medicine through time Flashcards
what were the believed causes of illness and disease in c1250 - 1500?
humours astrology god ( sinning ) jews miasma
what were popular treatments of disease over time?
1250 - 1500 humoural treatments ( theory of opposites) herbal remedies charity hospitals physicians care at home
1500 - 1700 "transference herbal remedies iatrochemistry humoural treatments "
1700 - 1900
improvements in surgical treatment
more ingredients from the ‘new world’ + overseas trading so more advanced herbal treatments
chemical treatments
1900 + “antibiotics
magic bullet
nhs”
what were popular ways of preventing disease over time?
1250 - 1500 praying good smells amulants " " 1500 - 1700 regimen sanitatis pilgrimage good diet no sinning everything in moderation cleaning streets for dead animals etc" 1700 - 1900 "jenner and his vaccines inoculation antiseptic surgery improvement of hospitals " 1900 + "healthy lifestyle campaigns compulsory vaccinations clean air acts "
what was care like over time?
1250 - 1500 "charity hospitals care at home physicians apothecaries barber surgeons wise woman " 1500 - 1700 "pest houses hospitals began to treat patients dissolution of the monasteries decreased the number of hospitals a lot of care at home 1700 - 1900 " improvement of hospitals 1900 + "national insurance act for workers NHS ( 1948 ) over 2500 hospitals "
compare how people acted towards the plague in 1348 and later in 1665?
similarities
- thought it was caused by god as a punishment
- it was also blamed on astrology and miasma
- wore amulets and surrounded themselves with nice smells as a prevention
- people tried to purify the air by holding herbs to smell or burning fires/ tar barrels
differences
- quarantined a lot stricter in 1665 and marked the doors with crosses
- the government intervened to stop the spread, large funerals, public meetings, fairs and theatres were closed
what were the four stages of the chain of evacuation ( in order )?
regimental aid post
Advanced dressings station
Casualty clearing station
base hospital s
when and what was significant about the battle in ypres
1914
first use of mines dig under Germans to blow them up
when and what was significant about the second battle of Ypres?
1915
first use of chlorine gas by Germans and the British used cotton pads and urine for protection
when and what was significant about the battle of the Somme
1916
first tanks and creeping barrage
most losses
when and what was significant about the battle was of arras?
1917
British built tunnels for bases and areas underground hospital with 700 beds
when and what was significant about the battle of cambrai?
1917
first tank battle 450 used
what were symptoms of shell shock?
tiredness, nightmares, loss of speech, uncontrollable shaking and comple the mental breakdown
how many suffered from shell shock
80,000
what were the symptoms of trench fever?
flu like symptoms with a high temperature and headache and aching muscles
how many suffered from trench fever?
500,000
how was trench fever eventually prevented?
delousing stations
what was the cause of trench foot?
standing in water logged trenches with no change is boots or socks
how was trench foot prevented?
soldiers carried three pairs of socks and changed twice a day they were also told to rub whale oil on their feet
what were symptoms of trench foot?
feet would swell and go numb
what was the role of base hospitals?
near ports in france/Belgium. Large hospitals with all equipment and some specialist ones of gas and head injuries count treat 2500
what was the significance of the arras hospital
it was underground , so safe from shelling had 700 beds and an operating theatre
who invented x-rays?
wilhelm roentgen
what was the enlightenment?
a movement I. Europe during the 18th century that promoted the rides that people could thea m did themselves and that traditional authorities like the nobility and the church should not be able to control everyday life
what are the main factors that affect understanding of the causes of illness and disease?
science technology attitudes in society Individuals institutions
when was Florence nightingale born?
1820
what changes did nightingale implement in hospitals?
she split the patients into different wards depending on their requirements
she improved training for nurses by establishing a school in Iondon
she wrote notes on nursing in 1859
and made nursing a more respectable job
why was nightingale credible enough to implement change?
nightingale made a huge difference in the Crimean war ( 1854)
she decreased the mortality rate by 38%
by ensuring that there was clean bedding and good meals; scrubbing brushes to clean wounds and
what were the three main problems with surgery?
bleeding
pain
infection
when was the smallpox vaccine developed?
1796
what were the oppositions’ arguments to the vaccine?
the inoculators disapproved because the vaccine would have ruined their business and lost them money
the church disapproved because Jenner used animals in trials which the church disagreed with
the royal society saw no scientific proof so they wouldn’t support the vaccine
why did the government support jenner’s vaccine?
because it was safer and more reliable to inoculations and cheaper because the recipients didn’t need to quarantine unlike the inoculators who were contagious
what was the opposition to developments in anaesthetics and antiseptics?
- anaesthetics allowed deeper and more dangerous surgeries to take place which resulted in deaths ( infection and bleeding ) so the anaesthetics were wrongfully.blamed
the victorians believed that pain relief was interfering with gods plan
some doctors believed that patients were more likely to die if they were unconscious rather than awake and screaming
when was the germ theory widely accepted?
1890’s
what were Koch’s influences in Britain?
he developed a dye which made it easier to studying microbes
he encouraged doctors to study the diseases not the symptoms
kochs new methods of growing microbes made it easier for other scientists fists to study specific diseases
what were the aims of the second public health act in …..?
1875
providing clean water to stop diseases that were spread in dirty water
disposing of sewage to prevent drinking and washing water from becoming polluted
employing a public officer of health to monitor outbreaks of disease
ensuring new house were of better quality to stop damp and overcrowding
when did snow present his findings on cholera?
1855
why was the impact of medical discoveries in 1500-1700 so small?
Lack of quality medical instruments
the general public believed in the theory of the four humours
There were still huge gaps in knowledge
when was the dissolution of the monasteries?
1536
how did vesalius encourage change?
he made the study of anatomy more acceptable and fashionable
he inspired others to challenge old views like he did with galen and do their own dissections and make detailed drawings
how were attitudes towards the four humours changing in 1500-1700
physicians started to reject the fours humours but could find nothing to replace it with so treatments stayed the same
and people the general public did still believe in the four humours
what comments can I make when the nature of the source is a diary?
- first hand account. (Primary source) so accurate
- personal account so little risk of exaggeration ( little risk of dramatisation for effect )
- could be affected by emotion of tiredness
- might not describe the average western front if written during a battle
-
what comments can I say when the purpose of the source is journalism?
- could be downplayed to prevent concern
- propaganda
- second hand so less accurate and reliable