, and a great deal of confidence in hydriatics, put the
little patient, a boy of 8 or 9 years, into a bathing-tub filled for the
greater part with snow, covered him over with the cold material, and
left him there till he became conscious; then he was rubbed all over,
placed in a dry pack (without a sheet), and left to perspire, which
ensued and brought out the rash. The patient was out of danger in four
hours' time, and Dr. S., on calling again in the evening, was quite
astounded at seeing him alive, out of bed, and covered with a tolerably
bright eruption.
85. WINE AND WATER, IF NO REACTION CAN BE OBTAINED.
Should the patient remain cold in his pack for longer than an hour,--a
case, which will seldom occur,--a little wine and water may be given him
to assist the organism in producing a reaction; and, in case of need,
the dose may be repeated once or twice in intervals of half an hour. The
quantity should be adapted to the age and constitution of the patient,
and by no means sufficient to affect the head. Instead of water, it may
also be mixed with warm broth or tea, or hot water and sugar, to make it
agreeable to the little patient.
86. ABLUTIONS AND RUBBING WITH ICED WATER OR SNOW.
In a few very obstinate cases, when no rash would appear after two or
three long packs, I have succeeded by washing the patient with ice-water
or snow, rubbing him dry with my bare hands, and then packing him in a
dry blanket. After staying there for several hours, more or less
eruption always appeared.
87. WET COMPRESS.
The wet compress on the throat in torpid cases should not be changed
often, but left till it becomes almost dry. Should the feet of the
patient be cold, a bottle filled with hot water and wrapped in a piece
of blanket or a sheet should be placed near them, either within the
pack, or out of it, when the patient is lying in bed. The feet should
always be kept warm.
88. VENTILATION ALL-IMPORTANT.
If the circulation of air is necessary in any other form of
scarlet-fever, it is all-important in torpid reaction, especially when
it inclines to a typhoid type. We should never forget that it is the
oxygen of the air that nourishes the process of combustion going on in
every living body, and that in the same manner as no fire can burn
bright without a sufficient supply of air, the combustion within the
patient will be slower in proportion as there is less pure air in the
sick-room, and consequently his react
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