The evening herald. [volume] (Shenandoah, Pa.) 1891-1966, 1891-08-14
10 PREvENr s%uNsTRoKn.
Seasonable Hints That Should be
Carefully Noted.

Carefully Noted.
The state board Of health has Issued a
circular setting forth the causes OF sun
stroke, the precautions that should be. taken
and the treatment for cases.
This dangerous illness is caused bv ex-
cessive heat of the blood which produces
great depression of the nervous system. 1t
occurs during the hot season Of the year
and usually to those exposed to the hot u
but it sometimes occurs at night, and also to
those exposed to great heat, in glassworks,
~laundries, furnaces, bakeries, iron fuun-
dries, and the engine rooms of sesmships.
1t is largely confined to the hot, close
streets and passages of the cities, but is not
unknown in the country. Those habitu-
ated to the use of alcohol, and the debili-
tsted, are especially predisposed to attacks.
Dark, close-ftting clothing and such as
congresses the Ghost and neck should be
avoided during the heated term. For those
obliged to labor in the sun, light clothing
and a straw or light felt hat, permitting free
circulation of air, are preferable.
On very hot days, one should drink fire.
quently, butin small quantities. A large
amount Of ice water, cold beer, soda water,
mineral water or other iced drink entering
the stomach at one time, is injurious.
Cool water, into which oat meal has been
stirred, is a safe and refreshing drink.
Water should not be drunk in considerable
quantities at a lower temperature than
spring water, namely, So Fahrenheit, I'M
mediate death is often caused by ice cold"
drinks. The immoderate use Of alcoholic
beverages is also dangerous.
The s"leeping-room should be freely
ventilated and cool. Constipation of the
bowels should be avoided. When over
the head, chest and back with cold water.
Keep a wet cloth or some green leavein the
hat on the head, frequently wetting them
with cold water. When, on a very hot
day, the skin becomes dry snd u~ncomforta-
bly, hot, a burning sensation is felt in the
head, and the face is flushed and the eyes
blood-shot with frequent tendency to
~urinate, the person should Immediately
quit work, retire to q cool place and rest in
quietness and if not speedily relieved from
sensation of heat, take "A cold bath.
The attack may be very sudden aud take
the form of delirium in which the patient
PUSHES wildly about and may attack those
around him; or be may become weak
and sink to the ground as if in IA f~sinting
spell or stupor. Loss of consciousness and
mental disturbance may be only partial.
Nausea or sickness at tho stomach often
pracpdes the onset. Commissions may oc-
cur.
Sunstroke must be carefully distinguished
from heat exhaustion, in which the general
symptoms are similar to those of sunstroke,
but the bodily temperature is below the
normal. The difference can be at once
recognized by feeling the skin underneath
the clothingi in sunstroke the skin feels
burning hot, in heat exhaustion it is cold.
l. Garry the patient into a cool and
shaded place, where there is plenty Of pure,
fresh air.
?. Strip his clothing to the waist, and
place him in a recumbent position.
3. Pour cold water (ice water is bestl
upon his head and chest until conscious
ness returns. The points at which the
blood may be most efrectually cooled are
the wrists, the temples, and the ears, be-
cause ut those points it approaches the sur
face more nearly in considerable quantities.
Ice may be applied to the head and chest
and rubbed over the body, but if the skin
is cold no ice should be applied. Internally
small doses Of brandy may be administered
with success but in all cases of sunstroke
the patient should, as soon MS possible, be
placed in charge of a competent physician.
The patient should do no mental work
for some months, and should keep free
from all excitement. Persons who have
once suffered from sunstroke are liable to a
second attack. Insanity, in some Of its
varied forms, frequently follows sunstroke.
In heat exhaustion give alcoholic
stimuiants and place the patient in a hot
bath, so as to raise the bodily temperature.