Sidney Yankauer, M.D. (1872-1932), an ear, nose and throat specialist and pioneer in bronchoscopy, practiced at the Mount Sinai Hospital in New York. Dr. Yankauer, a prolific inventor of medical equipment, might best be known for the tube he designed for suctioning the mouth and throat. Yankauer introduced the wire-mesh anaesthesia mask around 1904. The drop method involved placing the mask over the patient’s nose and mouth, and then placing gauze over the mesh of the mask. Next, liquid anaesthetic, such as ether or chloroform, was applied in drops or lightly poured onto the gauze so that the patient breathed in evaporated anesthetic as well as air. The gutter around the base of the mask was designed to catch any residue of the harmful anaesthetic. (The Wood Library Museum, 2016; Museum of Healthcare Kingston, 2016)A metal tear-shaped mask with gauze wire dome, gutter around the base and detachable spring piece with open circular handle to secure cloth over gauze. Found inside medical carry box #899Stamped underneath neck of circular handle: HATRICKdr [e.s.] holloway, hatrick, yankauer, drop method, mask, gauze

Ethyl chloride was first used as a general anaesthetic in 1847, by Johann Ferdinand Heyfelder (1798-1869), a German surgeon. Once ethyl chloride became readily available, it was again taken up as a general anaesthetic in the late 1890s (USA). Ethyl chloride evaporates very quickly so that when it is sprayed onto the skin it produces very cold temperatures. “Refrigeration anesthesia”, or cryoanesthesia, refers to the anesthesia produced when the skin is significantly cooled.Due to its rapid onset, ethyl chloride was often used to induce general anaesthesia. It would be followed by a second anaesthetic, such as ether or nitrous oxide, which would be used for the remainder of the procedure. (The Wood Library Museum, 2016) The bottle has clear side and base mould seams which indicate it was made using a cup bottom mould.Glass bottle with paper label, metal fastening at the top and cream coloured plastic sealant at the neck. The bottle has clear side and base mould seams which indicate it was made using a cup bottom mould.Printed on main label at front: 100 c.c. 3 1/2 fl. ozs. / MEDICINAL CHEMICALS CORP [illegible] / MEDCO / ETHYL CHLORIDE / PURE / This Product conforms to all the re-/quirements of the BRITISH PHARMA-/COPCEIA, 1932, for / GENERAL ANAESTHESIA / Manufactured by / MEDICINAL CHEMICALS CORPORATION PTY. LIMITED / 39 Martin Place, Sydney Printed on round label on reverse side: 6d. / Cred [illegible]this container if returned in good order and condition. Stamped into underside of bottle: CM / S99ethyl chloride, medco, medicinal chemicals corporation pty. ltd, dr [e.s] holloway, bottle

Dr. Gwen Wilson, Emeritus historian, gifted this book at ANZCA's first independent Annual Scientific Meeting held in Launceston in 1994. Dr Wilson presented this gift after her speech about the life of William Russ Pugh and his significant contribution to anaesthesia in Australia. It is unclear as to how the book came into Dr Wilson's possession. Published in London, 1845, for Longman, Brown, Green and Longmans, this book was formally owned by general practitioner Dr William Russ Pugh, being the first medical practitioner in Australia to administer ether anaesthetic on 7 June 1847, in Launceston. The author of the book, P E De Strzelecki acknowledges Pugh for his assistance during his stay in Launceston and for allowing him the use of his laboratory for the analysis of the soils and minerals that were subsequently reported in this book (Page 131). Tan coloured cloth book with an embossed circular motif on the centre of the front and back cover. The same embossed motif is repeated four times along the spine of the book. An embossed design of small, four petal flowers borders the edge of the front and back cover. The title of the book 'Strzelecki's New South Wales and Van Diemen's Land' is printed in gold on the spine. The cloth has come unstuck at various places around the spine and a small section is missing from the base of the spine. The cover is worn and has numerous dark stains possibly from mould. The book contains 19 engraved and lithographed plates. This includes a handcoloured octavo folding, geological map, bound as a frontispiece, depicting the NSW coast down to Gippsland and Tasmania, a fold out single colour geological cross section of the Newcastle Coal Basin, 14 plates illustrating shellfish and flora and three tinted lithographs. Single page maps at the back illustrate wind patterns around Australia. [front title page, two black ink stamps that have bled through to the next page] W R.PUGH [front title page, black ink, cursive writing] H Grant \ 5 May 1910 [front title page, pencil, cursive writing, written around Pugh's stamp] Purchased from \ (unrecognizable script) [front title page, previous owner's name was rubbed out and consequently tore the page making the entry unreadable] [Inner back cover, bottom LHS, blue stamp] BOUND BY \ WESTLEYS & \ CLARK \ LONDON [Inner front cover, bottom LHS, black and purple ink] P65 \ 76 \ 78 \ 98 \ 163 \ 164 \ 217strzelecki, van diemen's land, wilson, gwen, pugh, william, launceston, green and longmans

6 sided brown glass bottle with paper label and black screw capLabel Front: Trade Mark SANAX. FIRST AID DRESSING. Forms an Antiseptic skin over cuts, wounds etc. Label Side: DIRECTIONS. A few drops on the part affected and spread over the injury with the cork. For knuckle joint wounds place on the wound a thin film of absorbent cotton and then pour dressing over freely. Label Side: This bottle must be kept ell corked and away from flames. CAUTION contains 60% ether. The Sanax Co 349-51 Nepean Highway Moorabin , Vic

Mark Cowley Lidwill was awarded an Honorary Fellowship in 1954 after his retirement to honour his working life.Mark Cowley Lidwill was born in England in 1878. His family moved to Melbourne in 1894. Lidwill studied medicine at the University of Melbourne, graduating with honours in 1902 and achieving a Doctorate in Medicine (MD) in 1905. Soon after graduation he moved to Sydney and in 1913 was appointed as the first lecturer in anaesthetics at the Royal Prince Alfred Hospital. That year Lidwill became the first person in the world to catch a black marlin with rod and reel. The event was celebrated in newspapers throughout the country and the marlin skeleton is now on display at the Australia Museum. Lidwill was also the designer of a machine which could deliver anaesthesia mechanically. Compact and portable, the machine delivered precise, although variable, concentrations of ether. Lidwill is also credited with developing the world’s first pacemaker. In a letter he wrote to Harry Daly in 1955, Lidwill was ambivalent about the fate of the machine: “No one would be bothered with it and they thought I was mad”.Printed certificate from the Faculty of Anaesthetists of the Royal Australasian College of Surgeons (RACS) awarded to Mark Cowley Lidwill as an Honorary Fellowship. Printed in black ink at the top of the certificate is the RACS coat of arms. The certificate is dated 26 June 1954 and has been signed by Harold R Dew, President of the College, and other members of the executive.mark cowley lidwill, faculty of anaesthetists, honorary fellowship, royal australasian college of surgeons, cardiology, pacemaker, royal prince alfred hospital, doctorate in medicine

Dr James (Jim) Villiers went to Vietnam as an anaesthetist with the Australian Surgical Team (civilian) during 1963. He used this bag for carry-on luggage. Despite assurances about the quality of resources available on arrival, he carried an essential part of the breathing circuit for an EMO vaporiser in his carry-on. The actual vaporiser was packed in his check-in luggage. In 1963 the Vietnamese government sought training in Australia in anaesthetics for several medical technicians. Australia was not able to meet the request as anaesthesia training in Australia is restricted to qualified doctors. Instead, the Dean of the Faculty of Anaesthetists at RACS suggested sending a team of anaesthetists to Vietnam to conduct training for technicians there. However, they requested a preliminary survey be undertaken in order to determine the abilities of the prospective trainees and establish contacts with medical authorities in Vietnam. James (Jim) Villiers was one of the people who undertook the survey and made a report. Training of Vietnamese medical technicians was undertaken using the Epstein MacIntosh Oxford Anaesthetic Apparatus (EMO). This equipment was robust, portable and relatively cheap, there are few moving parts for servicing, it requires only ether and air for operation.Brick-red vinyl bag with white Qantas branding including the flying kangaroo printed on both sides. The bag has a zipper opening and contains an anaesthetic apparatus mounted on a piece of wooden particle board. There are two black hoses, a white hose, a black plastic connector, a metal t-bar connect, a green resuscitation bag and black face mask.james villiers, malignant hyperthermia, vietnam, qantas, australian surgical team, long xuyen, bien hoa, anaesthesia training

Farquhar McCrae (1807-50) was born at Westbrook near Edinburgh, into a distinguished Scottish family. He was educated at the University of Edinburgh and graduated MD in 1827. After a sojourn in Paris he joined the staff of the general hospital at Chatham. Here he suffered an injury during a dissection, which impaired his health for the rest of his life. He was appointed curator of the museum at Chatham, and put together a notable collection of pathological specimens. In 1838 he sought to resign on the grounds of ill health, and was then offered a posting with the 6th (Inniskilling) Dragoons. But with his health still poor, he decided to emigrate to a kinder climate, and arrived in Melbourne aboard the barque Midlothian. McCrae set up practice in Bourke Street with his brother-in-law, David Thomas. Both were pioneers in the use of anæsthetics. McCrae was the first to introduce chloroform, Thomas ether. Sometime after 1841 McCrae moved to Sydney, where he was one of the first medical practitioners appointed to the staff of the Sydney Infirmary and Dispensary. He died in Sydney at the age of 43 years. The sword is a dress sword of the 6th Dragoons. Made by Henry Wilkinson of Pall Mall, it is 38 inches (96.5cm) long and has an elaborately engraved and highly polished steel blade. Being a ceremonial weapon, the blade is quite blunt, and the gilt guard bears the crown and monogram of Queen Victoria, which dates the sword to late 1837 or 1838. The grip is bound in snakeskin and the sword is carried in a leather scabbard with brass mounts. It remains as one of the important links to the pioneering days of Melbourne, and early medical practice in Australasia.Sword, ceremonial, steel with brass decoration and a steel handle, highly decorated, in a scabbard of patterned black leather covered metal, brass tipped, 100 cm long. It belonged to Farquhar McCrae.

Toothaches have been with us since the evolution of teeth and extracting teeth. I wonder what poor Homo erectus did when suffering with a toothache. He probably just suffered and probably became very bad tempered. Ancient Dentistry Significant tooth decay did not appear until hunter-gatherer societies became agrarian. The change in diet included a large increase in carbohydrates which then led to tooth decay. Early man was primitive but he was also pretty smart. Some time around 8000 years ago someone in the area that is now Pakistan was using a drill to remove tooth decay. Examination of Neolithic skulls have revealed the handiwork of at least one very early dentist. A Sumerian text in about 5000 B.C. taught that the cause of tooth decay was tooth worms. Proposed cures for toothache were numerous. Early Egyptians wore amulets. An Egyptian named Hesy-Re, is known as the first dentist. Praise for his dentistry is inscribed on his tomb. Unfortunately it doesn’t delineate what he did to earn the praise. Pliny, the Elder, recommended finding a frog at midnight and asking it to take away the pain. The doctor to Emperor Claudius around 50 A.D. had his toothache patients inhale smoke produced by scattering certain seeds on burning charcoal and then rinsing the mouth with hot water. This was to expel the tooth worms. On the more practical side Aristotle and Hippocrates both wrote about the treatment of tooth decay. A primitive forceps was used for extracting teeth. Some dentists at that time were able to weave wire in the teeth to stabilize loose teeth. Medieval Torture From about 500 A.D. to 1100 A.D. monks were well educated and well trained and did some of the surgical procedures of the time. Barbers handled the rest of the operations, especially blood letting and tooth extractions. In 1163 the Pope put a stop to all surgeries by monks and the field was left open to the barbers. Barbers were, after all, very skilled with knives and razors. In fact, the barber pole, red and white spiraling stripes, is a symbol of the blood letting; red for blood. white for bandages. In the 1300s a Barbers’ Guild was established which divided the barbers into two groups: those with the skills and training to do procedures and those who were relegated to blood letting and tooth extractions. Pliers from a blacksmith’s foundry were the only device available. Barbers would often go to fairs and advertise painless tooth pulling. A shill in the audience would come on the stage, feigning severe toothache. The barber would pretend to extract tooth, pulling out a bloody molar he had palmed earlier. The supposed sufferer would jump for joy. The barbers set up near the bands at the fairs so that the music would drown out the screams of their patients. If the tooth was loose enough, the barber would tie a string around the tooth and yank hard to extract the tooth. This was a much less painful and dangerous procedure than the pliers. The pliers often fractured other teeth and sometimes the jaw. The procedure was far from sterile and infection was a common problem and some people bled to death. The Renaissance and the Rise of Tooth Decay In the 1400s refined sugar was introduced into Europe but only reached the tables of the wealthy. While their betters were munching on sweets, the poorer folk suffered fewer toothaches. Queen Elizabeth I was known for her blackened teeth. George Washington had a tooth extraction every year after age 22. He supposedly had a set of wooden false teeth but his dentures were actually ivory. The earliest instrument designed for tooth extraction was the dental pelican, which was shaped something like a pelican’s beak. The pelican was replaced in the 1700s by the dental key, which was fitted down over the affected tooth and was better able to grip the tooth. Both still often caused more damage than relief. The Development of Modern Dentistry Modern dental equipment began to be introduced in the 1800s about the time when dentistry became a profession and dental schools began to open. Ether was used starting in 1846 to anesthetize the pain and local anesthetics were introduced in the early 1900s. Modern dentists no longer have to seat their patients on the floor and have helpers to hold them down. Dentistry is as close to painless as possible now. There is no excuse to suffer the agony of a toothache these days. And extracting teeth is no longer dangerous. https://arizonadentalspecialists.com/the-surprising-history-of-extracting-teeth/ This tooth extractor was donated to Flagstaff Hill Maritime Village by the family of Doctor William Roy Angus, Surgeon and Oculist. It is part of the “W.R. Angus Collection” that includes historical medical equipment, surgical instruments and material once belonging to Dr Edward Ryan and Dr Thomas Francis Ryan, (both of Nhill, Victoria) as well as Dr Angus’ own belongings. The Collection’s history spans the medical practices of the two Doctors Ryan, from 1885-1926 plus that of Dr Angus, up until 1969. ABOUT THE “W.R.ANGUS COLLECTION” Doctor William Roy Angus M.B., B.S., Adel., 1923, F.R.C.S. Edin.,1928 (also known as Dr Roy Angus) was born in Murrumbeena, Victoria in 1901 and lived until 1970. He qualified as a doctor in 1923 at University of Adelaide, was Resident Medical Officer at the Royal Adelaide Hospital in 1924 and for a period was house surgeon to Sir (then Mr.) Henry Simpson Newland. Dr Angus was briefly an Assistant to Dr Riddell of Kapunda, then commenced private practice at Curramulka, Yorke Peninsula, SA, where he was physician, surgeon and chemist. In 1926, he was appointed as new Medical Assistant to Dr Thomas Francis Ryan (T.F. Ryan, or Tom), in Nhill, Victoria, where his experiences included radiology and pharmacy. In 1927 he was Acting House Surgeon in Dr Tom Ryan’s absence. Dr Angus had become engaged to Gladys Forsyth and they decided he would take time to further his studies overseas in the UK in 1927. He studied at London University College Hospital and at Edinburgh Royal Infirmary and in 1928, was awarded FRCS (Fellow from the Royal College of Surgeons), Edinburgh. He worked his passage back to Australia as a Ship’s Surgeon on the on the Australian Commonwealth Line’s T.S.S. Largs Bay. Dr Angus married Gladys in 1929, in Ballarat. (They went on to have one son (Graham 1932, born in SA) and two daughters (Helen (died 12/07/1996) and Berenice (Berry), both born at Mira, Nhill ) Dr Angus was a ‘flying doctor’ for the A.I.M. (Australian Inland Ministry) Aerial Medical Service in 1928 . The organisation began in South Australia through the Presbyterian Church in that year, with its first station being in the remote town of Oodnadatta, where Dr Angus was stationed. He was locum tenens there on North-South Railway at 21 Mile Camp. He took up this ‘flying doctor’ position in response to a call from Dr John Flynn; the organisation was later known as the Flying Doctor Service, then the Royal Flying Doctor Service. A lot of his work during this time involved dental surgery also. Between 1928-1932 he was surgeon at the Curramulka Hospital, Yorke Peninsula, South Australia. In 1933 Dr Angus returned to Nhill where he’d previously worked as Medical Assistant and purchased a share of the Nelson Street practice and Mira hospital from Dr Les Middleton one of the Middleton Brothers, the current owners of what was once Dr Tom Ryan’s practice. Dr L Middleton was House Surgeon to the Nhill Hospital 1926-1933, when he resigned. [Dr Tom Ryan’s practice had originally belonged to his older brother Dr Edward Ryan, who came to Nhill in 1885. Dr Edward saw patients at his rooms, firstly in Victoria Street and in 1886 in Nelson Street, until 1901. The Nelson Street practice also had a 2 bed ward, called Mira Private Hospital ). Dr Edward Ryan was House Surgeon at the Nhill Hospital 1884-1902 . He also had occasions where he successfully performed veterinary surgery for the local farmers too. Dr Tom Ryan then purchased the practice from his brother in 1901. Both Dr Edward and Dr Tom Ryan work as surgeons included eye surgery. Dr Tom Ryan performed many of his operations in the Mira private hospital on his premises. He too was House Surgeon at the Nhill Hospital 1902-1926. Dr Tom Ryan had one of the only two pieces of radiology equipment in Victoria during his practicing years – The Royal Melbourne Hospital had the other one. Over the years Dr Tom Ryan gradually set up what was effectively a training school for country general-practitioner-surgeons. Each patient was carefully examined, including using the X-ray machine, and any surgery was discussed and planned with Dr Ryan’s assistants several days in advance. Dr Angus gained experience in using the X-ray machine there during his time as assistant to Dr Ryan. Dr Tom Ryan moved from Nhill in 1926. He became a Fellow of the Royal Australasian College of Surgeons in 1927, soon after its formation, a rare accolade for a doctor outside any of the major cities. He remained a bachelor and died suddenly on 7th Dec 1955, aged 91, at his home in Ararat. Scholarships and prizes are still awarded to medical students in the honour of Dr T.F. Ryan and his father, Dr Michael Ryan, and brother, John Patrick Ryan. ] When Dr Angus bought into the Nelson Street premises in Nhill he was also appointed as the Nhill Hospital’s Honorary House Surgeon 1933-1938. His practitioner’s plate from his Nhill surgery states “HOURS Daily, except Tuesdays, Fridays and Saturday afternoons, 9-10am, 2-4pm, 7-8pm. Sundays by appointment”. This plate is now mounted on the doorway to the Port Medical Office at Flagstaff Hill Maritime Village, Warrnambool. Dr Edward Ryan and Dr Tom Ryan had an extensive collection of historical medical equipment and materials spanning 1884-1926 and when Dr Angus took up practice in their old premises he obtained this collection, a large part of which is now on display at the Port Medical Office at Flagstaff Hill Maritime Village in Warrnambool. During his time in Nhill Dr Angus was involved in the merging of the Mira Hospital and Nhill Public Hospital into one public hospital and the property titles passed on to Nhill Hospital in 1939. In 1939 Dr Angus and his family moved to Warrnambool where he purchased “Birchwood,” the 1852 home and medical practice of Dr John Hunter Henderson, at 214 Koroit Street. (This property was sold in1965 to the State Government and is now the site of the Warrnambool Police Station. ). The Angus family was able to afford gardeners, cooks and maids; their home was a popular place for visiting dignitaries to stay whilst visiting Warrnambool. Dr Angus had his own silk worm farm at home in a Mulberry tree. His young daughter used his centrifuge for spinning the silk. Dr Angus was appointed on a part-time basis as Port Medical Officer (Health Officer) in Warrnambool and held this position until the 1940’s when the government no longer required the service of a Port Medical Officer in Warrnambool; he was thus Warrnambool’s last serving Port Medical Officer. (The duties of a Port Medical Officer were outlined by the Colonial Secretary on 21st June, 1839 under the terms of the Quarantine Act. Masters of immigrant ships arriving in port reported incidents of diseases, illness and death and the Port Medical Officer made a decision on whether the ship required Quarantine and for how long, in this way preventing contagious illness from spreading from new immigrants to the residents already in the colony.) Dr Angus was a member of the Australian Medical Association, for 35 years and surgeon at the Warrnambool Base Hospital 1939-1942, He served as a Surgeon Captain during WWII1942-45, in Ballarat, Victoria, and in Bonegilla, N.S.W., completing his service just before the end of the war due to suffering from a heart attack. During his convalescence he carved an intricate and ‘most artistic’ chess set from the material that dentures were made from. He then studied ophthalmology at the Royal Melbourne Eye and Ear Hospital and created cosmetically superior artificial eyes by pioneering using the intrascleral cartilage. Angus received accolades from the Ophthalmological Society of Australasia for this work. He returned to Warrnambool to commence practice as an ophthalmologist, pioneering in artificial eye improvements. He was Honorary Consultant Ophthalmologist to Warrnambool Base Hospital for 31 years. He made monthly visits to Portland as a visiting surgeon, to perform eye surgery. He represented the Victorian South-West subdivision of the Australian Medical Association as its secretary between 1949 and 1956 and as chairman from 1956 to 1958. In 1968 Dr Angus was elected member of Spain’s Barraquer Institute of Barcelona after his research work in Intrasclearal cartilage grafting, becoming one of the few Australian ophthalmologists to receive this honour, and in the following year presented his final paper on Living Intrasclearal Cartilage Implants at the Inaugural Meeting of the Australian College of Ophthalmologists in Melbourne In his personal life Dr Angus was a Presbyterian and treated Sunday as a Sabbath, a day of rest. He would visit 3 or 4 country patients on a Sunday, taking his children along ‘for the ride’ and to visit with him. Sunday evenings he would play the pianola and sing Scottish songs to his family. One of Dr Angus’ patients was Margaret MacKenzie, author of a book on local shipwrecks that she’d seen as an eye witness from the late 1880’s in Peterborough, Victoria. In the early 1950’s Dr Angus, painted a picture of a shipwreck for the cover jacket of Margaret’s book, Shipwrecks and More Shipwrecks. She was blind in later life and her daughter wrote the actual book for her. Dr Angus and his wife Gladys were very involved in Warrnambool’s society with a strong interest in civic affairs. Their interests included organisations such as Red Cross, Rostrum, Warrnambool and District Historical Society (founding members), Wine and Food Society, Steering Committee for Tertiary Education in Warrnambool, Local National Trust, Good Neighbour Council, Housing Commission Advisory Board, United Services Institute, Legion of Ex-Servicemen, Olympic Pool Committee, Food for Britain Organisation, Warrnambool Hospital, Anti-Cancer Council, Boys’ Club, Charitable Council, National Fitness Council and Air Raid Precautions Group. He was also a member of the Steam Preservation Society and derived much pleasure from a steam traction engine on his farm. He had an interest in people and the community He and his wife Gladys were both involved in the creation of Flagstaff Hill, including the layout of the gardens. After his death (28th March 1970) his family requested his practitioner’s plate, medical instruments and some personal belongings be displayed in the Port Medical Office surgery at Flagstaff Hill Maritime Village, and be called the “W. R. Angus Collection”. The W.R. Angus Collection is significant for still being located at the site it is connected with, Doctor Angus being the last Port Medical Officer in Warrnambool. The collection of medical instruments and other equipment is culturally significant, being an historical example of medicine from late 19th to mid-20th century. Dr Angus assisted Dr Tom Ryan, a pioneer in the use of X-rays and in ocular surgery. Tooth extractor, dental surgical instrument. Metal with cross hatched pattern on handle. Stamped with maker's mark on hinge. Other stamps inside handles. Part of the W.R. Angus Collection.Stamped on hinge 'CASH & SONS ENGLAND'. Inside handles are 'C', 'P' and '27'.flagstaff hill, warrnambool, shipwrecked coast, flagstaff hill maritime museum, maritime museum, shipwreck coast, flagstaff hill maritime village, great ocean road, dr w r angus, dr ryan, surgical instrument, t.s.s. largs bay, warrnambool base hospital, nhill base hospital, mira hospital, flying doctor, dental surgical instrument, tooth extractor

The Lidwill machine was designed by Mark Lidwill in 1913, for the purpose of mechanical or insufflation anaesthesia. It was manufactured by Elliott Bros. of Sydney. Shortly afterwards, the Anaesthetic and Portable Machine Company of Sydney devised a machine that was functionally the same but also contained an electric lamp heater.Colour photograph of a modified Lidwill anaesthetic machine sitting on carpet, taken from above. The vaporiser is metal and circular, and has metal valves and controls and two orange tubes. The machine has an electric cord and power plug which is coiled on the floor.anaesthetic equipment, lidwill anaesthetic machine, mark lidwill, ether vaporiser, anaesthetic and portable machine company of sydney, vaporiser