g are of course wider and of double
thickness. The ends of the two strips are drawn underneath the abdominal
pack, and held by it, and the two shoulder packs may be changed as often
as necessary for cooling purposes without necessitating a simultaneous
change of the abdominal pack.
THE SHAWL (26)
(This is an application similar to "Kneipp's Shawl")
A large square piece of linen crash from 35 to 40 inches in width is
folded into a triangle, dipped in the vinegar-water at 59 to 64 degrees,
and after being wrung out, is applied diagonally round the neck. The
upper part of the back, the cervix, the neck, the shoulders and the
upper parts of the breast are thus covered. A woollen wrap, the ends of
which are pinned together on the back, will cover the whole pack
tightly.
This pack must be changed if the patient becomes too hot (after 1/2 to 2
hours), otherwise it may stay on all night. In case of feverish catarrh
it is used together with the three-quarter pack.
Among other things the "shawl pack" causes the cooling of the blood
which streams to the head. Thus its effect in case of congestion and
brain trouble is explained.
_Neck and shoulder packs, Scotch packs and shawl packs must always be
used in connection with a diverting leg, calf or foot pack._
THE THREE-QUARTER PACK (27)
Next to the abdominal pack the three-quarter pack is one of the best
applications, especially for children.
A piece of woollen cloth, or a single blanket, as long as the patient
and sufficiently wide to reach all around him, is placed on the bed in
such a way as to be level with the arm-pits of the patient. A bedspread
of about the same size as the blanket is then dipped into cool
vinegar-water, wrung out well, and placed on the blanket so that the
upper edge of the latter protrudes. The patient is now laid on the
bedspread so that it reaches to the arm-pits. The moist spread is then
turned up on both sides, part of it is tucked between the legs, and the
protruding lower end is laid on or between the feet. Thus the body,
from the arms down, is completely wrapped in the wet spread, and the
woollen blanket is covered over it as usual and fastened with safety
pins. The patient's shirt is then adjusted. The head, the neck, the
uppermost part of the breast and back are not packed. Another blanket is
placed over the patient and well fastened on all sides. A pillow must be
placed between the feet and the lower edge of the bed. To avoi
|