01n 1.ult teh tlw high testimony ?"eceivecl in support of ~I'I'. Ogilvie's cand idat LLl'e for the post,justify the Oommittee in corifirlently cLnticilJating CL lal°gely increased usefulness and pOpUlCLl'Lly for the "BJ'ili h Ophthalmic IIospitul."J The Committec have, with deep r (fret, to notice the 100'3'3 they have sustained by the decease o[ thcir lament('(l confr {r s an(l coadjutorFl: The Right lI0l101.11·ablc • 'ir Bartlc Fr )'c awl 1\[r. Percy Mitford, whosc names will always 1e as .. ociatcd with Ole early days of the Hospital. This l)ranch o[ t11 work of the Order had always their warmest sympathy, and a m ·lancholy interest will hereafter attach to their conncction with the Hospital Uommittcc, as being the first rcmoved [rolll the work "which all havc so much at heart.

IIi. Royal TIighnc. s the Prince of \\ al . continue. to tal"c gr at int 'reot in thc pl'onT 'S of the Ho.'pital, and by rC'lt1e ·t of His RoyallIighne.~, Ir. ionsul Moor (lIer Britannic ~[ajef:lty's on , ul at Jerusalem) s 'nt a .'peciaJ l' 'port in July laot on it wo1'kinO' and the necessity whjch cx.i"tec1 for such an 1ru titution. IIi Royal Highness ha L 'en graciously plea eel to allow thi, report to be made puLlic, and it i with sincere gratification and plea. u1' the Committee app nel a copy of the , ame, and of the lett'r in which Hi, Royal Highne s so O'enerou 'ly accorels his patronage to the lIo 'pi tal. opy of a letter from Li ut.-General ir ighton 1. Probyn, .I., .., omptroller anel Trea. urer to V.C., II.R.H.) the rinc of ,Yales; to ir Edmund . H. L chm re art., LP., ecrotal'Y to the Order of t. John of J erm.alem, anel Yice- hairman of the Hospice 0ll1mittc, covel'inO' a r ~port on the Ho pice by Noel Temple 100re, E q., i. 1. ., H.B.M. on ul at J ru.'al lll, dateu 14th July, 1 3. T.

•

IARLBOROUGII

lIo

PALL

1ALL ~ .\'.

30th July, 1 '3.

LE IIMERE, Your 1 tter of the 23nl instant, t (Teth I' with II'. No 1 Temple Moore's lotter of the 4th in tant, I 11a\' submitted to tho Prince of ,Val s. His H.oyal EGghness elesir s me to "ay that he i · much plea cd with the work which is being dOlle by tho r cently tabli bed lIo I ice and Ophthalmic Di pensary of the Engli h Oreler of 'to J OM of J eru· salem, and has no obj ction to your publi hing in the public pre" as you wish to do, a part or the whole of II'. Moore's Peport. lIi Boyal Highness also desires me to say thn.t he gladly accedes to your I' quest thn.t he would givo his Patronag to the Hospice. ours truly, ( igncd) D. 1. PROBY,. My

DEAR. 'm EDttru D

Tho following is a copy of 11'.

onsul 1100r 's Report :-

"A lIospitn.l for the tron.tm nt of Disea::;es of tho Ey , meots on of the most urgent wn.nts of J erusn.] 'lll n.nt1 tIl Country around; for while thOl:e happily exists several charitable Institutions for the g neral relief of slckness, to such n.n extent ar afT ctions of the oy prevn.lent, that

a special Hospital for such cases has been a long-standing desicleratum, and will prove an inestimable boon to the population. From personal observations at Gaza, I shoulll judge that fully fifty per cent of the people of tbat town, suffer in one form or anotber from that class of disease, and it is distressing to see the number of blind or monoculous persons in the streets. At the gracious reque t of His Royal Highness the Prince of 'Vales, His Imporial ~1ajesty the Sultan has been generously pleased to give orders that a proper site be presented to the Order. By arrangements between His Excellency Raouf Pacha, the worthy governor of J erusalern, and myself, a yery eligible plot of land near the city, of about SL,{ acres in extent, 'which had been previously fixed upon by ir Edmund Lechmere, M.P., ecretary General to the English Branch of the Order of 'to John, during a recent visit to Jerusalem, has been secured. Ou the land, moreover, stand a substantial two-storied house, which with some no very considerable repairs and alterations now going forward, will make an aclmirable Hospital. The Medical Officer sent out by the Ord r commenced to receive and treat patients, at first in a temporary locality, in December last. Tbe work has thus completed six montbs of exitence. Dr. 'Yaddell reports that during that period the total number of patients received bas been 159~, wbile the total attendance, that is to say of patients who received advice and medicine, has been G31. On many days the attendance has reached the large number of 140, the average of daily applications having been about O. Just at present, Dr. 'Yadclell states, the results can not be exa ctly shown, by reason that a great many of the patients are still under treatment, but he estimates that at least 1000 cures have been effected."

appointed his successor conjointly with Mr. R. M. MacLean. Mr. J. H. Easterbrook has kindly undertaken the office of Assistant Secretary.

It will be observed that some changes have taken place in the names of the executive members of the Committee, nece. sitated chiefly by the pressure of other engagements, but it is a satisfaction to know that these gentlemen, while unable to devote so much time as before to the honorary duties of certain special offices, still evince their continued interest in the movement by remaining members of the Committee, and that their places have been taken by others as anxious as their predecessors in office to extend and support the work so well begun. The Trea.surership has been resigned by Captain Dallas) anu the office has been accepted by Mr. Tyssen Amherst. The post of Honorary Secretary also has been resigned l.y Major lalet, an Ll Mr. R. Reynolds Rowe ha.· been

The Accounts of the Hospital have now been very carefully prepare.d to date, and a complete statement of receipts and expendl~ure from the com:nencement, together with a copy of the Ca~ltal Account, shewmg the amount expended in repairs and fittlllgS of the property, will be found at pages 10,11, and 12. These Accounts, as will be seen, have been audited and certifieu as correct by les rs. Lovelock and "\Vhiffin (Auditors and Chartered Accountant, of 19, Coleman Street, E.G.) The Capital may roundly be taken as £1500, and the Cash Balance as £500.

It will be remembered that the fortunate circumHtance of our obtaining such a sati. factory purchase of a hou e and land at Jerusalem, was mainly due to the kindly offices of 111'. amuel ""Vi eman, Dr. Chaplin's As.'istant, who fir t indicated to Dr. \Vaduell the advantages of the site selected, and who conducted the negotiations for its acquisition with so much skill and circum.'pection. The Committee of the Ho pital de iring in some degree to recognise the services rendered by Mr. \Viseman, presented him with an Engli h saddle and bridle, and the Chapter of the Order desirous of adding an expression of their obligations to Mr. \Vi eman, adopteu the followinO"o Resolution', a copy of which, hand"omely engrossed on vellum, has been forwarded. to Mr. Wi eman;(( That the best thanks of the Chapter of the Engli h Language of the Order of St. John of Jerusalem be given to Ml'. Samuel Wiseman, of Jerusalem, for the valuable aid rendered. by him to the Chapter, as repre ented by the Commander, Sir Edmund Lechmere, Bart., M.P., in the selection and acquisition of the site granted by His Majesty the Sultan, for the Ophthalmic Ho pital, founded by the Order of St. John at Jerusalem." In conclusion, the Committee have aO"ain to tender to their fellow-workers and friends their sincere ~nd earnest thanks for the ready response and hearty co-operation with which their efforts have been met, as well a. for the generous pecuniary

upport accor(l d, anLl the Oommittee cannot close thls eport \,'ithout once more . pecially acknowledging th ir appr ciation of the continued per.onal inter. t of ir Edmund and Lady Lechmere, who e unceasing efforts and liLerality have so largely contributed to the succes. of the movement. At the same tim , however, they must carne tly appral for a continuance and extension of that a sistance tlwy .'0 mllch neeel, for \viLhou t it their ndeavour to carry the sl her of u. duln S8, ancl th philanthropic and merciful work of the Order once again to the sce.:nes of its earli . taction, mu.'t fall too hea\-ily on the few, whose genero ity has already enal>letl th ll1 to identify the Ora rand the British nation with a movement which, while it primarily affords relief to afHicted an 1 suffering thou ands of our f ,llo\ycreatures, and literally enlightens their darknes~, cannot fail to do much to overcome the long-. tanding jealou:ies and suo picions arising from eli vergence of creed and race, and \-vhich, mol' 'over, from its local as. ociations and connections, mu t posse.:. s for all a deep and peculiar charm. N a doubt can now exist that such an In. titution wa. nrrrently needed, and it mu. t ever be a matter of congratulation to the English Branch of the Order of t. John of J eru. alCll1, that the promoters of a scheme for the amelioration of a sconrg like that of Ophthalmia, as it es:ist~ in the lIoly ~ity-the cradle of their Order-and the a(ljacent countrie " were found among ·t iLs Members and Associate. .

Donation. s and Annual S ubsc?'iptions may be paicl to the TTeas'U/re?', the Banlee1's, 07' to any M ernbeJ' of the OOln?Jl-iUee, j?'om whom also copies of the Annual Reports rn~ay be obtainecl, ancl by whom eve'J"Y info1'mation will ue gladly CLifu?'de<-l. Gh6ques to be crossed, 43, Oha?'ing O1'OSS, S. W.

Messrs, Oocles, Bidclulph and 00.,"

ST. JOHN'S GATE, CLEHKENWELL.

30th Jmw, 1884.

•

Brz'tzslt Opltiltab7Z2C Ilosp z"ta l and Ilosp z'ce o~T

1!Dr.

of tlu;

T J~~ 11~~1 f UECE IPTS AND K, PE DIl' HE ~ rl' OT .L

To DOIJations to 24 th J unc, 1 83, as per printcd Account £] 236 1 1 G 23:5 15 4 do. " Receipts from Concert, " I ntcrcst on Depo, it Acconnt, (10. 1 17 "Amount r ceivl'c1 from Tr. \ViC'll1an o 8 (Jcl'usal m) " Donations, ycar cJH1ing 30th J nnc, 18 ,1 2:;1 IG 100 1-1 71 Annual, 'ubscriptions, do. " Amount contl'ibutC'(l by the Tllrki:;h :H ,1 overnmellt towanls >'ite 25 0 "Do. Major ,\' anl (.J crnsalelll) dUJlatiun . _ _ -

Order 0/ St. John ( Engl isltLa11gztage) at J erusa!e11z. TO T IlE

30TII .T NE,

EXl'l';

/ /

OFrfr'K

EXl'R RES IN Ll)~T) ON 0.' 1 ' 17~

. £,10G

1 10

\(·(·ou . . TT OF

YE j\Jt('lliling 21th .JunC', 1., '3, for 1> mgs :t1111 Jll:Lnul1('nts, ('c. Do. :Wth.I1llH',1,' b

g ()

" J~Ul

1 11

1 11 - - - - £lG.I: .) I

.JI.:JtlT. ,\LE\T,

" "

" L

TEltEST

t(ll\fi\l rssJ()~

AND

PAID

272

6.1:

H:lllJ\f'I'f;, .T (']'usa]ullt

G~~

/ "

thl'l'l'with AdtliLions HlIil(lillgs

aJ1(l

7 7

l'Xpt'l1S ':

cnnnoc.;Ll,(l 10Dl

;ll1cl

hnpl'oV('llH'l1ts

:nl

4: G 4· - - - - 1·1·0·1, 10

Flll'lliLul'e nIHl FiLtillgc;

" Balanco (lne' 1>,)' Dn. [) o. 1\11'.

(

':) -'

, \, j\l)I>1<;['L

rAY \1'

if.

0 0

---V o.

1)0.

at n \~ 1-, L( I:\'D()'\ at .1IW Ui,\ !;I,;l\l

:~!):3

D2 17

11 ] :3

£2G7 l 10

RUPERT C. F. DALLAS,

A1lclited and f ound c01'?'ect, L OV I~LOGK AND II. \ V. 8. 10, Ooleman Street,

1Dl1t

At~uust,

1884 .

~~.().

R. REYNOLDS ROWE , R. M. MACLEAN , \ VJII FFI ,

G 9

4c !l 11 £267·1 10

PU[:( ' llASE OF FnEEILOLl> PJ(()j'El~'l'Y AT ,) 1m SALJ.;;\l,

Salary aml Tntvl'Jlillg Expcn. c', Dr. ,Vnc1(lell . 14-3 15 0 T:('I1L, Halt·." Tax('s, n1[(1 J~XP('ltS '.. of j'('Tl1oval . 17 18 9 IfcJlls' alHl gCJlC'ral ('XPPllSCS of the llo:l'ic:e at .ft!J'u, almn, March, 1 \!3, to l\Iarch, 1,' ' ~ 110 11 11

12G I!) 51]01 ] 1 18

E.~l'l:"SES IN JEltCS1\LI';;\T

1<110

LO:-\J)O"f

ems,

" Prillting, Postage', Clerical As .. i:tanrc to 21th .TUllC', 118:3 to :30Lh J lillO, ] ( 1: Do.

([ t.

18~L

IfOI/OI'(lI'!! ,'If'}'d(ll'ir• .

BRITISH

OPHTHALMIC

:f'srtttsb

HOSPITAL

~pbtbahlltc

1bospitaI anb 1bospice

OF TIlE

AND HOSPICE OF THE ORDER OF ST. JOHN (ENGLISH LANGUAGE) AT JERU ALE f

ORDER OF ST. JOHN (ENGLISH LANGUAGE) AT JERUSALEM. Annua l Subscriptions aD d Donations up to (St. John' s Day) June 24, 1884.

----CAPITAL ACCOUNT SHOWING THE EXPENDITURE UPON BUILDINGS, FURNITURE, &c., AS FURNISHED BY DR. WADDELL.

Francs. B UlLDINGS-

Builder Carpenter. Blacksmith

57G9 '26

15UHH G39' 5

Painter

102'90 U31'1:3

FURNITURE AND FITTINGS-

"\Voollen Da.mask, &c. from Messrs. Bergheim :Miscellaneous articles for furnishing Surgery

51' 0 122'35

Furniture bought of l\Ir. Aq ualina (Jaffa) Carriage of furniture from Jaffa . Sundry Furniture, &c. I ron Bedsteads .

GO:2' 0

34:, 5 95' 0

150' 0 GO;)' 3

Goods, Bedding and fittings from Max Ungar Miscellaneous articles from Dinsberg & Co.

30:3'70

SUNDRIES-

Rent

1GO' 0

Taxes

2G '90

Expenses of removal to Kew Hospital

19'G5

:Frs.

Or about

10532'G2

. £422

Ac1air, Miss II. ~I. Akroyc1, Mrs. Allen, Mrs. Allnatt, Mrs. SUTteesAllnatt, Miss ' urtees· Amherst, ,Yo Alllhurst T., Esq., M.P. ,Andrcw, 1\lrs., (C'OIlUhloll JJI( II, ~llt'Cstcr) . Anson, Thc Rcy. Frellk. Anonymous (per, ir K Il. 11. Lec11:;1c1'e, Ralt., M.P.) Ba]four, .Alex., Efl Balllf1elll, Rey. J. 1., R.N. Barclay, 1\1rs. Barclay, I\I 1'S. Barrington. Foote, Captain R.,A. Baumgarten, Le General A. <Ie (sillce deccasl'd) Baynes, 1\Iiss Beale, Lionel, Esq., M. D. Beaufort, Hon. Miss BeMonl, The Ue\'. 'Y. IT. R., M. A. Bernard, Miss Ellen Bidllulph, G. '1.'., Esq. Blunt, Mi'ls (Collected by) Bolland, 1\1 r. T. 1. 13011a11(l, 1\1rs. noutJlo\\,cr, A1'c1u1eacon Braby, F., Escl. Draby, 1\1iss Drassey, Lady Brind, General ,'ir J as., R.l\. Brinion, John, ESlh M.P. Brooke, The Hev. J. Ingham Browne, Miss U. ,Yalle DunleLt.Coutts, The Baroness Burdett·Coutts, W. L. A. BarLl.:!tt, ES'l. Burdon, 1\1rs. Rowlan<I Burnes, 1\1rs. Burton, 1\1rs. Hl1l'ghc1ere Church, OffeltOl'yat Dumal)y, l\Injol'·Gcllcral, M. P. (since rJcCI'(l~C(l)

Annual Subsct'iptions. Donations. £ s. d. £ s. d. 3 0 0

1 1 3

0 0

0 0 0 0 0

3 0

20 1

0 0 5

5 10

sr.

0 0

o 10

0 0 0 0

2 :3

2 2

0 0

0 0 1 1 0 5 0 0 3 0 0 1 1 0 1 6 6 10 10 0 10 10 0 1 1 0 10 0 0 o 10 0 20 0 0 1 ] 0 5 0 0 5 0 0 0 0 10 0 0 10 0 0 10 0 0 2 2 0 1 0 o 1~ 0

AIII/IWI

.11111lWZ S

s. d.

s. d. 0 0

Fenton. ~Ii=,s Fuley, The Lady Emily

o ~o

0 0 0

" Friellcl. _\., ' per E. ~. :::; llHlcr

o 10

0 220 20 o 0 0

o o

3 100 1

(:r

o 10

o o

10 10 5 0 233 15 ~ 0

10 30 '2

0 0

-! 0 0

0 1 0 0 1

1 ~5 0 o 10 1

o o 1

o o o o 0

0 0]0

' f)

'2 ~ 0 110 1 0 0 33 0 o 10 0

'220 1 3

1 0

elh,

'\r.

l:unlt'Y,

~IL. Hlb,

,-tukcley, E:-tl' ell. (l'L I' ;.\11::; .• lHtee ·'..:tllnatt) .

Jlalh:llt.'l', E., Estl. lIuilles, Hcy. H. llayter .

1 :2

llallllel.Plii11ip", )Ir'. lIanley u:-t1(' l'ollllllallllcry-Ordcr 01 St J01l11 llarri~uJl, Tho:-., E .q.

llan'cy, :\Ib C. J. JIurtlalll1. F. 1l. Dixo]l, Lll .. :\1.P. Hal'coUl't, Egerton '\ l'n1(1l1, 1-:"(1' (~illctJ t?cccasr( 1) Jlu\\'kiu:-.. Tile n ,'. '\\-. B, L.

0 0

2 0 1 0 o 10 6 20 0 0

Mr,.;,

l:reJey,

500 3 3 0 1 0 220 25 0 0 500 10 0 0 10 10 0 1 :2

220

o 10

500

0 330 500

500 1

lIaylL'Y, )lr..:. BUll· ·ll

0 0 n 0 '2 0

1 10

l:Ole.Oll"t1ey, The He\". :-il' F., 11 rt.

1 1 0 200

GLl1'llon, H. l •., E q.

o o o 3 o 0 o o

0 0

Ion

E-,[.

l,al'lln '1' G. T. A~N, E'li' UiUhon,.;, The Hc'-. D. (;illJ't11tal', The ni,.;l11lp (If . (: In,.rrow, The Earl of (3 yeal ') (:011,';011: ~lr. aud )fr:-;. _\. t;Lllll:;1lli 1. Lilly Loui,a Gold'llli 1, ~lr .Tuliall, Bart.

o 2 10

Oil;

Furlt::y, J ohu, E"IJ'

o o

2 ;)

Fll\\'lt::l'. J., E"(l'

10 10 0 5 0 1 1

Subscriptions. Donatio7ls. -£ s. d. -C s. d. o 2 0 a

(1['0 IS.

Bn helL Chri topher, E'q. 1 1 BU'k . ?lIrs. Jos. Bu tros, ' E'q. ( ina dCt'crt .:.d) Byron, The Hon. :Jlrs. and:JIi Burn 'lllc 5 5 Capel, F. C. , E'q. Carter, Cluts. p" E q. Ca sa,etti, ::'lIatlame Ca"rt,etti, :Jladame E . A..lex . 1 Ca aveni, John, E q. Chafy-Chafy, The Rey. W. H. W. Charrington, E. E q. Child, :JIis Kate Clarke, .Andrew, E' q., :JI. D. Cloth worker" Company Coght, Andrew, EA. 3 3 CQlLlwell, :JIajor. per Compton, The Yery Re,. Lord Alwyne (Dean of ,Yorce-ter) Cook, J. ~I., ESll' Coycnny, The Re,. Gilbcrt Cree, Rey. E. D. Cros e, :JIr'. C. R . Cuffe, :JIi Cull, :JIes 1'S. Cba ., and "on Cunlitfe -Owen, Fritz, E fl. Currey, Rev. G., D.D. Concert, (Proceeds of) Dallas, ir Geo., Bart. Dalla', The Hon. L3l1y Dallas, Captain Rupert C. F. Do. do . (Special) Dana , ~h". R C. F. Dalton, Captain.J. C., B.A... Dayie ,F. R., Ell Davie, The Rey. Hamilton Daubeney General ir C. aucl Lads Day 'Y. _t., EsfJ. . . Denbigh, Counte " of Dent, :JIrs. J. Coucber- (for 5 years) Donnile, )Iiss Don-ille, Yice-Admiral J . VI. Drake, :Jli." .' . Trrwhitt Drake, :Jliss O. Tyrwhltt . Dl1 Bois, The )Ii."cs ":JI.AD. ," per Captain J. C. Dal on , R.A. E1J, Rev. Franci .T. Ellis, ~li ~s ..:1.. ill. , Empsons, The :\1 is. E,-ans, ,\Ym., Esq. Fellows, Frank I)., £S(1'

/·u·i1dioIlS.

10 0 u 500

Hill. '1'. Hll\\·hy. E:;IJo, ;,\1. P., alll1 ilII.:. Hill lIovtI, P 'lel , E",!., Jl.I . lIool"!', .T. E., [,,11' Hopkill. Oil, )1r ·. . Ho\\anl, F., Ell-> (p'l' :\11' . SmtcL',>-Allllatt) HubhlrLl, 11011. ~lrs, Hubbard, ?lIis ' C.. lIlll.hartl, )lis Ellen lIulJhml, :J1i,,' E ..

.")

o 10

100

lIlllltCI', ~hs.

Jalllt:', He\' A 0 .. J odrell, Lady 1\:l1l1ellSky, ~IaLlam" de Kay, "it' Brook, Bart. Killglakc, :Jlr", Lambert Geo., E'll. La lett, \Y., E '(I, . La IYSOIl, M r", . . . Lcclullcre, 'ir E, .\.. II., Bart., :JL l' Do. do. ( pel i( I) Lcchmerc, LatIy . • . . Lednncl'c, Lad;' (Collected by, at hri:;t III a::. \

o 10

0 100 10]0 0

050 :2

~ :2 0 500

500 [,

50 0 10 0 20 0 ;') Ii

0 0 0 6

IG ]7

Lechmere Lady (friend per) . . . Lefroy, G~neral ir J. H., RA., U.B., KC.M.G. Lloyd, ThE' Rev. Robt. anul.lrs. Lloyd, Mrs. Frank Lock, Rev. W. Lucas, Miss Lyte, H. C. Maxwell, Esq. Lytton, The Earl of MacLean, R M., Esq. Malet, Major G. E. Wynul!am Martin, R B., Esq., M.P. Martin, Samuel, Esq., (sinC8 deceased ) :Martyn, Rev. O. . Meredyth, Samuel, Esq. Mercers' Company, Th(' Mocatta, F. D., Esq. Moncrieff, lUI's. l\Ionk, The Misses Montefiore, Mrs. Murray, W., Esq. . . . . ~lrriantbeus, The Rev. the Arehimandrite Newburn, ~liss Emily. . . . Kewton Abhott (St.J.A.A. Ladies' Class) por 1111'S. Bakcl' K eye, Miss C. Koel, J., ESI1. Okeden, Miss K. Parry Onslow, The Lady Augusta Palmer, Geo., Esq. Parish, Mrs. Pearson, Mrs. A. Harford Peel, The Han. Mrs. Peters, W. H., Esq. Perrins, Mrs. Perrins, J. Dyson, Esq. Phillips, Messrs .• Bros. and Sons. Pilcher, Miss Portal, Rev. G. R Porter, Major-General Whitworth, RE. Porter, Mrs. Porter, R d'C., Esq., RE. (since deceased) Pym, R Ruthen, Esq. (per Mrs. Surtees-Allnatt) Ratcliff, Colonel . Rathbone, W., Esq., M.P. Reston, H., ERq. . Rhydd Court Domestic Chapel Alms-box Fund (per Sir E. Lechmere, Bart., M. P.) Riddell, Miss Roberts, Miss Roberts, Miss (Collected by)

Annu.al Subscriptions Dorwtions. £ 8. (l. £ s. d. 5 0 0 2 2 0 2 0 0 0 0 2 0 0 0 0 0 0 6 0 0 0 0 1 0 21 0 0 4 0 0 0 0 10 10 0 10 0 0 5 0 0 0 20 0 0 5 5 0 10 0 0 10 0 10 0 0 2 2 0 5 5 0 0 0 0 5 0 3 3 4 0 5 0 0 0 1 10 0 10 10 0 2 2 0 5 0 0 10 0 3 0 0 0 0 5 0 0 1 0 0 3 0 0 10 0 2 2 0 5 0 0 20 0 0 2 0 0 5 0 0 3 0 0 5 0 0 5 5 0 1 1 0 1 1 0

12 1

2 2

2 0

0 0 0 0

nf)llill.~o n, Ceo., ESI}. Hodgdt, :\11':; Eli;mhdh ]:0\\"1), n. He),uulds. ES1h F ... A. HOlle, The Hel'. John ROllley, '\'altcl', ESll' HllSlllJl1t, Tile lIon. Miss

f)L. \:eorge, Cell ral, irJohn, K.C.B. ,'l. Ut'Ol'gl', Lally. '- t. John of Jerllsalcm, Onlc1' of (English LangLlag(' ) Sassooll, ~lcssrs. DaviLl, and Company • (~O lJ()lI, " U ., Esq . Searle, Miss, . )1. () lJag, J 0 '., ES1l' h,H1II'01l, He\,. A. T. ,V., M.A. Shallll, G. V., Esq. (Collccteu. by) harp, IY., ES1l' , hrillJptoll, C" E ·II., 1. D. , ic\'ekillg, K H., E 'q , M. D., F., . A. kel'ritt, Miss harlotte E. Smith, ?III'S. ( 'ollected Ly) lllith, 1\1rs. ",amucl myLh, Colonel E. Slawell, J. IV. Alcock, ES1l. Steet, G- Carrick, ES(L" F. H. C. SLOllC, 1\1 iss tone, Hev. S. J. Story, J., EsC]. Strangford, Viscountess tubLs, Mrs. Sumner, Mrs. Sumncl', Miss Syuenham ( 't. John Ambulance Centre) pel' Miss II. J. 'Walton Temple, Sir R, Bart., G.C .•. r.

Telllpletowl1, General The Yiseount, K.C.B. TOlVn encl, ~Irs. Tucker, Miss 'Wakeman, II. 0., EsC]. Walker, J., Esq. Walton, Miss H. J. ,Val'll, H. A. II., Major Warren, Colonel Sir Charles, K. C. M. G., R. E. Warrington, Miss West, Wm. C., Esq., M.D. V,r estminster, The Duke of, (pel' Sir E. Lcchmerc) 'N eston, Mrs. Plowden Weston, Mrs. Gould HuntcrWeston, Lieut.-Col. Gould HUl1lC~'Wharton, Rev. J. C. (Offertory, St . .T ohn'~ Day)

Annual Subscriptiuns. Donations. £ s. CZ. £ s. d. 5 0 0 2 0 0 10 0 0 o 10 0 0 1 0 6 6 0 10 e 0 5 0 0 20 0 0 50 0 0 10 0 0 0 0 5 0 5 0 0 2 0 0 2 17 0 2 2 0 10 10 0 2 2 0 ] 1 0 1 0 4 0 0 0 0 1~ 0 0 o 10 0 S 0 0 1 0 0 0 0 1 1 0 5 0 0 1 0 2 0 0 0 ]

5 2

0 0

5 15

0 0

12 0 0 0 1 20 0 10 0 2 50 15

1 5

0 1 0

1 2

5 10

0 0 13

0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 9

1 Annual Snbscripliollll. DOlla/ions.

-£ Wilmot, .Mrs. "Wilmot, .Miss "\Vingfieill-Digby, Geo. Digby, E (1-> (since deceased) "\Yilshel'03, Mrs. Wilson, Sir amnel Wilson, Miss Wilson, Mrs. William , Yodehouse, J. tan ley, Esq. Wood, Rev. Albert Wood, Rev. T. W., (Proceeds of a Concert at EllieI' "field.) Worcester, The Right Rev. The Lord Bi::;hop of Worsley, Sir William, Bart. Small sums Huller lOs.

Per ~JIessrs. Cocks, Bicld~tlph and Co.Palmer, Lady Sophia Sale, Rev. C. J. .

0 2

s. d. 5 0

0 0

£ s. d. 2 2 0

0 71 0 5 0 4 0 1 1 3 G 5 0

0 0

0 0 0 0 0 0 0 0

0 0 0

]

VISIT TU TUE

BRITISH OPHTHALMIC HOSPITAL AND

Received since June 24 , 1883. Henty, Geo., Esq.. and Irs. Henty Kennett, V. Barrington, Esq. Lea, 1111's. Lea, Archdeacon Lechmere, ('aptain Martin, Mrs. Heathcote. St. John's Gate, (Colleeted in box at) • Sutherland, W. Stewart, Esq. • Syrian Improvement Committee (per Sir Moses Montcfiore, Bal t., and H . W . Freeland, Esc1.) . W illiamson, W . B. , Esq. ( StLnny View, W 01'ccsle?') Walker, Mrs. Severn 1 0 Worcester, Proceeds of Entertainment at, by Samuel Branuram, Esq. (pcI' Lady Lcchmere) .

5 5

0 0 0 0 0 0 6 0

50 2

2 1

5 0 5 0 1 2

1boepice of tbe

~rber

St. 30bn (JBnolieb JLanouage) at 3erusalcl11.

2 0

1414 0

D EE M 13 E R ,

8 8 3.

VISIT TO TllE

BRITISH OPHTHALMIC HOSPITAL AND

lbospice of the

~rbcr

St. 30bn (JEnoIisb 'J.!JlnouflOc) at Jerusfllcl1l.

DE C E 1\1 n E P ,

8 8 3.

B lDisit to tbe :JJ3ritisb

~pbtbalmic

lbospital,

JERUSALEM.

N the Bethlehem Road, about ten minutes walk from the Jaffa Gate of Jerusalem, stands a building which at once attracts attention not only on account of its substantial character, but also from tho splendid situation it occupies. Thoroughly Oriental in style, indeed more so than usual, it yet lacks that appearance of having been thrown together-with 'windows stuck in anywhere-that general look of unevenness which wo have hitherto so frequently observed. Massive and square in its outline, with large windows heavily ironed, regular parapets, and a ca t Hated tower-the" keep" as it were-one might readily imagine it to be a kina of outlying fortification, and it really appears :1.S if it could stand a fair si ge. urronnding it and stretching away toward Bethlehem is a large orchard, full of olive, fig, walnut, and oth r trees, 'w ith innumerahle vines, planted whereyer one can be placed ;-the whole presenting a mo t r fre 'hing a pect, and evidence OY0r the of cultivation most UI1U ual in this part of Palestine. gateway float a larg flag, with the 'w hite :Maltese cross on a crim on gronl1l1, while over the door, caned in stone, is a shield with a similar device. This is "The British Hn pice of St. J 01111," as it i generally termed by the inhabitant, 01' morc fully, "The Briti h Ophthalmic Hospital ,tablished by the Engli h Langue of the OrLler of t. J o11n of J eru alem;" a ociety, which in its charitable work recognises no difference of nationality or creed, but is thoroughly unsect:1.rian, its members desiring only, as far as their means permit, to do whatever is pos. ible in mitigation of that universal suffering which, in some form or other, is the common lot of humanity, and tIm. to perpetuate the humane and genf'rol1 purpo, e of the chivalrous and ancient Order from which they take their name, and which is in them revived. A ring at the hell brings a turbanne 1 and baggy-trowsered attendant 'w ith a h eavy grey moustache to the gate, who to our enquiry, informs us that the Doctor is at home, amI invites us to enter. 'Ye descend a short flight of stop, and find ourselves in a large co urtyard, surrounded on all sides by bnilllings and overlooked by terraces. On one side of this courtya,rd extends a series of rooms opening from it, which belong to the out-patients' department. At the fmther end is a

23 covered archway, from which open the kitchen anel store room .. On Lho opposite side, a door leads to the laundry and bath-room; while to our left is another very large and lofty archway, with a floor slighty mised, and neatly enclosed from the outer courtyard by a railing. \Ve enter here and introduce ourselves to the Doctor, and under his guidance we proceed to make a tour of the builtling. The upper floor consists of private rooms, all opening directly from a stone-paved, arched corridor, leading to a broad terrace, from which a view is obtained of the surrounding country. Desccm1ing mao-nificent o from this with our host, we enter the wards 'which have been set apart for male patients. These are , ix: in number, an(l can be arranged to accommodate sixteen men, but are intellded for ten only, except in case of emergency. Passing through the iron door, under the coyerrc1 archway, tt small room is pointed out as the eli, infecting chamher, where by means of "intense moist heat, all clothing and beehling are pUl'ifiecl. Th bath room and laundry are next pointed out. \Ve are then conducted to the three wards set apn,rt for female patients; and, as in the case of the male wards, these can receive a larger humber on an emergency, but in ca of a preponderance of females at any time a further arrangement has been made by which one ward for two patients can he su btracteel from th maIn hospital, and put in communication with the female wards. D '. c '1ll1ing again to the courtyard, we are leel into the out-patients' ll'partment which consists of a spacious 'w aiting room, clean and airy, yet shady, with a stone floor, and opening by a side door into Lhe can. ulting room. Passing from these we are shewn the kitchen, a fine and commo(lious chamber with a. large fire-place. The water supply is obtailleLl for drinking and cooking purposes from a large cistern, as is usual in tbis country, while for other domestic purposes a never failing supply is had from the aqueduct of Solomon which runs through the estate and dose behind the house. The Doctor points out to us that by the foregoing arrangement. , he bas all his departments close at hand. and easy of access, yet each enLirely separated and shut off from the others. The male wards, female wards, out patients' department, kitchen, laundryan(l private rooms, a.re all detached from each other. The female wards asp cially are wen situate_u for their purpose, having a large balcony to themscl ves overlookin 6 the valley, whilst everything else necessary, is quite separat.e from the rest of the house, an(l perfect privacy is obtain d. The last room visited is the Doctor's study, wllich we fil1l1 to bo the centre of tile establishment, nIl the keys of the house, some forty or more in number, being kept here-together with all the books, medical instruments, papers, accounts, &c., of the Institution. Next day, being one of the regular out-patients' days, we had an invitation to be present clul'ing the morning, which we ght'llly acccptccl.

The IIospital is thrown open to all comers three dn.y. every weekl\Ionclay, "\Vednes'Jay ancl Friday, Lhe other clays being set apartThursday, as the Operation Day, Tuesday and ~ 'atun.1ay for special ca 'es ancl those r quiring prolonged examination. Next morning, then, at o'clock, 'we appear, making our 'way to tho (rat through a d nse and motley crowd of all nations and classeshristians, J eW8 from all parts of the ,yorld, 110 lems, Bedouins, and Fellahel'IL Amongst them there are faces of all kinds anel degrees of colour, from black to white, and we hear many strange and different dial cts spok n. •'ome of these people, we are told, have been waiting for hour::> already; howev 1', 9 a.m. is the time fixed. On entering w find the attendants putting the waiting room in order for the day and arranging the b nclles, the Interpreter being also in attendanc. Pre.~elltly the Doctor arrives, and having given a look ronnd to so that all is ready, orders the door to be opened. The attendants take their place. by the door, one having a box ,rith card nncler hi. arm, whil the Interpreter stands by to ob erye and l't':rulat this part of the work. Oue of the greate t difficultie wlJich ha. hacl to I e 0\' '1'com(' was how to keep the patient in order: naturally unruly, turbulent, and unaccustonH'd to anything like lli. c:ipline, Lhe ntrance of a cro\nl such as this was found to be mf'rely a (lUI'. tion of pbysical force-the weakest going to the wall. Howev r,the difficulty ha. 1 eell ing 'niou 1y overcome. 110 t of the people l)eing illit ~rate, numhers or figures are of no u e; be ille ,each day a certa.in proportion of th '111 \Y uiel nrely be 10 t,and ucll was fonnd to be the ca. c. The attenelant ha .. as rie of mall varian ly coloured and difft'rently Rllaped card, arrangcli in ten _ As the firt pe1';;on enter, acconling to sex, he or he receiye ~ one of the e until the first ten are exhau tell, ,yllell another series commence, and so on-men and women getting dill'erent sorts of ca.rth In the waiting room the attendant ingle out fly patients of the first d taclJment, and place them in rcadine~ to enter the Doctor's room. Let us suppa e that we commence with wom 'n-they are follow d by fi\re men-again, fiye Iromen, then fiye mell, amI so on till all Drc [ulmitted in turn. Thi arranO"ement is found to work . trl'lllely well, amI perfect order is maintained without difficulty, as any turbulen ce, noi e or Jisob'llience, is puni -heel hy the DodoI' himself, who depl'iv s the offend r of his turn, amI place him among the la t to be seen. The attenllant kno\y in what oreler bo i ued tho card, so that it i ~ 11 ell" for anyone to try to u urp the plave of another. " Eil'st como fir t servell" is the rule, and there is llO Gxception malIc in allY case-en.cIl lllllst take hi or her l'i 'Ilt turn. At length tho door is opened, whon all n,t once there is [t hubbubeach forcing forwards - howe\'e1', tIllS j in vaill, a the a ttem1nnts only allow tho pa.tients to pass singly, giving each a carel. Hit be ob eryefl that

anyon e is jostling or pushing, esp ecially if it be a man - h e is mark.cd and r eported-when probably he is puL among the last to b e so~n.. TIllS practice we are informed has provod very salutary, and now It IS the rarest . possible occurrence for any confusion to take place. The patients now pass into th e waitin g room, to t ak e th ~11' turn s for being seen. With th e Doctor we enter the consulting r oom ano. t ak e s ats close by him, being warned that we are not to be surprised if he gi ve~ ~lS a hint to r etire in the event of any I oslem wom en enterin g, as h e n gldly r espects their customs and prej udices in this r espect. lIe says, h ow 've~', that h e does not anticipate any diffi culty, as the women usually unveIl before him without any trouble or h esitation. All b C'illg r eaely t he Doctor touch es his bell, when the first batch of fi ve pati 'n ts E'n te rfemal es-tw"o Moslems, one J ewess, anu two F ellaheen. The first has cataract, and is preparing for operation; then comes on e suffering from some affection of the eye-lids, which we learn is of very comm on occurrence in the country. The n ext case is one of a simpl o ch a racter , and is so on disposed of. This is followed by a yo un g pea. an t ,,",o man, who came for the first time: the faco is co \'ereu- an unusual thing for t he F ellaheen- but on bein g removecl two sightless eye-b all s arC' pre n t d, the comere being covered with dense white pat ches effcctual1 y pre,- 'n t in g VIStOn. This case r eceives a careful examination, after which t he D octo r applies something t o th e inside of the eyelids, rem arking that thi s is on e of those pitiable cases where vision has been lost entirely for waut of timely treatment, and that acco rdin g t o t h e err-ect produc <I by wlw t has just been applied, will thero he th e sligh tes t chance of all Y \ri. ion ever being r estored ; his opinion b eing unfavourabl e. In th e n 'x t ca c th e eye is acutely inflamed and dreadful to us t o seo ; th e patil' nt s·tys but little, and on b eing ask ed if sh e knows of any cau se, simply r emarks " lin Allah," i.e., "God's pleasure." After lookin g carefull y for a second or two the Do ctor inverts the upper lid, and to onr astonishment r emoves a piece of straw imbedded almost entirely. The poor woman appears almost more astoniRh ed than we are ourselves, ane1 we are glad to be told that she will be again all rig ht in the course of a fow days, This completes th e number, each of wh om, aft er th e D octor has finl sh ell , passes over to the Dispen sary wh ere th ey receive th eir applications, dispensed under his own observation. Again the b ell sounds, when fiv e men are ush er ed in. A J e w, a Mussulman of good st.anding, two Bedouins, and ~\ Christian. The first bas chronic ophthalmia of long sk'1.nc1in g, anll has unclorgonA a good d eal of maltreatment, aggravated to a great u egI" e hy intensely dirty habits ; however, he is now very mnch improved. Th e n ext, th e Mussulrnan, appears very grateful, and we are t old t.hat although n ow but little seem s to b e amiss, h e was in a very Lad SLtLl e when first

admitted, and in the greatest uanger of losing his remaining eye, h aving

10. t the other some years previously from a similar attack: the D octor calls it, "an eye SayCll. " TOW come, the DCllouins, wild-looking and untutored , dirty to a degree, an<1 C'nclC'l1tly not much accllstomed to come near the haunts of ciyili "atiOll. They come from the desert, far to the South of the D ead Sca, neal' P(·tra, [ulll han> aniveu during the night. Both are serious cas's, allel l)oth 11Cal'ly l)lillcl, having lJeen of long-standing and neglected. The" Hakim " says if thC'y can be hrought to stay a few days, and carry out tll~ treatmcnt, they will llo very w 11. TIllt the grr.at difficulty he finds wlth such ppople, is that they expl'ct to be cure(l at once ill one yisiL 'ritbout trcatmollt, <tl II arc "ery apt to return home after a few days not lUuch illlpro\"ell. However, these say they will remain a IonV' as the" Ilakiltl ' de;;il'e ', wi .. l!ing to stay in the Hospital; to this th~ l1abm" to his great regret is compC'llcd to tell them he cannot accelle, t lle 1r ospitnl llot yet hl,jllg in n. fit condition for indoor patients, These are sLlccee(led by ii\'e women, an admirable arrangement, as it provo', One of thl'SC was a poor Fellah woman with two children; ono an illtdlitrent lookil1(l' 1)0), of Lhl'PC-aIlll-a-ha1f rears, "'ho has been . ('l'll lll.:ful'l', an(l who the Doctor says is hopple::; "ly and helples.ly blind fnnu blulHl"l'ill'" tl'l'atllll'llt by a llative "llakim;" the eyes ,vera botl~ sli!.!hlly infllllllpd, f;0111e pO\H·dlll caustic haying been used, "which had ollly a~gl'aratc'(l the inflammation and llcstroyell vi ion entirely, both ye-halls lJt'illg col1ap '<1 anLl .. i .. htle. ;~. Tho pOOl' lIlOther lll'ings her bal)y to-clay, and lays it before th ~ 1)oclol' imploringl?, askillg him to l()uk at the inf~Ult's eyes to sec i f th(',Y are all l'igllt, allll if there he Huytlting wrong with then;; he informs he1' tllat tlw infant is (iuitc well, and the CY'3 arc a perfect It po ible; this puts the mother's milHl at en c, and with a fe,,' LlirC'ction , especially enforcing elpll11linC'Rs, o::hc j~ pnsf.;c(l on. It was most affecting to ee how anxiously and imploringly sItt' looked for the Doctor's opinion. Fi\'o 1111'11 next :lP]H':ll' ; the first, "who came in smiling, ,"as one who had 1,0 lIe lell alJOut fur sOllie ) ('ar:', but has hatl sight restoretl hy a l'('cC'nL operatiull ~lIlel (;Oltll'S to-day to :::;hew himself and expre his gratitu,IC'. '1'110 Doctor says that he has now a large number of cases, all of "hich requirc opl1rat ion, uut tha.t want of fuml to complete his" anls prc,'cnts him doing morc than 11 few \"hich d o not nec(l allmi ssiOll as in-patient ... T hi s gocs on all the morning, till over pighty pation ts have bren a tL('nllu l to; aU Yal'ying, somc of the mo t eriou' character, somo sligh t, m ost ll cglecteel llithl'l'to, hut all rl'(luirlng and here l'cceiYlng propel' Ll'eatml'nt antI ~lll \ ico. Sometimcs the daily ,lttcndance amount. to as llltlny as o]]e hundrcd allll lifty. A gl'C'at m:my cases Wl'l'l' poil1ic(l out "'h ero crion.' a (fcct i o n ;~ h ael 1)('('11 cll l'ed. hilt st ill k('pt llIldl'l' ohs(,l'rntio l1 , Sl' ,'cl'nl 11:we onl y

come when past the remediable stage and nothing furlher ca.n be Llone. But lately a brge proportion prescnt thcmselyes in an carly stage and the Doctor says these cases keep increa. ing. That the patients are grateful to a degree is ob\Tious to any orLlinary obsorver, and their appreciation evidenced by the patience with ·which they ·w ait their turn for hours sometimes. One may also judge this by the distance from which patients come, for example from snch witlely apart places as Damascus and Petra, Gaza, Jaffa, Samaria., N ah1us, Safid, Tiberias, from ea . . t of the Jordan, and indeed all parts of the country. ,Yhat strnc:k us especially was the perfect order maintaincl1 throughout, notwithstanding the heterogeneous composition of the cro·\Yd j a great Llifference, the Doctor tells us from hi first experience, \\"hcn a. free fight for places ,,-as of common occurrence. But rig ill adherence to the principle of " no respect of persons" has had its cffect, and now, knowing tha.t it is of no use to pu. h forwa.rd, they go yery qnietly. A great impro\Tement has also been observed in the habits of the patients themselves, as tbey find they arc not a.11owel1 to pI' en t themsel yes in a dirty state. Another rule ne\ er tleparted from is that no medicine or application will be supplied in a dirty bottl or Y" . 1 of any kind. At first there was great trouhle in this respcct j now there is but little, and the strictne. s with which cleanline s in eycl'Y form is enforced, whether in regard to the person, to the eye., or to the remedies, appear to n. to be one of the mo. t u efL1I and commendable features of the work. The amount of good that has alreatly been done it is impossihle to estimate j much seed has been sown of which the resnlt Ita. Hot yet fully appeared j what estimation the lIo. pital stancls in is eyit1cnced by the great and increasing number of patients-two thou .. and in ten montbs! The total attendances haying amounted to nine thousand! How highly its work and neces ity is a.ppreciated by the Tlll'ki. h Government is shewn hy the munificent gift of His Imperial Iajesty the Sultan, ·who has purchased and pre. ented to the Order tho splendid site they now occupy. Besides meeting a much needed want, there can 1)e no two opinions that the Order has acted wisely and well in establi. hing its Hospital, as of old, on an unsectarian basis. The Order bas ta.ken a. mot important step in forwarding civilisation, as hy extending the uencfi ts of the Institution to all alike, without interfering wilh or even referring to their religious views, they bring the ulessings and good efTects of civilisation promincntly before the people themselves and so induce them to adopt it. In conclusion we must say that few visits made during our-stay in Palestine afforded us such genuine antI unmixed pleasure as this.

NOTE. Mr. Amherst's Paper on the Castle of Budrun, referred to in the Table of Contents, will be issued to Members (separately) later.

IlZterJ'tatzona! l-Iea!th Exhz"bz"tzon . LONDON, 1884.

ST JOHN AMBULANCE i\SSOCIATIOf T•

THE CARRIAGE .

D REMOVAL OF THE L JURED.

ICK AKD

THE Ai\lBUL\.NCE ORGA I ATIO ,- OF THE ~1ETROPOLIS DURI TG EPIDE~IICS.

PRINTED AND PUBLISHED FOR THE

~nC'ltttbc <!tDuncil .of igc ~ntctnatiolnl :ID.enltg ~:tgibithlHJ :lnu for tgc (GDuncil .of tgc §ocittll .of ~rt~J BY

WILLIAM CLO\VES AND SONS, LIMITED, INTER ATIONAL HEALTH AND

EXHIBITIO~,

13, CIIARING CROSS, S. W.

1884-.

I nter11,atioJllal Healtlz E x h£bz"tz"on, LONDON,

A M B U LAN C E ASSOCIATION.

CONFERE

Sir

LONDON: l'RINT£iJ l5¥ WILLlAJ\1 CLOWES AND Sal S, STAMFORD STREET ANC LIiARING CRO:;S.

1884.

H N

CE 0

JA 1ES

MONDAY,

J ULY

21,

r884·

PAGET, Bart., F.R.S., in the Chair.

SUBJECTS FOR DISCUSSION;LI}!ITIW.

all

the Carriage alld Removal oj tlte Sick alld Injured." By J OH FURLEY, Esq . .., "TIlt A mb"lanu O;gauisatioll oj tIle llidropolis durillg Epidemics." By V. l3. BARRI)I"GTO~-KEN~ ETT, M.A., LL.l\1.

I. "

ON TI-IE CARRIAGE AN D REMOVAL OF THE SICK AND INJ U RED. By JOIl

FURLEY,

Esq.

AT a time when the International Health Exhibition forms a very important centre of attraction, the moment seems opportune for some remarks on a subject to which much attention is being directed, namely, ambulance transport material and its proper employment. U nbl within the last ten or twelve years, the word (( ambulance" was almost unknown in this country except in connection with the Army 1edical Service; but in 1870-1, through the efforts of the ational Aid ociety, more familiarly known as the Red Cross Society, it was so gene rally adopted in our language that it is now as much [c. 10.] 13

Tae Carriage and RCJllo,(Jal of tae Sick and injured

Tlze Carrz"age and Removal of tlte Sick and illjured.

misapplied as formerly it was little used. People who are accustomed to think of invalid carriages, hand-litters, and stretchers as " ambulances," would be rather astonished to learn the War Office definition of an ambulance and all that it comprises in men, horses, carriages, medical and surgical stores, and camp furniture. I confess to a great feeling of disappointment, and I know this is shared by many who take a keen interest in the subject, that the Ambulance Department in this building is so far behind what vve had a right to expect from the displays which have been witnessed in Paris, Berlin, Vienna, Brussels, and elsewhere. The International Health Exhibition is a most amusing and interesting collection of objects, more or less connected with hygiene, surgery, and the art of living, and I sincerely trust it may prove to be as successful as its promoter can desire. But where is the ambulance section, British or Foreign? Can anyone seriously pretend that the few vehicles, surgical appliances, and models which are to be found scattered about amidst costly and luxurious chairs, couches, beds, and perambulators at the end of the Belgian Annexe, fairly represent the progress which this country has made during the last few years towards perfecting ambulance material, or convey an adequate idea to the uninitiated mind of what our Army Medical Department can do, and is doing, in every part of the globe for the health, care, and comfort o[ the British soldier? I venture to assert that the failure of the display in thi respect is due in a great measure to the cause to which I have already referred-the misapplication of the word" ambulance" and the ignorance that still prevails as to what it really means. Having thus parenthetically relieved myself in a manner which I hope will not be misunderstood by those through whose kind courtesy I am permitted to address you to-day, I will at once turn to the subject of ambulance work in the United Kingdom, and more especially in reference to what has been done within a very recent period towards systematising the carriage and removal of the sick and injured. It is not my intention to describe or to criticise the

Army Hospital Organisation; indeed, it would be an impertinence on my part to do so, and I shall only incidentally refer to this important branch of the public service. I am convinced that there is a perfect community of sentiment between doctors who are engaged in civil practice and those, ho hold commissions in the Army and Navy : all are alike animated by one earnest feeling of loyalty to the distingui hed profession to which they belong, and of o-enerous devotion to the interests of that public to whose :ervice they have dedicated their lives. So with the individ uals of all ranks who work with and under them, there is but one desire, namely, to do their duty, it matters not in how humble a capacity, so long as the object is the alleviation of pain and suffering, in peace or in war, in the street or on the battlefield, amid the din and excitement and all the pomp and circumstance of glorious war," or the claily rOlltine of hospital work, or in the remote recesses of a coal-pit, far [rom the sight of approving witnesses. In general ho pital work Great Britain is on a level with, and in many respects in advance of, any other country in the world. The magnificent establishments dedicated to the relief of suffering humanity, which are scattered over the leno-th and breadth of these islands, afford ample proof b . of the liberality of the founders and of those who contmue to support them. Nor does this sentiment exhibit any deo-ree of diminution. l\1any circumstances haye changed, b . and medical skill is more evenly distributed than It was fifty years ago. There is now less di position to enlarge existino- institutions than to establi h others. Cottage hospitals have exercised a most beneficial influence, for they have enabled doctors to keep under their own care a large proportion of cases which formerly, and often at great risk, were taken from them; thu, independently of the benefit to the patient, the whole community ha deri,-ed advantage; in the first place, by the practice allowed. to the suro-eon's skill which he was often in danger of losmg from w:nt of opp~rtunity, and secondly, by the field which has been opened to people of all ranks for closer contact

B 2

Tile Carriage and Removal of the 5 £ck and Injured.

with physical pain and suffering, and for the free ex€rcise of their best and most generous syrn pathies. But whilst much care and attention have been bestowed on the internal economy and hygiene of hospitals, comparatively little thought has been given to the manner in which sufferers arc conveyed to them. In this respect, perhaps, we are behind some other nations. \Vhat the National Aid ociety accomplished in 1870-I belongs to history. England was slow in followin() the example which had been set by other State, but the British Red Cross Society, when occasion called it into existence, gained in a few weeks a position second to that attained by no other country, not excepting the two powerful belligerents who then occupied the arena upon ,,·hich all eyes were directed. \Nhat the t. John Ambulance Association has done during the last six years will fill a no less important page. This differs from the National Aiel ociety in one particular, that, whilst the latter followed, in its 0\\' \1 vigorous and practical manner, examples which were the result of carefully matured thought and experience, the St. John Ambulance Association was a new creation, and no better testimony in its favour can be afforded than the fact that it has already been imitated in every part of the world, with more or less success, and notably by an institution which was originated at Kid, by Professor Esmarch, and is now flourishing in Germany under the title of the SalJZarz"terverei71. It is worthy of remark that, as at the time of the great war which called the Iational Aid Society into existence, civilians and soldiers were blended in one common object, so the greatest harmony has since united them in the endeavour to extend ambulance work for peaceful purposes. Much mutual advantage which, as I believe will be greatly developed in a not remote future, has already resulted from this interchange of ideas and experience. Peace and war are represented in this country by the two societies to which reference has just been made but henceforth their aims will not admit of separation; dis-

TIll! Car1'iage and Removal of the S£ck and i11Jured.

tinct as may seem the two fields in wbich the members respectively labour, it is not the less true that it is from the pers07l1tel which is trained to relieve physical suffering on the battle-field of daily Efe, we must draw that efficient supplement which will inevitably be required by the Army Medical Department for any great war in which we may be engaged; and it is from the experience gained an the rapid improvisations which are incidental to military surgelY and army transport, that so much may be learned by the civilian. In this union there is nothing inconsistent with the principles of the most devoted adherent of the Peace Society; but, on the contrary, he will be driven to admit that much of that training, uniformity, and discipline, which were formerly limited to military requirements, are of the first necessity to those who desire by means of organization to minimize physical suffering. In the first hours after a great battle, or in the accidents of civil life, there is no more valuable knowledge than that ,,,,hich enables a man to improvise surgical appliances from anything he may find at hand: it is useful to the surgeon, and makes for him ready as i tants in others. \Ve know how often doctors are compelled to have recourse to their own resources v,,'hen ordinary mechanical means are wanting, but unti.l quite recently the general public haye stood aside, unable to offer them any assistance, or at the best seeking instruction at the very moment they should have been able to apply knowledge. But a great change has taken place, and the medical profession is the first to acknowledge it, especially those of its member who have voluntarily given in truction in the first and simplest rudiments of their art to classes of men and women in districts "'here serious accidents are frequent, and often widely disastrous in their effects. \Vere it neces ary to produce pecific proof of this change, a volume might be filled \dth a record of the results which have followed on five years' instruction in the method of rendering £let aid to the ick and injured; and a large proportion of this c\'idcnce is so much the more

Tlte Carn'age and Removal o.f tile Sick and Illjured.

trustworthy as it comes from doctors who are independent.. of the professional instructors and examiner~, and, in not a few cases, from those who were at first opposed t.o the ambulance movement as an unnecessalY and possibly a dangerous innovation. Contrast the conduct of men in the Metropolitan or City police, when an accident now occurs in the London streets, with the manner in which t.he victim of a disaster was formerly handled and carried to a hospital; or watch the intelligent way in which a police constable in a country village now endeavours, pending t..he arrival of a doctor, to restore animation in a person apparently drowned. See how promptly a fireman st.eps aside in t.he midst of a conflagration to succour a comrade who has been crushed by a falling beam. Go int.o a large ship-building yard in lVIiddlesborough and note how, on t.he first. alarm of an accident, men who have earned t.heir "First Aid" certiflcates will quickly arrive on t.he spot wit.h a hamper of necessary appliances and a two-wheeled litter, on which the sufferer will be carefully and rapidly wheeled t.o the hospital, after the first temporary remedies kn e been employed. Land with a boat's crew on some inhospitable shore, and when a limb is broken, or a man has sustained a gun-shot wound, judge for yourself whether time bestowed by the ship's doctor on the instruction of the sailors has been well spent. Or take the evidence of an officer lying in his bed at Malta whilst he tells you how, under Providence, his life was saved at Tc1-el-r ebir by one or his men who had attended a course of ambulance lectures in London. Enter a house, furnished with every comfort and luxury: a mother is compressing an artery in the arm of her only child whose pale face gives assurance of tbe inevitable fate which awaits bim should the nerve of his loving parent fail but for an instant. The doctor comes, and that life has been saved. A railway accident is reported at a station where an ambulance class has been held, and where the porters and other employes occasionally meet for the purpose of practice. See 11mv well they act together,

Tlte Carriage alld Re71loval of tlte S£cle and Injured.

and how intelligently they use t.he First Aid mat.erial and stretchers, which they now keep always at hand; and, when the doctor arrives, listen to his opinion as to the services of his humble assistants. Descend to the deepest working of some of the coal pits in Derbyshire, Durham, or Yorkshire, and when an accident happens, as unfortunately t.hey do so frequently happen, look at the way in which a tourniquet will be made out of a knob of coal, a strip of calico torn from a shirt, and a hammer, and splints will be improvised from any tools that may be at hand: tenderly and laboriously the crushed miner is borne through the low and narrow windings of t.he pit until he can be put upon a stretcher and placed in the cage, and thus raised to the mouth of the shaft: here the doctor is waiting, amputation is inevitable, but he finds the extemporised tourniquet so well adjusted that it is unnecessary to exchange it, and the mangled and useless limb is taken off without. any further loss of blood. These are not imaginary instances, but they are examples of daily occurrences. There is much more to be done, indeed the work is never ending; but the above sket.ches are a few typical records of the modest results acccJmpli':lhecl during the last five years, of which instructors and pupils may \\ ell see cause for mutual congratulation. Attention having once been directed to the general ignorance \\ 11ich until lately prevailed as to h.ow to act for the bc~t in cases of sickness or accident, It was not long before consideration was almost inscn ibly drawn to the insufficiency or complete absence of proper means of hospitdl t.ransport. The chief reason why, in tllis respect, we were much behind some other countries is to be found in our insular position, \'.'hich has saved our native soil for so long a period from the presence and even the cOI:tact of war. There is not another country in Europe whIch bas not during the last thirty years been more or less directly influenced by the realities of war, for all, if they have ~ot suffered from its actual prescl1c , have without e:xceptlOl1 felt its cruel bla~t upon their frontiers. l\S a consellllenc

Tlte Carriage and Removal of tlte Sick a1ld InJured.

Tlte Carriage and Removal of the Sick and InJured.

of this experience, other nations have more fully realised that saddest part of war, the dead and the wounded scattered over vast battle-fields, the dressing stations where temporary relief is given, the field hospitals, and the long columns of wagons bearing hundreds of maimed men to the base of operations. All this and much more than it is necessary to describe in detail have, in a great measure, familiarised other European nations, and the United States of America, with military ambulance material and its uses, and civilians have vied with soldiers in the endeavour to keep the means of saving life and alleviating the sufferings of the wounded on a level with those means of destruction which military skill and scientific knowledge are ever striving to bring to perfection. The Exhibition held in connection with the Red Cross Conference at Berlin in 1868, the important Ambulance Department of the International Exhibition at Vienna in 18 73, the Hygienic Exhibition at Brussels in 1876, the Red Cross Exhibition at Geneva in 1882, the Grand Exhibition at Berlin in 1883, and the frequent meetings which have been held in Paris under the auspices of the Societe de Secoltrs aUA: blesses militai7'es have given great encouragement to this feeling, and much practical advantage has been derived from the trials and comparisons which were made of the means of hospital transport adopted by various nationalities. But in England no similar advantages have been enjoyed, and the number of surgeons and laymen who have taken part in these experiments is very limited. Had the ambulance group of exhibits in the present Exhibition attained that standard which continental critics might have expected, the fact would have been evident that we are beginning to realise our shortcomings, and we might have satisfactorily proved by demonstrations that we arc not only taking lessons from the Continent of Europe and the United States of America, but that we are striking out paths of our own towards results which must have a world-wide influence. I may again observe, that the public having once ap-

preciated the advantage of having practical instruction in the most elementary rudiments of anatomy and surgery, and in the simplest manner of affording assistance in cases of sickness and accident in order to avoid those mistakes which, in the absence of a doctor, were, and are still, so prevalent, thus aggravating or complicating physical disorders and the results of accident, it was not long before people began to recognise that our means for the conveyance of invalids were lamentably deficient. As an important preliminary it was necessary to emphasise the fact, that it is much better to know how to extemporise stretchers and ambulance carriages than to trust to carefully-devised mechanical appliances, for the latter can never be sufficiently distributed to meet all contingencies. Until quite recently, \vith the exception of those used in hospitals, the majority of the stretchers in use combined primitive simplicity with weight and clumsiness to a degree which would be unintelligible in the present day, if it were not that there are plenty of specimens of the same type still to be found at police stations and union workhouses; a rigid wooden frame with canvas stretched over it, and iron legs, was thought to be the tle PilLS ultra for the conveyance of persons injured by accident or suffering from drunkenness, and for the latter class strong straps and buckles afforded additional security. Those whose duty it was to carry those stretchers generally bore them on their shoulders, thus, b sides requiring four bearers instead of two, adding another source of danger to that which had been already incurred by the patient; and they marched in step, if they knew how to do so, and therefore according to modern notions it was better when the bearers \"ere undrilled men. For such means of transport a narrow doorway or an ordinary staircase was a formidable obstacle which could only be overcome by taking the patient from the stretcher, no matter what his condition might be, an alternative generally productive of increased suffering and frequently of more serious result.

Tlte Carriage and Removal of tlte Sz'ck and Injured.

No person who has not endeavoured to design a new stretcher carr have any idea of the difficulty and even impossibility of inventing one equal to all requirements. There is the hospital stretcher, which must admit of the framework being withdrawn, thus leaving the patient on a bed or an operating table with only the canvas intervening. Then there is the military stretcher, which must have feet, and yet be made to fold into small compass without any diminution of its strength. Again, there is the stretcher for general civil purposes, to which, for police use, strong leather straps only need be added. vVith the exception of the hospital stretcher, there is one rule applicable to every other variety; it is indispensable that there should be no independent parts, not even a detached pillow, otherwise there will always be the risk that one piece will be missing when most wanted. As far as the demands upon it will allow, the St. John Ambulance Association has also endeavoured to introduce uniformity of size in the stretchers it has issued, so that when they have to be put into road or railway carriages there may be no mistake as to the capacity of the vehicle to take them. For military or police use it is perhaps not yet possible to have stretcher handles that can be shortened at pleasure, though undoubtedly we shall arrive at this improvement, and thus lessen the length and weight of our Army IIospital wagons. For all other purposes such an arrangement is frequently found to be a great convenience, especially in narrow ancl winding passages and staircases. Much advantage has also been found in adapting ordinary stretchers to wheels and covers, thus forming a two-wheeled an~ covered litter, which is very useful for short journeys. vVlthout shifting a patient from the stretcher, this litter can also be sent long distances by road or rail in cases \~here the journey has to be broken, or there may be a dIfficulty in obtaining a suitable vehicle to take the stretcher at the end of the journey. From the hand litter, or stretcher on wheels, the aclvan-

Tile Carriage a7ld Removal of tlte Sick and Injured.

I I

tages of which have been fully recognised during the last three years, we next come to the horse ambulance carriaae about which there is much diversity of opinion. 0' Undoubtedly, if proper vehicles can be obtained, it is better in most cases to wait for them, although at the sacrifice of a little time. But unfortunately, even in some of our largest towns, one might look in vain for a satisfactory stretcher, or a fairly comfortable ambulance carriaae and the public cab, or the disused fly, converted 0' by parochial parsimony into an invalid carriage, are still considered by too many bodies of guardians as quite good enough for broken legs or injured spines, or for the patient, the cause of whose insensibility has not been determined, and who being unconscious may be doubled up with impunity! IIow few to'wns possess adequate means for the removal of such cases! and when the subject is discussed at municipal councils, or by other local authorities, the vote for the sake of a cruel and mistaken economy, is gen~raily in favour of making any carriage do for the sick and injured rather than have a special vehicle constructed for the purpose. It could not be publicly asserted that ratepayers would oppose a moderate expenditure for such a humane object, because it is \\'ell known that if properly put before them, they will insist on an outlay which is so obviously for the benefit of the whole community. The public purseholders are therefore driven to find another excuse, and we are told that it is not advisable to have specially constructed ambulance carriages, a such vehicles advertise themselves, and frighten people, and for this reason it is better to have a converted brougham or a treet cab. If this be true, \\"hich is doubtful, the sooner the public are educated to discern the proper means of conveyance for invalids the better it will be for them, especially as the knowledge will bring with it an increa ed respect for such vehicles, more sympathy with those who have to occupy them, and greater f;lcilities for their uninterrupted passage through crowded streets.

Tlte Car n'age and Rem ova I of tlte Sick and Illjured.

There is, perhaps, another question involved, namely, the possibility of a belief that an ordinary accident carriage might be used for patients suffering from infectious diseases. T his is also a matter which should be boldly and honestly met, and the public will soon learn that the t\Vo clas es of invalids are kept quite distinct, and that no vehicle used for small-pox or fever patients, is kept in the same place, or is worked by the same staff, as those which are employed for accidents and non-infectious cases. Whether is it better to allow persons suffering from infectious diseases to go in cabs and omnibuses, as they frequently do, in order to make application for admission to hospitals, or to have special vehicles of two classes for their use? Those who have any experience of the poorest districts in our large towns know how necessary it is that some such arrangement should be made, in order at once to put a stop to an evil from which rich and poor alike suffer, but the blame for which cannot be attributed to the latter. If we would stamp out disease in it earliest starre b , every opportunity should be afforded for doing so in an open and honest manner, and the sight of a fever-carriage worked on this principle would soon inspire confidence rather than dread, for the public would learn to appreciate the fact that it is better an infectious patient should be immediately removed from their midst under proper precautions and guarantees than be allowed to be a source of danger to others. My friend, Mr. Barrington Kennett, will presently, I believe, give some interesting details as to the system which is now being worked by the Metropolitan Asylums Board, and he will probably tell us of the difficulties with which he and his colleagues have to contend in overcoming the objections which are raised to the sight of an ambulance carriage, even when it is known that the vehicle is employed in preventing a patient from being a positive danger to his neighbours. This part of the subject, therefore, I prefer to leave in his more competent hands. Improvement in ambulance material can never be accom-

Tile Carriage and Removal of tlte Sick and I njured.

plished by theorists, but it must be gradually brought about by actual work and experience, and by those who are willing, notwithstanding disappointment and discouragement, to perform yeomen's service in the cause. We may have the best carriages, litters, stretchers, and other things necessary for the transport of invalids, but these are of small importance compared with the advantage of having intelligent trained men to use them. I would have willingly avoided intruding my own personality upon your notice, but had I done so, this paper would not have the slightest claim to your attention, as it is only individual experience that can give a weight to arCTuments which otherwise would be absolutely without b value. I have spent a considerable part of several years in perfecting to the best of my ability, with the assistance of practical workmen, the simpler forms of vehicles, such as stretchers and litters; but I could not stop here, and I have lately ventured to introduce a few horse carriages to public notice. Thi step was an ambitious one, for I had no support in a single-handed contest, and I was unable to do all that I knew required to be done. After a struggle of nearly two years, a generous friend commissioned me to furnish him with a capacious ambulance carriage, and he presented this to the St. John Ambulance Association. I also had one built, of somewhat similar pattern, for the Northern Hospitrll of Liverpool. This, I believe, to be the first vehicle which has been worked in this country on the American ambulance plan. The station where it is kept is in telephonic communication with all the police offices in Liverpool; the American clip harness is employed, and I am informed that the average time taken to get out the carriage fully equipped is under two minute. Within the first eleven months' existence of this new establishment, there were 476 calls for the carriage, thus proving how much sllch an organization mu t have been needed. Carriages of the same type are now in use in otrler places, but I have referred to the two most salient

The Carriage and Removal of tlte Sick and IlljzL1'cd.

examples of such vehicles used in this country, one at short notice for accidents, the other for the removal of invalids from one place to another, where time is of less consequence. I should like to speak of ambulance carriage invented by other persons, but I refr:ain from doing so, because, fully conscious as I am of the faults in my own, I should be sorry to say one word which might seem to disparage the efforts of others. As inventors, we may mutually congratulate ourselves that we have all done something, even in our mistakes, for the public good; and I personally take this opportunity to express my gratitude to friends in London, Liverpool, and elsewhere, ,,·ho have given me real support in a difficult undertaking; they not only have my most cordial acknowledgments, but they deserve the than ks of the public, for having boldly and generously a sis ted in striking out new paths of usefulness, and offering the results of their experience for the benefit of the whole community. Taking but one example, I venture to assert that if the Committee of the Northern Hospital of Liverpool were compelled to sacrifice their present ambulance station and its contents, and begin the work de novo, the money and time they have spent would not be lost, for they have not only diminished the sufferings of some hundreds of persons, but they have set an example which, whether followed in whole or in part, must prove of great advantage throughout the country. The use of specially constructed ambulance carriages will become general, and therefore I would insist on the necessity of maintainiIlg, as far as possible, uniformity in the general arrangement of these vehicles, and the stretchers to be employed with them. As all illustration of the advantage of such uniformity, I may mention that a few weeks ago an invalid at Cannes was placed in a com pact bed, on an " Ashford" litter, that had been purchased of the St. John Ambulance Association for use in that town, and taken to the railway station. Here he was lifted off on the stretcher and put into a saloon carriage, and thus brought without change to Boulogne. Patient and stretcher were then put on

TILe Carriagc aud RC11l07Jai of tILe S'irk and Illjured.

board a steamboat, and at Folkestone again placed on the railroad. Two members of the Metropolitan Ambulance Corps of the St. John Ambulance Association, met the train at Charing Cross with a horse-carriage, and in this manner the invalid was transported, literally in a bed, from the shores of the Mediterranean to his home in London. I could cite many instances of the manner in which persons of very limited means have been moved from one part of England to another, but I have taken one case which will best prove that there is no limit to this special work of a corps which is unostentatiously doing its utmost to improve the present unsatisfactory means for invalid transport. IIaving mentioned one example of the removal of an invalid a long distance by land and water, I would say a few words as to the formation of ambulance corps, because although this organisation is still in an embryo state, it has already shown what may be expected of it. Small corps of Ambulance olunteers had been formed at two or three places in Kent, and at Leicester, Leamington, and else"where. At Brighouse, in Yorkshire, the members of the local centre of the St. John Ambulance Association possess a carriage that will take four patients on stretchers, a well as attendants seated, and they have also five Ashford" litters tationed at different points in the town. All this material is interchangeable, the stretchers fitting the horsecarriage and the litters, and I believe there is nothing of the kind more complete in England. But quite recently an attempt has been made in the metropolis to meet a want of serious importance. The manner of "'orking i very simp!c, but I need not enter into details as anvone present before leaving this room, can have a ~opy o~f the printed regulations. These admit of the greate t elasticity, in order to embrace all cla ses and to meet special requirements. Allow me to cite one or two in tances, which will prove better than any general statement how useful this corps has already been. A poor girl who wa dangerously ill told her doctor that she would rather live a week in London with her mother than a month in the country separated IC

Tlte Carriage and Removal of tlte Sick and Injured

TIle Carriage and Removal of tlte Sick and I1'lJitred.

from her, and he gave his consent to her removal. She was brought from her cottage at Reigate to a room on a second floor in London, and she told her friends she was quite sorry when she had to be taken from the stretcher and placed in bed. The expense of this journey of twenty-two miles, including four railway tickets, was thirty shillings. By the same agency, within the last fortnight, a man with a fractured leg has been conveyed from London to Maidstone; a general officer has been taken eight miles out of town, and a poor woman has been removed from the train at Paddington Station to St. George's Hospital. I have thus mentioned a few of many instances in this branch of work-the carriage and removal of the sick and injured-which has lately been undertaken by the St. John Ambulance Association. It may be admitted that at present as a business it is not a paying one, but if work be found for the corps it will soon be self-supporting. Every day we are gaining experience, and as we advance we make improvements in and even add luxuries to our material. Looking at the result of the last few months, I do not hesitate to recommend it to your warm and active interest. My sole aim in this paper is to draw attention to a' useful and pacific revolution that is gradually being accomplished for the benefit of suffering humanity. From one end of the kingdom to the other people are slowly acknowledging how little has hitherto been done outside our hospitals towards the alleviation of physical pain. The old days when a shutter or a hurdle was considered a sufficiently good means of locomotion for an injured person, or when specially constructed and luxurious invalid carriages were only within reach of the wealthy-these days have passed. The time is not distant when, as far as civil ambulance transport is concerned, the poor will be placed on an equality with the rich as regards comfort, if not luxury. Until quite recently, when a poor person was struck down by accident or disease there he had to remain. A change of air to the sea-side or elsewhere was out of the question on account of the expense, or rather owing to the absence

of proper means of conveyance at the disposal of friends who might be willing to help him. But a great change is gradually being accomplished. Mistakes will, perhaps, delay the realisation of our hopes, but all can do something towards it, and the labour will not be lost even though it may ultimately be proved to have been temporally in a wrong direction. I freely acknowledge my own mistakes in the production of ambulance material, and that I have learned much from the suggestions of those who have had oppurtunities of practically testing the results of my endeavours which were wanting to myself. Thus, and thus only, can we obtain anything like a solution of the questions which are now engaging so many minds. I have already apologised for venturing to treat this subject from a personal as well as from a general point of view, But if I have committed an offence, I will still further expiate it by confessing my failures to anyone who j honestly desirous to take up the matter in a disinterested way; and I am sincerely grateful to those competent critics who have been lenient to my efforts even when they could not award them unqualified praise. mbulance work ha a great future before it in England, more particularly as the country generally has not committed itself to any irretrievable steps involving considerable pecuniary sacrifice. Hitherto invalid transport, except at the cost of parishes, for short journeys to the workhouse or the hospital, has been limited to the rich. I t is our duty to bring it within the reach of everyone, and to extend to all classes the benefit of change of air and scene when ill-health shall ha,"e made such change desirable; or when, as so often happel~~, a breadwinner is obliged to separate himself from hi family because an invalid wife or child cannot be moved to a new home. Just in the same manner as it is mockery to recommend indigent patients when discharged from a hospital a diet of chicken, jelly, and port wine unless it be provided for them, so is it useless to tell them to obey the doctor's instructions and seek change of air, unless such a possibility is brought [c. 10.] C

Tlte Carriage and RClllO'ual of tlte Sick alld flljl/red.

within the means of the poorest. Consider what an expenditure of money is entailed, even on persons of comparatively easy circumstances, when, under medical advice, they desire to remove an invalid only five miles in a recumbent position. The tClriff is in most cases prohibitive. vVe are all, then, interested-I \vill not say in a reform of our invalid transport system, because at present no real system of any extent e. -i ,ts-but in an organisation which shall so improve our present methods of removing sick and injured persons as to make it possible and easy for all, regardless of distance, whether journeys have to be performed by road, rail, or \\ ater. One plan I \,"ould mention, which \\'Oldd greatly lend to these practical results, and that is, the formation in the metropolis of a permanent museum for the display of ambulance material under the management of a small committee. to whom should belong the right of selection in the nrst instance, and change \vhen improvemenls may render certain patterns obsolete. Such an institution is most urgently needed, and I am supported in this belief by letters in my possession, written by c1i-.;tinguishcd physicians and surgeons, both civil and military. I tru!'>t the day is not far distant when such a muse um, exclusively limited to objects which come \\ ithin this category, may be established, a distinct line being drawn between such objects as are only intended for civil use and those which are for war. I am quite aware how imperfectly I have fulfilled my task on this occasion, but I know I am addressing many who have the power to carry the 'work I have so slightly indicated far beyond the limits that cramp and confine the energies of those who have to the best of their ability devoted many years to this particular subject. To those whose attention has never been directed to the matter, I would say: (( Take the first opportunity to enable some suffering invalid, who is now pining for the fresh air and green fields, to enjoy a change from the hospital ward, or, may be, the gloomy walls of a chamber wLerc :::t g'enial breeze

The A mbulmzce Organisation of tlte .fi-fetropolis.

is seldom felt, and where the nerves of the patient are racked by never-ceasing street noises." An act of charity like this, and the charity need not necessarily mean the expenditure of money, will be well repaid by the result, and a recruit will be added to our ambulance band. And to those who have considered the subject, especially the doctors, let me appeal for work such as they can give us to do; and with their advice, criticism and encouragement, men and women will be found to labour zealously in the cause, and tile carriage and reJJzoval of the sick and injured will soon become an organised institution, which will be a benefit to all whatever their position in life may be.

THE A IBULANCE ORGANISATION OF THE lVIETROPOLIS DURING E PI DE:\1 I C By V. B. BARRIXGTO l -KE

ETT,

M.A., LL.l\1.

lJe:jlfl)' Chairmall of the St. Jollll Ambulance Association.

AFTER some years of ambulance \\'ork in foreign wars I was glad of an opportunity of utilising any little experience which I might have gained, by assisting in the organisation of the l\letropolitan mbulances for the transport of infected cases. Many of you may not know that the 1\Ietropolitan Asylums Board, under the able Chairmanship of 1\11'. E. Galsworthy, has, among its other duties, the responsibility of organising and carrying out the transport by road and river ambulances of large numbers of sufferers from the epidemics, \\'hich from time to time \'isit our great city, and commit such havoc among its crowded population. As a member of the St. John Ambulance Association, I have gladly accepted an invitation to tell my colleagues at this Conference of our Association something of a new system and interesting branch of ambulance work. I wi h, C 2

Ambulance Stations.

The A lIlblllmzce Orga7lisation of the

1I1etropolis duri7lg Epidemics.

however, to preface my remarks by reminding them that I am not here to-day in any way representing the Metropolitan Asylums Board, or its Ambulance Committee I am only giving an account on my own responsibility, b~th as to facts and figures, of some of its ambulance arranaeb ments. \Ve are now, as you know, passing through a small-pox epidemic, and it need hardly be said that under such circumstances the removal of patients is a work of great magnitude and serious difficulty, on account of the large numbers to be dealt with, the cro-wded state of the thoroughfares, and the precautions which it is necessary to take in order to prevent infection during transport. It is to the public ambulance operations now going on in your midst in connection with this epidemic, and which must therefore be an object of some interest to most of you, that my remarks will be mainly confined. It cannot fail to produce a feeling of satisfaction and confidence among many of us to know that we have at our call in time of epidemics a powerful and highly efficient organisation for rapidly removing patients to the hospitals where they will be treated, and to the convalescent camps where they \\'ill regain health and strength. I propose first to explain to you briefly the po ition of the various ambulance stations, hospitals, wharfs, &c., and the general routes followed in transferrin IT the patients by road and river. For this purpose I have been kindly allowed to make use of the maps and some other articles contained in the Ambulance exhibit of this Exhibition. Referring to the map, you will see that there are six small-pox hospitals situated in various districts of London three of which are provided with ambulance stations depOts, in which are kept horses and waggons ready' for immediate use. These ambulance stations, situated respectively in the east, west, and south-east of London are in telephonic communication with the central offic~ in Norfolk Street, Strand, to which during the day information as to fresh cases is sent. During the night and

on Sundays application for an ambulance carriage is made at the ambulance station itself. Thus at very short notice indeed, in day or night, an ambulance carriage can be sent to any part of London. The regulations at these ambulance stations are carefully drawn up and strictly adhered to. After taking a patient to any hospital, each ambulance carriage has to be disinfected at tllat Iwspital before it is allowed back into the station, anu proper precautions are taken in the case of any of the ambulance staff who may be brought into contact with the patients. Each ambulance station is fitted with coach-house and stables, disinfecting-rooms, laundry, kitchen, dormitories and lm'atories, adapted to the wants of the resident staff. The staff consists of a superintendent, telephone clerk, dri\-ers, helpers, nurses, and other employes; all quite distinct and separated from the hospital staff. The necessity for these precautions will be at once seen when it is remembered that the ambulance carriages and staff are constantly passing throu gh public thoroughfares. This is also the reason why, as I have said, every ambulance carriage which lea\-es the station comes out pure and clean, Iwvillg been disiJlfected sillce can'J'illg its fret/lOlls case. All this is very different from what was going on only a few years ago. The authorities \\'ho then undertook the removal of infectiou ~ cases, used sometimes to be most careless as to the localities in which they kept their ambulance carriages when not in use. In one recorded case the vehicle used for infectiou s cases was kept in a shed in the workhouse grounds along with the parish funeral carriage, a van for the removal of the ordinary sick poor, the van for daily carrying breau to out-door poor, and a carriage used by the Guardian s. Moreover, the vehicle was never disinfected after use ! In another case the ambulance carriage \\'as kept alongside an invalid -chair for ordinary sick people, while in a third case the driver employed to convey infected cases confessed to taking- out people to evening parties and other entertainments without e\'er

MAP

SHEWING

THE

HOSPITAL S AND AMBULANCE ORGANIZATION

'0~

HAC

SIEAD

of -the

KNEY

METROPOLI TAN

ASYLUMS BOARD.

NORTH ~/ WESTERN

, ,,

HOSPITAL ,

,lr, ~~...

... _ ~ PLAISTOW

HOSPITAL

'r\

G ~

E uJ

\,..

() N.

()

WE.STE.RN

WHARF

(NOT YET OONSTRUCTED)

\ \

'DARENTH

CAMP ~ CONVALESCENT ",,, HOSPITAL ~:"i U >II< •

~~1fIt

SITE OF

W U4 4

SCALE OF MILES 2

"'"

GORE FARM SMALL POX HOSPI TAL (PLANS

APPROVED)

Sta:nford:s. CwgraphicaJ., EstaliM7unerrt

The A 1ILimlallce Orgallisatz'oll of tlte

lIIetropolis duri7Zg Epidt:lllics.

changing his clothes. I might quote other cases, but it is better to draw a veil over these scandals, and to console ourselves by thinking that in one matter at least this generation is wiser than its forefathers. The evils of concentrating any considerable number of infected cases in London hospitals has been fully recognised, and in consequence, as many as possible of the patients are removed from them in detachments as the state of their health permits, and taken to the floating and camp hospitals, to the great benefit of themselves and of chyellers in the Metropolis generally. This floating hospital, "w hich I shall describe more in detail later on, is situated on the Thames almost opposite Purfieet, nineteen miles below London Bridge, and the Convalescent Camp some our miles south of the Floating Hospital. Properly constructed ambulance carriages convey patients from their homes to the hospitals or wharYes, and in the latter case they are, subject to medical ad"ice, tal 'en at once on board the ambulance steamers, which call at regularly appointed times. If destined for the hospital ships they are taken there direct; if for the camp ho. pital, they are disembarked at Long Reach Pier, \\ hence ambular!ce waggons in attendance take them up to the camp. The time taken from the London hospitals or their homes to the wharves rarely exceeds an hour, while the river journey varies from I to I-?i hours. When the wharf at \VancJsworth is in operation this time will of course be exceeded. The ambulance carriages, thirty-eight in number, are distributed between the ambulance stations, and may be roughly divided into two classes-a large size, constructed or adapted to hold a maximum of five or six patients and nurse (but which will never, except on an emergency, carry more than four), used for transferring detachments of patients from tlte ItOspitals to the wharves; and a small size, used for conveying one or two cases from tlteir ItOJlZes to the hospitals or wharves. A special feature in the form of ambulance carriage now adopted is that it is ventilated as much as possible from abo\'e, and that the

side windows do not open low clown. The object of these precautions is to do away with the danger of spreading infection while the waggons are passing or delayed in crowded thoroughfares. The interiors are constructed of plain surfaces of polished wood easy to dean and disinfect. Trials ha\'e been made with zinc linings, and at the suggestion of Mr. Furley, some other improvements introduced in the last carriage built. One of his latest is a system by which a stretcher with a patient u}Jon it can be raised from the floor of the carriage and placed on the top row by one man alone standing outside. As an example of the work done by the ambulance ,,'aggons, I tal'e the week ending July 5 last, and find that they were employed in the following number of removals:

Amhulance Carriages.

Acute cases com eyed from their Homes to Hospitals and \Vharves in London. Acutl: and Convalescent cases from Hospitals to "\Vharves in London Convalescing cases from the Floating Hospital (Long Reach Pier) to the Camp. Recovered and discharged patients reconveyed from the Camp to Long Reach Pier Do. do. from the \Vhan'cs to their homes in London Do. do. from the London Hospitals to their homes Total removals

2,P

99 I62 I::!6 I26

77 I

If to these :figures we add the fever cases, 6r in number, we arrive at a total of 832 remO\'als in all during the week by the P oad Ambulances. It must be remembered that a large number of these journeys are in connection with the Camp and not in London itself. There are four ambulance steamers, of which two, the Ambuhnce r Steamers. Red Cross, and one unfinished, are specially adapted lor the conveyance of patients to the floating and camp hospitals; while a third, the Albert Victor, though arranged to carry acute and other cases on an emCl'gency, is mainly intended for the re-conveyance of reco,'ered and disinfected cases from the floating and camp hospitals back to the wharves Cll route to their homes. The fourlh ~teamer, the

· fi

The A 7Ilbuiallce Organisation of the

lIfetropolis dzwilZg Epidemics.

Marguerite, is intended for the use of the Hospital Ships' Committee, and the nurses and other members of the starf. T he dimensions, and other particulars of these ambulance steamers, are as follows :Accommodation of Patients. Length.

" Red Cross" New ship building

.no~}

" Albert Victor" " Marguerite"

Breadth.

Depth.

Draught.

~yin~ ISitting. own.

Speed about.

ft.

in.

ft.

in.

ft.

in.

105

ISO

13 2

200

129

17! 0

150

...

knot.

In the first three of the e steamers patients can be carried on their stretchers from the waggons into the cabins without any difficulty, and can there be treated as if in hospital. Special care has been taken to provide for ample ventilation without draught. A doctor and nurses accompany the patient every journey, while food and medicines arc kept on board to provide for all contingencies. The following figures show the work done by the ambulance steamers during the week ending July 5, the same which I selected for the road ambulance returns : Acute recumbent cases conveyed from wharves Not acute and convalescent do. " wharves " Recovered patients reconveyed to the in London en route to their homes

1:!9 II:!

T otal Ambulance Wharves.

The sites of the ambulance wharves have been selected as being in the most accessible positions with respect to the hospitals, and t o the probable requirements of the vari ous districts of London, special care being taken that they should, as far as possible, be approached by thoroughfares not likely to be blocked. When the whole scheme is

carried out there will be four wharves, two on the Middlesex, and two on the Surrey shore, viz :-One at Wandsworth (not yet constructed), Acorn Wharf at Rotherhithe, Brown's vVharf at Blackwall, and L ong Reach Wharf, almost opposite Purfleet. They will all be furnished with piers projecting to such a distance that the ambulance steamers can run alongside the landing stages at all states of the tide. These piers are to be covered in, so that patients can be safely conveyed along them in bad weather. A model of one of the wharves with its pier and landing stage is exhibited in the Ambulance Department of this Exhibition. The following are some particulars as to the ambulance wharves, gi\'ing their approximate distances by road from the various hospitals, and by river from the Floating Hospital at Long I each pier, where patients are disembarked for the camp. (See Table, p. 26.) It seems to be clearly established that the somewhat long journey by road and river to the Floating Hospital, which these figures show, is not prejudicial to the health of the patients. As a fact, they often express themselves pleased with the change of air and scene, and still more pleased when they are moved on to the Convalescent Camp. The Floating IIospital consists of three ships, the Atlas, Floating Ellrl.),JIlioll, and Castalia, moored in a line in the order H o pita!. named. Of these the A !las is a fine three-decker, lent by the -11(as Hospital 11lp. Admiralty, about 275 feet long and 40 feet broad. It contains three long wards, and though intended for ISO, could take a maximum of 200 patients on an cmergency. Thc ports of the ship have been enlarged and converted into windows, and in the middle of the hip a large aperture, or hatchway, 24 feet by I I feet 6 inches, ha been cut straight through the upper and lower decks. The effect of this, in conjunction with the series of windows replacing the ports, is to maintain an efficient system of \'cntilation, which is especially l1ece sary owing to thc lowness of the wards. HO\\iever, I am still of opinion that a ship of this type is not the best possible foundation for a floating hospital

LON G REACH P IER .

ATLAS.

CASTALIA .

END YMTON .

THE FLOATING HOSPITAL.

PLAN

UPPER

HOSPITAL DETACHED WARDS.

- - PLAN OF LOWER HOSPITAL - -

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HOSPITAL SHIP " CASTALIA. "

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TIte A lllbl//mlce Organisation of tlte

8 M

o o

lIfetropotis during Epidemics.

The Castaha is only just beginning to be used. To Castalia myself she is of special interest, as I was responsible for Hospital Ship. the suggestion of the peculiar « echelon" arrangement of the detached huts on the upper deck, or "family of Noah's Arks" as they were called when the ship was lying In the docks; an arrangement which has been well carried out under the supervision of Mr. Adam l\Iiller, while the long experience and critical eye of my friend, Surgeon-l\1ajor Bostock, c.B., has secured that no detail shall be wanting in the interior arrangements and fittings to make the Castalia a model hospital of her class. he is a twin-ship, which, as may be remembered, performed some unsuccessful voyages across the Channel, and was then abandoned as a passenger ship. She IS built of iron, and IS about 285 feet long, and over 60 feet broad. She has a long upper deck, and on it there have bcen constructed, diagonally or in lelLe/oll, five wooden sheds, of which the two end ones are 50 feet by 25 feet, and the remaining three 50 feet by 18 feet. The lower deck IS divided into five wards, of which the two end ones are semicircular, with radius about 30 feet, and of the remaining three, h\'o are 60 feet by 30 feet, and one 60 feet by 35 feet. She is designed to accommodate ISO patients, but could take 200 on an emergency. The object of the /elte/on system IS to have as much open space as possible in front of the windows in the long sides of the wards, and thus secure the maximum amount of cross-ventilation. The fact of some of these windows looking edgeways up and down the river gives a far more cheerful look out to the patients than if they looked direct into the wall or windows of the adjoining huts. The lower wards are ventilated artificially on the Boyle exhaust cowl system. A beautiful model of this ship, and the additions executed by Messrs. Green, the well-known ship-builders, is in tbe Ambulance Department of this Exhibition. The ElldYlllioll) an old frigate lent by the Admiralty, E/lI()'lIIioll 253 feet 10n12-, is used as an admini"tration ship for her two lt~dmsi.llli~tra'-' lUn lip. companions. lIere the nurses and othel clJlpl{l)/~~- li\c ,,-hen

SteamLaundry.

Convalescent Camps.

Tlte A 7Ilbula71ce OrganisatiolZ (If tile

off duty, and the office, cooking, and other administration work is carried on . At the present moment there are about I SO patients under treatment in the Floating Hospital, and a hospital staff of about 130 persons. On the south bank of the river, just opposite the Floating Hospital, is situated the Steam-Laundry, where all the washing, for both patients and staff, is carried on. As the Thames water is hardly fit for washing purpo es, the water, both for the Floating Hospital and Laundry, is conducted in pipes from the Kent \ Vatenvorks, a distance of four and a half miles. Some four miles south of the Hospital Ships, on the slopes of the Darenth Hills, are pitched the two Com-alescent Camp Hospitals, at a distance of 360 yards from each other, one formed in March, and the other in June last. To show how rapidly this class of hospital can be erected and organised, I may mention that on l\Iay 30th last the order was given to form the second camp, and by June 21st-a period of only three weeks-there were 300 patients actually in the camp, with infirmaries, kitchen, laundry, boiler-house, and all that was necessary for their proper comfort and treatment. This result is mainly due to the energy of the Chairman of the Camp Committee, Sir E . Currie, and those employed in the work. The sleeping-tents in these camps are pitched in double rows, with an interval of about 80 feet between the rO\\'s, and 50 feet from each other. They are occasionally arranged in Iellelon, to suit the undulations of the ground. The kitchens, boiler-house, bath-house and scullery are in wooden structures. The following are the sizes of the principal tents :ft.

Sleeping tents for 20 beels . Day tents Infirmary tents for 16 beels

ft.

SO by 25 60 " 25 80 " 25

Good sanitary arrangements have been carried out at these camps. Gas is used for lighting and cooking-, and the tents are \varmed when nece"sary by a system of

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1I1ctropolis dZl1'illg Epidemics.

hot-water pipes. At the present moment there are over 900 patients in the camps, but not long ago as many as 1200 were under treatment. This new ambulance organisation, which has to-day been so imperfectly described to you, is undoubtedly an enormous advance on the old practice. It is not many years ago when poor people suffering from small-pox were known to be jolted for miles in cabs in which they could not even lie down. Again, to show how lax used to be the regulations and surveillance as to this important matter of transport, the following are some examples. They did not come under my per~onal notice, but I believe they are true stories. A certain costermonger, attacked by small-pox, arrived at one of the hospitals in a cab \vhich had been converted into a makeshift ambulance. He was accompanied by a brother costermonger inside, and two others on the box! An interesting example of professional attachment. History does not mention how many public-houses they visited on the way. Cases used not to be of unfrequent occurrence in which friends gave a farewell shake of the hand at the hospital door to some less fortunate companion afflicted with smallpox or [ever, wishing him a speedy recovery. Again, it has been rdated how a certain ambulance cab once solemnly dro\'e up to a hospital, and the driver produced a certificate of an acute scarlet fever patient, of which he was up posed to be the bearer. To the astonishment, however, of the learned doctor, out popped from the cab a merry little man, rubbing his hands, and having all the appearance of enjoying robust health and a good joke into the bargain. On the driver being asked to explain, he said that he duly drove up to the house of the [ever case, and after remaining ome time heard the cabcloor slam. Thinking that this was a sure sign that the patient for \\ hom he was sent was all right inside, he drove on. I lis story was quite true. The merry little man had observed the fever cMri<lge stop, and as he thought he would enjoy a drive, he jumped in and slammed the cloor.

DisclIssioll.

DisclIssion.

His little joke was perfectly successful, and he had an hour's pleasant drive at the expense of the ratepayers. In another case, a happy party arrived at a certain hospital, the driver intoxicated and the patient also. In attempting to get down from the box, the driver fell and broke his leg! Such irregularities, to use a mild term, would undcr the present arrangements be impossible. In conclusion, the work of the new ambulance system now in operation may be briefly summarised as [ollows:Infected persons are being removed from the Metropolitan area at the average rate of nearly 300 a \\'eek, with the result that nine-tenths of the small-pox patients, instead of filling the London hospitals, are being treated in the country, twenty miles from the l\Ietropolis. At the same time, it seems certain that the convalescence of patients is being accelerated under the favourable conditions in which they are placed in the Convalescent Camps on the Darenth hills. We are, however, still passing through an epidemic. vVe are not yet out of the wood, and the new system has yet to bear the test of time. It looks hopeful indeed that the number of fresh cases of small-pox is now gradually, but decidedly, diminishing; if this result can be in part attributed to the rapid and systematic removal of so many hundreds of infected persons from our crowded l\letropolis, it will amply repay the time, trouble, and expense, which has been so freely devoted to the organisation of the ambulances of the Metropolitan Asylums Board.

congratulated England on possessing such organisations which would no doubt soon be developed on a laro'e scale, b not only in this country but abroad. In a short time he believed there would not be much more said about ambulance work, but much more \yould be done. Looking only at the military side of this particular work, the progress was very astonishing, and coming back to accident and illness in times of peace, there was no doubt sufferers had been greatly injured by the un skilful and irrational modes of transport which had been adopted. If the mind of every one were directed to the necessity of further progress in this direction, the " 'ork would go on until it became so general that there would be no necessity for speaking more about it. \Yith reference especially to the question of treating those affccted " 'ith infectious diseases, there had hitherto been great negligence and want of care with regard to their transport, even in countries where medical men and those properly instructed in the matter thoroughly acknowledged the necessity for due precautions being taken. The epidemic which was now raging in the South of France "'as a striking instance of the necessity [or providing for such dangers before the necessity actually arose, and the recent lamentable raiiway accident should also show the necessity of all kinds o[ appliances being kept in readiness on all the lines of railway, and for the persons engaged in those railways being properly instructed as to the care of the wounded. Sir JOSEPn FAVRER, K.C.S.I., said he had listened with the greatest pleasure to both these papers, and thought it must afford a great consolation to e\'ery one's mind to know that these provisions \\'ere made in the event of the sickne s which certainly might be regarded as imminent. \\T e were in the middle of an epidemic of small-pox, and were threatened, though perhaps not seriously at present, with a post.;ible epidemic of another sort, and it behoved e\'eryone to make such provision as he could [or the proper care and management of the sick It had often been to him one of the most seriolls con ' ic.lerations, if <lnyone in his own hou e

DISCUSSION. Baron Dr. MUNDY complimented both the gentlemen who had read the papers, each of whom had already proved their capacities on the field of battle in time of war, and who now devoted their energies to the alleviation of sufrering in times of peace. lIe also

Dz'sc2I SSz'011.

Discussz'01Z.

were to be suddenly seized with infectious disease by what means could he get that person conveyed to a hospital, because he knew that there he could have much better treatment and care than he could possibly have in the best house in London. He did not know until that day that such excellent means had been devised, and though they were at present only inchoate, there was every pro pect, he hoped, of the organisation becoming much more greatly developed. Dr. BILLINGS (United States Army) said listening to these papers brought to his mind scenes which occurred long ago when he first entered the army, when practically they had no ambulance organisation whatever at the beginning of the war, and he had been running over in his mind the various steps taken until they had what might be called a very satisfactory system. Noone who had not seen the terrible sufferings which resulted when the provisions were defective, or when there were none at all, when all was confusion, could fully appreciate the importance of being wise in time in providing organisation and trained men. One of his first experiences in this matter was the second battle of Bull's Run, when they impressed all the hackney coaches, and in fact every other vehicle in \Vashington. He recollected in one case a gentleman and his bride had to get down in front of the hotel as they were startingon their wedding trip, their carriage being taken, with everything else that could be got hold of and utilised as best they could. By the end of the ,var, however, they had an ambulance corps of men properly drilled; they had got rid of the clumsy waggons and carts, and had light, easy running waggons drawn by two horses, and were able to deal with 5000 to 8000 or IO,OOO wounded, and bring them to hospital, and of course they had there to traverse a country very different to anything in Europe. One of the great improvements now going on in America with regard to the care of the sick and wounded was the provision made by the railroad companies themscIves, some of which had cars carefully fitted up with all apparatus ready

to be moved to any point where there was an accident, besides which they provided small hospital knapsacks, or companions as they were called, to be carried with every train, so that there should always be the means of dressing a simple 111JUry. Then, again, in some of the large cities, notably Boston and New York, and to a less extent in Philadelphia, there was a very complete municipal ambulance system, by which anyone could obtain an ambulance in a few moments; it was worked almost on the same system as the fire brigade, and had done excellent work. The special reason why it was very desirable that there should be some preliminary organisation for military purposes was, to avoid the confusion which sometimes existed when hastily formed voluntary associations, not always perhaps doing quite the wisest thing, though acting with the best intentions, came into conflict with the Army Medical Department in its organisation. That occurred to a slight extent at the beginning of the war in America. He did not wish to be understood for one moment to depreciate the enormous value of these voluntary organisations, but only to show the necessity of their being provided and organised beforehand, so that there should be a perfect understanding between them and the Army l\1edical Department, which they came to assist. In the first portion of the war a very large amount of material and money was wasted simply for want of organisation and training. Dr. eRA WFORD (Director-General of the Army Medical Department) said he came to learn rather than to speak, and had not thought out any particular point on which to address the meeting; but this subject was so entirely new that one could hardly make a mistake in addressing himself to any particular portion of it. He should, of course, ha"e preferred addressing the meeting on the military aspect of the work, but probably that would be less interesting to the meeting than the aspect which the subject presented from the civil point of view. In reality, the great question to be solved was when you had a sick, wounded, or injured man or woman requiring to be removed from the place where

[ . 10.J

Discllssioll.

they were injured to a place where they could have proper medical aid, how was that to be most easily, safely, and expeditiously done. Heretofore it had been an altogether haphazard matter; when a man fell from a scaffold, as a rule, he was pushed into a cab regardless of the nature of his injuries, and, in nine cases out of ten, he might possibly be injured much more on the journey to the hospital than he had been by the fall from the scaffold. These things were discreditable to medical men, because it was the duty of the profession to teach the public what was required, and to leave the onus on the shoulders of the public how that requirement should be met; but they were also discreditable to the nation at large, because many men, like Mr. Furley and other gentlemen, had been preaching for years on this matter, and yet people were not sufficiently alive to the importance of it. With regard to shipwrecks the nation was thoroughly alive, and on almost every headland there was a lifeboat institution, well organised and trained, and well supported; but taking the cases of injuries by railways, in coal-mines, injuries by flood and field, on scaffoldings and clse\vhere, among the whole population, what provision had yet been made? Practically, with the exception of this admirable provision in London to meet the requirements of contagious disease, they were almost without any. As was well said the other day by the Marquis of Lorne to a member of a London Ambulance Association, we must not be satisfied with the work of that Association until every village in England should have its stretcher party and ambulance school. One other aspect of the question he might just refer to ; why were the great hospitals all over the country so indifferently supported considering the great need for support that all had at the present moment, and why were they less popular than they ought to be, considering the first-class skill brought to bear on the requirements of the sick in the medical as well as in the nursing departments? One of the reasons was because, he thought, every person knew how difficult it was to get a sick or wounded person from the house to the hospital,

D £s cztSs£o n.

and consequently, looking on this as an insuperable difficulty, they took less interest in these institutions. To m~et that requirement was the object amongst others of thIS great movement, and he hoped a few years hence would see every hospital provided with the means within it~el~ of. sending for patients, and every village providing WIt~ll1 Itself the means of sending to the hospital the aCCidents and injuries which might require treatment. The CnAIR IA said the Director-General had touched a very important question, that of the difficulty of transporting patients to hospitals. There was a gentleman present who could speak as to the work done in the Northern Hospital of Liverpool, and he would therefore ask him to give his experience. l\1r. R. HARRISO.L (Liverpool), said he would in a very few words contrast the position of things before this movem.ent aro e with what it was at present. Speaking of Liverpool, with which he had been associated for many years-but probably the same remark would apply to other large cities-he did not think anything could possibly be worse than the way in which people were brought from the scene of an accident to the hospital. It was velY frequently remarked by the surgeons who examined these ca es, and condemned a limb to amputation, that this necessity did not arise from the accident, but from the treatment to which the patient had been submitted in the process of removal. That remark had been re-echoed by Dr. Crawford, and was generally known throughout the large hospitals, but it wa most important that the public at large should also understand it. In 188 I he had the pleasure of paying his second visit to the United States , and durin ba that visit he tool- a very deep interest in the ambulance question. He remembered one remark made by a suraeon . b 111 New York, who was deeply interested in the subject, who showed him everything connected with the transport of sufferers, expressing his great surprise at hearing that in England there was nothing of the kind, and he said that in the United States they could not afford to 10 e a single

D iscltsSi01Z.

M i1ii1lg A cC£dcnts.

life. On his return to Liverpool he laid this subject before the medical authorities there, when he was glad to say it was warmly taken up, and now, throughout Liverpool, they had ambulance waggons and litters, which he could assure them were doing a most admirable work. Patients were now brought from the docks and steam-ships, and from the suburbs, who had been subjected to severe injuries, in a far better condition than formerly, and in consequence far less amputation took place than before the ambulance movement, simply because the hospital treatment beeran o , so to speak, at the time of the accident, and the patients were not brought doubled-up in cabs, or conveyed on the backs of their comrades, causing fractured bones to take a course which, before such an audience, he should not like to describe. They had been satisfied with the result of this work beyond measure in Liverpool, and he was quite sure it had been the means of giving, not only great comfort to these people, but had saved not only many limbs, but many lives. Dr. FARQUHAR 0 , M.P., said, although he had the honour to be an Associate of the Order of St. John, his knowledge of the subject was not so precise or accurate as it ought to be, though, thanks to the two admirable papers 'which had been read, he had learnt a great deal since coming into the room; the first paper showed how useful it was for persons to acquire this elementary surgical knowledge. Probably there were not many present who had not attended an ambulance course of lectures, and he dared to say that many of them knew the exact course of the femoral artery, and were prepared to reduce a dislocation at a moment's notice, but the objection had been made that persons having this theoretical knowledge, "',Then it came to the point, lost their heads and presence of mind, and became perfectly helpless at tte sight of blood. Now, it was quite evident from what had been said, that this was not the case, but that those who had attended these lectures were able to go forth and use their theoretical knowledae with efficiency and skill. A real benefit had therefore be~n

conferred on suffering humanity by the skill with which persons were treated before their removal to the hospital. The second paper was perhaps of even greater importance, as it showed how infectious patients were being moved to hospitals without the fear of infecting others. In old days, removal to an hospital simply meant an ingenious and elaborate means of spreading infection to other people. Some instances had already been given, and perhaps many would recall one which was mentioned in the Times' some time ago, about a person passing a small-pox hospital, who saw a cab drive up and deposit a very bad case of confluent small-pox, and when it had driven about fifty yards off actually take up another fare, and drive off with it nder the e c. 'cellcnt arrangements nothing of this kind would be possible in the future.

Surgeon-Major IIUTTO . . paper : -

then read the following short

Ix the limited time allowed in these meetings for discussion, I CLl11 only select one subject for comment, among many relating to the removal of the sick and injured. This one, however, is very important, as it ha close connection with the national health and the national wealth. I would refer you to the numerous accidents that are continually occurring among our large mining population, our colliers and iromyorkers. By way of example, I would first refer to an individual case. A man, a skilled artizan, has his leg broken in one of our large ironworks in the l\Iidland countie. Let me read to you an account of the accident, as given to me in a letter from the doctor in attendance. cc The man was hurt in the beginning of l~ ebruary-his injury was a simple fracture of the leer and carr)TiIler him home the fracture was complicated OJ 0 by a serious displacement of the foot, which has acted so seriously that a limb which would have been well in three month, will take at least seyen months before it is quite sound." You ee there the unfortunate result of

lVlinillg A ccide71ts.

want of system, care and skill in the removal of an injured man :-fully 16 weeks more, in this case, of cnforccd idleness, for lack of timely first aid and careful removal in the manner recommended by Mr. Furley and the St. John Ambulance Association. Now, the man was in reccipt of 30s. a week, and, of course, during the whole period of his sickness, this has been lost, but that is not all, he has bccn receiving from the Employers' Liability Assurance lOs. a week, and another 5s. from the sick club, making a total loss of £2 5s. a week. The question arises, can wc sum up this loss as dcad loss, for, of course, the sick bequcsts replace the wagcs as the family's expenditure, but then the man's productive labour is lost to the amount of his O\\ln wages, and his employer's profits also; unless ha"ing taken on another man who was out of work, then wc must cancel the 30s., as being dead loss to the sufferer only, and not to the productive labour of the community. If so, you must subtract the money he receives from his wages, and say hc loses 15s. a week, and the clubs 15s. a wcek more. It seems to me an important calculation, and I should like, when opportunity affords me, to take the opinion of some expert on questions of social economy on this case. It must be evident, however, to everyone here, that the loss to this man and his family is very great. The money he receives per week for the support of himself and family is reduced from 30s. to 15s. a week, and that means less food) less clothing, less of the actual necessaries of life, and therefore less health for his family. Now, this is onc of many thousands of cases that take place every year among our great mining and industrial classcs. Let me instance a private engineering and manufacturing firm, employing, perhaps, the highcst skilled labour in the country. I find that in one year (1883) their accidcnt compensation fund had paid £1,306 8s. Id. for injuries received by thc workmen, 214 claims had becn admitted, and the sums awarded varied from 2S. 3d. to £200. This firm has, during the last winter, introduced proper ambulance materiel, and a largc number of their men have been in-

lJlillilll!, Accidents.

structcd in using it, and in a lettcr I have recently received from the secretary of the accident fund, he states, (( when preparing the report of the ambulance classes, I ~al~ed ~he attention of the committee to the remarkable d1m111utlOn in the number of cases coming forward for compensation." Carry this inquiry still further, to a district, the great iron-mining district of Cleveland and North Yorkshire. From returns that havc been furnished me by the Secretary of the Mincrs' Association, for the year ending Deccmber 31st, 1883, the total number of accidents reported werc 847 non-fatal, and 29 fatal. This report states, "if we make a vcry moderate calculation in relation to the accidents which have not been reported, we arrive at the startling fact that one person has been injured or killed eluring 1883 for cvery eight employcd in and about the Clcveland mines." Some of the non-fatal accidents haye been of a very serious character, laying off work the su [[erers for weeks and months; and I am sure a perusal of these returns convey with tcrrible distinctness an idea of the dangerous naturc of the miner" work. I cannot gi~e a corrcct account of the time lost in all these cases but, 111 another report of a small cottage hospital in this dis~ri.ct, the' Guisborough :M iners' Accident Hospital "-75 111Jured men have been treated during the same year (1883). 11any of the 'e were serious fractures, and the combined time these cases were in hospital amounted to 750 days, or upwards of two years' employment. That did not mean all the l?ss, for many of these poor fellow, after they left the ho pital, had not reCTaineel sufficient strength to re ume work for some time ~o scrious had been the nature of their inj uries. If wc ~xtend our inquirics to the coal and iron-mining districts gencrally throughout the country, you will find that there arc some 560,000 men and boys employed, and that one relief society alone in one year assi ted 14,9 2 9 injured cases, and last ycar (1883), ou~ of a to.tal. m~mber ship of 224,000 belonging to the vanous socI.e~le . 111 our mining centres, no less than 44,579 cases .of 111Junes. were rclic\'cd. Lord Crawford and Balcarras, a h1gh authonty on

Mz'71£1lg A eeidents.

these matters, stated at an ambulance meeting at vVig-an some time ago, there could be no doubt that as many as 100,000 accidents, large and small, occurred throughout the mining districts ofthis country in one year. Surely, then, with facts such as these before us, so much pain and uffering to alleviate, there is abundance of good work to be done by proper means of carriage for the injured, as brought to our notice by Mr. Furley. It must be obvious to e\'cry one, from the facts and figures I have quoted, that thi subject is one largely affecting the national health and the national wealth, and especially the health and well being of a class of men whose toil and whose labour contribute so much to thc comfort and wealth of the nation. I believe it would afford much pleasure to His Royal Highness the Prince of \Vales to know that this Exhibition had been the mean of assisting in promoting work calculated to relieve pain and suffering among our mining population, by assisting in the introduction of well-regulated means for the carriage of the injured everywhere among our collieries and ironworks. I would ask, then, everyone here to examine for themselves the ambulance exhibits, and to exert their influence to foster and extend this good work. I would particularly urge upon the owners of royalties in mines that they should largely contribute, and unite with those who work the mines, to provide proper ambulance material for the mininrr b districts. I hope the day is not far distant when this work of the St. John Ambulance Association, the safe carriage of the sick and injured-will take the same place in the hearts of the people of this country as that other noble work, which has done so much during the past sixty years to save life and relieve suffering on our stormy coasts-the work of the Royal National Lifeboat Institution. I ask you all to assist Mr. Furley and the St. John Ambulance Association in making more widely known this humane and christian work, for in reality it is, if only the public were made aware of it, A ]'vational Life Brigade upon tiLe Land.

Discussion.

DISCUSSION. The CnAIR fAN said he might venture to hope that al1 who had heard the paper and address had been as much rrratified as he had himself, for he must reckon himself as b one of the audience, his office of President carrying with it no pretence whatever of being a leader in relation to this subject, or even to be well acquainted with it. He had to confess, like possibly some who had listened to him, that he had no familiarity at all with ambulance work. His occupation in the profession had been of a totally different kind, and he had been so entirely engaged in it, that he had had no opportunity or time whatever to study the very useful facts which had now been placed before them. There was, in fact, only one direction in which he had studied them, namely, that as surgeon to a large hospital he had constantly seen the need there was for a better transfer of patients, whether sick or wounded, into the hospital wards, and he could, of course, from his own experience, repeat numbers of instances similar to those which had been mentioned. In apology for himself and others who had to do with hospital, he must remark that when they looked at the difficulties which existed, they could not but observe that as the difficulties existed everywhere so must the remedies be everywhere. They might have arranged a system of ambulance close by, but the patients in large hospitals were brought from the narrowest streets and the most distant villages, and from every part of the country, and it needed the enterprise and co-operation which was shown in a society such as this, to be able to take in hand a work of which the design would be, a they had developed it, to spread the system of ambulance far and wide to every village in the kingdom, and to bring the knowledge of its utility and its application within the ranCTe of the whole community. The work was not oneb half, nor yet one-tenth, accomplished when an ambulance was established, even in that great city, whilst they did not

[c.

10.J

Discussioll.

Discussion.

exist in places 10, 15, 100, or 200 miles off The Association, however, had shown its intention to work this affair completely and successfully, and he would recommend it therefore to all present as an admirable instance of that which they might justly boast of in this and other civilised countries, namely, that if you only showed to certain persons the way in which they might be useful, and how they might exercise themselves, not subject to any governmental or central control, in doing good, it would surely be done. No example of this truth could be better than the one now illustrated. He must not be held, however, to imply that work of this kind could not be done except by purely voluntary agency. The work of the army was, with the whole discipline of the army, perfectly complete in itself. The work of the Metropolitan Asylums Board, as had been illustrated to-day, was also admirably complete under the central governing body; yet, as he knew pretty well, having been a member of the Commission, the work of which, with regard to infectious fevers, had' one of its issues in the work mentioned to-day, that work was done mainly by those who gave themselves to it as a voluntary task and duty-not by defined and paid officers of any kind, but men like Mr. Barrington-Kennett, Mr. Galsworthy, Sir Edmund Currie, and Deputy-SurgeonGeneral Bostock, who, with the purest philanthropy and the most devoted sense of duty, had worked at this matter, so that the work both of the Society and that which was done under the Metropolitan Asylums Board might be thoroughly commended. He might add, however, that this work of the transfer of the sick to infectious hospitals was but a very sma11 fragment of the great work which was being done. The management of the fever and small-pox hospitals in London might, to the best of his belief, be taken as a model by every country in the world. They had heard how valuable this system had been in Liverpool, and he must say he never passed through Hyde Park without admiration for the ambulance arrangements made there, chiefly at the instance of Mrs. Prie~tley, the result of which

had been a very great diminution in the seriousness of accidents to which that part of London was most exposed. All the officers of the staff of St. George's Hospital could te11, as Mr. Harrison had already told, how the injuries they had to deal with became less in proportion as the ambulance system was developed in the Park. He would venture, then, to urge on all present, and ask them to urge on those who were not present, the duty of helping in every way they could in the extension of this important work of first help for the sick and wounded. He might as well say that in doing it, although he was rather against going down to a lower motive, that there might be an exce11ent selfish one as well. He, who in these matters had learnt to help others, had also learnt how to insure the best help for himself. There was a story which he believed was authentic, concerning one of the most brilliant of his predecessors at St. Bartholomew's Hospital, Percival Potts, the master of John Hunter. He was thrown from his horse on London bridge a century or more ago and fractured his leg. The people were as benevolent then as they are now, or nearly so, and rushed to help him, but with his whip he cut this way and that, and drove them off, and they thought he was mad. He cried out, cc Send me a shutter," that being the best litter for him at that time, and then he quietly shifted himself on his back on to the shutter, and had himself carried home with his simple fracture not rendered compound. That would illustrate the benefit every one might secure for himself if he would learn how to help his neighbours in such matters. Finally, he would balance the instances of selfishness rewarded, by reminding his audience how completely the ambulance work might be the reward of charity. Few things, indeed, were there in which charity could better exercise itself than in this. There was ambulance work or first help in that incident which led to the giving of the command most general and rno t unconditional-where a man on finding another wounded by the roadside poured in oil and wine, and set him on his own beast, and took him to the inn. That was an admirable

(~ 44

DisclIssion.

example of what might b e ambul ance work, and the command was, " Go thou and do likewise." Sir E . LECIIMERE, M.P., t hen proposed a vote of than ks to the chairman. There was no doubt the interesting papers they had heard, and the discussion which had succeeded would do much good, as it would make the work of the association known ; but he believed that nothing woulcl do so much good t o promote interest in ambulance work, and to convince the medical profession throughout England and other countries of the reality of this work, as the presidency and cordial support which Sir J ames Paget had g iven to it. In the first initiation of this work the association sought the advice and sympathy of the medical profession, who had most freely and liberally given it, and from that moment they had tried and determined to deserve their confidence. To some extent they had done <;0, but every one would allow that the greatest proof that they had at last succeeded in obtaining the acme of their hopes, wa~ the fac t of having secured as the president on this occasion one so distinguished as Sir J ames Paget. lIe hoped that meeting would produce many good results, and amongst others that it might lead to the establishment of such a permanent museum in connection with ambulance work has had been suggested in Mr. Furley's paper. Sir EDWARD PERROTT seconded the vote of thanks, which was carried unanimously, and the proceedings terminated.

$t. 3-0bll Rll1blllance E\ssociatioll.

THE URGENT NECESSITY FOR MAKING SU RG ICAl PROVISION FOR RAilWAY ACCIDENTS ,"

A-

pAFER; REAIl BY

BAR ON

MU N DY

DR. (OJ Vielllla),

~l onotnr)l ~~~ o Ct '1ic nf tuc J)rucr of ~t. ~' og n nf ~rcnl %' d rm

(C0ngl1% I' ,1£'lng n '1g e) ~ AT THE

ROYAL UNITED SERVICE INSTITUTION! JUL Y

29TH,

18 84,

SUR GEON- GENERAL T. LON GMOR E, C,B. , IN TH E CHAIR. Co/,i.:s 0/ tliis Pap/'r call be oblailled 071 applicatioll 1(1 llie Cliiif s,'cre/n I)" St. jolm Ambulallce Association, SI. Joili/'s Cale', Cier/.:t:JI'io/1 I, LOlldoJl, E. C. ~"~LOll: ]'J(JNl'ElJ BY WILLIAM CtOWRS AI'D f.OI'H, I, IMITED, ~l'AMFOIW ~TI:r,;t:T AND ClIAllll\G CIW55.

LO DON: H AR RI SO N

AND

'-' ,

MARTIN'S

;ptintrrfi in Q)rb-innr!! to ll1cr rnnjrdu ·

"THE URGENT NECESSITY FOR" MAKING SURGICAL PROVISION FOR RAILWAY ACCIDENTS." ON Tuesday, July 29th 1884, a meeting was held at the Royal United Service Institution, under the auspices of the 't. John Ambulance Association, to hear a lecture by Baron Dr. 1Ihuldy on "The Urgent Necessity for making m'gical Provi ion for Railway Accidents." ~lU'geon-G eneral Longmore, C.B., presided; and amongst those present wereSurgeon-General Mackinnon, C.B., Dr. Sieveking," Chevalier Krapf, Chevalier de Reichel lr. J. t;' urI ey, Capt. II. C. Perrott, Dr. F. Tayler, urgeon- fajor Don; lU'geon Cro s, Major J. Gildea, &c. The CHAIRMAN said: I feel some explanati.on of my acceptance of the position of Chairman is due from me. When I heard the natm'e of the subject which was to be considered, it naturally occurred to n1e that the propel' person to preside was someone who had a direct connection with railway service. My suggestions in thiH regard were, however, ovelTuled, and, probably, for the reason that ome years ago I called attention to the necessity for a sYf:ltematic organization of help to meet the wants of accidental injuries when they occur on a large scale in towns, ill manufactories, and other places where a considerable numbeT of pel' ons are collected, a nece ity which happily no longer exists, 011 account of the admirahle work of the St. John Ambulance Association, and partly, probably, because it was known that I had given a good ded of consideration to the arrangements best suited for meeting the needs created by conflicts in time of war, the request to take the chair was still urged on me. Under these circumstances I felt that it would be ungracious to r efuse the honour sought to be imposed on me, aHhough I remained w ell aware that the

post involved respcnsibilities which many others were better qualified to fulfil than I am . Having given this explanation, allow me now t o introduce to you Baron Dr. Mundy, whose name i famili 11' to a large circle of European admirers, on account of the humanitarian work in which he has been engaged in all parts of the continent during the la t thirty y ean" and who is now good nough to come and expound to us the system of aiel which has been organi 7Jecl in Austria to meet the nece. sities arising from the occasional calamitous accidents 'which attend railway travelling wherever raihYHTs exist. The subject is one of . erious importance, and ought to excite special intere t in this country, for, as far as I am aware, up to the present time there have been no special arrangements, no provision made of proportions adequate to the neeel ; nothing, at least, worthT of the name of a sy tem of relief for such terrible c'1tastrophes as that which has recently occurred near Manchester, and ,,,hic11 it is impossible to . a; may not. occur on any other railway at any moment. Baron Dr. ]HUXDY, who was very cordially received, Raid : It was on account of the terrible accident at Penni. tone that some of my friends called upon 111e to explain the system which is already at work in certain countries, ns a provif3ion for railwa accidentR. But befor~ I do thif:l, you will allO\v me to call YOl~l' attenti~n in general to such terrible accidentR as have happ~n d lately III yonI' own and other countries. Certainly, if we consult statistics, we find that England and the United ~ingdom generally has been very much spared from these dIsasters, and the history of your great railway accidents, I .un happy to say, is a comparatively short one There was an ~ccident which I witnessed myself, in 18G3, on the Brighton hne, near. Three Bridges. Another disastcr which happened was that III Scotland, at tIle Tny Bridge, when many lives were lost. Then, in 1874, there was another, which was almost as disastrous. Jf we consider such an accident, and describe in a few words the p osition of those who are so unfortun8te as to be in the train when the accident hnppens, I think we shall come to the conclusion that a railway accid nt is a much 1110re

5 terrible OCGUlTeuce than a battle. The soldier, in time of wa,r, is not blind to the danger he incurs. Every soldier is prepared to fight for hi.' country, for his Queen or Emperor~ and he goes fortb, knowing that he may be wounded, or even killed. But in <.1, pasRcmg r train you find all the bright incidents of happy life to be enjoyed, or of business to be performed. Yon see in the Rame train, it may be, a mother taking her children to ,'chool, a .'ole1im' retul'ning from the Soudan, and hoping to be safe for awhile in hi own country; you see men travelling on that bu. inc. H to which they and their families look for a livelihood' and wlany other whom you may inlagine for YOluselves. You will, I think agree with me that an altogether unexpected acr.id nt OCL;ulTing under uch circumstance a' tbe e is much mor . t rrible than any disaster that you could witne 'S on the baH1e-fielel. The pas engel's are not in the excitement of a uattlc, but a1' peacefully travelling-it may be in a pret.ty country-looking out, and enjoying all the urrolmdings of the line. An nccident happen. Are its con. equeuce' to be compared, 'ven ,'urgically peaking, with those of the battle-fi~ld? They <1nnot for they ewe in orne re pects much more senouS than those of the battle-field. Look at a train composed of engine and carriages, with it. different parts of w~o.d, i1'on, gla " eTC. onsider the h01'1'ib10: shock of a collI Ion the smtLshing of all the e materials, and the narrOW pace between t~e PI1,. engel' seated in the compartments, where no e cape IS pos. ible. On the other hand, you have a battle-field, probably a lnrge plain, where everybody has plenty of room, a.nd even the wounded have space to lie. You 111U t also take mto consideration that the s1.:uIerers in a railway accident, besides having to bear the fearful hock and the frightful wound which arc often su tained, haNe <1t the same time to be witne ses of t.he suff rings of others, companions, perhaps relative , wi~h.out being able to h Ip or xtricate them from their frightful po ItlOn. Such an accident docs not always happen at or near a centrnl station. It m<1y oc ur <.1.t n,ny time wb n W0 are travelling. You have nJso to ta,ke into eon id ration the diller nt seasons, (1nd that plll'haps iu ,vin reI' P ople may be lying for hour andlw:l1" ill urgent need of that help which may be the means of saVIng

their lives. l~ it really true that often no help is to be found? Undoubtedly it is. At the accident which I witnessed at Three Bridges, between London and Brighton, five days were occupied in extricating the wounded from the tunnel. "\Ve will suppose that under present circumstances a telegraphic message is received at the central statiOll to the effect that an accident has happened many miles down the line. The station master will apply to the police, and the police apply to the medical men in the neighbourhood. A special train is put on, and the few doctors who can be got together in the greatest haste are despatched in it. This is all the help that the train brings. \Vhere are the dressers, boxes of materials for administering first aid in horrible cases like these? Where are the stretchers and the ambulance wagons? You may say, " ,Vhat for?" Simply for the reason that you cannot know the distance to the nearest hospitals and the sufferer cannot be taken back in the same train 'without aggravating his injm'ies or perhaps sacrificing his life. There is no such r elief, or if there is the amount of it is so small as not to be at all adequate to the neces ities of the case. \Vhat is wanted must be prepared beforehand for such emergencies. Here you will allow me, as in time of war, to make a distinction between physicians and surgeons. An able physician of the highest standing will not be of such service as a young gentleman who has just left the University, and is greatly inferior to him in ability, but who is nevertheless a good dresser, and can attend to the \younded. This is a point to which I attach great importance. It is not sufficient to call on so many doctors; you must call on so many surge ons. Then in regard to assistance to the surgeons : are the bystanders under present circumstances likely to be able to render useful assistance ~ Can the guard of the train assist? Generally, he is of no use. He has no experience, and cannot assist the surgeon in his work for want of it. Then, again, I wish you to look at the way in which the people are taken out of the different carriages. There is no system of getting the wounded out, and I say that it is most important that some instrument should be invented for cutting down immediately the different compartments of wood 01' for making holes to extricate the

woundeu., so that they may not be tormented, or theu.' injuries aggravated, by the un skilful mode of extricating the wo~nded from their position. I have only witnessed two great raIlway accidents, but when I sa,w those I was impressed with the frightful loss of life. It is mainly on that l1,ccount that I want to urge upon you, 'peaking 1ulder some difficulty, in a language with which I am not familiar, the great importance of providing ill England mea,ns which can easily be invented by engineers alld others for getting the wounded rapicUy out of the ClebTis of the carriages. But ,-,'upposing when the sufferers are extricated, what can be done? Are the medical men sufficient? From all directions crie for help ari e and often even light is wanted. Arrangements could be ea ily made for taking electric light to the scene of the accident; but the great requirement is a taU' of surgeon, of which a register may be kept in case of accident. Then, it i nece 'ary to have a quantity of ?nathiel. Ilow can we obtain till? 'rhat i a qU8stion which in your country it i very ea y to an wer. The public in general, and tbe authoritie, are u ing the help of the society which you call the "t, J oh11 ..c~mbulance A sociation, which i carrying out its work in a very methodical and careful way, in tructing people in the dressing of wounds, carrying the injured, and other ambulance work. If you keep a register of sm'geons and other, especially in the large towns, who may be available for such work, then if you are not able to attend to every cata trophe, you will, at least, be able to do a great work ill compari on with nothing. If on every line such people (;"\,re registered, then, on a ignal known to everybody, t~at an nccident has happened, people will go to the spot WIth wagons, stretchers, and boxes of appliance , and the surgeo~s will follow a soon a po sible. Thu, many penple who dIe now for want of attention, and owing to their iujm'ie becoming complicated, would certainly be saved. rrhe co t w~uld not be con'iderable. The e rcgi,tered people would be dispersed at large through many towns and villages, and if you were to distribut a thous::md stretchers amongst those towns the cost wonldllut be lllore t.han £2,000. 'Vhat is that in consideration uf the help th i.\' t can be c"\,ffunlec1. not only for extraordinary j

cases, but for cLUY rail \Yet} C:1Ceiuellts which may occur? Compared with other sums which have been subscribed) this wonlel be but. a trifle for the generosity of YOiU noblc cou l trythe most generous I have found in the world-to place at the eli posal of such an excellellt society ClB the t..J ohn Ambulance As. ociation. You may say, "Are not the raihyay companies themselves doing enough; do not the doctor , the superintendents of the companips come forward and help?" I must say that I cannot see that the companies are doing enongh, or that there is in the country any organization for aiI'm ling relief at railway accidents. A mo. t important thing a1. 0 i the method in which this help is carried out. Luxnrions furniture for the carriages i not required. Ordinary good vans, furni. hed wit.h supplies of stretchers, bandages, and splints, will do for ambulance wagons. If the people who carry the wounded are unskilful, a simple frachU'e may easily be made a compound fracture. resulting in bleeelil1g, and perhaps death. At pre ent, moreover, there ar e no means of keeping the pa tien t in a r ecumbent position, the best for a wounded man. In other countries such organizations are already in action. P rhaps you will allow me to quote my own country, Austria. It is now about eighteen months since the Government took this most important question into consideration, and asked the Vienna Life-Saving Society, to which I have the honour of being the Honorary Secretary, to put before them a plan of organization. We began by fitting up wagons in such a way that good beds can be at once provided, and supplying them with stretchers and surgical appliances. These are kept at all the great railway I:ltations. Every company was obliged to give to the Society a certain number of wagons, corresponding to the extent of their lines. If an accident happens which is not very serious, any station can make use at once of its wagon, and all th e necessary arrangements are made at the same time. But, if a great catastrophe happens, the wagons are sent to the spot. Medical men are registered, and they arc called fOT and sent by special train. They also have authority to go on horseback or in carriages, and the expenses incurred are liberally reimbursed. Every surgeon has his own badge, alld the other

traill 3d men have th ir c rtificates and badges to make themselves knOWll at once. They are provided with mate/riel. Ambl/lance wagons are only at the central stations, but they may be sent to any place where necessity requires them. Litters, boxes of applin-nce, lanterns, &c., are sent in great quantities. Although the directors arc well disposed to a sist U' in my own country, I could not find one who would apply his mind to inventing such things as I want. I could indicate to a technically erlucated man what I require, and I believe that. ome of you would unc1er.'tand what I want in the way of an ambulanc wagon, ancI ",hat I mean. OlU Chairman has done gr 'at good by hi· valuable book about ambulances; his chapter 011 railway ambulance carriages i' excellent, and many of hi principles have been adopted. The e things are very cl a1'l T ,et forth in his book; and he shows that a train can be mad, l' i1dy for hell at a mali cost. These few words which I hay the honour of addre ing you will. I hope, make some impre."lon on YOlU' mind. I feel sure that no small advantage will be gained if the di tingui hed ladies and gentlemen who arc h re present ·wi.ll call the attention of th i1' [ri Ind ctnd others to tlli important subject; then I believe that, with tho help of the t. J OM Ambulance A ociation, we shrLll see a gr at improvement in England in the way in which you meet tho e terrible elisa tel'S which everyone has regretted, and of which any man lllay himself be the victim. I believe tIl 1'e Wi1 a great deal in what was aid on the occa ion of 11'. F urley's 1 cture i1t the Health Exhibition, that we hould not ccas to agita.te thi matter till every villa.ge has its stl' tchor and its helpers in readiness for cn es of urgent n ce sity; i1nQ I beli vo tho time will COUle when this will be carried out as a natural thing, and no on will be obliged more to speak of it. Now the time i not ready, although there i a mov ment in this direction, lmt not a sufficient one. It i not prolorly acknowle(1g d ttnc1, having a large experience on the matt( r, I con£ s' thi1t I am quite astoni h c1 that this movement is not more generally r cognized by the rna es. In my own Y es. " , y ou country I ask a man:" II ave you a f amI'l?"" y. are often wOl'king on (tangerous ground; do you not think

that SOll:e i:LCcic1ent may happ en to you, to YOllr wif , children, or friends?" The answer that I get is usually a carde'~ one: he knows tbat accidents do happen, but be does not believe that one will touch his own person, and he i quite indifferent to what may occur. If there is an accident, and he is then without help, his outcry is at once for the police; everything must be done by the police. I find that the St. John Ambulance A. sociation has undertaken to instruct the police in the best means of giving first aid. If I fall down in Regent Street, who will pick me up? A policeman. If he has been trained by the St. John Ambulance Association he will save me; but, if he were to put me in a cab I should be a lost man. You will allow me to conclude " 'ith this observation. that I think it is very kind of Profes '0 1' Longmore to take the chair this afternoon, and of you to c.:ome here to listen to me.

of men who did not know how to apply it. From that time we endeavoured to introduce instructions at as many statIOns as we could. Our frienrl Colonel Duncan and I went to Rugby Junction which was one of the first stations visited, and in that case we certainly lid get the a sistance of one or two of the directors. But this was quite an exceptional case. At Rugby we met the station-master, some of the other officials, and all the porters who could be spared, and a class was formed at the station, with mo t beneficial results. "\Vithin a few days of the cla s being closed, we were informed by a doctor of a life having been aved by two or three of the men. At Liverpool ~ treet station, knowing the difficulty of getting the men to leave their work, we did as we have done whenever we have been allowed the opportullity: we took the instruction to them, and gave lectures in the lamp-room uncleI' the platform. The ta tion -ma 'tel' some of the in pectors, and forty or -fifty of the porter. attended. The. e are the exception', for we do not get that a istance from the directors of railway companies generally that we have a right to expect. It is not a if it cost them large sum of money for the instruction; or as if cases had not frequently proved the great advantages of thE: in tructjon, because we know from t-he reports of doctor that limbs, and in some cases lives, have been saved. I have referred to the instruction that has been given. But there are many lines in England absolutely devoid of the simple t ambulance maihiel. Baron ~lundy has aiel that he was a toni hed at thi . I won't mention railway compcl,nie , because that would be invidious, and it might seem a if I charged some with being worse than other, but I lllay tell you that at a 'tation not many mile from London, an accident occlU'red and a man had both legs taken off. Th re was a little difficulty in stopping the bleeding, but a man who knew how to act, did it in 1:1, rna t prompt. and sati f<wtory way. There waF; not within reach a stretcher that could be found to take the lllan a,yay 0 they were obliged to pull down au advel'ti. ement board, and put him on it. In the caso of another accident, a man who had been run over and badly injured, was picked up by plate]ayers, ann taken tw 1v :> mil R on a trolley. \\ hen they Hrrived nt the junction

The

CHAIRJIAl.~

invited remarks from those pI' ·ent.

Mr. JOHN FURLEY, Deputy Chairman of the St. John Ambulance Association, said: After the very plain and powerful manner in which BaTon ~hmdy has put the subj ect before you, I will not attempt to dilute any of his remarks. lIe has kindly alluded to the St. J ohn Ambulance Association, and there are one or two observations that I should like to make with reo'nrd to what he has told you. I may' a. sure you that from the very first the St. John Ambulance Associntion has been alive to the necessity of connecting the distribution of propel' ambulance ?nate1'iel, with proper instruction as to its nse. It is true that we began with the police, beeause, aR Baron ~luncly hinted just now, when anything happens, no matter what it is: a Ulall drunk, or in a fit, a broken arm, 01' a house on fire, it is to the police that we always look for assistanee. "\Ve naturally wished the police to have the D.Tst instruction, because they were most likely to be callcd upon in case of an accident. To show the necessity of combining instruction with di~tribution of materiel, I may tell you that four or five years ago we heard of a certain railway company that issued to all its stations the Esmarch elastic tourniquet. It seemed to us a very dangerous thing that this strong tourniquet should be placed in the hallc1~

statil Jl there was 110 stretcher, and they had to Bend 0110 mile for a stretcher to remove bim from the trolley into til" ho,'pita] . Yon may imagine the consequences. I will tell you of another case, which was rather amusing, because there wa no accident. I happened to be addressing a meeting one night on the advantages of ambulance instruction, and especially the instruction of men connected with our railways . A gentleman got up at the end of the room, and I rather wondered what he was going to say, for he began as if he intended to find fault with my address. He said his was a line on which everything was in such an admirable state that if an accident happened they could immediately be on the spot with everything requi ite. They had, he said, a carriage fitted with stretcher, and he described the long knives, the sbort knives, and the tourlliquett; that there were in this carriage. I congratulated him upon it, and said that I was glad to hear it. The next morning I called at the station; and asked to see the admirably ctnang c1 ambulance carriage. The station-ma tel' told me that I hould see it. They first sent to the locomotive department, but it wa not there; then they sent to the goods clepartment, but they conld not find it. I said to the station-master, "'Vhat has become of it?" The station-master replied, "Oh, it will be founel directly;" but at last a man said, "It has been gone a lon bo • tim e sir', a gentleman came from London and found everything ru ty; the stretcher could not be opened, and so he had, ent it to L ondon. That was some months ago." This is a specimen of what may be done, even on a line where the directors had taken care to provide something useful in case of accidents. rrhe system of registration mentioned by Baron Mundy would be most useful; but I do not see that we are able at present to adopt it in its entil'ety. Meanwhile we shall do our best against all difficulties to see that as far as possible it is no fault of ours if the men cOlmected with the railways go uninstructed in the rudiments of first aid. VVe carry the instruction to them, and there ought to be no difficulty. \Vith goodwin on the part of the directors, and especially of the station-masters, who have the control of the men, we might have some hundreds of railway men pass through our classes every season. With regard to m~thiel,

and the carriages, described by Baron Mundy, I may mention thi:tt I have several times tried to get caniages fitted up in the manner describ ed by Baron Mundy, and I very much regret that in the present Exhibition we have not one or two examples. The Great ,V estern Ri:tilway Compi::tny was good enough to lend a caniage to be fitted up, and the National Aid Society wel'e willing to pay the expenses, but unfortunately the Committee could not find a . pace for it. If, at certain points-the termini for in.'tance, and at distances of forty or fifty miles, there were 'uch caniage , then, when an accident occuned, they <..:oulll be sent off, and if they pa sed other 'tations where such carriages w ere kept these could be joined on. If £5 worth of mulel'iel were al ,o put at the country stations, the expen e would not be very considerable, and a great deal of good would be (lone. This .'um would be sufficient to provide a 'hetcher and a hamper of materiel. The breakdoVi"n train could ]?iuk them up, in pas ing, and then at the pot where, it Inig-ht be hoped, the doctor would haye preceded them, there would be ufficient for a very large accident. Dr. SIEVEKTIG Phy ician Extraordinary to the Queen and P hy ician in Ordinary to the Prince of ,Vale, 'aid: I do not think we ,houlc1 sUI arate without offering our cordial thanks to aron nIuncly for tIll" lecture. I hop e the pre will as i t in this matter, the more 0 n ' the audience is not llumerou. The t. John Ambulance oci<.tt]on will 10 all they can to promote the object Baron Mundy has in view, bnt \Tery often selfi hand private motives are imputed to individual at Lome, and when a kind friend from abroad comes, prob1.tbly he may be Ii tened to with more r eadines than you or I, or l'IIr. Furley. 1 hop the lecture which has be n delivered, will be, as it de erve , largely disseminated. You have h eard what nIl'. Furley has said: ,( I shall be delighted to ass] t in arrying out the admirable suggestions which Baron Mundy ba made to u to-day." I move a. cordial vote of thanks to Baron MlUldy, and express the hope that his 1 cture may be Ii tl'ibuted as wid ly as possible. I would add to thu,t that I hope the Order of ~t . John will H, s:st ill tlte di:::;. 'millat.ion, and thc.Lt in the cour e of

another year, if Baron Mundy should visit us again, he will be able to say that something has been done in the direction of his admu:able suggestions.

more important railways of the kingdom, associated with their medical advi ers, the St. John Ambulance Association. and those who cw:ect the Volunteer leclical Organization, and that together they should form a system of help for these great calamities. A Baron Mundy has pointed out, such a terrible catastrophe as that which recently occLUTed near illanchester to all iutents and purposes resembles a field of battle. It is even moro disastrous than a field of battle, because, as he said, thero you find men propared for what is happening, but here we haye men and women all mixed together and under circumtance even mol' terrible and difficult to deal with than in a battle with the enemy. For battles we have a regular sy, tematic organization; we have orders laid down in a di tinct code of regulation, . we have the materiel all prepared, all the arrangement,· made. ,vith which anyone can make himself fnrnihar by "imply rea ling the code of regulation. Some such codo of l' gulation' ought to exist for meeting the calamitie ",hi 11 occnr in our ya t railway network throughout the United Kingdom; it should be ,ettled what the anangements should be; the amount of ?nato7'iel required· where it should be plac cl· how communication hould be kept up; the mean of surgical a. i tanco along the line hould be regi teredo All this can only be done, I imagine, by the concerted action of tho e who llaye the direction of the e vast railway. I hav-e muuh 11o[1Sure in putting to the meeting the propo al of Dr. 1iev king, econded by' Dr. Don, that our thank be heartily given to Baron Iundy for his kindne s in coming here under SOllle clifficulties of language, and calling our attention, an 1 throngh us I hope tho attention of tho public, to the very important and serious wa.nt that at pre ent exi t in OlU' railwa organization throughout this kiug 10m.

Surgeon-Major DON: I should like to say one word before the hearty vote of thank that will be accorded to Baron lundy. I desire to draw attention to the fact that besides the admirable work done by the St. John Ambulance Association, we have in the Volunteers a trained body of stretcher bearers, exactly the same as the St. John Ambulance Association, but with more military precision. These men, of whom there are upwards of 5,000, are scattered through England and cotland, and being in civil life, as well as Volunteers, would form au admirable penonnel, joined to the penonnel of the St. John Ambulance Association, for such A, regi tered corps as Baron Mundy suggests. The great difficulty is in the mathiel, \vhich, a Mr. FLU'ley knows, it is very difficult to di tribute at the point where it is likely to be wanted. That, however, can be overcome. 1 merely wish to impress on Baron rundy that we have a large pe'l'Sonnel in this country, which would be most effiuient in their assistance. I heartily second the vote of thanks to Baron Mundy. The CHAIRMAN: Before putting the vote of thanks proposed by Dr. Sieveking, and seconded by Dr. Don, I would say that it is evident that we have in the Volunteer organization to which Dr. Don has referred, and in the St. John Ambulance Association, so well known throughout the country, such a means aR regards pe7'sonnel, if it were properly co-ordinated, as would be of material advantage in affording relief so far as personal assistance can afford it in the case of the great accidents which occasionally OCCLU' on our railways. It seems to me, however, that there is even something beyond this before we can get any satisfactory organized system of help in the railway network of the kingdom; and that is that the public ought to force upon the railway directors the provision of means adequate to meet these calamities. I should myself think that a Committee ought to be formed, among whom should be representatives of all the

The motion wa heartily carried. Dr. 'r AYLER: I am SlU·C the meeting hould not be allowed to separate ,yithout according Profe or Longmore a hearty vote of thanks for presiding, for I cannot out feel that iho preRonce amongNt 118 of 1\[1'. LOll 'lllor"\ will lend more

IG weight to the cause that the St. J ohn Ambulance Assooiation haB at heart . I have for a considerable time tn.k'11 every opportunity of impres ing upon tho 'e gentlemen C011n dec1 "rith the rail way companies mth whom I am acquainted the importance of this matter, and I can only bear out the t 'f)ti1l1011Y of others as to the indifference shown ill regard to this work, which appears to mE:' the more e sential, because not ouly ar accidents happening from tillle to time on our large s),f)telllH of railway, but accidents are happening continually on a 8mall scale. A gentleman connected mth a large 001111 any said to me, (, It IS an extraorcbnary thing th<.tt soarcely a dcty pn es but a man in our empJoym 'nt is killed or seriously illjm'ed: ' It does appeal' a mo t ex.traordinary thiug, takmg that felet iuto consideration, that no mean. should be atLemptcd for reuderiug them fu'st aid, upon which their recovery, or 'v '11 their liYl', ' may depend,

FIRST AID TO THE INJURED.

~t.

31lllJn J\mhulanrt J\zzoriation.

R EP ORT

Major GILDEA formally seconcl·cl the mutiun, and it wa cordially adopted. The proceedings then 010. ed.

OF TIlE

CENTRAL EXECUTIVE COMMITTEE SUI3\IITTEO AT THE

GE NER A L

A SSEMBLY

OF TIlE

@rlJer of ~t. JJoun of Jj£t'u~alcm (12nuIi~b 1!.anguagr), JUNE

24TH,

1884·

LONDON: HAR RI SO N

R TI N'S AND SONS, T. rQri ntw.l in ®r'D innru to ':lJ,)c-c ;n1njestu, 1 88 4,

L ANE,

ST.

JOHN'S

GATE,

CLERKENWELL

(Within five minutes' walle of treel and LLldersgale

treet

t. Bartholomew's Hospita7, and of Farrillgdon lations, ltIetropolitan Dish'icl Railway).

NOW READY-PRICE ONE SHILLING.

FIllST AID "The Carriage and Removal of the Sick and /njured)"

rro THE INJUllED.

ST. JOHN AMBULANCE ASSOCIATION. U DER TITE PATRONAGE OF

By MR. J OH~ FURLEY, Depu ty Chairman and Honorary Director of Stores of the St. John Ambulance Association ,'

III

Ll.XOliESTER, K.P.,

GH.ACE TIlE DuKE OF

A D TILE CUAPTER OF TITE

AKD

The Ambulance Arrangements of the Metropolis during Epidemics, " By MR. v,. B. BARR~GTON-KE:\T;\'"ETT, ~I.A., LL.l\L, Deputy

ORDER OF ST. JOH N OF JERUSALEM (ENG LI SH LANG UAG E).

ChaIrman of the St. John AILbulance Associatioll. Papers r ead at the St. John Ambubnce Association COllference at the Internatiollal Health Exhibition, July 21st, 1884-. -Sm J AMES PAGET, Bart., F.R.S.) in the Chair.

AL80

"The urgent necessity for making Surgical provision for Railway Accidents." A Paper read by Baron DR. ~luNDY, of Vienna H onorary Associate of the Order of St. J ohn of J erusal:m (English Language), at the Royal United Service Institution, July 29th, 1884.-Surgeon-General T. L OXG~lORE, C.B., in the Chair. Copies of the above can be obtained on app lication to-

The CHIEF SECRETARY, S.J.A.A. , St. John'8 Gate, Clerkenwell, LONDON, E.C.

O::cntrar (t:Hcuti&.e <Committee, Consi ting c:x.clusiyely of Members and Associates of the Order. «~nirnnn.

But Em.1UND A. II. LECU.l[EHE, BARl'., M.P., F.S.A. ( cOl'clary, Ordcr of St. John). ,D rpu 111 ([ bainnrn. LTEU'l'. -COLOX EL Fit ~::-;l [., DC'NCAX, R..i., ~r.A., D.C.L., LL.D. JOllN l!'UHLEY, Eq. Y. B.!.lmL\GTOS E:EXNLTT, Esq., :i\LA., LL.11. E"Q .. 1I1.n., F.R. . F. D \LT.AS. l'U'TATN ,r. DALTOX, RA. ~IR Tno~lA. DICK-L"PDER, BART. GLXERAL 'm II. '. n. D.\UDE,\"EY, a.e.D. 'rilE Rwwr lIox. TilE EAlnJ OF DtTDJEY. I l{()OmtT FAHQUHAWON, ESQ., U .D., M.l). 1)UlLIl' }i'RA::-'K, E Q.,1\[.D. hD\\"lX FHI:SJlI·lFT,n,Rt-.Q.,LL.D.,Y.r. '._L (HCtl'iwl', Unlel' of ~t. Jolll1). ' YlJ,LUM DAWES FRESHFIELD, ESQ.,

LIO'EL . BEALE, (' ~PT \IX H.uPERr

]1.1. . MAJOR J AllIES GlLl)EA p.islaut AImone)', Ol'dr)' of I:-L John). THE RrOI1'l' I1O:\ .'J'lmEARLOF GLASGOW. m EnOOR K \1.", J3ART. C()l,O~EL Hilt llEC'iltY B. LOCTI, K/".13. THOMAS LOXlnWHE, ]{;SQ., .JJ. (. llrgcol1-UellC'l'al, Army Mcdicol Depart11H' IlL'.

' m. WJLLIAM

IACCORMAC, :M.A.,

F .R.C. '. RODERT :MAcLEAN jl,L~cLEA r, l~sQ .

1\[AJOR G. E. WYSDTl\.l[ :MALET. 'iT. G. K. :JL-I."SLEI, E~Q., 'V.C. ( mgeonGencral, _\rillY :JIec1ical Departmellt). '''~DrORD

lOORE, E,Q., Jl.1.B., F . . . ('urgron·JI.lajor, Army )Iedical Depart-

lllC'nL). ED~T':~m OWES, E~Q. F.R.C.S .

ILmFoRD PEAHSON, ESQ., M.A ., JJ.C.L. CAPTAIN IIERRrRT C.PERROTT (Assist ant ,-'ct're in!'y, Order of d. John). GE:\EHAL ,'m JOHX T. GEORGE, R.C.B. (Chancellor, Order of t. John). :\.. Jruu PODOC];" E'Q., M.D. EDWAIW II. IEIERIXG, ESQ., :M.D .,

F .. A.

lURLE ITRn[p~'ON, ESQ., M .D . TEW'Al{T 'D''lllT'RLAND, E Q. GENF1L\I, 'rUE YISCO NT TEMPLFTOWN, K.C.B. (Almoncr, Order of t. John). LlEUT. - COTO).'EL GOULD HUNTER'\' E. TOr. F . . A. (Rcgi tral', Order of l. John).

lljol;or:lr!.l Dimtor of ~1(orrs. JOlIN FUHLEY, ESQ. (Dircclor of Ambulance Department, Order of St. John .)

<Cgirf ~ccrctnra. OAPTA1N IIERDEItT . PERROTT. ~ssifJtltnj

[rrasnrrr. CAPTAIN RUPER',r C. F. DALLAS.

Srcrrtnrn nn'lr

~Iorrhrrprr .

J OllN II. EA 'J'ETtBROOK, ESQ.

;!lhnb 8T. J OHN'S GATE ,

Q) ffi ers.

LERKE TWELL, LONDO

T, E.C.

'li1nnhrrs . .L o

1,0N

AND 'V ES T

[J -

'l'FH l~AN:K, LnOTlm (\'-rE'lm in _tor Branch), t:l -' quare, L ondoll, . iY.

1, St. Jam cs

CO NT ENTS.

£t. ~ 0 gn ~ Inhuluntt ~~~D'tintiD'lt t

--0-

1884 . Page

Report-General

Statement of R eceipts :1nd Expenditure Report-Stores Department .. -St. J olm Ambulance Corp .. Summary of Detached Classes Work in the West I ndies

Tabulated Form-Issue of Certificate to Centres

20 2-!-

27 30 33

APPENDIX A. Donations, Annual Subscri.ptions, &c., from July, 18 3, to July, 1 Q8.i Subscribers Life Members Honorary Life Members

33 37

Form of Testamentary B eque"t Formation of a Centre

4-!-

Detached Classes Sy llabus, First Aid Course . .

-!-7

40 H <:l5 50

Nursing Course (Women onlj) SUbBcription Form .. Medallion Rules-and Illustration of .•

52 53 5.1,

APPENDIX B. Metropolitan Districts, Country and Foreign Centres, Local Executivc, und N ames of Life and Annual Members The Order of SL. J ohn of J erusalem (brief!1cc;~llt of) :: .. ..

5') 118

TrrE r eport of the Central Executive Committee of the St. .J ohn Ambulance Association for the current year submits a r ecord of steady and substantial progres. New Centres have been opened at h ome and abroad; work has been increased at exi ting and reviyed at dormant Centres; classes haye been formed and meetings a Ivocating the movement held in numerous di trict and localities hitherto untouched. In common with all classes of H er Maj esty s subjects the ommittee has to deplore the untimely decea e of His Royal Ilighnes the Duke of Albany. The first member of the Royal Family to become President of a Centre, the lamented Prince not only himself attended a course of instruction, but ever displayed the most lively interest in the w lfare of a movement which, with haracteristic foresight, he recoglli ed to be one of practical philanthropy' and unfeigned sorrow must be felt that the death of Ins Royal IIighne s has prevented hi pre iding, as was earnestly h oped, at a large meeting in London in connection "rith the As ociation. It has been the painful duty of the Committee to forward yotes of condolence to the family of the late Uarqui. of Hertford, Presiclent of the ,rarwick hire Centre, and one of its rno t zealous frienls and supporters, and to the Duke of \\ e tmin ter, lCG., President of the h tel' Centre, on the loss u tained by Ilis Grace in th e premature d ath of Earl Gro yenor. As in previous year, members of the Royal Family continue to takc their wonted int erest in the St. John Ambulance Associa tion. Certificates have been presented by Her Royal Eighnes the Priuccss of , Vales to the men of the Boyal -Yacht ,. Osborne ;"

8 by Her Royal Highness the Duchess of Teck to classes at Florence; by General His Serene Highness Prince Ed ward of Saxe-,Veimar to the classes at the Portsmouth Oentre; while by far the most successful meeting, both as regards numbers anI enthusiasm, was that held on the 30th of June last, ,,,hen the Lord Mayor presided, at the Guil(lhall, at the PI' sentation by His Royal Highne s the Duke of Connaught of upwards of 250 certificates to the City and Port of London Classe , among the pupils being Captain Shaw, C.B., and 44 members of the l\fetrop oJitan Fu'e Brigade. H er Royal Highness Princes Louise, Marchiono s of Lorne, Las also become Patroness of the Bermuda Centre. New Centres have been formed at Sutton Coldfield, outL Shields, Lichfield, Hertford, Eb bw Vale, North 'Yales Collieries District, Stockport, Rugeley, St. lary Cray (Kent), kipton-inCraven, Bridport, Bingley, NuneatoD, ,Vu'ksworth, Dackworth Colliery, Cllard, Jersey, ,Vellington (, alop), Accrington, Newark-on-Trent, Lewes, Tamworth, Ke wick, Polmont, and Dundee. At the last-named plac8 It) clal::!ses, comprising representatives of all the local industries, and numbering nearly 500 pupils, were recently examined in one week. N or has the extension of the work been limited to the British Islands. In India the progress of the movement has necessitated the division of the Bombay Centre into Districtf.:l, while new classes have been formed in remote parts of the three Presidencies. An increased number of classes has been held :ill Canada and New Zealand, while most satiBfactory reports have been received from Australia, especially from the Centres at Melbourne, Victoria, and Newcastle, New South 'Va.l e~. ,Vith characteristic zeal Sir Thomas Brassey and Lady Brassey, ,vho were accompanied by Dr. Hudson, of Battle, an experienced member of the Medical Staff, lost no opportunity during a recent cruise in the" Sunbeam" of summoning public meotings, usually attended by the principal Governmeut officials, leading residents: and medical and other professional gelltlemen, at almost every place of importance where the yacht touched, the gratifying result of which has been that Centres llave already been established at Nassau (Bahamas), Bermuda,

Triuidad, and St. Kitts; and preliminary stops with the same vicw havc also been taken at many other of the pLwes visited. A large numbcr of "Detached Classes," which frequently result ill tho formation of Oentres or permanent branches, have also becn h old for both sexes, at places a complete list of which -will Le found in the Appendix. Among these, and those at Centr s desorving more than passing notice, are classes for the Naval and Military Services, especially at Portsmouth, Devonport, and Gibraltar, and the Staff College, and Royal Iilitary Oollege andhurst, tho Royal Yachts " O~borlle " and""\ ictoria (I,UU Albert," for the \Varders of ITer Maj e ty's Prison, ParklIur 't, II "r :JIaje ty's hip' Exmouth," the training ship of the Metropolitan A. ylum Board, and tho. e for Merchant eamen, Borough Police, and ounty Constabulary, and for mechanics, artizans, and labourers, notably colliers and mincr , the nature of who. e daily occupation is such as to expo e them to dangerous accident " 'whorc a knowledge of timely fir t aid may Dring not only un peakable relid; but eV0.n prolong and 'ave life. The number of reportl:3 on examinatioll ubmitted at the monthly COlllmittee moeting.' during the current year "as 630, beiug an average of 53 p er month, or nearly 2 for every working day. The number of cortificate i'sued wereMl( N

\\r O~lEX

Fir ' L Aid 0111y Firl>t Aid ..

5,G:2 l 3,263

Nursing

1,16~

Totc.1.1

10,053

making a grand total of certificates issued to date of about ~2)OOO.

The ontillued increase in the award of certificates to male cIa s s is particularly sati factor r, e pecially when it i remembered that, as tated above, the large. t proportion of the pupils arc working mell 1110 tly employed in dangerous occupations. In tho foregoing numbers are necessarily not included tho e certificated pupils who have presented themselve for the firRt 01' second r o-examination, or who have qualified during the year for the Mudu.llioll. Upwa,nls of 2,000 MOllallion have

10 now been issued, and it is expected that uncleI' some recently revised regulations by which, among other alterations, women who have passed the second or nursing course examination will be allowed to reckon this as a re-examination whenever h eld, instead of waiting, as hitherto, for an interval of twelve months to elapse, the number will be hugely increased. With the sanction of the Chapter of the Order of St. John, the white eight-pointed Cross, surrounded by a garter bearing the words" St. John Ambulance Association has been adopted as the official badge of the Association, (Lnrl as such is to be used both at Head-quarters and at Centres on all printed papers, stationery, and materiel. Cap badges and uniform bu.ttons ~or St. John Ambulance Corps, and armlets bearing thIS deVIce for certificated policemen, firemen, members of bicycle clubs, &c., &c., ean be obtained from the tores Department. tl

Three courses of instruction have been held during the year at the Metropolitan Police Stations at 1cotland Yard, A]bany Street, Leman Street, Carter Street, Blackheath Roacl, and Twickenham, the certificates being presented at the end of each course by Sir Edmund Leehmere, Lieut.-Colonel F. Duncan, and Lady MaeCormac respeetively. Certificates were also presented to the Hyde Park Police by lHi. s Prie. 'tl 'Y. The heavy cost of these Police Classes-the £50 paid by the Home ?ffice barely covering one-fourth of the expenseshas. necessItated an application to the Secretary of State for an mcrease to the Annual Grant. The Committee regrets to report that an unfavourable reply has been recei vec1, and it can, therefore, only rely on increased pecuniary support from its Centres and subscribers generally to enable it to carryon and exte~d both in this direction (of such vital importance to the publIe at large) and among the many other branches of development, its humane work. Some important contributions to the literature of the Association have ~een made during the past year. Among these m~y be mentIOned a paper "On the Carriage of ick and Injured Persons," read by Mr. John Furley at the Meeting of the Social Science Congress at Hudderstielu, in Octob er last;

an admirable article by :l\1iss N eumau in the February number of "Chambers' Journal"; a revised system of Stretcher Exercises, adapted to meet the requirements of different localities, drawn IIp by 1\Ir. Furley, and approved by several distinguished members of the Medical Profession and a specially appointed sub-Committee; and a revised edition of hepherd's hand-book, now under the consideration of a medical sub-Oommittee, based on a mauuscript compiled by 1\1r. R. Bruce, l.R.C.. Attention should also be drawn to the reference to the exhibits of the Association at the International lIealth Exhibition ill the interesting hand-book by \ 'l1rgeon-1\lajor G. J. H. Eyatt, A.M.D ., on " Ambulance Organisation, Equipment, and Transport." It may here be mentioned also that it is contemplated to hold luring the en uing month a meeting of members of the ~Iedical tuff, when important points in connection with the method of in truction and uuiformity of examination may be di u. ed. The importance of this subject-uniformity both of instruction and examination-is one which it is impossible to over-rat . It must be self-e"rident to every unprejudiced 01), erv '1' that the power in all ambulance worker to render good service, ither organised in a corps or as i 01ated individual, su lel nly summoned to work in unison ,,-Jth strangers, mu t be a thon~anc1fo1d increa eel if the system of instruction, more sp cially in the matter of tran port, has been in all cases. one and the same; and in no Letter way can this be exemplified than ill the cnse of railway mployes and artizans whose trave1s in search of employment n cessitate their being frequently on the move in different parts of the country, and who would th refore be at a great disadvantage when called upon to act as bearer. and otherwise on some disastrous calamity if their ambulance training had be n based on various, and perhaps conflicting, sYEltems. '1curee1y less unfortunate would it b.e jf the depots of ?nate?'iel which might be available compn ed articles, such as str tchers, to which they were unaccustomed, and with the proper usc of which they would consequently be unfamiliar. N or must there be forgotten that feeling of selfreliance and confidence in each other so invaluable to bodies of

men required unexp ectedly to act together in moments of emergency ; a feeling which, as regards ambulance 'York, is so much more likely to be fostered and encour<.1gec1 if eyery man knows that he and those with whom he has to co-op crate have acquired, one and all, the same standard of proficiency-a certificate, like that of the St. J olm Ambulance Association, posse ing a t angible and well-recognised YFLlue. In consequence of the great desire frequently exprc 'eel by female lJupils to obtain further practical instructioll, arrangements have been made with St. J ohn's lIou e, 011e bo'e Yare1 , \Vorcester, which is in conn ection with the lIanley a tlb Commandery of the Order of St. J ohn, by "which women holding the F:iJ:st Aid and NlU'Sing Certificates of the t. John Amlmlance Association will be permitted to undergo a cour 0 of instruction in District Nursing. The fee for tho cour 'e, "whi ·h lasts about eight weeks, will be Five Guinea,. and allY pupil so desiring can be accommodated at St. J olIn. IIout:l, the charge for board and lodging being One Guinea per week. It is hoped that many certificated pupils, especially tho, e interested in parish work, will avail themselves of this opportunity of obtaining extended instruction. Am ong the many interesting ill cidents of the year's lrogr ,'s to whi0h space alone forbids more particular referellce, ll()t tho least gra hfying has been a leeture on the most appro v .d methods of lifting the sick and injnred, delivered by l\lr. Furley, by permission of th e Medical Board, to the porters of St. Mary's Hospital, among those present Leillg Dr. ~ ieveking, Mr. Edmund Owen, and the students, sisters, anclnurses. It may be of interest also to mention that one of the Depu ty ChaiTmen, Mr. V. Barrington Kennett, was, 'oon after his return from India, appointed by the Governmellt one of its nominated members on the Metropolitan Asylums Boar I, which was then engaged on a thorough r eorgauisation and extonsion of its Ambulance Department and floating hospitals. IIe soon afterwards suggested the design on whieh the "Castalia" twin ship has been eonverted into a floating hospital on th echelon system, capable of taking Oll an emOl'gency as mauy as 200 small-pox patients.

No. IV. District of the Metropolitan Centre, which, under the able f3Uperintendence of its Chairman, Treasurer, and Honorary Secretary, Major Gildea, hat; set so good an example to othor pClrts of L ondon, both as regards the success of its classes ancl the handsome donations forwarded to the Central Fund, has been united with No. 1. Di trict-the chairmanship of which has b een for somo time vacant-Lord Glasgow accepting the pr e~idency of the combined districts, where, with the continued assistance of lajo!' Gildea, there cannot fail to be an additional impotus given to the demand for ambulance i]1. truction. At the opening of the ,Vinter e sion, the As ociation \\RFl fortunate in htwing the as i, tance of Col onel Duncan, who, with his 1lf-mal energy, devoted much of a short leave of absence to vit:litillg centres an<1 classes. Th o Committee anticipates with satisfaction that before the publication of the next annual report, the period of his command in Egypt having expired, it may agClin have the advantage of the active o-operation of itA eloquent advocate and zealous supporter. Among the places at which meetings havE' been held, attended in most inst<lnces either by Sir Edmund L echmere, fr. Furley, Mr. Barrington Kmmett, or other members of the C()mmittee, may be mentioned-Birmingham, Brownhills-near,Va] sa11, ,Villesden, windon, tOUl'bridge, Coventry, Sheffield, Blackburn, Plymouth, Gibraltar, Sutton Colc1fielc1, Lichfield, H ertford, N orman ton, L eic ester, Portsmouth, 'V Ol'cester, Ebbw Vale, Stockport, Charlton, Iic1cllesbrough-on-Tees, Rugeley Aberdeen, ~kipton-in-CravE'n, Polmont, N.B., St. Iary Uray, Bridport, Darlington, Dewt:lbury, Richmond, Leeds, Sheerness, Keighley, Hastings, Swansea, Merthyr Tydfil, Bingley, Bombay, CClwnpore, Guernsey, Cork, Bowes Green, Dundep, Nuneaton, D evonport, B<lckworth Colliery, Gravesend, Erith, Vvaterfonl, Tilbury, 'Yirksworth, ,\Yelwyn, ,VolverbamptOl1, Ex tel' IIa.ll, Dublin, Eclrington, N ewark-on-Trent, J er ey, Lewes, Keswick, Elswick ,Yorks, N ewcastle-on-Tyne, Tamworth, St. Anne's-on-Sea, Leamington, Malvern, Hull, and 'Vigan. To the meeting last. referred to, where nearly nOO certificat

were presented by the Earl of Crawford and Balcarres, special interest is attached, from the fact that within a few days many of the recipients were enabled to render most valuable assistance at a fatal accident caused by the fall of a railway bridge on the London and North ,Vestern Railway, near Coppull tation, between Preston and \V igan, their services being thus alludcd to by the London and local press :-" At the scene of the " accident) as well as in conveyance of the injured to 'Vigan " Station and Infirmary and to :Manehester, the excellent system " of the St. John Ambulance Association was COll .tnicuously • "servlCeable. Mr. Tongue, the Assistant District Snpel'ill" tendent, :Thlr. Taberner, the "\Vigan Stationmaster, and several ,( of those actively assisting, are holders of the certificates of "the Association, and in directing those who w re not so " qualified to render first aid to the injmoed, carrying and lifting " the injured, utilising the litters and stretchers of the "\Vigan (( Centre, they repeatedly elicited very hearty praise hom the " surgeons." It is gratifying to be able to record that such instance of efficient "first aid "rendered by the pupils of the t. John Ambulance Association are of such frequent occurrence, that scarcely a week passes without one-and very frequ lltly more than one-well authenticated case being reported. The following examples are merely selected at random from the register, and it is superfluous to point out that no more satisfactory evidence can be adducecl of the tru practical utility of the Association's work :_ Th e Police and Ambuirl71ce Dllty. June ... 2nd, 1884. The following case has been reported to the Celltral Executive Committee of ~he St. Jobn Ambulance Association DS hn.viug receutly occurred at Llv~rpool. At a late hour 011 a aturday nigbt, all I~spector .of. Poh~,e who had received instruction in rouderiug " first al~ to th.e lllJ:ued at onc of the Associatiou's local classes, foulld [L saIlor ~YlDg III a l~w street druuk, aud with bis right leg fracLured. Procurmg some plec~s of wood, the officer extomlJorised splillts, ~andaged tbe br:oken lunb, and conveyed the illj Llred man to the Royal South~rn Hosp:tal, where Dr. Allan, the Resideut Medical Officer, complImented lum 011 Lhe . kilful way in whic;h he had dOllO hil3 work. I

This is only one instance of many recently reported to the Committee where pupils of the Association, and especially policemen, have disting ui shed themselves in successfully rendering first aid to the iujured. " TIm DAILY NEWS,"

April 37'd, 1884.

The Police and Ambulance W01·k.

The Commis loner of Metropolitan Police has forwarded to the Central Executive Committee of the St. J ohn Ambulance Association a report of a mo. t [fective ca e of ,. first aid to the injured," rendered by Police-constable Thomas Peltrson, 112 B, who was awarded a certificate 1a t year after attending the classes at Albany Street Police . . tati0n. It appear:; that a man wa found by the con. table in the Buckingham Palac Road, suffering from hremorrhage, cau ed by the bur ting of a yaricose vein. Pearson immediately took the proper measures for arr~sting the bleeding, and com'eyec1 the man to ,Yet5tminster Hospital, wbere it was stated that had the e precautions not been taken, the man would probably bave bleLl to cl n.th, a letter being subsequently received from Dr. 1"wic1\, th Acting IIouse Surgeou testifying to the OpportUllO good ervice r lldered by Police-con table Pearsoll, who will be r warded by the COlllllli sioller. COll id -ring the freq LlCllCY of ac idenis in our streets, and that the duty of COll\, yillg the unfortunate u(ferers to the hospitnl usually devol v 8 upon the police, too much praise cannot be accorded to tbe uumerou oillcen::! of the force of all grades who voluntarily attend these clas es.

From "\Y ARWIOK

IlffiE PAPER .

No better vidence of the necessity of learning what to do in the case of an accident could be furnished than the case of G. Arthur Gilden., on of Major Gildea of the Kensington Oentre, who bad the mi~forLL1110 Lo [all down an area through a pbte-glass window, cutting very severcly Lhe arteries and veins in ono of hi arms. The average schoolboy would havo been hclplos , and b fore Dssi 'tance could have be8Il obtainecl, would certainly h(1\'o bled to death. Thi young gcuLleman, ho\'-'c v r. who although ollly t,,-el ve years of age, had previously attended a courSE' of lecture" and obtn.incd a certificate, at once 01 d red the serva,nt.s (llone of the family being at home) to tie a handkerchief round his ar111, and with a piec of firewood improl'ised a tourniquct, tbUH an sting tIl hmmorrhag-e anLl dang-or to hi life Ulltil medi 'a1 a. sisLanco could bc obtailled. A more suitablo exampl coulclnot be instanced of the advisability of ambulance work, as taughL by the St. John Ambulance As.ociation, being mado part of tbe curriclllum of every schoolboy's ducation.

If)

"THE STANDARD," Sattwclay, Fe01'llaTY 2nd,

J 8 4.

" Timely A l·d."

Mi.

A correspondeut vouches for the following :-On a recent evening a lady was entertaining a party of friends at dinner in a large house n at Dorking, wben, on one of the gentlemen turning to resume Ilis scat, on tbe ladies baving left tbe dining-room, he 10 t hi balance and fell across the table. In his fall he broke a can iderable quantity of the table ornaments, and had the mi fortune to cut through olle of t be large arteries of the wrist on a piece of broken glaRs or cllinu . Th, blood spurted forth in a full stream, wbi1 t bis fellow gn st Rtoncl aghast, helpless, but sympathetic. Fortunately, however, on of them retained sufficient pre ence of mind to remember that one of the ladie.'3 in the drawing-room had recently obtained a certificate, aft rill tructiull and examination in an ambulance class of the Order of 'to John of Jerusalem. ITer a sistance was sought, and on bel' arrinl1 in thp. dinillg-roorn she extempori sed a tourniquet with a handkerchief, which she twisted tightly with a pencil; so the hleeding wn arre. ted and a valuable life a\ec1. In the course of an hour or 0 a surgeon arrived, and the lady was relie,ed of ber responsibility. The lady was Mrs. Royd Uarpenter, wife of the Canon of \''''imL or. "THE GUERN"SEY MAIL AJ. D TELEGRAPH,"

ITo wa riding a horse in Broughton Road, which reared al1(l feU over on its back crushing it , rider belleath it. 1lr. and 11'. . V{. O. Sling'suy, ling by, 'were driving near the place where the accomp::mi'd by a0cident occnrred, aod at once rondered " 'hat assi. tance was in th eir powor. Mi " ling by, wbo, fortunately, is a momuer of the t. John Amblllance A ~ ociatiJn, and ome railway . ervant , who are al 0 members, 'w er ablo to r ncler valuable" Fir ,t aid to the injured," nIi s , ling uy 1'Cmailling with him, whil t 111'. and i\I1'. 'ling by drove on to kipton for meclicR.l a. slstance, alld l' turned in a hort time with "Mr. G. E. Fi 'hoI', a si",tant to Mr. Birtwhistle, urgeon. Mr. ling'Kby then placed hi carriage at the di'po al of the injured man who "as at 011 e COllY y d home where it wa found that his pilJe wa e\'erely ",praill >d, aud tlmt. he had becll crushed internally. TIe i progre. illg' as Iavourauly a can be pxpe ted, uut 'ollle week will prouably eJall'e uefol'O he will regain the full u.'O of hi limb . . .

Tl/U,1'sda!l,

Ff07'IW1',II

7th, J 8 4.

St. John Ambulance Association. A practical proof of the utility of the work effected t hrongh tho classeR of the above ASRociation was a[forded at t. JulialL's IIulllaRt Monday evelliog. During the entertainment, ,,,hich wn,. b illg given by the men of lier l\fajesty's Ship" nasber," a lady faintod. Th audieJJcc began to crowd around, with the best possible intentiol1, but entir ly ignorant what to do. ITapui1y, however, MI'. Oowen, Olliof Gunn 1"1'; Mate, and Naval Reserve Im;tl'uctor on board the ,esRel, was present. He is attend ing the course of lectures now in course of d Ii vory by Dr. Collings on behalf of the Ambulance Association, and therefore putting ioto practice the information he had received on tbe subject, be at onco took the proper measures, and the patient was immediately re. tored to conscionsness. Vve are glad to record that Dr. Oolling. ' lectures are being well attenued; while the greatest interest is manifep,ted by the student in the lecturer's lucid, practlCal expositions. "CRAVEN HERALD," Saturday, Febr1lary 23rd, 1884-.

Accident to a IIo}·se-B1'euke1·.

On Monday last Mr. Thomas ITull, a horpe-h'caker, reSIding in Victoria Street, ' kipton, met with an accident of a serIOUS chantcr flr.

" DAILY TELEGRAPII,"

llla1'ch 31'd, 1 84.

Iwc7.;ill[j D eath of a RailwClY GlICll'd.

Alfred Howe, a guard on the London, Chatham, aud Dover Railway, died on aturday lllo1'lling ill the SO[Lmen' llo:;pital from iujllrie 1'e(;ei\' d by ueing ruu oyer by a train . t 11.15 011 Friday night, a cOllst~~ul" 11 ard ~ome 011e moaning a h \Va pa iug the railway ncar t h' Blackheath Hill tation, and fOllnd the decea. cd lyillg' aero the ll1etah, with both leg cut off. ile tat d that he ,yn, riding 011 the foutb arcl of hi ' van while the tra,in WtV being ~huntcd, n.nd in pas ing ullder all ar h he wa knocked off and foIl under the train. PolicecOll/-;la,bl> ileclvoy, who bolds a certihcate from the t. John Ambulauce A~sociatioll, was able to stop tIl bleeding and, 011 the arri,al of Dr. "tule, tho llufurtullc te man wa conveyed to the ca,lllell'", TIo. pital, where, however, he died a few hours later. lIe \ya, only:2G y ar of age. ".MA OIIJ1:STER SPORTIKG

IIRO roLE,"

Fcb J'/wry 2nd, 1 ) '-1:.

\ Vom Jl and policemen hare the busill of mini ~te ring to tho want of poor erring mOll, and that just reminds 11 that tll sec~lltlary momber of the bi sed p[Lrtnor hip-the policemen-are occa lOn~llly po ses ad also of medica,l and surgical skill, wili 11 ullance their cbance considerably in their ri\alry with \yomen for man" gra.teful rogard. All illu trrttion of thi i .iu t to hand from Liv rpoo1. Au old mall hatl beon run ov r by a spring cart, and the con table on duty at the Rcelle of the accident ha,ppolling to have been instructod in surg ry as olle of tho ~ t. John Ambulallce Corp, and tillding on xnminntioll that OliO of t he old lllau'l3 legs had been badly fractl1r ,tl, sent for Rplillt~ amI 13

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bandage, which he applied until the arrival of "The IIorse mbulance" and Dr. Horrock from the Northem Ho pital wher the patient was remoyed. Dr. HOlTock complimented the officer upon hi kilful · ne s, and aid if it had not been for hi ready treatment d ath mig-llt have ensued. That uch policemen a thi officer a1' rare we ttdmit, but 'when found" they are worth "making- a note of," and the clever re cuer in this ca e- Police-con table Fitz immon -i ~ at least deserving- of prlti e.

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T he best thank of the Committee are again due to it· numerous band of honorary worker without "IV h o e a" i tan c, often at con iderable elf- acrifice, it would be impo ible to carryon its work. Prominent among ihe e continue to be, a. from the fu· t; the member of the medical profe ion "who, unbia sed by any narrow-minded j ealoll y of amateur aid, Y r r eady mth the generous eli intere teem which eems in pired by their noble calling to give a helping hand to othel'" 'par no effort to forward a movemellt which mu t alway depenll upon them fo r encouragement and ucce s. That tbi may 10llg continue to be 0, that each succeeding year lJJ.ay "w ible. ey en still fur ther extension and progre at home and abroad, 0 that the day may eventually come when ambulance traiillng will be considered a leadillg feature of ordinary education, rou ·t be the earnest prayer of everyone who e good fortune it ha been to t ake a share, howe,er humble, in the deyclopment of all In titution the previous neglect of which i now generally acknowledged to have been a national reproach.

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20 ~ 'TORE~

DEPARTl\1E'T.

't01'rs iss/lecZ. " Ashford" LiLlers complctc wiLh lrelcher Ambulance Ll'eLchers (" Furl ey" improved paLtern) with Tele copic IIancUes 'pare can-vn cover ~ Large Diagra1l1ti (for LccLurer's u 'e) Splint

REPORT OF THE

ORARY DIRECTOR OF

TORE .

As a full and detailecl account of tlle work of thi. department of the Association cluring the previou five y ars was given at the last annual meeting, the Ire ent eport will be a very brief one. Indeed, it i~ scarcely nece. ary to do more than point to the subjoined list of articles i sued during the year 1883-18 4, and to state that the pecuniary value of the stores sold is more than £500 in exceSR of the preceding year in order to prove that the demand is still on tho increGse. But the financial results wonld not be o. ati ,factory were we not confident that they are fully ju,tilled by the great improvements which have been introduced, and the con.']c1eration that is given to every practical suggestion that may be offerecl. It is not necessary to specify these, as our clivi. ion in the Health Exhibition now affords opportunities for compar] on, an d also of jndging to a great extent what thi.' ASf:lociation has done, and is oontinually doing. As a proof that the work of this Department extends far beyond the sphere for which it was originally intended, we may mention that during the past twelve months, amongst other demands, stretchers and litters have been supplied to the , Yar Office, the Admiralty, the Metropolitan Asylums Board, to very many private firms and public companies at home, ill addition to those places mentioned in last year's Report} and to Colonial Governments, and other representative bodies auroad.

Tourniquets

{Field.. .. .. (E:;march' Ehlc!ic) ,. Ambulance IIo.mpel's, filted complete, and with waterproof eonr and trap Rcgi leI' {,la,.; AlLendance and CerLifieales-tlco to set . • use Report Book .. .. .. .. Bandage

{ l'lain Triangular .. Roller ..

Medallion Clas Basket Bandag('s-E,.;mun;h' IlIu_ trnt~c1 (with prinLed Instruction - enelo eel) 'hephel'Cl' (CC Fir"t Aid ") • • .. •• .. .. I 00 -rrl'llve' (Nul' ing) for advanced cIa tie .. .. .• .. Book- ~ G ilc1cn: (Oreler of 't. John of J eru ulem in England, and t. \ John mbulance A. ociation) .. .. .. .. I E'IDal'ch' (" Fir t Aid") (translated by II.R.II. Prince-s L 'hrisliau) PockeL " Aide 1\£61110 ire " in linen lined em'elope 'mall Anatomi('al Diagrams Icc Ball (Rudel') wilh line completc (for use in Ice .Accit1ent~) .. rockeL Oru pneb (me CuI to Oarslllen, Angler, Fi hermen, and oLher ) " E 'march' , " 'l'olll'uiqueL Braco R ,iscd "Sytem of Lretchel' Excrci os" (Lhe e are included in all 'bephenl's lIunel-book now i ned) BulioJls Eleciro Badges ArmleLs

143

G9 30 177 332 3 2 3 74

57 52 8,514 4,542

1,227 1

16,690 1 ,304 3,665 105 327 9,12 14,255 1 1

80 H

2 22 71 15

The following is (l list of tile Art/des e,Thibitecl at the International Ileal/It EJ.,ltibition, ?'e/e7'1'eCZ to in the Store Report:1. Folding St?'etclw' (" .B"ul'ley" putt rn) with automatic pillow. Canvas can be l'emov cl for chang or cleansing' pnrpo' by untying' four knot.. llancl-guarc1. at joints :-weight, 26i 1b ,; pric , 21. 2s, 2. imilar Stretcher, with t leRcopic handlcR for convenicnce, wllel'o pac is limit cl :- weigbl, 30 Ib .; price, 2/, lOs.

3. t1fz'litCl1!} tretcher (" Furloy" patt'1'11), but. illEltead of [1.1ltomaJie pillow, the eaJwas at head is double and sewn at three Ric1e, ; ou the fourth npon bed of Stretcher, it i open" 0 that a coat, Rtl'a,V, hay, or other soft material 111:1y be insert el, This opening can be fnRicned np with a leather thong attached to a bras button :-weight 28 lb ' .. price, 21. 2s. 4. imilar tTetclier to No.3, for Police pnrpo. CR nnc1 :1vailable for all cases, whether of iIlneR or accident, or for violellt lunatic 01' drunkard. The canvas in this Stretcher i double thronghont, and cross sewn, and stout leather traps are so arrangcd as 10 hold the strongest man in eomplete restraint :-weight 30 lb .; price, 3l. 3s, 5. The" Aslifo7'd" Litte1', latest pattern. This consi t of an under carriage adapted to either of the above-mentioned tret hers, with a cover so arrangAd on a jointed frame that it can be folded up ill ide the Stretcher. IIaving a crallk axle the bearers can pa betwe 11 tile wheels wiLh the tretcher, and thus avoid the nece, ityof lifting a patient over them. ,Yhen travelling the legs form one bandle with that of the Stretcher, and should it be nece sary to pas, over rough ground, two bearers can ea~ily lift litter and patient :-weight, 1 cwt. ; price, Ill. 6. Similar Litte?' with jointed crank axle for convenience of tran ,port by rail, or when required to be kept ill a house :-pric , 131. 7, "AslifoTd" LitteT of the original pattern, lightly hanged allli adapted to Army ervice Regulation tretch 1', a u ed at several home- tations. 8. H ospital St?'etche1' with removable pole and feet :-weight, 23 lbs. ; price 3l. 3s. 9. Chr:tZ1'-St1'etche1'.-This was specially inventec1 at the reCJue t of Dr. Oollie for the fetropolitan Asylums Board, to enable patient to he shifted from a recumbent to a sitting position, or vice ve1'sa, without removal :-price, 41. 4s. 10. The "LOUnJW01'" J acket i attached to an iron bar with two ring's, and can be used with any ordinary it'etcher, having fixed han dles. It was intended to meet a difficulty in rcmoying injured m n on Stretchers from those coal pit in which the cage ' are too. mall to receive a stretcher in a hori:tolltal position. By means of this jack t a man, even with a fractured thigh, can be put if neces ary in a perpendicular position and thus drawn up through a narrow shaft. It may also be fo und useful on board ship :-price (with tretcher comI lete), 3l. l()s. 11. Ambulance H ampe?' for use in Factories, Oollieries, [incR Stations, and large works, as well as for domestic use :-weight 6t l bs. ; price, 1l. 16s. 12. Ambulance IIamp e1' for Rai lway purpcses. This Hamper wa~ first suggested by Professor Esmarch's Ambulance box, which by direction of the German Postmaster-General now travels with all Po, 'Loffice Railway vans for use in case of accidents :-price, 41. 4s. The above Exhibits we?'e im'ented by, and man?l,/actIl1'('(Z di1'ectly unde?', the s?lpeTintendeuce of Mr. J OJi K FCRLIJ)Y (II01lo?'w'y Di1'ecto1' of StoTes). I 'to J ohn Ambulance As oci((tioll .

] ;3 . J3eaujo1't .)J1'ings forming bed for Stretcl~er, for. u e i~ ~prin gl es8 wagon. Invented by the Count Ie Be,aufo~~, .ecretall'e-General de la Societe Fran\aise do ecours aux Ble 8es fliltalres . 14. imilar I prings, slightly modified, as packed :-price, 1l. 5s . ] 5. TVerb e1' I p1"ings for the . u po nf3ion of • tretcbers, 16. A"ticlllated St?'etclw', with telescopic han\lles, copied with slight alterations from a Vienna pattern. 17. a1'1'ying Ch(lir, to be used ~th or without pole~, copie~ with som alteration. from a pattern supplIed by Lohner and 00., of V18nna : -pricc 41. 1 . E. maTch TlZustTated T?'iangulrtT Bandage, with printed instructions in Engli, h. Fl . TrJll1"lziqllet BTClces, invent d by Profe SOl' E march, with printed instrnction in Engli h :-price, 2s. Gd. 20 . Ice-ball, for carrying a rope acro s broken or dangerous ice, invented by IIerr RUdel, of Kiel :-price lOs. 6d. 21. P ocket Grapnel (improv d by Major Scott) for saving life :price, 2s. 6d., with leather ca e, 4.s. 6el.

[ ntion should at 0 be made of the yery intere ti?g Am?ulance truck exhibit cl by th Tib h If olliery Oompany, ~ vehIcle whIch was an'ang d by the hairman and Member of the Tlb he1£ Oentre, who ha'\e thu et a valuable example.

A lIul'se AII//)/(/allce CaJ'J'i({ueCost (including all chargeR) one guinea for a removal within the foUl' mile radius of Charing Uros8. A Tll'o -wheele(l Amblllrlllce Litte7'Cost (including all 'harg ,) half-a-guillea withiu the four mile radiu' of Churillg 11'0:->8 .

§t ~Dh'lt ~lltb1tlnltce ~ssa(iatian. Al\1BU L ANOE OORPS, For the Tran port of Sick aDd Injured Patient , illfectious C(l,~CS

(!.J'cf'plcd.

SGB-(JolU;mTIEE. Captain Rupert C. F. Dallas, Clwi1'1nan. Major J ame Gildea, T1'eaSllJ'e1'. Edmund Owen, Esq ., F .R.C.S., &c., &C'., Han . COl/sulti7lg .J ol1u Furley, E q. 11011 . Secl'etCl7',1J and .Jfclll(fgel', to whom all communications mnst be addressed.

IIrge l /lI.

In each case aile skilled A ttell dant only is se/d. E,dl'Ct Attendant,' 1s. per hour each . Special term' for removal of patient can be arranged for either of tb abov conveyances ont ,id this rac1iu and for country journey . Invalids of slI/all means w'e cClI'1'ied at a 1'erlllced 1'ate. Payments to be mad" at the time of removal in xchange for a prilltcd receipt. Graiuiti s to attendant trictly prohibited. H lllovab are made without responsibility, and in each ca e on the und n:;tunc1illg that the patient i free from infectiou clisea e. me hour from 10.: 0 a.m. until 5.30 p.m., and ou aturdays from 10.30 a .m. lmtil 1.30 p.m. A donation of five pound ~ and upwards con titutes a Life l ember . An annual ub 'cription of .os hillings and upwards constitute all AltllUal Member. LIP]!; ~IE:\IBER ..

OFFICE-

ST. JOHN'S GATE, CLERKEN'VELL LO D01.

(Wdhin jiue lIIinutes' walk of FW'I'illgdon 'tl'eet I't({liull .)

Reference was marIe in la, t yE"ar's report to a n W' bran 11 of usefulness, which tbe AF<sociation lIar! thell undertaken, nam 1)" 1 ho removal of perFlon, suffering frOID accident or i1111e Fl (not infection) hy trained bearer, with comfortable meaJlS of trallFlpOl't. Proba\Jly the Committee would not have gone mnch boyond 1he initia l FltRge in tLis much-needed work, hacl it not been for th g'r at li berality of the Tl'caRUl'er of the St. John Ambulance AF<.'lociation, Captain R . C. F. Dallas, who 1110 t generously prcscnted a hoI'.'e ambulance carriage to the Association. This carriage, deRignod by -the H onorary Director of St0res, lR furlJiFlbed with inelia-rubber tyres to the wheels, is completely fitted with stretchers and other . uital)le appliances, and it haR beAB fOUJ)d of the greateFlt service. T he following particulars, which may be altnec1 according to circumstanceR, will show the manner in which this new organisation i.") carriecl on : HorRe Ambulance Uarriages an(l Litters for the conveyance of Si('k and Jnj nred P ersons may Lo bad on application on the following condi1ionFl : -

Captain Rupert \ F. Dalla '. fa.ior J arne, <lilclea . [r. Robrrt facLe~m - IacLean. fl'. Wehard Ueynolcl Rowe. ston. Lieut. -CuI. Gould IIunter I n l\ovemb r1a t tho Corps wa fortunate in eCl1l'ing the help of 11'. ' Y. J . C. Bra -'jer, who had [tlready proved during hi connection with th Iargato ntre of the t . J olm Ambulance ssociation 11i fiLn .\ for th 1'e, ponsibility of sllporintemling the removal of IDvalid P >opl of all clas. 0 have ayailed them he of the ervice of the ]lCW Ambulance orps. The work bas not b en confin c1 to the metropolis but long' distances ha,Ye 1e u accomplisheu, and illvalids of small meaJl have had tho same ad antag s a their richer n ighbour . ThiR branch of work i. cflpabl of gr at de,olopment and overyolle inter ted in the A ociation i mo t earne tly asked to give it an a tiv upport. Donations and RnbFlcriptions a.re olicited to ellable the Commit toto undertake tIle removal of POO?' ca e , and to moet the CUlT nt ex pen, es of the Corps ulltil the Salll.e bccomes self-supporting. Tbe l{cpOl't Book of Remova l ' of the Ambulanc Corps is open for in Flp ct ion at St. J ohll's GaLe to anyone who may be de irous. of making' them. elves better acquaint d w ith thi most u, ful undertakmg. Tho C'nvclopo of I Lt 1'S orderillg' ca.rriag'e, &c., t:>hould hare written allovo t he address' I mmec1inLo" amI" ' . J . .1 . Corps."

27 o o

SU.i.1LJ:fARYof DETACIIED CLASSES (other than Centres) held during the year 1 3-4 (July, 1883, to July, 1 4) not included in previous Report. Classes. 'YUERE HELD.

Certificates. FelDale.

FelD a1e. Male.

1st aid.

Nurs- nla1e. ing.

1st aid.

Nursing.

1- - - - - -

o E:-1

1\ rcrin ()'i on Alre ford . . Alto11 (l e-examination) Hanbury .. Bath BOi'1ton (Line.) Braintree (Re-examination) 131" ntwood Bridport Brim, combe Bromley .. Brown y lolliery .. Bn ]-ingham Bury 't . Edmunds nldw II (by Gla, o'ow) Cannoek and Rug-cley Collieries (lleduesford). Chelill.' ford (Re-examination) lev don . . 10albrookd::tle Colche tel' (Thorpe) (Re-examination) .. D if I {2nd. \\ e8t Kent Y 01. Battn. ar ore Iron" ork:::; . . .. .. Donca,~ tel' . . Doverrourt Downham Market Duffield Eh:nvick ,Vork (Ne wcastle-on-Tyue) Enfield Erirh EvoRham Exmouth Training hip Falmonth .. Fazel y Gate hcad-on-Tyne ... r at ,VYl'eley 'Colliery .. nasI mere Haydock Col1ierie, (Golborne) " (.ashton-in-Makerfi 'ld)

Carried forward

21 2G

1 1

2 1

2 1 1 1

16 1

23 14

17 36

1 1 1

1 1

17 1:'5

1 1

2 1

23 72

3 1 1

1 62

1 2

10 16 11

1 1

17 20

::3

not y et cxn mlled

not Ylet exa mined

.. 2

~_I -

537 310

!lG

-. ,

Certificates.

Classes. Certificates. Female.

WOERE HELD.

Jla\e.

1st aid.

- - - - - - - - _._ - - - - - - -'- - Bmught forward .. R enley-on Thame (Re-examina,tion) Hetton-Ie-Hole (Durham) .. Heywood.. .. .. " Hildenborn' .. .. .. Hull (Church I nstitute) .. .. .. .. .. Keswick .. Killgston Hill .. .. .. .. .. Leytons tone .• lUaiden Newton .. .. .. .. Nelson (llear Burn 1ey) .. New Alresford (llants) . . .. Newark-upon-Trent .. .. Parkhurst Prison. . .. .. Penrith .• .. .. .. Polmont (N.B.) .. .. .. Radstock .• .. .. .. Reading .. .. .. .. Retford .. .. .. Rotherham and Dayfield. . .. .. .. Shenley (Barnet) .. Sidcup (Kent) .• .. .. Southwold .. .. .. Speonymoor and Tudhoe .. .. •. " Spilsby .. Tamworth .. .. .. Torquay .. .. .. .. Tynemouth (Volunteer Life Brigade) Walsall .. .. .. .. Wells (Somerset) .. .. WeRt Bromwich .• " Weymouth .. .. Wilnecote.. .. Winchester .. Wolverhampton .. Workington .. Worksop .. .. \Vykebam (Hants) York .. ..

.. 28 ..

1 1 1 1 1

NUTS-

Female. Male.

ing.

& 537 310

1 1

£)6

9 1 1 1 1

17 5 5 1

1 1

10 18 16

1 1

17 12 9

not y et exa mi ned

1 1

12 ]

21 1 1 1

13 76

11 10

17 16

27 4.6

26 1 1 1

9 G

METROPOLITAN.

Acton Barnes

Carried forward

;)3

3 14.

Nurs- Male. iog .

1st aid.

rurs_ ing.

53 Brought forward 1 Bowe Pa.rk 1 Canonlmry (Bicycle Cl ub) Clapham Park 1 ITaclmey .. ighbllry (Re-examination) Putu y IIill Reo'out' Park Road (Re-examination) .. 1 Royal _Ta al chool ( ew Cro ) 1 t. John' (Lewi. ham) 1 treatham .. toke Newington

4 1 1 1 1 1 1 1

18 926 682 207 17 IS 29 1 19 13 1 15 10 10 14 1

20 16 3

19 7 23

14 15

PECIAL.

FOREIG

alcutta (India) .. awnpore " Dinapol' " Florenco (Italy) raham Town ( onth Africa) King tOll, Ontario (Canada) lonlr al ( anada) aini Tal (rT.\V.P. I ndia) Rangoon (Briti h BlU'lnah)

1 1

Do.

Do. Do.

Do.

n ot ye t repo rt ed on

Do. 1 1 1

not ye t repo rted on

Do.

15 46 16

23 1110 91 273

' - - ---y-- _ _ .-J ' - - - y - _.-J

1 1 2

1st aid.

- - - - - -- ----------- - - - - - - - - - - - -

TOTAL

Male.

Devonport ( Iilitary)

47 17

IN'ing. urs-

- -- ----

1 1

.. ...... 1 .. .. 2 .. .. 1 2

1st aid.

Female.

WHERE IIELD.

18 92G 682 207

Grand Totals

157

2274

'WURK IN THE WEST INDIE .

E.dract from a Na1'rative by Lady Bl'assey. "

'UNBEA:U,"

R.Y.S.,

Having always beAn anxious to introduce ambulallc work into foreign countries where no knowledge of it as yet exi, t , I took with me, when starting on the last crui e of the" 1mbeam," a upply of ambulance store and pamphlets. At Madeira I went on Loard the "Duntrune," emigrant ship bound for Australia and f01111d th passeng'ers in anythiug but good condition, owing to the water baying' gone bad. I gave the Doctor on board oue of my ambulance hamp 1'14, and also a packet of pamphlets, and expres erl a hope that he wuuld be able to hold some classes on board; fur I felt how useful the knowledge which the emigrants would thus acquire might be to those poor people when far away from any help except their own, For the ",ame reason I should like much to introduce ambulance clas es on Loard all emigrant and pas engel' ships undertaking 10lJg vo:yag . At Madeira the movement was warmly taken np by Dr. Grabham and other residents, and although the difficulty of language is COllsiderable, I feel sure this may be overcome, for the golden rul 8 of this lioble Association should be printed in every tOlJgue, and SllOUld be known to every nationality. On our way aero s the broad Atlalltie to Trinidad we had classes on board, and the crew were most attelltive, aml I afterwards found them attending to accidents of a millor charader a1110 ug themselves in the most sensible way . This wn.. . pecially noticeable during the passage to the Berllludas, which was terribly sto~my, t~e "Sunbeam" beillg hl)ve to for four clays in a 'yelolle, lUl'~ng whIch, owing to the a.cute angle at which the yacht lay, several aCCIdents occurred on board. Since our retul'Jl one of tue" UJlbea,lll" clasEl, Miss V. Liddell, rendered most valuable assistance to her brotlJel', who had opened an artery in his wrist. On our ani val at Trinidad I at once commelJcetl ambulance work, and met with much encouragemem and snpport. The Governor, Sir Sandford Freeling, Mr. Pyne, the UoloJlial

Secretary, ir Joseph Needham, Judge Fitzgerald, Mr. Mayne, Dr. Crane, and other people of iufluence warmly took up the movement; aud on the 3rd of Iovember a meeting took place in the Colonial 'hamb r, under the Pr sidency of the A_cting Uulonial ecretary. The U-oyel'llor being absent OWillg to a family bereavement, Dr. ilud on ('xplaiucd th object of the As ociation to a crowded and enthusia tic meeting; the meeting ,vn,s also addressed by Dr. Crane and Sir Thomas Bra. 'sey, and by myself, and before it broke up I presented one of my hamper containing ul'gical appliance, &c., for any emergency, and n donatiun of five guineas a a tart. Thi wa. really a rno t infln ntial and r pre 'eutative me tillg, and the resolution to form a Ueutr' at Purt of 'paiu ",a. unauimously adopted. I have ince my retnrn, r ceived exceilent accounts of progres mad, in the good work and feel sure that it will be rno t usefnl in thi lovely i. land of Tl'illidad. I al. 0 gnve oue of my hampers to Mr. Abel, the itIanager of the UsiuG at Trinidad. I a1 ' 0 aw Mr. Crampton ,,,ho told me the movement would be n ful ill th mine of outh 11.rnerica whereupon I gave him a hamper and book. It app ar' that the urgery and treatment of the ick in tllO ~' e r gions i of the roughe t and mo t rude character. Ou oUt' arri'iTal at La Guayra and Caraca s I introduced the rnOVf111 ut a far a I could, and 'olonel jIan field, the Briti h Iini tel', Mi ' s Ian 'field, II'. Fra. r, and otber fri nds, are till trying all they can to 'tart a branch among the reole population. The following is an 'xtract from a 1 tter from fi Ian fied;-' I ha\'e read the pamphlet , aud reports of the t. J. A . .i. with great intere"t and have already , m ntionell the ubj ct to many people; but the Creole mind doe not ,. n,ppr cia,t ,a it ought, matter of thi kind." gain Mr. Fra el' write" "I thank you for yom kiud letter and cheque, sent for the ,. t. J. A. A. I shall do my b t to ad vauce the good call e you interu t " your elf in 0 mu h," and h again write, "I hope when we have 'built ome hou es for our Engli h workpeopl ,to tart a branch here." t Jamaica I did all in my pow r to introduce the matter, Major \Voodgate and other taking' the ~ub.iect up warmly; and I quite hope that a branch will be ~hortly estabE bed in that i lund. \ Ve now went up the Bahama UllUllllCl, out' first landing-place beinglirrup's Cay, tL small outlying i land, really only a lig-lItlIou e- tatiou . II 1'e, 011 boal'll a small fisbing boat I found a poor man lying with one foot cm hed aud the toe broken by tb fall of nn irou to e. lie had llOt received the sligbte ' t tr 'atm nt and wa, iu a yory bad tate. Om doctor remained on board his boat with him and treated the ca e while w went a hore. Of what yalue a little t. John" kuowledge would llavo b en here!

32 On our arri val at Na sau, New P royidence I again began ambu lance work, and Sir Uharles Lee, the Governor warmly took up the movement. We had a mo t crowded and ellthn. ia tic meeting under the pre idency of his Excellency, ir Cllar1e Lee . .A. ic -Pre id nt Trea.. urer, and Secretary were appointed, and a Committee wa form d, the meeting being addre ed by 'ir Thoma., Mr. IIud on my elf, aud others. Again, we had a mo t excellent meeting at IIaruilton, Bermuda, under the pre idellcy of hi Excellency the Governor. Tlli me hng wa attended by all the influential people in the i land, naval, military and civil, and a Nimilar course followeLl as in Trinidad amI j:1 a . L1L1. The Admiral propo"ed formation of a Centre, the Chief Ju. tice seconding the gallant Admiral's propo ition . At the Azore I again attempted ambulance work and left. tor and papers, and I explained the object of the A ociation to th principal residents, Portuguese, Eng-Ii h, and other N. I have since ent a brther supply. Our vi it to the We t Indies ha been mo. t ncouraging for I f el the seed planted in tho e 10,ely islalld OWll on good gTound and will bring forth good fruit. I have had also mo t ati factory report from other it-land. and places which we were uuable to ,i it, "uch a , for in tance, t. Vincent, Barbadoes, Ba eterre: St. Kitts, alld Bl itish Guiana, \\'ith ,,,hich how eyer, I had been in correspondence. AX~IE

BR.lL: 'EY.

ST. JOHN AMBULANCE ASSOCIATION. APP END IX A. LIST OF DO:NATION , .Ii T J"U.liL SUBSCRIPTIOl: S, &c., FRO1\'[ JULY, 1883, TO JULY, 188·.1:.

*'.. *

The sums wiLh which the several Centres and Cla ~e are here credited repre ent Lhe full alllounL received a ub cription , from" hich the Central Fund eklrge fOI' Expenes 11::n'e to be deduded. In many cases the ubscription.\· do Ilot COI'er the disol1rsements, and in others no balallceis left in favour oj the _ls.wcialiulI.- rule lalement of Receipts and Expenditmc, p:lge 19.

CE~JTRE

LOXDO~-METROPOLlTAN CEXTRE.

No. T. DISTRICT (per l\Iajor J ame Gildea) o. II. D I TRIeT (per :\11'. Y. Barrington Kennett) 1: o. III. D[STIHCT (per :\Ir. V. Barl inglon KennelL) TO. . Dl TRICT (per :\11'. C. J. Lambe Eamc ) TO. VrrL DI TRICT (pel' Mr. A. S. Michie) No. L'. DrsTltlCT (pel' Mr. F. J. Gl'ie~baeh) No. ~r. DI THICT (per :\Ir. T. \V. Town:;cnu) o. XrL Dl TRICT (pel' Mr. John Fi:;IJCI') lIetropolilo,n Puliee (per llome Office)

coe Bab bington •• Bac.:kworth Barl'ow-in-Furncss Bedford Berwick-upon-TII oed .. Birminghalll (JGrdingLon l3ranch) Blaekbul'n ( L. Annc's-oll- 'ca) BlackheaLh Bridport Brighouse Burnley Burton-C\l1-Tr ent Cantel'blU'Y .. Chard Charlton (Old) C1lfLlham

£ s. d. 257 3 0 45 1 7 52 10 0 10 0 0 10 2 9 5 0 0 4, 7 0 3 23 1 50 0 0

TTRY. 5

0 0 0 o 10 3 6 6 10 15 6 3 6 14 0 5 0 9 19 5 6 10 0 ~ 10 6 8 9 0 714 0 2 12 3 C

4 5 13 2 16 ·1 1 6 5

0 13 11

34 £ Ulay OIOSS Oork Ooventry Dublin Dundee D1.uham Eastbourne Ebbw Vale Eckington Eton Oollege , , Exeter Farnham Fleetwood Gibraltar Great Grimsby Guernsey Hartlepool Hawkshead (Ambleside) Heavy Woollen District Hereford H ertford H eywood K eighley Leeds Leicestershil'e Lichfield Liverpool Malvern Manchester Marlow Marske-by-the-Sea M erthJl' Tydfil Middles broug h Monmouth ,. Newcastle (New SouLh \\al es) North Wales Oollieriea" Nuneaton Pease's West Collieries Perth PI) mouth Portsmouth Ramsgate Reigate Richmond (Surrcy) Royal Military Oollege . . Rugeley Rye" St. Helen's (Lane.) Seven oaks Sheffield Sheern(ss

337 10 0 0 5 4 10 20 0 0 23 0 0 5 10 0 20 15 3 G 17 11 420 7 11 0 8 17 10 4 2 10 530 12 12 0 9 11 1 660 553 1 10 0 25

706 6 18 4, 10 16 3 17 1 0 17 2 0 1;) 0 0 12 17 3 4-4, 17 6 20 5 9

£ 8 . d. 937 2 14 6 10 8 0 18 8 1 26 10 10 1<112 6 7 14 9 1 5 0 50 0 10 0 0

Skipton (Yorks) Southampton .. South Shields Stocltport Stoul'bridgo Swan en, Sydenham Taunton Tonbridge Tunbridge Wells Warrington ,. Wu,r\\ick hire;Kenil worth Bra-nch Leamington BrUlwh Waterford \V cst IIurtlepool \\Tclwyn '\Ve:;ton-super-:JIu.l'o Wigan \Vimborne '\Yirhworth \Yooc1ford \Voolwich 'Yo1'cc;;ter "\Vol'lhing

486

o 10

0 1 0 12 10 0 12 8 3 12

4 11 6 396 25 0 0 770 58 7

488 6

G 0

30 14 9 15

7 G 0 190 2 14 6 ~O 6 4 40 9 2 5 19 6 10 0 0 7 15 8 5 19 8 11 18 0 380 3 3 0 30 17 5 5 14 3 100 10 0 0 50 17 0 200 3 11 0 13 18 0 10 0 0 21 3 2 ..J, 8 G

DET~\'CilED

.. ** All FL!IDule CIUStiC

CLAS ES,

unless otherwise stated.

£ s. d. Accringtol1 PIulo cluss, pel' JIuj or Nul tel') A ~ lon (per l\1iss J allit'.) ..ilrc~fol'll (per :JliSd Christian) Dumbcr 13ritlge (:\lale cla!:'s, pCI' Dr. Trimble) Jhubury (pCI' )Iiss Early) .. Eames (:\lnlt3 class, per Roy. J. lIe\rdsoll) (Female cla,..;~, pCI' :l\Irs. liL!wett;on) Butlt (pcr .Mi:;;:; Hridgos) l3uston (.:'IIalo dnss, pCI'D,'. Pilt'hcr) (F elllnie cln."s, lll'l' ~ liss 1\1 ()vl'l') Bowes Park (illnle !1lHll!\:lllnlo I'hIS,;l'8, pel' 1\11'. E. Lamprdl) Braintreo (l\IulL: class, pCl' ::Hr. lIenr] PrJ ke, re-examinution) " Bl'ellLwood (per ~1rs. Grin.toad) .. Bridport (pel' Mr8. Colfox) .. l]l'illl;;eolllbe (Mulo class, per 1\11'. P. J. EYtlu.:1) 13l'Olllll'Y (per ReI'. II. A.. ;:'OUlllPS) • •

3 11 6 13 11 6 41 11 1 1 11 6 5 5 0 8 15 0 10 10 0 9 15 0 G 15 7 37 13 1 1:3]2

12 0 8 lU 0 14. 13 0 550 ;3

36 £ Buekingham (per The IIon. Mrs. Drummond) .. Burgess Hill (per :Mr. T. F. J. Blaker, M.R.O.S.) •• Bury St. Edmunds (per Urs. Anderson) .. .. Caldwell (Male clus , per Miss ]l,fontgoll1cry) .. Uunnock I1nd Rugeley (;,\lale class, pel' Mr. T. Evan) Canonbury plaIa cla.s, per Mr. T. Pulton) Chelmsford (re-examination, per Mrs. IIolgale) Clapham Pl1l'k (per Mrs. J effree) .. Olevedon (per l\Ii s Simpson) •. .. Dartforc1 (Male class, per Sergt. W. J. ]l,litchel1) .. " Iron works (Male class, pel' Mr. Grl'LLon) DOTercourt (per Mrs. D' Arcy Irvine) .. .. .. Downham Market plale class, pel' Rev. C. J. G. Holmc~) " ,,(Female classes, pCI' Mrs. Lalter) Duffield (per Mrs. IIayYl'ood) .• ,. ,• Elswick Works (Male cla s, per Mr. A. PhaIr) " Accident Oompensation Funcl Enfield (per Miss Thirza Clark) .. El'ith (Male class, per M)'. F. Beaelle) .. " (Female dass, per Mrs. F. Beadle) . Evesham (pel' 11rs. Haynes) .. .• •• .• .. " Exmouth," II M.S. (:Jlale cla,ss, per Metropolitan Asylums Board) Fazeley (Male cla s, pel' Mr. ~ralson) Florence, Italy (per Dr. Coldstream) .. .. .. .. Hackney ().lale class, Orion GYlUnasium, per Mr. A. Barnard) " (Female class, per Deaconess Louise Collier) .• .. Haslemere (per Dr. T. F. Pearse) '. ,. ,. ., Henley-on-Thames (re-examination, per Mrs. Ba kerville) Hetton-le-IIole (Male and Female cla.sses, per Mr. J. Todd) Hildenboro' (per Mr<l. C. Hardy) .• .. ,. Keswick (Male and Female classes, prr Mi~s Benn) Kll1gston Hill (per l\Ii Welch) , . .. .• .. King~ton-on-TbameB (per MitiS Edgar) .. .. .. Leytonstone (Male I1nc1 Female classes, per ColonellHbT) Maiden NewLon (per Mrs. Hankey) .. ,. :. .. ~o.n~r;~l, Oanada (per Brigade SU~'geon C. M. Douglas, V.C.) .. ]Smnt lal, .W.P., India (pel' Mrs. Cuthell) New A.lresford (Male cla8s, per Rev. R. A. R. White) ~elson, Burnley (Male alld Female cll1sses, pel' Mrs. Ecroyd) '. .. N ewark-upon-Trent (Male and Feml1le classe8, per Mr. F. II. Appleby, M.R.C.S.)

Penrith (Male I1nd Female classes, per Mr. J. Simpson Veate ) Polmont, N.B. (Male cla s, per Mr. G. Smith) Putney Hill (per Mrs. Sandell) ,. .. ,• Radstock (Male class, per Mr. Frank Ashby) .. .. Rangoon, British Burmah (Male class, per' Dr. Pedley),. Readmg (per Mrs. G. Palmer) .. •. ,. .. Regent's Park Road (le-examination, per Mrs. Galloway) ReHord (per Miss IIornfl'ay) .. .. •• .. Rotherham (Male class, per Mr. A. T. Cocking) •. .. .. Royal Naval SClIOOI, New Oro.s (Male clasB, per Rev. J. 'White)

s. d.

3 811 23 13 3 6 3 9 8 13 2 2 25 7 ]7 5 3 7 3 6 17 12 3 9 13 7 14 8 10 14 5 5 2) 17 3 8 3 7 3 8 16 1 1 H) 15 3 llll 22 5 3 16 1 10 8 5 9 1 10 12 14. 12 14 12 6 6 14 5 3 3 3 19 2 17 11 4 1

10 2() 9 13 1 4 28 1

12 10 2 2 14 4 7 10

1 2 G 14

0 9 0 8 0 0 0 7 1 6 0 0 0 0 4 0

0 3 3 0 G

3 9 4 0 0 6 0 8 0 8 0 0 0 6 0 0 2 2

0 0 1 6 9 0 8 0 6 0 0

St. John's, L owisham ( !(ale cla~s, per Mr. T. II. IIick~) " " (Female clas pOl' Dr. Tayler) Shonloy, BcLrnet (per 1\1i. s 1\1. E. 'Watson) Sidcllp (pOl' 11'. C. Dl1rrell) . Soul h wold (per }\fiss Vertue) Spil by (per Mrs. Buckle) ., Stoke N ewingwn (per Rev. II. E. J. Bevan) tl'oa,Ll1am (Male and Female cIa se., prr Dr. J. C. Charle ) TamworLh (Malc cln.ss, per Mr TInn'Y ilarri) .. " (Femnle class, pel' fis M. K. Hoclge) Thorpe, Colche'\ter (l'e-emmination, per ~rrs. IIicks) Tuc1hoe aml Spennymoor (Male cla ,pel' 1\1r. A. B. Oowan) T.1llelllonlh Volunteer LiCe Brigacle (per 1\11'. J. F .. 'pcuee) 'Y'ul all (Mall' lultl Female clas cs, pel' ~Ir. J. Aldi ,) ,Veil (Male clllS', p'r Ur. A. 11. Dewing) \Vest BrolUwi('h ('lale anrr Female cla 'ses, pel' l\It-s. COIlDor) \V ymouLh (per Dr. C. Child) \Vinche ler (per Ii A. FonesL) .. \Voiverhampton (per 1\1rs. IIalton) \Vorkillgton (~[nle c1o.s;;, pcr nfl'. F. W. Jackson) Work op (per lIlr . Cookson) ,Vykcham, Hunts (pel' 1fr8, Parker) York (per :Mis~ Robinson) .,

£ s. d. 8 18 6 21 0 0 23 17 6 6 9 6 2 14 0 17 10 0 21 6 0 3 5 10 2 2 0 9 5 9 4ll 0 4 8 0 2ll 3 10 3 5 10 11 0 6 12 4 914 5 16 16 0 6 19 3 3 5 0 6 10 6 3 3 0 10 10 0

SUBSCRIBERS, 1883-1884. (Received at Central Office only, and not including tho'e received by Local IIonorary Secretaries of Oentres.) .A Donation of Five Pounds and 1lpwards constitutes a Life JIembel'. An Annual Subscription of Five Shillings allCl upwa)'ds constitutes an Annual .J.1Iember.

An Asterisk (*) signilles au Annual SubscripLion. "" ALlcli on, Mr. Percy L. ""Allen, 1\11'. John. • AllnatL, 11'S. lll'tce. '* Allnl1LL, 1\1iss urlee. Anonymous, per lll'geon-11ajor G. IIuLLon, A.M.D. '*' Appleby, Mr. F. II., M.R.C.S. * Archinard, 1\Iiss U. (D I1COn08s). * Atkinson, Miss C. A. *"B." *B. B., Mrs. *Bake1', 1\11'. G. BazzellotLi, La Signora Thhtltltl,lCl111,.

.Beale, Mrs. Lionel. *Beauchamp, }'lrs. '*'Bennett, 1\11' . F. *.BernarLl, 1\1i"s E . 4nlackmol'e, Mr. Frallci J. *Bowen, Surgeon-General R. *BriLdford, lUi s. BriLn ton, Mr. J. G. *Briscoe, Mrs. Clu\l'lotte. *Bl'own, Rov. J. rr. *Bl'own, Miss l' ula 'Vade. Bu tro , 1\Iachmo K de. *Ullpel, Mr. l!'l'u,nk C.

38 · Cecly, Miss J . F. Clf1l'ke, Brigade-Surgeon A ., A.M . D. • Olarke, Mrs. E . JI.I. *Cleasby, }1l'3. Edith A. ""Coates, Deputy I nspector Generaillfatthew, R.N. Coles, Mrs. and }\fiss. ftColfox, Mrs. ""Cooke, Miss E. A . *Cookson, Miss. ~CJ.'ease, Dr. J . RoberLsoll. #Dallas, the Hon. L ady. *Dallas, Cilptain R. C. F. -Da llas, Mrs. R. C. F. Darby, Miss M . ""Davies, :iI1 iss Charlotte. ""Dewhurst, )1rs. *Dickinson, :Mr. W. G. ""Dixon, Miss W. A. *Dun bar, Miss. Ecdes, Mr. A. Symons, M.B. *Edden , Mrs. 1\1. EIs'ITick \1" orks Accident Compensation Fund. -Ellis, Miss .A. 1\1. tlEvelegh, Captain G . C., R.A. *Evelegb, :J1iss. Fl'anh, 1\11'. Chus. W. *Giles, 1\lr . ,V. B. ""GIyn, Miss Constance. "'Goldillgl Jam, Mrs. ""Gordon, Lieut. -General. *Graham, Mr. ArLhur R. *Greenhorne, Miss . *Gresley, Mr. W. S. *Grubb, Lieut.-Col. A., R.A. "-'Grubb, Mrs. Alexander. *Haig-Brown, Rev. D. *Haig-Brown, Mrs. *Haig-Brown, Mr. Clarence. *IIaig-Brown, Mr . W . A . ~Haig-Brown, 11iss ""Haig-Brown, 1\1iss H. S. *Haig-Brown, Miss A. 1\1:. *Haig-Brown, Miss F . A. Hacon, Mr. W. E ., L.R.C.P. *Haney, Miss Clara J. ·Haviland-Hall, Dr. F. cleo *Heathcote-SmiLh, Mr s. E. *TIewitt, Mr. George. ·Hicks, Dr. J. Braxton.

#Heward, 1\11's. S. Barclny. Sir O'Bryen, Bart. *IIolmes, 1\11'. C . -Hoste, 1\11'. G. H. *Hutton, SUl'geon-JIajor G. A.., A.M.D. *IIunt, Major A. Carew. ,.." In 1\1cmorinm." *Johllson, Miss K. A. Jones, 1\1iss ITc\vell *Jol'(lison, 1\11'. John. lCKa~, Sir Brook, BnrL *Lniru, }1lSS Alicc 1\1. .. Larkins, 1\1iss. *LalPl's, :JIr. T, II. *LOWTY, Lieut.·General R. W., C.B. • Uaitland, Mrs. EJ \ ·nrc1. *,\fartin , 1\11'. J. *:;Uu ude, Miss. *~Iuw, ' on and Thompson, 1Ieesl" . *lIIcKenzie, Mrs. *}Iewbllrn, Miss E. *:JIeyncll, Mr. Gel'uld C. *:'Iitchell nIl'S. F. J. Mooro, Slll'geon-::\[njo1' Sllndrord, A .. !'P. *:'loore. Mi"s. *}Iorris, nIies E. *~Iul'l'ny, Dr. Mackenzie, R.N. *}[u pratt, 1\1iss E. F. *Nelson, 1\1iss AlIDa. M. II. ~Oclell, J\Irll. 1\1. E. *Orele, Miss E. 11. Pearson, 1\11'5. A.. Harford. · Pendleton, Mr. D. *Perfect, Miss 1\I. *PcrJ'ott, Rev. F. D. *Peto, Mi!'s Emily L. #Polloek, 1\11'. Ii;. 1II. · Prout, Mr. S. Gillespie. Pym, Miss F. *Q.uilte1', l\Iiss. *Ratcliff·. Mr. C. *Reston, 1fr. II., M R.C.S. *Hobimon, 1\fr. George. *Ruttle, ::\11'. Robert. *Sampsoll, 1frs. Julie de U. *~anl, Dr. Win gate. *Shaw, Dr. John. *Sidney, Miss L. M. *Simonds, 1\[1'8. Ellen A. *Simpson, Mrs. J . *Singleton, l\1i-s A. n.

~Hoare,

~Whigham,

Miss E. *Whitbard, Mr. B. J\I. * Wilkinson, Mr. Auburn, M.R.C.S. \\,illis. Dr. O\\"en. *Wix, 1\11'8. Fanny. 'Vooc1 , Dr. H. C., R.N. *'Voods, }liss Jessie M. *Woolfoot, }\,fl'. Geor~e E. '"'Wynne, Miss L. G.

ken'it t, Miss. 'kerl'iLt, l\[i~s Alice. *Sling"by, 1\1is . *. 'peir, Thc IIonblo. Mrs. * 'uckling, Mrs. E. '" 'lirling, Mr . ..:lrLhur. *Temple, . . 1i~s aLhel'ine. *Tripp, l.\li~s F. E. *Ward, Admiral J. R. *Ward 1\1i s Grace C.

"I<

PER L O NDO~ A..,..'D WE T}IIN TER BAKK . (WEST:lIIXSTER BRAXCll.)

*::\In.iol'-Genernl R igaud. *Lady )1. Angllsta On-low. "Licut.-Colol1el F. Duncan, • \11'''', R. n. 1\Ial'tln. "':\11' .• \.rlbur Jachou. *.\11'. "ll~a n Lumley. . :'11'. ,Tohn 'lll'ling. "::\Ir. teol'gc '1'. Bichlulph.

PER

The COllntes GigIiut('i. :JImt.'. Edith Gigliucti.

*Cuptain J.

II. Rof' etcI'. i1' C. P. Beauchamp

* Lieut.-G ene1':.11 R.A.

DR.

\\alker, .n. urgeon-lIIujor F . B. Baker (Grenadier C+unl'll~) . *:'IIrs. Ro'\Vle~' Lambert. *~[ r . P. Woodhead . *.\11' . F . 1\L A. BlIl'tlll.

COLD'TnE ~\')J, FI.ORE~CE, ITALY.

Mi" Glen. The "Jh ses Robert-on.

ST. JOHN AMBULANCE ASSOCIATION.

SweeLing, Miss E. Taylor, Llrgeon-Major, M.M.D. Templetowll, General the Viscount, Vacher, Mr. Francis, F.R.C.S. Waddy, Mr. Edward, :ll.R.C.S. Wo.lkcl', Mr. Jobn. Wo.lln.ce, ir Richard, Bart., M.P.

W eston, Lieut.-Col. Gould Hunter-, F.S.A.. R.C.B.

Weston, Mrs. Gonld Hunter-. Willman, Mr. Charles. Whithard, 111'. B. M. Yarrow, Mrs.

LIFE MEMBERS. NOTE.--The Life J1I e77lbe?'s attached to Cent?'es aTe not inclilded in list, but aTe shown in AppencZix B. HER 110 T GRACIOUS lIIAJE8T"Y THE Adair, Miss H. 11. Argyll, The Very Rev. the Dean of. A hwell, :J1i s Julia A. BtLl·ton, Mr . A.lfred. Bartoll, J\frs. Hope. Baker, Surgeon -Major F. B. Eaker, Mrs. F. B. Beddington, Urs. B 01111 , Mr. G., C.E. Bolckow, Mr. C. F. H. Brakspear, Mr. H. lIayward. Bran ton, :J1rs. J. G. Bra sey, Lady. Brassey, Mr. Hem'y A., M.P. Britten, Captain, R F., R.N. Bruce, Mis Christina M. A. Bm'don, Mrs. Rowland. Bury, Major. Bush'os, Madame E. de. Capel, Mr. Frank O. Cavendish, Lorel Edward, M.P. Crookshank, Mr. H., F.R.C.S. Dallas, Captain Rupert C. F. Dalton, Captain J. C., R.A.. Daubeney, General SIl' II. C. B., O.C.B. De Vesci, the Viscountess. Dixon, Mr. vVaynman. Duncan, Lieut.-Colonel Francis, R.,A. Egerton, Vice-Admiral the Hon. F., M.P. Elswick Works Accidcnt and Compensation Fund. Fellows, Mr. F. P., F.S.8., F.S.A. Figgins, Mr. James. Frank, Dr. Philip. Frcsh6eld, Mr. Edwin, LL.D., V.P.S.A.. GIa gow, the Right Hon. the Earl of. Goldsworthy, Colonel.

QUEE~

Grimston, The Lady IIurriot E. IIaron, Mr. W. E. L.R.C.P. Han'i on, Dr. C. J el'voi.e, Sir J e r,oi~e Clarke, Bad. J ervoise, Mr. . Clarke. Jervoi e, Mis .' G. Clarke. K:1Y, ir Brook, BarL. Kembull, Geneml u: Arnold B., K.C.D., R.C . .r.

Lee, Lieut. IIa tingo, R.~. Leigh, the Lord. Leney, Miss. Longmore, Surgeon - General 'rhoma , c.n. MacLean, Mr. Robert MacLean. Manley, Surgeon-Geneml W. G. ., v.c. Manche tel', lIis Grace the Duke of, R.P. Mitchell, Mr. A. C. Mitchell, Mr. J Obl1. Nugent, 111' . AxLlmr. Orele, Miss E. M. Pear on, Mr . .A. IIurford. Pelham, Lhe Lord. Phillips, Mr. A. Reyhet', Dr. Carl (St. Petersbul'g). RodgeLt, l\I]'P. Richard B. Rowe, Mr. Richard Reynolds, F.B.A. S!" Albans, Lhe RighI, Rev. Lhe Bish0p of. St. George, Gencral Sir J obn, R.C.n. Sn,lIcton, Mr. Philip. Sharp, Mr. William. Sh1'impton, Dr. Chl11'les. Sievcking, Dt'. E. II., F.S.A. Skcrritt, Miss C. E. Steet, :Mr. G. Carrick, F.RO.S. SuLherland, IIis Grace Lho Duke of, R.O. Swan, Mr. John G.

nolo

ORARY

LIFE

lEMBERS.

(Elected il~ 1'ecognltioll of distinguished service in furthering the objects of the Association.)

Ach"Ul1 ,:Mr. Intthew A., F.R.C.S. Allin, UJ'geon \Y. B., M.B., A.M.D. AndrelYS, Mr. S., M.R.e.S. ALkinson, Mr. Robert, M.R.C.B. Bain, Dr. Bnker, Dr. Bun'ow, ~rl'. C. A., :ll.R.U.S. Ben_oll, )Ir. A.. II., F.R.C. '.r. Bi:.rg, ' tuff urgeon G. 'hermn.n. )3in!!,h:1111, Ir. John J., L.R.C.P. 13irl, ~Ir. Geo., M.n. Bloxum, ~Ir. J. ' iley, F.R.C.S. BI'own, Dr. J. )3row11, ·Mr. J. M., lILR.C . '. 13r0wlle, Mr. RobCl't, F.H.C.ti.l. Bryunt, 11'. J. n., :lr.R.C.~. BUt'k, :'\[1'. J. Rulltlk, 1LR.C.S . Buck, Dr. \Y. E. 'hufi'crs, Mr. Edwd., F.H.C.S. Coleman, 1\11'. \Y. \Y. , M.n.c.s. Cosgl'twe, Dr. E. McDowal. Crespi, Mr. Urcd J. II. DILvey, Mr. J ohn, F.R.C.S. Dn,vics, 1\11'. Charlcs D. Dieken on, Dr. A. ewton. Dickson, Dr. John Dunbar. Dobie, Dr. \Yilliam. Dolun, Mr. Tholllas, F.R.C.S. DOll1villo, 11r. E. J., L.R.C.P. Doughs, MI'. Claude, L.R.C.P. Duggan, Mr. MoLherwell, M.R.C.S. Dukc, Surgeon-Major \Y. A. Duncan, Lleutenl1nt-Colonel F., R.A. Eccles, Mr. A. Symon, M.n. Eden, Dr. R. Edger, Dr. R. I

Ellerton, Dr. John. Ellerton, Mr. J. F. H. E,ans, Mr. A. II., :ll.R.C.S. Fenton, Dr. Mark Anthony. Finlay, Surgeon-Major W. Fitzgerald, Dr. C. Egerton. Fleming, Dr. A. J. For~yth, Dr. Robt. Franks, Dr. Kendal. Fryer, )11'. JO]ll1, :lI.R.C.S. Furber, MI'. George II., :ll.R.C.S. Fudey, :fr. John. Gabb, Mr. C. Bakel', M.lt.C.S. Oardner, Surgeon R. H ., :ll.B ., A.M .D. Gascoigne, Mr. W. E., L.R. C.S. Gibb, Dr. ,illlea, :Major Jamc'. Glen, Mr. J olm, :li.n. Godwin, mgeon-Uajor C. R. Y. Gourle,,', Dr. umuel. Grahum, Ir. I'thur R., :li.B. Green, Mr. \"Villium T., M.R.C.S. Grove, Mr. \V. R., M.D. Hacon, 11'. W. E., L.1LC.P. II amil ton, 1ajor Hu,ns B. H ammond, Dr. Wm. H ann, IHl'. II. F., L.R.C.P. Haynes, Dr. lHnley L. IIedley, Mr. J 01111, :ll.R.C.S. IIewel son, 1\1)'. Ricbard, M.R.C.S. IIicks, 1\11'. R., M.R.C.S. Holman, Mr. R., M.R.C.S. IIudson, Mr. II. E., M.R.C.S. Innes, Deputy Surgeon-General C. A., M.D.

Jay, Mr. Frederick FiLzherbert,

L.R.C.P.

42 Jones, Mr. ' Vest. Jumeaux, Mr. Benjamin, M.R.C.S. K eith, 1\11' . .Alexal1der Ewing, M.D. Ketchen, Dr. William. K eys, Dr. O. W. 1I1:00re, A.M.D. Kilgarriff, Mr. M. J., F.R.C.S.I. KingsblU'y, Mr. G., M.D. Knaggs, Dr. SamI. T. Knott, JIr. Oharles, M .R.C.P. Lee, 1\11'. B. J., L.S.A. Lee, Mt·. Edwin, M.R.C.S. Lo,e, lUI'. Henry, M.D. McOarthy, Mr. Justin 1\1cO., lLR.C.S. McOullagh, Mr. J ohn, M.R.C.S .I. 1\1cQuaig, Dr. Duncan. 1\1ackinlay, Mr. James E. H., l1:.R.C.S. 1\1acneilage, 1\11'. D., L.R.C.P. Ma1colmson, Dr. John A. Marriott, 1\11'. O. W., M.R.C.S. Marriott, Dr. O. D. Martin, Dr. J. W. Maynard, Dr. J. Olarkson. Merryweather, Mr. James, M.R.C.S. Moore, Dr. O. A. Moore, .Mr. n. Uecil, M.R.C.S. Moore, SlU'geon-::'.Iajor Sandford, M.ll. Nankivell, Dr. Herbert. Newman, Dr. William. Nicholson, Surgeon-Major E., A.M.D. Norman, Dr. J. W. O'Oonnell, Surgeon-Major. Page, Dr. David. Parsons, Dr. Francis Henry. Partridge Dr. T. Pedley, Dr. T. F. Pike, Mr. W. Royston, M.R.C.S. Pilcher, Mr. W. J., F.R.C.S. Pin ck, Mr. O. n., M.B. Platt, Mr. W. H., L.R.C.P. Plomley, Dr. John F. Pole, Dr. Alexander. Pope, Smgeon vV. W., A.:YLD. Pratt, Dr. J. Dallas. Pritchett, Mr. nenry, M.R.C.S . Rangoon, Rt. Rev. the Bishop of, M.D. Rawlings, Mr. James, M.R.C.S. Read, Mr. A. W., llf.R.C.S.

R eid, Mr. T. WlliteheaCi, F .R.C.P. Roberts, 1\11'. Art,hur, M.R.C.S. Robinson, Dr. A. n. Robinson, Mr. E1'l1est L. Robinson, Mr. G., ll1.R.C.S. Rowe, Dr. Thomas Smith. Scholefield, Dr. G. E. heaf, Mr. O. A. Erllcst, ~LR.C.P. iddaU, Dr. J. B. Simpson, Dt'. J. IIcrbcl't. Simpson, JUr, W. S., :)1.R.C.S. Skae, Dr. Francis D. A. Sloman, ~fr. S. G., jlm" L.n .c r. mith, Mr. H. Hammond, M.ll .C. S. tamfol'd, Mr. William .dchill, M.R.C.S . teet, Mr. George Carrick, F.R.C.S. Stockwell, Mr. Gco., L.R.C.P. Stretton, MI'. amuel, M.E.C.S. Swann, Dr. A. 'Tete, I )1'. Horace. 'rarnplin, Mr. Oha", . n., ?lLn .c.s . Taylor, Mr. Thomas, )[.n.C. s. Templernan, Mr. ('has., )I.D. Thom. on, Dr. William. Th ursfidd, Dr. T. 'V. Turncr, Dr. William. TU1'ncr, Mr. Geo. Albert, llLR.C." . Tnmer, lIfr. n. Gunton, lILR.C.S. Turner, J\fr. ThomaR, M.R.C.S. Twiss, Surgeon G. E., A.lILn. Tyrrell, Mr. Walter, ~r.n.c .. Tyson, Mr. William J o~cph, M.D. Vorcs, l\Ir. Arthur, M.R.C.S. Waldo, Dr. Frerl. J. ''''alker, 1\11'. Samuel, :\I.R.C S. Wallis, Mr. Fred. U., ~1.R.C'.S. Ward, Mr. :JL A., F.H.C.S.I. ,VaLL, 1\11'. W. F., )LR . C.S. vVeeke , ]ylr. Francis II., :11.R.C.S. Whceler, Dr. vVillinm Ireland. ", ickham, J.Ir. " ~:1lter, )LR.('. '. Willis, Ur. G. OWCll, L.RC.P. WilSOll, Dr. A. O. ~~iillbcrley, Dr. Oonrad O. Woodman, Mr. Samuel, F.RC.S. Wouds, Staff SUl'gcol1II. 0., M.D., R.N. Young, Mr. A., F.R.C.S.

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44:

FOR~1ATION

OF A CENTRE.

TRUSTEES. IT is usual to hold an Inaugural Public Meeting, presided over by the Mayor or other 10c~LI dignitary, to expbin the objects of the GE rERAL THE 'VIseOD T TE~lPLETOWN,

K.C.B.

movement. The system adopted i then as follows : (a.) The formation of an influential locaL Committee, with Chairman, Trea ur rand IIonorary Secretary. (b.) The formation of la . e (eparate) for persons of both exes. (c.) Th ecnriug,the services of a competent medical gentleman, who will und rtak the duties of Lecturer. (d.) Th formation of a Ladie. " Comlllittee (when requisite). (e.) Obtaining the u e of a . uitable room, uch as a Volunteer Drill hcd, choolroom or imilar building, or in a pri,ate house,

A. II. LECIDIERE , BART, M.. P SIR J OIIN ST. GEORGE, K.C.B.

SIR EmJUND

GENERAL

FORM OF BEQUEST

where lecture cau be delivered. (f.) The coli etion of ubRcription to defray local expense, and to furni h contribution to h ad-quarters to carryon and extend

'1'0 TUE

the work of the 1\.. .ociation . (g.) The enrolling' for ntry in the Regi ter k pt at the Head Offices the names of qun,lified perRons who would consent in War tim , when Briti h troop are engaged, to a . i t the Order of St. John in c rtaiu capacities, alit of which can be obtained

I give and bequeath to the Treasurer of the Central Executive Committee for the time being of th e d. ~ J 0 hn Ambulance Association the sum of £

------------------------

to be applied at the discretion of the Central Executive COlllmittee of the said Association

towards the philanthropic object8

of such

Association, and I direct that the said sum shall be pal'd , free of legacy duty, out of such part of my personal estate as may be legally bequeathed for charitable purposes.

from the Cbief ecretary. TCE.-Receipt for local subscriptions will be given by the Trea urers or llonorary cretaries of Uentres from receipt books FINA

suppli d by the Chief ~ecretary. All local xpen es will be defrayed by the rrreasurers or IIonorary Secretaries of C ntres out of sub. criptions recei ved. A Balance Sheet or tatement of receipt and expenditure at each Centre is annually ent in to the Chief ecrebry, not later than June 15th. Tlli lllUSt be sig'ued, and certified a correct by the Chairman, llon. ecrctary and Trca urer, or if a Tr asurer be not appointed, by one other Member of the Local Committee. It is expected that at the annual settleml Ilt of accounts in Jun e, a Slim will be 1'emitted to t. J ohn's Gute 4 sl~!Jlcil!nt amount to Cal'e?' the cost incu1'1'ed d/wing the prfviolls tLoelve months in sending E,raminers (1l-l1O aTe paid one gllin ea each class fxamined, andJh'st-cla s tl'a7'elling e,1pense ), ana

46 in supplying Cel'tijicates and printed matter, as pe?' account .1'endered by the Chief Secl'etary, as 'Well as to assist in defraying the w01'killg e:rpenses oj the Association, and especially to leave as lw'ge a balance as possible as a contribution towards the maintenance of the 'Work among poo?' Centres and Classes which can contribute nothing in diminution of the cost they entail on the Centml Fund.

COURSE OF IKSTRUCTION.-This consists of five lectures, followed by an Examination. The subjects taught are detailed in tho yllabus. The last half-hour is devoted to practical work: ",uch as tho application of bandages and splints, restoration of the apparently drm'i'necl, lifting the injured, carrying on stretchers, &c., &c. The examiner is ent down by the Central Committee. A report is made by bim, and certificates of proficiency are awarded to uc<.:e sful Oandidates. Female pupils who have pa ed the preliminary examinaLion are eljgible for a Second or Nur iug Oourse. MATERIAL REQUIRED. These St?res remain the property of the Centre, or Class, and are always available for local use (for future classes, or in cases of accident ). Ambula~ce Stretchers (" FlUley," improved pattern) JJarge DIagrams (for LectlUer's use) .. ,. Splints ............ TOlUniquets (Esmareh's Elastic) .. .. ., .. Registers {Olass Attendance and Oertificates-two to set Oase Reports Book . . .. .. ,. Bandages {Plain Triangular Roller . • .. .. .. .. ..

each 420 seLs 15 0 3, 6 e~~h 1 /6 sets 6/0 each 1/0 pel' doz. 4/6 .. " 2/0

. Th~ following Stores should be retailed to the Pupils at the prices here lllvolCed. Returns promptly made and in good condition will be allowed for.

Bandages, Esmarcb,'s Illustrated, with printed Instructions enelobed, , \. . (post Bel. eac11) per doz. 6/0 ShePher~ s (:b lrs~ AId) . . .. .. .. (post Ill) each 1/0 Books O~sgra,ve s (N ursmg) for advanced classes .. (post 1/2) ,,1/0 Glldea s (Order of St. J OM of Jerusalem in England,} (bels. ] /2) " 1/0 and t, J olm Ambulance Associa,tion) (cloth l /G) 1/6 Pocket" Aide ~emo.ire" in linen-lined envelopes .. .. " per doz. 3/0 Small .An~tonucal ?lagrams ,. .. ,. .. ,. •. " 2/0 N OTE.-Smgle copIes of any of the Books or Bandages mentioned may be had by post. All small order's sltould be J)}'epaid to eilsure prompt attention.

{

An Ambubnce Hamper fitted <.:omplete, with waterproof cover and strap, and containing the necessary appliances for remlcring First Aid (price 36s. each), as well as light-wheeled Litters aud ,Vagons for conveyance of the injured, ospl:J<.:ially adapted for u~e at Ih.il way Stations and in Mines, or at large vVorks and Factories, as well as Special Stretchers with telescopic handles, to facilitate their beincr lowered to the pit's bottom (price 50s. each), althougll not included i~ the maten'el necessary for a claEs, can also be had on application to the Honorary Director of Stores.

DETACIIED MALE (OR FEMALE) CLAS ES. The e are classes formed in the suburbs of London and in country towns aud villages, pending' the stabli 'hment of regular centres. Such cla 8es aro under the immediate contrel of the Central Executive Commi tiee, auc1 the amount due for the cost of the 'arne shonld be sent to the 'hief 'ecretary (Oaptain IIerbert C. Perrott), t. John's Gate, Clerkenwell, London. A memorandum giying a detail of the expen es will be fonnd at page 40. 'rhe balance (if any) over tho actual total cost of Detached Classes i applied to the maintenance of clas e' for police firemen, miners; dock labourer, railway offi<.:ials, working men and women, and others who are too poor to mako allY pecllniary return for the instruction received. It i th rcfore oarlie 'tly boped tllat where the pupils are in a po ition in life to afford it, tho aUlUullt remitted under tIle item" incidental exp enses" may be at least /l ot Icc's than fiye guineas; the demand upon the A .'ocia-lion's limited re ourco ' cau 'ed by u<.:h gmtuitou cla ses being very great. The 'ommitt ' 0 al " 0 tru t that a muny pupil as po ible will bccome 'Lifo" or Annual" Member ,and tIm materially aid by their sub 'cription in cxtending this philanthropic work. From twenty-fiyo to thirty i ' the best number for a cla , It i not de irablo to haye morc tllun thirty, or the in trnctor cannot de,ote sLilllcieut time to ach pupil. In the case of a female class a small boy shouhl be hil'ecl for de/lloll~t/'(/tio n of bandaging. 1'110 u 'ual way to form a Detached Cla " 8 i " for the lady or gentleman undertakillg to do so, to collect from twcnty-fiye to thirty name cbarge e<.\(;h pupil :).11 entrance feo su1l1ci nt in amount to coyer the expen e a1ld rom it cheque e·C., to tho Chief Secretary who will detail a, lectmer, and in due cour ~ o an e:s:aminer and arrange for supply of lIIateriel. If it is requircd to oud a ledu]'cr an e:s:ceptionailli tance from town (a for instance bad to be clone in the case of Lincoln) an e.i·tra fee of two or three guinea would probably have to be paill him. A local medical jJl'actitionc1' (dull) qualified) may lecture, jJrovided he adhe1'e<l to the autliol'iseGZ ojJicial syllabus of the Associatio.ll, Female lect'ure1's a1'e lIOt allowed. At nearly aJl the Association's" centre "and to many 'Detatched Classes" local medical g ntlemen voluntarily lecture gratuitou ly. Detached clas::;es u ually m at, ill the ca e of womeD, in some lady's

EXPENSES.

drawing -room ; in the case of men in a parish schoolroom, inRtitution, or similar building. Course of I nst7'uction.-This consists of five lectures with an interval of a week between each. Each lecture la ts about. two hours, the last half hour being devoted to practical work (bandaging, application of splints, &c., &c.). The sixth week the examination take place. lro lecturer may e:ramine his own cl~ss. At least a cleaT week's notice, statin.rJ also p1'obable number of candielates, should be given to the Chief Secretary of a convenient day, how', and place (a choice of two 07' three days z's prefe'l'able) fO? ' e:unninatio71, to prevC'nt

disappointment in sending down an examiner. The only adtlitiollal articles required for the examination are a supply of fool cap pap rand pAncils, or pens and ink. Certificates are award d to the uece' fnl candidates. Secretaries of Detached Olas 'es are recommended to during the course the full Christian names of the pupils, a probably thereby ave them ell' much trouble nucl c rre when the extract from the examiner' report i forwarded for y of spelling of names.

a. c rta.in 1,11 y will ponclence riiication

N.B.-ltIixed classes of males and fell/ales aTe on no account permitted.

N.B.-Special Books are supplied for Nursing Clas. es at I s. each, or by post 1s. 2d. Full particulars as to the formation of Centres, terms of 111 mbership, syllabus of instruction, sub scription forms, re-exanJinatiOllFl, medallions, and details of the work of the St. J olm Ambulance Association can be obtained from the Ohief Secretary,

J om/s

GATE:

Or.ERKENWELL,

1. 2. 3.

(per elas;;) FEE (pCl' cla:;)

LECTURER'S FEE EXAMINER'S

5 1

d. 0 0

5 0

Certificates, Printing, Postage,

IN CIDENTAL EXPEN'SES.- I OS t· 0 f

SLaLionery, &0., noL Ie LhunFor a Preliminary CIa For a N tU'sing lass ~, LECTL"RER'S ~'D E:.'LUHNEI1'S Fir:>t-Clas

Railway and Travelling

Expen es , '. .. . . d b"v the Chief NOTE.-The fOl'egolOg expcn. es "Ill be defraye. 50 tnry out of the Cheque £ol'\l"Urc1ed Lo him, as explained on page .

e~re-

(Exha).

Payments to be made to the Honorary Dir~ctor of ~tores. . '1lar t _, Slits Tiz.: Ph siologlcal p n , Tourmqllet . ' Plam

"'KATJ~RIEL J.IJ.

. , .

Triangular Bandage

FOR

[Cll.l.RGE

lURE

]

(Fir t Aid cIa es

.. .. d t. J o]m's eulial that the hart" should be l'eturne to e. . will haTe to be Gale, unJamagcc1, a other",1.:,e their full yalue

only) ..-

SECOND OOUR E.-Lectnrel:! on "nome Nursing and nygi n " 'an be arranged in a similar manner for women who hal'"e gone throngh the first course. It is u ual, however, that the entrance fee ,hould llE'l'"er be less than half a guinea, a the minimum cbarge; and that the sunt remitted for" incidental expenses" should not be 1 s tl1an jive guineas . Only pupils holding the Preliminary Certificate can enter for the exa.mination for the Second Course, for which vellum certificates are awarded.

CLA ' '.

Payments to be made to the Chief Secretary.

CIa s attendance sheet can be obta.ined, if de ired, on ap}Jlicatiou ; also, for the information of lecturer and ecretarie only, in. true bans showing how the examiner will conduct the examination.

ST .

DET~\.orrED

It '

charged. . d (b . 1 Cl·u e , 'a Stretcher , which must be. retaUle emg 2 In Lbe ea e 0 f ""II .1 a {) al ,,-aT~ u cfnl in eu 0 of accidenl), will al 0 be reqmred . . .. . IN ADDITION TO THE 1\1 ATE, RI EL en t 0 n hire referred to aboTe,. a I f the followiuO' arlicle (according to lhe number attencwlg supp r O b 1 . charge Ll ta. s) ",,-ill bc forwarded lo the lady or gcnt eman. III Ie . (I'd) or 1'eturll." Thc~e arltclcs can be "011 sale (at the jJ1'/ces q~lo _" ~Ja s mentioned R('eol111lcd for ~eparately from thc e"pen ell of the f tl for'at the_endb0 k Ie in the preceding paragl';lp11, ane1 (:Un be paid . if

-I II lC' Books " &c. left unsold ,,-ill be taken COUl't'e, "lell

ac,

undamaged:-. " "(B • ul'[!"Con-~Iajor "Aid for a 08 of Injm'108 or udden Iilne 8 y b P ShepllCl'd, U.B.) .. .. .' . "E ll1~rch's Triangular Bandage ," illustrated ~y diagrams hom.ng method of npplicntion (lVitlt }Jl'intl'd 1'IlStl'll('itOIlS enclosed) man Phy iologicul Dingrnm

EACH.

0 0

Curd pockct "Aide }'I6ma irc " ~. " by "Hospituller Work at St. Jollll's Gule in the IX,th CenL"tlIY, - • 01 F Duncan R.A., M.A., D.C.L. (Pumph.) L leU".. . , " 1" Tt t. John cc Tho Oreler of St. J ohn of J erll alcll1 in England, . ane 1~ G'11 Ambul!1ncc Associ.1 Lion," cOlllpilecl by MaJor Jamcs 1 ( ea, s isLanL Almoner of thc 01'(ler.

L ONDON,

E.C.

f Pl'll:C

By Po L Bounel in Cloth, ] roard., ls. Gd.

016 D

;'j()

REVISED OCTOBER,

1882.

DEX

No. 58. FIFTli LEUT HE FOR JlIALES ONLY.

FIRST AID TO THE INJURED.

A. The improvised method of lifting and carrying the sick or injured. B. 1ethods of lifting and carrying the ick or injured on stretchers. O. rrhe conveyance of such by rail, or in country carts.

~t. ~JJy1t ~lnbnlnnce ~~sociatiDn. SYLLABUS OF INSTRUCTION. FIR T LEOTURE. A. Preliminary remarks, object of In truction, TC. B. A general outline of the StructUl'e and Functions of the IIuman Body, including a brief description of the Bone, 1Iu'cl ."', Arteri" , and Veins. The Functions of the Circulation, Re piraiioll, al1o. of the Nervous System. C. The triangular bandage and its application.

SEOO ND LECT RE. A. The general direction of the 1ain Arteries indicating the points where the circulation may be arresteo. by digital pressure, or by the application of a tourniquet. B. The difference between Arterial, Venous, and Capillary Bleeding, alid the various extemporary means of arresting it. C. The triangular balidage. THIRD LEOTU HE. A. The signs of Fracture, and first aid to be rendered in such accidents. The application of splints, or other restraining apparatus. Treatment of sprains. B. The triangular bandage.

FOURTII LECTURE. A. First aid to those suffering collapse from InJury, to those stunned, to the apoplectic, ineuriated, epileptic, fainting, and to those bitten by rabid animals. B. The immediate treatment of the apparently drowned, or otherwis'3 suffocated. U. BllTnf3, scalela) and poisons.

FIFTII LEOTURE FOR FEJIALES ONLY. A. Ilints on nul' ing-pr paration of the room-the bed, how :lrrang·ed-requi. iie. for all mergencies treated of in the foregoing iecLur - T lllperature of room-reading ordinary and bath ther mom t r . B. Pre} aring the patient for bed and placing' him thereon in variou a,. c1mini ,terillg food, drink, medicine-making and applying poultice of bread, Jin eed, mu. tard-fomentations and lotions. NOTE

Tho ubject of poisons should be treated in a general manner. The common poisons clo.s ilied, and only theu: general ymptoms and effects taught. ,ViLh regarcl to the LrcaLment, tho first indication, viz., how to get rid of Lhe poison, is Lhe only one wbioh can bo safely practised by non-professional persons. The ndmini Lration of antidotes i tho medical man's duLy. TOTE

II.

The last half·hoUl' of c(\,ch lecture should be devoted to practical work, such as the appliel1tion of bandages und plints, lifting the wounded, and carrying on stretchers. TOTE

III.

Thore should be an interval of a week between eaoh lecture. examination must attend at least foul' ont of the five lectures.

A candidl1te for

Mixed Classes of },[en and TVomen a1'e on no account pel'lIIitted.

NO Ll~CTClmR MAY EXAMINE HIS OWN CLASS.

D 2

- .J

Ji)

INDEX No. 60.

SYLLABUS

LECTURES TO WO MEN O N HO ME NU RSING AND HYGIENE.

LECTURE L-'rUE

10K ROOM.

lntroductory Remarks-Selection, preparation and cleaning of room-Bed and bedding-Furni bing-,Yarming and Ventilation. LECTURE n .-INFEOTION AND DISIXFECTION. Infectious and non-infection ca. e -Quarantine of patient-TIi 'tory of a fever case-Disinfecting and di. infectaot . . LECTURE IlL-DETAIL

OF NUR'-..IXG.

The uurse-Regulation of \'i itors-.M::magement of 11llr.' own hea1th-Washing and ore .. ing patients-Bed-makino'- 1ballgillg sheets-Lifting helpless patient - ick diet-Admiuistration of food, mediciues, and stimulants. LECTURE IV.-DETAIL

OF NUR IXG-(colltinuecl).

Observation of the sick-Rigors- leep-Pain-Po tur - kinAppetite-Vomiting-Cough-E:x.pectol'ation-EffectH of remedieR, T(' . - Temperature taking-Baths-Bed-Rore. -Deliri II ll1-I U 1'. 'ing sick children-\Vhat to prepare for Phy ician's amI 'urgeoll's visit. T

LECTURE V.-APPLIOATION OF LOOAL RE:JIEDIE Poultices-Fomentations-Bli ters-Ointment-Lecchcs-Padlliugsplints- Bandaging- Personal and family hygienc- Ianagement of convalescents. N.B .-No JleI'sons aTe allowed to ente1' fO?' e,(mnination in these subjects unless they have obtained the certificate of "First A id to the lnjuTed." The pupil must also have attended at least lOU?' out of tlte five LectuTes.

SPECIAL NURSING llANO-BOOKS, by E. lacDowell Oosgrave, ERq., M.D. (Lecturer and Examiner to the l\ssociatioJl ), Cull be purchased on application to the Honorary Director of SLore~, St. J olm'. Gate. Price Is.; by Pu. t ls. 2rl.

5± R RFERENCE No. 62 .

£1.

55 l\IrmALLIo~

cmll trlt ~nt&nl alttc ~Ssattntialt.

lapse between t ll

date of the Nursing Certificate, and tbe final

examillation. . tl At tbe FI AL Examination Candidates will be reqwred to pa! 1e Local ecretarie .. a Fee of Two billings each per on, ~or whIch a Bronzo leclallion will be i sued, and nc> Medallion will be 1 sued f.rom • t. J ohn ' Gate unless the n.pplication £0 1' the same (on the specrfied form) be accompanied by a remittance for that amount. . Pupils entitled to receive Bronze ledallions, but lectmg to h~ve " ilver or Gold Medallion in tead, can do so by paying the fol1owmg

~)l'iC

f\,

in addition to the above f

SILVER 5s. 6d.,

of Two

hilling.:-

GOLD 485., each.

[Including- the ost of ng-ravillg-)i A:\IE and REGI 'TER No. on back.]

3s. GcZ. each extra.

IeuuJlion should he forward~d b~ post, 'eO'i tratioD and postage, should be paId wIth the tbre pence, to cover l 0 abov amount.

If it be desir d that tll

BTonze lrIp.dallions with Nam es and Rerp'ste7'ecl Number eng1'at'erl on back, will be pTesented to those Pupils who become entitled to them, uncle1' the following conditions. CERTIFICATED PUPILS who have twice uudergone r -examination, with an inter'cal of not less tlwn twelve months between eaclt e,mmi71Cltion, will be exempt from any further examination., and will be eligible 10 recei ve a Medallion to be carried in the pocket, or worn a a brooch, or on the watch-chain, but neL'er as a decomtiol1, and to be u ed when necessary as a certificate of competency to rel1der fir, t aiel to the injured. Thus, a pupil ·w ho obtained a certificate in January, 1 80, and has been re-examined in January, 1~81, and again in January, 18~2, or later, will be eligible for such Medallion; of cOLll· ...,e provided he or sbe has, in each ir.stance, satisfied the Examiner. 'l'll G duration of i1lterval since the previous examination (or re-examination) is immaterial, provided it be not less than twelve months. Sneh re-examinations may be made by any Member of a Loc:al Ieclical, 'taff, but ouly on the autbority of the Chief Secretary, or IIonorary 'ecr tary of the Centre, and will consist of questions on tbe First Aid ylbblls, the answers to which may prove that the knowledge once acrluired has not bet-n! fOl'goLten. WOMEN who have passed the second 01' NursiJlg Course Examination will be allowed to count this as a 1'e-e,J'{lmination wheuever t he same may have beC'n held. Twel ve cIC'u,r months, however, must

E\' ['y application for nI dnllion mu~ t be made on a printed FOl: 1 urI)o ~e, authenticated by the signature. of t e snppli c1 for t lat D I d 11.... 8 to whlCh the t

IIol~ rary ... ~lcr aryb pupIl or pUpl s may

of the Centre or eta 1e IOD O' and acJdre ed to the 0

rrO~TORARY DIRECTOR <l"

TORE, at the C ntralOffice. 11 order f l' l\lcc1allioll must be prepaid, and to facilitate . ' tI ' I·etl1.1 led that . a ' fur d'a llumherillg' amI cng-raYIugof names I II f'T ecretane peno 1b ossibI" tbe Mec1allion be orc1ere d y oDom. J ~. • leally in batches aud not sing'Iy at the option of lllcJl\'lLlual pup~l . 1"

(,pdiE ales of r _ v,. . ru1·DC..:!U l)Ul)ils honld not be CULlor"ed eIther7 b. 'y ecretarie but 1'e-examillatioll VOllC lers the Examiller" or IIOl1nral " ) . 1 1 o1m's Gat' \\ ill b igl\(:d and Issued by oca J snppli 'c1 from t. IIouorary ... ecr tun. s, as .lil tl1 ca . . l' of Cert ilicateE!. _H \

By Order,

IlERBER'T ~ PERROT'}', Chief eCJ'etm'y. 'T .•JOIl ,'s GATE, CLERKE W ELL,

lIla,'II 1st 1

E. "1.

57 Annual

bf. [fobn J\mhulan!£ J\ssllriatilln. APPENDIX B.

METROPOLITAN DISTRICTS AND COUNTRY CENTRES.

Lady Alcxander. 1\frs. Kennett Ander;;on. 1\li s \VrighL Anderson. ,. Annan. L ady Archibald.

Mis Arm ·l1·ullg. 11'8. Aspl!lllc1. The Do,mgel' 'ounte 8 of AylcilfOl·d . Ii s Baillie. Lady Barkly. :Miss 01181 nnec BIl1'1o,", }\frl:>. Blnndforu. "

N AMES OF LOOAL EXEOUTIVE. NOMINAL ROLLS OF LIFE AND ANN .J..L MEMBER. DISTRIOT A:ND OEXTRE.

AT E

Oil

Bl'll}.

,. Miss " "

Reginald Bray. Ethel II. Bell. l~oui,,~l. G. Bell. Pertl. BreLL

1\1['s. J3oyce.

Albinia Brouriek. Edith Brodrick. Lady Agnc Btu·nc. Miilg Duruett. The Lad,' }'lul'cncc Blunt. )11's. J\ rlh ur 13lul1t. Thc Lu.Lly Evelyn n.mpbell. " on~L!ll1cc Oampbell . lIon. 1\fl·". 'Ronnlu Campbell. l\fi'i 'anh ·ell.

1I01l.

Memb ers oj the Association are those who annllall!! subsc)'ibe F ive h illings rr,nd upwards, 01' who give donations oj £5 and lIjJwarcZs to constitute themselllPs Life Mem.be~·s .

No.1 DJ TRIUT-MET1{OPOLITA"N CEKTRE.

(Kensington, Bel[jTavia, C/u'lsea g·c .) l·rc s idcnt.

The Right H on. Lhe Earl of Gla~gow . (;hail'lnan, Tl'ca Ul'C!' and Honorary Secrctary.

Major J ames Gildea, 20, Phillimol'e U arden., ,V. JJifc )lcmbcl'l'i.

Miss Braby. Mrs. Hargreaves Brown. Miss B Llrnett. " Oraven, " Duncombe, L. J. D. Admiral Sir E. Fanshawe, K.C.B. Mrs. Fowler. Mr. Oharles Gardiner. Miss A. St. John Gray. Major James Gildca. Mrs. James Gild ea. '1'he Rev. the Ron. E. Carr-Glyn. :1hs. F . W. H arri s.

M1;,. Ernest Hart. Mrs. Lloyd IIardwieke. Mis llulllphreys. 1\11'. K J. Jerl'alll. Mrs. Lean. Mis B. LOlli a P ar ker. "

Mary L. P arl,cr.

Mrs. Slrcatfcild. Lady 'l'relawllY. Trevel} an . Mrs. Wodd. Mift8 Weld. " ,Yilson ,

:lHiss U. Clupham. " J. Olapham. 1\11'8. ,'olllcl'l'uil - l(>]'k. Mis Oreuze. 'rewe. ratc hiltl. G. hrisLie. Colc. 1\1rs. Hcrbert Oohill. Miss 001 vin. 1\11's. Oongrcve. 1\1 iss Oongt·cI'e. " '. lB. ourtnry. "

Olll'tney.

)) Oox. 1\'[rs. D ttvenporL H on . 1\bbel de GrC'y. Miss D ('I·in g.

~(eJlllJcl's.

:\[iss F. May Dickinson. " 1\1. Dillon. Dixon. Du Bose. Dunbar. " Drury. " Dynelcy. lIon. Oal'olill~ Edwfll'des. ::'Ill'S. Evelyn. :VLi _ Fanshawe. " Fraser. )lr~. Fitz~1alll'iee,

Foxcroft. Oharlc' Fulda. Oolonel Fyel's. :;\Ii.>i Fyer . 'Mrs. Gale. ::\Ii Adell1 Vera H. Galton. lIon. 1\11' . Greenhill-Gardyue. Mi. Graham. ::\11' . George G 1'c:,'. ~\Jl'x:alJ(lcr Giffard. Mr. Ct. A. Gildea. 1\lil:>a Kathleen Gildea. )Iis Gill. J. TIel'on Golc1smid. Gooden. Go!' t. Guest. }1r'l. lIall. Mis ' Hall. " J. E. Hnll. " Helen L TIall. " IIampton. 1\1r8. "\V. J. ilul'l'is. " Hayne. !llis Amy TIayue. Hill. " Lncy llopC'. Horue. l\[rs. Hubbard. }Iis E. Hubbart!' " 1\1. S. Hunt. " Hnlchill:;ull. 1\1re. I ndcnyic'k, l\li 8 Indcnyiek. MI·s. I nglis . Miss M. F. In,ckson. Ml' . J elIre.\' . , H enry J 0 1111. .

58 The Ron. Mrs. Douglas Jones. :Miss Julia Keightley. " Kindersley. Mrs. Lenoy. Miss Le Fevre. Mrs. Somers Lem . " Littledale. Miss LittledaJe. Hon. Henry S. Littleton. l\!Gss Lindo. Lady Loch. Miss R. Eliott-Lockhart. Mrs. JJyons. " Edward Maberly. Miss Macintyre. Mr/!. Duncau Macpherson of Cluny. Hon. Mildred Manners. Mrs. Ashley Maude. Miss McEuen. " J fl.net Middleton. Mrs. Miers. Miss Millington. " Alice Pri.mJ.·ose Mills. " J. P. Moline. Mrs. Montgomerie. Miss Florence Montgomery. Mrs. Monro. Miss Moore. " Dyce- icol. " Loyd-Nicol. " L. F. M. Nicholls. " Oldham. " Olliife. " O'Laughlin. Owen. Paine. Catherine Parbury. E. Rosa Parbury. Mrs. Hawtin Phillips. " Phillpotts. Miss Potter. " Prower. Mrs. Rae. " Lambert Rees. Miss Reilly. Edith Reynold!. " Buchanan Riddell.

1\1rs. W. Rigg. Miss Robinson. Mrs. Ross. Mi s Rowe. .!\Irs . .Russell. Mi Russell. 1\1ary J. Russell. Mrs. almon. }.fl'. Dennis E. Samuel. Miss R. D. Graves awlo. Mrs. eely. Miss .A. Seely. " E. eely. " F. Seely. " Steel. Levenson. !\oIl'S. Bi "hoPP-Slllilh. Miss Franklin Smith. J. Inrray Smith. " E. Murray Smith. Mrs. SLileman. Scott. " 'utton. Mr. George G. T. Treherne. Lady 'Ihring. Mis:3 Twining. Mrs. Troughton. Miss Etta von Ronn. " Wade. Beatrice WaUiek. :Mrs. Waterfield. " Warren. Mis F. Wray. " E. Wray. Webb. AJice Westga~b. " C. Westgarth. " Wild. Mrs. Wilde. Miss Wilde. Mrs. Carus Wilson. Miss Mary R. Witherby. G. Wills. " .A. Wills. J. Whitelaw. C. Obins Woodhouse. H. F. W ooc1house. l)

No.2 DISTRICT-METROPOLITAN CR.. TRE. (Cit!) und P01't of London including lIighgate.) Chairman and Treasurer. Mr. V. B. Barrington-Kennctt, }I.A., LL.M. District Secretary. !.fl'. J. n. Easterbrook ( It. John's Gate, Clerkenwell, E.C.). Honorary Secretaries. :JIr. J. C. W. Harrison. Mrs. C . .Alderson. " Lewin Herbert. Mr. Thos. Beck. Mis Lacy, " E. Bodclington. Mis E. II. Lyne. " J. n. Bond. Mr. Chas Parker. " C. R. Brown. " J. Phillip. Mi s Emily G. Calder. " J, :\1. Ro e. Mr. R. narconrt Chambers. "Valter G. coone. Orllon Cooper. " Ja. -:'\L 'ellor . " G. Day. Chas. "'iV. 'outhwell. " C. II. Denny. " W. T. WhiLmol'e, F.R.C. Mi s D. Edwards. " John Yardley. :Mr. n. Forward. Life :Ucmoers. The orporn.tion of the City of London. Mr. Conrad Bergman. " Fi bmonger' Company. Major-General Bryan :l\Iilman, C.B. 1I[esr . J. and R. Morley. " GoldsmiLbs' Company. roccr' ompany. 11'. Edmund Howley Palmer. Messrs. Pre'cott & Co. (Banke rs). " naberdashers' Company. [ercer ' Company. 1\11'. heriff WaLerlow. " MerchanL Taylors' Company. Edward Webb (Briti hand Foreign Wha,rf). Skinner' ompany. " ul'l"ey ommel'ciul Dock Company. Miss Ford, } "Maud, IIighgate. The Rl. lion. \V. 1'.Id..rLhur, M.P. Annual)( moers. 1 Miss Lloyd. Mr. J as. Bulliston. ilfr. \y. Lutwychc. F. W. Burrat. C. E. Penny. C. B. Barnes. P.13. Pol. J. R. Boyce. E. H. Rea. Flint Browne. l\Ii J. Ru bel'. S. II. lark. 11'. W. . eaton. Chus. Coombs. " J. 1'U. ellor:3. Chl1 . Cull. " P. hepberd. " J. Curtis. Ii s Sidney. T. }\fcK. von Dadelszen. Jr. Wm. mart. n. Forward. Cutter on mitb. G. Gardiner. " R. L. Spicer. Bu.teman IIareom-t. Norman Tucker. Messrs. IIoare and 00. J. \Veaver. Mr. IIOl'ace W. Holt. "V. Whitton. " R. II. Icely. T. n. Wilkins. " E. Rloepfl'er. F. Woous. Miss Lacy. " John Yardley . 1.h. E. Lampl·ell.

(i L

GO No.3 DI TRICT-METROPOLITAN CENTRE. (I t. Ja mes'", TVltitehall, llfayjair, g'c,)

No.5 DJ ,' TRf 'T-METROPOLITAr

(ChaTing Cross, J 'trand, Chancery Lane, g'c,) Chairman allli Tl'casurer.

Chairnlan and Treasurer,

:Mr. V. B. Banington -Kennett, 1\1. ., LL. 1. (15, Hyde Parle Gardens, W.)

flo. G. '1'. Biclclulph. J1onoral'y Secretary,

Chairman,

UCIIUty

Mr. O. J . Lambe Eames,

11'. Georgc James.

(~O, 'ockspur 'll'eet, Oharing Oro

lIonorary Secretarlcs.

AII'. H. Brewer. Miss OlaveriJ1g. Mrs. Olifton. Miss Oockerell. Oounte s of Galloway. Mr. L. H erbert. Mi s F. I artin.

l\I]'. R. Mitchell. . l\Iorgan. ::'111'9. Puine. ::\[1'. IY. II. P engelly. Mis Quilter. Robert on. !III'. 1\:1. Ross.

'ENTl{E.

Life

Jlellll)cl'~,

h. F. IV. Alington. Miss Eccles,

Miss 1.1. B . IIn,wLh:n·13o .

Annu:tl Jlcml)er. ,

\ Mrs. AnD Ml1l'ilt '\Vright.

Mi s lIawth ornc. 1\[1'. '1'.~. hl'opncl.

IAfe Jlember .

Marchioness of Bath. Lady E. Browne. Mr. W. L. Burdett-Ooutts. " P . J. Ohiosso. " W.Ooates. " F. L. Oook. Oountess OO"'Per. Oountess Granville. Mrs. Quintin-Hogg. OOUD tess of TIche tel'. Mr. E. Kelso.

1\Iie Kingsmill. l\Iarchione, of Lansdowne . Duche. of Leed . Mis Frances Marlin. A. :JIiles. l\Ir. Albcrt andeman . " Fleetwood SandemRI1. Mrs. G. G. Sandeman. 1\fr. A. L. Savoury. Coun LC s of I eff 011 . 11'. n. J. ')'rifton.

(IJlooJllsuuI'Y, g·c.)

JlOllOl'al'Y Secrctary. Mr. E. II, lhnt:l',;lock (3G, Queen Square, ,\V .O.)

~o . 7 DI,"l'IU 'T-~IEThOPOLITA~ CE .. 'T TRE.

(North East LUI/don, Cluptol/,

tuke lYelcll/glOIl g·G.)

)'l'c ... idcnt.

Annual

Mrs. Barrington- Kennett. Miss E. O. Bedford. " L. 11. Bethune. " F. Bland. " Bonsor. \) A.. Bonsor. Mr;,. Oator. Mr. J. M. Oampbell. Mrs. A. Giffard. Major-General Sir H. Green K 0 S I O.B. ' . . . ., Miss H. E. IIall.

;neJllbel'~,

l\fi!4s J. IIarrington. Mr. James Jackson. General Sir Arnold Kemuall, R.A., K.O.B., K.O.S.L IIi Grace Lbc Duke of Mancllester, K.P. J\f iss F. G. OUo. " A.. M. Pl'otlJero. " Quilter. Mr. J. G. Sandeman. " J. SandeUJllll. 1\1rs. 'l'omlin. Miss Western.

Sl)ecial SubscrIbers to lIyde liar]" Ambulance Stations Fund,

Miss De Burgh . Mr. Horace Davey, Q.O. " Robt. IIarrisOD. " E. Hart. Lady Pollock.

Dr. Mr. " "

Pri estley. Geo. R obinson. D . Sellar . Geo. SmiUJ.

The Hight He"'. the L ord Jh,llOp of 13eclfonL 'l'l'casnrer anti J(onOl'ary Seerctary,

(Vacant .)

TO .

8 DL TIU HT-J\IET l OPOLITA (Putlley, lVa ncl'll'o1·th

allcl

lE:\TRE.

nez'ghbollrllOncl.)

Chail'mall,

1\11'. Edward Ooventry. TreasnrcI'.

Dc),nty C)UliT'mall. 111'. wanston.

Mr.

. . 1\liehic,

II UllOl'al'Y Scerct al'y.

MI'. Arthur Dl'ydcn (72, nigh Life

'o,ptoi n R. O. F. D(llla!='.

trcd, Pntn l'Y,

.IV.)

~(emueI'S,

[1'.

J . . Longden .

8, '.'\\ -.)

62 Annnal iU embcrs. 1\11'. A. J. Allen " J. B. Ball. Rev. J. K. Booker. Mr. A. P. Boyson. " A. G. Browning. " Arthur Dryden. .Miss Fletcher. JUl'. J. O. Leman. 1\11's. Leman. 11r. Lewis. " O. J. Mandel'.

TO.

Mr. A. . Miebie. » O. O. Minchin. Oolonel orth, M.P. JUl'. J. Pulman. " E. Ra.wlings. Oolonel Ruddell. 1\11'. G. J. Swauston . 1\11'. wun ton. Mr. J. R. Tahotu'din. Uis Wat on. Mr. Wright.

No.9 DI TRICT-:JIETROPOLIT..i (J{ilbll1'1~ and J.Vo?'th West London,

CENTRE.

9' C,)

ChairJnan. Lieut.-General R. W. Lowry, O.B. Trcasurer and Honorary Secrctal·Y. l!1r. Francis J. Griesbach (31-, OarlLon Road, Kilbul'l1, N.W.) Annual

Mr. O. B. Allen. " O. Bergman. " T. W. OarpenLer. J. S. Farmer. " F. J . Grie bach.

;Uember~ .

Rev. R. O. Kil'kpatricli:. II'. J. - ichol'lS. Oolonel Blucleci L Revell. 1\11'. II. . hidey. " S. J. \Voolley.

No. 10 DI TRICT-:JIETROPOLITAN CENTRE. (Bl'ixton and nei[jhbouTlwod.) Chairman. The Rev. Oanon nussey, D.D. Treasurer and 1l0110rary Secrctary. Mr. T. W. Townsend (26, 011ry68e11 Road, North Brixlon, S.W.)

No. 11 DISTRICT-METROPOLITAN CENTRE.

12 DISTRICT-METROPOLITAN CENTRE. (lVillesden and neighbo1t1·hood.) PI·C.ldcnt. The Right TIon. Lhe "Earl of Abel'Cleen.

Chairluan. olonel the Hon. W. P. Talbot.

Treasurel·. Mr. J. M. Grant.

Dcputy Chairman. Mr. \V. Tindal Perkins.

lIo11orary Secrctary. Mr. John Fi her, (15, 'hurch Road, Willesden, N.W.)

Anllual :.uenlbcriii. 1\11'. \\'". Tindal Perkins. 1111' . Phip on. Miss Powell. " A.lice Powell. Rev. J. A. RI1IYlin '. 1\1rs. Robbin. Gcrtrude Se\vell. Mi s P. ~ ewell. l\1r. "mith. Mrs. miLh. 111'. J. ll1ilh. Mi" ' lainton. Mr. \V. ll. Slauger. Mrs. leer. » "yminglon. l\[i s Ta, lor. nh. 1\1. Walton. " \\T. \Yallon. 1\[1". We t. Rev. J. . \Vharlon .

Miss May Uey. » Brown. " A. Burgoyne.

Bur~oYllc.

Mr. \V. LunL 'ul'penLel'. Ii s .1\1. obb. hs. Davillson. Mr. T. Day. » T. Elwin. " J. :Fishcr. rr. J. l!itihel'. Mis Fisher. " F. Fisher. 1I1r'.1?ry. Mr. Euwin Grunt. " J. L Gmnl. " R. J. Harrison. Mrs. liurri on. 1\11'. F. . lIuzzledinc. . TIazzledine. n. LavtLl'i1ck. 'co. Levick. "\V. Maxwell. Miss Maxwell. Meredith. Mr. W. L. Morley.

M1' . \ Villin.ms. Mr. F. A. Wood.

ABERDAn~

(SouthwClrk.)

Lord A berdaro.

Prc ident. Lord Lyttelton. Chairman. (Vacant.)

CENTRE.

l~rcsident.

Treasurer. Mr. Wm. Wiggs.

Honorary Sccretary. Mr. John Jennings (Pilgrim Hall, New Kent Rou.d, S.E.)

Treasurer. Major Powell.

Chairman. MI'. James Lewis. Jlollorary Sccretary. :Mr. Evan Jor:e . (

reLml1.)

H5 ACCRI~GTOX.

A. YLE~B URY CE:\TT l{E.

Honorary Secretary. Major W. NuLter.

P reshlen t. His Grace the Duke of Buckingham and Ohanc1os, KO.S.l.

(X ew Centrc.)

Treasurcr. Major Goodall.

A.LFRETON CENTRE.

HOllOl'ary Sccrctary. Mr. Lcwis Poulton.

B~\'B BI~ GrrON

Pl'esitlcnt. Mr. C. R . Pnlmer-}\forewooc1.

Pl'c!o'idcnt. :Mr. C. II. Sccly.

Trcasurcr. Mr. \\ ill. Par Oll .

Chairluan. Mr. J. Pogmore.

CENTRE.

H OllOl'ary Sccrctary. Mr. IIoliand Ro,,·bottOill.

Chairman.

Trca urcr . Mr . . W. Hancock.

111'. Thomas IIallcoek.

.. ollorary Sccretar y. Mr. G . II. Yardy.

Life Membcr. Mr. C. R. Palmer·Morewood.

BACK'YORTlJ COLLIERY

CE~ ~ TRE.

ClJairman. !If r. IIenry Ric hardEOn.

A. IBL E IDE CENTRE.

Chairman.

DClmty Chairman. :Mr. W. F. Pilter.

lIonorary Sccretary. 111'. R obt. F . S pence.

Jlonorary Secretary.

Rev. J. W. AsMon.

Trcasurcr. MI'. James H unter.

Rev. II. B. Ra"nsley.

BARK ~ LEY CEXTRE. President. Mr. W. S. Stanhope, J.P.

A IIFORD CENTRE. President. H.R.H. the Duke of Edinburgh, KG. Chairman. Mr. J ohn Furley.

Treasurer.

Mr, W. F. B. Jemmett.

Chairman. The Mayor of Bamslcy. Treasurer. Mr. J. II . Gl'I1tiOll.

Dcpnty Chairmen. Rev. W. W. Kirby, R.D. Dr. Blackburn. Jlonorary Sccretaries. Mr. R. Bury and l\lr. W. Howitt.

Honorary Secretary.

Thh. John Cree1'Y. Life lUembcrs.

Mrs. BlomfieJd. Mr. J. S. Burra.

Lord IIoLhfield.

BA.RRO'Y-LN-FURNE ' S CE TRE. Chairman. M,'. Edward Wac1ham, J.P.

Treasurel'. :Mr. lIenry Cook.

AUllual iUcmbers.

Mr. F. Cheesman. " J. Creery. " W. Daniels. Sir E . C. Dering, Bart. Mr. J . S. Eastes.

Mr. R. Furley. Mrs. R. Furley. Mr. R. II. Murray. " 'V. P. Pomfret,

'BIonorary Secretaries. Tbe Rov. Ounon Orosse, M A. 11'. Thos. Loary. Life Members. The Barrow Hromnlite teol 00. E

G7 BASI NGSTOKE UENTRK

BEIGHTOl' CENTRE.

Presidcnt. Mr. Melville Portal.

111'. II. ·W. Verelst, J.P.

l·)'c~hlellt.

Chait'man. Mr. Wm. W . Portal.

Trea s urer. Mr. F . Lazenby.

'l'reasurer. Mr. J. II. Ashton.

Chairman. Mr. R. Edcli on. lIonorary secretary. Mr. George IIolland.

HOllol'al'Y Sccl'ctary. Mr. J. Gibson.

(In abeyance.)

BATTLE (SD \ EX) C8J:\TRE.

BEll\VlOK-GPO~-T\YEED ()E~lTRE.

Chairman. :Mr. Adam D:u'lmg, J.P.

Pre~i.lcnt .

His Grace the Duke of Cle...-cland, K.G. Chair man. Mr. Philip O. Papillon.

Del)uty Chair·man. The Rev. O. 'V. Cruss.

Treasurer. The Yery Rev. E. R. Currie, Deiln of Battle.

lIonoral'Y SCCl'cta,·y. Mr. W. A. Raper.

1I0no rary Secretar y. ?lIajor Robert WeddelL

Trca urcr. Mr. W . L. Miller.

Life iUembers . Colonel D. )liine-llome, M.P.

The lIon. Mrs. -Watson .d.bkew.

Life JJcmbers.

I The Duke of Clneland, K. Capt. IIankey.

Lady Brassey.

(X 0 rel,urn.)

Honorary Secreta ry. Re,. J. Cother.

Chai r m a n .

Colonel Lane, J.P

BEARP ARK COLLIERY OEL TRE. Honorary Sccretary . Mr. Benjamin IT. Dodd.

13I~GLEY

CE_ ~TRE.

Jlonol'al'Y Sccretary.

Rev. G.

Po~tletlH\'Uile

(N ew Centre.) Prcsident. Colonel Stuart. Chairnlan. The Rev. IIowal'd Kempson. Life ;Ucmbcrl'i .

The D uchess of Bedford. The Marchioness of Tavistock. Mrs SUl'tees-Allnatt. Miss Bromhead. Mr. F. Cockburn. Lieut. -Colonel J osselyn. Miss Keown .

Colonel Stuart. Mr. Frederick IIoward.

An u ual 'UcJllbers. Mr. utter. Mrs. Plater. Miss RafTenel. Mrs . Hart Smith. Ch arles Well

BIPUU\YOOD CENTRE. Pl'c.illcnt. :Mr. Charl~s IIillou beely. 'l'l'casurcr. ChairlllRIl. :Ml'. Geo. 'V. Cho.mbeduin. M r. Wm. M. LtlVl'Y· Jlolloral'Y Sccrctar y . Mr. J obn Merri.man.

fr.

Life lUclllber. hades llilton eely.

E :2

68 BIRKDALE (LANCA TITRE) CENTHE. Prcsidcnt. Mr. Thos. W eld-Blundell, J.P., D.L. Chairman. Dr. H. H. Vernon.

Trca nrcr anrlllonorary Sccretary. Captain W. II. immonds. (Ko return.)

BIRl\IlNGIiAM CENTRE. Presitl cut. The Right llon. Lord Leigh. Cbairman. Rev. Canon Wilkinson, D.D .

Treasurer and lIollol'ary Secretary. 1\11'. G. King PuLlcn.

Life Jlembers. The Right llon. Lord Leigh. Mr. Arthur Allbright, J,P. 11\11" Richard 'rangye, J.P. J. C. llolder. " John E. Wilson, J.P. " G. B. Lloyd, J.P. " Anonymous." Auuual :Ucmbcrs.

l\1iss Adkins. " Arblaster. 1\11'. W. 1\I. Baker. Miss A. M. BarneLt. Barnett. " Barrow. 1\11'. J. Bateman. " E. Bates. Rev. W. K. R. Becl£ord. " J. O. Bevan. Canon Bowlby. 1\1rs. Brooks. 11iss II. E. Brown. Mrs. Brown. A. M. Carpenter. Miss Cave. " E. F. Chance. Mrs. Chance. Thos. Chase. Misses Cbattock. Mr. Edwd. Collins. Miss Cooper. II Cox. Dr. R. W. Dale. Miss Day. Rev. Deane. Miss Dlllgley. l)

Miss. Marks. frs. Jones Marsh. " G. . MatLhews. l\Ii s Mayo. E. T. feridith. " J!,. ':\lo.ITatt. ::\[1'. 10yle. .:\ri.,s Lucy Netllcfolcl. " 081er. " A. l!". Osler. [1' . King PuLlen. Mr W. Price. l\li~ E. J. Prime. " Raldins. :Mr. Jell'er,;on Reacl. . Rellcling. .\11". "lllllh Ridlttl'lk Miss Rogel' . " Rylancl.

Miss Saunders. " Scott. Mr. Alston Smith. Miss ranley. " Kate tarkey. " E. L. tevcns. 11rd. Stimpson. Miss Stock. " Summerfield. Mr. Lawson Tail,. Mr. Thom on. " T~ ndall " "\Vhitlock. 1\fi's E. J. 'Yil on. Rey. Canon Wilkinson. Mrs. "\Villoughby \Yilkin~ on . " "\\. II. 'Yil linm~ . Mr. F. Young.

BI.

nop

Mi"sl" Dob])".

AGUKL~\'ND

CEXTRE.

(In abeyance.)

,:\11'::;. DO~Yl1il1g.

l\Ii s F. S. Eadie. Mrs. S. Edwttl'c1s. " Evuns. Mi s Emily J. FrJ. " Gibbons. " Harris. Mr. Alfc1. Hill, J.P. " J. SatchelllJopkins, J.P l\Jisse Hughcs. lUI'. O. IIuichi"oJI. " IIy. Inni . " John Innis. Miss Jelf. Mrs. ReI' huw. Mr. Jas. Laean . Mrs. Sydncy Lawsoll. Grosvenor Lee. L ord Leigh. Mrs. E. R. Lloyd. Miss Long. " R. Lunt. 1\I1·s. CLas. Machin. Miss Madders. " Madclej. MUllley,

KBURN CEXTHE.

Chairman.

lIonorary Secrctary.

Mr. William Colbert.

}Ir. Thoma Kenyon.

BLACKIIEA'rH CENTHE. Chairman. Mr. R. 1\1. Mac Lean.

JJel)uty Chairman. Lieut.-Col. U. de B. Barnett, 1st A. B. Kenl . V.

TrCal'Ul'Cl' alltl )lOJlOl'ary Secretary. MujOl' C. D. Davies, 4th KcnL RY.

BLAUKPOOL CE ]TRE. Chairmall. Mt\:jor-General R. J. Fl'ihlen, 1\[.P.

(No return.)

Secrctary. John Tn.dol·.

1\[1'.

70 BLACK,\"rELL COLLIERY

BIUGIIO

CE~TRE.

President. nil'. RoberL Farrer, M.R.O.P .

Chail'Juan. 1\fr. J . .A Longden. Trea!iiurcr. Mr. ' V. H. tevens.

Deputy Chairman. Dr. J. J . Bmgnam.

Trustecs. I Mr. G. J. Armytage, F. ' ..A... Mr. Richard Sugden.

Mr. Laurence lIardy, J.P.

Honoral'Y Secrctary. Mr. Pascal1\I. Ohester.

Treasurcr. :Mr. ITenry Ilgclen.

Life lUcmbers. Mr. J . A. Longden.

1\11'. Pascal M. Ohester. " T. E. Fe11wick.

Prcsid('nt. The llon. \-V. II. B. Portman, l\I.P. 'I'l'ca. urcr and lIonorary Secretary. Miss IIarl'iette l\I Groves. \ Life iUcmbel'. The HOll. Lucy Ella PorLman.

Chairman. Rev. O. II. Fynes-Olinton .

Annual lllembers. I Mis Parry Okeden

BOURNE~10UTII

CENTRE.

Cilairman. lieut.-Oolonel Verner.

George ArmJtage, Burt. fl'. Henry Jocelyn Barber. Brigholl~e Indu~Ll'ial ociety. Me TS. IIird, Da1, on aud Hardy. lr

Annllal Me

~Icmber~ .

Han ou Ormerod, en . •, WID. mith. " Richard Sugden. }Irs. Richard ugc1en. }Ir. Frederick 'utcliffe. " Joseph Yic'kermau. MIS .•Toohua \Vucldinglou. ~Ir.

Edmund Airey und , on". Mr. Clement Blackbum. Bl'igholl'ie Induslrial "'ocid-y. Mr. J aUle ouke. W. A. IIutchin ou . " J . . Jo\\ctf .. " George L·ll1caster. Me rs. ~ a) lor and, ons. 81'S.

Trcasurer. !\fr. J. G. bepherd

BRIGIJTO~

Honorary Secretary, • fl'. Harry :rash.

Chairman. J. M. P. Montagu.

nonorary Sccrctary. Mrs. Oolfox. Annual

CEXTRE.

Chairman, 'The Rev . Dan \Vinhum. Jlonorary Secretary. Mr. Charles J. mitb.

Trcasurcr. Captain Bythesen.

BRIDPORT CENTRE.

Rev. Oanon Bl'oadlcy. Rev. R. L. Oarpcntel', Mr. W. Colfox. Ml·s. Oolfox. Miss Oolfox. Mr. Dammers. Rev. W . Gildea.

Life ;lIembcl'!ii. }Il'. Richard Kershaw. " IIlll1S0n Ormerod, cn. .. Richard, ugden.

'Y ...

President. The Bi bop of ,\Yinc1w"ter.

1111'.

Istant Treasurer. Mr. II. S. Stott.

Honorary Secretary, 1\11'. Hcnry Jocelyn Barber.

BLASDFOllD CE 'IRE.

Ui89 Ohurchill.

E CENTRE.

Treasurer. Mrs. Templer.

LIfe iUembcr. Colonel Penton.

Ilonorary Sccrctary, ~ren's Class. Mr. J. M. P. MouLagu. ~lcmlJcr"'.

Mrs. Gundry. 1\11'. W. llounsell. " J. M. P. Montagu. :1\[1'8. J.M. P. '1ontagu. f-ltudley. .: \liss SllUill. MfR.

TeIII ple\'.

BRI'TOL AND CLIFTON CENTRE. l"l'Csidcllt. IIi Grnce tllC Duke of Beaufort, R.G. Chairman. 'il' Sal ford Freelillg, KC.M.G.

Trt'a!ii urer and Jlonol'al'Y Sccretal'Y· Dr. 'Yo II. pencer.

BRO,\iVNllILLS (,\YALSALL) OENTRE. Chairmau. Rev. C. B. Wnlton ("Vicar). Treasurer. Mr. Cn.'oft .

Jlonorary Sccretary. 1111'. Cnleb Hackney.

BURNLEY

(LANC.L~ ~llIRE)

CENTRE.

Prc idcllt. Sir C. J. Kay. huttlcworth, Bart.

Chairman.

Trcasurcr and Honorary Secrctary. 11'. J. L. Ward, :M.A.

1111'. T. G. and;\". ~lnnnal

Miss Coultate. Mr. A. B. Creeke, Jun. " D. Drew. Mrs. D. Drew. " A. Drew. " Dugdale. " Edmondson. Miss Edmondson. " lIf. Edmond on. Mrs. Giles. Gray. Greenwood.

JIemlJeJ's.

Mr,. R. Greenwoor1. Misq Gl'ccnw·oocl. 1\[rs. II. IInslum. R. Haslam. T. IIu"lum. Sir U. J. Kay-Shuttleworth. Dn.rt. Mr. R. Proctor. 1111'S. R. Proctor. Mr. Sandy. Mi ~ Slamer. Mr. Strange. .. "TnI'd.

Annual Mr. J. J. Bound. " O. BuLt. The CounLe of Che terficld. Mr . E. Coxen. Ur. C. J. 'lay. 11rs. K Drury. Mr. F. . Dllnwell. . W. Dunwcll. :M i-s A. 1. Enrles. L. Enl'le<\. C. GooLlg'r. 111'. J. . Grinling. Mrs. K P. IIll~bands. J. Lin!!;wood IIurri on . 11i~ J. Hopkin. lIIe !'r ~. Incl, oope, & (). li~" II. 11. Jenning. E. Jcnnillg~. 111'15. T,. A. TiL'holu'l. E. A. l)jc1cloche.

~rcmbcrs-continued.

Mrs. M. Plant. 1\1iss E. F. Pcgge. 1\1rs. M. Richardson. Miss Richa.rdson. Mr. J ohn Robinson. " J. T. Redfern. Urs. C. M. tarey. Miss E. Small. L. Spittle. " :Mury Thomp on. " Ellen Thompson. Rev. J. mith Turner. ~1r. F. Tomp 'on. ~re sr . Truman & Co. Mr. William Taverner. ~Iis 'Upton.

" E. 'Vuyte. 'Mr. 'Y'. IT. 'YorthingGOn. ,. 'R. Fox 'Yurner.

r j .. NTEHBURY

CEXTRE.

Pl'cli'ident. The'Mo I IIollonrable the 1\1arquis Conynghllll1.

DCIHlty Chairman. The Dean of Canterbury.

Chairman. l1ptllin Lambert.

Treasurer anll lIonorary Sccrctary. 1111'. F. W. Flll'lcy.

BURTON-ON-TRENT CENTRE. Presidcnt. 1\11'. William Hemy ,\Tol'thington . Chairman.

DCIHlty Chairman.

Mr. George Lowe.

Dr. Walter G. Lowe.

Treasurer. Mr. Eel-win E. Browll.

1I01l0rary Sccretary. Mr. Robert IIarri on. Life IUcmlJel's.

Messrs . .All opp an,l SOllS. Mr. S . C. Allsopp, M.P.

The

rmoqui Conyngham. Deun of Cau LCl'b ll1'Y. Mayor ofnnterbury. Jl 13i,,11op of Dover. Colollel Dl'l5!lcher. 1111'. ]. W. :Furley. " Geo. FUl'ky. " ,V. Gillmnn. Roy. John Ilnllrtt.

Messrs. Bass and Co. Sir M. Arthur Bass, BarL, :M.P.

CAULT LID 'ENTHE.

Annual lUembcrs. The Mayor, Geo. II. Allsopp. Mr. R. F. Allen. Jl J. Aubel'. Miss M. Biru.

.lnnual JIcmbcrs. Colonel IIorsh'y. Captain Lambert. Colonel R. P. Lamie. Captain Phelip . :Mr. E. Plummer. " C. J. PlumpLr " II. 'V. Rolfe. :Mnjol' II. T. Sankey.

lIliss C. Bird. " A. Bird. Jl E. J. Bird. :\fl·. E. A. Brown.

lIonol'ary Secrctary. (Vacllnt.)

Cbail'nlall. Mr. \V. J. R. Cl·owder.

(Tll n\ eyn,uce.)

74:

UAH8IIA LTON CENTRE.

CIIATIIAM OENTRE.

President. The l;;a1'l of Egmollt. Chairman. Deputy Chairman. 1\11'. H. Homewood Crawforu. Rev. John Grahn.m, M.A.

Jlonorary Seeretary. Li.eut. Mayne, R.E.

'l'reasnrel' and HOllOl'al'y Secretary. Mr. Franci ('arter.

CTIELTEXIIAM OENT RE.

Life lUember, The Earl of Egmont.

I~l'e~ident.

Sir Rrook Kay, BarL

0.1. TLE

EDE~

CE .TTRE.

Chairnlan. The Rev. J. Bli'don.

Deputy Cbalrman. Dr. ~I. Duggan.

Treasurer anti II onorat'y S ccretal y. Mrs. R. Burdon.

Cbairnlan. ]\fr. G. T. Canning.

Trea nrer and Honorary Secretary. Dr. Carr.

J"ife Jlembcr. Mis Henry.

Mrs. Fenn. I' Daker Harley.

Annual JlcmlJcrs. Mis Henry. " Jane Inglis .

Treasurer. Mr. A. V. Kyrke.

Honorary Secretary. Mr. J. \"Villiam Gifford.

OIIARLTON

OE~TRE.

President. SUo Spencer -:\Taryon 'Vilson, Bart. ( ;hah'man .

Lieut.-Colonel II. Geal'y, R.A. Mr. William J. AllsUF' lL-s. William J. Allsup. Captain F. Bowles, R.A. Mr. Charles J. Brown. " Fullagar. I.ieut.-Colonel Geary, R.A. Mrs. Geary. Lieut.-General Gibbon. Admiral Goldsmith, C.B. Mr. T. Gray. Lt.-Col. A. Grubb, R.A. Mr. Guyer. Colonel Maj endie, C.13.

lIonol'ary Secretary of La(lies Braneh. }\frs. Fenn.

(Tn abeyance.)

OII.\.RD OEXTRE.

Chairman.

Mr. John ,V ulker.

Treasurer and lIo110ral'Y Secretary, Mr. A. K. W} lie.

Annual Jlembel's. Mr. C. 1fead.

G. T. F. Muskett. Hey. Canon Pritchett. 1\11'8. Pritchett. )[1'. Ratcliff. " F. Snoac1. l\frs. \Vebb. :!\liss ',,",harton. " F. Whitaker. Sir Spencer 1faryon Wilson, Burt. La(ly 1Iaryon W·ilson. }fIr. A. K. Wylie. 1\1rll. A. K "Tyli(',

OIIE"'TE R OK. TRE. Prel'itlent. TIis Grace the Duke of We"tmin tel', h.G. Treasurer. :Jl. Howson

Chairman. Lieut.-General Ingtlll, C.B.

l\fis~

1I0110ral')" Secretary. Miss IIowson. Life ;UeIllOel's.

fl'. C. Brown. · 1lOp 1 L orc1 B 1S rrhe Right Rev. tie hesler.

1\Ii s Lynes. Dr. '"Vuters.

UIIESTERFIELD OEXTRE. 1I0nOl'ary Secretary. Mr. Chal'le E. Jonos.

CHISLEHURST CENTRE.

COYENTRY CENTRE. President.

Preshlent.

The Earl of Denbigh.

Rev. F. H. :Th1:urray. Chairman. Mr. F. H. Janson.

Honorary Secretaries.

Tt'easurer.

Treasurer and Honorary Secretary.

Mrs. Gillson.

Dr. T. H. Cockroft.

Mr. \V. T. Browett, and Mrs. GulSOD

Life :Uember.

Mr. John Gulson.

CLAY CROSS CENTRE. President,

BED,VOR'1'II BR..:\..NCII ( 10VENTRY OENTRE).

Mr. Chus. Binns, J.P. Chairman.

Treasurer.

Ur. J. P. Jack on, J.P.

Mr. Thos. Wilkinson.

Cbairman.

Rev. T. R. E-van . Treasurer.

Honorary Secretary.

nfl'.

Honorary Secretary, :Mr. A. E. Tansley.

Mr. W. Linney.

II. W. Greatorex.

HonoraI'} secrctary ot Lailies' CIa

Life lUembers.

Ml". Thomas.

Clay Cross Company. Annual iUembers .

Mrs. Binns. Mr. W. F. Clare. ,. H. W. Greatorex. ,. G. Howe.

Mrs. Jackson. 1\11'. G. Parker. " T. Willcinson.

Chairman.

Mr. T . . Whittem. Treasurer.

Honorary SCC l·ctarie s.

Mr. G . .Lim '.

nIr.W.Williamsun, and Mrs. T. . \TIlitt Clll.

OOLCHESTER CENTRE. (In abeyance.)

Pre idcnt.

The lIon. J. PreSident.

The Earl of Bandon. Chairman.

DCI)uty Chairman

The Mayor of Cork.

Sir Daniel V. O. Sullivan.

Treasurer.

lAte lUelllber.

Lleut.-Colonel Loyd, J .P.

Major Lunham, and Mrs. R. Gregg.

Annual ,Iembers.

A.nnaal Itlcmbers.

Mrs. " ,. "

Allman. Thos. J. Babington. Alfred Beale. Finn. " R. Gregg. Miss Rircho:£fer.

Miss Ledlie. ;\lrs. T. Mahony. Morrogh. T. Perrott. Sugrue.

Trcasurcr.

Mre. WebsLer. lIonoral'Y Sccrctary. Miss C. Neve.

Honorary Secrctaries.

Mrs. T. J. Ba.bington.

. Gllthorne-llurcly, I.P.

Chall'll1an. 1\11'. R. Appaeb.

Mr. R. Appaeb, J.P. Miss Appaeh. " G. Appaeh. "

M. Appa~ll.

Mr. G. French, J .P. Tho Hon. J. S. GaLhornc-IIurcly, M.P. lUI'. W. J. Novo.

Ul'. G. Neve . "

R. Neve.

Mis ' Nt\ve. "

C. Ney .

ir Charlc Onkclcy, BlLl't, 1\11'. A... Oakes, J.P. , J. A. l)hilpolt.

CROYDON CENTRE. Prcshlcnt. His Grace the Archbi hop of Canterbury. Cbairman. Mr. T. R. Edridge, J.P.

Treasurer and Jlollorary Sccretary. Dr. W alter R os er.

Miss A. E. Ro berts. Mrs. Ruddell. Ryttl. lykes . l\Iiss Talbot. " Thorn on.

Mi s Tolerton. Rev. IIope M. Waddell. Mr. John Webb. 111' . John Webb. Miss A. \Vil on . Rev. Mr. Wooclroffe.

D XDEE CE . . ~TRE .

DARLII GTON CENTRE. Cbairman. Mr. H enry Pease.

Honorary Sccretary.

Mr. Edward ilutchinson.

The Ri ght

ITOll.

Pl'csidellt. the Earl of, 'Lrn.thm ore and Killghorne, Lord Lieutenant of Forfurshire.

Chairman. Li eut.-Col. Mori

DOVER CEL TRE.

Yice-Chairman. J. E. A. , 'teggaU, E q., M.A.

Oil.

lIonorary Secretary.

'l'reaSlll'Cr. Alex. impson, Ell.

lIonorary Secretary. Major 'cotto

l\Il\ior Rankin. (Ne';'.· CenLre.)

DUBLIN CENTRE.

DURIIA:'II

Pl'eshlent. Mr. F. R. Du:ries, K.J.J.; M.R.I.A. ~fr.

Chairman. F. R. Davies, KJ.J.

TlIt'

Treasurer.

Trea~urcl'.

Ui s :lleyrick.

:\h. L. Ec1wl1l'c1e .

Cbail'lUan. of Durham.

D(,Ull

Jlonorary Secretary. Mr. E. Jepson, F.R.C ..

HOnorary Secretary. Dr. J. Dallas Pratt, F.R.C.S.

EAST130

_"-u nual IUembers.

A Friend. Mrs. Bagot. 11i:;s Barlow. F. Blair. Carmichael. Cooper. Cooper. Croghan. Davis. " Doyle. " Edge. Evans. ~Irs . L e Fanu. Miss Fleetwood. " H enrietta Fleetwood. Mrs. Fletcher. " Galloway. Mr. H. J. Gibson. Miss Sidney GilberL. " M. J. Goodbody.

:Mrs. Gray. :Miss Gray. Gribbon. " .Tuli,t Grierson. " lIarmes. Mrs. '. M. IIewitt. Miss C. J. IIolden. ::Vir . N. lIone. Miss J ohu . }11's. Kelsall. Miss Kenny . Mrs. Lamb. Miss Lamb. Mrs. Laue. " Lloyd. " l\1acmc. McNeighL. Miss Meal'l~s . Mrs. Peile. Miss C. Rae.

E);TRE.

~I]'.

R~B

CENTRE.

Chairnlall. C. Rnil,l'g, .T.P., C.S.I. lIonorary Secretal"Y. :Mr. Leonard J effery.

Treasurer. Owen.

~fnjor

EBB, \"," V.\ LE

CE~TRE.

Cltairlnan. Mr. C. B. IIollnnc1. Treasul'~l'

DCI)uty Chairman. 11'. Robert J orelan.

and lIollurary Secretary, :Mr. ,V. Day ou .

Lifc )Icmbel'.

MI'. C. B. IIolllluc1, J.P. Annual

Mr. Edward OW<11'tl. Wm. Dnysol1. Edwin Grove. " Thomas IIurn'.

~Icnlb('l'!'.

1\11'. Robert J ordan . W. II. Powell. Rowland A. Willialtls . Thomas " ood.

EUKINGTON CENTRE. PresIdent, Sir G. R. Sitwell, Bart. Chairman,

R ev. E. B. Estcourt, 1\I.A.

Treasurer and Honorary Secretary, Mr. Robert. DumbleLon.

l're~itlent,

The Right Rev. thc Lord Bitihop of \VillC'hester, D.D. Chait'nian. Mr. S. G. loman.

Life ~Iembel's. Eckington Collieries Field Club.

Jlonol'al'Y Secretary. II'. John Lev. is.

Annual lUcmbcrlil,

Rev. J . Olayton. Mr. J. C. Coh·er. Mr. Watkins Davies. William Dust. Rev. E. B. E stcourt, 1\1...1.. Mr. Francis IIardwick.

I~jfe

Mr. Fredk. lIarchYlek. Rev. R. S. IIare, l\I. 111'. Joseph Jervis. " J. T. Jones. Pc,eril Turnbull. Joseph II. \i' ells.

EDMONTON

Treasut'el'. Mr. J. W. Burningham.

OE~'l'RE.

-'fr.

)Iember.

Combe.

Annual Jlenibers, Dr. . G-. loman. . G. 'loman, J Ull. " IIerberL 'loman. Mr. A. II. 'teyen . " James 'te,en . )Iajor \'{aller. Lord Bishop of \"\~inche ter.

.\1:1'. J. F. La 'I'robe Bateman. Dr. I3rodie. Rev. Rohert Gore Bl'owlIP. ."Ill'. R. n. Combe. Dr. IIayc . Rev. anon lIo. teo Rev. C. Powell.

(In abeyance.)

ETO~

COLLEGE

Chairman. Rev. Edmond Wane.

)·rc .. idcnt. The Hight llon. Lord IIurris.

CE~TRE.

lIonol'ary Secrct :try.

I Captain

P. T. GodsllJ, 2nd Bucks R. V.

Lifc ~Icmbcrs. 'l he Officer comm.anding 2nd Bucks The ..Adj';1tant 2nd Bucks (ELon College) (Eton ColJege) Rlfle Volunteers. Rlfle "\ olullteers. Surgeon James W. Gooch, ~I.R.C.S.

Chairlliau. Mr. J. A. Aneler

'1'l'casurcr.

JUl'. W. E. Rigden.

011.

II onOl'ary Secrctary.

:Mr. Allan

Ta~:-ell.

Annual )ICJnber. The Right Hon. Lord IIarri.

EXETER CENTH,E. President, Right Hon. the Earl of Devon. Chairman. Mr. Arthur Wyatt Edgell.

Annual llcmbcl'S.

Miss Ellll.coUJbe. Mrs. FUJ'sdon. nussey. W. D. Napel'.

CE~TRE.

Chab'luan. fr. \\,"illil1m Davie:>.

Treasurcr. Mr. "\i'illiam CoLLon.

H [)noral'Y Secretary. ·Y.[ajor W. D. Naper.

Mrs. J . H. Batten. Miss M. Bond. E. 'Wentworth Buller, Mrs. Corfe.

FESTL ~ lOG

Jlonorary Sccl'ctary. l\Ir. John Owen.

T rea ~ure r.

Ir. RoberL Rowlaudti. l.Jifc

~leUIbcl',

Mr. A. M. Dunlop, on behalf of till' Oakley MidcUe aud Upper Quarries Uompany (Limiled).

PLEEl'\YOOD CE TRE.

GRAVE 'K. D OE'1'RE.

Presiflcnt. Colonel the Right H on. F. A. Stanley, M.P.

Cbairllian. The Mayor.

Chairman. Rev. J. Pear on, M.A., F.R.A.S.

DCIlllty Chairman. Mr. A. CI11'80n, J.P.

Treasurer and Honorary Secretary. rajor ,Yykeham Dickenson.

TreasUl'U'. :Mr. J. F. Margin on.

Honorary Sccretary, Mr. J . R. Sumuer.

----

GREEN\YIOII CENTRE.

Annual lUembers . ~rr. J. Pickering. J. Prcsion. " T. Riley. R. C. Ward. " P. ,Yilliam .

1111'. J. T. Brenerd. T. Croft. J. D. Gibson. J. R. Gibson. " J. F . Mru'gin on.

-----

PreSident. Lieut.-Col. F. Duncan, R.A... Chairman. Rev. D. Reith.

Trea urer and Honorary Secrctary, Mr. W. Watts.

- - - - - - -- - - GRIM l3Y OEXTRE.

FOLKESTONE CEJ.. TRE.

President. The Right lIon. the Earl of Yarboroncrh.

Prc itlent.

The Right lIon. thc Earl of Gla gow. ~Ir .

Treas urcl'. Mr. John herwood, J.P.

Chairman. Mr. W. J . J eaffr eson, :M.A., J.P.

(I ncludi ng Ci1'enceste1' and S win do n. ) Chairman. Dr. William Rutherforcl Ancrum. Honorary Secretary. Mr. Gco. ShefHeld Blake\yay.

Treasurer. R ev. H. W. Maddy.

I Treasurer a1ll1 lIonorary Secretary,

,\lluual Jlemuers.

Mr. E. B::umi tel', J.P. " II. Bennett, J.P. 1\11' . Bellllelt. Miss 'arah Bcnnett. 1\11' . R. ook. Re\,. A. r: edge. II. liuichinson. Ir . Kendall. Miss Lcppingtoll. " Little. JUl'. W. T. Lumlie. " II. N oelMnlan.

Mr. J. Meadon-e, J.P. A. :Jlonlanuro. G. Parker. J. Parker. " J. Reed, J.P. A. Reed. J. Robinson. Mra. kafte. Mr. H. Smethurst. Mrs. J. uLcliffe. ~Ir. J. Walc1l'1lll1. Re,. J. P. YOlmg.

G ERN EY GRASSMORE COLLIERY CENTl-{E.

~Ir. II. X oel ~Ialan.

Life ;Ucmber. The Right IIon. the Earl of Yarborough.

Honorary Secretary. Mr. John Dicker.

GLODOESTER UENTRE.

Chairman.

E. Bannister, J .P.

Chairman. Mr. Ed gar MllcCulloeh, Lieut.-Bailiff.

CE~TRE.

I Trcasurer and Jlouorary Secretary, :Mr. Snusmarez Le Coeq.

Chairman.

ilr. A. Barnes. Uonol'al'Y §ecretary . lIlJ. A. VV. Ba,rnes.

IIALIFAX

CE~TRE.

(Tn abeyance .) F

HEAVY \ VOOLLE,- DISTInCT OK. TRE.

IIART LEPOOL CENTRE.

J"reshlcnt. The Right, llon. the Earl of Wilton.

Chair m an. :Mr. Tho. RielHl,rclson, M.P. Uon ora r y Scc l·clal·Y. :Mr. John Clarke.

Deput y Chni r man. 1\11'. John llorsley (Mayor). Ann ual

~(c m bers .

:'Ill' .1\1urray. ieLen. Iiss iclsen. .A. Tiel en. C. Ticlsen. l\Ir~. Page . ~Ii~:; Pca1'son. 1\I1's. J. Procter. T. Procter . Pun-is. Messrs. Richardson and :Mrs. Robson. ander on. 1\1is cotson. ~f. cot on. ~Ir8. Treehmann. Miss Treclnnann . A. '"Vbite.

Mrs. Bains. :Miss Bell. " Black. Mrs. Boddy. Coltman. Crondaee. Ii's Dormand. Mrs. Gardner. • " Glendinning. Goodwin. :Miss B. Gray. 1\&. J . Horsley. Miss Kirby. Lister. Mrs. Lowry. 1\liss L11cas. Mrs. I ar hall. " Mudd.

HASTI NGS AND ST.

LEO~ARD'

TJ'easllrcr and Uonorary Secretary. 1\11'. Chaley Fox. Lifc

on'l.

CE. TRE.

... :Mr. W. J. Gant. Il o norary Secretary. Mr. Richard Hammon. Lifc

~Icmu 'I'.

Mr. Gustavus V. Hill. AU!lual ;U('lubers . Mrs. Pakenham. Miss S. M. earle .

Miss Birkett. Mr. C. P. Carter. " Thos. Mason.

ITA' VK . . fIEAD CENTRE. Chairm an. The R ev. J . Allen.

Delluty Ch a h·man. Mr. Wm. TIopes Heelis.

Treasurer a n ti JIolloral'Y Sccl' ctary. Mrs . Wm. TIopes IIeelis. Annual JU cmbcl' S.

R ev. J . All en. Mr . Evenett. " G. W. Goodison.

Mr Goodison. Mr. Wm. llopes Heelis. Mrs. Wm. H opes IIeelis. Q

•

~Ielllbers .

Mr. haley Fox. The 13irbLall ('0 opemtive ociety.

Tr ea~ u ro

Cbair man . Dr. Edward FUI'ley

Cbairlnell. :Mr . .Alfrea '"Vest (Bi1'::>lall). I Mr. amuel Jubb, J.P. (Batley). :;)11'. R. J. Critchley, J.P. (Dewsbury).

Annual The Right lIon. the Earl Fitzwilliam. Mr. R. J. ritchIey, J.P. Mr. amucl JubLJ, J.P. A Ifred 'V cst. DE~-SBURY , ECTIO~ OF ('EXTRE .

Mr. J. arch'ell, Jun. imon 'rrLw:,huw. " G. D. 'llllin~worlh. " Frcd Elliq, J.P. Alfrcd Flelcher. " Geurge 'Vm. Fox. " J olm Da) Fox. " 'I. Bateman Fo"X. , J. Ualey. " B. G. liepwortll. " J olm In[''l·am. J. Milchell. 'Ym. 'ehoueld. 'Vlll. 'l!arrock. Mrs. L . .A. hcpherd. Mr. elh ,VarL1. BmsTALL

ECTION OF CEl-iTRE.

Chnrle Creighton. " ' Yillinm Fo:,Lel'. Mc o1's. Goo. Ellis & Nephew. The :.ome1'a1 Co-opemtiye'ociel,y. The llowtlen Clough Collier) Co. 1\11'. J o:3cph litlClllcld. G. l!'. lil1lllmonc1. " 'Villiam lIir;;t. l.\.l'lhnr lIulehinon " J. P. l11illgllol'th. J olm Illt'l:lon. ,) , VillirLll1 J 0\1 etL. Rov . J obn r (111)1. 1\11'. J olm O. Let'. J\lc"ors. Lyon,,; & ('al'!'. ]\.fl'.

JUl'. llerbart Marriott. " William Preston. ~Ienlbers .

Mr. J. Mallin,on. :Mios Xu sey. Platts. ~h. J. Ramsden. " John Rhodes. " Ram ey ykes. :'IIiss Maria Wigglesworth. ~Ir. BeDj. 'ViI on. 'Y. )1. 'V00 ller. BATLEY

ECTION OF CENTRE.

111', J. P. lliddlebl'ook C~Iayor). " ,Villiam BaLe. " John Blackburn. Messr . R. Brearley & ons. 1\11'. 'amuel Brearley. Tile Batley W ol'king :'lIen's Club. 'Ihe BaLlc) Co-operative ociety. 1\11'. ampwn Chappel. )I1's. ,Valter Cl'ilcllloy. Mr. Jo eph Jubb Fox. '"V. J. R. Fox. " Duke Fox. " Robert Gaelic, Rev. eha . Gordon. 111'. Thomas Hirst. " John Jubb, J.P. " John Jo~eph Jubb . " Joseph 'Wilham Jubb. E. Lanslldd. Mrs. John -'tubley. ~Ir . Arthur Tllylor. l\E s Julin. Tl1ylol'. Lizl.ie Tnylor. 1\11' . Thcollo l'e Tn,dol'. fili 's AllC0 Tn)' lor. :'lIe 1'. , YoTher & milh. ~Ii ' !'

USilll \\Tiho tl.

IIEREFORD CENTRE.

CE~

IPS,iVIUli

President.

TRE.

PrcsitlCllt.

The Right Rev. the Lord Bishop of Hereford.

The Mayor.

Chairlnan.

Treasurcr.

Cllairman.

Mr. J. F. Symonds.

Mr. O. G. Martin.

Dr. Durrant.

lIonorary Sccretary.

1\1iss A.tlay.

Trca urer and lIonorary Secretary.

Miss Ooulcher.

Life Jlcm.bers.

I Mr. O. B. Skinner.

Mr. D. II. Booth. " G. S. Elliston.

Annual lUelnbers.

I Mrs. Norris.

Mrs. Atlay.

JEI SEY

CE~TRE.

Preshlent.

HERTFORD CE~TRE.

ilis Excellency Major-General II. Wray, R.E., O.M.G., Lieut.-Governor of Jcr:;ey. Trcasurer and lIonorary Secretary.

,Prcsidcnt.

Dr. IIyne.

The Right IIon. Earl Oowper, K.G. Chairman.

Deputy Chairman.

Mr. Abel Smith, M.P.

The IIon. Baron Dimsdale.

Treasurer.

lIollorary Secrctary.

Mr. W. Oosens.

Lt.-Oolonel ycluey "V. Bell.

KEIGilLEY

E~ TTRE.

President.

Mr. I aac Holden, E q., M.P., J.P., D.L.

Life illember.

The Right Hon. Earl Oowper, K.G. Annual lUembcrs.

Mrs. E. Olinton Baker. Lt.-Oolonel Sydney W. Bell. Dr. George Elin. Mr. H. Ricardo. Rev. R. Rutland.

(New Oentre.)

Dr. O. E. Shelly. l\1r. T. J. S"order. " liorace Tuck. Dr. Wm. Warrener. " Wm. Woodhou e.

Chairman.

Treasurer.

Alderman B. S. Brigg, J.P.

1\11'. John Gledhill.

Jlollorary Secretaries.

The Re'. F.

,V. Roberts andl\Ir. H. Laycock.

KENDAL CEl\TRE. (In abeyance.)

HEYWOOD (MAr CIIESTER) CE TRE.

KES'VICK CENTRE.

Chuirlnan.

l»resident.

Dr . .Alfred Ohadwick, M.D. 'l'rea~u .. cr. Mr. Clough Maden.

Uonorary Sccretary,

Mr. II. II. J . IIitchon.

11'. II. A. pedding. ChairJllan.

DellUty Chairman.

Rev. II. D. Rawn'loy, 1\LI\..

lUI'. Joseph lIall, B.A.. JIonorary Sccretaries.

Treasurer.

Miss E. Benn, and Mr. George II. Dixon, B..i.

Mr. J. Fi her OrosLhwaitt.

HULL CENTRE. Chail'rnan.

Rev. Oanon McOol'mick.

'l'l'easurer and Honorary Secretary.

I (X ew Oentre.)

Mr. II. N. Babington.

Miss E. Beun. Mt,. J. Fisher Orosthwaite. " G. II. Dixon.

A Ilunal Jlelllbel's. 1\11'. Joseph IIall. 1

Dr. Oharle Gore Ring. Rev. II. D. Ra'l't"'lJsley.

89 KIDDERMIN8TER CE 'rRE. Pre shlent. Mr. J ohn Briuton, M.P. Chairman. The l\Iayor of Kidder.

Deputy Chairmall. 1\11'. J£. J. [orton.

T.'easurer. :Mr. A. Dow.

1I0UOI'<l1'Y Secretar). 1\11'. Daniel :Mackay ! ,iff'

;l[('n llH'l'~.

Mr.

1\11'. J ohn Brinton, M.P.

~lich:wl

KIVETON P.AH.K COLLIEPY

Tomkinson.

l£:\rrRE.

I-resilIent. Rev. G. T. Hudson, ::\I.A.

Chairman. Mr. Thos. Carrington, l\I.I.O.E., F.G .. '.

Treasurer'. ~rl'. F. E. Hudson .

lIolloral'Y Secl'etary. 1\11'. Edward Sour.

Allnual lUcmlJel' The Mayor of Leeds (.Alderman Wood}lOU SO, J.P.). Mr. J. C. lalcolm. :Miss Maude. :Jlro. Morley. 1\11'. G. \V. ::'Ilorrison. " IIcnry r el on. II Geo. IIird elson. MessJ'~. Pope and Peurson, Limited. :JIr. George Rayne)'. " Hichard Reynolds. ~Ii~s Hichardoon. }1r. Chas. Ryder. ::'Ifr. Waller Rowley. l\fr . -Walter Howley. .Irs. Spcncer. 'Mr. Ashley toNes. l\ilos Lucy. tubles. :Mr. T. P. Teale, F.R.C. ~1n.jor \V'ard. YOl·k Road Iron and Caal Company.

Mr. Y 1l1. Achoyd, Jun. " CliGord AllbuLt, F.R. .. " Ed Wltr\l Atkiuson. Miss E M. Baiucs. Mr. John 13urran, M.P Miss Browll (\V (,etwood) Licut.-Col. Child. Mr. . D. Cln.yton. " U. C. 'ulllly. " \ V. 13. DCllison. Irs. R. \ V. Eddisou. , ir Andl'C\\ Fairbairn, ~f.P . l~'nrlllc,' hon 'ompn.u}. Miss Flum~Len.l1. IJicut.- '01. Hadley.

111". 110,' :It'Lh. Hll1l1ble. [Ilchhold & Beck. Mr. \V . L. J!lI'k'ou, J.P. " Jalllc~ rit 'on, Jun . }.[rB. F. Luplon.

MlS8

MC i:H:l1'R.

Pre. ident.

LEICE ''rEP 'II lRE UE TRE.

Colonel the Right lion. F. A. ~(anlcj, M.P.

Chairman. The Rev. Canon Allen, D.D.

Trcasurcr. lurk.

Presidcnt.

Dr. RoberL

Ilia Grace the Duk of Rutland, KG.

lIonorary Sccrctary. 1I011orary SecretarY· 11'. T. F. Johnson, JUD.

'.freaSUl'er. '11'. A. Paget.

lajor Edward W. Stokes. Life 1flcmbers.

Messrs. Storey Bros, & Co.

LEICE TER BRANOn (LElUE3TER llIHE CE~'rRE). I"residcnt. Chait'man (eJ'-(1/iC'lU). The Mayor of Lecds. Dt'lHlty Chairman. Mr. Edward A t.killson.

TrCa8Ul'er~.

IIOIlOI'llry Secretary . MI'. \tV altor Rowley. L ife :tlcmlJl'],s.

jlP]

llBS

onorary Sccretarics.

lIe' Fullttgur nud Mr. 1311cklL'y.

I .. if· 1Icmbcl·S.

]\fcssrs. BecketL and Cu ,

Sir A11lll'cw Fairbairn, M.P. Sir Lionel M . S winner Lon Pilkingtoll,

Treasurer. ForLescue.

Chairman. Rcy. II. J. Fortebcllc.

Sir Andrew Fairuairn, l.P.

1\11'. Chades Ryder. ::'Ill'. 'N nUcr l{ )'Ilcy, C.l!:.

Mrs. BllCk.

a.11.

,mib,

~1 iSi:l

IG. Ellis. H.uv. ll. ,J. Fortodullc.

l\{ii:!s FUl'Lc8Cll . !<lr. \Y. UlcaLlu\\'.

Lu.Jy Kiug-liaU. l\Inj or Millican, ~1r. A. Pagot. ,,\V. llpllll' 1{,c0,o. ,. S\l ain. .\lr . \\'rigilt.

90 Annual

lli~LLATOl

UPPINGnA:\I BR,\NCII (LEICE TER IIIRE

~Iembcrs.

Mrs. Ion. G. II. Jone . :JIr. Joyce. ::JIrs. Kinton. Mis Leice tel'. Rev. J. Le"';' . Mi· ::'IIackennal. Mrs. ::JIote. lis Nedhnm. " Noble. " C. Paget. :Mrs. J. Paul. 1\1i" E. Paul. :J1r. H. Pickering. ~Ir;::. Ransom. ~Ir. C. S. Robinson. ~Ii ' E. Robinson. 1\11' . 'I. T. RO\T'l::ttt.

Miss Adderley. Baine. S. Baine. " Bromley. " Broughton. " M. Broughton. )\frs. Bruin. Mr. Buckley. Mrs. Catchpool. " Chambers. " Charters. Miss Cl8.l'ke. 111'. Collier. Rey. L. Clayton. Mr. Clayton. " Cooper. " Cm'tis. 1.11'. Denton. 1.1rs. Douglas. Miss Fullagar. " F. Fullaglll'. " Gibbs. " Green. Mrs. C. IIumber-tone. " H. Humberstone.

OE~TRE).

Jlonorary Sccretary. :1fr. Thoma Bell.

11 onorary Secrctary.

Dr. J. D. IIulme.

lIonorary Secretary.

Cil}Jluin IT. J. Broad.

L1 IIFIELD

E.l. -TRE.

President.

The Righl Rc'. the Lord Bishop of Liehfield. . penceI'. Mis E.:}1. lufford. Mr. tunyon. ::'Ill' . \'i~. II. Wulker. " A. Wyke .

BRAKOn (LEIOE TER nIRE

CE~TRE).

Chairman.

Sir A.rthUl' IIazlerigg, Bal't. Trea urcr and Honorary Secrctary.

(\aeant.)

LOUGilBOROUan BRANOn (LEIOE TERSHIRE OE~TRE).

Chairman.

Trea urer.

Dr. H. li. }[organ.

Tho lery Rev. the Dean of Lichfielc1.

Jlonorary Secretarie .

Colonel Tomp on and )11'. 'Wakemun-Kewport. Annual JIemhcl's.

Right Rev. Bi'hop Abraham, D.D. Mr. yl,anu, Bigg . oloncI ,Yo D. . Diehm. Mr. F. T. Godfre~'-Filllsset t. Rev. John Grahum. Major F. 1':1>e5. 1'.11'. F. llineklcy. " J. n. IToc1son. Mi ';< Holbech. The Dean of Liehfielc1, D.D. }'Ir. A. . Lomax. The llon. lHr . Maclagall.

Rc,. G. )Ioberly. Dr. II. ::'II. ::J1ol'gan. 1fr. II. A. Wakeman- -ewport. A.. D. Parker. C. Richard on. p J. . Richard on. Rev. }[eh-ille "cott. " J. cljcaut50n. Colonclll. . Tompson. ::JI1'. C. Trir:-g. J. T. "hateley.

(No retlU'n.)

DONl. MELTON - IOWBRAY BRANOn (LEIOESTERsnIRE OE~TRE).

II rGTO~

BRLL,On (L1LLESillLL COLLIERY OEXTRE).

lUr.

Chairman.

ha1'1e

lemont Walker.

(Vacu,nt.) Life

~IelDber.

Earl of Wilton.

::\11'. Chm'le Evans.

Annual ltlcmbcrs.

Rev. W. 11. Colles, D.D. Treasurer and lIonol'ary Secretary.

Trcasurer and Jlonorary Secretary.

Chail'luan.

Mr. Charle Evan. " J OM Fergu on.

llel'bert Jones. Philip Lane. Roy. Thoma O'Regan. II

Rev. 'Yillium J UlllC ' Price. 1'.11'. Ro\\'laud "~e tby Ralph. Charles Clemcnt Wa1ker. ,. Fl'iNll'ich 'Yeck .

03 LIVERl'OOL CENTRE.

MAIDSTONE CE. TRE.

President. The Earl of Derby.

Chairman. Mr. William Haynes.

Treasurer and Honorary Secretary L ieut.-C010nel C. B. Paris.

Honorary 8ecretary. Mr. C. Hamilton ·White.

Treasurer. Mr. Randall Mercer.

Chairnlan. Sir James A. Piclon, J.P. (P1 ' O

I.ife Jlembers. -;}lajor Ross, :M.P.

tem.).

Honorary S cretal'ies for Ladies Classes. :Miss Brancker. Mis A. M. n. N elsoll.

A Friend. Colonel Cecil Cragg.

(No return.)

Life ;Uembers.

:Mr. Edward Bibby, F.R. G.S. Sir Thos. Brassey, K.C.B., 1\1.P. 1YIr. J. T. Nickels. 1\1ajor John B . Barker. Lieut .-Colonel C. E. Crosbie. Mr. Thomas Dobson. " A... B. Forwood. " Holbrook Ga ken, J.P. Captain J. J. Gletherow. Mr. H . Grayson. :Major C. Grayson. 1\11'. W. D. Heyne. Thomas Holder. J . Holland. " T. H. I smay. " T. H. Jackson, J .P. Thomas Leech. :M::iss Mary Leicester. :Mr. Hemy T. Leyland. George R. Ley land. ), W. II. Livesey.

Lieut.-Colonel C. B. Paris. Lieut.-Colonel R. F. teble, J.P. The Duke of \\ e Llllin tel', K. G .

Annual JIcmbcrs. ~lr. F. Loftus. " II. M. Loftus. Lieut.-Colonel G. F. Lyster. Mr. G. P. Melley, J.P. Lieut-Col. C. B. Paris Mr. C. J. Paris. Mrs. C. J. Paris . Mi ' II. H. A. l'ari . 1\11'. E. Pierpoint. Dr. A. Creswell Ril:h. :JrajOl' J. R. Robin on. Me::;srs. RoekWIe BroLhers. Major Shirley. Cllptain H. Tate. Mr. John \, nite. G. \V. \\hileley, ::\LP. uptain G. F. \YillIullls. :Mr. G. M. Williams.

ilL\'LVER~

CENTRE. TreMl urer. :Mr. Albert Brown.

Chairman. Mr. Henry ·Wilson.

JIonorary Secretary.

'apt. W. Ottley.

MA:XCITE TER CEI TTRE. Prel'ident. The Right ReT". lhe Lonl Bishop of ::\Ianche~lel'. lIonorary Secretary. Major W. Pooley.

Trea!ilurer. Mr. J . W. 1\Iaclurt'. ~fr.

secretary. Benjamin Brown.

LiE GATE

CE~ TTRE.

Cbairluan. Dr. T. mirh Rowe. Honorary Secretarie Messrs. W . J . Church Brasier) :mel A. T. Cbe::dield.

LLANDUDNO CENTRE. Dr. T . Smith Rowe. Chairman. Dr. J aml-s Nicol, J .P. 'l'reasurer. Mr. W. Atley Wells.

Life "embers. 11'. S. Stiles.

Deputy Chairman. 1\11'. William Bovall. 1I 0nOl'al'Y Seerctary 1\11'. C. Le Neve E08Lor.

I.A fe IUembe l'. Mr. C. Le Neve ]oster.

l\lARLO,V

CE~TRE .

Chairman. Lieut.-Col. Owen P. \Yethered. Treasurcl'. Mr. Chas. 1\1. FooLtit. lIonol'ary Sccrl"tarics. :Ml'. C. 1\1. FooLtiL and 1\li. Eleanor B. Jack on.

Lifc lUcmbcrs.

Lifc 1'lcmbel's.

Mr. Thomas Somers Cock .

Lieut.-Col. Owen Peel WeLhered.

Annual l'Iclllbcrs.

Mr. R. F. Campbell. " C. 1\1. Foottit. " G. Jack on. 1\Iiss Eleanor B. Jack on. Mr. J. Seaton Kirkpatrick. lVIrs. Powell.

1\11'. W. Ritchie. " D. Rush, V.C. 1\1is Ward. 1\1r . Owen Wetherecl. Owen William . Mr. Thomas II. Wright.

Messrs. Bell Brothers, Limited. Mr. C. F. II. Bolckow, D.L. Messrs. Bolckow, Vaughan, & Co., LimiLed. Lady Bra ey. Messrs. 'The Cargo Fleet Iron Company, Limited. The Clay Lane Iron Company, Limited. Aclmil'lll haloner, R.N., C.B. Messrs. Cochrane & Co. Major RayIton Dixon, J.P.

l\IARSKE-BY-TllE- EA CENTRE. Chairman.

1\11'. A. Pease, M.P. Dcputy Chairman.

Trca)o1ul'er.

Ven. Archdeacon Yeoman.

1\11'. William Moore.

Honorary Secretary.

l\Ir. W illiu,m Lap ley. Life JIember.

1\11'. Arthur Pease, }I.P.

Messrs. Dorman, Long & Co. The Mayor and Corporation of Midcllesbrough. Mes 1'8. Morrison & Co. The Korth Eastern Railway Company. 1\1e srs. Pease and Partners, Limited. B. 'amuelson & Co. tevenson, Jaques &, Co. 1\11'. J. T. Wharton, D.L. 1\Ie88r . Wi] ons, Pea e & Co. The Rt. IIon. the Eal'l of Zetland.

Annual ;Ucmbers.

}Ie srs. 11Ol'rison c ' Co. 1\1r. C. II. }Iinchin. Messr. The :r orth Ea tern Railway Company. The ~ol'th Ea tern Steel Company, Limited. The Owners of }Iidcllesbrough E tato. 1\11'. H. G. Reid. Me srs. adler, Forbes, Abbott & Co. , Limited. B. amuelsou & Co. Mr. II. A. 'imn. Ie 8r . The Tees Conservancy COll1misioners. 1\11'. E. Wethey. " Charle" ',iUman. 1\le_sr . Westgn.rth, English & Co. Wilsons, Pease & Co

Mr. J. W ...A.lexancler. " T. IIugh Bell. " W. Bulmer. Messr . Bell El'uLher" Limited. Bolckow, Vaughan & Co. The urgo FleeL Iron 'umpal1Y, Limited. The lay Lane Iron Company, "Limited. uehral1e & Co. oo11ra11e, Gl'oYe & Co. rewel on, IIarcly c- Co. Rayllol1 Dixon Co. 1\[1'. Waymnan Dixon. Ie srg. J one~, Dtmning & ('u. Mr. John Jordison. F. lIillon. "" Angu }1acpherson. " F. n. Iar hall. The layor und Corporation of }Iidcllcsbrough. (J '

MERTllYR TYDFIL

CE~TRE.

President.

Lieut.-Colonel P. R. Cre swell. Chairman.

TreaSUl'el'.

Mr. W. C. Henry Jamel:'.

Mr. W. Rees Thoma .

Honorary Secrctary.

Captalll W. D. Rees Le"\\is.

REDCAR BR.A ~UIl ( llDDLESBROUGll CENTRE). MIDDLESBROUGII CENTRE. Presidcnt. Mr. C. F. II. Bolckow, D.L. Cllail'man.

DellUty Chairman.

Mr. Charles Willman.

Mr. John Jorruson.

John Jorrusoll .

Mr. Eugene Wethey. I1onol'al'Y Sccrctaries.

Mr. F. Herbert Marshall.

DelHlty Chairman.

Capt. Bm-gess, R.N.

Treasurcr anll Honorary Secrctary.

Rev. JUllles 1. leek, 1\1. . Annual lUcmbel'!S .

Capt. Burgess, R.N.

Treasurer.

Mr. Waynman Dixon.

Chairlnall. ]\fl'.

Messrs. Downey & Co. Mr. Jas. Rutherford.

97 AYTON BRANCll ( lIDDLESBROUGH CENTRE). President. Mr. T. B. IIodgkin.

I 0'VR COLLIERY BllA TCll (NORTll

yr ALES COLLIERY

CEXTll,E). TrCal'iUrcl·. JUl'. R. T. Wilson.

Chairman. Rev. John Oollin.

Honorary Secretary. ]1,[1'. J. W. Alcxander.

Chairman. 11'. J o11n IIenry Durhy.

Trcasurer ancI Uonorary Secretary. Mr. George J. Findlay.

'YREXILll\I BILL Ton (1'ORTll 'YALE. COLLIERY OEXTRE). CbairnUlll.

(No return.)

Honorary Secretary. JUl'. Wm. Ellis.

Mr. A.. Young.

MONKWEA.RMOUTll CEXTRE. Chairman. TreaSUl·er. Rev. Oanon Miles, M.D. Mr. W. Beaufort. Honorary Sccretary. Rev. J. II. IIancock.

MO~MOUTli

PLA

,YYN T~l Y COLLIERY BR.JNUII (XOl{Tll 'YALES OOLLIERY OE~TI-tE).

Cbairman.

JUl'. George Thompson. DCI)uty Chairman. Dr. R. La"ton RoberLs.

Trea urer. Mr. Richard Thoma .

lIonorary Sccretary. Mr. I mw J onos.

CEXTllE.

President. His Grace the Duke of Beaufort, K.G. Chairman. General Somerset, R.O.B.

Dcputy Chairman.

Treasurer.

lIonol'ary sccretary. Rev. D. G. DI1Yic~.

Anllual JICJ)lber. }[a 'tor John

C. L.

Roberl~.

Mr. G. G. Griflln.

Mr. Horace Bailey.

NE\VARK-UPO:N-TRE:NT CENTRE. Honorary Sccrctary. ~fr. E. II. Nicholson.

XOTTI~Ull~~M CE... TRE. Chairman. Mr. Richard Enfield.. TrcaSU1'cr ancI U01l0ral'y Sccrctal'Y. Mr. Francis . Ellis.

T"CNR \TOX CENTRE.

(Xew Centre.) {' hail'Ill~ln.

lIft' ..r.

NORTII VV A.LES COLLIERY CENTRE. Chairman. Mr . .John T.J. Hedlcy. Treasurer. Mr. D. W. IIowell.

Dugdale, Q.O.

UCJtuty Chairman.

Trcasurcr.

Rev. II. \V. B ellail' .

fl'. F. ''VarI er.

HonOl':Il'Y Sccrctary. Mr. John II. Blnncl.

Honorary Sccl'ctary. Mr. John ITal'l'op.

OXFOHD CE TTH E. FFRvVD COLLIERY BRANOn (N. 'VALE

COLLIEH,Y OENTRE),

PresicIent. Mr. J. Spn.J'J'ow. Chairman.

Mr. J. H. Sparrow.

TrC~lsul'el'.

Mr.

. Millington.

Chnh'man alltl 'l'I'C;tSlll'Cr. MtLjor-GcJJcl'ul Gibhes Rignlld.

Honorary Sccl·ctnI'Y. Mr. W. L . Morgan, l\LA.

OXFORD MIL1'rARY COLLEGE UENTHK (f11 alwynnre.)

PEASE'S WEST OOLLIERIES CENTRE.

PORTS~10urrii

Trea lIrcl'. Mr. L. Candler.

Chairman. Mr. T. Douglas.

Presidcnt. General II.S.II. Prince Edward of Sl1xe-Weimar, R.C.B.

Honorary Secretary. Mr. Ralph H. Oughton.

Chairman. The W or::>hipful the Mayor.

Trcasurer and Jlonol'ary Sccretary. Mr. Geo. A. Mackenzie. I

Jlonol'ary Secretary. Mr. Geo. A. Mackenzie. Annual Jlember. Mr. Geo. A. Mackenzie.

PIL LEY CENTRE. JlonOl'ary Secretary. 1'111'. Samuel Godber.

Treasurer. 1\Ir. J ohn TOllllinson.

Deputy Chait'man. Mr. R. Marvin.

Treasurel' anll lIonol'ary Sccretary. Mr. H. II. Uudson.

PERTll CENTRE. Chairman. Right Hon. Viscount Stormont.

CENTRE

PLYMOUTII CENTRE.

Annual lUcmbe rs.

Mr. J. Bou field. " C. II. J. Colling, R.N. " A. V. o' cr. Lt.-General J. W. Cox, C.B. Mr. R. Donalt1:3on, R.N. " A. L. Emanuel. . Eyelcgh. The Rov. E. P. Grant. :Mr. Wm. Grant, J.P. olonol G. '. Henry, R. _L 1\11' '. II my. nptnin . '. IIollancl, RN. Major Hooper. Mr. J. T. Hurl. " Ech in Izod. " W. D. King, J.P.

Colonel Sir OwenI,anyoll,K.C.~f.G.,C.B . 1\Ir. Henry Le\\'is. " ,\V ill. 11arhall. Mrs. Stnpforc1 Maun ell. Mr. Henry Xewman. 11cs 1'B. Peters & Co. Aclmiral Ruby, I'".C., C.B . 1Iis Rastriek. Capt. T. Mills Richey, R.A. Me rs. tokes & Co. 111'. IIenry Turner. Col. II. B. Tu-on, C.B., A..D.C., R1Ll. 1\Ir . TUBon. '\Yu1c11 Committee, Port mouth Town Council. Dr. U. C. Woods, R:N.

Cllairlnan. The Right H on. the Earl of Mount Edgcumbe. Trea urer. Capt. John William Mills.

I ' LE OF PURBECK CENT HE.

J(onorary Secretary. Mr. George RoM. H olberton.

l~ re. iden t. The Right, Hon. the Earl of Eldon.

Annual lUember. Mr. Edward P earne.

Chairnlan. . B. Mansell, R

Licut.

J(OIlOl'ary Secretary. Rev. II. J. lia on.

POLESWORTH CE~TRE. Chairman. Rev. J. G. Trotter, M.A.

Del)uty Chairmall. R ev. A. G. Lewis.

Trcasurer. Mr. Charles Edward Stuart.

Honorary Secrctary. Mr. Mylles H ardwick.

Treasurcr. Mr. J. Andrew.

Lit

embers.

Mr. Geo. Burt, J.P.

11'. II.

RA I GATE

CE~THE.

Presillcllt. Geneml it' ,\Yillimu 1\1. Coghln.n, K.C.B.

POLMONT CENTRE. Pl'eshlent. Mr. J. C. Bolton, M.P. Chait'man. Mr. T. L. F. Livll1gstone.

tilwcll.

'I' t'eali i nrc ,'.

fro

I Treasurcr andllonol:al'Y Secretary. Mr, G. SmIth.

1I01l0t'ary Sccretary. Mr. II. lln:nnll'll Bl'l1kspear.

.:ilL llilLon. Life

Mr.

lI:tywnrcl DJ'!1lispc:lJ'.

~leJllber!ii.

ir ::.\[o'c J\Ioniollore, Bnrt.

101

100 llnnual

RO '

~Icmbcl's .

Mr. J. Norden . " W. Page. " E. Wastall.

Mr. J. H . Foster. The R ev. II. L. Fry. Mr. H. Gold ack. " J. T. Hillier, M.R.C.S.

(llEREFORDSIIIRE) UEi TRE. Chait'man. l\Ir. K. :JI. Power.

'l'rca urcr anll Jlonol'ary Sccl'ctal'Y. R ev. Dougla 'eaton .

REIGATE CENTRE.

CE ~TRE.

RTJGELEY

Chairman,

Chairman .

R ev. Canon Cazeno,e.

Treasurcr and 1I0nOl'al'Y Secretal'Y, :J1r. Arthur II. P ratt.

Mr. E. C. Peake.

Trcas urer and Honorary Secrctary, Mr. J a . D. earle.

UYE 'E1'lRE. I" re",j (lCll t.

RHONDDA VALLEY CENTRE,

1\11'. FJ'anci Bellingham.

(In abeyance.)

Chairman. I-{ev. D . . Glad ' lone.

UOllorary Sccrctary. Ir. J aIm . VicUcr.

RICHMO}.l D CEl. TRE. Pre idcnt. H .. II. the Duke of 'r'eck, G.C.B. Treasurer. Chait'man, Colonel R . W . parks. Mr. Tbos . Cave, J .P.

ST.

IlELE~'

Lieut.-Colonel H. J. King.

Chairman. Mr. H. A. Binney.

Life ltIembcr,

Dr. W. Bateman. 1\11'. C. J . Nail'l1e. The Lady Augu ta On low. Iajor-General R l1per. Miss I. Snco. Colonol R. W. Spark . 1\1rs. Sparks. Mr. Fred. Whyte .

lILITARY COLLEGE ( ANDIIURST) OENTRE I"rcsidcnt,

Major-General H.R.II. the Duke of Connaught, K.G. Chait'man, General &ir R. Taylor, K.C.B. Treasurer,

lIonorary Sccretary,

Brigade-Stu'geon Olarke, M.D.

Lieut.-Colonel Dawes.

EXTRE.

Trcasurer. 1\11'. Ed,Yard Abel. IlClIlOl'al'Y sccrctary. 1\11'. H. \Y. 11. 'l'bomus.

Annual ltIembcrs.

ROYAL

(LJ\~ \~\..SnIRE)

I~ rc "hlcnt. Mnjol'R. Pilkington, J.P.

Honorary Sccretary.

Miss P. Andre. Major S. B . Bennett. Han. H. Broderick. 1\11'. Thomas Cave. II J. H. Goslin g. Lieut.-Colonel II. J. King. Mr. J. McConnell. Mi s J. l\1lU'ray.

Tl'Cal'lUl'el' . 1\11'. F. Bellingham.

Lifc It(cmbcl'. Major Ricbard Pilkington. Allnualltlclllbcrs, 1\11'. "\Yilliam Gamble. Tho. hel'loc k. "R. . II. Thomns.

Mr. Edward Abol. " II. A. Binney. " C. CuI haw. }11's. B. A. Dromgoole.

'1'.

lAHY CRAY

(KE~

T AND NEIGHBOL'RIIOOD) CENTRE. TreaSllrcr, l\Ir. Ifl'od. "\1'. Clark.

Cbail'Jllan,

M)·. R. B.

BOl' l'll .

lIo11orary Secl'ctary,

l\fto. IIclll'y 'Tyrc I', J lIll. ( ~ e,,'

C'ent:·e.)

102 SA~DGATE

103 CE TRE.

D<'l)uty Chait'ma n Mr. J. 'W. IIo\ntrcl.

Trcasurer an(l Honorary Secrctary. Captain Fynmore. Life ;Uembers. Mr. James Morris. The Lord Pelham.

SANDWICII CE_ THE. Prcsident. Sir v"alter C. James, Burt. DCIHlty Chail·lIIan. Rev. Dr. IIilliel·.

Chairman.

The Mayor.

Honorary Secretary. Capt. W. Mate, 1 t C.P.A.V.

Treasurer. Mr. E. C. Hawkins.

Presidcnt. R ev. John Lawson.

Annual

Mr. Joseph Moore. " J oseph 100re, J un. " Henry Oppenheim. " C. R. C. PeLley. Mrs. C. R. C. Petley. Mr. David Reid. Mrs. Dand Reid. 111'. A. R. Ring. " F. wanzy. A. T., per fl' . D. Reid. Mr. W. J. Thomp on . " Frederick J. Tooth. Mis TUl'nbull. Mr. Alfred Wil on. " J . Lucas Wor hip, M.R.C. '.

IIEERNE'

CENTRE.

Chairman. R ev. S. A. Selwyn, LA. 'l'l'caSlll'er anll lIonorary Secretary (pro tBm.) Mr. John II. Blll'rows.

lIonoral'y Secrctary. Rev. F. G. J. Robin on.

Annual ~IeJ1lber. Mr. E. Leigh Pemberton, M.P.

JIember~.

Mrs. Oldham. Rev. F. G. J. Robin on. Mr. II . • impson. " C. D. Thomp on. Mrs. C. D. Thompson. Mr. T. II. Tilley. Miss W oodwurd.

Mr. J. Bakewell. Mrs. Blaxland. Mr. L. Bowser. Mrs. A. Bunting. Miss Cowper. Mr. St. G. W. Edmonds. " W. F. R. IIulton. Miss M. Lawson.

~Iember 8 .

Mr. John 1. Clabon. Mrs. John M. Clabon. Mr. W. O. Doclg on. Mrs. W. O. Dodgson. Mr. J. Frank. " 11. W arLon Johnson. " II. Warren Jones. Mrs. II. Warren Jones. Mr. . Ruo . " Iulton Lambul'de. " J. . Lovett. Irs. J. . LoveLL. Mr. Jo eph MaLthew . CapLain liller, R.N. Mrs. Miller. Mr. Moncklon.

SEATON CARE\V CENTRE.

Treas ur cr.

Sir Oharles II. Mills, Bart., M. P. 11'. William Tipping. Annual

Lifc 'Iember. Sir "\Valter C. James, Bart.

J\;Ir. W. F. R. IIulton.

lUembcl·S.

Viscount Lowisham, M.P.

Cbail'Jnan . Mr. Wilfred Cripp , J .P.

General H . A. H ankey.

J~jfc

1f1'. J ohn FUl'loy.

Presillellt. The Lord Pelham.

S EFFIELD CENTRE. Prc ldcnt.

The Right lIon. Lhe Earl of Wharncliffe. Honorary Secrctary. Dr. John W. I arLin.

Tl'ca ' UI'Cl·. Mr. Emerson Bainbriclge.

SEVE OAKS CENTRE. Chai.l'man. Mr. MulLan Lambarc1e.

DCI)uty Chairman. Mr. J ohn Furley.

Treasurer. Mr. D Reid.

lIonol'H,ry Sccrctary. Mr. F. Swanzy.

Life

Ur8. CuLler. Mr. Bradley J . Firth. " Mark Firth. Miss J cs op.

JU~lllbcrs.

Dr. J. H. Keeling. h . E. M. E. W elby. " George Wilson. 'rhe Right Hon. the Earl of WharncWIe.

I();")

10-1 Annual

JUl'. ~1. J. B. Baddeley. JUl's. Baddeley. 1\11'. E. Bainbridge. Dr. 1\1. 1\1. de BartoIem0. 1\11'. Edward Birk. Rev. S. Ohorlton. Messrs Oubley and Pre ton. l\1r. J. E. Outler. O. Danca tel'. Rev. H. A. Favell. 1\11'. W. Favell. L. J. Firth. G. Franklin. " J. Hall. W. D. James. A. A. J owitt. A. Laver. Dr. J. Law. Rev. W. Lenwood. Mr. H. D. Lomas. " J. Marshall. :Mrs. John llarshall.

,'Kll TON CEXTH,K

:llelllbcl'~ .

D l·. J. W. l\Iartin. Mr. W. A hLthows. MI' . ::\laLLbews. l\liss ~1atthews. ~1r. J. F. F. Pdrr. l\Ies r . Paw on and Bntil fol'cl. 1\h. Ohm'Ie Peace. W. Pre t. " R. J. Pye- mith. " l\I ..J. G. Renboly. G. Robinson. Oharles II. miL11. 1\1rs. Oharles II. wiLh. :i\Ir. S. nell. IIemy teel. G. K. Thorpe. T. E. Vickers. Oharles Wal'dlow. William Vi-at on. Alfred ,\-il on. II. J. Wilson. " Thoma '\'ilson.

PI'esitlent.

His Gracc Lhe Duke of Devonshire, R.G. Chairlnan.

Trcasurel'.

11'. J. B. Dewhul't.

Mr. J. AJ'thlU' 'ling:::by.

JlOJlOl'ary Sccretary.

Irs. G. Ernest Wright. Lifc Jlcmllers,

IIiti Gracc the Duke of D evonsl' llre, K\.. G .

Lord IIoLhflCld.

Annual Jlcmber!ii. 1\Ir~ . Roundell. }1l'. F .. miLh. 'il' :Mathew \\iLon, Bart., M. P. Mr. G. Erne t Wright.

Mr. R. B. Burl·ctL. J. B. Dl'whUl' L. \V nltl'r MOl'l'ibon. John J:Toble.

f .

CE~TRE.

LO"CGII

TI'ca UI'cr.

Chail'lllall.

~lr.

Mr. Jamo "Val on.

A. H. Kennedy.

Honorary Secrctary.

1\11'. Arllu1l' ock hoLt. (In abeyance.)

SIIETLA.ND AND ORJL~EY I L ~~S CE~TRE. Prcsident.

H.R.II. Princess Bcatrice. Chairman.

Trca

The Hon. J. O. Dundas, M.P.

lIl'Cl'.

TIIAMPTO~

1\11'. A. Ounningham IIay.

lIonol'ary Sccl'etarie .

Mr. J. Scott mith.

CENTRE.

Chairnlan.

lU'O'eon-Gencrul nhclean, }LD., O.B. b

Mrs. IIay.

Trea urcr Rn(1 )lonorary Secrctary.

ReT'. G. Forbes- teven,1\1.A.

SITOEBURYNESS Treasurcr,

Lifc Jlcmbcrs,

UE~ T1RE. lIonorary Secl'ctal·Y.

D ' .B . SUl'geon-General1\1aclcan, 1\1 ..,

IRev. R. O. Browne, Ohaplain Lo Lhe .Forces.

Major A. N. Pearse, R.A.

Dr. Oharle Lal1g Lu.IT.

Annual lUelnbel'.

Dr. T. W. Trend.

SURE'\! 'BURY CE THE.

Chait'nlall.

TIT 'llIELD8

Oolonel Oolvile, O.B. 'l'.'casuJ'CJ',

Prc itlcnt.

1I0110ral'Y SeC!'clal'Y,

Mr. G. M. Salt.

l\1~ior R.

l.ife

;lIcmhCl',

Lad;r Hmssf'Y.

ENTHE,

II. Oold wcll.

'1'110 ReI'. J ohn80n Baily, M.A. ( 'IUl,il'lllall.

Dr. Andrew Legn,t, J.P.

DeIHlty Chairman,

1\11'. Ja . Robertson Crea e, F. R.O.'., L.R.O.P.

1(}7

l(l(i 1.'rCaklll·t· ...

If 011 Ol':l ry SCt'I'Cl :u·Jes.

Mr. Gabriel R. hd t~.

Mr. Rohert , . Bucklllncl tLnd " Michael J. WbeaLley.

PI'cshlcnt.

Life ~Iemhcr ..... Metir . J ohn Redhen.c1 & 00.

The Right. Hon. Lord Lyttelton. Chairman.

Annnal IUenlllCI·s. outh llielc1 Gas OomplLny.

Rev. \V. J ..J. Welch, LD. TI·ca<;lll'Cl'.

JlOllorary Secrctary.

1\11'. Gain borough ITul'wul'cl.

Mr. Alfred W. Worthington, B.A.

TAFPOHD 'E 'l'RE. PrCkidcnt.

The Right lion. the Ellrl of LiC'h£ield. Chairman, 'Tho Mayor of StalIord.

T "ca. Ul'cr and 1I01l01'3l'Y SCCt'ctary. hjor Freel. D. Mort.

(In abeyance.

'TUURPOl{'l' U.s THE. Prcsj (lcnt.

Annual :'lcmbers. 1\fr. W. Robertg. F. I.J. lltlnders.

fl·s. Arkell. I·S. Bil'rllLnc1 Ln.w. 1\'[1'. Cor·hl'anC' . 'hl\1'1e;; ole. " 1111''1. 000]>1'1'. }\fl'. Fmnk Ewr:;. l\flo. . .JlLlllr..' FOi>lcr . l\h. O. UnrwHl'd. " n. rr. IIiekllln.n. 'llli:-;. Ln1l1h. Right, Hon. Lord LytLcHon. II'S. Pearson. l\fe~.

n. Imilh . \V. J. Turney. II. TurDey. II. . Y a~ . ell. 011arles Webb. T Wilke \Vebb. R~v. \Velch. Mr. IIolyonke \Vight. " A. \V. Worthington. R.

Dr.

L ord Egerton of TaLton. Chah'man. Mr. J ames Leigh, J.P.

DC}'llty Chalt·man.

Major lioward.

Trcasurcr. Mr. W. liooley, J.P.

lIonorary Sccrctal·Y. Mr. A. E. Ferns.

DEHL.A~D

,'U

'E TRE.

(Tn lLbeyunec.)

Lifc lUcmbcl'."

Lord Egerton of T atton.

Mr. J ames Leigh, J.P. Annual rtlcmbcl's.

R ev. O. J. Bayley. Mr. W. li. Brady. " W. E. Oarrington, J.P. " Russell Ooppock. A. E. F erns. R. D. Harlow. " R. T. n eys. O. E. ITeys. " W. liooley, J .P. Major Howard. Mr. John Humphreys. Mrs. Humphreys . Mr. ITenry ITyde.

Mr. G. J . Johnson. G. J. J obn on, Jun. O. E. LlLke. li. A. Marsland. IIerbcrt Marsland. Mrs.Orme. Mr. T. Royle. Mrs. A. IT. ,lykes. R ev. W. Symonds. Mrs. Symonds. Major Turner. Mrs. IJcmy Turner. Mr. B. Woo:lro w.

I BITOl

E1'TRE.

(In abeyance. )

,''CTTOI

'OLDFIELD

EX'lT l~ .

ltrcshlellt,

'Ihe Right, lIon. L ord Leigh. Chail·man. Tho Rey. W. 1 . R. Bedford, M.A. JlonOl'al'Y SCCI·ctal·Y.

Ir T. '. l£clclowes.

Tl'CaSUI'CI'.

Rev. A. miLh.

Inn

l UK

TON BRIDGE CENTRE. l~l'e ~ j d

e n t.

Yicc - I·I·e ~ hlc"t.

Pr csident. Mr. J. G. rrulbot, M.P .

il' H . II. Vivian, Bart., M.P.

Mr. L . L. Dillwyn, M.P. Chairman. Tre:umrc r. U r . F . S. Bishop. 1\11'. R. J . Letcher. lIonoral'y S e c r etary. Mr. Erne i II. Leeder.

Annual :U e n1b er Rev. Theo. B. Rowe.

Mr. Albert J . J o~tic1ge. " J. G. Tulbot, :J1.P.

YDE nAM: CE T RE. ChalrJnall. 'l'he R ev . liuy he W. Yeatman.

T rcas urc r and Honorary Secretary. ~lr. E . Plowright.

Chairlnan . R ev. T. B. Rowe, M.A.

Tr e a~ul'er ,

Mr. W) nne '. de CerjuL. Honorary S ecr etar y. Mrs. Manley. Annual :U e mb e l'I'.

Mrs. Manley.

~Ir.

'axlon.

The

Mi s "Valton.

P l' e , blent. of Abergavenny.

~Iarque::!

Trea urer. fl'. Frederick W Elers.

Cbairman. The IIon. F. G. 110lyneux. H onorary Secl·etar y . 111'. Harry liurri -. Life

Mr. J.

lIon ora r'y Secr eta ry . Major C. R. Flelcher Lutwidge.

~I e mber s .

. Balfour, M.P.

Li fe :Ue m bers. I ~r1'. G. Fereday

il-Il'. lIauJ8r Ba ,ilL 1>. Mr. T . Jone Gibb.

(New Centre.)

TAUNTO President. General Sir R. Percy Douglas, Bart.

EXTRE. Chairnlan a nd lIonOI'ar' y Secretary. Colonel A. W. Aclair.

Life ~I e lllb er . Colonel A. "V. Adair. Annual Jl e mh el's . Dr. H. Alford. Ir. W. Liddon, F.R. .'. General Sir R. P ercy Douglas, Bart. Colonel R. B. nIonigoulcl-Y. Dr. H . M. K elly.

The Hon. James 11. O. Byng. Ir . Cameron. Mr. Brt!nton II. Coilins. Mrs. Br ulon H. Collin. Mr. F. W. Curlcis. :111'. todc1ari Dongla . II'. T. Jones Gibb.

A nnual :U c mb er . Rev. R. rompton Jone . Mrs. R. Crompton Jone . ~Iajor C. R. Fletcher Lutwidge. J W. Blaekburne-~[aze. :Jr~:. Fra~lk :JIeClean. The llon. F. G. ~Iolynenx:. :JIr. W. A. mith.

T \ ICKENIL\..nI

T1 BSllELF CENTRE. PreSiden t . Mr. Chas. Seely, J un., }\f.P. Chalrtnan . Mr. S. C. Wardell.

C h ~lj 1·lUan . Mr. W. Armsirong. Treas ur e r and lIonor'ary Secretary. 1th. G. M. Sankey.

D ellut y

rrvTRE. ~-,

Trca urer. Chah'lnan, Colonel T. G. Gardiner. Major-GeneTn.l 'ir GcorglJ BOUl'ehiel', K.C.B. JlonOl'ary Secret ary. The Rev. L. ~I. D 'Ol'sey, LA.

( :To rclnrn.)

Lifc i'U c mbcr s.

:Mr. Chas. Seely, Jun., M.P. Rev. C. Nonis.

Mr. W. A Stamford, M. R. ' Aunnal JJemh c l's . I'llI'. '. C. Wardell.

mith.

\ VAI/r I LS :I

BBEY

(fn uheyancc.)

E~ TRE.

111

110

'iVl~RRINGTON

OE~TRE.

PrcsIdcnt. The Right Hon. Lord Winmarleigh. CJlairlllall. Mr. J. R. Pickmere.

WELWYN OEl TRE. Chairman. Colonel E. SmyLh.

Treasurer. Mr. Wm. harp.

Honorary Sccretarics. Mr. Wm. harp, and 1\11'. J. BUJ:ge s.

"VEST IIARTLEPOOL OENTRE. PI'C idcnt. Mr. Edward Tmnbull.

Lifc iUcm"bcr. 1\11'. Wm. harp.

Chairman. Mr. Edward Turnbull.

KENILWORTII BRAXOn (W.A.RWIOKSilIRE OEr TRE). Life ilIclllber. Mr. William Evans. Annual ItIelllbcrs .

Miss Woodcock.

Miss Jane Woodcock.

'VESTON. UPER·l\I~RE OENTRE.

LEAMINGTO:N BRANOn (WARWIOK IIIRE OESTRE). Prel!iidellt. Marquis of Hertford. Chairman. Mr. William Willes.

Dcputy Chairman. Rev. Maze Gregory.

Treasurer. Mr. Thorne.

Jlonorary Sccretary. Miss ingleton. Life IUclllber. Mr . Yarrow. Annual rtIembel's.

Mrs. Vallghan.

'l'rca urer and Honorary Secretary. Mr. J ames Holland.

Life Itlcm"ber . Dr. amuel Gomley, M.D., J.P.

Mr. IIenry Fawcus.

Chairman. Rev. Prebendary Rowley.

Surgeon-General R anking.

Trcasurcr and Honorary Secretary. Rev. W. d'A. Crofton.

lIonOrary Secretary. Rev. T. Birkett.

Annual iUembcrs. Rev. Prebendary Rowley. \ 1\1rs. Rowley.

Rev. . G. Anderson. Mi Poole.

'VEYBRIDGE OENTRE. Pre hlent. Admiral the lIon. F. Egerton, M.P. Chairman. Colonel G. Noel loney, C.B.

Mr. G.

Trea urel'. tapylton Burnes.

1I01101'al'Y Secretary. II'. Thomas Hawkins.

WATERFOHD CENTRE. Chairman. Sir Robert J. Paul, Bart. Treasurer, Mrs. Alice II. Butler.

DCIJuty Chairman. Dr. Ringrose Atkins, M.A., M.D.

Annual nember.

fr. Thomas IIawkins.

Honorary Secrctary. Mrs. John I Lrangman.

WELLINGTON (SALOP) OE TRE. Chail'lllan, Captain J a:l. Patchett. TreaSUl'cr. Lieut. Leake.

Lifc Itlembers. Mr. Arthur Robert Graham, B.i\1.

Miss Anna Farr Roberts.

lIoJlorary Sccretary. Mr. John Palmer.

'VIITTEIL VEN OENTRE. Chairman, Dr. T. F. I'Anson.

TrcaSlll'el',

Mr. T. "ichol ' oll.

IIOlloral'y Sccretary, 1\'[1'. J. L. PaiL on.

112

113 ' VIRKu,YO RTII CE.NTRE.

Pre i d c n t . The Right Hon. the Earl of Cru"'[ord and Ba1carres. Trea urer. U r. R. A. ffarington.

Hono r al'Y Sec r e tary. Mr. George L. Campbell.

L ife ;'Je l1lb cr. The Right Hon. the Earl of Crawford and Balcu,l'res.

Preside n t.

1h. Albert Frederic liurt, J.P. Chah·man . Dr. ' \Tcbb .

Trea sur er an d nonorary Se cr etary. Mis Florence Eleanor mith.

(No return.)

' YOODFORD ' VHIBLEDON

Chai l'Ju a u.

E... TTRE. Rev.

P re id e l1t. The Rev. anon Haygarth. Chairman. Ur. E. Thm tan Holland.

.liughe, 11...1. (Rector).

Trc a urer.

Mr.

'YOOL\YI lii

. Ro er DeaD.

lIouorary Secrctary. },II' . T hur tan IIolllluc1.

\VI~IBORNE

Chairman . Rev. J. Huy he.

~E~TRE .

I"rcsilicnt. ir Edward ;r. L. Perrott, Bart.

lEXTRE.

Trea urcr . Capt. H. C. Perrott, 3rd Batt. East Kent, Regiment.

Chail'lu a ll. Lieut .·Colonel F. DUJ1CIlD, R

Trca~ ur c r and H o norary S e cre tary .

II Ollol'ary

lajor-General P. Maclean, RA.

~lr.

Annual )Ic mb e r s.

Dr. G. Batterbury. Mrs. S. Crespi. Mr. G. W . Graham, 2\.1.RC . .E. R ev. J . Huyshe. Mrs. B . L ee .

E:NTRE.

Major-General P. Maclean. Mr . F. 'ranner. Mr. W. Wyke- rnilh, F.R. .' .E. Mr . A. 11. Wyke- mith.

eC I·ctary.

'Y. 11. Bartlett.

L ife JIc mb cl'!ii.

fr. T. W. Boord, :M.P. " G. Franei Lt'gg.

Lieut.-Colonel L. . wain, C.B. Baron IIenry de Worm ~, :J1.P.

A nllua l )Icnlbcr s.

'VII DERMERE

lE~TRE.

Hono rar y Secr ctar y . Rev. Chas. A. , Vell , B.A.

Rev. J. K. Quarterman, aLA. :Jl1' . Radcliffe. :JIis RaclcliIfe. F. Radcliffe.

1\[1' . IIawkin. Ui . K. Holland. i1' Edward Perrott, Bart. a,ptaiu n. ('. Perrot t.

Anll ual JIemb e r.

'YOR('E TEP 'EXTHE.

Rev. Charles A. Well, B.A.

P rcs i den t . ir Richard Temple, BnrL, G. .1.,

\VI~DSOR CE~TRE.

Chalrnlan . :Jflljor-General E. Atlay,

Pre i d ent.

H .R.H. Prince Christian. ChaIrman .

'I'rcaSllrcJ'.

Rev. Canon Gee, D.D.

:Mr. R R H olmes, F. '.A.

Deput y Chairman . 11'. W ulter Holland.

c.n.

Tr('a ~ urcr .

L ieut.-Colonel Beller.

.I.E.. D.C.L.

Jlnnoral'y Sccrctury. Major lim'bert. ' . Donwile.

HOllorary SeCl'C1;ary.

JltllloJ'a l' Y '-' la ss Scc l· cl ary.

Rt'"\". R TaholU'din, M.A.

Mr. P. H . Un. t' .

114

11.5

Annual lUelllhers . rajor W. O. Hill. :Jh. , Val tel' IIollu,nd. " A 111;011. " J. II. Hooper. Major-General E. Atlay, O.B. Mr . T. GarmsLone Hyde. Miss Atlay. Mr. J. winton Isaac. " S. Atlay. Mr~. J. Swinton Isaac. 1h. W. H. Barneby. Mi s Isaac. Mrs. Ricketts Bayley. Lieut.-Oolonel R. B. Beller~. " Jeffery. Sir E. A. H. Lechmere, Bart., M. P. :Mr. H. Bram,vell. Rev. "'iV. II. Longhur t. Oolonel G. L . Oarmichael. Lord Lyttelton. The Very Rev. Lord A.lwyue Oompton. Rev. Oanon Melville. Lady A.lwyne Oompton. Oolonel T. O. Norbury. liss Beale Oooper. Mr. F. Parker. Oaptain H. Oorbett. l\Iiss Roberts. ]1.11'. ::\1artin Om·Uer. Mr. E. . anderson. Major H. Winnington Domvile. Mrs. Winnington Domvile . Dr. IIOt'ace wete. Sir Richard Temple, Ba1i., G.O .. r. " Eld. 111-. H. F. Vernon. 1h. H ayes. 111'. W. B. \"rilliaffi on plarol' of " Henry Hill. 0l' ces ter) . " Hilary Hill. Mi "'iVodehou e. " T. Rowley IIill, M.P.

Mrs. Fred. Ames.

FOREIGN AND COLONIAL CENTRES.

TR~\'LIA~

CEX'l'RE.

President. Hi Grace the Duke of Manchester, K.P.

-EWOA. TLE (NEW SOUTII WALE) BRANOH. Mr.

Pre ident. has, F. Stokes.

Chairman. Mr. 'ha. F. tokes.

Mr.

Trea nrer , J. Daw on.

~1aLthew

Uonorary Secretary. Mr, (,ha". M. Ranclaucl.

,,7

YIOTORIA BRAXOII. Pre ident.

WORKIXGTO:N CE .. YTRE. Chairman.

Sir W. J. Olarke, Bart.

Trea lIt·er. ::\11'. F. W. Jack on.

:Mr. O. J. lalentine, J.P.

Honorary Sccretary. :Mr. G. F. annuers. (~ew

Trea urer. :Mr. E. L. Fox, M.L.A.

Chairman. Mr, E. S. Coppin, l\LL.A.

Jlonorary Secretary.

Mr. Richard B. Warren, F.R.O .. r.

Oentre.)

BERM DA CEXTRE. 'YORTIIIKG

CE~TnE.

Pre ident. II.R.H. The Princes LOlU e, Marchione s of Lorne.

President. Mr. Robert Louer, M.P. Chairman. Dr. J. Goldsmith. Treasurer. Mr. W. F. Fuller.

Cbairman.

H.E. Lieut.-General T. L. Gallwey, Governor.

Delluty Cbail'man. Mr. E. Oooksey. Honorary Sccretary. Mr. J. But.

Life ~Iember. Mr. Robert Loder, M.P.

Tho

DClluty Cllalrmall. Josiah R ees, Ohief Ju ticc.

HOD.

11' Thomas Brassey, M,P.

Trea!§urer and Honorary Secretary. Mr. J. H. lnrkham Rue, Oolonial 1.UTeyor.

Life Jlembers. Lady Brussey. Anllual

Mi s Jeam1PLte IIarvey. Mr . Oharles . Keane. Mr. Robert Challis Miller.

~(embers.

Asst. Oomy.-Gen. Charles Henry anti, Oommi sariat and Transport ta1f.

117

Ill)

WEST

BOMBAY CENTH,E,

I~DIES

CE -TRE.

N ASSAD (BAHAMAS) BRANOH. Prcsidcnt. llis Excellency the Governor. Vice-Pre hlent. Mr. E. O. K. Ollivant, JUunicipal Oommis ioner.

Chairman. Sir Frank 'ouler, O.. r.

Trcasurer. Mr. H. E. Astley.

JlonoraJ'y Secrct ary . JUl'. llarold R. King.

GIBRALTAR CKNTRE.

President, His Excellency the Goyernor.

Life

'T. KITT

(LEEWARD I 'LAND ) BRA TOH. Prcsidcnt. 'ir Charles Lees.

"ice-Presidents.

Maj or General M. Walker, V.O., O.B. Sir H. J. B. Burford-llancock, Ohief Justice of GibralLar. Treasurcr and JlOJlorary Secrctal'Y· Oapt. J. O. Dalton, R.A.

"lee-Pre Idcnt, Rt. Rev. C. J. Branch, D.D. Cbail'man,

T,'casurer, Re" II. R. Holme, M.A.

The llon. O. :JI. Eldridge.

Life lUcmbcrs. ir H. J. B. Bmford-IIa,ncock.

Lady Brassey.

~Iember!ii.

Sir Charles O. Lee, K.C.M.G. The Hon. W. Kirkwood, M.D.

ir Thomas Bras ey. Lady Bras ey.

President.

~Ir.

Jlonorary SCCl'ctary. 1\1:1'. A. J. rrhompson.

H.E. General Sir John M. Adye, K.O.B., &c., &c., Governor of Gibrallar

Chairman. Oolonel P. Ravenhill, O.B., R.E.

Tl'easurer. ,J. A.. Culbert.

Chait'man, l'ho lIon. ,\Y. Kirkwood, M.D.

Honorary Sccretary.

Dr. W. J. Branch.

Annual lUembers.

Oolonel H. Brackenbury, O.B., R.A. Rev. M. Ootter. Oaptain J. O. Dalton, R.A, Miss Emily Foote. Ven. Archdeacon Govett. Oolonel S. Hackett, A.A.G. Mr. Peter Lyons,

Mr . Eliza fosley. Rev. D. icker en. Oolonel Ravenhill, O.B., R.E. fiss Adelaide L. RUlllbo. :Mr. Jerome accone. " Horatio chott. A. yon Ancllau.

TRI :TIDAD (PORT OF

PAIN) BR.iXCli.

.-rc. idcnt,

'it' lCuufol'c1 Fr,c1ing h:.O.:\I.G.

llOll.

Bellnty Chairman. Dr. S. L. rune.

Chairman. J. 'colt Bu h(', 0.:'1.G-.

Honorary Secretary. Mr. Geo. F. Bu he.

Trca!oiurcr, Oapt . ..i. ,\V. Bakcr.

MALTA CEI TRE. President,

Lifc ;Uclllbcl'S.

Sir'l'l1omtls Bra,:;ey.

H.E. General Sir Arthur Borton, G.O.M.G., K.O.B. Treasurer. Mr. Henry L. Gale.

Jlonol'ary Secl'et~u'y, Oaptain O. R. Simpson, A.D.C.

RIVIERA (CAN E ) CEl TRE Trcasnrer and 1I0nOl'al'Y Secrctal'Y, Lieut.-Oolonel Oecil Webb Oragg. Life Mcmllcr,

Lieut.-Oolonel Oecil Webb Oragg.

Oapt. . 'V. Bakel'. Mrs. Bakel'. llon. J. coLL Bmho, C.:'I.G. Mr. Gco. F. BU8ht'. Dr. S. L. Orane. 1\1:1'. G. W. Dickson. lion. T. A. li'inlu.} son. Miss Finl(1),son. Judge FiLzGcmld. Mr. Geo. Gl'Ilnl. " B. lIill.

Lllly 13nl ey.

Anlluai lUembel's, Mrs. lIiU. Dr. R. Knaggs. lloll. II. Ludlow. :'.r1'. R. D. :JIayne. l\rr~. Mayne. Ron. C. ~1itehell.

W. R. Pyue. Mr. J . E. Tanner. 1\[rs. Tanner. :JIr. D. Wibon. H

11~

REFEREXOE

11 ~)

No. 51.

~rber

nf £t. ~agn nf ~£rllsalellt (JBnglisb jiangnage).

I'A IS Order \Va founded about the ye 1. 0)' • at Jerusalem. and subseque tl tl d : 10~L, £01' Llle lllallllollallCC of an hospital " n . T, Ie ownee of Ch .' r '1' to and from the IIoly L d I" f us lun pI g1'lDlS 011 their juUl'l1C)" an. t a terward bcealllc a kn'"l tl . r . . , preserved its hospitals, and cherished th J ' • ~o 1 ~ 1I1;; ItutlOl1; out OTCI' e (luty of a11cnatmg lOkncs alllIufi'cl'inrr. The Order -was first planted in En rland' th " f l~l C year 1100, allll rniJCcl the noble struct.ure which once formed th P " g e lIory 0 ClcrkCllwe11 of '1' I il alone remains to attest the i ,t . ' "11(; 1 10 gateway llOW mpol UllCO of the cluef hOllse of the Order in Englund. held high place in this country 1111til tho year 15.1,0, ,,,hell it; wa d The.il Order d . espo e , suppressed, and its property confiscatecl ~_ It was restored by Royal Charter 1 . by .ti(·t of rUl'lial1lellt. In 1.);) 7 to be again confiscated ,,-ithiu th~ une ~ltwh of Its POSSOS"iOllS rc-granhld; but ollly did not howeTer enact t h ' sub:;~qucnL hyo years by a erond statute \\ hieh , , e Ie-suppressIOn of the fmternit StiJ' 1 . J 1 possessions and the withdraw 1 f t f' ' y. , wil 1 t Le lo:s of , a 0 mos 0 Its members to 1\1 It 1 (h seat of the Order-it became t' 11 d . a a-L len e 0\ el'cign prac lOa y ormant III England. have marked the fortunes of all ms . t't .Many . fiuctuaLions t . I II t'lOn which plnyed a prommen part ill most of the great events f E , . . . in the loss of :Malta, in 1793. f ' . 0 UIO~)e~ Ulltl~ ~ts supremc dl n ·tcr had each to perpetuate an inde'rean~:~l:hl~h the stll'nnng chn,;ion of thc Order own future. eXlsLencc, and to mark out the cour 'C of its

It is now upwards of half a ccnturY '1 0 that .. existing remnants of the in ti't t' l < g d ' a majority of fi,e of thc seven then s u IOn e ecree thc revival of th t' 1 of the Order in E l l " 0 l111e- IOll0LU'ed uraneh ng ane ; smce wInch event it ha .f pursued, in spirit, the original " I' s, S? ar a meallS Pll'lluttcc1, sick and suffering of th h pml)oses 0 Its foundatIOn-the alleviation of the . e uman race. The :_ following are some of tl1e 0 1)Jccts . Order which ho.,e engaged thc attontion of the Providing convalescent patients of hos )it 1 ( . '" such nourishing diets a ' di all 1 as m.thout dlstmctlOn of Cl'ocd) with s ale me c yordered so as to 'd t1 . earliest possible time to the business of r~ 1 'h Ul 1011' l'etul'l1, at the . . ' 1 e ane t e sUl)pol'L of Lheir fal11ilic~. The institution in Enaland of what IS . now k nown as the" Na' . . t (ongmal) l' A 'd " 1 S OCle y lor Al to Sick and Wounded in War." olOlJa The foundation and maintenance of Cottage IIospitals and ConVil1escont II omes . . ProVldmg the means and oppol'tuniLio,; for local . oo d th f training of nul';:;Cs Ior the ick e oundation of what is no\\' knowll as 1he MctJ'opolitan and Natioll,nJ P :;t an S l' OCle y 101' training and supplying such nurse.

'1 he l)l'omoLioll of a more iuLimaLe acquainLance with tbe wants of the poor in time of sickness. The e tablishment of ambulance litLers, for the conveyance of sick and injured per ons in the colliery and mining districts, and in all large railway and other public departments and towns, as a means of preventing much aggravation of human suffering. '.rho award of silver and bronze medals, and certificates of honour, for special services on land in the cau e of humanity. The iniLiaLion and organi ation, during the Turco-Servian Wal', of the" Eastern Wal' ick and Wounded Relief Fund." Tho" Briti h IIospice and Ophthalmic Dispensary at J erusalem" established in the IIoly CiLy under the management of the Cl1apter for tbe alleviation of the terrible u.£ferings cl1used by diseases of the eye and ignorance of its treatment. The in Litution of the t. John Ambulance Association" for instruction in the preliminary tren.tment of the Injureel in Peace and Wounded in War. C(

Although started liLLIe more than four years since, this latter movement bas already aLLained very great success, anel upwards of 200 Local Centres haTe already been formed in important towns and eli Lriots in all parts of the kingdom, many olhor being in course of formation. Among the more notable classes are those for the instructi.on of the Royal Na\y; Royal MilitaTY College, Sandhur t; Guards; Royal ArLillery, and other Regiment ; Metropolitan and City Police; County Con Labulary; Metropolitan and Provincial Fire Brigades; Royal NaTa] Artillery '\ olunteers; tlle War ffice; Admiralty; omerset House; and other Government Departments; The Cu toms Hou e; Ea t and West India Docks; Surrey Commercial Docks; ictoria Dock ; Mercantile Marine; Great Northern, London and orLh We lern, Great EasLern, ouLh Ea tern, and other Railway Companies' employes, and numerous public and private institutions. Detached las e haye also beon helel, peneling the formation of Centres, at numerou oLher places. The work has al 0 extended to the East and We t Indie , Canada, Au tralia, and New Zeala.nd. In France (the RiL'iera) many succe ful cla ses of boLh exes haTe been held under the immediate superTi ion of the Central ExecuLive ommiLtee. In Ru ia tbe IIand-book of the A ociation bas been translated into Lhe nativc language; and there, a well as else'l"l'here on the Continent and the niLed taLes, work, on the lines laid down by the St. John Ambulance Association, has bcen actively and successfully commenced. A specially intero ting episode of TecenL work has been tbe e tabli hment of Centres [Lt Malta, so long the principal stronghold of the Order of St, John, and at Gibrrutar. Her Majesty the Queen was gl'l1CiOllSly pleased to make a donation of £25 to the SheUanel I lands entre, of which II.R.II. Princess Beatrice is Pre ident. T.R.H. the Duke of Edinburgh, the Duke of Connaught, H .. H. the Duke of Teck, and II.S.II. Prince Edwa,rd of Saxe-Weimar, al 0 hold the office of President at various country centres. Certificates have moro than once been presented to the Windsor classes by II.R.II. Princess Christian, and at Kensington anel Richmond by H.R.II. the Duchcss of Teck. Princess Christi[Ln has not only been awarded both the Preliminary [Lnd Nursing Certificates after passing the prescribed Examinations, but bas translated from the German a cotu'se of lectures by Profe SOl' Esmarch on "First Aiel to the Injurecl," copies of which can be obtained at St. John's Gate.

121

120 I nnumerable important :Mectings to further the cause have been held at home, on the Oontinent, in India, and the Colonies, but two of theEe deserve more than pas~ing comment. One held on February 15, 1881, at tbe Mansion no use, under tbe presidency of the LOl'dl\Iayor, "When the exten . ion of the movement and appeals f or increased pecuniary support "Were forcibly advocated by mnny leading merchants, shipowners, and employer of labour in the l\1etropoli ; the other on J llne 30, ] 3, when the Loru Mayor fJresided at a crowded and enLhusia tic leeting in the Guildhall, for the presentation of Oertificates by H.R.n. the Duke of onnaught to the Oity and P ort of London District clas e .

~rrth

lJricrr.

GRAOE VVILLIAM DROGO, DUKE OF MA~OIlESTER, K.P.

III

~ niltff

nf (f5ugLe.

The Right lion. \\ ILLIAM HE~RY, BARox L EIGIl,

The Order of St. J olm has no connectioll whatever with auy of the numerous associations or fraternities now existing for benevolent or other pm'po es, whether 8imilar or not in name; nor is it allied with any ect 01' parlyof anyone religious denomination, but is thoroughly univer aI-embracing among it member and associates those "Who, in the spirit of our Divine ~la tel', arc ,yiUing to devote a portion of tbeir time or their means to the help of the suffering and Lbe sick.

<Colnmunbtt .of '11'

E D~IUXD

~9urrLe)J ~a%He.

A. II. LEOIDIERE, Bart. M.P., ~

F.~

.A.

ge Q:rruncrl.

P?'e8ident-General ~ ir Jo~ T. EORGE, R.C.B. The Right HOllourable the Earl of GLA GOW. Tile Right Rev. the L ord Bishop of T. ALBA~ ( Chaplain- General.) ~ 'iT EDWARD G. L. PERROTT Bart. Gen ral 'ir II. C. B. DAUBE~EY G.C.B. aptain . . F. DALLA. ev. IIE~TRY \YIIITE, M.A.

ST. JOHN ' S GATE, OLERKE ' WELL, KO.

J une, 188-1.

<E~ccutiut

OJffircr%,

\ Vho are ex-officio Memb ers of the Council.

ltanNllo?,-Generul ir J OHl T. GEORGE, K.C.B. eGl'etaJ'!)->ir E . A. II. LEOII:JIERE, Bart., M.P., F.~ . Reai 61'-EDWrn FRE'TIFIELD, E q ., LL .D. V. P. .A. Rpqi.>lral'-Lieut.-Colonel OULD IluXTER- \YE. TOX, F . '.A. A llllonel'-C lleral the i count TE:JIPLETOIYX, K.C.B. Assistant-~J 111l(llW1>-~Iajor J A:JIE ' GILDEA, 4th Batt. R oyal ,Val'wiuk hire Regt. Genealoyi. ·t - W. MIlUR:T T. A~IIIER T, E q., 1.1., F. .A. L iurarian-Rcv. ,V. K. R. BEDFORD, M.A. Assistanl-Secl'etCl?'y-Captain H. C. PERROTT, 3rcl Batt. Ea. t E. llt Regt. Ambulance Department-Director : JOII~ FURLEY, Esq.

B anke?'S- Thc London and \V stminstor Bank, 41, L othbul'Y, E.C.

C ommunications may bo tlc1chc oel to the 'ccrctal'}' of th l' of ~; t . .John, 8t. J ohn B ; D.te, lerkonwell, L ontl on, E. '.

Ol'll

PRO

~be

FIDE.

UTILITATE

1Ro~aI

HO\IINU:\f.

1bospftaller.

A SERMON PREACHED TN THE

CHAPEL ROYAL, SAVOY, ox

T. jOHi\T BAPTIST'

DA Y,

881-,

T THE

A TNUAL

OM 1E 10R TIO. T

ERVICE

)F THE

~rber of $t.

John of 3erusaIctlt (J£nglish l.,angllage), DY TIlE

REV. rimr

1HOM A S of Eldt'rsJit'ld;

011<'

of Iltt:

WOOD,

Chap/allis o/Iht' Onlt'r,

PUBLISHED BY REQUEST.

PRI TED A D PUBLl'lIED BY CIIARLE.~ Ct:LL AXD SOX, HOUGHTO_

STREET, . TRAXD, LO?\,DOX \\'.C.

TO THE ME:\IORY OF

HI ROY L HIGHNESS A

LATE

TIrE

K~IGHT

DUKE

ALBA Y, K.G.,

HOSPITALLER

OF THE ORDER OF ST. JOH THIS

OF JERUSALEM,

SE~10~

I ' DEDICATED BY SPECIAL

PER~nSSION .

SERMON.

(. 1'crll]' 1 sa)1 71 litO )'{)l!, Illa.wllIdt as )'e Iw'i.'c done t't UlZtO OIU of Ille /tast of tllesc lllj' brethreJl, )'C 11(l'iIC dOJle it 7fnto llle."T.

{ATTIrEW XS\', 40.

T is \'cry remarkablc that in the prophetic account of the Day of Judgmcnt as rclated by our Lord IIimself, acts of m rcy alone arc mentioned as the tcst of fitncss for thc IT inO'dom of Hea\'cn. But so it i . \Y c are told that on that .olemn day the on of ]\lan shall omc in I lis glory, and sitting upon Ilis thronc a the Judge, He hall scparatc the multitude beforc Him one from the other, as a <;hephcrd divideth his sheep from the goat'; placing one on the right hand and the other on the left. nd unto those on Ilis right He ' hall . a), " Come, ye blcs.'cd of l\ry Father, inherit the Kingd om prepared for you from the foundation of the world: for I was an hungred, and ye ga\'e tIc meat; I \\'as thir ty, and ye ga\'c Ic drink; I \\as a stranger, and ye took l\Ic in' naked, and ye clothcd Ie; I \ras sick, and ye visited Mc; I wa in pris n, and ye came unto ::\le." stoni 'hcd at this merciful scntcnce of the Judge, an 1 bcing elf-con ' ciou' that the) had rcndcred but little s n 'ice to mcrit so grcat an acknowledgmcnt, it is said that th y anxiollsly began to a 'k, whcn they had done this unkno\\ n scrvicc to thc ring, \Yhom thcy had nc\'cr actually ,",ccn unlil they bcheld Him upon His throne. And thc answcr H'hich is gi\'cn is remarkably imI rC' ive, cc erily I ay unto YOll, I nasm uch as )'C ha\'e donc it unto one of thc least of the e :01y br lhr n, ye ha\'c donc it unto l\Ie." This r ply of the J udgc falls with peculiar appropriateness upon our ears this morning, ~ r we arc as'cmbl d in thi House of God as members and associatcs of an ancient and honourable confmt mily, established many ccnturic ago to pcrform those \' ry acts f mercy commend d by thc Judge. This i c, 'prcs cd in onc f our mottoes a the purr 0 c for which, as an Ordcr, wc cxisl-Pro lItilitate IWlIllllllllI. Thc truc Ilospitallcr ha always cndcavoured to follow lhe cxamplc of Him, of \ Vhom it is aid, " I Ic wcnt about ding good ;" lIc \\' ho commandcd his foIlO\\'ers to imitatc IIis cxamplc, gi\'ing them a nc\\' comm(1ndmcnt to

-5love one another. This love was to find expression in deed s of Christian charity, to be performed for IIi sake, to the sick, the poor, and the suffering. Thus, when our Lord sent forth Ilis Apostles to preach the Gospel, lIe also gave them power to heal the sick, to cleanse the lepers, to rai e the dead, to cast out devils, and to cure diseases. They were expressly commanded to combine these acts of mercy with the Gospel message. And such deeds, when wrought in His name, and for Ilis sake, lIe has graciously promised to accept and reward as if they were done directly to Himself. For He has said, "\Vhosoever shall give you a cup of water to drink in My name, because ye belong to Christ, verily I say unto you, he shall not lose his reward." Our Lord intended that an outward eXI)ression of b(Tood-will , . and not a mere inward sentimental feeling, should be the sign of true discipleship. The carrying out practically of thc new commandment in a Christian's daily life was to be the principal test of his zeal and earncstness. For what could possibly be the usc (as St. James asks) to say to the destitute, cc Depart in peace; be ye warmed and filled, notwithstanding ye give them not those things which are needful to the body; what doth it profit?" And that we may have ample opportunities to exercise ourselves in real practical charity, we arc told that the poor shall UC7'cr cease out of the land. We know, too, that sickness and su ffering will always abound, for it is a part of our fallcn human nature to possess in this world a frail and perishing body. Let us then, as members of the Order of St. John, acknowledge our obligation s as Hospitallers, and have constantly before us the example and admonition of IIim Whose whole lifetime (\-v hen lIe was in the world) was passed in doing good, even to lJ is enemies, and Whose last miracle, before Iris Crucifixion, was an act of mercy to one who had comc forth to injure IIim on the night of the betrayal in the Garden of Gethsemane. And if we perform benevolent actions to the sick and suffering ~rom a right motive, they will be received by our Great lIead, as If the~ were ~one to Ilimself, and when lIe comes as the Judge He w111 receIve us with this acknowledgment, cc Inasmuch as ye have ~one it unto one of the least of these My brethren, ye have done It unto Me." .Thus we learn God's will in this respect as revealed to us by HIS Son Jesus Christ, Who has shown us that we must not only love God, but that we must love our neighbour also. He has explained to us, as Christians, that we must work out

{Jur salvation with fea r and tremblin g, and that thi s is chiefly to be accomplished by the care which we best()\v upon the soul" and bod ies of our fellow creatures. N ow, a reli gious Order of hivalry is, in one sense, an acknowledgment of all thi s, and the putting of it into practice. Since the establishment of chivalry, many centuries ago, d own to the presen t day, hristian charity has been the basis of the character professed by the Christian Kni ght. When he was admitted to thi s honour it was always firmly impressed upon him that he mu st remain true to the atholic faith, and largely exercise himc;e lf in charity. ur own knightly Order was instituted with this object in view-for the benefit of the sick and poor pilgrims who vi..,ited the II oly City of J erusalem. It is wcll known however, that afterward", when hristian Europe determincd to attempt the conque">t of Pal stine, and Christendom se nt forth the fl owe r of its nobility to rally round and to flght for the Cross, thc Order of Sl. John, carried away by th e cnthuc.,iasm of the agc, became a military as well as a charitable and religious organization. nd in their n \V vocation the Kni g hts showed such earnestne's that th ei r sincerity is unque~tionablc, even if their object was a mistak e n o ne. \ e must not imag ine, however, that the ori g inal purpose for \\'h ich the Order was found ed ,:,as allowed to fall into abeyance during its active military life, or that the II sp italler became absorbed in the 'oldi r. The peaceful Kni ght of the II ospital was not entirely lO"i t in th e warlike I ni ght of the Battle-field. rna proclamation of the Grand Master at that timc, he said, "The soldiers of Jesus ' hri 'it are destined to fi(Tht only for Iri s glory, to uphold IIi s worship, and the atholic rel ig ion, to lo,'e, revere, and pre"> rve justice; to favour, sustain, and defend the oppres,,>ed, without neglectin g the saCl'ed duti es of hos1 itality." nd when the nights of SL. J ohn were actively employed in hea rin g arms with the ' ru sader"i, they were assisting in a truggle which eventually caused a wave of civilization, and consequently ()f humanity, to sp read itself over the gr ater part of Europe. J I istorian s tell us that the">c \Val"' had the f~ ct of promoti ng civililation, to a very great e,'tent, among the nati ons of the ontinent. "'1 he preaching of the 'rusacles was certainly the flr t grand appeal to medizcval l~urope, from the int nse selfishness which feudalism had g nerated and fo stered, t the nobler in stincts of human natur which form the basi" of hivalry, and provided it \\ ith its gran d id ea."* Chi\ aIry \\ as the practical

1 )1'. [l ook.

-Gcxprcssion of this idea, and deeds of charity the natural rcsult. It showcd men that although they ,,'crc in the \\'orld they wcre to rise abO\'e the world, that in ordcr to serve God faithfully they must strive to bencfit their fellow crcatures to thc full extent of their ability. Times ha\'e changed with the many ccnturies which ha\'e rolled away since then; but is there not as much nced now, as there was in days gone by, for the existence of our Hospitaller Order, and for the continuance of its charitable works? A. few years ago it ,,'as scarcely known that a branch of the Ancient Ordcr of St. John of Jerusalem ,,'as to be found here in England; but now everyone who reads a ne,,' paper sees constantly orne account of one or more of the many charitable works "'hich the Order has initiated, or in which it i till engaged, And one thing strikes me as worthy of our notice viz, that a in years pa t the Order seems to ha\'e been endowed with almost supernatural power and vitality, so to some cxtcnt it has something of that power and \'itality left now' e,g, , look mentally back to the time when the Knights ,,'ere dri\'en from Pale tine, « broken in spirit faint "'ith exhau tion, and O\'crpO\\'ercd by an adverse destiny floating on the wide ocean, a body of homeless wanderers, without an aim in \'iew or a purpose to accomplish; "*' yet soon finding a safe re ting place at Cyprus, and subsequently a home at Rhodcs, until, once morc being compelled to surrender to the Turk, their glory eemed again to have departed from them, As homeless wanderers they appeared for a second time; but, just as they began to despair, good fortune returned and smiled upon them, and thc firm establi. hment of the Order at Malta was the result, until, at the beginning of the present century, the Knights were again disper cd, and from that blow, in one sense, the Order has never completely recovered, It has been much the same with our own Languc as with the Order at large. At one time, the Priory at Clerkemvell was pillaged and burnt by rebels, and at another the Lord Prior was beheaded by a lawless mob. ftenvards the property of thc Order was confiscated, and its very existence in England was seriously imperilled. But, by the providence of God, this calamity was averted, although the Order in England remained for a time in abeyance. From this state, however, it has been rescued; and it appears before the world to day full of life and cnergy. As an instance of this, I have only to mention the Ambulance Department of the Order, better known as the '.t

:'1ajor-Cenc:ral Whit\\ orlh Purter.

7St. John Ambulance Association, which has ..,pread its beneficial influence so far and wide that it has even reached to the Antipodes, and which ha' been the means of conveying to thousands of persons such an amount of real practical knowledge of how to render first aid to the injured, that many valuable lives have been saved, and much bodily suffering ha been alleviated. I may mention, also, as another instance, the establishment of the Briti h Ophthalmic Hospital at Jerusalem (that Holy ity where the Order had its beginning), by means of which a large number of person, both Christians and 1ahom-' medans, are now being relieved of tho e di eases connected with the eyes which still prevail in the Ea t, as they did in the time of Him of \Vhom it is 'aid, ' C nto many that \\'ere blind He gave sight." And yet amid the e instances of revived activity, the Order in England e\'en now occasionally receives serious checks, as it did in times gone by. "nd this is perhaps, to be expected in ::,uch an institution, For, a ' the late saintly John Keble has !->aidI'The 011 of Gud in doing good \Yas fain to look to Heayen and igh, And hall the hem; of sinful blood cek joy unmixed in charity? God will nol let love" work impart Full solace, Ie t it steal the heart; He thou con lent in lears to ow Hlesing, like Je LIS, in thy woe,"

It ha.., omelime happened that a 1\Iember of the Order who ha taken a prominent part in a particular branch of our "'ork has 'uddenly recei\'ed the call of duty, and ha been compelled to go to some di ,tant part-in one well-known in tance never to return.*' nd yet, after a temporary check, it may be, another i found to fill the vacant place (it would seem almost providentially) and the work goe' on increa ing and flouri hing. Death, too, almo't every year, take one or more of our most active Confrere, or mo t liberal benefactors. On thi, our Commemoration Da), let us recall to mind tho e \\'ho have thus been united with us on earth, let us think of them as having gone to join lhat large number of Christian knight~, and Christ' , mong own elect, who e soul are now in the Paradi 'e of God. them, during the pa t year, i one \\'ho e well-known name will long remain fi .'ed upon our heart and memorie. It "'a announced at the General sembly last rear that H.R.H. the ... The IIonorary sociale Surgeon rajor hcpherd, who "as killed al the Battlc of handl\\ ana, Zululallc1, on Januar~ _2nd, 1 79, \\ hibl allcndil1(T a wounded man.

-8Duke of Albany had formally been admitted, by his OWI1 dcsil'C, as a Knight of Justice, and this announcement was received wilh peculiar pleasure, not only because another member of the Royal Family had joined the ranks of our ancient Order; but more particularly because his whole character and course of life were so entirely those of a chivalrous upholder of all that i good and true, that he was especially fitted by these excellent qualitie' to become a most useful Member of an Order, the objects anu purposes of which are so thoroughly in accordance with whal was always the great aim of his life. From his exalteu position, and from the naturally delicate state of his health he might reasonably have decided to have pas ed a quiet and easy life; but he chose to live for the benefit of his fellow-creatures, and not making the uncertain state of his health an excuse for selfindulgence, he devoted himself and his talents to the promotion of the well-being of others. His ambition seemed to be, to make himself useful in the world to those amongst whom, by God's providence, he had been placed; and thus he was ever ready to encourage any project which had in view the benefiting of the human race. With this object he joined the Order of St. John, and although he had only been a member for a short time, yet his loss to us is great, for he was the very ideal of what a modern Hospitaller should be; and no doubt in course of time he would have taken an active part in the working of an Order, which contained so many features congenial to his nature. Had he been spared he probably would soon have risen to that high position in the country which his father formerly occupied as the prime mover and chief leader of every good and great work undertaken for the benefit of the people, and which was the reason he received from them the proud and worthily deserved title of "Albert the Good." Amid the general grief which wa expressed at the lamented sudden death of the Duke of Albany, the Members of the Order of St. John felt that they had lost a valued Confrere, and as a Deputation had been sent to Buckingham Palace on his admission, to invest him with the Mantle and Badge of the Order, so now it went forth again, this time to lay upon his grave our well-known eight-pointed Cross, as a token of fraternal regard and high esteem for his Memory as a Knight Hospitaller.* . *. A Deputation representing the principal Orftcers allended the Funeral by perof the Lord Chamberlain; a floral tribute, consisting of the eight-pointed cross of the Order, made of the choicest flower~, having been previously sent clown ~nd deposited near the Bier in the Memorial Chapel at Wind sor the Ilight before th mterment. miSSIOn

-9Such lives as lhese are not, however, entirely lost. 0 true, honest , brave, and good men are lost altogether to us, even when they have departed from amongst us. They leave a light behind them like the after-glow of the sunset, which inspires and encourages others to follow their example. Let us then think to-day of those of our brethren who are no longer in the fie h, of those who fell fighting for the Cross of Christ in d islant lands in day long since gone by, as ,vell as of those who have died more recently, in more peaceable times. The Christian poet whom I have already quoted thus beautifully expre se what ought to be our feelings when we call to mind those of our Confr res who are departed"Tis sweet as year by year we loo~e Friend out of sighl,-in faith to muse r low grow. in Paradise our tore."

lay lhe examples which they have set before us of good and true Kn ights of the Order of t. John stimulate us to emulate their courage, charity, and devotion, and may God grant unto them, and unto us al 0 a full reward for pious ,,'orks when done in IIi name, and for IIis sake \ ho has said, (Inasmuch as ye ha...'e done it unto the least of these 1y brethren ye have done it unto Ie."

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St. JObll Blnbtllance Bssociatioll.

THE URGENT NECESSITY FOR MAKING SURGICAL PROVISION FOR RAILWAY ACCIDENTS,"

READ BY

BARON

DR.

MUNDY

(OJ Vienlla), ~ anatHrJJ

:3.%socinie .of tge COrbet Dr cSt. ~og lt of (®l1g!isg &n l1glH19' ~)~ .

~erusn(nn

AT TIlE

ROYAL UNITED SERVICE INSTITUTION! SURGEON-GENERAL T. LONGMORE, C.B., IN THE CHAIR. Co/n'es oj t!lis Paper call be obtained Oil application to tile ClLiej Secretary, St. Jolm Ambulance Association, St, JollJl's Gate, Clerkenwell, Loudoll, E. C,

H A R R ISO NAN D

LONDON: SON S, S T.

MAR TIN'S

)pl iniml in ((j)rhinar~ 10 ~ cr ~~TRjcd~ ,

LAN E ,

"THE URGENT NECESSITY FOR MAKING SURGICAL PROVISION FOR RAILWAY ACCIDENTS." o~ Tu selay, July 29th, 1 8l, a meeting was held at the Royal nit d ervico In titution, under the auspices of the fit. John .Ambulance 'sociation, to heal' a lecture by Baron Dr. 1\[UlHly on ,. The U rgont T ece sity for making Sm'gical Pro,i ..ioll for Railway Accidents." Surgeon-General Longmorc. C.B., 1'1' -. idec1; and among t those prcsent wereurg on- {Qneml Mackinnon, C.B., Dr. Sievcking, Chevalier Yrapf, hcvalicl' do R ichel. lHr. J. F'urley, Capt. II. C. Perrott, Dr. F. '1 ayler, ~ urgeon-l\Iajor DOll; urgeoll Cro s, ~Iajor .J. Gildea, &: .

The '1IIAIR~L\~ aid: I f 01 .ome explanation of my acceptance of the position of Chairman i lne from me. ,Vhen I heanl the nn. tnre of the fmhj ect ,'{hich was to be con ic1crccl, it naturally occulTcd to 111 that thc propel' persoll to pr8 ide I,a someone who hnd a c1ir ct ollnection with rail yn-ty erYlce. 1\1)' . ugg ,tion .. in this regard werc, howevcr, oyerruled. and. probaLly, for the ren 'on that som year. ago I callec1 attention to the nOCOB. ity for a . YHtcmatic organization of help to meet tho waut8 of accillellial injurie., when they occur on a large seal in to\'iTllS, ill manufnctorieR, and oth l' places where a coniderable number of persons are collected. a no 0 ity "hicb happily no longer exists, Oll acr-ount of the admirable work of the St . .John Ambulance A soeiatioll, and I nrtly, probably, because it was known that I had given a gooll denl of consideration to the arrang'monts be t uitcd for meeting the noec1s croatOtl by conflicts in tillle of war, the reque't to take tho chair was still urged 011 mo. Unclor these circumstances I felt that it would bo ungeacious to refuse tho honour sought to ho impm:lCd on me, nlt lwngh I remained wL,l1 aware that tho I

p o. t involved re pc n~ibilitie which llla~y othe~' ,y 1'8 be~ter qualified to fulfil than I am . Having gn'en thl c::q lanatIOn, allow me no" t o introducc to you Bnron Dr. ~Iund}-, who, name i~ familiu' to a large circlc of European admirer . . on account of th e humanitarian " ork in which he ha becn engaged in (,11 part...: of th continent during the la t thirty year;;: . and who i.' n(m- goo(l enough to ('om and e:x.poUl~d tn u the ,stem of aid which ha been organized in ...\.u,·tna tn meet the n ece:-;, itic' arising from the oeea ional calamitou accident ,,-hic:h attend railway trC1,elling where,er rai1waYR exist. The 'ubject i one of o.:eriou importance. anel ought t excite special intere~t in thi country. for, a far as I nm aware, up to the pre ent time there haye been no ",plcia1 arrangement , no prOD ion made of proportions adequate to the nCl'(l: nothing at least. worthy of the name of a ,p,t"ll1 uf l' Ii 'f for such terrible c'1ta.trophc,'" a, that which hi1 recentl~'\ CL'UlTl'c1 near "Manchester: and ,yhic1) it i. impo .. 'ible to ._ay ma~- not oc.. :1.11' on allY other railway at ,my moment. Baron Dr. ~IUXDY who wa. Yery corclially recei,-eel, ~aill: ~nni.toll i hn t some of my frienel calleclupon me to :spluin thc .'y:-;tcm \ylli ·h is a]read, at work iu certain countries, R,' a pl'Oyi"ion for r[lilw,\y accident~. But before I do thi .. , you will allow me to call yUHI' attention in general to 8uch teni.ble accident. aR haye happc11 ·d lately in ~-Olll' own and other cOlmtricf;. Certaiuly, if w consult stati tics, we find that England and the United Kingdom generally has been ymy much .'pared from thcse disaster , aUll thc hi. tory of vYOllr gTeat railway accident> I am happy to sa~- i. a comparatiyely short onc TherG was an accident "hich I witne ... ed l11y.. elf, in 1 '()3, on th Brighton linc. near '1'h1'O " Bridge~. Another c1i,'a,.tcr which lWPPCllCc1 wa. that in Scotland, at the Tay Bridge, when many liyc ' wpr lost. Then in 1 ' 74-, there was anothcr, which wa.' a]mo .. t tlS eli 'astrous. If we COll, iel er .'uch an accident, aIld de. 'cribc in n. few words the r osition of thosc who are so unfortull~lte as to be in the train when the accident happens, I think wc shall come to the conclu. ·ion tbat a railwa . accielent iB a much more

It was on account of the terrible accident at

tel'l'ible UCCUlTCllCC thau a, 1)Uttk. The soldier, in timc uf WeLl', i, llot hlilll to thc langeI' hc incur,'. Every, oleber i' preparcd to fight for hi8 country for hi,' Qucen 01' Elllperor~ and he goe forth, hlm,rin O ' that hc may bc wounded, or c,en killed. But in a pas. 'Cllger traiu 'ou find all the bright incident of happy life' tn l)e t'l1joyl'l. l' of bu,jne,~ to bc I erformed. You see in tlll' ",111l(; train, it mel - DC, ,t moth l' taking her chilcb:en to kl'lwuL n Holtlier rcturuing from the ondan and hoping to be ,'nf' [01' a whilc in hi" own couutl'y' you ,"cc men tra,elling on that busine~' to \yhieh thcy and their familie.' look for a ll,elihood: andJlHlll~' other.' ,,-hom you may imagine for YOUl' el,e '. lon will, I think agr "rith mc that au altogether unexpected a '('ill 'nt uCGllrrill n' Ulll'r lH.:h circum tance' a.' the e is much lllllI" terriblc than any eli, a tel' that you could witne ' on the ba ttl -fieltl . Th pa.. ng 1" are not in the xcitement of a battle, but arc pea(:dully traYclling-it may be in a pretty uuUll h'~--lo()kill n' out. and cnj oy1n 0' all the UlTolulLling of the lin. ~ \ll (tex:idenL happenk. ...\.1'e it, con, equellce' to be compal' 'll ,yen dll'/)'ically peaking. with tho~ e of the battle-field? Th 'y C,lnnot. for th . nr in .ome re~p('ct much more eriou, tluu; tho'e of the b:lttle-field. L ook at a train compo ed of 'ngm aud carria 'c . with it· c1ifi'el'ent part. of wood, ll'on, gla,.'> L-C. lln ·ill l' the horribl hock of a colli ion, the 'lll'l. hing of all the c mat~rialR, aud the nillTO,y" pace between the pn~;.'cllgL!r~ ,'eated ill tllc o1l1partment ... "her' no e cape i pu ·"ible. II thc othcr hand, you haye a bat Ie-field probably n larD' plain, ,,-here everybody ha plcnty of r am. and e,cn the "ouudeel haY0 ,pacc to lie. You lUU't al 0 take into con"jdl'ration that thc llil'erer in a rnihyay accident, be ,ide' haying' to bear the fearful. hock and the frightful wound \,hi8h ar ofton u ·taillcd, h,l\-e at the amc timc to be witne e of thc nlfering.' of other.:, compllllioll-' perhap reintiye without being able to help or extricatc thL!lll frolll their frightful po..,ition. 'uch an ac 'ielent do c' not alwny llllpp n at 01' near a centrtl1 station. It lllay occur at allY time \dwn \y are travelling. You hC1YC al 0 to h~ke intn 'ow,iLll'rntion ttl cliff'r nt ea ons: ::l.lld tha t perllllp' in Will~ '1' P ople lllny be lying fa]' hour andltoul" ill lngcut need of that hell ",hi<..:h lllay be the lllean of a,ring'

their lives. 11:; it rea,lly true that often no help is to be found? Undoubtedly it is. At the accident which I witnessed at Three Bridges, between London and Brighton, five days were occupied in extricating the wounded from the tunnel. We will suppose that lmder present circumstances a telegraphic me age is received at the central statioll to the effect that an accident has happened many miles down the line. The station ma tel' "will apply to the police, and the police apply to the medical men in the neighbourhood. A special train is put OJl, and the :C "\v doctors who can be got together in the greatest haste are despatched in it. This i all the help that the train bring. \Vhere are the dresser, boxes of materials for admini tering first aid in horrible cases like the e? \\ here are the h'etcher' and the ambulance wagons? You may say, ",Vhat for?" Simply for the reason that you cannot know the distance to the nearest hospitals and the sufferer cannot be taken back in the same train without aggravating his injm'ies or perhap sacrificing his life. There is no such relief, or if there is the amount of it is so small as not to be at all adequate to the neces ·ities of the case. ,Vhat is wanted must be prepared 1eforehund for such emergencies. Here you -will allow me, as in time of war, to make a distinction between physicians and surgeons. An able physician of the highest standing will not be of such service as a young gentleman who has just left the Univer, 'ity and is greatly inferior to him in ability, but who is neverthole 's a good dresser, and can attend to the "\younded. Till· is a point to which I attach great importance. It is not sufficient to call on so many doctors; you must call on so many surge ons. Then in regard to assistance to the surgeons: are the bystanders under present circumstances likely to be able to render useful assistance ~ Can the guard of the train assist? Generally, he is of no use. IIe llas no experience, and cannot af:lsist the surgeon in his work for want of it. Then, again, I wish you to look at the way in which the people are taken out of the different carriages. There is no system of getting the wounded out, and I say that it is most important that some instrument should be invented for eutting down immediately the dillerent compartments of wood or for making holes to extricate the

wounded, so that they may not Le tormented, or their injuries aggravated, by the un skilful mode of extricatll1g the wounded from their position. I have only witne sed two great railway accident" but when I saw those I was impressed with the n'ightful loss of life. It i.. mainly on that accoullt that I want to urge upon you, speaking mlder some c1ifficulty, in a language with whi h I am not familial', the great importance of providing ill Engbnd means which can easily be invented by engineers allel other for getting the wounded rapidly out of the cleb?,is of the cal'l'iage . But sUPIo ing when the sufferers are extricated, what can be done? Are the medical men ufficient? From all directions crie' for help ari e, and often even light is "w ant ,d. Arrangements could be ea ily made for taking electric light to the sceue of the accident; but the great requirement is a, stail:' of surgeon', of which a register may be kept in case of accidout. '1hon, it is nece ary to have a quantity of mathiel. Ilo"\y can we obtain thi? That i a qucstion which in your country it i' vcry ca y to 8.nswel'. The public in general, and the authoritie' are u ing the help of the ociety ,yhich you call the ~ It. J ohu ...\.mbulance A, ocintion, which i' carrying out it work iu a YCl'y methodical and careful way, in tructing people in the Ires iug of wound, calT) ing the injured and other ambulanc w rk. If you keep a regi tel' of sm'geons and others, eRpecially in the large towns, who may be u.Yailable for such work, then if you are 110t able to attend to every cata trophc you will, at least) be able to do a great work in comparison "with nothing. If on every line such people arc l' gi,tercel, then, on a ignal known to everybody, that an n.ccidcnt has happened, people will go to the spot with wagon , stretcher 1 aud boxe, of applia,nce , and the lU'geons will follow a soon n po ible. Thu, many penple who die now for waut of attention, and owing to their injurie becoming omplicated, would certainly be saved. 'rhe co t would not be consid rable. These l' gi ·terecl people would be eli pel""'ed at large throngh many towns and village"', and if you were to c1ishibut a thousand stretchers amougst tho e towns the co t wonlc111ut be more than £2,000. vVhat i that in con ideration of the help th<1t call be (;1,iIonlen. not only for extl'aordiuury

cases, but for cLUY reLil WeLY eLuuiueutl:) whiuh may OCClli' ? COlllp ared with other sums which have been subscribed, this wOlllrl be but. a trifle for thc generosity of your nobl countrythe most generous I have found in the world- to place nt the. disposal of such an excellcut society as the ~ t. John Ambulance As, ociation. You may say. "Are not th railway companies themselves doing enough · do not thc doctors, tll ' superintendents of the companiAs come forward and h elp?' I must say that I cannot see that the companies nrc doing ·nongh, or that there is in the country any organization for affording r elief at railway accidcnts. A mo. t important thing aL'o i. thc method in which this help is carried out. Luxurious furniturc for the can:i.:=tges i not required. Orrlinary good van, furni, hed with supplies of stretchers, bandages, and splints, will do for ambulance wagons. If thc people who uarry the wounded are unskilful, a simple fracture may ea"ily be mctde a compound frachu'e) resulting in bleeding, and pcrhap 'dcath. At present, moreover, there are no means of keeping the patient in a recumbent position, the best for a wounded man. III other countries such organizations are already in action. P rhap' you will allow me to quote my own country, Austria. It ii' now about eighteen months since the Government took this mo t important question into consideration, and asked thc Vienna L ife-Saving Society, to which I have the honour of being the Honorary I ecretary, to put beforc thcm a plan of organization. We began by fitting up wagons ill such a way that good bcds can be at once provided, and supplying them with stretchers and surgical appliances. These are kept at all the great railway I::ltations. Every company was obliged to give to the Society a certain number of wagons, cOlTesponeling to the extent of their lines. If an accident happens which is not very serious, any station can make use at once of its wagon, and all t he necessary arrangements are made at the samc"'timc. But, if a great catastrophe happens, thc wagons are ~sent to the spot. Medical men are registered, and they are called for anel sent by special train. They also have authority to go on horseback or in carriages, and the expenses incuned arc liberally reimbursed. E very surgeon has his owu badge, anel thc otbcr

traill '. ! d mcn hav' thcir ue)'tlficates and h(1..clgC's to make thcmselvcs knowll at one. They are provided with materiel. Ambnlance wagolls are only at the ce.ntral .'tations, but thc·y ma.y 1 e Rent to any plac where necc, 'sity requires tlwll1 . Litt('l's, box f:l of apllin,nct'R, lallt('1'J1H, &c., n,rc sent ill great quantiti s. Although the (lir ctOl" arc' W 11 di. pOFwd to aAf')ist UH ill my own country, r conld not nl1rl onc who wonld npply hi,' mind to illV ntill g such tllingl) as I want. I 'ould illCb('ntu to (1, t 'ch11i ·t1..1ly cclu 'atc(l mall wh,lt I rcquire, and I bC'licve that .'omc o[ you w()ulcl llw1 'J'Rtaucl "what I want in thc way (If all <tmbnIHlH'e wagon, and what I lUcan. m' Chairman hal' dune gr ~at good b. l)iR vnlllal)lc bouk about ambuh1..11 'OR; his c..:hapt r OJ) railway aml,ulalleu enning .' i.' excel1'>llt, Hudman), of hi.' priuciple., hav' b '011 adopt <.1. ThC-'HO thillgS arc Yury cl 'arl r sct ~ rth in his lwok; anel he sh()ws tha a traill can 1)(; made l' 'ady [or h ]p at a 'mall c..:ost . Thc 'e f 'w words whioh I hay' tll hOllour of ac1c.1res,·illg you ·will. I hope, makc ,'( me impre8"iull ()n your millc1.'. I f·l sure that 110 small adv~Ultagc will bc gain cl if the eli. ·tinguiHhccl ladie,' and g lltlcltlt'll who ar hcr' pre cut 'will call the attention of th i1' friend.' and other,' to thiB im portan t suhj , ·t; tll en I beli evc thai, with th c holp of th ~ ft. J ohu Ambulanc AN' c:iatioll, wc shall see a gr 'at improv lllunt in England in th ' way ill whiuh you mcet those terribl (USH ,t '1" whiuh 'Y ryone ha, r 'greUed, und of which all T man nmv him. 'cli be the victim . I bcli \-. 01 '1' ' was a groat deal ill what was 'aiel all the oecasioll of Ir. ] urley" 1 dure at the II uJth Exhibition, that we ,·hould 1lot ccas to lj.gitat· thif:l matter till evcry village hn' it.· str tc..:h l' nnc1 its hell '1',' in r arliu ,s for Ctt H of Ul'g'111 ncc ssity; ancl I believo thc time will com<: when thi ' ,vill be carried out as a natural thing, alldno one "rill b oblig d more to spc~1..lc of it. Now tll tillle il::l not r ·ady although there' i., a mov ·mcnt in thi. dircctiull, 1mt not a .'11 fI1Cil'ut one. It is not properly aeknowlec1g Id, ,mel, lwving a large xp 'l'ienec on th mattr'r, I 'ollfess that I am quit, astolliBh ' 1 that this movement is not mol' gel) cl'aJly recoglliz 'd by thc ma.' 'os. In my own -1 ?" (y . ." , y ou COUll try I ask a lll<.tll : " II ,1. vc you a f amI y . arc o[k]) working Oll (bllg roUH ground· In yon not think T

that 'O!r:c nccidellt may happ en to you, t o your wifo, children, or friends?" 'rhe answer that I get is usually a, car ,leI:)' one: he knows tbat accidents do happen, but be doe not believe that one \'irill touch his own per on, and he i quite inclill'erent to what may occur. If there i an accident, and he i then without hell, his outcry i at once for the I olice ' everything mu.'t be done by the police. I find that the St. John Ambulance A .0ci'1.t.ion has undertaken to instruct the police in the be t men,liS of givin o' first aid. If I fall down in R gent trect, ,vho will pick me up ? A policeman. If he ha been trained by the St . John Amlmlauce A sociation he will save me; but, if he were to put me ill n, cab I should be a 10 t man. You will allow mc to conelmle with this observation. that I think: it is very kind of Pro1'os.'or LOllgmore to take the chair this afternoon, and of you to come here to listen to me.

of men who did nut kllOw how to apply it. From that time we endeavourca to introelm:c illl:3truutiou~ at as m,tny statIOns as we uld. Our fricllcl Colonel Dnncan and I went to H.ugby Junction, wlti h wa' 011 of the fir t stations yi.'itea, and in that ca 'e wo 'ortailll. did get the a~.'i.,tanee of oue or two of the dircctor. Bnt till.' was quite an exeeptiollul ca '0 . At Hugl y we met the station-mttl:3tor, omc of the othcr official) ana all th ~ port 1'1:; "who conlel b .'pareel and a class iva' formcd at the .'latioll, with mo -t bellciicinll'c.'ult. \Vithin tt few day.' of tll 'l,vl:3 beillg closed, wc wore informed by a, doctor of a life hayi11g h "11 .'ay c1 by two 01' throe of the m'l1. At LiverI 001 ~"'t\' ' .t. F:ltation, knowing thc difficult, of ()'ettillg the men to leav th 'ir work, we did aH wc hay!; llolle whenever we have b en allowed th opportl1llity : we took the ill tl'UCtiOll to thcm awl gave 1 'uiure' in th lamp-room uncleI' the 1 btJonn. Thc ~tatioll-m::t.'t 1'. Rome of tho iW-lpcctor.', and forty 01' fifty of tIl porten~ aHella,a, Th'Hc HI" the xceptiom~ for wo do 110t g t thnt rv.'istulCc from tll director of railway companie gUt ·rally thnt w haye n rio'ht to .'pcct. It i not a.' if it co t them Lug .'Hm,' C money fur th" ill'truction' 01' a' if 'n C' had not frequ ntIy pro v ,a tho great allvHntage of tlw in'trucbOll, b 'cau 'e wo I-now from the report of loctor' that limb, and in ,'011 a 'c,' liyc', hay' b en ay,d. I have roferred to th -, in, 'truuiio11 that ha bcon given. ut thcr are many line in England ab'oluto1y d'void of thc 'imple:..;t <1mbulanee IIwt/)'i(JI. Baron l\Iumly ha' aid that he wa' astolli 'hed at thi ". I won't montion l'nibvay 'omptLl)im~, bec;au c that "would be in vidious and it might seem a' if I chal'gell .'Ollle with being wor 'e than ot,ll 1'~, but I lllay toll you that at a httion not lllauy mile, from Londoll, an <lccid nt OCCUlT (1, alld a man had both 1 gs tal- '11 011'. 11 her' \Va' <1. little dilli 'nlty in topping tho blccllillg, but a Ulan who kllow how to net, did it ill a lUO t prolllpt. ancl Hati:::£wtory wny. Thore waR llut withiu l' <.Lch n, I:)trotchel'tlmt could bo foullli to tako thc lllan away, 80 thcy wer obligCll to pull dowll <Hl <1.dycrt-isomcnt bonnl, awl put him on it. III the caso uf anothor aceid '11 t <1. man who 11n,ll boon run over a,ud bu,dly jnjuroll, was pielrocl up by plate],l), r, and tn,le ·n tw ly 1\111 'F; 011 a troll y. \Vb Ll t.he:v arrived at the jUllction

The

CHAIRJL"L~

invited remarks from those pn'!l:)ent.

1\11'. J ow FURLEY, Deputy Chainnau of thc t. John Ambulance Association; said: After the very plnin HUll pow ,d'nl manuel' in which Baron lundy has put thc 'ubject b ,fore you. I mil not attempt to dilute any of hi remark. Ile has kiwll), alluded to the St. John Ambulance Association, and there nro one or two observations that I shouldlikc to make with l' gal'll to what he has told you. I maya Slue you that frolll the Y('ry first the ft. John Ambulance As.'ocicttion has been aliye to th necessity of cOllnecting the distribution of proper ambulmwe ?nate'riel, with proper instructioll as to its n 'e. It il:3 tru that we began with the l)olice, becau. 'e, aR Baron 1\1undy hiutc 1 just now, when anything happens, no matter what it il:3: a man drunk, or in a fit, a broken arill, 01' a hou, e on fire, it is to the police that we alway look for a, .'ish-tnce. ,Ve llaturally wished the police to have tho first instructioll, becmve th.y were most likely to be called upon in case of all accid nt. '1'0 show the necessity of combining instruction with di.,tributioll of rnateTiel, I may tell you that four or five years ago we he<1rd of a certain railway comr allY that issued to all its stations thc Esmarch elastic tourniquet. I t seemed to us a vcry dangcrous thiug that this strong tourniquet should be placed iu the hands

station there waR no stretcher and they had to ::; nd one mil for a hetcher to remove him from the trolley into th0 ho,'pita1. Yon may imagine the consequence. I ,vill tell you of another case, which was rather amu ing, because there was no accident. I happened to be addre SUlg a meeting one night on the advantages of ambulance instruction, and especially the in 'truction of men cOllllected with our railways. A gentleman got up at the end of the room, and I rather wondered what he wa' going to say, for be began as if he intended to find fault 'with my address. He said his was a lllie on which evorything ,va.' in such an admirable state that if an accident happened they could uumediately be on tho spot with everythulg requi ito. They had, he said, a carriage fitted with stretcher', and he described the long knives, the sbort knive , anll the toul'lliquctN that there were in this carriage. I congratulated him upon it, and said that I was glad to hear it. The next mor11i115' I called at the station; and asked to see the admirably anallgec1 ambulance carriage. The station-mal ter told ille that I .holllc1 ee it. They fir t sent to the locomotive department, but it 'ya. not there; then they sent to the goods department, but they conld not find it. I said to the station-master, " ,Vhat ha ' become of it ?" The station-master replied, "Oh, it will be found directly;' but at last a man said, "It has been gone a long time, ir; a gentleman came from London and found everythillg ru ty' the stretcher could not be opened, and so he had sent it tu London. That was some months ago ." This is a specimen of \\lhat may be done, even on a line where the dil'eutors had talc Jll care to provide something useful in case of acciclents. rrhe system of registration mentioned by Baron Mundy would be most useful; but I do not see that ,ve are able at present to adopt it in its entirety. Meanwhile we shall do om' 1 est agaiust all difficulties to see that as far as possible it is 110 f~LUlt of ours if the men cOlmected with the railways go uninstructed in the l'lHliments of first aid. VVe carry the instruction to them, and thero ought to be no difficulty. With goodwill on tho part of tho directors, and especially of the station-masters, who have the control of the men, we might have some hundreds of railway men pass through our classes every season. With r egard to mc:tJ'J'iel,

and the carriage, described by Baron Mundy, I ma,y mention that I hav several times tried to get carriages fitted up in the mallner described by Baroll Mundy, and I very much regret that in the PI' ent Exhibition we have not one 01' two examples. The Great \\ e -tern Railway COlllpany was good enough to lenc1 a aniage to be fitted up, and the National Aid ~ 0ciety were 'willing to pay the xpenscs, but unfortunately the Committee could not find a pac for it. If at certain points-the termini for iW:ltanc , and at eli,tances of forty or :fifty miles, there were sueh carriage. , then, when an accident occurred, they uoul<.l be 'ent oir, aud if they pa eel other station' where such carriages were k 'pt these could be joined on. If £5 worth of ?JwttJ'iel were alt:;O put at the country station' the expen e would not be very con 'iderabl ~ and a great cleal of good would be (1011e. Thi,', lUll would be sufficient to provide a, -tretchor and tl, hamper of materiel. The breakdown train could pic.;k them up, in pa 'ing, and then at the pot where, it might be hoped, the doutor would have preceded them, there would be sulIicient for a very large accident. 1

Dr. IEYEKL'IG Ph), ician Extraordinary to the Queen and Ph Y'ician in Ordinary to the Prince of ,Val .', saiel: I do not think we should "eparate without offering OlU' cordial thanks to Baron i\hultl)' for thil3 lecture. I hope the pres will as i t in this llli.l.ttl!r, the more SO.l th audicnce i not numerou . '1 he St. J olm Ambulance A ociation will do all they can to promote the object arOll Mundy has in view, bnt very often elfi hand private motiy s aro imputcll to individual at Lome, and when a kind fricnd from abroad come' prob<.tbl:r he illay be listened to with more re<.Lclinot:; than you or I, or Mr. Furley. 1 hope the loctur which has been c1div rcel will be, a' it cleselTe largely eli eminatec1. You have hearel what Jr. Furley has said: ., I -ha'!] be delighted to a. si t in calTying out the admirable suggestions which Baron Mundy ha maele to u to-day." I move tl, cordial vote of thanks to Baron }Uundy, and e~rpr(js8 the hope that his lectur o lllay be eli tl'ibutecl as wiclel~T :18 possible. I would add to thn,t that I hope the Order of St. .r nlm will ilR. ':f-,! j 01 111, (llHsl·lllluatioll. nnll tlmt in the cour" e (\1'

another year, if Baron Mundy should visit us again, he will be able to say that something has been done in the direction of his admirable suggestions.

more important railways of the kingdom, ~Lssociated with their medical advisers, the St. J ohn Ambulance Association, and those who clirect the Volunteer Medical Organization, and that together they should form a system of help for these great calamitie. . As Baron fundy has pointed out, such a t errible catastrophe a' that which recently occluTed near ~fanchester to all intents and purposes r esembles a field of battle. It is even more elisa trous than a field of battle, because, as he said, there you find men prepared for what is happening, but here we have men and women all mixed together, and under crrcum'tanee' even more terril Ie and difficult to deal with than in a battle with the enemy. For battles we have a regnlar y tematic organization; we have order. laid down in a eli tinct code of regulations; we have the materiel all prepared, all the arrangement. made, "with which anyone can make himself ome such familiar by .-imply reading the code of regulations. code of regulation' ought to exist for meeting the calamities ,,,hi ·h 0 cur in our ,a t railway network throughout the United Kingdom· it hould be ,ettled what the arrangement hould be; th amount of matdriel required· where it should be placed' how communication should be kept up; the means of urgical a' i. tance along the line should be regi teredo All this can only be done I imagine by the concerted action of tho. e who htLYO the direction of the e va t railways. I have much plea. ure in putting t the meeting the propo al of Dr. ieveking, 'ecollded by Dr. Don, that our thanks be heartily given to Baron ~Iunc1y for his kindness in coming here under S0111e lifficulties of language, and calling our attention, and through us I hope the attention of the public, to the very important and serious want that at present exi. t in our railway organization thronghont thi killgdom.

Surgeon- 1ajor Do~: I should like to say one word before the hearty vote of thanks that will be accorded to Baron lundy. I desire to chaw attention to the fact that besides the admirable work done by the St. John Ambulance Association, we hav in the Volunteers a trained body of stretcher bearers, xactly the same as the St. J ohn Ambulance Association, but with more military precision. These men, of whom there are upward ' of 5,000, are scattered through England and cotland. and being in civil life, as well as Volunteers, would form an admirable pe1'sonnel, joined to the pe'rsonnel of the St. J ohn Ambulance Association, for such ::t, register ed corps as Baron ~lundy suggests. The great difficulty is in the materiel, 'which, as Mr. Fm'ley knows, it is very difficult to eli tribute at th point. where it is likely to be wanted. That, however, can be overcome. 1 merely wish to impre, s on Baron ~lundy that we have a large pe7'sonnel in thi. country, which would be most efficient in their assistance. I heartily second the vote of thank. t o Baron ~hmdy. The CHAIR~IAN : Before putting the vote of thank proposed by Dr. Sieveking, and seconded by Dr. Don, I would ay that it is evident that we have in the "\ ohmteer organization to 'which Dr. Don has referred, and in the St. John Ambulance As ociation, so well known throughout the country, such a means aR regards pe1'sonnel, if it were properly co-ordinated, as would be of material advantage in aifording relief so far as personal assistance can afford it in the case of the great accidents which occasionally occm' on our railways. It seems to me, however, that there is even something beyond this before we can get any satisfactory organized system of help in the railway network of the kingdom: and that is that the public ought to force upon the railway directors the provision of means adequate to meet these calamities. I should myself thiDk that a Committee ought to he formed, among whom should be r epresentatives of all the

The motion was heartily cani d. Dr. 'r AYLER : I am snre the meeting should not be allowed to separate without accor ling Professor Longmore a hearty vote of thanks for presiding, for I cannot but feel tll It ti1f} preRcn' among-At 11N of 1\[1'. Longmore will lend mo1'C

IG weight to the CHIU e that t.he St. John Ambulance AssoCiiation ha~ at heart. I have for a considerable time taken cvery opport.unity of impressing upon those g entlemen connected -with the rail way companies with whom I am acquainted the importance of thi. matter, and I can only b ear out the t efltimony of others as to the indifference shown in r egard to this work which appears to me the more e sential, because not unIT are accidents happening from time to time on our large sy tmll of railway, but accidents are happening continually on a small scale. A gentleman connected with a large company said to me, c, It is an extraorrnnHry thing that carcely a day passes but a man in our employment i killed or seriou ly illjlu'ed:' It does appear a most extraordinary thing, taking that fact into consideration, that no mean' should be attempted for r endering them first aid, upon which th ir recovery or ey 11 their liY PH may depend.

SPECIALLY ADDRESSED TO MANAGERS OF MINES AND COLLI ERIES.

St. JObll BlltbltlallCe Bssociatioll. (Printed for the special information of Proprietors, and Managers of Mines and Collieries, and of Employers of Labor generally.)

"FACTS AND FIGURES CONNECTED WITfI FIRSrf AID, ~~

Major GILDEA formally seconded the motion and it was cordially adopted.

PAPER

READ AT A

The proceedings then clo cd.

~IEETIXG

OF THE

Social Science Congress, at Birmingham, on Sep. 23, 7884, BY

SURGEO~-

IAJOR

E RGE

A. H TTON,

)rE)1BElt OF TilE .EX..DlI~L"G !:iTAFF, ::;1' ••JOIL' ..DrnULA~CE A::; ·oerA-TIO .....

ADDENDUl\1: BY

W AYNMAN DIXON, E

'Q.

(ME

SR .

RA.YLTO ,DIXO~

Al,D

Co.)

ilO::{OIUllY HECllETAllY OF TilE

M IDDLESBROUGH-ON-TEES

CENT RE OF TIlE

T. J"OIIN A)IBULA.",-,\CE A. 'ocrATIo::-r.

Oopies of this pamphlet and any further informa,tion can be obtained from the Ohief Secretary, St. John Ambubnce Association, St. J olm's Gate, Olerkenwell, London, E. O.

" FAOTS AND FIGURES OONNEOTED WITH

FIRST AID." PAPER

SURGEON-MAJOR

in this case valuable lives without doubt were sacrificed. Now some four years ago I was induced, on the sllggestion of my friend, Profe. sol' Longmore, of N etley, to join in aiding the work of the t. John Ambu]ance Association. which wa' oriO'inated some eight years . ince by the ancient ~ncl venerable o~der of t. John of ,Jerusalell1, for the purpose of teaching first aid" in accirlents, and the carriage of 'ick and injured person, and one of my duties took me frequently to the colJiery and mining district of the country, and I found the same popular fallacy prevailing in 1 80 as in 1 50. These gas~ing accidents are not alone confinerl to coal mine.'. They are of freq uent occurrence at furnace' for the melting of iron ore,-they may and (10 take place in common 'e"'er~- at O'as-worlc', and in the hold of ships, and .·ince the intro(luction of -6rt aid" instruction, and the dispelling of the fallacy ju:-,t related, many lives have been aved. Let me narrate one remarkable in 'tance among eyeral that ha\Te been rcpol'tCtl to me. The CH, 'e occurred at Midclle 'brough-on-Tee. . The account of the accident a' furni hed to me states :-" The lock corp. have done noble service to-day, X 0 les than eight men ha, e been .avecI by the prompt a.' j tance of the ambulance mcn of the clocks of the N orth-Ea 'tern Rail \\Tay Oompany. The.'e eight 111en \vcre sutiocated by poi onou ga in the hold of a larue yes el-the teH/ll1 hip 'Cardigan hire,' the re ult of a fire among ca 'es of lucifer matche' in the holel. They were with much difficulty extricated and haulecl on deck, where they lay as apparently dca(llllen. Doctors were at once sent for, but being early in the morning it wa, o\~er an hour before they arrived, when life would probably have been ext.inct, had not the knowleclge a,nclreadines. in practice of the ambulance pupil enabled them to apply artificial re'3piration, whereby all were recoverecl IJciore mCllical a,ill ani \Tee1." I need not ay that during my vi.'its to the mining eli trict, I haye taken every opportunity of dispelling the ignorance preva,iling almo t eyerywhere regarding the.'e frc(lUcnt anll £a/t~l accidents. Bllt I mu t pa. s on to some other well-]-nown aCCIdents of frecluent occurrence, where" fil',t aid" l-nowledgc may be invaluable. Take the instances of clang-erou bleeding, amI here again I will relate fact' as illustrating my point. A boy, fourteen year of ao'e, is cutting a cabban'e stalk; the pcnl-nife . lip'; enter the main artery of the thio'h; ~o one prescnt knows what to do, and in a hort time he is (lead. This ca. e occulTed within a hort eli,tance of my own home this summer, and the L1octor aid at the inque-·t, thi life mio'ht have been sayed by simple ;c first aid " I-nowledge. A a co~ntel'part to this ca. e-a working pitman has the sa.me artery (in the thigh) wOL1ncled down the pit, his coml'ac1o near him, an ambulance pupil, pla.ces pI" 'snre a.bove the wound, top the blecdino' and Have' the man'::) life; anlI. OIlle months ago I aw a case m;"c1£ in LancaBhil'c \yhcre a man hac1 his leg llCa,rly cut off on the railway, and an imlia-rubber banc1 recomlllenlled by Profes. 'or E::)lllarch, the celebrated German SUI'O'con, ha,d been applied C(

HUTTON.

AT the Social Science Congress at Birmingham, on the 23rd Septembe{', 188-1, Surgeon-1Iajor George A. Hutton read a pal~er in the Health Department on (( Facts and Figure connected wIth 'First Aid' and the Carriacre of Sick and Injured Person ." ~Ir. Norman Chevers, C.S.I., b ~I.D., F.R.C.S.E., pre'ident 0 f tl1e department, occupied the chair. Surgeon-Major H"CTTO:X • aid: Looking ~yer an ol~l nor~h country medical publication of ~he ye.ar 1RD.O, a . hort time a..go, I came across an account of the followmg accIdent.. On the ;)th June, 1850, an explosion of gas took place in the LIttle Usworth Pit, in the county of Durham. The doctor 'v ho "va . :lll.nllolled describes it thus: (( On arriving there a sad scene of coniusIOn and distress presented itself. On a small. plot of grass, al?ont 100 yards from the pit mouth, lay the bo(he.~ of seven or ?lght ll~~n and boys, with their faces turne(~ ~own oyer .I~olcs~ ha ·t~ly l~ug/n the turf for the purpose, an Opll11On prevallmg In tlns <.hstllCt among the mining population that the. smell of the frcsh tU,rf revives the sufferers and expels the noxIOUS gases. A fallacy In the mode of treatment which is most likely to cause the death of the suffocated patient. Some of th~se were alr?ady dead, o~hel~s apparently so, the almost imp.erceptible pulse bcmg the only In~l cation that life was not extmct. As soon as I could asc~rtaln which were living and w~ich were d~ad-no easy matte~' In the confuBion among the anxIOUS and excIted crowd of relatIves ~nd friends-the latter were conveyed away, and my whole attentIOn given to the former. Being joined by ~3.' as~istal1:t ~he ca~es were taken se'1'iatirn, the treatment conSIstIng In fnctIOll, w.lth the dashing of cold water 011 the ~he~t ~nc1, face, ~nd enco~lragm,g respiration by worki:r:g ~he ches~ I~ ImItatIOn of It (wha~ IS famIliarly known as artrfiClal resplratI?n). Mustard emetl?S we:e also given. The good effect of ~hIS t:ea.tment :vas eVldent In about two hours in all the cases. ThIS IS a typIcal example of t he evils th at a popular fallacy and ignOlance of useful, simple " first aid" k n owledge, easily acquir ed by ali, may produce, and

by his comrades, effectually sto~pin~ the ble~ding and saving the man fi'om speedy death. DHI tIme p~nnlt I could relate cases in the same strain of dangerous bleedmg from enlarged or varicose veins-first aid treatment in fractures, bad burn' from fire, and apparent drowning-the latter accident everyone here, who has read the daily papers, mu. t be painfully aware has been unusually common this summer. But I mu. t pass on to the second part of my subject-the carriage of sick and injured persons. And here again what a field opens out for good, u~efl~l, humane, Christian work. Following the same argull1ent as In (( first aid" in accidents, let me rclate instances how maimcll and injured persons have been carried in pa·t years in this country. Visitino' one of the laro'e t iron lllinill'" centres of the kingllom some three years ago, a~d making ill(lUiries, I founll t~lat a man with a bad broken thio'h had been taken four mIles on a high dog-cart to the ho~pital; another man with a broken leg had been cony eyed nine miles on a wood wagon, and the usual way of earrying men who \vere injured in the mines was by a common springless coal cart. In a terrible collicry explosion noar Accrington last November w'here sixty lives 'vere lost; and many (some thirty-seven) severely injurerl, the account in the papers described that these poor fellows whL:n brought out of the pit presented a shocking appearance. Two of them were sl1tl'~ring fi.·om fractures of the skull; others had 'broken limbs aUll cut legs; the majOl'ity were suffering from burns. ~I ost of thelll were conveyed away in cabs. And thus their injuries '\Yere prolJably made worse. In contrast to what I have just reeited where there has been an absence of all systom in the removal of the injured, let me refer to cases where proper ambulance stretchers, and wheeled litter-" and where men instructed in their use have heen called into requisition in accic1ents and in the removal of sick persons. In January last there was a barl accident on the London and .l.Jorth-\Vestern Railway near \Vigan-the fall of a bridge at Coppull. Seven 111en were l-illed, and six much injured. The Times, alluding to this disastor, stated" at t.he scene of the accident, as well as in the conveyance of the inj ul'ed to vVigan station and Infirmary, and to Manchester, tho excellent system of the St. John Ambulance Association was eonspicuously serviceable. Several of the railway officials at \Vigan are 110](1ers of the certificate of the Association, and in actively assisting aIlll in directing those who were not so qualified to render (first aid,' earrying and lifting the injured, utilising litters anel stretcher.' of the \Vigan Centre, they repeatedly elicited very hearty praise from the surgeons," and I may state the reports 1 recei ved from the district fully confirmed this account. Facts such as I have related speak for themselves, and there can be no doubt, I think, in the minds of all practical men that this simple knowlenge of " first aid" in accidents and the earriage of the sick ancl the inj ured is imperatively needed throughout the length and breadth of the country, but more especially on our railways, in the mining

and manufacturing clif:ltricts, and in our crowded towns and cities. Now although I 1001- npon thi.s ambulance work principalJy in its highe!:>t sense a:;.; llUlllane and Uhristian work, indeed following the example of th e good Samaritan, yet I must not forget al ' 0 that, in my opinion, it is intimately associated with our I')ocial economy, and through this has close connection with the national health amI the national ·wealth. Let me illustrate what I mean lly what lllay I)e fairly termed a typical case. A skilled artlzan has his ll'g" IJi"oken. The doctor who attended him semIs mo the following account of the accident: -" The man was hurt in the beginning of Fel)ruary, his injury was a imple fractnro of the leg, and, carl'ying him home, the fracture was cOlllplica,ted by a serious di ~ placement of the foot, which has acted so serioL1 '1y that a limlJ which 'w ould have been ,,,ell in three months, wi'n tako at least even months bofore it is quite soun<1" liere, then, is the unfortunate reoult of want of system, caro, an(l skill in the carriage of an injured man--·-fully sixtoen "001-, moro of enforced idleness from lack of timely" first aid," an(l careful removal to his home. ..Cow, this man was in roceipt of 30:. a week, aIlll, of course, lluring tho whole period of his f:lieknoss this has been 10 ·t, lmt that is not all-he ha been receivin(o' from tho Employer," Liahility Assurance 10::;. a ,,-eek, and anclh ~r 5 . a weel- from the sick club, makrng a total 10 S of £2 lj '. a week. It must 1)0 cyiclcnt that thi case illustrates both a 10. s to the employer amI. a~so to the pro(~uctive labol~r of the COlll111 uni ty; but for the lllJ m'e:l man a far ill:0rc senous question arise~, for the money he receIves per week for the support of himself and family is relluccd from 30s. to 15s. a week . and that Hlcans les ' food, les' clothing, le 's of the actual necesarie~ of life, and thorefore less health for his family,; and yet this i.. only ono of lllany thousa~lLl ~ of ~ases that t::-ke place every year among our mining and md ustl:ml pop~11~tIOl~. .Ta~e, for example, the accounts from the yanous relIef -'oCIetles In. our mining district. One society alone last year (11::> 3) a 1 ted 14,029 injured members, and ~n the ame ~Tear ou~ of a total mem bership of 22-1,000 belo~lg~mg to the ml~Iers un~ons no leSb than 44,;579 members were l11Jured, and recGlvcdrelIef. It has been stated on undoubted authority that as many as 100,000 accidents 1m (l'e anll slllall, occur in the minos of this country in one yea/ 11\ere is, howeyer, one sa~isf~"LCtory feGl,ture of ~he workino' of our mines la,'t year-that It ha' been attended WIth less tha~l the average loss of' li~·o. During the t~n year) 1 74 to 1883, thore was an average of ono death U) aCCIdent ~mongst 438 persons emploYl.lll, whereas la·t yea,r the propo~·tlOn. was one death in overy 495 persons. employed, and thIS IS a ~:gnal impro\Tement over what it was thIrty years ago, for from 1800 t.o 18(50 one death occulToll in every 2-:b3 per,ons employel!' Tl~Ls

'im.p?'ove1'nent sho~us the nWl'l,'el..l 8UCtCSS t/lCtt l~as attended the Wlse legislation of the past lu.)(Jllty-/ive !Jell,j's. Agam, let us look at the accidonts on our ntil ways. Ltt:::;t year (1883) 1,~30 persons were

killed, and 8,123 injured on the railways in the United Kingdom-that was, in travelling, and on the premises of the companies. Now, we often hear a great deal about ambulance service in war, but I may tell you that according to a Parliamentary return of the recent Afghan and South African campaigns, e~-tend ing over a period of some three years, the wounded amounted to 2,178 officers, non-commjssioned officers, and men, about four times less than we injure on our raihvay systems in one year. Time will not allow me to follow statistics any further-of accidents which are numerous in other places, sucll as in our crowcled towns and cities. During the la t four years the work of the f't. John Ambulance Association has claimed a large . hare of my attention, e pecially in the e localitie. where accidents are mo. t common-the coal, iron and manufacturing di. trict. , and althoucrh I look upon this question as affecting everyone-prince, peer, a~d peasant alike-for all are subject to accident, yet larrrely and in the main, I consider it a working man', que tion, for it i. he who is most liable to injury. We have founded ho pital. for the treatment of the sick and injured; we have built convalescent homes where those recovering from illness may regain , trenO'th to pursue the avocations of daily life. Incurable homes ha~e al 0 been establi hed i.n some places, wh?re 'ufferers who are pa, t recovery may receIve care and attentIOn; but there is one more link in t~e chain .of as istance. for the sick and injured , till to be ~o~ged, VIZ.,. th~ lmk .th~t ~XIstS bet\veen the time a per on i Injured unbl hIS adml sIOn Into the hospital or hi' home, and the arrival of proper medical aid. The elements for forcrino' that link are wheeled litters and stretchers in public and ;ell~'ecoo'nised places everywher~ where accidents are likely to occur, anel then to have persons lnstructed how to u e them, and also how to render « first aid" in accidents. I venture to as ert this work would largely pr.omote kindly, good, and reciprocal feeling between all classes, espeCIally between employers of labour and their workmen, ~nd.I therefo1'.e as~ everyone ,,:ho ~as time and opportunity to assI~t. In extendmg It, for I claIm, In short, for it national recogm tIOn.

(SignecZ) GEORGE A. HUTTO , SU1'geon-Majo7' (late Rijle Brigade).

ADDE DUM TO SURGEON-MAJOR HUTTO:0l'S PAPER Ox "

FAOTS A. TD FIGURES OOXX~OTED WITH FIRST AID."

reader,' of the foregoing paper will be sufficiently interestec1 to ask themselves, how can we organi e a clas' in our peciallocality for carrying out and putting into practical form these excellcnt 'uggestion.'. In the fir~t place there arc at most Collieries medical men attached, who will be ,uiliciently appreciati ye of the benefits to be derived, to be 'willing to give gl'atuitou ly one or more courses of lectures, e, p cially if they sec that there is a demand on the part of the working-men themselve. to be thus taught. It i. ther fore desirable that. ome one, if po ible the Manager at any Colliery, hould olJtain the name of about thirty men who \youlc1 be willing to form a cla.:s, and the owner would doubtless be found ,yillin o ' ther , a' el 'ewhere, to pay the expen e of all of the e pnpil.. Some one .houla then be appointed Secretary, who can obtain from the chief eCl'etary of the St. J. A. A., St. John's Gate, lerkenwell, London, E.O., all the nece ary information and material for the formation of a Clas . It is desirable that in large centres of population, or where there are many 'ollierie' 01' FactOl'ie in one neighbourhood, that there hould be an uniformity of action and seyeral cla e set in operation at the ame time, for by thi mean ' the co t of ~xa~ iner ' vi its and other expen, es are kept down. By 0 domg It has been found by experience at the lliddlesbrough Centre, where fifty-eight cIa es have been held in about two year ,.at ~he large Ironworks and Iron tone mines of the Oleveland dIstnct, that the expenses are coyercd by a fee of 5 . per pupil. Each one of these i supplied with « Shepherd's Handbook of Fir t Aid," price, One hilling; and an Illu h'ated Esmarch Bandage, price, ixpenc. Examiner" (,;xpen e', hire of room , printing, ~c, take up the balance of the f e '. A Stretcher, price two guinea, with cov "'r, fifteen shillino's c.-tra· a upply of rough plint, a few bandao'es an 1 an india-rubber tourniquet ,,,ill be required for each cla ,~nd the e hould be l'etu,ined on the pl'em,i e at eaeh colliery or factory for w)c in ca e of accident. The course of instruction consists of five lectures, as per yllabu appended. The Examination for the Certificate of the St. John Ambulance Association will be found to be a very simple matter, which no working-man need be afraid to undergo. For worl-ing-men's classes it con, i. t of a few practical question to be an wered viva vor;e, anll a delllOllSLl't1,tioll by C<.1.ch pupil in practical work,

:MAlTy

such as applying splints and bandage, or the use of a tourniquet, &c., to show that he is qualified to render cc First Aid to the Injured." 'Vorking-men, and especially 1Gner., being particularly liable to accident more or less seyere, and frequently in localitics at a di tance from medical aid, it i principally a worl~ afrecting them-this knowledge of how to render Fir t Aid-and it i therefore incumbent on them to aid the organi ation of thi good work among themselves, and thereby further the exten. ion of this truly Good Samaritan movement for the benefit of their suffering fellow-men; and in their own interests.

(Signed)

WAYN.MAN DI./ON, Honorary

eCi'etary,

JJJidcZlesbrmtgh-on-Tees Centre, St. John A mUlllallce As:)ociation. November, 1884.

APPEN DIX. TUE following i. the official First Aid," Syllabus of the t. John Ambnlance As ociation. There i usually an interval of a week bctween each lecture, the Examination taking place the sixth week. If specially d ired both the intervals and number of lecture. may be increa. ed, [J1'ovicZecl the l'i/nes incZicc(,ted in the yZZabu.p Le followed, and under certain circum. tance (a in the ca e of the men of the Mercantile Marine, who are nece arily only in port for a brief . pace of time), the lectures may be so modified a. to admit of their being delivered in a shortened period. Ie

Rt~\' TRRD

OCTomm, 18

Incle.iJ Ko. 58.

2.1

FIRST AID

$t+ 3-01)t1

THE INJURED.

B 111bttlatlCe Elssociation.

Syllabus of Instruction. FIR T LECTURE.

A. PI' liminary remark, obj ct of In truction, &c. B. A gen ra.l outline of the tructure and Function of the Human Bo(ly, inclu(ling a brief de cl'iption of th Bone, 1\Iu cle , A..rterie , and V ins. The Functions of the Circulati.on, I e piration, and of the J ervons System. U. Th triangular bandage, and its application. , E 0 TD LECTURE.

A. The general direction of the lain rteries indicating the points where the circulation may be arrested by digital pre sure, or by the application of a tourniquet. B. The difference b tween rtrriel, Yenons, and Capilliary Bleeding, and the variolls extemporary nw::1.1lS of arresting it. C. Th'\ triangular bandage. 'J'IIIHD LE TUDE.

A. The signs of fractUl'e, :ulll first aid to be rrmd red in such acciclents. The application of splint, or other re, training apparatus, Treatment of ~ prains. B. The triangula.r banda.ge.

10 FOURTH LECTURE.

A. First aid to those suffering collapse from injury; to those stunned, to the apoplectic, inebriated, epileptic, fainting, and to those bitten by rabid animals. B. The immediate treatment of the apparently drowned, or otherwise suffocated. O. Burns, scalds, and poisons. FIFTH LECTURE (FOR

FIFTII LECTURE (FOR FEJLILES OXLY).

A. Hints on nursing-preparation of the room-the bed, how arranged-requisites for all emerbaencies treated of in the foreo-oinob b lectures-Temperature of room-reading ordinary and bath thermometers. B. Preparing the patient for bed and placing thereon in various cascs. Administering food, drink, medicine-making and applying poultices of bread, linseed, mustard--fomentations and lotions. I.

~h e snbje?~ of poisons should be treated in a general manner.

The common pOlS?ns classIfied, and only their general )'lIlptoms alld effects tanO'ht. !' Ith .regard to the tre.atment, the first iuuicatiou, yiz., ho\\' "to get rill of the pOlson, l~ t?-e on.ly one wl:lCh c~n be safely practised by non-professional persons. rhe admullstratlOn of antIdotes IS the medical man's duty. ROTE

CORP~

(Adopted at SOllth Shields, lJliddZcsb)'ough-on- Tees, L eicester, Ash/orel, and

many other ]Jlaces. )

~l1ALES O~LY).

A. The improvised method of lifting and carrying the ick or injured. B. :Methods of lifting and carrying the ick or injured on tretchers. O. The conveyance of such by rail, or in country carts.

1\OTE

RULES FOR LOCAL AMBULANCE

II.

The la.st ~alf-hour of each lectl1l:e sllO~lll~ be devoted to practical work, . nch as the applicatlOll of lJandages and splInts, hftlllg \\,oUluleu, and carryiug Oll .tretchers. ROTE III. Th~re ~honld be an interval of a week between rach lecture. exammatioll must attend at least four out of the five lectures.

A Caucliuate for

Mi:ced classes of men and u;omen (we on no account l)(!7'rnitterl. No Lecturer may examine his own class.

Full particulars as to the work of the Association and copies of a pamphlet with cases of "First Aid" rendered by certificated pupils can be obtained from the OIIIEF SEORETARY,

St. J olm's Gate, Olerkenwell, London, E. C.

l.-·That the Corps consist of not less than six lIeml)ers, all of whom must he certificated pupib of the St. J olm Ambulance Association. 2.-Thcl'o shall be two officers, namely, a ~ 'uperintendent and an In pectol' of :\Iaterial. The ,-'uperintendent shall haye the general control of the Oorps, and he will also act a Secretary. The duties of the In:p 'ctor, ilTl'specti\'e of tho e which he undertake-' in common with other Members, arc to take charge of the property committed to the COl'pS and to keep it in good WOlkil1g order. 3. -The fullowing Books shall be kept by the 'uperintendent: yiz.-.:Jlustcr rull, Minute Book, Oceurrence Book, anll Cash Book

4.-The necessary fund .. hall he yoted annually out of sllch money as may ho at the disposal of tho Local Committee of the Association. 5.-Tho Books of the Corp - must he submitted anllually to the Local Committee of the As ociation, and any qllCstion in dispute shall be decil.led hy the said OOlllmittee.

G. A list of ~Iel1lhors and their l'cspectiyo allLlresse~ must be kept at the dwelling hou "e and plnce of 1m illCSS of each of such Member , as well as in such publit: and con picuous position as mny be determined 011.

7.-The Members shall meet at least once in every two months at the time and pln.ce mo t cOlwouient to them, and at any other time when suuunolled by the Superintendent, for tho pm'po c of Ambulance instrnc;tioll and exerci e. AllY :Mcm bel' n.b enting himself from 'uch Ieeting ·without valid excuse shall pay a fine of 3d. to the General Fund.

8,-Ou notice having been received by a l\Iember that the senices of tho Oorps arc required, he will at once hurry to the point indicated, at the same time taking the best means to inform one or more of hi colleagues; and on arriving at the spot_ should n. doctor not have been called, he will immediately send for, or have the patient conveyed to one.

12 9.-Should any doctor desire to have a patient removed from any place within a radius of three miles from the Headquarters of the Oorps to any point within the same radius, application must be made to the Superintendent, who will then make the necessary arrangements. Greater distances may be undertaken at the discretion of the Superintendent. ,Vithjn the three miles' radius no payment will be eL...rpected from persons of very small means, but the necessary expenses will be defrayed out of the General Fund. Beyond this radius, and for patients of good social position, the fees will be left to the discretion of the Superintendent and the friends of the patient. Separate Oorps can be formed of Police, Fire Brigade, l\Iercantile Marine, Volunteers, Factory hands, Oolliers, Iron Miners, etc. In Villages and small Towns, mixed Corps of men of various occnpations can be formed.

N oTE.-The attendants of the Ambulance Corps at Headquarters have been provjded with neat Uniforms of black sorge (piped ",yith narrow silver cord) with white metal buttons impressed with the badge of the Association; an electro-plated metal badge is on the front of the cap, and a similar badge is worked on the right arm. The prices are as follows,-and ,Members of Ambulance Corps are invited to adopt this uniform for use at drill, or when otherwi e on duty. ,\There it is not convenient to procure the complete uniform caps or arm badges only may be used. Oap Badges (electro-plated) . £0 Uniform Buttons (electro-plated) o Arm Badges o Uniforms complete (cap, tunic, trousers, and badges) 3 Electrotypes of the device for printing . 0 Pennons or Flags, with device of Association in proper colours, and including pole, for use in crowded situations 0

o each .

G per doz. 2 6 each.

o o 1

o each.

0 each.

The Honorary Director of Stores will supply any of these articles on receipt of remittance.

ST. JOHN'S GATE, OLERKENWELL, E.O.

Chief Secreta1'Y.