Excerpt from The New York Medical Journal, 1875, Vol. 21

The skin, when exposed after the removal of the bandage, is seen to be blanched and anaemic, and, when the deeper tissues are cut into, they are found to be nearly or quite bloodless. The vessels, both arterial and venous, are almost absolutely empty, so that an amputation of the thigh, for ex ample, can be performed without the loss of more than five or ten drops of blood. This bloodless condition remains nu altered so long as the constricting band is kept in position. Immediately after this has been removed, however - the large vessels having been previously secured - the blood returns to the parts with considerable force, and, if these are vascular, a pretty free oozing commonly takes place from the surface of the wound. This bleeding is usually quickly checked by the use of cold water, aided, if necessary, by gentle pressure.

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