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Дата написания1970-01-01
Язык книгиen
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MARSHALL HALL'S READY METHOD IN SUFFOCATION, DROWNING, ETC

1st, Treat the patient instantly on the spot, in the open air, freely exposing the face, neck, and chest to the breeze, except in severe weather.

2d, In order to clear the throat, place the patient gently on the face, with one wrist under the forehead, that all fluid, and the tongue itself, may fall forward, and leave the entrance into the windpipe free.

3d, To excite respiration, turn the patient slightly on his side, and apply some irritating or stimulating agent to the nostrils, as veratrine, dilute ammonia, &c.

4th, Make the face warm by brisk friction; then dash cold water upon it.

5th, If not successful, lose no time; but, to imitate respiration, place the patient on his face, and turn the body gently but completely on the side and a little beyond, then again on the face, and so on alternately. Repeat these movements deliberately and perseveringly, fifteen times only in a minute. (When the patient lies on the thorax, this cavity is compressed by the weight of the body, and expiration takes place. When he is turned on the side, this pressure is removed, and inspiration occurs.)

6th, When the prone position is resumed, make a uniform and efficient pressure along the spine, removing the pressure immediately, before rotation on the side. (The pressure augments the expiration, the rotation commences inspiration.) Continue these measures.

7th, Rub the limbs upward, with firm pressure and with energy. (The object being to aid the return of venous blood to the heart.)

8th, Substitute for the patient's wet clothing, if possible, such other covering as can be instantly procured, each bystander supplying a coat or cloak, &c. Meantime, and from time to time, to excite inspiration, let the surface of the body be slapped briskly with the hand.

9th, Rub the body briskly till it is dry and warm, then dash cold water upon it, and repeat the rubbing.

Avoid the immediate removal of the patient, as it involves a dangerous loss of time; also the use of bellows or any forcing instrument; also the warm bath and all rough treatment.

POISONS

In all cases of poisoning, the first step is to evacuate the stomach. This should be effected by an emetic which is quickly obtained, and most powerful and speedy in its operation. Such are, powdered mustard (a large tablespoonful in a tumblerful of warm water), powdered alum (in half-ounce doses), sulphate of zinc (ten to thirty grains), tartar emetic (one to two grains) combined with powdered ipecacuanha (twenty grains), and sulphate of copper (two to five grains). When vomiting has already taken place, copious draughts of warm water or warm mucilaginous drinks should be given, to keep up the effect till the poisoning substance has been thoroughly evacuated.

PARTING ADVICE

Be independent, but not impudent. See all you can, and make the most of your time; "time is money;" and, when you grow older, you may find it even more difficult to command time than money.

1

If your haversack-flap has a strap which buckles down upon the front, you can run the strap through the cup-handle before buckling; or you can buy a rein-hitch at the saddlery-hardware shop, and fasten it wherever most convenient to carry the cup.

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2

A German officer tells me that his comrades in the Franco-Prussian war of 1870-1 had no rubber blankets; nor had they any shelter-tents such as our Union soldiers used in 1861-5 as a make-shift when their rubbers were lost. But this is nothing to you: German discipline compelled the soldiers to carry a big cloak which sheds water quite well, and is useful to a soldier for other purposes: but the weight and bulk condemn it for pleasure-seekers.

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3

In general it is better to put the shelter-tent in the roll, and to keep out the rubber blanket, for you may need the last before you camp. You can roll the rubber blanket tightly around the other roll (the cloth side out, as the rubber side is too slippery), and thus be able to take it off readily without disturbing the other things. You can also roll the rubber blanket separately, and link it to the large roll after the manner of two links of a chain.

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4

I knew an officer in the army, who carried a rubber air-pillow through thick and thin, esteeming it, after his life and his rations, the greatest necessity of his existence. Another officer, when transportation was cut down, held to his camp-chair. Almost every one has his whim.

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5

I never heard of a party exclusively of young men going on a tour of this kind, and consequently I cannot write their experiences; but I can easily imagine their troubles, quarrels, and separation into cliques. I once went as captain of a party of ten, composed of ladies, gentlemen, and schoolboys. We walked around the White Mountains from North Conway to Jefferson and back, by way of Jackson. It cost each of us a dollar and thirty-two cents a day for sixteen days, including railroad fares to and from Portland, but excluding the cost of clothes, tents, and cooking-utensils. Another time a similar party of twelve walked from Centre Harbor, N.H., to Bethel, Me., in seventeen days, at a daily cost of a dollar and two cents, reckoning as before. In both cases, "my right there was none to dispute;" and by borrowing a horse the first time, and selling at a loss of only five dollars the second, our expenses for the horse were small.

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