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Medical ArticlesToothacheThis trouble appears in two opposite characters. In the one it... Removal Of Double Pointed Tacks If the tack or staple be small, and lodged in a relatively l... Colic Of Whatever Kind Use A D current, pretty strong force. In severe cases, introd... Painful Menstruation Elsie was twenty. She came to see me because I had helped Els... The Contagion Of Scarlatina Very Active The _contagion_ of scarlatina is very active, and adheres for... The Digestive System How the Food Reaches the Stomach. Our body, then, has an open... The Various Forms And Positions Of Strictures And Other Obstructions Of The Urethra False Passages Enlargements And Deformities Of The Prostate Impediments to the passage of the urine through the urethra m... Extent Of Electric Agency When we have settled upon the position that the electricity o... Dysentery This is an affection of the bowels of the nature of diarrhoea,... Bruises Case Xv The following case was far more severe, but the mode of treat... Suggestions For The Control Of Athletics 1. Gymnasiums and athletic grounds in connection with all col... Endocarditis A Secondary Affection Mild endocarditis is rarely a primary affection, and is almos... St Vitus' Dance This proceeds from a simple irritation of the spinal nerves, a... Common Cramp Although either the positive or the negative pole, applied to... Bathing The Feet This apparently simple treatment, if the best results are desi... To Prevent Small-pox Use _Macrotin_ 1st night and morning, and if nursing or expos... Hot Flushings See Flushings. ... Chronic Myocarditis Fibrous Chronic myocarditis may develop on an acute myocarditis, but ... Eruptions See Hives; "Outstrikes;" Saltrome, etc. ... Etiology Treatment A subacute or a chronic infective endocarditis should be trea... |
What Effect Could Be Expected From A Warm Wet-sheet?Category: TREATMENT OF SCARLET-FEVER. Source: Hydriatic Treatment Of Scarlet Fever In Its Different Forms The first impression of the wet-sheet is, as I stated before, a _disagreeable_ one. If it were _agreeable_--as a warm sheet, for instance, would be, which has been occasionally tried, of course without doing any good--_it would not produce a reaction at all, and consequently there would be no relief for, and finally no cure of the patient effected by it_. But the impression of the cold sheet, being powerful, is transferred at once from the peripherical nerves, which receive the shock, to the nervous centres (the spine, the cerebellum and the brain), and, in fact, to the whole nervous system, and the reaction is almost immediate; the vascular system, participating in it, sends the blood from the larger vessels and the vital parts, to the capillaries of the skin; and when, through repeated applications of the sheet, the system is relieved and harmony restored, in a sufficient degree, in and among the different parts of the organism, to enable them to resume their partly impeded functions, a profuse perspiration brings the struggle to a close, by removing the morbid matter which caused the fever, whereupon the skin is refreshed and strengthened, and the whole body cooled and protected by a cool bath from obnoxious atmospheric influences. I am not aware that a better rationale can be given of the action of other remedies. Any physician can understand that its effect must be at once powerful and safe, and that there is no risk in the wet-sheet pack of the reaction not taking place, as it may be the case in severer applications of cold water, without the pack. One objection I have often heard, viz.: that the process is very troublesome. But what does trouble signify, when the life and health of a fellow-being is at stake?--It is true, the physician is frequently compelled to render the services of a bath-attendant, and stay with the patient much longer than in the usual practice; but he gets through sooner, and, if not the patient and his friends, his own conscience will pay him for his exertions and sacrifice of time. There is little trouble with small children, who make a fuss only, and become refractory, when the parents, grandmammas and aunts set the example. When all remain quiet, and treat the whole proceeding as a matter of necessity, children usually submit to it very patiently, and soon become quiet, should they be excited at the beginning. The fewer words are said, and the quicker and firmer the physician performs the whole process, the less there is trouble. After having been taught how to do it, the parents or friends of the patient will be able to take the most troublesome part of the business off the physician's hands, who, of course, has more necessary things to do, during an epidemic, than to pack his patients and attend to them in all their baths himself. Only with spoiled children I have had trouble, and more with them that spoiled them. The best course, then, is to retain only one person for assistance, and to send the rest away till all is over. There are people, who _will_ be unreasonable; of course, it is no use to attempt reasoning with them. I remember the grandmother of a little patient, with whom the pack acted like a miracle, removing a severe inflammatory fever in two hours and a half, telling me "she would rather see the child die, than have her packed again," although she acknowledged the pack to have been the means of her speedy recovery. It is true there was some trouble with the child, but only because the whole family were assembled in the sick-room to excite the child through their unseasonable lamentations and expressions of sympathy about the "dreadful" treatment to which she was going to be submitted. Grandmother would not have objected to a pound of calomel!--But we shall speak about objections and difficulties in a more proper place. Next: No Cutting Short Of The Process Of Scarlatina The Morbid Poison Must Be Drawn To The Skin As Soon As Possible Previous: Action Of The Pack And Bath Rationale
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