New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1882-08-06
SCIENCE FOR THE PEOPLE
sTIoN AND HEAT-STRokE,;

HEAT-EXHAJ STION AND HEATS l Nh M
: In an article upon the effects OF pro oysaem'
L;nh tamnerature upon the human ~ q d.
IL Nedie1l he,rs philadelphia says ord y
80 Who nreserve tranquility oil hililu an
baoIthv state of the bodily functions, s;tb &
heat and winters cold are allke I :o b which
nunity. The regulating mechdH, 81 tained M
the temperature OF the pouJ % soever occur
n uniform level what changes 800. OF
e:.it los not fail in the performance vi
Ml'IhouTs - task When, however, dlstuTpulg
sAnances are introduced INTO the udAly ny 80 -.
IL u 'ncbanism of heat production anu neaC
VIC i, ~ is disordered 10y disease, serious
nnannences ensue, and he can the better en-
connter them who has formulated III us Ii i
well-defued principles OF acton ulsoIil0
zion of immense practical importance exists VIC.
tween heat-exhausdon ana neat 4 ~ This
coup dc sOlel. 1t is much TO he teare1 th'.| th
difference too often passes unregarueu' ~ .no
serious detrment of the patient he5tI 80
tion as the term lmphes means q sl'uu .,'.o,,Iar
bral anamia produced by worn IT IL stroEe
exercise in a high temperature; aoeose 81
o- snr stroke signifies the sudden access III
D1consciousness with a high teorile neat. III
~ formrr the body is cool the skin moist OF
wet with perspiratOn, the pulse smau, lcool0
and low IN tension, the m9S. i "a faabIe
taxed. tue pupil dilated and the minu 1eeole;
hnt CONSEQUENCES Is not lost, or Is restored
after a syncopal state OF pnef uuraOion. III
the latter there is profound unc0n scloushess,
skin is hot ard usually dry, the temperature
high or hyperpyrexlal the pulse rapid ana us
tension high and the muscular system Is OIUeu
convused and tends rather TO rlgidIUy thaI re-
taxation. Upon due recognition OF these
antipOdal states depends the success oi nc he
treatment instituted. If heat-eXhaHstiOn De
treated by the measures proper IN therInlc
fever, or vice versa, the result VIII De olS''s-
trous.' .o4
Speaking of the different methods OF treat
II hfn T-oV
tion and heat-strOke, The Ne'cs says: IL the
case be one of heat-exhaustlOn the patent VIII
probably be able 10 swallow. RepOse III the
shade in the recumbent posture ana a re"
drops of landanum IN a tablespoonful OF Wills
kew or brandy will quickly bring about restO1a-
zion. The conditions are greatly more COM
dictated when we have &c deal with the uncOn-
seriousness of true sun-stroke. Our readers
need hardly be told that there are several
varieties and grades of heat-IeVer. AS
those who have exhausted the nervous system
by various excuses are the chief victims, Cd
yiously the great measure OF prevention is
sobriety. Ii is not alone alcohOnc excess tnaV
predispOses TO attacks. Late hours Dad ar,
excessive tObaccO-smoking are among the
depressing causes to which attacks OF heat-feVer
have been attributed. Exposure TO the uHect
rays CT the sun is not alone necessary ; 10 Une
existence of a high temperature OF the atln0s-
phere III general and disturbed STATE OF uhe
relations between heat-prOductlOn and heat
elimination effected by the causes above men
toned must the attacks be attributed, and
hence the measures of prophylaxls must include
tie means Of avoiding both sources OF danger.
In the case of true heat-stroke the victim
should be nj once removed TO the shade, to
as cool spot as practicable, and should have
cold water thrown on hun, be rubbed with
pieces of ice. and have ice applied to the head
and spine. In the cOnyulslve form OF attack,
the hvpodermatic injection OF mOrphia Is in
dicated indeed, no measure appears TO have
relieved a larger proportion Of cases OF all
kinds The administration of quinla by the
sub-cutaneOus method is also a remedy OF
great value tor the reduction of the abnormal
heat. 1t is probable that the sub-cutaneous
injection of pIOcarpine will prove very useful
in cases with a dry skin and suspended action
of the kidneys. The inhalation OF chlOroi0rm
has succeeded III the cases characterized by
great restlessness and by convul SONS. The
hypodermatic injection of choral (ten grains
to twenty grains), repeated as necessary, Will
also be found to lower the temperature and
allay excitement and it may be- restore con-
seriousness" People working IN a mgh tenn
perature says The Ne,OS, should drink water
slowly and moderately.