Evening capital. (Annapolis, Md.) 1884-1910, 1884-07-24
A CHAPTER ON SUNSTRogI
an IMPORTANT MATTER roc
PIE IN HOT wEATHrpH plo
The difference Between Ca>eso,.
stroke and ApOpIeNy or nrn.,eA
ueS&-PrcventiOu and Tren,, "Ata

1t is very important that eyer,
should be able to make out acaseo
struck when it occurs and not M;
II for drunkenness or apoplexv.
When a person is dead DRUM, i.
countenance, breathing and mls.
very much like those of sunstruck
Beside, the person sunstruck NAV
taken a glass of beer or a small am,
of alcohol in some form Just befos
attack. His breath would, by liz y
be apt to cause what might be
mistake. But the heat of the BODY -
to prevent any such error. In dmrI
ness, pure and simple, the heat Il
body is never above ninety eight y.
half degrees, often a little less, &
stroke it is always increased, S"is,
from 106 to los degrees, or even M,
Confinement in the close and vitiae5
of cell at the station house. or ~
portation a mile or more in an -
wagon exposed to the direct rays Of
sun, may not kin the intoxicated pen,
but would probably-nay, almost !,
tainly-havc that effect on'thc untr
nate victim of sunstroke.
In apoplexy, which has a superb
resemblance to one form of sunsrg
the skin is never hot and excessively T.
but is often cold and moist; the hi
in apoplexy is slow, sometimes Intern
tent, generally very full; in sunstrck
is quick and sharp; in apoplexy then
paralysis on one side OF the face !
body; in sunstroke there is no al,
ence between the two sides; the brsr
ing in apoplexy is slow, snoring h
often interrupted or irregular; in =
stroke it is rapid and noisy, but
snoring; in sunstroke both pupils al
eye are contracted and the eyes look
and contested; in apoplexy one MbaI
pupils are widely dilated, the ewes ohs
turned upward and toward one side, II
whites of the eyes are not reddenel
least not early in the attack These ts
tinctions are SO plain that nk1
ought not to be made.
The prevention of sunstroke is i
very great importance, in view Of Id
high rate of mortality of its victims
the serious after effects in those whop|
cover from the immediate symptoms 4
consideration of the conditions whdI
favor its occurrence gives the key ID
prevention. Avoidance Of extraOTdar
muscular effort, so far as possible, is in,l
be kept in mind. A rise of five degeaa
temperature above It's natural limit b
ninety eight and one-half degrees b.
been observed in a man who ran a ia
race, although the atmospheric heat W
but sixty-one degrees, and he was H
spring freely at the time Water shoa
be drunk freely to supply the loss twI
the blood by way of the skin, lungs ~
kidneys. This is fully as impOrtarii
avoidance of excessive exercise. n
cesses Of all kinds should be caeil
guarded against. Everything that
presses the nervous system predispOa
to sunstroke, excuses and loss Of seI
particularly, should be kept clear Of d
ing the heated term. Places where
air is close, damp or vitiated by ca
crowd;ng or by reason of unhealthiul i
halations, should be carefully shunre
The skin should be kept clean and
good working order by frequent batting
The clothing should be of light teyia
and pervious to moisture. 1t should
hinder the free movements of the ce
in breathing or construct the neck u
food should be mostly of vegetable
stances, in order to throw as little ell
work upon the kidneys as possible llI
is especially worthy of the attention I
every one who has Bright's disas 1
any disturbance Of the functions Oh Y
kidneys. !.
The treatment Of the attack Is Z.
GENTLY simple. No time should be 4
In removing the sufferer to coo, 'n'4
airy place. The outside clothing s1o.
be removed. When practicable all J
coverings of the body should be tis
off. The whole surface should
drenched with cool water. Ice Is
necessary; any water which is cy
than the body will do. In fact, ".
at from sixty to eighty degrees fam-
heit is more speedy in its reirlgeI4l
action than if it is ice-cold. The amos
Of heat removed by the change into ~
is many times greater than the ang.
used up in raising the same quaD
from the freezing to the boiling ~
Evaporation from the surface shou.
promoted by tanning or exposure
natural current Of air. If the pule
comes very feeble, irregular, Of
frequent than $50 per minute, siiiI .
should be given, such as amm2n-
alcohol, if the patient can swaIl'a
ether, coffee or brandy, by inJecll,., "a
der the skin. If commissions occur 4. ~
they are not so dangerous as |DsD MI
come on after several hours, when
denote impending death. They m'3
controlled by giving chloroform ca ,Sl.t
by inhalation. OF course ethel n,
form OF other powerful remeedlei3. 80
me friven only nv or under the uHN