Treatment. — The plan to be pursued is to place the
patient on his back, the operator taking off his boot, and
placing his heel between the patient's thighs, to make a steady
pull at the foot till the bone slips into the socket. The great
obstacle to success in il.;: kind of proceeding, is the muscular
resistance offered by t)";o patient involuntarily. To overcome,
or rather to divert this, the patient's attention should, if pos-
sible, be called away to something else, or, if this is of no
avail, ipecacuanha should be given in doses of one-fourth to
MEDICINAL, 32t
one grain every quarter of an hour. By its nauseating pro-
perties it debilitates the patient and relaxes the muscles.
Compound Dislocations. — These, consisting of fractures
also, are, of course, more dangerous than simple dislocations,
and are rendered very serious if complicated with fracture.
Treatment. — The bones should be replaced as nearly as
possible in their natural position, as in the case of simple dislo-
cation. Any bleeding should be stopped, either by the appli-
cation of cold water, or, if that is insufficient, bleeding arteries
should be sought and tied. (See Haemorrhage.) When the
bleeding has been checked, the wound should be searched for
splinters of bone, which should be removed by the forceps.
The wound should then be dressed and splints applied, as
recommended under Compound Fractures.
Dog Bites. — These are very much, though somewhat un-
necessarily, dreaded, on account of the fear which exists that
they may be followed by hydrophobia. When it is considered
how many people are bitten by dogs, and how few people have
hydrophobia, it will be seen of what groundless nature is that
fear.
The best method of treatment which can be pursued in dog
bites is to make a free application of lunar caustic to the bite.
Hydrophobia. — Although, as above stated, hydrophobia is
excessively rare, its occasional occurrence cannot be doubted;
it will therefore be advisable not to neglect the above remedies,
as there is no doubt that the confidence inspired by their adop-
tion soothes alarm, and prevents nervous excitement conse-
quent on fright alone.
Treatment. — Should hydrophobia come on, chloroform,
Indian hemp, and opium are the only means that offer any
chance of allaying the symptoms. These drugs may, in such
a case, be given in larger doses and at shorter intervals than
under other circumstances, watching carefully their effects.
(For doses, see List of Medicines.)
Dropsy. — This is purely a symptom of disease of some
internal organ, or is the result of the debility and deterioration
of the blood in certain eruptive fevers. As its nature and
treatment occur in speaking of the diseases of various organs,
it is unnecessary to speak here what is said under those several
headings.
Drowning, or Suspended Animation. — The following in-
structions, compiled by the Royal National Lifeboat Institu-
tion, are the result of a wide field of experience:
Restorative Treatment. — Send immediately for raedi-
^ii' MEDICINAL
Page 235
Presented as published in 1883. Historical recipes may not meet modern food-safety standards. Cook from the modern interpretation, not the original instructions.
AI-modernized reading of the original text
Treatment. — The plan to be pursued is to place the patient on his back, the operator taking off his boot, and placing his heel between the patient's thighs, to make a steady pull at the foot till the bone slips into the socket. The great obstacle to success in this kind of proceeding, is the muscular resistance offered by the patient involuntarily. To overcome, or rather to divert this, the patient's attention should, if possible, be called away to something else, or, if this is of no avail, ipecacuanha should be given in doses of one-fourth to
MEDICINAL, 32t
one grain every quarter of an hour. By its nauseating properties it debilitates the patient and relaxes the muscles.
Compound Dislocations. — These, consisting of fractures also, are, of course, more dangerous than simple dislocations, and are rendered very serious if complicated with fracture.
Treatment. — The bones should be replaced as nearly as possible in their natural position, as in the case of simple dislocation. Any bleeding should be stopped, either by the application of cold water, or, if that is insufficient, bleeding arteries should be sought and tied. (See Haemorrhage.) When the bleeding has been checked, the wound should be searched for splinters of bone, which should be removed by the forceps. The wound should then be dressed and splints applied, as recommended under Compound Fractures.
Dog Bites. — These are very much, though somewhat unnecessarily, dreaded, on account of the fear which exists that they may be followed by hydrophobia. When it is considered how many people are bitten by dogs, and how few people have hydrophobia, it will be seen of what groundless nature is that fear.
The best method of treatment which can be pursued in dog bites is to make a free application of lunar caustic to the bite.
Hydrophobia. — Although, as above stated, hydrophobia is excessively rare, its occasional occurrence cannot be doubted; it will therefore be advisable not to neglect the above remedies, as there is no doubt that the confidence inspired by their adoption soothes alarm, and prevents nervous excitement consequent on fright alone.
Treatment. — Should hydrophobia come on, chloroform, Indian hemp, and opium are the only means that offer any chance of allaying the symptoms. These drugs may, in such a case, be given in larger doses and at shorter intervals than under other circumstances, watching carefully their effects. (For doses, see List of Medicines.)
Dropsy. — This is purely a symptom of disease of some internal organ, or is the result of the debility and deterioration of the blood in certain eruptive fevers. As its nature and treatment occur in speaking of the diseases of various organs, it is unnecessary to speak here what is said under those several headings.
Drowning, or Suspended Animation. — The following instructions, compiled by the Royal National Lifeboat Institution, are the result of a wide field of experience:
Restorative Treatment. — Send immediately for medi-
^ii' MEDICINAL