l, but exceedingly quick.
There was considerable inflammation of the throat and swelling of the
face; the breath was very bad. There was a blister on the throat and a
mustard plaster on each of the soles of the feet.
I sent for a large wash-tub and water, which I mixed with some warm
water, so as to make it about 65 deg.. I had the child undressed, and placed
in the empty tub, after removing the blister and mustard; then I poured
the water slowly over her head, shoulders and the rest of the body. The
second pail brought her to consciousness, but only for a moment. As the
delirium returned, I continued to pour water over her; till the tub was
filled about nine inches, when I used the water from the bath. In
fifteen minutes, I found the heat of the body diminished about five
degrees. Soon after, the child became conscious, and its mind cleared
off more and more, as she continued in the bath. In thirty minutes, the
heat was 103, and the pulse, which first could not be counted, 135, when
I removed her from the bath and put her in a wet-sheet pack, where she
fell asleep. The pulse continuing slower, coming down to 126, and the
heat not increasing, I left her in the pack for an hour and three
quarters, when I observed an increase of heat, a quickening of the pulse
and a return of delirium.
The water of the first bath still standing in the room, but having
become warmer, and it being found troublesome to carry much water
up-stairs to a fifth story; I sent for a pail more of fresh water,
lowering the temperature of the bath to 71 deg., and, placing the child in
the bath, threw water over it, as I had done before. This time the bath
produced a beneficial effect much sooner, and I removed the patient from
it in about twelve minutes. The heat of the body had gone down to 101,
the pulse was 118, and the patient was perfectly conscious, complaining
a good deal of her throat. I placed a wet compress on the throat and
chest and had her put to bed, but ordered the bed to be removed further
from the window, and the latter partly to be kept open. I need scarcely
say, that I had opened it soon after entering the room.
When I returned in about five hours, I found the patient covered with a
thick feather-bed, the window closed, the air of the room as bad as
before; the patient was delirious, the heat 110, the pulse upwards of
150.
I repeated the bath as before, but continued only twenty minutes; then I
packed her again, placed a wet
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