Medical ArticlesChildren's Clothing
An infant's clothing should be soft, warm, and light in weight...
Diagnosis From Measles
In scarlatina the heat is much greater, and the pulse is much...
On The Adherent Eschar
It appears scarcely necessary to describe the immediate and w...
Our Wonderful Coat
What the Skin Is. The skin is the most wonderful and one of t...
Felon - Whitlow
For this disease, in the early stage, when the sensation is t...
Take the A D current. If torpid, treat with mild force. Treat...
Cures As Self-applied
Often young people in lodgings are in difficulty for want of s...
applied, with water at the strength of thirty drops of the _t...
Varix And Angioma Of The Esophagus
These lesions are sometimes the cause of esophageal hemorrhag...
Janeway [Footnote: Janeway, T. C.: A Clinical Study of Hypert...
Inspection of the hypopharynx and upper esophagus is readily...
The simplest, best, and safest source of current is a double...
Renal Calculi Gravel In The Kidneys
Take the A C current, of considerable force. Place N. P. low ...
The Blood-mesh Of The Skin
The Blood Vessels under the Skin. Not merely the nails and th...
General Directions Of The Current
Negative affections, as a general rule, are best treated with...
RELIEF from the mastery of an evil mood is like fresh air aft...
From The Hygienic Dictionary
Diagnosis.  In the United States, making a diagnosis impli...
Foreign Bodies In The Insane
Foreign bodies may be introduced voluntarily and in great nu...
The Care Of An Invalid
TO take really good care of one who is ill requires n...
The Form Of The Thoracic Cavity And The Position Of The Lungs Heart And Larger Bloodvessels
In the human body there does not exist any such space as cavi...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
No dyspneic patient should be given a general
anesthetic; because any patient dyspneic enough to need a tracheotomy
for dyspnea is depending largely upon the action of the accessory
respiratory muscles. When this action is stopped by beginning
unconsciousness, respiration ceases. If the trachea is not immediately
opened, artificial respiration instituted, and oxygen insufflated, the
patient dies on the table. Skin infiltration along the line of
incision with a very weak cocaine solution (1/10 of 1 per cent),
apothesine (2 per cent), novocaine, Schleich's fluid or other local
anesthetic, suffices to render the operation painless. The deeper
structures have little sensation and do not require infiltration. It
has been advocated that an interannular injection of cocaine solution
with a hypodermic syringe be done just prior to incision of the
trachea for the purpose of preventing cough after the incision of the
trachea and the insertion of the cannula. It would seem, however, that
this introduces the risk of aspiration pneumonia and pulmonary
abscess, by permitting the aspiration and clotting of blood in small
bronchi, followed by subsequent breaking down of the clots. As the
author has so often said, The cough reflex is the watch dog of the
lungs, and if not drugged asleep by local or general anesthesia can
safely be relied upon to prevent all possibility of the blood or the
pus which nearly always is present in acute or chronic conditions
calling for tracheotomy, being aspirated into the deeper air-passages.
Cocaine in any form, by any method, and in any dosage, is dangerous in
very young children.