to suggest a germ origin of the disease, but this is
extremely doubtful.
=Treatment.=--Treatment for heat exhaustion is given in the
"first-aid" directions. Little need be added to the directions for
treatment of heat stroke. In place of the ice cap suggested in Rule 7,
ice in cloths, or in a sponge bag may be substituted. The friction of
the body, as directed in Rule 6, is absolutely necessary to stimulate
the nervous system and circulation, and to prevent the blood from
being driven into the internal organs by the cold applied externally.
The cold-water treatment is applied until the temperature falls down
to within a few degrees of normal--that is, 98.6 deg. F. Then the patient
should be put into bed, there to remain, with ice to the head, until
fully restored.
It often happens that the fever returns, in which event the whole
process of applying cold water must be repeated. The simplest way of
reducing the fever consists in laying the patient, entirely nude, on a
canvas cot or wire mattress, binding ice to the back of his neck, and
having an attendant stand on a chair near by and pour ice water upon
the patient from a garden watering pot.
While the patient is insensible no attempt should be made to give
anything by the mouth; but half a pint of milk and two raw eggs with a
pinch of salt may be injected into the rectum every eight hours, after
washing it out with cold water on each occasion. Two tablespoonfuls of
whisky may be added to the injection, if the pulse is weak. If the
urine is not passed spontaneously, it will be necessary to draw it
once in eight hours with a soft rubber catheter which has been boiled
ten minutes and lubricated with glycerin or clean vaseline.
=ELECTRIC SHOCK OR LIGHTNING STROKE.=
_First Aid Rule 1.--Protect yourself from being shocked by the victim.
Grasp victim only by coat tails or dry clothes. Put rubber boots on
your hands, or work through silk petticoat; or throw loop of rubber
suspenders or of dry rope around him to pull him off wire, or pry him
along with dry stick._
_Rule 2.--Do not lift, but drag victim away from wire toward the
ground. When free from wire, hold him head downward for two minutes._
_Rule 3.--Assist heart to regain its strength. Apply mustard plaster
(mustard and water) to chest over heart; wrap in blanket wrung out of
very hot water; give hypodermic of whisky, thirty minims._
_Rule 4.--Induce artificial respiration. Open his mouth and grasp
ton
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