er
chloroform or ether, opium poisoning, coal gas asphyxia,
drowning, etc."--Dr. J. H. Kellogg, in _Bulletin of the A. M. T.
A._, Jan., 1899.
Dr. N. S. Davis tells of a case of threatened collapse where he was
called in consultation. Patient was in a small, unventilated room.
"It was easy to see that what she needed was fresh air in her
lungs. Instead of giving alcohol in any form she was moved into
a large, well-ventilated room. All symptoms of 'heart failure'
disappeared. Had she begun to take whisky or brandy, physician
and friends would have attributed her recovery to that, when in
fact it would have retarded recovery by hindering oxygenation of
the blood."
"It would also be a very great mistake to suppose that when
reaction follows collapse, in cases in which alcohol has been
given, this result is always due to the alcohol. I have seen so
many cases of severe collapse recover without alcohol that I
cannot but be skeptical as to its necessity, and even as to its
value. I was much struck many years ago by a case of post partum
hemorrhage which was so severe that convulsions set in. I should
then have given brandy if there had been any to give, but there
was none in the house and none to be got. I administered
teaspoonfuls of hot water and the patient revived and recovered;
next day, except for anaemia, she was as well as ever, with no
reactionary fever or other disturbance, as would almost
certainly have been the case if brandy had been given.
"In collapse from hemorrhage, we have learned the value of
injections of warm saline water, either into the veins, the skin
or the rectum, and the same treatment is available in other
cases of collapse with contracted vessels.
"Another measure which has proved most efficacious is the
_inhalation of oxygen_ gas. This is especially useful in cases
in which alcohol is decidedly injurious, namely, those in which
there is increasing congestion of the lungs, which the heart,
though doing its utmost, is unable to overcome. Alcohol only
increases the congestion, and the heart is already over-exerted
and nearly exhausted. The effect of the oxygen is apparent in a
few seconds, and cases have been rescued in which death appeared
to be inevitable and imminent."--DR. RIDGE.
HEART STIMULANTS:--"The advantage of beef extract over alcohol
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