proportion to your perseverance in packing.
74. NECESSITY OF ALLAYING THE HEAT.
The packs and baths should be continued, even when the patient cannot be
prevailed upon to stay long enough in the packs to perspire. The heat of
the skin and the general inflammatory condition of the whole organism
_must_ be allayed, especially, when there is much _delirium_. In that
case, the patient ought to be kept long enough in the bath to clear off
the head, and care ought to be taken, that he should never stay in the
pack to become much excited.
75. THE HALF-BATH--THE SITZ- OR HIP-BATH.
Should the half-bath or shallow-bath (which are technical terms for the
bath described above), not be sufficient to relieve the head, the
patient must be placed in a _sitz-_ or _hip-bath_ of 65 deg. to 70 deg. and stay
there, with his body covered by a blanket or two, till the head is easy.
During and after the sitz-bath, the parts exposed to the water, as well
as the lower extremities, should be rubbed repeatedly, to favor the
circulation of the blood. The head should be covered with a compress,
dipped in cold water and but slightly wrung out, to be changed every
time it becomes warm. The time required will vary according to the
condition of the patient, from half an hour to one hour and a half.
There is no danger of his taking cold, provided the body be covered
sufficiently. The room ought not to be too warm, as a hot room will
increase the tendency of the blood to the head; 65 to 70 deg. is perfectly
warm enough. I would rather have it between 60 and 65.
76. The _sitz-bath_ may be taken in a small wash-tub, if there is no
proper sitz-bath-tub at hand. It should be large enough to allow the
water to come up to the navel of the patient, and to permit rubbing. Too
large a tub would not allow the patient to sit in it comfortably. If
there is no tub to fit, a common bathing-tub may be raised on one end,
by putting a piece of wood under it, so as to keep the water all in the
other end, allowing the feet of the patient to be kept out of the water.
This latter practice is more convenient with very small children, with
whom, however, the sitz-bath will scarcely be required, a half-bath of
sufficient duration being almost always efficient. It is not advisable
for persons little acquainted with the use of water as a curative, to
let the patient stay very long in the sitz-bath, it being safer to pack
the patient again, and to repeat the sitz-bat
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