The daily morning journal and courier., 1896-08-13
unr wnArIER HINTS

The excessive heits of the past few days has prompted Hhe distribution by the boards of health offseveral cities of circular containing much valuable advice. The substance of the circular which offers some suggestions as to the proper treatmen of persons who have been overcome by the heat, is as fol- lows:
 Heat Exhaustion Prolonged ex- posture to high temperature, particular ly when combined with physical eXer- ton, is liable to be followed by great prostration, collapse, restlessness, and in severe cases by delirlum. Unlike heatstrolSe, the surface of the body is usually cool, the pulse small and rapid, and the temperature below normal-as low as 95 degrees Fahrenheit or 96 de- grees Fahrenheit. It Is not necessary that the person shall have been expos ed to the direct rays of the sun, as the condition may come on when working in close, confined rooms during mid- summer and when exposed to great artificial heat as in laundries, bake shops and engine rooms.
 "Sunstroke or Heat-Stroke-This is chiefly confined to persons working very hard while exposed to the sum- It is common in our large cities, but it is not known in the country. Those habituated to the use of beer and Whis- key, and the debilitated, are especially predisposed to attacks.
 Symptoms.
 "rhe attack may be sudden and the patient may be struck down and die within an hour with symptoms of heart failure, difficult breathing, and loss of consciousness. The usual form comes on during exposure, with pain in the head, dizziness, a feeling of weakness, and sometimes nausea and vomiting. The loss of consciousness may be only 1 transient, or it may be complete The l face is flushed, the skin pungent, the pulse rapid and full and the tempera- ture very high, from 107 degrees F. to 110 degrees F. The breathing is labor ed and deep, sometimes loud. It is inn portant to take note that in heat ex- haustion the skin is moist, pale and cool; the breathing easy, though hur- ried, the pulse small and soft, and the senses entire; while in heatstroke there is unusually insensibility and great I heat of skin.
 PrecautIon.
 Drink frequently cool water in mod crate quantity. It is injurious to drink q large quantity of ice water, cold beer, soda water or other mineral waters or iced drinks Cool water, in which oat- meal has been stirred is a safe and re- freshing drink. Immediate death is sometimes caused by ice cold drinks, The immoderate use of alcoholic bever- ages is also dangerous.
 When overloaded work slowly, fre- auently cooling the head, chest, back and wrists with cool water Keep a wet sponge or cloth in the hat. When on a very hot day the skin becomes hot and dry and 8 stinging, burning sen isation is felt in the head and the face is flushed and the eyes bloodshot, the person should immediately quit work iseek quiet and a cool place, and if not speedily relieved from the oppressive |sensation of heat take cold bath, sub- merging or Wetting the head.
 Treatment.
 Remove the patient to cool an6 siidyi pldCe WIiSfE4 tliepS IS plGAty Ol fresh, pure air. Strip the clothing tc the waist and place the sufferer in 2 lrecumbent position. Pour cold water Gce water) upon the heaa and chest and wrists until consciousness returns l Apply ice to the head and rub the body with 1t, but if the skin is cold no ice should be applied. When practicable the patient should be put in bath al 70 degrees F, to reduce the tempera' ture.
 Tn heat exhaustion stimulant. should be given freely, and if the tenn. perature is below normal, as shown bS the skin being cold and clammy, tht hot bath should be used. Ammonia and water may be given if necessary