Industrial Medicine Flashcards

1
Q

What were the three main anaesthetics discovered in the Industrial era and what are they for?

A

Nitrous Oxide, Ether and Chloroform were used for effective pain relief during surgery.

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2
Q

What did these three main anaesthetics do?

A

N.O = laughing gas that causes people to feel giddy and light-headed. E&C = put patients to sleep.

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3
Q

Was Nitrous Oxide effective?

A

Yes and no. It was not recognized as an anaesthetic at the time; instead, it was sold as a circus novelty. Now, it is recognized, especially in America.

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4
Q

Was Ether effective?

A

Yes and no. It put patients to sleep but it was hard to inhale, causing vomiting. It was also highly flammable, which was dangerous as surgery was mainly performed in people’s homes next to open fireplaces.

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5
Q

Was Chloroform effective?

A

Yes and no. It was if it was used correctly but doctors didn’t understand different dosage sizes on different people.

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6
Q

In what ways were anaesthetics a success?

A

Patients did not need to deal with pain during surgeries. Queen Victoria used Chloroform whilst in labour and described it as ‘delightful beyond measure’.

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7
Q

In what ways were anaesthetics a failure?

A

Some patients died as they didn’t understand dosages. Patients put at risk from flammability in homes from Ether. Still a severe death rate from infection after surgeries (anaesthetics didn’t revolutionize surgery, but they did conquer pain!)

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8
Q

Who were contagionists?

A

People who believed sickness came from coming into contact with an infected person.

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9
Q

Who were anti-contagionists?

A

People who believed sickness came from the environment.

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10
Q

What did Louis Pasteur do?

A

He investigated why wine and beer often went sour and discovered that germs/bacteria were the cause. REMEMBER- HE PUBLISHED GERM THEORY IN 1861!

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11
Q

How did Robert Koch prove and develop Pasteur’s theory?

A

He stained and grew specific germs and found that bacterium caused disease, proving Germ Theory correct. He also identified the germ responsible for TB and cholera.

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12
Q

What were Koch’s methods?

A

He grew bacterium from animals that died from it. He also grew microbes on a plate of solidified agar to encourage microbes to grow.

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13
Q

How did Koch use his work to aid other scientists?

A

He died microbes to see specific germs which he photographed so others could study them in detail.

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14
Q

What did John Tyndall do?

A

Promoted Germ Theory. Lectured doctors on Koch’s anthrax discovery in 1876.

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15
Q

Why was Koch so important?

A

His work led to numerous other scientists to find and combat the bacteria that caused diseases.

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16
Q

Why was Pasteur so important?

A

His competition with Koch led to groundbreaking discoveries for vaccination.

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17
Q

What is antiseptic surgery?

A

Killing germs that get near wounds.

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18
Q

What is aseptic surgery?

A

Germs are stopped from getting near wounds.

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19
Q

What did Lister do?

A

He used carbolic acid as an antiseptic method to kill bacteria. He would soak hands, wounds and instruments in the acid to avoid infection. He published his results in 1867.

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20
Q

What did people realise about surgery after the introduction of Germ Theory?

A

Infection led to deaths during surgery.

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21
Q
A
22
Q

Did Lister’s work have an impact?

A

Yes! The percentage of deaths from amputation fell from 46% to 15% when he used carbolic acid.

23
Q

How did aseptic surgery develop over the years?

A

Surgeons started to wear gloves and gowns, as well as being well-scrubbed. Surgery was performed in smaller rooms instead of rooms that were large and crowded. The positive impact it had in preventing infection further supported the Germ Theory.

24
Q

Why did some people oppose Lister’s work?

A

Carbolic acid caused irritation for the patient and many people still didn’t believe in Germ Theory at the time.

25
Q

What did Florence Nightingale do?

A

She was a nurse who encouraged cleanliness and good hygiene in hospitals.

26
Q

Did Nightingale have an impact?

A

Yes! Soldiers that would’ve died got better - death rates in hospitals went from 40% to 2%. A fund set up in her honour which she used to open up nurse schools.

27
Q

How did hospitals change during the industrial era?

A

Treatments focused on removing germs instead of treating symptoms. Poor people had access to trained doctors for the first time. Most people accepted Germ Theory by 1900.

28
Q

How did hospitals stay the same during the Industrial era?

A

People didn’t understand germs caused diseases so didn’t take steps to avoid spreading them. Doctors visited patients regularly. Diseases spread quickly as doctors went from patient to patient without changing clothes.

29
Q

What did Ehrlich do?

A

Killed malaria and sleep sickness germs using dye. Used the first ‘magic bullet’ which only targets specific germs without harming the body - it was the Salvarsan 606 which treated syphilis.

30
Q

Did Ehrlich have an impact?

A

Yes! He created the first chemical cure which didn’t harm people’s bodies when targeting specific germs.

31
Q

What did Behring do?

A

Produced an antitoxin to reduce disease effect; it was made from animal blood which was just recovered from diphtheria.

32
Q

Did Behring have an impact?

A

Yes! He was known as the ‘Saviour of children’ as his antitoxin greatly reduced the effects of disease.

33
Q

What caused poor public health in the Industrial era?

A

Labourers were crammed in rooms and cellars with shared toilets and water pumps lived to an average of 16.

34
Q

Why was public health so poor in the Industrial era?

A

People were getting cancer from soot and gas in chimneys, and ‘phossy-jaw’ from phosphorous fumes in match-making factories.

35
Q

What was the government’s attitude towards poor public health at the time?

A

Laissez-Faire = DO NOT CARE.

36
Q

What was cholera?

A

A water-born disease which caused diarrhea, black nails and death.

37
Q

What was the suspected cause of cholera?

A

Miasma - infectious mist given off by rotting animals, rubbish and waste.

38
Q

What was the actual cause of cholera?

A

Dirty, contaminated water which spread quickly through filthy, overcrowded streets.

39
Q

What did Chadwick do?

A

Worked on a public health inquiry which interviewed people across England. He published the Chadwick report in 1842 which highlighted the need for cleaner streets and a clean water supply. Showed that there was little the poor could do, so the government would have to step in and improve public health.

40
Q

Did Chadwick have an impact?

A

Yes and no. It helped support Snow’s theory on cholera. It also put a lot of pressure on the government to make change, but it did not fix the situation.

41
Q

What did John Snow do?

A

He discovered cholera was a water-born disease by unplugging a water pump; it led to no more deaths on the street.

42
Q

Did Snow have an impact?

A

Yes! He disproved the miasma theory and caused London’s first sewer system to be built.

43
Q

Why did John Snow decide to conduct his experiment?

A

There was a cholera epidemic in 1854 in Soho, where he lived. He decided to take it upon himself to fix the problem.

44
Q

How did authorities try to prevent the spread of cholera?

A

Introduced the 1848 Public Health Act which allowed town councils to spend money on cleaning towns, but this was not compulsory.

45
Q

What was the ‘Great Stink’?

A

A heat wave in 1858 caused the River Thames to smell so bad that politicians in the House of Parliament decided to meet somewhere else.

46
Q

When did the government realise that change was needed?

A

After the ‘Great Stink’ and Snow’s work in 1854 was published.

47
Q

What happened in 1858?

A

Work on the London sewer system began.

48
Q

What happened in 1875?

A

Second Public Health Act introduced - local councils forced to appoint medical officers to be responsible for public health; councils also ordered to cover up sewers and keep them in good condition, supply fresh water, collect rubbish and provide street lighting.

49
Q

Why did the Laissez-Faire attitude towards the working class ‘die’ in 1867?

A

Working class men got the vote which meant that politicians had to introduce many public health reforms to keep in charge of the country.

49
Q

What did Bazalgette do?

A

Invented London’s first underground sewer system, which was funded by the government.

49
Q

What impact did London’s sewer system have on public health?

A

No longer any waste on streets, no contaminated water anymore; no more cholera, public health improves across whole country as they follow London’s ideas.

50
Q

Did Bazalgette have an impact?

A

Yes! His design is still being used in London today and he successfully predicted the population growth which made it big enough to last.