The Jackson standard. [volume] (Jackson C.H., Ohio) 1847-1888, 1888-07-26

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swellings or depressions. Open the
eyes and see if the eyeballs are sensi-
tive to the touchzand if the pupils be-
come small when@exposed to the light,
whether they are large or small and
of the same size. Observe whether
the breathing is difficult or easy, the
presence or absence of stertor and the
odor Of the breath. Drunkenness can
be detected by odor Of the breath.
Insensibility is usually incomplete.
Both sides of the body are equally
helpless. There. is no stertorous
breathing. The pupils of the eyes are
usually dllated and equal in size, and
the eyeballs are sensitive to touch.
For this trouble cold water is the best
remedy, and if yon can get it little
hartshorn, whichSmust be put to the
patients nostrils,eand few drops IN
water to drink.
In apoplexy, The patient becomes
suddenly insensible. The face is either
flushed or very paA. The pupils of
the eyes are fixed and dilated. The
pulse is slow and labored, and stertor-
GUS breathing is noticeable Convul-
sions also occur In such cases place
the body in a reclining position, and
raise the head. Undo the clothing
around the neck and apply cold water
or ice to the head.
Epilepsy differs from apoplexy in
that the patient foams at the mouth,
is only partially 7insensible, bites the,
tongue and the breathing and pulse
are normal. AlEthat can be done in
these cases is to keep the patient from
injuring himself.
Hemorrhage from the ear, mouth,
nose or eyes indicates fracture of
base Of skull. Treat these cases Is
those Of apoplexy.
Blows or falls on the head produce
conclusion of the brain and are detect
ed by external bruises, confusion Of
ideas, sickness, fainting and stupor.
In such cases place the patient on his
back in dark place, slightly raise his
head and apply warmth to his extrem-
tiles and surface Of the body.
Shock or collapse follows injuries to
nervous system, fright, grief and
lightning. The patients breathing is
very feeble, pulse almost impercepti-
BILE, eyes dull, face pinched and pale.
Apply warmth to the surface of the
body and extremities, give stimulants
in small quantities, remove all tightly
fitting clothing and aid the restoration
of circulation after placing the patient
in horizontal position.
Stupor, contracted pupils, progress
i've insensibility indicate poisoning by
narcotics. Prevalent for these cases
is cold water to the head and chest
Give emetics, strong coffee and exercise.
To restore the apparently drowned,
place the patientface downward, be-
stride the body, grip the clothing over
the shoulders. If the body is naked
thrust your finger into the armpits,
clasping your thumbs over the shoul-
ders, raise the chest as high as you
can without lifting the head from the
ground and hold it long enough to
count four. Then let the body. rest
on the ground, the forehead on the
fexed arm, the neck straight, the
mouth and nose free. Place your ell
bows just inside of your knees and
your hands on the sides of the chest
just over the lower ribs. Then press
downwards and inward long enough
to count two. Suddenly let 60 your
grasp on the shoulders and raise the
chest as before. Repeat these move
ments alternately ten or fifteen times
a minute until natural breathing be-
gins; then induce circulation and
warmth by rubbing the extremities
and covering the patient with dry
blankets and clothing. Hot water,
heated bricks or hot bottles at the pit
Of the stomach, armpits, soles of feet
and inside the thighs will help matters
along. Small quantities of wine, cof-
fee or warm water are of great use
when his power of swallowing has re-
turned. Sleep should be encouraged,
and mustard plasters to the chest and
under the shoulders will relieve dis
tressed breathing. 81
You can always tell sunstroke or
heatstroke, for one need not be exposed
to the suns rays to cause this malady.
Being in heated atmosphere is
enough. As a rule these cases are
preceded by headache, sickness at
stomach and weakness of the knees.
The face and head are hot, the pulse
full but weak and the breathing slow
and labored. The face is red and
sometimes purple. Put the patient in
a cool place, apply ice or ice water to
his spine, head and the back of the
neck.
If the case is rather one Of exhaus-
ton, which can. be told by face not
much flushed or pale. pulse frequent