n is dry and hot, the face is flushed, and the
eyes suffused, and a thermometer will show a bodily temperature of from
105 deg. to 110 deg. or even 112 deg.F. In fatal cases it is usually some hours
before the patient dies, though sometimes he succumbs almost instantly.
When attacked, the patient should at once be removed to some shady place,
and should be held in a sitting posture against any suitable object that
may be at hand. The clothing should be loosened at once, and every
endeavor should be directed towards lowering the temperature of the
victim. This is best done by pouring ice-water or the coolest water that
can be secured freely over the entire body of the patient. This treatment
should be continued until the temperature approaches the normal--the
vigor of the measure employed gradually decreasing, as the patient shows
signs of getting better. Improvement is shown by a gradual return of
consciousness.
_Heat-Prostration._--Like true sunstroke, heat-prostration comes on with
an extreme suddenness. The patient becomes suddenly dizzy, and sinks to
the ground in a state of collapse. The skin is pale and cool, the pulse
limp and weak, and the thermometer shows the temperature to be somewhat
below normal. The patient should be laid on the ground in a cool, shady
place, and stimulants at once given. By far the most efficient of them is
a hypodermic injection of morphine and atropine, to which strychnine in
appropriate doses may be added.
_Guarding against Sunstroke and Heat-Prostration._--Excessive heat is the
basis of both of these conditions, but there are many contributing causes
which play a more or less important part in their production.
Notwithstanding the fact that they are regarded as being different, and
that the treatment and symptoms of the two conditions vary widely, there
can be no doubt that certain depressing influences, in every way similar,
play an important part in their causation.
Foremost among such influences alcohol claims first place, and
unquestionably not only predisposes to all diseases brought on by
heat, but lends much greater gravity to an attack--the drunkard
rarely recovering from true sunstroke, and frequently dying from
the much less dangerous heat-prostration. It is said that the
latter condition is particularly prone to occur after freely
indulging in beer or other malt liquors. Not only does alcohol
predispose to these morbid states,
|