or two degrees higher than the
body temperature, for example--if the child's temperature is 103 F.
then the bath starts out with a temperature of 104 or 105 F. The
temperature is then gradually lowered, about a degree every two
minutes, until it reaches 92 or 90 F. A helper should support the head
while the mother or nurse briskly rubs the entire skin surface of the
body. This friction greatly facilitates the fever-reducing work of the
bath because it brings the blood to the surface where it is more
readily cooled by the bath. This bath should last ten or fifteen
minutes.

4. _The Hot Sponge Bath._ Often, in combating the high fever of
typhoid, the hot sponge bath is valuable. The hands are dipped in
water just as hot as can be borne and are applied to the chilly,
mottled skin which is so often seen in high fever. This bath is
administered just as is the tepid sponge bath. Evaporation is allowed
to take place to some extent by delaying the drying. In this instance
the child should be wrapped in a warm wool blanket with only a portion
of the body exposed at one time.

5. _The Hot-Blanket Pack._ The hot-blanket pack is indicated at the
onset of many fevers such as in typhoid, grippe, pneumonia, etc. Like
the wet-sheet pack, the blankets are spread upon the bed, abundant
accessory heat is applied--such as a half-dozen hot-water bottles. In
the absence of these, glass jars or hot ears of corn may be utilized.
Hot bricks or hot stove lids wrapped in paper are also serviceable. A
blanket, in size to suit the individual (an adult would use a full
single blanket, a child one-half of a single blanket), is wrung very
dry from boiling water. This may be done by the means of a wash
wringer, or two persons grasping the blanket by its gathered ends may
so twist it that it looks very much like an old-fashioned twisted
doughnut. The twist is now lowered into boiling water, and as each
pulls the twist wrings itself. This is at once quickly spread out so
as to let the child lay on the center, and then the hot sides are
brought in contact with the skin, just as in the wet-sheet pack. The
dry blankets are now brought quickly and snugly about the child. Just
outside the second dry blanket the accessory heat is placed to the
sides of the trunk, the sides of the thighs, and one at the feet. A
wrapped stove lid or a hot-water bottle is placed over the pelvis and
one under the back. Cold cloths are put on the face and around the
neck, and th