,! ,home ,m$ical ,libr>y ,by ,,k5elm ,,w9sl[1 ,b4,a4,s41 ,m4,d4 ,=m]ly ,assi/ant ,pr(essor ,comp>ative ,!rapeutics1 ,h>v>d ,univ]sity2 ,late ,surgeon to ! ,newton ,hospital2 ,fell[ ( ! ,massa*usetts ,m$ical ,society1 etc4 ,) ! ,cooep]ation ( ,_m ,m$ical ,advis+ ,editors & ,special ,contributors ,,9 ,,six ,,volumes ,fir/ ,aid 33 ,family ,m$ic9es 33 ,nose1 ,?roat1 ,lungs1 ,eye1 & ,e> 33 ,/oma* & ,b[els 33 ,tumors & ,sk9 ,diseases 33 ,rheumatism 33 ,g]m ,diseases ,n]v\s ,diseases 33 ,insanity 33 ,sexual ,hygi5e ,woman & ,*ild 33 ,he>t1 ,blood1 & ,dige/ion ,p]sonal ,hygi5e 33 ,indoor ,ex]cise ,diet & ,conduct = ,long ,life 33 ,practical ,kit*5 ,sci5ce 33 ,n]v\sness & ,outdoor ,life 33 ,nurse & ,pati5t ,camp+ ,com=t 33 ,sanitation ( ! ,h\sehold 33 ,pure ,wat] ,supply 33 ,pure ,food ,/able & ,k5nel ,,new ,,york ,! ,review ( ,reviews ,company #aijg ,m$ical ,advis+ ,editors ,manag+ ,editor ,,alb]t ,,w>r5 ,,f]ris1 ,a4,m41 ,m4,d4 ,=m] ,assi/ant 9 ,neurology1 ,columbia ,univ]sity2 ,=m] ,*airman1 ,section on ,neurology & ,psy*iatry1 ,new ,york ,academy ( ,m$ic9e2 ,assi/ant 9 ,m$ic9e1 ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,m$ical ,editor1 ,new ,int]national ,encyclop$ia4 ,n]v\s ,diseases ,,*>les ,e4 ,,atwood1 ,m4,d4 ,assi/ant 9 ,neurology1 ,columbia ,univ]sity2 ,=m] ,physician1 ,utica ,/ate ,hospital & ,bloom+dale ,hospital = ,insane ,pati5ts2 ,=m] ,cl9ical ,assi/ant to ,sir ,william ,g[]s1 ,national ,hospital1 ,london4 ,pregnancy ,,russell ,,bellamy1 ,m4,d4 ,assi/ant 9 ,ob/etrics & ,gynecology1 ,cornell ,univ]sity ,m$ical ,college ,disp5s>y2 ,capta9 & ,assi/ant ,surgeon 79 *>ge71 ,squadron ,a1 ,new ,york ,cavalry2 ,assi/ant 9 ,surg]y1 ,new ,york ,polycl9ic4 ,g]m ,diseases ,,h]mann ,,mi*ael ,,biggs1 ,m4,d4 ,g5]al ,m$ical ,(fic] & ,director ( ,bact]iological ,laboratories1 ,new ,york ,city ,dep>tm5t ( ,heal?2 ,pr(essor ( ,cl9ical ,m$ic9e 9 ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,visit+ ,physician to ,bellevue1 ,/4 ,v9c5t's1 ,will>d ,p>k]1 & ,riv]side ,hospitals4 ,! ,eye & ,e> ,j4 ,,h]b]t ,,claiborne1 ,m4,d4 ,cl9ical ,in/ructor 9 ,oph?almology1 ,cornell ,univ]sity ,m$ical ,college2 ,=m] ,adjunct ,pr(essor ( ,oph?almology1 ,new ,york ,polycl9ic2 ,=m] ,in/ructor 9 ,oph?almology 9 ,columbia ,univ]sity2 ,surgeon1 ,new ,am/]dam ,eye & ,e> ,hospital4 ,sanitation ,,?omas ,,d>l+ton1 ,m4,d4 ,heal? ,commission] ( ,new ,york ,city2 ,=m] ,presid5t ,m$ical ,bo>d1 ,new ,york ,f\ndl+ ,hospital2 ,consult+ ,physician1 ,fr5* ,hospital2 ,att5d+ ,physician1 ,/4 ,john's ,riv]side ,hospital1 ,yonk]s2 ,surgeon to ,new ,croton ,aqu$uct & o!r ,public ,works1 to ,copp] ,que5 ,consolidat$ ,m9+ ,company ( ,arizona1 & ,arizona & ,s\!a/]n ,railroad ,hospital2 ,au?or ( ,m$ical & ,climatological ,works4 ,m5/ruation ,,au/9 ,,fl9t1 ,,jr41 ,m4,d4 ,pr(essor ( ,ob/etrics & ,cl9ical ,gynecology1 ,new ,york ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,visit+ ,physician1 ,bellevue ,hospital2 ,consult+ ,ob/etrician1 ,new ,york ,mat]nity ,hospital2 ,att5d+ ,physician1 ,hospital = ,ruptur$ & ,crippl$1 ,manhattan ,mat]nity & ,em]g5cy ,hospitals4 ,he>t & ,blood ,,john ,,bessn] ,,hub]1 ,a4,m41 ,m4,d4 ,assi/ant 9 ,m$ic9e1 ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,visit+ ,physician to ,/4 ,joseph's ,home = ,consumptives2 ,au?or ( ,consumption3 ,its ,relation to ,man & ,8 ,civilization2 ,its ,prev5tion & ,cure4 ,sk9 ,diseases ,,james ,c4 ,,john/on1 ,a4,b41 ,m4,d4 ,in/ructor 9 ,pa?ology & ,*ief ( ,cl9ic1 ,dep>tm5t ( ,d]matology1 ,cornell ,univ]sity ,m$ical ,college4 ,diseases ( ,*ildr5 ,,*>les ,,gilmore ,,k]ley1 ,m4,d4 ,pr(essor ( ,p$iatrics1 ,new ,york ,polycl9ic ,m$ical ,s*ool & ,hospital2 ,att5d+ ,physician1 ,new ,york ,infant ,asylum1 ,*ildr5's ,dep>tm5t ( ,syd5ham ,hospital1 & ,babies' ,hospital1 ,n4 ,y42 ,consult+ ,physician1 ,home = ,crippl$ ,*ildr54 ,bites & ,/+s ,,george ,,gibi] ,,rambaud1 ,m4,d4 ,presid5t1 ,new ,york ,pa/eur ,in/itute4 ,heada*e ,,alonzo ,d4 ,,rockwell1 ,a4,m41 ,m4,d4 ,=m] ,pr(essor ,electro-,!rapeutics & ,neurology at ,new ,york ,po/-,graduate ,m$ical ,s*ool2 ,neurologi/ & ,electro-,!rapeuti/ to ! ,flu%+ ,hospital2 ,=m] ,electro-,!rapeuti/ to ! ,woman's ,hospital 9 ! ,/ate ( ,new ,york2 ,au?or ( ,works on ,m$ical & ,surgical ,uses ( ,electricity1 ,n]v\s ,exhau/ion 7,neura/h5ia71 etc4 ,poisons ,e4 ,,ellswor? ,,smi?1 ,m4,d4 ,pa?ologi/1 ,/4 ,john's ,hospital1 ,yonk]s2 ,som]set ,hospital1 ,som]ville1 ,n4 ,j42 ,tr9ity ,hospital1 ,/4 ,b>?olomew's ,cl9ic1 & ! ,new ,york ,we/ ,side ,g]man ,disp5s>y4 ,cat>rh ,,samuel ,,wood ,,?urb]1 ,m4,d4 ,*ief ( ,cl9ic & ,in/ructor 9 ,l>yngology1 ,columbia ,univ]sity2 ,l>yngologi/ to ! ,orphan's ,home & ,hospital4 ,c>e ( ,infants ,,h]b]t ,b4 ,,wilcox1 ,m4,d4 ,assi/ant 9 ,diseases ( ,*ildr51 ,columbia ,univ]sity4 ,special ,contributors ,food ,adult]ation ,s4 ,,joseph9e ,,bak]1 ,m4,d4 ,m$ical ,inspector1 ,new ,york ,city ,dep>tm5t ( ,heal?4 ,pure ,wat] ,supply ,,william ,,paul ,,g]h>d1 ,c4,e4 ,consult+ ,eng9e] = ,sanit>y ,works2 ,memb] ( ,am]ican ,public ,heal? ,association2 ,memb]1 ,am]ican ,society ,me*anical ,eng9e]s2 ,correspond+ ,memb] ( ,am]ican ,in/itute ( ,ar*itects1 etc42 ,au?or ( ,h\se ,dra9age1 etc4 ,c>e ( ,food ,,janet ,,mck5zie ,,hill ,editor1 ,bo/on ,cook+ ,s*ool ,magaz9e4 ,n]ves & ,outdoor ,life ,s4 ,,weir ,,mit*ell1 ,m4,d41 ,,ll4,d4 ,,ll4,d4 7,h>v>d1 ,ed9burgh1 ,pr9ceton72 ,=m] ,presid5t1 ,philadelphia ,college ( ,physicians2 ,memb]1 ,national ,academy ( ,sci5ces1 ,association ( ,am]ican ,physicians1 etc42 ,au?or ( essays3 ,injuries to ,n]ves1 ,doctor & ,pati5t1 ,fat & ,blood1 etc42 ( sci5tific works3 ,rese>*es ,^u ! ,v5om ( ! ,rattlesnake1 etc42 ( novels3 ,hugh ,wynne1 ,*>act]i/ics1 ,con/ance ,trescott1 ,! ,adv5tures ( ,francois1 etc4 ,sanitation ,,george ,m4 ,,price1 ,m4,d4 ,=m] ,m$ical ,sanit>y ,inspector1 ,dep>tm5t ( ,heal?1 ,new ,york ,city2 ,inspector1 ,new ,york ,sanit>y ,aid ,society ( ! #aj? ,w>d1 #ahhe2 ,manag]1 ,model ,t5em5t-h\ses ( ! ,new ,york ,t5em5t-h\se ,build+ ,co41 #ahhh2 ,inspector1 ,new ,york ,/ate ,t5em5t-h\se ,commission1 #ahie2 ,au?or ( ,t5em5t-h\se ,inspection1 ,h&book on ,sanitation1 etc4 ,indoor ,ex]cise ,,dudley ,,all5 ,,s>g5t1 ,m4,d4 ,director ( ,hem5way ,gymnasium1 ,h>v>d ,univ]sity2 ,=m] ,presid5t1 ,am]ican ,physical ,culture ,society2 ,director1 ,normal ,s*ool ( ,physical ,tra9+1 ,cambridge1 ,mass42 ,presid5t1 ,am]ican ,association = ,promotion ( ,physical ,education2 ,au?or ( ,univ]sal ,te/ = ,/r5g?1 ,heal?1 ,/r5g? & ,p[]1 etc4 ,long ,life ,,sir ,,h5ry ,,?ompson1 ,b>t41 ,f4,r4,c4,s41 ,m4,b4 7,lond47 ,surgeon ,extraord9>y to ,8 ,maje/y ! ,k+ ( ! ,belgians2 ,consult+ ,surgeon to ,univ]sity ,college ,hospital1 ,london2 ,em]itus ,pr(essor ( ,cl9ical ,surg]y to ,univ]sity ,college1 ,london1 etc4 ,camp ,com=t ,,/ew>t ,,edw>d ,,:ite ,au?or ( ,! ,=e/1 ,! ,m\nta9s1 ,! ,sil5t ,places1 ,! ,blaz$ ,trail1 etc4 ,illu/ration3 ,a ,,desirable ,,me?od ,,( ,,c>ry+ ,,! ,,injur$4 ,by ?is plan ev5 ! unconsci\s victim ( an accid5t may be transport$ a long di/ance1 because ! be>]s' h&s are left entirely free & ?us prev5t$ f becom+ cramp$ or tir$1 z :5 a seat is made ) clasp$ h&s4 ,9 ! me?od illu/rat$ above ! pati5t is plac$ 9 a seat made by ty+ a blanket1 %eet1 rope1 or /rap 9 ! =m ( a r+4 ,ea* be>] !n places 8 inn] arm ab\t ! pati5t's body & ) 8 out] h& holds ! pati5t's arm ar\nd 8 neck4 ,! ,home ,m$ical ,libr>y ,volume ,i ,,fir/ ,,aid ,,9 ,,em]g5cies ,by ,,k5elm ,,w9sl[1 ,b4,a4,s41 ,m4,d4 7,h>v47 ,=m]ly ,assi/ant ,pr(essor ,comp>ative ,!rapeutics1 ,h>v>d ,univ]sity2 ,late ,surgeon to ! ,newton ,hospital2 ,fell[ ( ! ,massa*usetts ,m$ical ,society1 etc4 ,,assi/$ ,,by ,,alb]t ,,w>r5 ,,f]ris1 ,a4,m41 ,m4,d4 ,=m] ,assi/ant 9 ,neurology1 ,columbia ,univ]sity2 =m] ,*airman1 ,section on ,neurology & ,psy*iatry1 ,new ,york ,academy ( ,m$ic9e2 ,assi/ant 9 ,m$ic9e1 ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,m$ical ,editor1 ,new ,int]national ,encyclop$ia ,,g]m ,,diseases ,by ,,k5elm ,,w9sl[1 ,b4,a4,s41 ,m4,d4 7,h>v47 ,,new ,,york ,! ,review ( ,reviews ,company #aijg ,copyright1 #aijg1 by ,,! ,,review ,,( ,,reviews ,,company ,,! ,,tr[ ,,press1 ,,new ,,york ,cont5ts ,,"p ,i ,,*apt] ,,page ,i4 ,,re/or+ ,,! ,,app>5tly ,,dr[n$ #bg ,reviv+ ! ,pati5t--,h[ to ,expel ,wat] f ! ,/oma* & ,*e/--,in/ructions = ,produc+ ,respiration--,:5 ,sev]al ,work]s are at ,h&--,:5 ,"o mu/ ,"w ,alone--,h[ to ,save a ,dr[n+ ,p]son4 ,,ii4 ,,heat ,,/roke ,,& ,,electric ,,%ock #ci ,fir/-aid ,rules--,symptoms ( ,heat ,exhau/ion--,treatm5t ( ,heat ,pro/ration--,:at to ,d 9 ,case ( ,electric ,%ock--,symptoms--,artificial ,respiration--,mortality 9 ,lightn+ ,/rokes4 ,,iii4 ,,w\nds1 ,,spra9s1 ,,& ,,bruises #ej ,treatm5t ( ,w\nds--,ble$+ f ,art]ies & ,ve9s--,punctur$ ,w\nds--,ooz+--,lockjaw--,bruises-- ,abrasions--,spra9s & ,_! ,treatm5t--,synovitis-- ,bunions & ,felons--,weep+ ,s9ew--,=eign ,bodies 9 ,eye1 ,e>1 & ,nose4 ,,iv4 ,,fractures #hj ,h[ to ,detect ,brok5 ,bones--,fracture ( ,rib & ,coll> ,bone--,in/ructions = ,apply+ ,dress+s--,b&age = ,brok5 ,jaw--,fracture ( ,%\ld]-blade1 ,arm1 ,hip1 ,leg1 & ,o!r ,bones--,comp\nd ,fractures4 ,v4 ,,dislocations #aah ,v>ieties ( ,dislocations--,me?od ( ,r$uc+ a ,dislocat$ ,jaw--,a ,dislocat$ ,%\ld]--,indications :5 ,elb[ is ,out ( ,jo9t--,dislocation ( ,hip1 etc4--,=ms ( ,b&ages4 ,,vi4 ,,ord9>y ,,poisons #aci ,unkn[n ,poisons--,symptoms & ,antidotes--,poison+ by ,c>bolic & ,o!r ,acids--,alkalies--,metal ,poison+--,aconite1 ,belladonna1 & ,o!r ,n>cotics--,*loral--,opium1 ,morph9e1 ,laudanum1 ,p>egoric1 & ,soo?+ ,sirups--,tobacco1 ,/ry*n9e1 etc4 ,,vii4 ,,food ,,poisons #adg ,poisons 9 ,%ellfi% & ,o!r ,food--,symptoms & ,rem$ies--,h[ ,bact]ia are ,n\ri%$--,infect$ ,meat & ,milk--,treatm5t ( ,tapeworm--,tri*9iasis--,potato ,poison+4 ,,viii4 ,,bites ,,& ,,/+s #aee ,c\ntry & ,city ,mosquitoes--,h[ ,yell[ ,fev] is ,communicat$--,treatm5t ( ,mosquito ,bites--,bee1 ,wasp1 & ,hornet ,/+s--,lice--,fleas & ,flies--,c5tip$es & ,scorpions--,spid]s--,poison\s ,snakes--,cat & ,dog ,bites4 ,,ix4 ,,burns1 ,,scalds1 ,,fro/bites1 ,,etc4 #aga ,g5]al ,rules = ,treat+ ,burns & ,scalds--,h9ts on ,dress+s--,burns ,caus$ by ,acids & ,alkalies--,rem$ies = ,fro/bite--,c>e ( ,bli/]s & ,sores--,*ilbla9s--,+r[+ ,toe ,nails--,fa9t+ & ,suffocation--,fits4 ,,"p ,,ii ,i4 ,,contagi\s ,,maladies #aia ,symptoms & ,treatm5t ( ,sc>let ,fev]--,diagnosis--,duration ( ,contagion--,diff]5ce ,betwe5 ,true & ,g]man ,measles--,smallpox--,cure a ,matt] ( ,good ,nurs+--,*ick5pox4 ,,ii4 ,,infecti\s ,,diseases #bba ,typhoid ,fev]--,symptoms & ,modes ( ,communication--,duration ( ! ,disease--,! ,dea? ,rate--,importance ( ,ba?+--,diet--,rem$ies = ,:oop+ ,c\gh--,mumps--,erysipelas4 ,,iii4 ,,mal>ia ,,& ,,yell[ ,,fev] #bdg ,mal>ia ,caus$ by ,mosquitoes--,di/ribution ( ! ,disease--,sev]e & ,mild ,types--,prev5tion & ,treatm5t--,yell[ ,fev] n a ,contagi\s ,disease--,c\rse ( ! ,malady--,wat*ful ,c>e & ,diet ! only ,rem$ies4 ,,index ,to ,fir/ ,aid & ,g5]al ,topics ,,note4--,! ,roman num]als ,i1 ,,ii1 ,,iii1 ,,iv1 ,v1 & ,,vi indicate ! volume2 ! ,arabic figures #a1 #b1 #c1 etc41 indicate ! page numb]4 ,abrasions1 ,i1 #fd ,abscess1 alveol>1 ,,ii1 #eh ,acids1 burns by1 ,i1 #agf1 #agg poison+ by1 ,i1 #adj ,acne1 ,,ii1 #ade ,ad5oids1 ,,ii1 #fa ,adult]at$ food1 te/s =1 ,v1 #ia ,adult]ation ( food1 ,v1 #hg ,ague1 ,i1 #bdg cake1 ,i1 #bed ,air-ba?1 !1 ,,iv1 #aei ,album51 ,,iv1 #bfb ,alcohol1 use (1 ,,iv1 #dd1 #aec ,alcoholic dr9ks1 ,,iv1 #aec ,alcoholism1 ,,iii1 #dg1 #eb ,algae1 rem$y =1 ,v1 #ef ,alkalies1 burns by1 ,i1 #agg poison+ by1 ,i1 #adj ,am5orrhoea1 ,,iii1 #ge ,anaemia1 ,,iii1 #agd ,ankle1 spra9 (1 ,i1 #fe1 #fg1 #fh ,ankle-jo9t fracture1 ,i1 #aae ,antitox91 ,,ii1 #gg ,apoplexy1 ,,iii1 #di ,app5dicitis1 ,,iii1 #bef ,arm1 fracture (1 ,i1 #ia ,art]ies1 sy/emic1 ,,iii1 #afh ,art]y1 ble$+ f an1 ,i1 #ea1 #eb ,ar?ritis1 ,,ii1 #agg ,artificial respiration1 ,i1 #bh ,a/hma1 ,,ii1 #ajd ,a/igmatism1 ,,ii1 #bf ,a?letics1 home1 ,,iv1 #fi ,auricles ( ! he>t1 ,,iii1 #afh ,,baby1 ba?+ !1 ,,iii1 #aji c>e ( !1 ,,iii1 #ajh clo?+ ( !1 ,,iii1 #aaj diet = !1 ,,iii1 #acd food = !1 ,,iii1 #acb2 ,,iv1 #bfa nurs+ !1 ,,iii1 #aad tee?+1 ,,iii1 #aac temp]ature ( !1 ,,iii1 #aaj wean+ !1 ,,iii1 #aag weigh+ !1 ,,iii1 #aab ,bact]ia1 de/ruction (1 ,v1 #bch-bec 9 food1 ,i1 #adg-aed 9 soil1 ,v1 #ace ,baldness1 ,,ii1 #afg2 ,,iv1 #ba ,,b&ages1 ,i1 #acc =ms (1 ,i1 #acb1 #acd1 #acf1 #acg = bruises1 ,i1 #fb-fd = fractures1 ,i1 #hc-aag = spra9s1 ,i1 #fe-gb = w\nds1 ,i1 #ea-fa ,b>ley wat]1 ,,iv1 #bfc ,ba?+1 indoor1 ,,iv1 #ai1 #aee outdoor1 ,,iv1 #af 9 convulsions1 ,,iii1 #ce 9 mal>ia1 ,i1 #bei 9 pneumonia1 ,,ii1 #id 9 sc>let fev]1 ,i1 #aig 9 sk9 irritations1 ,,ii1 #adj 9 smallpox1 ,i1 #baf 9 typhoid fev]1 ,i1 #bca 9 yell[ fev]1 ,i1 #bff ,,ba?s1 cold1 ,,iv1 #ae foot1 ,,iv1 #aeg hot1 ,,iv1 #ai1 #aef tepid1 ,,iv1 #ai ,turki%1 ,,iv1 #bj1 #aei w>m1 ,,iv1 #ai ,b$ sores1 ,i1 #bcc ,b$-wett+1 ,,ii1 #bac ,bee /+s1 ,i1 #aeh ,beef1 bro?1 ,,iv1 #bfa juice1 ,,iv1 #bfb p>ts (1 ,,iv1 #aih scrap$1 ,,iv1 #bfb tea1 ,,iv1 #bfa ,bellya*e1 ,,iii1 #bdg ,bili\s fev]1 ,i1 #bdg ,bili\sness1 ,,iii1 #ahd ,,bites1 cat1 ,i1 #agj dog1 ,i1 #agj flea1 ,i1 #afb fly1 ,i1 #afd lice1 clo!s1 ,i1 #afa lice1 crab1 ,i1 #afb lice1 head1 ,i1 #afj mosquito1 ,i1 #aee snake1 ,i1 #aff spid]1 ,i1 #afd t>antula1 ,i1 #afd wood tick1 ,i1 #aei ,black eye1 ,,ii1 #ad ,blackheads1 ,,ii1 #ade ,black wat] fev]1 ,i1 #bef ,bladd]1 inflammation ( !1 ,,ii1 #bae /one 9 !1 ,,iii1 #bfd ,,ble$+1 f an art]y1 ,i1 #ea1 #eb f a ve91 ,i1 #ea1 #eb f punctur$ w\nds1 ,i1 #eb1 #ec f ! lungs1 ,i1 #fb f ! nose1 ,i1 #fa f ! scalp1 ,i1 #fj f ! /oma*1 ,i1 #fb f ! womb1 ,,iii1 #hb ,blood1 defici5cy (1 ,,iii1 #agd ooz+ (1 ,i1 #ed ,bloody flux1 ,,iii1 #bbb ,boils1 ,,ii1 #aeg ,bottles1 milk1 ,,iii1 #abh ,b[el1 prolapse ( !1 ,,iii1 #adc ,,b[els1 cat>rh ( !1 ,,iii1 #bje diseases ( !1 ,,iii1 #bje inflammation ( !1 ,,iii1 #beb ob/ruction ( !1 ,,iii1 #bfh passages f !1 ,,iv1 #bdg ,b[leg1 ,,iii1 #afb ,bra91 anatomy ( !1 ,,iii1 #bb art]ies ( !1 ,,iii1 #bb autopsies ( !1 ,,ii1 #bcj ,brea/s1 c>e (1 aft] *ildbir?1 ,,iii1 #aje inflammation ( !1 ,,iii1 #adj ,brea?1 hold+ !1 ,,iii1 #aec ,brea?+1 h[ to te/ !1 ,,iv1 #bdh to produce artificial1 ,i1 #bh1 #cd1 #dc1 #agh1 #ahf ,bright's disease1 acute1 ,,ii1 #bbj *ronic1 ,,ii1 #bbb ,,brok5 ,,bone1 ,i1 #hj ankle1 ,i1 #aae arm1 ,i1 #ia coll> bone1 ,i1 #he f+]1 ,i1 #aja =e>m1 ,i1 #id h&1 ,i1 #aja hip1 ,i1 #ajd h[ to tell a1 ,i1 #hj jaw1 ,i1 #hi kneepan1 ,i1 #aji leg1 ,i1 #aaa rib1 ,i1 #hc %\ld] blade1 ,i1 #ia ?igh1 ,i1 #ajf wri/1 ,i1 #ii ,bron*ial tubes1 diseases ( !1 ,,ii1 #hg ,bron*itis1 ,,ii1 #hh1 #ia ,bro?1 beef1 ,,iv1 #bfa *ick51 ,,iv1 #bfa clam1 ,,iv1 #bfc mutton1 ,,iv1 #bfa oy/]1 ,,iv1 #bfg veal1 ,,iv1 #bfa ,,bruises1 b&ages =1 ,i1 #fc treatm5t (1 ,i1 #fb1 #fc ,bunion1 ,i1 #gb ,,burns1 ,i1 #aga ab\t ! eyes1 ,,ii1 #af f acids1 ,i1 #agf f alkalies1 ,i1 #agg f electric %ock1 ,i1 #de fir/ class1 ,i1 #agb second class1 ,i1 #agb ?ird class1 ,i1 #agc sev]e1 ,i1 #agd ,callus ( ! sk91 ,,ii1 #aef ,camp com=t 7,see ,cont5ts ,,vi7 ,camp cook]y 7,see ,cont5ts ,,vi7 ,camp cure 7,see ,cont5ts ,,vi7 ,,camp+1 9 ! ,nor? ,woods1 ,,vi1 #aie 9 ! ,we/]n ,m\nta9s1 ,,vi1 #bad outfit1 ,,vi1 #bab ,canc]1 ,,ii1 #abc ( ! brea/1 ,,ii1 #abd ( ! lip1 ,,ii1 #abe ( ! /oma*1 ,,ii1 #abe ( ! womb1 ,,ii1 #abe ,cank]1 ,,ii1 #fh ,capill>ies1 sy/emic1 ,,iii1 #afh ,c>buncle1 ,,ii1 #afa ,c>otid art]ies1 ,,iii1 #bb ,cat>rh1 ,,ii1 #da1 #ed1 #ee ( ! b[els1 ,,iii1 #bje effect (1 on ! e>s1 ,,ii1 #ch1 #da ( ! /oma*1 ,,iii1 #ahe ,cat>rhal deafness1 ,,ii1 #ci inflammation ( eye1 ,,ii1 #ah ,cat bite1 ,i1 #agj ,ca!t]1 h[ to use a1 ,,ii1 #bai2 ,,iv1 #beb ,c5tip$e /+1 ,i1 #afd ,c]eals z food1 ,,iv1 #ce1 #bbi ,c]ebellum1 ,,iii1 #bb ,c]ebral art]ies1 ,,iii1 #bb ,*af+1 ,,ii1 #adb ,*agres fev]1 ,i1 #bef ,*ange ( life1 ,,iii1 #gj ,*app+1 ,,ii1 #adb ,*ick5 bro?1 ,,iv1 #bfa ,*ick5pox1 ,i1 #bag ,*ilbla9s1 ,i1 #ahb ,*ildb$ fev]1 ,,iii1 #ajg ,*ildbir?1 aft]-pa9s 91 ,,iii1 #aje articles ne$$ dur+1 ,,iii1 #if ble$+ aft]1 ,,iii1 #hf c>e aft]1 ,,iii1 #ajc c>e 91 ,,iii1 #ih ,,*ildr51 ,,diseases ,,(1 ,,iii1 #adj ad5oids1 ,,ii1 #fa b$-wett+1 ,,ii1 #bac b[el1 prolapse ( !1 ,,iii1 #adc b[els1 cat>rh ( !1 ,,iii1 #bji b[leg1 ,,iii1 #afb brea?1 hold+ !1 ,,iii1 #aec brea/s1 inflammation ( !1 ,,iii1 #adj *ick5pox1 ,i1 #bag *ol]a infantum1 ,,iii1 #baa *orea1 ,,iii1 #aee colic1 ,,iii1 #bfg con/ipation1 ,,iii1 #bch convulsions1 ,,iii1 #cd cord1 ble$+ ( !1 ,,iii1 #adb c\gh1 ,,ii1 #ia cr\p1 ,,ii1 #hc di>rhea1 ,,iii1 #bjh1 #bji diph!ria1 ,,ii1 #gg dys5t]y1 ,,iii1 #bac epilepsy1 ,,iii1 #ci e>a*e1 ,,ii1 #dh fev]1 ,,iii1 #adf food =1 ,,iii1 #acb-aci =esk91 adh]+1 ,,iii1 #ada gl&s1 enl>g$1 ,,iii1 #adi hip disease1 ,,iii1 #afa hold+ ! brea?1 ,,iii1 #aec knock knees1 ,,iii1 #afc l>ynx1 spasm ( !1 ,,iii1 #aec measles1 ,i1 #aih ,g]man measles1 ,i1 #bjc membran\s cr\p1 ,,ii1 #gi milk poison+1 ,,iii1 #bji1 #baa mumps1 ,i1 #bce navel1 sore1 ,,iii1 #adb pa9s1 gr[+1 ,,iii1 #adf ,pott's disease1 ,,iii1 #aeg rickets1 ,,iii1 #aea r+worm1 ,,ii1 #adi rupture1 ,,ii1 #abh sc>lat9a1 ,i1 #aib sc>let fev]1 ,i1 #aib scr(ula1 ,,iii1 #adi scurvy1 ,,ii1 #ahb sore m\?1 ,,ii1 #fe sp9e1 curvature ( !1 ,,iii1 #aeg1 #aei ,/4 ,vitus's ,dance1 ,,iii1 #aee /oma*1 cat>rh ( !1 ,,iii1 #bji ur9e1 pa9ful passage (1 ,,iii1 #ada ur9e1 ret5tion (1 ,,iii1 #ada wa/+1 ,,iii1 #add :oop+ c\gh1 ,i1 #bch worms1 ,,iii1 #bdj ,*ills & fev]1 ,i1 #bdg ,*ol]a1 ,,iii1 #bbh infantum1 ,,iii1 #baa morbus1 ,,iii1 #bbf ,*orea1 ,,iii1 #aeh ,c9d] 9 ! eye1 ,i1 #agf2 ,,ii1 #ac ,circulation1 !1 ,,iii1 #afh ,circumcision1 ,,iii1 #adb ,clam bro?1 ,,iv1 #bfc ,climact]ic1 !1 ,,iii1 #gj ,clo?+1 prop]1 ,,iv1 #bb ,co*lea1 ,,ii1 #df ,c(fee1 use (1 ,,iv1 #dc ,cold1 exposure to1 ,i1 #aha 9 ! head1 ,,ii1 #ee sore1 ,,ii1 #adg ,,colic1 ,,iii1 #bdg gall/one1 ,,iii1 #bfa 9 babies1 ,,iii1 #bfg inte/9al1 ,,iii1 #bdi muc\s1 ,,iii1 #bai r5al1 ,,iii1 #bfc ,coll>-bone fracture1 ,i1 #he ,complexion1 !1 ,,iv1 #bj ,conf9em5t1 ,,iii1 #ig ,conge/ion ( ! eyelid1 ,,ii1 #ag ,conjunctivitis1 ,,ii1 #af1 #ah ,con/ipation1 9 adults1 ,,iii1 #bcc 9 *ildr51 #bch ,consumption1 ,,ii1 #if fre%-air treatm5t =1 ,,ii1 #ajb outdoor life =1 ,,vi1 #gb prev5tion (1 ,,ii1 #ajd ,contagion1 9 *ol]a1 #bbi 9 conjunctivitis1 ,,ii1 #ai 9 diph!ria1 ,,ii1 #hj 9 eruptive fev]1 ,i1 #aia-bbj 9 gonorrhea1 ,,ii1 #aii 9 grippe1 ,,ii1 #ajh 9 mumps1 ,i1 #bcf 9 syphilis1 ,,ii1 #bjf1 #bji 9 :oop+ c\gh1 ,i1 #bch ,,contagi\s ,,diseases1 ,i1 #aia ,convalesc5ce 7,see ,cont5ts ,,vi7 ,convulsions1 9 *ildr51 ,,iii1 #cd 9 adults1 ,i1 #ahh ,,cook+ 7,see ,cont5ts ,,iv7 bak+1 ,,iv1 #aga boil+1 ,,iv1 #ahj brais+1 ,,iv1 #ahb broil+1 ,,iv1 #agb camp1 ,,vi1 #bbj c]eals1 ,,iv1 #bbi eggs1 ,,iv1 #ahd entrees1 ,,iv1 #bai fi%1 ,,iv1 #ahh fry+1 ,,iv1 #age game1 ,,iv1 #bjb p\ltry1 ,,iv1 #bjb roa/+1 ,,iv1 #aga sauces1 ,,iv1 #baf saute+1 ,,iv1 #agd %ellfi%1 ,,iv1 #aie s\ps1 ,,iv1 #bjg /ew+1 ,,iv1 #aha "t (1 ,,iv1 #agg ut5sils1 ,,iv1 #bcb vegetables1 ,,iv1 #bbc ,copp] sulphate me?od1 ,v1 #eb ,copp] vessels1 use (1 ,v1 #fg ,cord1 ble$+ ( !1 ,,iii1 #adb ,corns1 ,,ii1 #aed ,co/iv5ess1 ,,iii1 #bcc ,,c\gh1 acute1 ,,ii1 #hg1 #ia :oop+1 ,i1 #bch ,cricoid c>tilage1 ,,ii1 #gj ,cross eye1 ,,ii1 #cc ,cr\p1 membran\s1 ,,ii1 #gi ord9>y1 ,,ii1 #hc1 #ib ,curvature ( ! sp9e1 ,,iii1 #aeg1 #aei ,cy/itis1 ,,ii1 #bae ,d&ruff1 ,,ii1 #afg ,deafness1 cat>rhal1 ,,ii1 #ci *ronic1 ,,ii1 #cf tempor>y1 ,,ii1 #cc ,delirium trem5s1 ,,iii1 #ej ,,di>rhea1 acute1 ,,iii1 #bje *ronic1 ,,iii1 #bag ( *ildr51 ,,iii1 #bjh1 #bji ,,diet1 ,,iv1 #bf1 #ajg1 #abc1 #ach1 #aec animal1 ,,iv1 #ci details (1 ,,iv1 #adf errors (1 ,,iv1 #ajg = babies1 ,,iii1 #acb = bra9 work]s1 ,,iv1 #abf = long life1 ,,iv1 #ajg = ! ag$1 ,,iv1 #aab prop]1 ,,iv1 #ach relation to climate1 ,,iv1 #ajh rules =1 ,,iv1 #aaj1 #abc simplicity (1 ,,iv1 #ach vegetable & animal1 ,,iv1 #ci ,dige/ion1 effect ( dress on1 ,,iv1 #db hygi5e (1 ,,iv1 #bf processes (1 ,,iv1 #bh ,diph!ria1 ,,ii1 #gg ,,dis9fectants1 *emical1 ,v1 #bdc physical1 ,v1 #bdj solutions =1 ,v1 #bdg ,dis9fection1 ,v1 #bch ( rooms1 ,v1 #bdi ,,dislocations1 elb[1 ,i1 #abe hip1 ,i1 #abi jaw1 ,i1 #aah1 #abj knee1 ,i1 #aai %\ld]1 ,i1 #abb ,dog bite1 ,i1 #agj ,doses ( drugs1 ,,iv1 #bee ,dress+s1 = bruises1 ,i1 #fc1 #fd = w\nds1 ,i1 #ec1 #eg surgical1 ,i1 #aca ,dr9k1 nutriti\s1 ,,iv1 #aah ,dr9k+1 /eady1 ,,iii1 #eb ,,dr[n$1 ar\s+ !1 ,i1 #bg produc+ respiration 9 !1 ,i1 #bh1 #cd re/or+ !1 ,i1 #bg sav+ !1 ,i1 #cf ,dr[n+ p]son1 dea? grasp ( a1 ,i1 #cg sav+ a1 ,i1 #cf swimm+ to relief ( a1 ,i1 #cf ,drugs1 doses (1 ,,iv1 #bee ,drum membrane1 ,,ii1 #cc1 #dc1 #de1 #df1 #dh ,dys5t]y1 9 adults1 ,,iii1 #bbb 9 *ildr51 ,,iii1 #bac ,dysm5orrhea1 ,,iii1 #ga ,,dyspepsia1 ,,iii1 #ahe causes (1 ,,iv1 #bg n]v\s1 ,,iii1 #aij ,,e>1 anatomy ( !1 ,,ii1 #cc1 #cg1 #df diseases ( !1 ,,ii1 #cc =eign bodies 9 !1 ,i1 #gh2 ,,ii1 #ci wat] 9 !1 ,,ii1 #db wax 9 !1 ,,ii1 #ce ,e>a*e1 ,,ii1 #dj mod]ate1 ,,ii1 #dh ,eat+1 prop] mode (1 ,,iv1 #adj-adi ,eczema1 ,,ii1 #afc climatic1 ,,ii1 #afd occupation1 ,,ii1 #afd seborrheic1 ,,ii1 #afd1 #afe1 #afg ,eggnog1 ,,iv1 #bfh ,eggs1 z food1 ,,iv1 #cc1 #ahd s(t-boil$1 ,,iv1 #bff ,egg wat]1 ,,iv1 #bfb ,elb[1 dislocation (1 ,i1 #abe ,,electric ,,%ock1 ,i1 #dc1 #df ,ent]ic fev]1 ,i1 #bba ,ent]itis1 cat>rhal1 ,,iii1 #bje ,ent]o-colitis1 ,,iii1 #bji ,ent]optosis1 ,,iv1 #dc ,environm5t1 importance (1 ,,iii1 #fe ,epiglottis1 ,,ii1 #gj ,epilepsy1 ,,iii1 #ci spasms 91 ,,iii1 #ci )\t spasms1 ,,iii1 #dj ,erysipelas1 ,i1 #bdd ,eu/a*ian tube1 ,,ii1 #cg1 #ch1 #da1 #df1 #di1 #ej ,exhau/ion1 m5tal & n]v\s1 ,,vi1 #ia-ade ,,ex]cise1 ,,iv1 #dh1 #ff corrective1 ,,iv1 #eg effect (1 ,,iv1 #ea excessive1 ,,iv1 #eb = all-r\nd developm5t1 ,,iv1 #ei1 #aja = boyhood1 ,,iv1 #fi = *ildr51 ,,iv1 #fg = eld]ly m51 ,,iv1 #gi = ev]yone1 ,,iv1 #ff = girls1 ,,iv1 #gc = middle-ag$ m51 ,,iv1 #gg = wom51 ,,iv1 #gf = "y m51 ,,iv1 #ga = y\?1 ,,iv1 #fi home1 ,,iv1 #eg regul>1 ,,iv1 #ec1 #eh results (1 ,,iv1 #ih )\t app>atus1 ,,iv1 #eg ,,eye1 anatomy ( !1 ,,ii1 #cj a/igmatism ( !1 ,,ii1 #bf black1 ,,ii1 #ad cat>rhal inflammation ( !1 ,,ii1 #ah c9d] 9 !1 ,i1 #gf cross1 ,,ii1 #cc diseases ( !1 ,,ii1 #ac f>sight$ ,,ii1 #ba =eign bodies 9 !1 ,i1 #gf2 ,,ii1 #ac hyp]opic1 ,,ii1 #bb l5s ( !1 ,,ii1 #cj muscles ( !1 ,,ii1 #cj ne>sight$1 ,,ii1 #be p9k1 ,,ii1 #ai ret9a ( !1 ,,ii1 #cj sore1 ,,ii1 #af /ra91 ,,ii1 #ba w\nds & burns ( !1 ,,ii1 #af ,eyelid1 conge/ion ( !1 ,,ii1 #ag /ye on !1 ,,ii1 #ae twit*+ ( !1 ,,ii1 #ae ,eye muscles1 weakness ( !1 ,,ii1 #bh ,eye-/ra91 ,,ii1 #ba ,facial1 neuralgia1 ,,iii1 #bh p>alysis1 ,,iii1 #be ,,fa9t+1 ,i1 #ahe2 ,,iii1 #de ,f>sight$ness1 ,,ii1 #ba ,fat z a food1 ,,iv1 #ce ,fatigue1 causes (1 ,,iv1 #ej ,felon1 ,i1 #gd1 #ge ,,fev]1 bili\s1 ,i1 #bdg black wat]1 ,i1 #bef ,*agres1 ,i1 #bef *ills &1 ,i1 #bdg ent]ic1 ,i1 #bba ga/ric1 ,,iii1 #agi int]mitt5t1 ,i1 #bdg m>%1 ,i1 #bdg remitt5t1 ,i1 #bdg rheumatic1 ,,ii1 #afi sc>let1 ,i1 #aib swamp1 ,i1 #bdg typhoid1 ,i1 #bba yell[1 ,i1 #bfa ,fev] bli/]1 ,,ii1 #adg ,fev]s1 eruptive contagi\s1 ,i1 #aia ,fi% z food1 ,,iv1 #ahh ,f+]1 fracture (1 ,i1 #aja ,,fit1 ,i1 #ahh ,flea bites1 ,i1 #afb ,fly bites1 ,i1 #afd ,food1 adult]ation (1 ,v1 #hg conta9+ p>asites1 ,i1 #aeb elem5ts (1 ,,iv1 #bi = babies1 ,,iii1 #acb2 ,,iv1 #bfa = ! sick1 ,,iv1 #bfa infect$1 ,i1 #aej laws1 ,v1 #hh poison+1 ,i1 #adg prep>ation (1 ,,iv1 #aga pure1 selection (1 ,v1 #hi ,foods1 adv]tis$1 ,,iv1 #aaf ,foot ge>1 ,,iv1 #bd ,=e>m fracture1 ,i1 #id ,,=eign ,,bodies1 9 ! e>1 ,i1 #gh2 ,,ii1 #ci 9 ! eye1 ,i1 #gf2 ,,ii1 #ac 9 ! nose1 ,i1 #gi2 ,,ii1 #ec ,=esk91 adh]+1 ,,iii1 #ada ,f\r?-(-,july accid5ts1 ,i1 #ef ,,fracture 7,see ,brok5 ,bone7 ,colles'1 ,i1 #ii comp\nd1 ,i1 #hj1 #aaf h[ to tell a1 ,i1 #ha simple1 ,i1 #hj ,freckles1 ,,ii1 #aej ,freez+1 ,i1 #agh ,,fro/bite1 ,i1 #agh1 #ahj ,gall/one colic1 ,,iii1 #bfa ,ganglion1 ,i1 #ge ,g>bage1 disposal (1 ,v1 #aga ,ga/ric fev]1 ,,iii1 #agi ,g5ito-ur9>y diseases1 ,,ii1 #aii ,g]ms 7,see ,bact]ia7 ,girls1 ex]cises =1 ,,iv1 #gc physical tra9+ =1 ,,iv1 #gb2 ,,vi1 #ci ,gl&s1 enl>g$1 ,,iii1 #adi ,gonorrhea1 ,,ii1 #aii 9 wom51 ,,ii1 #bjc2 ,,iii1 #ij ,g\t1 common1 ,,ii1 #ahc rheumatic1 ,,ii1 #agg ,grippe1 la1 ,,ii1 #ef1 #ajh ,gr[+ pa9s1 ,,iii1 #adf ,hair1 !1 ,,iv1 #ba ,halluc9ations1 ,,ii1 #bcb ,h&1 anatomy ( !1 ,,iii1 #cj art]ies ( !1 ,,iii1 #cj fracture ( !1 ,i1 #aja n]ves ( !1 ,,iii1 #cj t5dons ( !1 ,,iii1 #cj ,,heada*e1 con/ant1 ,,ii1 #abj due to disease1 ,,ii1 #aag due to eye /ra91 ,,ii1 #bi due to heat /roke1 ,,ii1 #abj due to indige/ion1 ,,ii1 #aae due to poison+1 ,,ii1 #aah n]v\s1 ,,ii1 #aag neuralgic1 ,,ii1 #aag sick1 ,,ii1 #aac sympa!tic1 ,,ii1 #aaf ,head ge>1 ,,iv1 #bd1 #afj ,head injuries1 ,,iii1 #df ,,he>t1 anatomy ( !1 ,,iii1 #afg1 #afh enl>gem5t ( !1 ,,iii1 #afi palpitation ( !1 ,,iii1 #aga ,he>t disease1 ,,iii1 #afg ,heat exhau/ion1 ,i1 #ci1 #dj ,heat+1 co/ (1 ,v1 #bed me?ods (1 ,v1 #afa ,,heat ,,/roke1 ,i1 #ci1 #da ,hemorrhage 7,see ,ble$+7 ,hemorrhoids1 ,,ii1 #ace ,h]$ity1 ,,iii1 #eg 9 consumption1 ,,ii1 #ig ,h]nia1 ,,ii1 #abh 7,see ,rupture7 /rangulat$1 ,,ii1 #abi umbilical1 ,,ii1 #abh v5tral1 ,,ii1 #abh ,hicc\gh or hiccup1 ,,iii1 #ba ,hip disease1 ,,iii1 #afa ,hip1 dislocation (1 ,i1 #abi fracture (1 ,i1 #ajd ,hives1 ,,ii1 #adc ,ho>s5ess1 ,,ii1 #hj ,hornet /+s1 ,i1 #aeh ,horrors1 !1 ,,iii1 #ej ,h\se1 prop] con/ruction (1 ,v1 #ada ,h\semaid's knee1 ,i1 #gb ,hypod]mic syr+e1 !1 ,,iv1 #bej ,hy/]ia1 ,,vi1 #bj ,,indige/ion1 acute1 ,,iii1 #agh a result ( errors1 ,,iv1 #acj *ronic1 ,,iii1 #ahe inte/9al1 ,,iii1 #bjb n disease1 ,,iv1 #acd ,infants1 ba?+1 ,,iii1 #aji c>e (1 ,,iii1 #ajh clo?+ = !1 ,,iii1 #aaj fe$+ (1 ,,iii1 #aah ,infection1 ,v1 #bch 9 erysipelas1 ,i1 #bdd 9 mal>ia1 ,i1 #bdg 9 typhoid fev]1 ,i1 #bba 9 yell[ fev]1 ,i1 #bfa ,,infecti\s ,,diseases1 ,i1 #bba ,influ5za1 ,,ii1 #ajh ,+r[+ toe nail1 ,i1 #ahd ,injections1 ,,iii1 #bch1 #bci ,,injur$1 ,,c>ry+ ,,!1 ,i1 ,frontispiece ,insane1 crim9al1 ,,ii1 #bcd delusions ( !1 ,,ii1 #bcc illusions ( !1 ,,ii1 #bca sanit>iums = !1 ,,ii1 #bde ,insanity1 ,,ii1 #bbi2 ,,vi1 #afd causes (1 ,,ii1 #bci false ideas reg>d+1 ,,ii1 #bda physical signs (1 ,,ii1 #bce prev5tion (1 ,,ii1 #bdj types (1 ,,ii1 #bcf ,ins5sibility1 ,,iii1 #dd ,insomnia1 ,,iii1 #bc ,int]mitt5t fev]1 ,i1 #bdg ,invalids1 c>e (1 ,,vi1 #aee ,it*+1 ,,ii1 #aci ,ivy poison1 ,,ii1 #aeb ,jaundice1 ,,iii1 #ahj ,jaw1 dislocation (1 ,i1 #aah1 #abj fracture (1 ,i1 #hi ,jo9t1 injury ( a1 ,i1 #fe1 #fi ,junket1 ,,iv1 #bff ,k]os5e1 ext]m9ation ( mosquitoes by1 ,v1 #gg ,kidneys1 inflammation ( !1 ,,ii1 #bbj ,bright's disease ( !1 ,,ii1 #bai /one 9 !1 ,,iii1 #bfe ,knee1 dislocation (1 ,i1 #aai spra9 (1 ,i1 #fg1 #gj ,kneepan fracture1 ,i1 #aji ,knock knees1 ,,iii1 #afc ,l>yngitis1 ,,ii1 #hj ,l>ynx1 anatomy ( !1 ,,ii1 #gj spasm ( !1 ,,iii1 #aec ,lee*es1 use (1 ,,ii1 #dc ,leg bones1 fracture (1 ,i1 #aaa1 #aaf ,leucorrhoea1 ,,iii1 #hf ,lice1 body1 ,i1 #afa clo!s1 ,i1 #afa crab1 ,i1 #afb head1 ,i1 #afj ,life-sav+ s]vice1 ,u4 ,s41 ,i1 #bg ,lightn+ /roke1 ,i1 #dc ,limewat]1 ,,iv1 #bfh ,,lockjaw1 ,i1 #ef ,long life1 rules = 7,see ,cont5ts ,,iv1 ,"p ,,iii7 ,lotions1 ,,ii1 #ade1 #aea1 #aeb1 #aee1 #aff ,lues1 ,,ii1 #bjf ,lumbago1 ,,ii1 #agc ,,lungs1 ble$+ f !1 ,i1 #fb diseases ( !1 ,,ii1 #hg inflammation ( !1 ,,ii1 #ic tub]culosis ( !1 ,,ii1 #if ,,mal>ia1 ,i1 #bdg *ronic1 ,i1 #bec mosquito z cause (1 ,i1 #aeg1 #bdg p]nici\s1 ,i1 #bee remitt5t1 ,i1 #bed ,malt s\p1 ,,iv1 #bfg ,m>asmus1 ,,iii1 #add ,m>ket+1 h9ts on1 ,,iv1 #bcb ,m>riage relations1 ,,ii1 #aig ,m>% fev]1 ,i1 #bdg ,measles1 common1 ,i1 #aih ,g]man1 ,i1 #bjc ,meat z food1 ,,iv1 #cb ,m$ian n]ve1 ,,iii1 #cj ,m$ic9e *e/1 cont5ts ( !1 ,,iv1 #bdc ,,m$ic9es1 ,,pat5t1 ,,ii1 #bde antiphlogi/9e1 ,,ii1 #beh belladonna pla/]s1 ,,ii1 #beg dang]s (1 ,,ii1 #bfj hamamelis1 ,,ii1 #bee heada*e p[d]s1 ,,ii1 #bfb ,li/]9e1 ,,ii1 #bef ,platt's ,*lorides1 ,,ii1 #bei ,pond's ,extract1 ,,ii1 #bee propriet>y1 ,,ii1 #bdf ,scott's ,emulsion1 ,,ii1 #beg vasel9e1 ,,ii1 #bed wit*-hazel1 ,,ii1 #bee ,m$ulla oblongata1 ,,iii1 #bb ,membran\s cr\p1 ,,ii1 #gi ,m5opause1 !1 ,,iii1 #gj ,m5/ruation1 ,,iii1 #fg abs5ce (1 ,,iii1 #ge arre/ (1 ,,iii1 #gi cessation (1 ,,iii1 #gh delay$1 ,,iii1 #gi pa9ful1 ,,iii1 #ga scanty1 ,,iii1 #gi ,metals1 poison+ by1 ,i1 #ada ,mili>ia1 ,,ii1 #adh ,,milk1 z food1 ,,iv1 #cc curd1 ,,iv1 #bff mixtures1 ,,iii1 #abd peptoniz$1 ,,iv1 #bfd poison+1 ,,iii1 #bji1 #baa porridge1 ,,iv1 #bfg ,m9d cure1 ,,vi1 #ca disord] ( !1 ,,ii1 #bbi ,misc>riage1 dang] (1 ,,iii1 #hj ,,mosquito bites1 ,i1 #aee1 #aeh2 ,v1 #ga de/ruction ( !1 ,i1 #beh2 ,v1 #ge ext]m9at+ !1 ,v1 #gj mal>ia due to !1 ,i1 #bdh yell[ fev] due to !1 ,i1 #bfa2 ,v1 #gj ,motor n]ve1 ,,iii1 #ch ,m\?-brea?+1 ,,ii1 #fj ,m\?1 inflammation ( !1 ,,ii1 #fd sore1 ,,ii1 #fd ,mumps1 ,i1 #bce ,muscul> action1 ,,iv1 #dh developm5t1 by w p[]1 ,,iv1 #fc ,,mu%room ,,poison+1 ,v1 #aab ,mu%rooms1 edible1 ,v1 #aae h[ to tell1 ,v1 #aad poison\s1 ,v1 #abd ,mutton bro?1 ,,iv1 #bfa ,myalgia1 ,,ii1 #agc ,myopia1 ,,ii1 #be ,n>cotics1 poison+ by1 ,i1 #adb ,nasal cavity1 ,,ii1 #ed ,navel1 sore1 ,,iii1 #adb ,ne>sight$ness1 ,,ii1 #be ,n]v\s debility1 ,,iii1 #ac diseases1 ,,iii1 #ac exhau/ion1 ,,iii1 #ac2 ,,vi1 #gj1 #afg ,,n]v\sness 7,see ,cont5ts ,,vi7 rem$y =1 ,,vi1 #gj1 #afg2 ,,iii1 #bj ,n]v\s sy/em1 reflex action ( !1 ,,iii1 #ch ,nettl]a%1 ,,ii1 #adc ,neuralgia1 ,,iii1 #bg facial1 ,,iii1 #bh ( ! *e/1 ,,iii1 #bi ,neura/h5ia1 ,,iii1 #ac ,,nose1 anatomy ( !1 ,,ii1 #ed ble$+ f !1 ,,ii1 #ea cat>rh ( !1 ,,ii1 #ee diseases ( !1 ,,ii1 #ea =eign bodies 9 !1 ,i1 #gi2 ,,ii1 #ec ob/ructions 9 !1 ,,ii1 #fj septum ( !1 ,,ii1 #ea1 #ed1 #fa ,noseble$1 ,i1 #fa2 ,,ii1 #ea ,no/rum1 ,,ii1 #bdh ,nurse & pati5t 7,see ,cont5ts ,,vi7 ,nurse1 selection ( !1 ,,vi1 #aej ,nurs+1 ,,vi1 #adf ,oatmeal wat]1 ,,iv1 #bfc ,olfactory n]ves1 ,,iii1 #bb ,ooz+ ( blood1 ,i1 #ed1 #ee ,optic n]ves1 ,,iii1 #bb ,,outdoor ,,life 7,see ,cont5ts ,,vi7 = consumption1 ,,vi1 #gb = n]v\s exhau/ion1 ,,vi1 #gj1 #afg ,ov]work$1 h9ts = !1 ,,vi1 #ia ,oy/] bro?1 ,,iv1 #bfg ,palm> ar*1 ,,iii1 #cj ,pa9s1 gr[+1 ,,iii1 #adf ,palpitation ( ! he>t1 ,,iii1 #aga ,p>alysis1 facial1 ,,iii1 #be ,p>anoia1 ,,ii1 #bcg ,p>asites1 mal>ial1 ,i1 #bdg yell[ fev]1 ,i1 #bfa ,p>esis1 ,,ii1 #bcg ,pat5t m$ic9es1 ,,ii1 #bdg ,p]itonitis1 ,,iii1 #beb ,petit mal1 ,,iii1 #dj ,ph>yngitis1 ,,ii1 #fi ,ph?isis1 ,,ii1 #if ,pigeon brea/1 ,,ii1 #fc ,piles1 ext]nal1 ,,ii1 #ace int]nal1 ,,ii1 #acf ,pimples1 ,,ii1 #ade ,p9k eye1 ,,ii1 #ai ,plumb+1 connections1 ,v1 #aid defects 91 ,v1 #bca dra9s1 ,v1 #bjf fixtures1 ,v1 #baf jo9ts1 ,v1 #aid pipes1 ,v1 #aia1 #bjf te/s1 #bcc traps1 ,v1 #aih ,pneumonia1 ,,ii1 #ic ,,poison+ 7,see ,poisons7 by cann$ meats1 ,i1 #aej by fi%1 ,i1 #adh by meat1 ,i1 #adh1 #aej1 #aea by milk1 ,i1 #adh1 #aej1 #aea food1 bact]ial1 ,i1 #adg food1 conta9+ p>asites1 ,i1 #aeb food1 infect$1 ,i1 #aej mu%room1 ,v1 #aab potato1 ,i1 #aed ,poison ivy1 ,,ii1 #aeb ,,poisons1 acetanilid1 ,i1 #adf acid1 c>bolic1 ,i1 #adj acid1 nitric1 ,i1 #adj acid1 oxalic1 ,i1 #adj acid1 sulphuric1 ,i1 #adj acids1 ,i1 #adj aconite1 ,i1 #adb alcohol1 ,i1 #adc alkalies1 ,i1 #adj ammonia1 ,i1 #ada antidotes1 ,i1 #aci antimony1 ,i1 #adb ars5ic1 ,i1 #ada belladonna1 ,i1 #adb bi*loride ( m]cury1 ,i1 #ada blue vitriol1 ,i1 #ada bug poison1 ,i1 #ada camphor1 ,i1 #adb cau/ic soda1 ,i1 #ada *loral1 ,i1 #adc coca9e1 ,i1 #ade copp]1 ,i1 #ada corrosive sublimate1 ,i1 #ada digitalis1 ,i1 #adb ergot1 ,i1 #adb ,f[l]'s solution1 ,i1 #ada heada*e p[d]s1 ,i1 #adf hellebore1 ,i1 #adb ivy1 ,,ii1 #aeb knock\t drops1 ,i1 #adc laudanum1 ,i1 #add lobelia1 ,i1 #adb lye1 ,i1 #ada mat*es1 ,i1 #adb m]cury1 ,i1 #ada metals1 ,i1 #ada morph9e1 ,i1 #add n>cotics1 ,i1 #adb nux vomica1 ,i1 #ade opium1 ,i1 #add p>egoric1 ,i1 #add ,p>is gre51 ,i1 #ada ph5acet91 ,i1 #adf phosphorus1 ,i1 #adb pota%1 ,i1 #ada r\gh on rats1 ,i1 #ada silv] nitrate1 ,i1 #ada sleep+ m$ic9es1 ,i1 #adc soo?+ sirup1 ,i1 #add /ry*n9e1 ,i1 #ade t>t> emetic1 ,i1 #adb tobacco1 ,i1 #add unkn[n1 ,i1 #aci v]digris1 ,i1 #ada wa%+ soda1 ,i1 #ada :ite precipitate1 ,i1 #ada ,polypi1 ,,ii1 #ed1 #fb ,pons ,v>olii1 ,,iii1 #bb ,pott's disease1 ,,iii1 #aeg ,p\ltry z food1 ,,iv1 #bja ,pox1 ,,ii1 #bjf ,pregnancy1 ,,iii1 #ia diet dur+1 ,,iii1 #ia ex]cise dur+1 ,,iii1 #ia m5tal /ate dur+1 ,,iii1 #ie signs (1 ,,iii1 #hj1 #ic ,prickly heat1 ,,ii1 #adh ,propriet>y m$ic9es1 ,,ii1 #bdh ,pruritus1 ,,ii1 #aci ,pulse1 h[ to feel !1 ,,iv1 #bdg ,punctur$ w\nd1 ble$+ f1 a1 ,i1 #eb1 #ec ,pure food bill1 ,,ii1 #bdi ,,pure ,,food1 ,,selection ,,(1 ,v1 #hi-aaa cann$ articles1 ,v1 #ajg c]eals1 ,v1 #ih *ocolate1 ,v1 #ajg cocoa1 ,v1 #ajg c(fee1 ,v1 #ajd flavor+ extracts1 ,v1 ,,iii meat1 ,v1 #ib meat products1 ,v1 #ie olive oil1 ,v1 #aaj %ellfi%1 ,v1 #id spices1 ,v1 #ajh sug>1 ,v1 #ajh tea1 ,v1 #ajd vegetables1 ,v1 #if v9eg>1 ,v1 #aaj ,purify+ wat] supply1 ,v1 #eb ,qu9sy1 ,,ii1 #ge ,radial n]ve1 ,,iii1 #cj ,recipes1 = babies1 ,,iv1 #bfa = ! sick1 ,,iv1 #bfa ,reflex action illu/rat$1 ,,iii1 #ch2 ,,iv1 #di ,remitt5t fev]1 ,i1 #bdg ,r5al colic1 ,,iii1 #bfc ,respiration1 to produce artificial1 ,i1 #bh1 #cd1 #dc1 #agh1 #ahf ,respirations1 c\nt+ !1 ,,iv1 #bdh ,re/ cure1 ,,iii1 #bj ,rev]sion1 ,,iii1 #ei ,rheumatic fev]1 ,,ii1 #afi g\t1 ,,ii1 #agg ,,rheumatism1 acute1 ,,ii1 #afi *ronic1 ,,ii1 #age effect on ! he>t1 ,,ii1 #agj inflammatory1 ,,ii1 #afi muscul>1 ,,ii1 #agc ( ! *e/1 ,,ii1 #agd ,rh9itis1 ,,ii1 #gg ,rib1 brok51 ,i1 #hc ,rice wat]1 ,,iv1 #bfd ,rickets1 ,,iii1 #aea ,r+worm1 ( body1 ,,ii1 #adi ( scalp1 ,,ii1 #adi ,,run-,,ar\nd1 ,i1 #gc ,rupture1 ,,ii1 #abh ,salt rheum1 ,,ii1 #afc ,sanit>iums = ! insane1 ,,ii1 #bde ,,sanitation 7,see ,cont5ts ,v7 ,s>coma1 ,,ii1 #abd ,,scalds1 ,i1 #aga ,scalp w\nds1 ,i1 #fj ,sc>lat9a1 ,i1 #aib ,sc>let fev]1 ,i1 #aib ,sciatica1 ,,iii1 #ca ,scorpion /+1 ,i1 #afd ,scr(ula1 ,,iii1 #adi ,scurvy1 common1 ,,ii1 #ahj infantile1 ,,ii1 #ahb ,seasickness1 ,,iii1 #aie ,self-abuse1 ,,ii1 #aib ,semicircul> canals1 ,,ii1 #df ,s5sory n]ve1 ,,iii1 #ch ,septum1 ,,ii1 #ed deviation ( !1 ,,ii1 #fj ,s]um1 antiv5om\s1 ,i1 #afi ,sewage1 ,v1 #agj disposal (1 ,v1 #agb ,sew] gas1 ,v1 #ahg ,sew]s1 ,v1 #ahb ,sexual organs1 c>e ( !1 ,,ii1 #aia diseases ( !1 ,,ii1 #aii ,sexual relations1 ,,ii1 #aid ,%+les1 ,,iii1 #bi ,%\ld]1 dislocation (1 ,i1 #abb spra9 (1 ,i1 #fg ,%\ld]-blade fracture1 ,i1 #ia ,sick1 food = !1 ,,iv1 #bfa ,sick room1 !1 ,,vi1 #aej ,,sk91 callus ( !1 ,,ii1 #aef *af+ ( !1 ,,ii1 #adb *app+ ( !1 ,,ii1 #adb cracks 9 !1 ,,ii1 #aef discolorations ( !1 ,,ii1 #aej diseases ( !1 ,,ii1 #aci irritation ( !1 ,,ii1 #adb it*+ ( !1 ,,ii1 #aci ,sleeplessness1 ,,iii1 #bc ,sl+1 h[ to make a1 #hg1 #hh ,smallpox1 ,i1 #bjf ,snake bite1 ,i1 #aff1 #afh ,soap1 use (1 ,,iv1 #cb ,soil1 bact]ia 91 ,v1 #ace con/itu5ts (1 ,v1 #aca contam9ation (1 ,v1 #acf diseases due to1 ,v1 #aci ,soil1 improv+ !1 ,v1 #adj influ5ce (1 ,v1 #acg ,sore m\?1 aph?\s1 ,,ii1 #ff gangr5\s1 ,,ii1 #fg simple1 ,,ii1 #fe ulc]\s1 ,,ii1 #fg ,sore eyes1 ,,ii1 #af ,sore ?roat1 ,,ii1 #fi ,s\p1 malt1 ,,iv1 #bfg ,s\ps1 ,,iv1 #bjg ,spid] bite1 ,i1 #afd1 #afe ,sp9al cord1 ,,iii1 #ch ,sp9e1 curvature (1 ,,iii1 #aeg1 #aei ,sple51 enl>gem5t (1 ,,ii1 #bed ,spl9t]s1 remov+1 ,i1 #ed ,spl9ts1 ,i1 #fa1 #ga1 #ic1 #ig1 #ajb1 #ajg1 #aaj1 #aaa1 #aad1 #abh ,,spra9s1 b&ages =1 ,i1 #fe1 #fg treatm5t (1 #fe1 #ff ,sprue1 ,,ii1 #ff ,squ9t1 ,,ii1 #cc ,/4 ,vitus's ,dance1 ,,iii1 #aee ,/iff neck1 ,,ii1 #agd ,,/+s1 bee1 ,i1 #aeh c5tip$e1 ,i1 #afd hornet1 ,i1 #aeh scorpion1 ,i1 #afd wasp1 ,i1 #aeh ,/it*+ a w\nd1 ,i1 #eh ,,/oma*1 ble$+ f !1 ,i1 #fb cat>rh ( !1 ,,iii1 #ahe1 #bji diseases ( !1 ,,iii1 #agh neuralgia ( !1 ,,iii1 #bea ,/oma*a*e1 ,,iii1 #bdg ,/one1 9 ! bladd]1 ,,iii1 #bfe 9 ! kidney1 ,,iii1 #bfc ,/rabismus1 ,,ii1 #cc ,/ye1 ,,ii1 #ae ,,suffocation1 f gas1 ,i1 #ahf ,sun/roke1 ,i1 #dj ,surgical dress+s1 ,i1 #aca ,swamp fev]1 ,i1 #bdg ,,synovitis1 ,i1 #fi ,syphilis1 ,,ii1 #bjf1 #bab ,syr+e1 ! bulb1 ,,iii1 #bci ! f\nta91 ,,iii1 #bch ! hypod]mic1 ,,iv1 #bej ,tan1 ,,ii1 #aej ,tapeworm1 ,i1 #aeb ,t>antula bite1 ,i1 #afd ,tea1 use (1 ,,iv1 #dc ,tee?1 artificial1 ,,iv1 #aai c>e ( !1 ,,iv1 #bf ,tee?+1 ,,iii1 #aac ,temp]ature1 h[ to tell !1 ,,iv1 #bdf prop]1 ,,iv1 #afa1 #afb ,tett]1 ,,ii1 #afc ,!rmomet]1 cl9ical1 use ( !1 ,,iv1 #bdf ,?igh-bone fracture1 ,i1 #ajf ,,?roat1 diseases ( !1 ,,ii1 #ea1 sore1 ,,ii1 #fi ,?ru%1 ,,ii1 #ff ,tic d\l\reux1 ,,iii1 #bh ,toe nail1 +r[+1 ,i1 #ahd ,tongue1 not+ appe>ance ( !1 ,,iv1 #bdi ,tonsilitis1 ,,ii1 #ga ,tonsils1 enl>g$1 ,,ii1 #fc ,too?1 ulc]at$1 ,,ii1 #eh ,too?a*e1 ,,ii1 #eh ,tra9+1 physical1 ,,iv1 #abd2 ,,vi1 #ch ,tri*9iasis1 ,i1 #aec ,truss1 use ( !1 ,,ii1 #acj ,tub]cul91 ,,ii1 #aja ,tub]culosis ( ! bones1 ,,iii1 #aeg ( ! lungs1 ,,ii1 #if ,,tumors1 ,,ii1 #abc ,turb9ates1 enl>g$1 ,,ii1 #fj ,typhoid fev]1 ,i1 #bba complications (1 ,i1 #bbh ,ulc]at$ too?1 ,,ii1 #eh ,uln> n]ve1 ,,iii1 #cj ,,unconsci\sness1 ,,iii1 #dd due to drunk5ness1 ,,iii1 #dg due to epilepsy1 ,,iii1 #dh due to fa9t+1 ,,iii1 #de due to head injuries1 ,,iii1 #df ,unconsci\sness1 due to kidney disease1 ,,iii1 #dh due to opium poison+1 ,,iii1 #dh due to sun/roke1 ,,iii1 #dh ,und]clo?+1 prop]1 ,,iv1 #bb ,,ur9e1 incont95ce (1 ,,ii1 #bac involunt>y passage (1 ,,ii1 #bac pa9ful passage (1 ,,iii1 #ada ret5tion (1 ,,ii1 #bah2 ,,iii1 #ada /oppage (1 ,,ii1 #bah suppression (1 ,,ii1 #bah ,urtic>ia1 ,,ii1 #adc ,vacc9ation1 ,i1 #baa-bae ,v>icocele1 ,,ii1 #acd ,v>icose ve9s1 ,,ii1 #acb ,v>ioloid1 ,i1 #baa ,veal bro?1 ,,iv1 #bfa ,vegetables z food1 ,,iv1 #cd1 #bbc ,ve91 ble$+ f a1 ,i1 #ea1 #eb ,ve9s1 sy/emic1 ,,iii1 #afh ,,v5tilation1 artificial1 ,v1 #aeg =ces (1 ,v1 #adh me?ods (1 ,v1 #aej natural1 ,v1 #aea ,v5tricles ( ! he>t1 ,,iii1 #afh ,vision1 defects (1 ,,ii1 #ba-cc ,vocal cords1 ,,ii1 #gj ,,vomit+1 ,,iii1 #aid ( blood1 ,,iii1 #bjj ( indige/ion1 ,,iii1 #aii ( pregnancy1 ,,iii1 #aif ,wakefulness1 ,,iii1 #bc ,w>m+1 ,v1 #afj ,w>ts1 flat1 ,,ii1 #aed moi/1 ,,ii1 #aed se$1 ,,ii1 #aec ?readlike1 ,,ii1 #aec ,wasp /+s1 ,i1 #aeh ,wa/+1 ,,iii1 #add ,,wat]1 b>ley1 ,,iv1 #bfc egg1 ,,iv1 #bfb lake1 ,v1 #bg lime1 ,,iv1 #bfh oatmeal1 ,,iv1 #bfc pure1 ,v1 #ba1 #eb ra91 ,v1 #bf rice1 ,,iv1 #bfd spr+1 ,v1 #bi well1 ,v1 #ca-cg :eat1 ,,iv1 #bfd ,wat] cure1 = n]v\s exhau/ion1 ,,iii1 #bj ,wat] di/ribution1 ,v1 #ci eng9es =1 ,v1 #db hydraulic rams =1 ,v1 #dj pressure sy/ems =1 ,v1 #dg /orage tanks =1 ,v1 #df w9dmills =1 ,v1 #da ,wat] supply1 laws (1 ,v1 #cg plants :i* pollute1 ,v1 #ed pollution (1 ,v1 #bb purify+ !1 ,v1 #eb s\rces (1 ,v1 #ai sy/em = c\ntry1 ,v1 #dg ,wax 9 ! e>1 ,,ii1 #cd ,we> & te> 7,see ,cont5ts ,,vi7 ,wean+1 ,,iii1 #aag ,,weep+ ,,s9ew1 ,i1 #ge ,w51 ,,ii1 #abf ,:eat wat]1 ,,iv1 #bfd ,:ey1 mixtures1 ,,iv1 #bfe w9e1 ,,iv1 #bff ,:ites1 ,,iii1 #hg ,:itl[1 ,i1 #gd1 #ge ,:oop+ c\gh1 ,i1 #bch ,womb1 hemorrhage f !1 ,,iii1 #hb ,wom51 ex]cises =1 ,,iv1 #gf ,wood tick1 bite (1 ,i1 #aei ,,worms1 p91 ,,iii1 #bdc r\nd1 ,,iii1 #bdb tape1 ,,iii1 #bde ,,w\nds1 ,i1 #ej ab\t ! eyes1 ,,ii1 #af caus$ by pi/ols1 ,i1 #ef caus$ by firecrack]s1 ,i1 #ef cleans+1 ,i1 #ei =eign bodies 91 ,i1 #ed1 #ef scalp1 ,i1 #fj /it*+1 ,i1 #eh treatm5t (1 ,i1 #ej1 #eg ,wri/1 fracture ( !1 ,i1 #ii spra9 ( !1 ,i1 #fe1 #fg ,yell[ fev]1 ,i1 #bfa mosquito z cause (1 ,i1 #aeg1 #bfa1 #bfe ,preface ,m$ic9e1 z ! art ( pres]v+ & re/or+ heal?1 is ! rightful (fice ( ! great army ( e>ne/ & qualifi$ ,am]ican physicians4 ,b _! utmo/ s9c]ity & sci5ce are hamp]$ by try+ re/rictions ) ?ree great classes ( p3 ^? on :om ! family physician _c call e day2 ^? on :om he _c call 9 "t2 & ^? on :om he _c call at all4 ,to less5 ^! re/rictions1 ?us assi/+ & ext5d+ ! heal]'s "w1 is ! aim ( ! pages t foll[4 ,consid] fir/ ! av]age ,am]ican h\sehold1 :]e ! family physician _c call e day4 ,n a day f9ds ?is h\sehold )\t ! ne$ ( in=mation 9 m$ic9e or hygi5e or sanitation4 ,m ef=ts ( ! pr(ession are ?w>t$ by ignorance ?an by epidemic4 ,n to supplant ! doctor1 b to supplem5t him1 c>efully prep>$ in=mation %\ld be at h& on ! hygi5e ( heal?--sanitation1 diet1 ex]cise1 clo?+1 ba?s1 etc42 on ! hygi5e ( disease--nurs+ & sick-room conduct1 control ( ! n]v\s & insane1 em]g5cy res\rces1 dome/ic rem$ies2 above all1 on ! prev5tion ( disease1 emphasiz+ ! folly ( self-treatm5t2 po9t+ out ! dang] ( delay 9 seek+ skill$ m$ical advice ) su* tr\bles z canc]1 :]e e>ly recognition may br+ p]man5t cure2 %[+ ! b5efit ( simple sanit>y precautions1 su* z ! exp]im5t-/ations me?od ( ext]m9at+ ! mal>ia-bre$+ mosquito4 ,! volumes treat+ ( ^! subjects _c be made too cle>1 nonte*nical1 fundam5tal1 or too well gu>d$ by ! sup]vision ( m$ical m5 kn[n favorably to ! pr(ession4 ,aga91 ! physician _c come on "t to save life1 limb1 or looks to ! victim ( _m a s]i\s accid5t4 ,& yet "s by/&] c\ld usually und]/& & apply pla9 rules = induc+ respiration1 apply+ a spl9t1 giv+ an emetic1 soo?+ a burn or ! l1 s z to safegu>d ! suff]] till ! doctor's arrival--if only ^! pla9 rules 7 9 su* compact =m t no (fice1 /ore1 or home 9 ! l& ne$ be )\t !m4 ,f9ally1 ! doctor _c come at all to hundr$s ( ?\s&s ( sailors1 automobili/s1 & o!r travel]s1 to ran*]s1 m9]s1 & c\ntry dwell]s ( _m sorts4 ,?is ?ird class has _h1 hi!rto1 little *oice betwe5 "s ,practice ( ,m$ic9e1 too te*nical to be helpful1 on ! "o h&1 & on ! o!r1 ! dubi\s lit]ature ( unsanction$ sy/ems2 or ! />tl+ cure-all ass]tions emanat+ f _m proprietors ( rem$ies2 or ,complete ,family ,physicians1 :i* (f] prescriptions z absurd = ! layman z w\ld be dynamite 9 ! h&s ( a *ild1 ) sup]flu\s & loa?some pictures appeal+ only to morbid curiosity1 & ) a g5]al inaccuracy utt]ly out ( t\* ) tw5tie?-c5tury k4 ,:at su* p ne$1 mu* m ?an ! dwell]s 9 settl$ communities1 is to le>n ! views ( mod]n m$ic9e ^u ! treatm5t ( ! ev]-pres5t common ailm5ts--! use ( /&>d rem$ies1 cautions aga9/ ! abuse ( n>cotics1 lessons ( discrim9ation aga9/ h>mful1 useless1 or exp5sive pat5t m$ic9es1 & prop] rules ( conduct = diet1 nurs+1 & g5]al treatm5t4 ,au!ntic heal? lit]ature exi/$ abundantly be=e ! prep>ation ( ^! volumes1 b x 0 scatt]$1 exp5sive1 & 9 mo/ cases n arrang$ = ! wide/ use4 ,n )9 our k has ! body ( facts1 mo/ helpful to ! layman on ,sanitation & ,hygi5e1 ,fir/ ,aid1 & ,dome/ic ,heal+1 be5 br\ght toge!r z completely1 z cle>ly1 z concisely1 ) a critical edit+ bo>d s qualifi$1 & ) special contributions s au?oritative z ?is "w exhibits4 ,utmo/ caution has be5 a wat*word ) ! editors f ! />t4 ,^? to :om ! doctor _c come e day h be5 repeat$ly w>n$ ( ! follies ( self-treatm5t1 & rem9d$ t to-day x is ! pati5t t is treat$--n ! disease4 ,^? to :om ! doctor _c come 9 "t are likewise w>n$ t ! ,fir/-aid ,rules ( ?is ,libr>y are = tempor>y treatm5t only1 9 all situations :]e x is possible to get a physician4 ,& ! utmo/ cons]vatism has be5 /riv5 = by ! au?or & ! sev]al revis]s 9 e "p ( ! "w t appeals p>ticul>ly to dwell]s 9 localities s remov$ t ! doctor _c come at all4 ,especial delicacy 0 also s\ght 9 ! treatm5t ( a *apt] :i*1 x is hop$1 w aid p>5ts to guide _! *ildr5 9 sexual matt]s4 ,! illu/rations repres5t helpful1 normal conditions 7) ! exception ( "s necess>y repres5tations ( fracture1 etc47 ) in/ructive captions aim$ to make !m less a s5sation ?an a real b5efit2 & no pictures appe> ( a sort to /imulate m]e morbid curiosity4 ,! greate/ sympa?y & appreciation ( ?is "w h be5 %[n by ! progressive & recogniz$ practition]s :o h se5 e>ly copies4 ,!y recognize x z a timely attempt to create & compile heal? lit]ature 9 a =m mo/ complete )9 its limits ( space1 & 9 a mann] mo/ helpful & sane4 ,! eag] curiosity reg>d+ !mselves t has be5 sweep+ ov] ! ,am]ican p has be5 div]t$ into frivol\s & h>mful *annels by mu* reckless talk & writ+4 ,a prom95t newspap]1 9 its ,sunday editions1 rec5tly took up ! ass]tion1 9 a s]ies ( articles1 t app5dicitis op]ations result$ f a gigantic crim9al conspiracy on ! "p ( surgeons2 t a suffici5t cure = app5dicitis1 z any hone/ doctor w\ld tell y1 is an injection ( molasses & wat]6 ,! endless h>m done by su* outright untru? is swell$ by a jo9+ /ream ( slapda% mis9=mation & vici\s s5sation1 con/antly runn+ ?r\gh ! press4 ,education is sorely ne$$ f au?ority4 ,p w read ab\t _! bodies4 ,!y h a "r to in=mation f ! highe/ accr$it$ s\rce4 ,& to apply su* k ,dr4 ,w9sl[ has labor$ = _m ye>s dur+ 8 practic+ exp]i5ce1 cond5s+ & sett+ into cle> ord] ! mo/ vitally important facts ( dome/ic disease & treatm5t2 an em95tly qualifi$ /aff ( practic+ speciali/s has cooep]at$1 ) criticism & sup]vision ( incalculable value to ! read]2 & ! accept$ classics 9 _! field foll[3 ,dr4 ,weir ,mit*ell's elegant & inspir+ essays on ,n]ves1 ,outdoor ,life1 etc42 ,sir ,h5ry ,?ompson's preci\s docum5ts ( p]sonal exp]i5ce on ,diet & ,conduct = ,long ,life2 ,dr4 ,dudley ,a4 ,s>g5t's sci5tific & long-prep>$ sy/em ( ex]cises )\t app>atus2 ,g]h>d's cle> pr9ciples ( pure wat] supply2 ,dr4 ,d>l+ton's notes & edit+ f ! unequal$ opportunity ( a ,new ,york ,city ,heal? ,commission]--& _m o!r special contributions4 ,x is ! widely accept$ mod]n m$ic9e1 & no s*ool or sy/em1 t is reflect$ "h4 ,:ile m$ic9e1 z a sci5ce1 is f> f be+ p]fect1 p>tly because ( faulty traditions & mis9t]pret$ exp]i5ce1 yet ! aim ( ! mod]n s*ool is to base practice on facts4 ,= example1 = _m ye>s physicians 7 aw>e t qu99e cur$ mal>ia1 9 "s unexpla9able way4 ,n[ !y n only "k t mal>ia is caus$ by an animal p>asite liv+ & bre$+ 9 ! blood & t qu99e de/roys ! foe1 b !y "k ab\t ! p>asite's habits & mode ( developm5t & :5 x mo/ readily succumbs to ! drug4 ,?us a great discov]y taught !m to give qu99e und]/&+ly1 at ! "r "t1 & 9 ! "r doses4 ,an educat$ physician has at 8 comm& all k1 pa/ & pres5t1 p]ta9+ to m$ic9e4 ,he is free to employ any means to bett] 8 pati5t4 ,n[ x is impossible to cure1 or ev5 bett]1 all :o suff] f c]ta9 disease by any "o me?od1 & a foll[] ( a special sy/em ?us ignores _m ag5cies :i* might prove effici5t 9 8 case4 ,:ile !re is a g]m ( good & tru? 9 ! v>i\s sy/ems ( m$ical practice1 _! repres5tatives possess no k unkn[n to sci5ce or to ! m$ical pr(ession at l>ge4 ,_m p]sons are always attract$ by some?+ new4 ,b newness 9 a m$ical sect is too (t5 newness 9 "n only4 ,^! sy/ems rise & fall1 b sci5tific1 legitimate m$ic9e goes ev] onw>d ) an eye s+le to ! discov]y ( new facts4 ,t ^! volumes w result 9 an impetus to san]1 quiet]1 /eadi] liv+1 & w prove a helpful fri5d to _m a physician & _m a layman1 is ! e>ne/ wi% ( ,,! ,,publi%]s4 ,"p ,i ,,fir/ ,,aid ,,9 ,,em]g5cies ,,by ,,k5elm ,,w9sl[ ,,& ,,alb]t ,,w>r5 ,,f]ris ,introductory ,note ,) ! exception ( ! op5+ *apt]1 :i* conta9s ! valuable ,life-sav+ ,s]vice ,rules v]batim1 ! ,editors h adopt$ ! plan ( beg9n+ ea* article 9 ,"p ,i ( ?is volume ) a few simple1 practical in/ructions1 tell+ ! read] exactly :at to d 9 case ( an accid5t4 ,= ! purpose ( di/+ui%+ !m f ! ord9>y text1 & mak+ !m easy ( ref]5ce1 ^! ,fir/-aid ,rules are pr9t$ 9 light-fac$ type4 ,,*apt] ,i ,re/or+ ! ,app>5tly ,dr[n$ ,z ,practic$ 9 ! ,unit$ ,/ates ,life-,sav+ ,s]vice ,,note4--,^! directions diff] f ^? giv5 9 ! la/ revision ( ! ,regulations by ! addition ( means = secur+ deep] inspiration4 ,! me?od h]et(ore publi%$1 kn[n z ! ,h[>d1 or direct me?od1 has be5 productive ( excell5t results 9 ! practice ( ! s]vice1 & is reta9$ "h4 ,x is1 h[ev]1 "h arrang$ = practice 9 comb9ation ) ! ,sylve/] me?od1 ! latt] produc+ deep] inspiration ?an any o!r kn[n me?od1 :ile ! =m] effects ! mo/ complete expiration4 ,! comb9ation1 !re=e1 t5ds to produce ! mo/ rapid oxyg5ation ( ! blood--! real object to be ga9$4 ,! comb9ation is prep>$ prim>ily = ! use ( life-sav+ crews :]e assi/ants are at h&4 ,a modification ( ,rule ,,iii1 h[ev]1 is publi%$ z a guide 9 cases :]e no assi/ants are at h& & "o p]son is compell$ to act alone4 ,9 prep>+ ^! directions ! able & exhau/ive report ( ,messrs4 ,j4 ,coll9s ,w>r51 ,m4,d41 & ,george ,b4 ,%attuck1 ,m4,d41 committee ( ! ,humane ,society ( ,massa*usetts1 embrac$ 9 ! annual report ( ! society = #ahie-if1 has be5 avail$ (1 plac+ ! dep>tm5t "u _m obligations to ^! g5tlem5 = _! valuable sugge/ions4 ,,if ,,sev]al ,,assi/ants ,,are ,,at ,,h&4 ,,rule ,i4 ,ar\se ! ,pati5t4--,d n move ! pati5t unless 9 dang] ( freez+2 in/antly expose ! face to ! air1 t[>d ! w9d if !re be any2 wipe dry ! m\? & no/rils2 rip ! clo?+ s z to expose ! *e/ & wai/2 give two or ?ree quick1 sm>t+ slaps on ! *e/ ) ! op5 h&4 ,if ! pati5t does n revive1 proce$ imm$iately z foll[s3 ,,rule ,,ii4 ,to ,expel ,wat] f ! ,/oma* & ,*e/ 7see ,fig4 #a74--,sep>ate ! jaws & keep !m ap>t by plac+ betwe5 ! tee? a cork or small bit ( wood1 turn ! pati5t on 8 face1 a l>ge bundle ( tightly roll$ clo?+ be+ plac$ b5ea? ! /oma*2 press heavily on ! back ov] x = half a m9ute1 or z long z fluids fl[ freely f ! m\?4 ,illu/ration3 ,,fig4 #a4 ,,to ,,expel ,,wat] ,,f ,,/oma* ,,& ,,*e/4 ,pati5t ly+ face d[nw>d2 roll ( clo!s b5ea? /oma*2 jaws sep>at$ by piece ( wood or cork2 note rescu] press+ on back to =ce out wat]4 ,,rule ,,iii4 ,to ,produce ,brea?+ 7see ,figs4 #b & #c74--;,cle> ! m\? & ?roat ( mucus by introduc+ into ! ?roat ! corn] ( a h&k]*ief wrapp$ closely ar\nd ! =ef+]2 turn ! pati5t on ! back1 ! roll ( clo?+ be+ s plac$ z to raise ! pit ( ! /oma* above ! level ( ! re/ ( ! body4 ,let an assi/ant1 ) a h&k]*ief or piece ( dry clo?1 draw ! tip ( ! tongue out ( "o corn] ( ! m\? 7:i* prev5ts ! tongue f fall+ back & *ok+ ! entrance to ! w9dpipe71 & keep x project+ a little beyond ! lips4 ,let ano!r assi/ant grasp ! arms1 j bel[ ! elb[s1 & draw !m /eadily upw>d by ! sides ( ! pati5t's head to ! gr\nd1 ! h&s ne>ly meet+ 7:i* enl>ges ! capacity ( ! *e/ & induces inspiration74 7,fig4 #b47 ,:ile ?is is be+ done let a ?ird assi/ant take position a/ride ! pati5t's hips ) 8 elb[s re/+ ^u 8 own knees1 8 h&s ext5d$ ready = action4 ,next1 let ! assi/ant /&+ at ! head turn d[n ! pati5t's arms to ! sides ( ! body1 ! assi/ant hold+ ! tongue *ang+ h&s if necess>y#a to let ! arms pass4 ,j be=e ! pati5t's h&s rea* ! gr\nd ! man a/ride ! body w grasp ! body ) 8 h&s1 ! balls ( ! ?umb re/+ on ei!r side ( ! pit ( ! /oma*1 ! f+]s fall+ into ! grooves betwe5 ! %ort ribs4 ,n[1 us+ 8 knees z a pivot1 he w1 at ! mom5t ! pati5t's h&s t\* ! gr\nd1 ?r[ 7n too sudd5ly7 all 8 weight =w>d on 8 h&s1 & at ! same "t squeeze ! wai/ betwe5 !m1 z if he wi%$ to =ce some?+ 9 ! *e/ upw>d out ( ! m\?2 he w deep5 ! pressure :ile he sl[ly c\nts "o1 two1 ?ree1 f\r 7ab\t five seconds71 !n sudd5ly let g ) a f9al pu%1 :i* w spr+ him back to 8 fir/ position4#b ,?is completes expiration4 7,fig4 #c47 ,illu/ration3 ,,fig4 #b4 ,,to ,,produce ,,brea?+4 ,fir/ ,position3 ,pati5t ly+ face upw>d2 roll ( clo!s "u back2 tongue pull$ out ( m\? ) h&k]*ief2 note rescu] draw+ arms upw>d to sides ( head to />t act ( brea?+ 94 ,illu/ration3 ,,fig4 #c4 ,,to ,,produce ,,brea?+4 ,second ,position3 ,=c+ pati5t to brea! out2 note rescu] ) ?umbs on pit ( /oma*1 press+ aga9/ front ( *e/ ov] l[] ribs2 also1 assi/ant draw+ d[n arms to body4 ,at ! in/ant ( 8 lett+ g1 ! man at ! pati5t's head w aga9 draw ! arms /eadily upw>d to ! sides ( ! pati5t's head z be=e 7! assi/ant hold+ ! tongue aga9 *ang+ h&s to let ! arms pass if necess>y71 hold+ !m !re :ile he sl[ly c\nts "o1 two1 ?ree1 f\r 7ab\t five seconds74 ,repeat ^! movem5ts delib]ately & p]sev]+ly twelve to fifte5 times 9 e m9ute--?us imitat+ ! natural motions ( brea?+4 ,if natural brea?+ be n re/or$ aft] a trial ( ! bell[s movem5t = ! space ( ab\t f\r m9utes1 !n turn ! pati5t a second "t on ! /oma*1 z direct$ 9 ,rule ,,ii1 roll+ ! body 9 ! opposite direction f t 9 :i* x 0 fir/ turn$1 = ! purpose ( free+ ! air passage f any rema9+ wat]4 ,cont9ue ! artificial respiration f "o to f\r h\rs1 or until ! pati5t brea!s1 accord+ to ,rule ,,iii2 & = a :ile1 aft] ! appe>ance ( return+ life1 c>efully aid ! fir/ %ort gasps until deep5$ into full brea?s4 ,cont9ue ! dry+ & rubb+1 :i* %\ld h be5 unceas+ly practic$ f ! beg9n+ by assi/ants1 tak+ c>e n to int]f]e ) ! means employ$ to produce brea?+4 ,?us ! limbs ( ! pati5t %\ld be rubb$1 always 9 an upw>d direction t[>d ! body1 ) firm-grasp+ pressure & en]gy1 us+ ! b>e h&s1 dry flannels1 or h&k]*iefs1 & cont9u+ ! friction "u ! blankets1 or ov] ! dry clo?+4 ,! w>m? ( ! body c also be promot$ by ! application ( hot flannels to ! /oma* & armpits1 bottles or bladd]s ( hot wat]1 heat$ bricks1 etc41 to ! limbs & soles ( ! feet4 ,,rule ,,iv4 ,aft] ,treatm5t4 ,ext]nally4--,z soon z brea?+ is e/abli%$ let ! pati5t be /ripp$ ( all wet clo?+1 wrapp$ 9 blankets only1 put to b$ com=tably w>m1 b ) a free circulation ( fre% air1 & left to p]fect re/4 ,int]nally3 ,give :isky or br&y & hot wat] 9 doses ( a teaspoonful to a tablespoonful1 accord+ to ! weight ( ! pati5t1 or o!r /imulant at h&1 e t5 or fifte5 m9utes = ! fir/ h\r1 & z (t5 !reaft] z may seem exp$i5t4 ,lat] ,manife/ations3 ,aft] reaction is fully e/abli%$ !re is great dang] ( conge/ion ( ! lungs1 & if p]fect re/ is n ma9ta9$ = at lea/ =ty-eight h\rs1 x sometimes occurs t ! pati5t is seiz$ ) great difficulty ( brea?+1 & dea? is liable to foll[ unless imm$iate relief is af=d$4 ,9 su* cases apply a l>ge mu/>d pla/] ov] ! brea/4 ,if ! pati5t gasps = brea? be=e ! mu/>d takes effect1 assi/ ! brea?+ by c>efully repeat+ ! artificial respiration4 ,,if ,,"o ,,p]son ,,mu/ ,,"w ,,alone4 ,,modification ,,( ,,rule ,,iii ,to be us$ aft] ,rules ,i & ,,ii 9 case no assi/ance is at h& ,to ,produce ,respiration4--,if no assi/ance is at h&1 & "o p]son mu/ "w alone1 place ! pati5t on 8 back ) ! %\ld]s slightly rais$ on a fold$ article ( clo?+2 draw =w>d ! tongue & keep x project+ j beyond ! lips2 if ! l[] jaw be lift$1 ! tee? may be made to hold ! tongue 9 place2 x may be necess>y to reta9 ! tongue by pass+ a h&k]*ief "u ! *9 & ty+ x ov] ! head4#c ,grasp ! arms j bel[ ! elb[s & draw !m /eadily upw>d by ! sides ( ! pati5t's head to ! gr\nd1 ! h&s ne>ly meet+4 7,see ,fig4 #d47 ,next l[] ! arms to ! side1 & press firmly d[nw>d & inw>d on ! sides & front ( ! *e/ ov] ! l[] ribs1 draw+ arms t[>d ! pati5t's head4 7,see ,fig4 #e47 ,repeat ^! movem5ts twelve to fifte5 times e m9ute1 etc4 ,illu/ration3 ,,fig4 #d4 ,,"o ,,p]son ,,work+4 ,fir/ ,position3 ,note arm movem5t same z 9 ,fig4 #b2 also1 tongue held betwe5 tee? by h&k]*ief ti$ "u *9 press+ tee? aga9/ wood5 plug4 ,illu/ration3 ,,fig4 #e4 ,,"o ,,p]son ,,work+4 ,second ,position3 ,note rescu] l[]+ arms to pati5t's sides & press+ d[nw>d & inw>d ov] l[] ribs4 ,,in/ructions ,,= ,,sav+ ,,dr[n+ ,,p]sons ,,by ,,swimm+ ,,to ,,_! ,,relief4 #a4 ,:5 y approa* a p]son dr[n+ 9 ! wat]1 assure him1 ) a l\d & firm voice1 t he is safe4 #b4 ,be=e jump+ 9 to save him1 dive/ y\rself z f> & z quickly z possible ( all clo!s2 te> !m (f1 if necess>y2 b if !re is n "t1 loose at all ev5ts ! foot ( y\r draw]s1 if !y are ti$1 z1 if y d n d s1 !y fill ) wat] & drag y4 #c4 ,on swimm+ to a p]son 9 ! sea1 if he be /ruggl+ d n seize him !n1 b keep (f = a few seconds till he gets quiet1 = x is %e] madness to take hold ( a man :5 he is /ruggl+ 9 ! wat]1 & if y d y run a great risk4 #d4 ,!n get close to him & take fa/ hold ( ! hair ( 8 head1 turn him z quickly z possible on to 8 back1 give him a sudd5 pull1 & ?is w cause him to float1 !n ?r[ y\rself on y\r back also & swim = ! %ore1 bo? h&s hav+ hold ( 8 hair1 y on y\r back1 & he also on 81 & ( c\rse 8 back to y\r /oma*4 ,9 ?is way y w get soon] & saf] a%ore ?an by any o!r means1 & y c easily ?us swim ) two or ?ree p]sons2 ! writ] has ev51 z an exp]im5t1 done x ) f\r1 & gone ) !m =ty or fifty y>ds 9 ! sea4 ,"o great advantage ( ?is me?od is t x enables y to keep y\r head up1 & also to hold ! p]son's head up y are try+ to save4 ,x is ( prim>y importance t y take fa/ hold ( ! hair1 & ?r[ bo? ! p]son & y\rself on y\r backs4 ,aft] _m exp]im5ts1 x is usually f\nd pref]able to all o!r me?ods4 ,y c 9 ?is mann] float ne>ly z long z y please1 or until a boat or o!r help c be obta9$4 #e4 ,x is believ$ !re is no su* ?+ z a dea? grasp2 at lea/1 x is v unusual to witness x4 ,z soon z a dr[n+ man beg9s to get feeble & to lose 8 recollection1 he gradually slack5s 8 hold until he quits x altoge!r4 ,no appreh5sion ne$1 !re=e1 be felt on t head :5 attempt+ to rescue a dr[n+ p]son4 #f4 ,aft] a p]son has sunk to ! bottom1 if ! wat] be smoo?1 ! exact position :]e ! body lies may be kn[n by ! air bubbles1 :i* w occasionally rise to ! surface1 all[ance be+1 ( c\rse1 made = ! motion ( ! wat]1 if 9 a tide way or /ream1 :i* w h c>ri$ ! bubbles out ( a p]p5dicul> c\rse 9 ris+ to ! surface4 ,(t5times a body may be rega9$ f ! bottom1 be=e too late = recov]y1 by div+ = x 9 ! direction indicat$ by ^! bubbles4 #g4 ,on rescu+ a p]son by div+ to ! bottom1 ! hair ( ! head %\ld be seiz$ by "o h& only1 & ! o!r us$ 9 conjunction ) ! feet 9 rais+ y\rself & ! dr[n+ p]son to ! surface4 #h4 ,if 9 ! sea1 x may sometimes be a great error to try to get to l&4 ,if !re be a /rong outsett+ tide & y are swimm+ ei!r by y\rself or hav+ hold ( a p]son :o _c swim1 !n get on y\r back & float till help comes4 ,_m a man exhau/s himself by /emm+ ! bill[s = ! %ore on a back-go+ tide1 & s9ks 9 ! ef=t1 :51 if he _h float$1 a boat or o!r aid might h be5 obta9$4 #i4 ,^! in/ructions apply alike to all circum/ances1 :e!r z reg>ds ! r\ghe/ sea or smoo? wat]4 ,,footnotes3 #a ,*ang+ h&s w be f\nd unnecess>y aft] "s practice2 ! tongue1 h[ev]1 mu/ n be releas$4 #b ,a *ild or v delicate pati5t mu/1 ( c\rse1 be m g5tly h&l$4 #c ,if !re is /uck ?r\gh ! tongue a p9 long en\gh to re/ aga9/ ! tee? & keep ! tongue out ( ! m\?1 ! desir$ effect may be obta9$4--,,editor4 ,,*apt] ,,ii ,heat ,/roke & ,electric ,%ock ,h[ ,p]sons are ,ov]come by ,heat--,treatm5t ( ,sun/roke--,peculi> ,cases--,dang]s ( ,electric ,%ocks--,h[ ,dea? is ,caus$--,rules & ,precautions4 ,,heat ,,exhau/ion4 ,fir/ ,aid ,rule #a4--;,c>ry pati5t flat & lay 9 %ade4 ,loos5 clo!s at neck & wai/4 ,rule #b4--,raise head & give him 7a7 teaspoonful ( ess5ce ( g+] 9 glass ( hot wat]1 or give him 7b7 half a cup ( hot c(fee1 cle>4 ,rule #c4--,put him to b$4 ,,heat ,,/roke4 ,fir/ ,aid ,rule #a4--,s5d = physician4 ,rule #b4--,remove quickly to %ady place1 loos5+ clo!s on ! way4 ,rule #c4--,/rip nak$ & put on wire mattress 7or canvas cot71 if obta9able4 ,rule #d4--,spr9kle ) ice wat] f wat]+ pot1 or da% x out ( bas9 ) h&4 ,rule #e4--;,dip %eet 9 ice wat] & tuck x snugly ab\t pati5t4 ,rule #f4--,spr9kle outside ( %eet ) ice wat]2 rub body1 ?r\gh ! %eet1 ) piece ( ice4 ,put piece ( ice to nape ( neck4 ,rule #g4--,:5 temp]ature falls to #ih4e deg4 ,f4 put to b$ ) ice cap on head4 ,,sun/roke4--,!re are two v di/9ct types ( sun/roke3 7#a7 ,heat exhau/ion or heat pro/ration4 7#b7 ,heat /roke4 ,heat pro/ration or exhau/ion occurs :5 p]sons weak5$ by ov]work1 worry1 or poor food are expos$ to sev]e heat comb9$ ) great physical ex]tion4 ,x (t5 attacks soldi]s on ! m>*1 b also ^? n expos$ to ! direct rays ( ! sun1 z work]s 9 laundries1 9 boil] rooms1 & 9 /oke-holes ( /eam]s4 ,! attack beg9s m (t5 9 ! aft]noon or ev5+1 9 ! case ( ^? expos$ to out-(-door heat4 ,feel+s ( weakness1 dizz9ess1 & re/lessness1 accompani$ by heada*e1 are among ! fir/ symptoms4 ,! face is v pale1 ! sk9 is cool & moi/1 al?\gh ! tr\ble (t5 />ts ) sudd5 arre/ ( sweat+4 ,!re is great pro/ration1 ) feeble1 rapid pulse1 frequ5t & %all[ brea?+1 & l[]$ temp]ature1 rang+ (t5 f #ie deg4 to #if deg4 ,f4 ,! pati5t usually reta9s consci\sness1 b r>ely !re is complete ins5sibility4 ,! p]nici\s practice ( p]mitt+ *ildr5 at seaside resorts to wade ab\t 9 cold wat] :ile _! heads are b>$ to ! burn+ sun is peculi>ly adapt$ to favor heat pro/ration4 ,heat /roke happ5s m frequ5tly to p]sons work+ h>d "u ! direct rays ( ! sun1 especially labor]s 9 l>ge cities :o are 9 ! habit ( dr9k+ "s =m ( alcohol4 ,x (t5 occurs 9 unv5tilat$ t5em5ts on /ifl+ nights4 ,dizz9ess1 viol5t heada*e1 see+ spots be=e ! eyes1 nausea1 & attempts at vomit+1 u%] 9 ! attack4 ,comp>e x ) heat pro/ration1 & note ! m>k$ diff]5ces4 ,! pati5t becomes sudd5ly & completely ins5sible1 & falls to ! gr\nd1 ! face is flu%$1 ! brea?+ is noisy & difficult1 ! pulse is /rong1 & ! !rmomet] plac$ 9 ! b[el regi/]s #ajg deg41 #ajh deg41 or #aaj deg4 ,f41 or r>ely high]4 ,! muscles are usually relax$1 b sometimes !re are twit*+s1 or ev5 convulsions4 ,dea? (t5 occurs )9 tw5ty-f\r or ?irty-six h\rs1 prec$$ by fail+ pulse1 deep unconsci\sness1 & rapid brea?+1 (t5 labor$ or gasp+1 alt]nat+ ) long int]missions4 ,sometimes delirium & unconsci\sness la/ = days4 ,dim9ution ( fev] & return+ consci\sness h]ald recov]y1 b x is a v fatal disord]1 /ati/ics %[+ a dea? rate ( f ?irty to fifty p] c5t4 ,ev5 :5 ! pati5t lives1 bad aft] effects are common4 ,peculi> s5sibility to mod]ate heat is a frequ5t compla9t4 ,loss ( memory1 weak5$ m5tal capacity1 heada*e1 irritability1 fits1 o!r m5tal di/urbances1 & impairm5t ( sight & he>+ are among ! m usual sequels1 occurr+ 9 ^? :o d n subsequ5tly avoid ! direct rays ( ! sun1 z well z an elevat$ temp]ature1 & :o indulge 9 alcoholic /imulants4 ,a high degree ( moi/ure 9 ! air favors sun/rokes1 b x is a curi\s fact t sun/roke is mu* m frequ5t 9 c]ta9 localities1 & 9 special ye>s ?an at o!r places & times ) id5tical climatic conditions4 ,?is has l$ obs]v]s to sugge/ a g]m orig9 ( ! disease1 b ?is is extremely d\btful4 ,treatm5t4--,treatm5t = heat exhau/ion is giv5 9 ! fir/-aid directions4 ,little ne$ be add$ to ! directions = treatm5t ( heat /roke4 ,9 place ( ! ice cap sugge/$ 9 ,rule #g1 ice 9 clo?s1 or 9 a sponge bag may be sub/itut$4 ,! friction ( ! body1 z direct$ 9 ,rule #f1 is absolutely necess>y to /imulate ! n]v\s sy/em & circulation1 & to prev5t ! blood f be+ driv5 into ! int]nal organs by ! cold appli$ ext]nally4 ,! cold-wat] treatm5t is appli$ until ! temp]ature falls d[n to )9 a few degrees ( normal--t is1 #ih4f deg4 ,f4 ,!n ! pati5t %\ld be put into b$1 !re to rema91 ) ice to ! head1 until fully re/or$4 ,x (t5 happ5s t ! fev] returns1 9 :i* ev5t ! :ole process ( apply+ cold wat] mu/ be repeat$4 ,! simple/ way ( r$uc+ ! fev] consi/s 9 lay+ ! pati5t1 entirely nude1 on a canvas cot or wire mattress1 b9d+ ice to ! back ( 8 neck1 & hav+ an att5dant /& on a *air ne> by & p\r ice wat] ^u ! pati5t f a g>d5 wat]+ pot4 ,:ile ! pati5t is ins5sible no attempt %\ld be made to give any?+ by ! m\?2 b half a p9t ( milk & two raw eggs ) a p9* ( salt may be inject$ into ! rectum e eight h\rs1 aft] wa%+ x out ) cold wat] on ea* occasion4 ,two tablespoonfuls ( :isky may be add$ to ! injection1 if ! pulse is weak4 ,if ! ur9e is n pass$ spontane\sly1 x w be necess>y to draw x once 9 eight h\rs ) a s(t rubb] ca!t] :i* has be5 boil$ t5 m9utes & lubricat$ ) glyc]9 or clean vasel9e4 ,,electric ,,%ock ,,or ,,lightn+ ,,/roke4 ,fir/ ,aid ,rule #a4--,protect y\rself f be+ %ock$ by ! victim4 ,grasp victim only by coat tails or dry clo!s4 ,put rubb] boots on y\r h&s1 or "w ?r\gh silk petticoat2 or ?r[ loop ( rubb] susp5d]s or ( dry rope ar\nd him to pull him (f wire1 or pry him along ) dry /ick4 ,rule #b4--;,d n lift1 b drag victim away f wire t[>d ! gr\nd4 ,:5 free f wire1 hold him head d[nw>d = two m9utes4 ,rule #c4--;,assi/ he>t to rega9 its /r5g?4 ,apply mu/>d pla/] 7mu/>d & wat]7 to *e/ ov] he>t2 wrap 9 blanket wrung out ( v hot wat]2 give hypod]mic ( :isky1 ?irty m9ims4 ,rule #d4--;,induce artificial respiration4 ,op5 8 m\? & grasp tongue1 pull x =w>d j beyond lips1 & hold x !re4 ,let ano!r assi/ant grasp ! arms j bel[ ! elb[s & draw !m /eadily upw>d by ! sides ( ! pati5t's head to ! gr\nd1 ! h&s ne>ly meet+ 7:i* enl>ges ! capacity ( ! *e/ & induces inspiration1 ,fig4 #b74 ,:ile ?is is be+ done1 let a ?ird assi/ant take position a/ride ! pati5t's hips ) 8 elb[s re/+ on 8 own knees1 8 h&s ext5d$1 ready = action4 ,next1 let ! assi/ant /&+ at ! head turn d[n ! pati5t's arms to ! sides ( ! body1 ! assi/ant hold+ ! tongue *ang+ h&s1 if necess>y1 to let ! arms pass4 ,j be=e ! pati5t's h&s rea* ! gr\nd1 ! man a/ride ! body w grasp ! body ) 8 h&s1 ! ball ( ! ?umb re/+ on ei!r side ( ! pit ( ! /oma*1 ! f+]s fall+ into ! grooves betwe5 ! %ort ribs4 ,n[1 us+ 8 knees z a pivot1 he w at ! mom5t ! pati5t's h&s t\* ! gr\nd ?r[ 7n too sudd5ly7 all 8 weight =w>d on 8 h&s1 & at ! same "t squeeze ! wai/ betwe5 !m1 z if he wi%$ to =ce some?+ 9 ! *e/ upw>d out ( ! m\?2 he w deep5 ! pressure :ile he sl[ly c\nts "o1 two1 ?ree1 f\r 7ab\t five seconds71 !n sudd5ly lets g ) a f9al pu%1 :i* w s5d him back to 8 fir/ position4 ,?is completes expiration4 7,a *ild or delicate p]son mu/ be m g5tly h&l$47 ,at ! in/ant ( lett+ g1 ! man at ! pati5t's head w aga9 draw ! arms /eadily upw>d to ! sides ( ! pati5t's head1 z be=e 7! assi/ant hold+ ! tongue aga9 *ang+ h&s to let ! arms pass1 if necess>y71 hold+ !m !re :ile he sl[ly c\nts "o1 two1 ?ree1 f\r 7ab\t five seconds74 ,repeat ^! movem5ts delib]ately & p]sev]+ly twelve to fifte5 times 9 e m9ute--?us imitat+ ! natural motions ( brea?+4 ,cont9ue ! artificial respiration f "o to f\r h\rs1 or until ! pati5t brea!s2 & = a :ile1 aft] ! appe>ance ( return+ life1 c>efully aid ! fir/ %ort gasps until deep5$ into full brea?s4 ,keep body w>m ) hot-wat] bottles1 hot bricks to limbs & feet1 & blankets ov] expos$ l[] "p ( body4 ,rule #e4--,treat burn1 if any4 ,if sk9 is n brok51 cov] burn ) clo?s wet ) ,c>ron oil 7equal p>ts ( limewat] & l9se$ or olive oil74 ,if sk9 is brok51 or raw surface is expos$1 spread ov] x pa/e ( equal p>ts ( boric acid & vasel9e1 & b&age ov] all4 ,conditions1 ,etc4--,a %ock produc$ by contact ) an electric curr5t is n ( r>e occurr5ce4 ,lightn+ /roke is v uncommon2 /ati/ics %[ t 9 ! ,unit$ ,/ates ea* ye> !re is "o dea? f ?is cause to ea* million ( inhabitants4 ,!re are sev]al conditions :i* mu/ be borne 9 m9d :5 consid]+ ! accid5tal effect ( an electric curr5t4 ,! pressure & /r5g? ( ! curr5t 7voltage & amp]age7 are (t5 n ne>ly s important 9 reg>d to ! effects on ! body1 z ! area1 duration1 & location ( ! po9ts ( contact ) ! curr5t1 & ! resi/ance (f]$ by clo?+ & dry sk9 to ! p5etration ( ! electricity4 ,:5 ! he>t lies 9 ! c\rse ( ! circuit1 ! dang] is greate/4 ,a dog c be kill$ by a curr5t ( t5 volts pressure :5 contacts are made to ! head & h9d legs1 because ! curr5t !n fl[s ?r\gh ! he>t1 :ile a curr5t ( eighty volts is requir$ to kill a dog1 "u ! same conditions1 if contacts are made to head & =e leg4 ,9 a g5]al way alt]nat+ curr5ts ( l[ frequ5cy are ! mo/ injuri\s to ! body1 & any curr5t pressure high] ?an two hundr$ volts is dang]\s to life4 ,on ! o!r h&1 a curr5t ( n9ety-five volts has prov$ fatal to a human be+4 ,9 ?is case ! circum/ances 7 p>ticul>ly unfavorable to ! victim1 z he 0 /&+ on an iron tank 9 boots wet ) an alkal9e solution1 & probably /udd$ on ! soles ) nails1 :5 he came 9 accid5tal contact ) an indu/rial curr5t4 ,moreov]1 he 0 an habitual drunk>d4 ,9 an in/ance ( ! contr>y sort1 a man receiv$ a curr5t ( #a1gjj volts 7p]iodicity ab\t #acj7 = fifty seconds1 9 "o ( ! e>ly attempts at electro-execution1 )\t be+ kill$4 ,! p]sonal equation evid5tly ent]s into ! matt]4 ,a /rong physique "h1 z 9 o!r cases1 is mo/ favorable 9 resi/+ ! effects ( electric %ock4 ,high-pressure alt]nat+ curr5ts 7#a1cjj to #b1jjj volts7 are employ$ 9 electro-executions1 & ! contacts are c>efully made1 s t ! curr5t w ent] ! bra9 & pass ?r\gh ! he>t to ! leg4 ,! two mo/ vital p>ts are ?us affect$4 ,9 indu/rial accid5ts su* nice adju/m5ts are =tunately almo/ impossible1 & %ocks receiv$ f high-pressure curr5ts1 ev5 ( #be1jjj volts1 h n prov$ fatal because bo? ! voltage & amp]age h be5 greatly less5$ ?r\gh poor contacts & great resi/ance ( clo?+ & dry sk91 & also because ! he>t is n usually includ$ 9 ! circuit4 ,dea? is induc$ 9 "o ( ?ree ways3 #a4 ,curr5ts ( enorm\s voltage & amp]age1 z occur 9 lightn+1 actually de/roy1 bur/ & burn ! tissues ?r\gh :i* ! /roke passes4 #b4 ,usually dea? foll[s accid5ts f indu/rial curr5ts1 ow+ to contraction ( ! he>t1 ! effect be+ ! same z obs]v$ on o!r muscles4 ,! he>t in/antly ceases beat+1 & ei!r rema9s absolutely quiet1 or !re is a f9e quiv]+ ( "s ( its fib]s1 z se5 on op5+ ! *e/ 9 exp]im5ts ^u animals4 #c4 ,a fatal issue may result f ! passage ( ! curr5t ?r\gh ! head1 s affect+ ! n]ve c5t]s t gov]n respiration t ! brea?+ ceases4 ,symptoms4--,^! are g5]ally muscul> contractions1 fa9tness1 & unconsci\sness 7sometimes convulsions1 if ! curr5t passes ?r\gh ! head71 ) failure ( pulse & ( brea?+4 ,= in/ance1 a man :o 0 remov+ a bru% f a trolley c> t\*$1 ) ! o!r h&1 a live rail4 ,8 muscles imm$iately contract$ ?r[+ him back1 & disconnect+ him f contact ) ! curr5t 7#ejj volts74 ,he !n fa9t$ & became unconsci\s = a %ort "t4 ,! pulse 0 rapid & feeble1 & ! brea?+ also at fir/1 b x lat] became sl[] ?an usual4 ,on rega9+ s5sibility ! pati5t vomit$ & got on 8 feet1 al?\gh feel+ v weak = two h\rs4 ,unconsci\sness commonly la/s only a few mom5ts 9 nonfatal cases1 b may cont9ue = h\rs1 its cont9uance be+ r a favorable sign ( ultimate recov]y1 if ! he>t & lungs are act+ suffici5tly4 ,bad aft] effects are r>e4 ,x is n uncommon = ! pati5t to decl>e t ! accid5t _h improv$ 8 g5]al feel+s4 ,occasionally !re is tempor>y loss ( muscul> p[]1 & a case has be5 report$ ( n]v\s symptoms foll[+ electric %ock simil> to ^? obs]v$ aft] any accid5tal viol5ce4 ,burns ( v>y+ degrees ( int5sity occur at ! po9t ( entrance ( ! curr5t1 f slight bli/]s to complete de/ruction ( all ! tissues4 ,treatm5t4--,! treatm5t is completely outl9$ 9 ! fir/-aid directions4 ,%\ld contact be unbrok51 an ord] to %ut (f ! electric curr5t %\ld at once be telephon$ to ! /ation4 ,protection ( ! rescu] ) ?ick rubb] gloves is ( c\rse ! ideal safegu>d4 ,9 fatal cases ! he>t is in/antane\sly arre/$1 & no?+ c be done to />t x into action4 ,if ! curr5t passes ?r\gh ! bra91 by contact ) ! head or neck1 !n failure ( brea?+ is m apt to be ! cause ( dea?4 ,!oretically1 x is 9 ! latt] ev5t only t treatm5t1 i4 e41 artificial respiration1 w be ( avail4 ,b z 9 any individual case ! exact condition is always a matt] ( d\bt1 artificial respiration is ! mo/ valuable rem$ial measure we possess2 x %\ld always be practic$ = h\rs 9 d\btful cases4 ,two tablespoonfuls ( br&y or :isky 9 a cup ( w>m wat] may be inject$ into ! b[el1 if a hypod]mic syr+e is n available & ! pati5t ne$s decid$ /imulation4 ,,*apt] ,,iii ,w\nds1 ,spra9s & ,bruises ,treatm5t ( ,w\nds--,rules = ,*eck+ ,hemorrhage--,lockjaw--,b&ages = ,spra9s--,synovitis--,bunions & ,felons--,=eign ,bodies 9 ! ,eye1 ,e> & ,nose4 ,,w\nds4--,a w\nd is a condition produc$ by a =cible cutt+1 contus+1 or te>+ ( ! tissues ( ! body1 & includes1 9 its l>g] s5se1 bruises1 spra9s1 dislocations1 & breaks or fractures ( bones4 ,z ord9>ily us$1 a w\nd is an injury produc$ by =cible sep>ation ( ! sk9 or muc\s membrane1 ) m or less injury to ! und]ly+ p>ts4 ,! ma9 object dur+ ! c>e ( w\nds %\ld be to avoid contam9ation ) any?+ :i* is n surgically clean1 f ! beg9n+ to ! end ( ! dress+2 o!rwise1 e o!r /ep 9 ! :ole process is r5d]$ useless4 ,?ree ess5tials 9 ! treatm5t ( w\nds are3 #a4 ,! arre/ ( ble$+4 #b4 ,absolute cleanl9ess4 #c4 ,re/ ( ! injur$ "p4 ,dang]\s ble$+ dem&s imm$iate relief4 ,ble$+ is ( ?ree k9ds3 #a4 ,f a l>ge art]y4 #b4 ,f a ve94 #c4 ,g5]al ooz+4 ,,ble$+ ,,f ,,l>ge ,,art]y ,,9 ,,spurts ,,( ,,bright ,,blood4 ,fir/ ,aid ,rule #a4--,spe$ increases safety4 ,put pati5t d[n flat4 ,make pressure ) h&s betwe5 ! w\nd & ! he>t till surgeon arrives1 assi/ants tak+ turns4 ,rule #b4--;,if arm or leg1 tie rubb] tub+ or rubb] susp5d]s tight ab\t limb betwe5 w\nd & he>t1 or tie /rap or rope ov] h&k]*ief or fold$ %irt wrapp$ ab\t limb4 ,if arm1 put baseball 9 arm pit1 & press arm aga9/ ?is4 ,or1 = arm or leg1 tie fold$ clo? 9 loose noose ar\nd limb1 put cane or umbrella ?r\gh noose & twi/ up ! slack v tight1 s z to compress ! ma9 art]y ) knot4 ,rule #c4--,keep limb & pati5t w>m ) hot-wat] bottles till surgeon arrives4 ,?is treatm5t is ( c\rse only a tempor>y exp$i5t1 z x is ess5tial = a surgeon to tie ! ble$+ vessel itself2 !re=e a m$ical man %\ld be summon$ ) all dispat*4 ,,ble$+ ,,f ,,ve92 ,,/eady ,,fl[ ,,( ,,d>k ,,blood4 ,fir/ ,aid ,rule #a4--,make firm pressure ) pad ( clo? directly ov] w\nd1 also ) h&s betwe5 w\nd & extremity1 t is1 on side ( cut away f ! he>t4 ,rule #b4--,tie tight b&age ab\t limb at ?is po9t1 ) rubb] tub+ or susp5d]s4 ,rule #c4--,keep limb & pati5t w>m ) hot-wat] bottles till surgeon arrives4 ,9 ! cases ( ble$+ f a ve91 ! fl[ ( blood is cont9u\s1 & is ( a d>k1 r$ hue1 & does n spurt 9 jets1 z f an art]y4 ,?is k9d ( ble$+ is n usually difficult to /op1 & x is n necess>y t ! ve9 itself be ti$--unless v l>ge--provid$ t ! w\nd be snugly b&ag$ aft] x is dress$4 ,aft] ! fir/ half h\r1 release ! limb & see if ! ble$+ has /opp$4 ,if s1 & ! circulation is be+ int]f]$ )1 ow+ to ! tightness ( ! b&age1 reapply ! b&age m loosely4 ,9 ! case ( an injur$ art]y ( any consid]able size1 ! am\nt ( pressure requir$ to /op ! ble$+ w arre/ all circulation ( blood 9 ! limb1 s t great damage1 z well z pa91 w ensue if x be cont9u$ m ?an an h\r or two1 & dur+ ?is "t ! limb %\ld be kept w>m by ?ick cov]+ & hot-wat] bags1 if !y c be obta9$4 ,ble$+ f a deep puncture may be /opp$ by plugg+ ! cavity ) /rips ( musl9 :i* h be5 boil$1 or ) absorb5t cotton1 simil>ly treat$1 keep+ ! plug 9 place by snug b&ag+4 ,,ble$+ ,,f ,,punctur$ ,,w\nd4 ,fir/ ,aid ,rule #a4--;,extract p91 tack1 nail1 spl9t]1 ?orn1 or bullet1 ,,if ,,y ,,c ,,see ,,bullet2 d n probe4 ,rule #b4--,p\r w>m wat] on w\nd & squeeze tissue to enc\rage ble$+4 ,s5d = small h>d-rubb] syr+e4 ,rule #c4--;,if deep1 plug x ) absorb5t cotton1 & put tight b&age ov] plug4 ,if %all[1 cov] ) absorb5t cotton wet ) boric-acid solution 7"o dram to "o-half p9t ( wat]71 or c>bolic-acid solution 7"o teaspoonful to ! p9t ( hot wat]74 ,rule #d4--,:5 syr+e comes1 remove dress+1 & clean w\nd by =cibly syr++ c>bolic solution directly into w\nd4 ,replace dress+4 ,a small punctur$ w\nd %\ld be squeez$ 9 w>m wat] to enc\rage ble$+ &1 if pa9 & swell+ ensue1 absorb5t cotton soak$ 9 a boric-acid solution 7conta9+ z mu* boric acid z ! wat] w dissolve7 or 9 c>bolic-acid solution 7"o teaspoonful ( pure acid to ! p9t ( w>m wat]7 %\ld be appli$ ov] ! w\nd & cov]$ ) oil silk or rubb] or enamel clo? = a few days1 or until ! sor5ess has subsid$4 ,! dress+ %\ld be wet ) ! solution z (t5 z x becomes dry4 ,punctures by nails1 especially if deep1 %\ld be wa%$ out ) a syr+e1 us+ "o ( ! solutions j m5tion$4 ,a m$ic9e dropp]1 m9us ! rubb] "p1 atta*$ to a f\nta9 syr+e1 makes a good nozzle = ?is purpose4 ,a moi/ dress+1 l ! "o describ$1 %\ld !n be appli$1 & ! limb kept 9 p]fect re/ = a few days4 ,:5 a surgeon's s]vices are available1 h[ev]1 self-treatm5t is att5d$ ) too mu* dang]1 z a ?or\gh op5+ up ( su* w\nds ) prop] cleans+ & dra9age w af=d a bett] prospect ( e>ly recov]y1 & av]t ! risk ( s]i\s inflammation & lockjaw1 :i* sometimes foll[ punctur$ w\nds ( ! h&s & feet4 ,=eign bodies1 z spl9t]s1 may be remov$ ) tweez]s or a ne$le1 be+ c>eful n to break ! spl9t] 9 ! attempt4 ,if a "p rema9s 9 ! fle%1 or if ! =eign body is a ne$le t _c be f\nd or remov$ at once1 ! cont9u\s application ( a hot flaxse$ or o!r p\ltice w lead to ! =mation ( matt]1 ) :i* ! spl9t] or ne$le w (t5 escape aft] a few days4 ,spl9t]s f9d+ _! way "u ! nail may be remov$ by scrap+ ! nail v ?9 ov] ! spl9t] & splitt+ x ) a %>p knife d[n to ! po9t :]e ! end ( ! spl9t] c be grasp$4 ,,ble$+ ,,9 ,,=m ,,( ,,ooz+4 ,fir/ ,aid ,rule #a4--;,apply wat] z hot z h& c be>4 ,rule #b4--;,elevate ! "p1 & dr5* ) c>bolic solution 7"o teaspoonful ( c>bolic acid to "o p9t ( hot wat]74 ,rule #c4--;,b&age snugly :ile wet4 ,rule #d4--,keep pati5t w>m ) hot-wat] bottles4 ,,g5]al ,,ooz+ happ5s 9 ! case ( small w\nds or f abrad$ surfaces1 & is caus$ by ! break+ ( num]\s m9ute vessels :i* are n l>ge en\gh to require ! treatm5t recomm5d$ = l>ge art]ies or ve9s4 ,x is r>ely dang]\s1 & usually /ops spontane\sly4 ,:5 ! loss ( blood has be5 consid]able1 s t ! pati5t is pale1 fa9t1 & g5]ally relax$1 ) cold sk91 & p]haps nausea & vomit+1 he %\ld be /ripp$ ( all clo?+ & imm$iately wrapp$ 9 a blanket wrung out ( hot wat]1 & !n cov]$ ) dry blankets4 ,heat %\ld also be appli$ to ! feet by means ( hot-wat] bags or bottles1 ) great c>e n to burn a semiconsci\s pati5t's sk94 ,! head %\ld be kept l[1 & two tablespoonfuls ( br&y1 :isky1 or o!r alcoholic liquor %\ld be giv5 9 a half cup ( hot wat] by ! m\?1 if ! pati5t c swall[4 ,if mu* blood has be5 lo/ a qu>t ( wat]1 z hot z ! h& c readily be>1 & conta9+ a teaspoonful ( common salt1 %\ld be inject$ by means ( a f\nta9 syr+e into ! rectum4 ,some:at ! condition j describ$ z due to loss ( blood may be caus$ simply by %ock to ! n]v\s sy/em foll[+ any sev]e accid5t1 & n att5d$ by ble$+4 ,! treatm5t ( %ock is1 h[ev]1 practically ! same z t = hemorrhage1 & improvem5t 9 ei!r case is %[n by return ( color to ! face & /r5g? 9 ! pulse4 ,ble$+ is apt to be mu* less 9 badly torn ?an 9 incis$ w\nds1 ev5 if l>ge vessels are sev]$1 z :5 ! legs are cut (f 9 railroad accid5ts1 = ! lac]at$ ends ( ! vessels become entangl$ ) blood & favor clott+4 ,,lockjaw4--,9 ! less] injuries1 :]e ble$+ is n an important feature1 & 9 all w\nds z well1 aft] ble$+ has be5 /opp$1 ! ma9 object 9 treatm5t consi/s 9 cleans+ w\nds ( ! g]ms :i* cause matt] or pus1 g5]al blood poison+1 & lockjaw4 ,! g]ms ( ! latt] live 9 ! e>?1 & ev5 ! smalle/ w\nds :i* heal p]fectly may lat] give rise to lockjaw if dirt has n be5 entirely remov$ f ! w\nd at ! "t ( accid5t4 ,injuries to ! h&s caus$ by pi/ols1 firecrack]s1 & k9dr$ explosives1 seem especially prone to produce lockjaw1 & fatalities f ?is disord] are deplorably num]\s aft] ,f\r?-(-,july celebrations 9 ! ,unit$ ,/ates4 ,! w\nds produc+ lockjaw usually occur 9 *ildr5 :o explode blank c>tridges 9 ! palm ( ! h&4 ,9 ?is way ! g]ms ( ! disease are =c$ 9 ) p>ts ( ! dirty sk9 & m or less ( ! wad f ! %ell4 ,s9ce lockjaw is s frequ5t aft] ^! accid5ts1 & s fatal1 x is impossible to ex]t too mu* c>e 9 treatm5t4 ,! w\nd %\ld at once be ?or\ghly op5$ ) a knife to ! v bottom1 "u e!r1 by a surgeon1 & n only e p>ticle ( =eign matt] remov$1 b all ! surr\nd+ tissue %\ld be cut out or caut]iz$4 ,9 addition1 x is wise to use an injection "u ! sk9 ( tetanus-antitox91 to prev5t ! disease4 ,prop] re/riction ( ! sale ( explosives alone w put a /op to ?is b>b>\s mode ( exhibit+ patriotism4 ,treatm5t4--,x is n ess5tial to use *emical ag5ts or antiseptics to rid w\nds ( g]ms & s secure un9t]rupt$ heal+4 ,! p]son :o is to dress ! w\nd %\ld prep>e to d s at ! e>lie/ possible mom5t aft] giv+ fir/ aid4 ,he %\ld proce$ promptly to boil "s pieces ( absorb5t cotton1 z l>ge z an egg1 toge!r ) a nail bru% 9 wat]4 ,"s /rips ( clean cotton clo? may be us$ 9 ! abs5ce ( absorb5t cotton4 ,! boil+ %\ld be conduct$ = five m9utes1 :5 ! bas9 or o!r ut5sil 9 :i* ! bru% & cotton are boil$ %\ld be tak5 (f ! fire & set aside to cool4 ,!n ! att5dant %\ld scrub 8 own h&s = five m9utes 9 hot wat] ) soap & bru%4 ,he next takes ! bru%1 :i* has be5 boil$1 out ( ! wat] & cleans ! pati5t's sk9 = a consid]able di/ance ab\t ! w\nd4 ,:5 ?is is done1 & ! wat] & cotton :i* h be5 boil$ are suffici5tly cool1 ! w\nd %\ld be ba!d ) ! cotton & boil$ wat] until all =eign matt] has be5 remov$ f ! w\nd2 n only dirt :i* c be se51 b g]ms :i* _c be se54 ,"s ( ! boil$ cotton clo? or absorb5t cotton1 wet z x is1 %\ld be plac$ ov] ! w\nd & ! :ole cov]$ by a b&age4 ,l>ge gap+ w\nds are ( c\rse m prop]ly clos$ by /it*es1 b v deep w\nds %\ld be left p>tly op51 s t ! dis*>ge may dra9 away freely4 ,small1 deep1 punctur$ w\nds are n to be clos$ at all1 b %\ld be s$ul\sly kept op5 by pu%+ 9 /rips ( boil$ cotton clo?1 9 ord] to secure dra9age4 ,if ! att5dant has ! requisite confid5ce1 !re is no reason :y he %\ld n attempt /it*+ a w\nd1 provid+ ! pati5t is will+1 & a surgeon _c be obta9$ )9 tw5ty-f\r h\rs4 ,9 ?is case a r /\t1 common sew+ ne$le or ne$les are ?read$ ) black or :ite ?read1 pref]ably ( silk1 &1 toge!r ) a pair ( scissors & a clean t[el1 are boil$ 9 ! same ut5sil ) ! cotton & ! nail bru%4 ,aft] ! op]ator has scrubb$ 8 h&s & cleans$ ! w\nd1 he places ! boil$ t[el ab\t ! w\nd s t ! ?read w fall on x dur+ 8 manipulations & n on ! sk94 ,! ne$le %\ld be ?ru/ into & ?r\gh ! sk91 b no l[] ?an ?is1 & %\ld ent] & leave ! sk9 ab\t a qu>t] ( an in* f ei!r edge ( ! w\nd4 ,! /it*es are plac$ ab\t "o-half in* ap>t1 & are drawn toge!r & ti$ tightly en\gh to jo9 ! two edges ( ! w\nd4 ,! ends ( ! ?read %\ld be cut ab\t "o-half in* f ! knot1 be+ c>eful :ile us+ ! ne$le & scissors n to lay !m d[n on any?+ except ! boil$ t[el4 ,! w\nd is !n cov]$ ) cotton1 :i* has be5 boil$ z describ$ above1 b&ag$ & left undi/urb$ = a week1 if caus+ no pa94 ,at ! end ( ?is "t ! /it*es are tak5 out aft] ! att5dant has wa%$ 8 h&s c>efully1 & boil$ 8 scissors z be=e4 ,c\rt pla/] or pla/] ( any k9d is a bad cov]+ or dress+ = w\nds1 z x may be itself contam9at$ ) g]ms4 ,x effectually keeps 9 any ) :i* ! w\nd is already infect$1 & prev5ts prop] dra9age4 ,x is impossible 9 a "w ( ?is k9d to describe ! details ( ! aft] treatm5t ( w\nds1 z ?is c only be prop]ly und]tak5 by a surgeon1 ow+ to ! v>y+ conditions :i* may arise4 ,9 g5]al x may be /at$ t ! same cleanl9ess & c>e %\ld be foll[$ dur+ ! :ole c\rse ( heal+ z has be5 outl9$ = ! fir/ attempt at treatm5t4 ,if ! w\nd is small1 & !re is no dis*>ge f x1 x may be pa9t$ ) collodion or cov]$ ) boric-acid o9tm5t 7sixty gra9s ( boric acid to ! ounce ( vasel9e7 aft] ! fir/ day4 ,if l>ge1 x %\ld be cov]$ ) cotton gauze or clo? :i* h be5 boil$ or specially prep>$ = surgical purposes4 ,if pus 7matt]7 =ms1 ! w\nd mu/ be cleans$ daily ( dis*>ge 7m ?an once if x is copi\s7 ) boil$ wat]1 or be/ ) hydrog5 dioxide solution foll[$ by a wa%+ ) a solution ( c>bolic acid 7"o teaspoonful to ! p9t ( hot wat]71 or ) a solution ( m]cury bi*loride1 dissolv+ "o ( ! l>g] bi*loride tablets1 sold = surgical uses1 9 a qu>t ( wat]4 ,x is a surgical maxim nev] to be neglect$ t w\nds %\ld n be all[$ to close at ! top be=e heal+ is complet$ at ! bottom4 ,z to close at ! surface is ! usual t5d5cy 9 w\nds t heal sl[ly & dis*>ge pus1 x is necess>y at times to enl>ge ! ext]nal op5+ by cutt+ or /ret*+ ) ! blades ( a pair ( scissors1 or1 & ?is is mu* m rational & com=table = ! pati5t1 by daily pack+ ! outlet ( ! w\nd ) gauze to keep x op54 ,,ble$+ ,,f ,,scalp4 ,fir/ ,aid ,rule #a4--;,cut hair (f ab\t w\nd1 & clean ?or\ghly ) c>bolic-acid solution 7"o teaspoonful to p9t ( hot wat]74 ,rule #b4--,put pad ( gauze or musl9 directly ov] wet w\nd1 & make pressure firmly ) b&age4 ,9 case ( w\nds ( ! scalp1 or o!r hairy p>ts1 ! hair %\ld be cut1 or bett] %av$1 ov] an area v mu* l>g] ?an ! w\nd$ surface1 aft] :i* ! cleans+ %\ld be done4 ,to /op ble$+ ( ! scalp1 wat] is appli$ z hot z c be borne1 & !n a wad ( boil$ cotton %\ld be plac$ 9 ! w\nd & b&ag$ d[n tightly into x = a "t4 ,clos+ ! w\nd ) /it*es w /op ! ble$+ mu* m effectively1 h[ev]1 & is n v pa9ful if done imm$iately aft] ! accid5t4 ,! /it*es %\ld be ti$ loosely1 & n introduc$ ne>] to ea* o!r ?an half an in*1 to all[ dra9age ( dis*>ge f ! w\nd4 ,g5]al ,rem>ks4--,all w\nds %\ld be kept at re/ aft] !y are dress$4 ,?is is accompli%$ 9 ! case ( ! l[] limbs by keep+ ! pati5t 9 b$ ) ! leg rais$ on a pill[4 ,! same k9d ( treatm5t applies 9 sev]e injuries ( ! h&s4 ,9 less s]i\s cases a sl+ may be employ$1 & ! pati5t may walk ab\t4 ,:5 ! injury is ne> a jo9t1 z ( ! f+]s1 knee1 wri/1 or elb[1 a spl9t made ( ?9 bo>d or t9 7& cov]$ ) cotton wadd+ & b&ag$7 %\ld be appli$ by means ( surgeon's adhesive pla/] & b&age aft] ! w\nd has be5 dress$4 ,9 injuries ( ! h& ! spl9t %\ld be appli$ to ! palm side1 & rea* f ! f+] tips to above ! wri/4 ,use a spl9t also4 ,,noseble$4 ,fir/ ,aid ,rule #a4--,seat pati5t erect & apply ice to nape ( neck4 ,rule #b4--,put roll ( br[n pap] "u upp] lip1 & press lip firmly aga9/ x4 ,press facial art]y aga9/ l[] jaw ( ble$+ side1 till ble$+ /ops4 ,?is art]y crosses l[] edge ( jawbone "o in* 9 front ( angle ( jaw4 ,rule #c4--,plug no/ril ) /rip ( ?9 cotton or musl9 clo?4 ,rule #d4--;,d n wa% away clots2 enc\rage clott+ to close no/ril4 ,,ble$+ ,,f ,,lungs2 ,,bright ,,blood ,,c\gh$ ,,up4 ,,ble$+ ,,f ,,/oma*2 ,,d>k ,,blood ,,vomit$4 ,fir/ ,aid ,rule = bo?4 ,let pati5t lie flat & swall[ small pieces ( ice1 & also take "o-qu>t] teaspoonful ( table salt 9 half a glass ( cold wat]4 ,,bruise4 ,fir/ ,aid ,rule #a4--;,b&age f tips ( f+]s1 or f toes1 mak+ same pressure ) b&age all ! way up z y d ov] ! injury4 ,rule #b4--;,apply heat ?r\gh ! b&age1 ov] ! injury1 ) hot-wat] bottles4 ,cause1 ,etc4--,a bruise is a hidd5 w\nd2 ! sk9 is n brok54 ,x is an injury caus$ by a blunt body s t1 :ile ! t\gh] sk9 rema9s intact1 ! p>ts b5ea? are torn & cru%$ to a great] or less] ext5t4 ,! small] blood vessels are torn & blood escapes "u ! sk91 giv+ ! black & blue appe>ance s common 9 bruises ( any sev]ity4 ,sometimes1 inde$1 l>ge collections ( blood =m b5ea? ! sk91 caus+ a consid]able swell+4 ,use ( ! bruis$ "p is tempor>ily limit$4 ,pa91 fa9tness1 & nausea foll[ sev]e bruises1 &1 9 case ( bad bruises ( ! belly1 dea? may ev5 ensue f damage to ! visc]a or to ! n]ves4 ,dang]\s ble$+ f l>ge blood vessels sometimes takes place int]nally1 & collections ( blood may lat] break d[n into abscesses4 ,fur!rmore1 ! bruise may be s great t ! injury to muscle & n]ve may lead to p]man5t loss ( use ( ! "p4 ,= ^! reasons a surgeon's advice %\ld always be s\ght 9 cases ( bad bruises4 ,pa9 is pres5t 9 bruises1 ow+ to ! te>+ & /ret*+ ( ! small] n]ve fib]s1 & to pressure on ! n]ves caus$ by swell+4 ,! swell+ is produc$ by escape ( blood & fluid f ! torn blood vessels4 ,treatm5t4--,ev5 slight & mod]ate bruises %\ld be treat$ by re/ ( ! injur$ "p4 ,a spl9t insures ! re/ ( a limb 7see treatm5t ( ,fractures1 p4 #hj74 ,"o ( ! be/ modes ( treatm5t is ! snug application ( a flannel b&age :i* secures a c]ta9 am\nt ( re/ ( ! "p to :i* x is appli$1 & aids 9 prev5t+ fur!r swell+4 ,:]e b&ag+ is n feasible1 z 9 c]ta9 p>ts ( ! body1 or be=e b&ag+ 9 any k9d ( a bruise1 ! use ( a cold compress is advisable4 ,"o lay] ( ?9 cotton or l95 clo? %\ld be wet 9 ice wat]1 & %\ld be put on ! bruis$ "p & cont9ually *ang$ = newly moi/5$ pieces z soon z ! fir/ gr[s w>m4 ,alcohol & wat]1 ( ea* equal p>ts1 may be us$ 9 ! same mann] to advantage4 ,:5 cold is unavailable or unpleasant to ! pati5t1 sev]al lay]s ( cotton clo? may be wrung out 9 v hot wat] & appli$ to ! "p ) frequ5t r5ewal4 ,! value attribut$ to wit*-hazel & arnica is ma9ly due to ! alcohol conta9$ 9 _! prep>ations4 ,cataplasma ,kaol9i 7,u4 ,s4 ,p47 is an excell5t rem$y = simple bruises :5 spread ?ickly on ! "p & cov]$ ) a b&age4 ,an o9tm5t conta9+ tw5ty-five p] c5t ( i*?yol is also a useful application4 ,foll[+ sev]e bruises1 ! damag$ p>ts %\ld be kept w>m by ! use ( hot-wat] bags1 or by cov]+ a limb ) cotton wool & b&age1 until su* "t z surgical advice may be obta9$4 ,:5 ! pa9 & swell+ ( bruises beg9 to subside1 treatm5t %\ld be pursu$ by rubb+ ) l9im5t ( ammonia or *lor(orm1 or vasel9e if ^! are n obta9able4 ,mod]ate ex]cise ( ! "p is desirable4 ,,abrasions4--,:5 ! surface sk9 is scrap$ (f1 z (t5 happ5s to ! %91 knee1 or head1 an o9tm5t conta9+ sixty gra9s ( boric acid to ! ounce ( vasel9e makes a good application1 & ?is may be cov]$ ) a b&age4 ,! same o9tm5t is useful to apply to small w\nds & cuts aft] ! fir/ b&age is remov$4 ,,spra92 ,,no ,,displacem5t ,,( ,,bones4 ,fir/ ,aid ,rule #a4--;,imm]se 9 wat]1 hot z h& c be>1 = half an h\r4 ,rule #b4--;,dry & /rap ) adhesive pla/]1 if y "k h[4 ,if n1 b&age snugly1 beg9n+ ) tips ( f+]s or ) toes1 & make same pressure all ! way up t y d ov] injury4 ,rule #c4--,re/4 ,if ankle or knee is hurt1 pati5t mu/ g to b$4 ,conditions1 ,etc4--,a spra9 is an injury caus$ by a sudd5 wr5* or twi/ ( a jo9t1 produc+ a mom5t>y displacem5t ( ! ends ( ! bones to su* a degree t !y are =c$ aga9/ ! membrane & ligam5ts surr\nd+ ! jo9t1 te>+ "o or bo? to a great] or less ext5t4 ,! wri/ & ankle are ! jo9ts m commonly spra9$1 & ?is injury is m likely to occur 9 p]sons ) flabby muscles & relax$ ligam5ts1 z 9 ! s-call$ weak-ankl$4 ,! damage to ! p>ts hold+ ! jo9t 9 place may be ( any degree1 f ! te>+ ( a few fib]s ( ! membrane enwrapp+ ! jo9t to its complete rupture1 toge!r ) t ( ! ligam5ts1 s t ! bones are no long] 9 place1 ! jo9t loses its natural %ape & appe>ance1 & we h a condition kn[n z dislocation4 ,9 a spra9 !n1 ! twi/ ( ! jo9t produces only a tempor>y displacem5t ( ! bones =m+ ! jo9t1 suffici5t to damage ! s(t /ructures ar\nd x1 b n suffici5t to cause la/+ displacem5t ( ! bones or dislocation4 ,x w be se5 t :e!r a spra9 or dislocation results1 dep5ds ^u ! am\nt ( injury su/a9$4 ,s9ce x (t5 happ5s t ! bone ent]+ into ! jo9t is brok51 x foll[s t :5ev] :at appe>s to be a sev]e spra9 occurs1 ) inability to move ! jo9t & great swell+1 x is important to secure surgical aid promptly4 ,s9ce ! discov]y ( ! ,x-ray _m injuries ( ! small] bones ( ! wri/ & ankle jo9t1 =m]ly diagnos$ z spra9s by ! mo/ skillful surgeons1 h1 by its use1 be5 discov]$ to be breaks ( ! bones :i* 7 impossible ( detection by ! old] me?ods ( exam9ation4 ,symptoms4--,! symptoms ( spra9 are sudd51 sev]e pa91 (t5 accompani$ by fa9tness & nausea1 swell+1 t5d]ness1 & heat ( ! injur$ p>ts4 ,! spra9$ jo9t c be only mov$ ) pa9 & difficulty4 ,! swell+ is due n s mu* to leak+ ( blood f brok5 blood vessels z to fill+ up ( ! jo9t ) fluid caus$ by ! inflammation1 al?\gh 9 a few days aft] a sev]e spra9 ! sk9 a little di/ance bel[ ! injury becomes black & blue f escape ( blood caus$ by ! injury4 ,treatm5t4--,s9ce ! treatm5t ( sev]e spra9s means fir/ ! discrim9ation betwe5 dislocation1 a break ( bone1 & a rupture ( muscle1 ligam5t1 or t5don1 x foll[s t ! me?ods h]e9 describ$ = treatm5t %\ld only be employ$ 9 slight unmi/akable spra9s1 or until a surgeon c be secur$1 or :5 "o is unavailable4 ,no?+ is bett] ?an imm$iate imm]sion ( ! spra9$ jo9t 9 z hot wat] z ! h& c be> = half an h\r4 ,foll[+ ?is1 an ela/ic b&age ( flannel cut on ! bias ab\t ?ree & "o-half in*es wide %\ld be snugly appli$ to ! limb1 beg9n+ at ! f+] tips or at ! toes & c>ry+ ! b&age "s di/ance above ! injur$ jo9t4 ,9 b&ag+ a "p !re is always dang] ( apply+ ! b&age too tightly1 especially if ! p>ts swell "u ! b&age4 ,if ?is happ5s1 !re is increase ( pa9 :i* may be foll[$ by numbness ( ! limb &1 :at is /ill m significant1 coldness & blu5ess ( ! extremities bel[ ! b&age1 p>ticul>ly ( ! f+]s & toes4 ,9 su* cases ! b&age mu/ be remov$ & reappli$ ) less =ce4 ,if ! ankle or knee be spra9$ ! pati5t mu/ g to b$ = at lea/ tw5ty-f\r h\rs1 & give ! limb a complete re/4 ,:5 ! wri/ or %\ld] is spra9$ ! arm %\ld be conf9$ 9 a sl+4 ,9 ! m s]i\s cases ! injur$ jo9t %\ld be fix$ 9 a spl9t be=e b&ag+4 ,an injur$ elb[ jo9t is held at a "r angle by a pa/ebo>d spl9t1 a b&age1 & a sl+1 :ile ! knee & wri/ are treat$ ) ! limb 9 a /raight l9e1 z f> z possible4 ,9 ! case ( ! knee1 ! spl9t is appli$ to ! back ( ! leg2 9 spra9$ wri/1 to ! palm ( ! h& & same side ( ! =e>m4 ,%eet wadd+1 :i* may be b\ght at any drygoods /ore1 is torn into /rips ab\t two in*es wide & sew$ toge!r =m+ a b&age t5 or fifte5 feet long1 & ?is is fir/ w\nd ab\t ! spra9$ jo9t4 ,!n pieces ( millbo>d or heavy pa/ebo>d are soak$ 9 wat] & appli$ :ile wet 9 long /rips ab\t ?ree in*es wide ov] ! wadd+1 & ! :ole is cov]$ ) b&age4 ,9 ! case ( ! knee x is bett] to use a /rip ( wood = ! spl9t1 rea*+ f ! l[] "p ( ! calf to f\r in*es above ! knee4 ,x %\ld be f a qu>t] to half an in* ?ick1 a little n>r[] ?an ! leg1 & be padd$ ?ickly ) %eet wadd+4 ,x is held 9 place by /rips ( surgeon's adhesive pla/]1 ab\t two in*es wide1 pass$ ar\nd ! :ole circumf]5ce ( ! limb above & bel[ ! knee jo9t1 & cov]$ ) b&age4 ,9 ord9>y spra9s ( ! ankle1 uncomplicat$ by brok5 bone or ligam5t1 x is possible = ! pati5t1 aft] re/+ 9 b$ = a day1 to g ab\t on crut*es1 )\t be>+ any weight on ! foot until ! ?ird day aft] ! accid5t4 ,! treatm5t 9 ! mean:ile consi/s 9 imm]s+ ! spra9$ ankle alt]nately1 fir/ 9 hot wat] = five m9utes & !n 9 cold wat] = five m9utes1 foll[$ by rubb+ ( ! p>ts ab\t ! injur$ jo9t ) *lor(orm l9im5t = fifte5 m9utes1 b n at ! beg9n+ t\*+ ! jo9t itself4 ,! rubb+ %\ld be done by an assi/ant v g5tly ! fir/ day1 ) gradual increase 9 vigor z ! days pass1 n only knead+ ! ankle b mov+ ! jo9t4 ,?is treatm5t %\ld be pursu$ once daily1 & foll[$ by b&ag+ ) a flannel b&age cut on ! bias ?ree & a half in*es wide4 ,) ?is me?od x is possible = ! pati5t to rega9 ! mod]ate use ( ! ankle 9 ab\t two or ?ree weeks4 ,! same g5]al l9e ( treatm5t applies to ! o!r jo9ts2 p>tial re/ & daily ba?+ 9 hot & cold wat]1 rubb+ & movem5ts ( ! jo9t by an assi/ant4 ,s9ce spra9s v>y 9 sev]ity x foll[s t "s may ne$ only ! fir/ day's prelim9>y treatm5t prescrib$ to effect a cure1 :ile o!rs may require fixation by a surgeon 9 a pla/]-(-,p>is spl9t = "s "t1 ) additional treatm5t :i* only 8 special k c supply4 ,illu/ration3 ,?is picture %[s an excell5t me?od ( fix+ a spra9$ jo9t1 us$ by ,pr(4 ,virgil ,p4 ,gibney1 ,m4,d41 ,surgeon-9-,*ief ( ! ,n4 ,y4 ,hospital = ,ruptur$ & ,crippl$4 ,x consi/s ( /rapp+ ! jo9t by means ( long1 n>r[ /rips ( adhesive pla/] incas+ x immovably 9 ! normal position4 ,?is proc$ure may be foll[$ by anyone :o has se5 a surgeon practice x4 ,,synovitis--,sev]e ,injury4--,g5]ally ( ankle or knee f fall1 or %\ld] f bl[4 ,fir/ ,aid ,rule #a4--,provide l>ge pit*] ( hot wat] & l>ge pit*] ( cold wat] & bas94 ,hold jo9t ov] bas92 p\r hot wat] sl[ly ov] jo9t4 ,return ?is wat] to pit*]4 ,p\r cold wat] ov] jo9t4 ,return wat] to pit*]4 ,repeat ) hot wat] aga91 & foll[ ) cold4 ,cont9ue ?is alt]nation = half an h\r4 ,rule #b4--,put to b$1 ) hot-wat] bottles ab\t jo9t1 & w$ge immovably ) pill[s4 ,rule #c4--,:5 t5d]ness & heat subside1 /rap ) adhesive pla/] 9 ov]lapp+ /rips4 ,conditions1 ,etc4--,?is condition1 :i* may affect almo/ any freely movable jo9ts1 z ! knee1 elb[1 ankle1 & hip1 is commonly caus$ by a wr5*1 bl[1 or fall4 ,occasionally x comes on )\t any app>5t cause1 9 :i* case !re is swell+ & b slight pa9 or inflammation ab\t ! jo9t4 ,we %all speak ( synovitis ( ! knee 7wat] on ! knee71 z t is ! mo/ common =m1 b ^! rem>ks w apply almo/ z well to ! o!r jo9ts4 ,9 sev]e cases !re are consid]able pa91 r$ness & heat1 & great swell+ ab\t ! knee4 ,! swell+ is se5 especially bel[ ! kneepan1 on ea* side ( ! front ( ! jo9t1 & also (t5 above ! kneepan4 ,frequ5tly ! only signs ( tr\ble are swell+ ) slight pa91 unless ! limb is mov$4 ,treatm5t4--,if ! knee is n r$1 hot1 or t5d] to ! t\*1 x w n be necess>y = ! pati5t to rema9 9 b$1 b :5 ^! symptoms are pres5t a spl9t ( "s sort mu/ be appli$ s t ! leg is kept ne>ly /raight1 & ! pati5t mu/ keep to 8 b$ until ! heat1 r$ness1 & t5d]ness h subsid$4 ,9 ! meantime ei!r an ice bag1 hot p\ltice1 clo?s wrung out 9 hot wat]1 or a hot-wat] bag %\ld be kept con/antly ^u ! knee4 ,a conv5i5t spl9t consi/s ( heavy pa/ebo>d wet & cov]$ ) %eet wadd+ 7or cotton batt+7 %ap$ & affix$ to ! back ( ! leg1 f six in*es bel[ to f\r in*es above ! jo9t1 by /rips ( adhesive pla/]1 z %[n 9 ! illu/ration1 & !n by b&age1 leav+ ! knee uncov]$ = applications4 ,a wood5 spl9t well padd$ may be us$ in/ead4 ,9 mild cases )\t mu* inflammation1 & 9 o!rs aft] ! t5d]ness & heat h abat$1 ! pati5t may g ab\t if ! knee is treat$ z foll[s3 a pad ( %eet wadd+ or cotton batt+ ab\t two in*es ?ick & five in*es long & z wide z ! limb is plac$ 9 ! holl[ beh9d ! knee1 & !n ! :ole leg is encircl$ ) %eet wadd+ f six in*es bel[ to f\r in*es above ! knee1 cov]+ ! jo9t z well z ! pad4 ,beg9n+ n[ five in*es bel[ ! jo9t1 /rips ( surgeon's adhesive pla/]1 an in* wide & long en\gh to m ?an encircle ! limb1 are affix$ ab\t ! leg firmly l g>t]s s z to make consid]able pressure4 ,ea* /rip or g>t] ov]laps ! "o bel[ ab\t "o-?ird ( an in*1 & ! :ole limb is ?us incas$ 9 pla/] f five in*es bel[ ! knee to a po9t ab\t f\r in*es above ! jo9t4 ,an ord9>y cotton b&age is !n appli$ f bel[ ov] ! entire pla/] b&age4 ,:5 ?is arrangem5t loos5s1 ! pla/] %\ld be tak5 (f & new reappli$1 or a few /rips may be w\nd ab\t ! old pla/] to re5=ce x4 ,! pati5t may walk ab\t ) ?is appliance )\t b5d+ ! knee4 ,:5 ! swell+ has ne>ly dep>t$1 ! pla/] may be remov$ & ! knee rubb$ twice daily ab\t ! jo9t & ! jo9t itself mov$ to & fro g5tly by an att5dant1 & !n b&ag$ ) a flannel b&age4 ,pa9t+ ! knee ) t9cture ( iod9e 9 spots z l>ge z a silv] doll> is also ( s]vice at ?is "t4 ,! knee %\ld n be b5t 9 walk+ until x c be mov$ by ano!r p]son )\t produc+ discom=t4 ,su* treatm5t may be appli$ to ! o!r jo9ts 9 a g5]al way4 ,! elb[ mu/ be fix$ by a spl9t z recomm5d$ = dislocation ( ! jo9t 7p4 #abh74 ,! ankle is treat$ z advis$ = spra9 ( t jo9t 7p4 #fh74 ,:5 a physician c be obta9$ no layman is ju/ifi$ 9 attempt+ to treat a case ( wat] on ! knee or simil> affection ( o!r jo9ts4 ,,bunion ,,& ,,h\semaid',s ,,knee4--,bunion is a swell+ ( ! bursa1 or cu%ion1 at ! fir/ jo9t ( ! great toe :]e x jo9s ! foot4 ,x may n give mu* tr\ble1 or x may be hot1 r$1 t5d]1 & v pa9ful4 ,x is caus$ by pressure ( a tight boot :i* also =ces ! great toe t[>d ! little toe1 & ?us makes ! great toe jo9t m prom95t & s ! m readily injur$4 ,a some:at simil> swell+1 (t5 z l>ge z an egg1 is sometimes se5 ov] ! kneepan1 m (t5 9 ^? :o "w ^u _! knees1 h5ce ! "n h\semaid's knee4 ,! swell+ may come on sudd5ly & be hot1 t5d]1 & pa9ful1 or x may be sl[ 9 appe>+ & give little pa94 ,treatm5t4--,! treatm5t = ! pa9ful v>iety ( bunion & h\semaid's knee is mu* ! same3 absolute re/ ) ! foot kept rais$1 & application ( clo?s kept con/antly wet ) ice or cold wat]2 or a ?ick cov]+ ( ,cataplasma ,kaol9i 7,u4 ,s4 ,p47 may be appli$ until ! inflammation has subsid$4 ,if ! tr\ble is *ronic1 or ! acute inflammation does n soon abate "u ! treatm5t advis$1 ! case is "o = ! surgeon1 & sometimes requires ! knife = abscess =mation4 ,9 ! mild] cases ( bunion1 we>+ prop] %oes ^: inn] bord] =ms almo/ a /raight l9e f heel to toe1 s t ! great toe is n pu%$ ov] t[>d ! little toe1 & pa9t+ ! bunion e few days ) t9cture ( iod9e1 until ! sk9 beg9s to become sore1 w (t5 be suffici5t to secure recov]y4 ,,run-,,ar\nd2 ,,:itl[ ,,or ,,felon4--,run-ar\nd consi/s 9 an inflammation ( ! s(t p>ts ab\t ! f+] nail4 ,x is m common 9 ! weak1 b may occur 9 anyone1 ow+ to ! entrance ( pus g]ms ?r\gh a slight prick or abrasion :i* may pass unnotic$4 ,! condition beg9s ) r$ness1 heat1 t5d]ness1 swell+1 & pa9 ( ! fle% at ! root ( ! nail1 :i* ext5ds all ab\t ! nail & may be slight & soon subside1 or !re may be great pa9 & increas$ swell+1 ) ! =mation ( matt] 7pus71 & result 9 ! loss ( ! nail1 p>ticul>ly 9 ! weak4 ,:itl[ or felon is a mu* m s]i\s tr\ble4 ,x beg9s g5]ally z a pa9ful swell+ ( "o ( ! la/ jo9ts ( ! f+]s on ! palm side4 ,among ! causes are a bl[1 scrat*1 or puncture4 ,(t5 !re is no app>5t cause1 b 9 "s mann] ! g]ms ( inflammation ga9 entrance4 ,! end ( ! f+] becomes hot & t5se1 & ?robs ) sometimes almo/ unbe>able pa94 ,if ! inflammation is *iefly ( ! surface !re may be mu* r$ness1 b if ma9ly ( ! deep] p>ts ! sk9 may be b little r$d5$ or ! surface may be actually pale4 ,!re is usually "s fev]1 & ! pa9 is made worse by p]mitt+ ! h& to hang d[n4 ,if ! felon is on ! little f+] or ?umb ! inflammation is likely to ext5d d[n into ! palm ( ! h&1 & f !nce into ! arm along ! c\rse ( ! t5dons or s9ews ( ! muscles4 ,dea? ( ! bone ( ! la/ f+] jo9t necessitat+ removal ( ?is "p1 /iffness1 crippl+1 & di/ortion ( ! h&1 or dea? f blood poison+ may ensue if prompt surgical treatm5t is n obta9$4 ,treatm5t4--,at ! v outset x may be possible to /op ! progress ( ! felon by keep+ ! f+] con/antly wet by means ( a b&age cont9ually saturat$ ) equal p>ts ( alcohol & wat]1 at night keep+ x moi/ by cov]+ ) a piece ( oil silk or rubb]4 ,t9cture ( iod9e pa9t$ all ov] ! end ( ! f+] is also useful1 & ! h& %\ld be c>ri$ 9 a sl+ by day1 & slung above ! head to ! headbo>d ( ! b$ by night4 ,if aft] tw5ty-f\r h\rs ! pa9 increases1 x is be/ to apply hot p\ltices to ! f+]1 *ang+ !m z (t5 z !y cool4 ,if ! felon has n begun to abate by ! end ( =ty-eight h\rs1 ! end ( ! f+] mu/ be cut l5g?wise "r d[n to ! bone by a surgeon to prev5t dea? ( ! bone or ext5sion ( ! inflammation4 ,p\ltices are !n cont9u$4 ,run-ar\nd is treat$ also by iod9e1 cold applications1 &1 if inflammation cont9ues1 by hot p\ltic+ & incision ) a knife2 b p\ltic+ is (t5 suffici5t4 ,att5tion to ! g5]al heal? by a physician w frequ5tly be ( s]vice4 ,,weep+ ,,s9ew2 ,,ganglion4--,?is is a swell+ z l>ge z a l>ge bean project+ f ! back or front ( ! wri/ ) an ela/ic or h>d feel+1 & n pa9ful or t5d] unless press$ on v h>d4 ,aft] c]ta9 movem5ts ( ! h&1 z 9 play+ ! piano or1 = example1 9 play+ t5nis1 "s discom=t may be felt4 ,weep+ s9ew sometimes int]f]es ) "s ( ! f9] movem5ts ( ! h&4 ,! swell+ is n r$ or inflam$1 b ( ! natural color ( ! sk94 ,x does n cont9ue to increase aft] rea*+ a mod]ate size1 b usually p]si/s indef9itely1 al?\gh occasionally disappe>+ )\t treatm5t4 ,! swell+ conta9s a gelat9\s sub/ance :i* is held 9 a little sac 9 ! %ea? ( ! t5don or s9ew1 b ! inside ( ! sac does n communicate ) ! int]ior ( ! %ea? surr\nd+ ! t5don4 ,treatm5t4--,?is consi/s 9 sudd5ly ex]t+ great pressure on ! swell+ ) ! ?umb1 or 9 /rik+ x a %>p bl[ ) a book by :i* ! sac is brok54 ,its cont5ts escape "u ! sk91 & 9 mo/ cases become absorb$4 ,if ! swell+ returns a v slight surgical op]ation w p]man5tly cure ! tr\ble4 ,,c9d]s ,,& ,,o!r ,,=eign ,,bodies ,,9 ,,! ,,eye4#d--;,=eign bodies are mo/ frequ5tly lodg$ on ! "u surface ( ! upp] lid1 al?\gh ! surface ( ! eyeball & ! inn] aspect ( ! l[] lid %\ld also be c>efully inspect$4 ,a drop ( a two p] c5t solution ( coca9e w r5d] pa9less ! manipulations4 ,! pati5t %\ld be direct$ to cont9ue look+ d[nw>d1 & ! la%es & edge ( ! lid are grasp$ by ! =ef+] & ?umb ( ! "r h&1 :ile a v small p5cil is g5tly press$ aga9/ ! upp] "p ( ! lid1 & ! l[] "p is lift$ outw>d & upw>d aga9/ ! p5cil s t x is turn$ inside out4 ,! lid may be kept 9 ?is position by a little pressure on ! la%es1 :ile ! c9d]1 or :atev] =eign body x may be1 is remov$ by g5tly sweep+ x (f ! muc\s membrane ) a fold ( a s(t1 clean h&k]*ief4 7,see ,figs4 #f & #g47 ,illu/ration3 ,,fig4 #f4 ,,fig4 #g4 ,,remov+ ,a ,,=eign ,,body ,,f ,,! ,,eye4 ,9 ,fig4 #f note h[ la%es & edge ( lid are grasp$ by =ef+] & ?umb1 also p5cil plac$ aga9/ lid2 9 ,fig4 #g lid is %[n turn$ inside out ov] p5cil4 ,hot c9d]s & pieces ( metal may become s deeply lodg$ 9 ! surface ( ! eye t !y _c be remov$ by ! me?od recomm5d$1 or by us+ a n>r[ slip ( clean :ite blott+-pap]4 ,all su* cases %\ld be v spe$ily ref]r$ to a physician1 & ! use ( ne$les or o!r in/rum5ts %\ld n be attempt$ by a layman1 le/ p]man5t damage be done to ! cornea & opacity result4 ,su* proc$ures are1 ( c\rse1 appropriate = an oculi/1 b :5 x is impossible to secure m$ical aid = days x c be attempt$ )\t mu* fe>1 if done c>efully1 z m h>m w result if ! (f5d+ body is left 9 place4 ,x is surpris+ to see :at a hole 9 ! surface ( ! eye w fill up 9 a few days4 ,if ! =eign body has caus$ a good deal ( irritation be=e its removal1 x is be/ to drop into ! eye a solution ( boric acid 7t5 gra9s to ! ounce ( wat]7 f\r times daily4 ,,=eign ,,bodies ,,9 ,,! ,,e>4--,=eign bodies1 z buttons1 pebbles1 beans1 *]ry /ones1 c(fee1 etc41 are frequ5tly plac$ 9 ! e> by *ildr51 & insects sometimes f9d _! way into ! e> passage & create trem5d\s di/ress by _! /ruggles4 ,smoo?1 nonirritat+ bodies1 z buttons1 pebbles1 etc41 d no p>ticul> h>m = a long "t1 & may rema9 unnotic$ = ye>s4 ,b ! mo/ s]i\s damage n infrequ5tly results f unskillful attempts at _! removal by p]sons 7ev5 physicians unus$ to in/rum5tal "w on ! e>7 :o are driv5 to imm$iate & viol5t action on ! false supposition t in/ant int]f]5ce is call$ =4 ,insects1 x is true1 %\ld be kill$ )\t delay by dropp+ into ! e> sweet oil1 ca/or1 l9se$1 or ma*9e oil or glyc]91 or ev5 wat]1 if ! o!rs are n at h&1 & !n ! insect %\ld be remov$ 9 half an h\r by syr++ z recomm5d$ = wax 7,vol4 ,,ii1 p4 #ce74 ,to remove solid bodies1 turn ! e> conta9+ ! body d[nw>d1 pull x outw>d & backw>d1 & rub ! sk9 j 9 front ( ! op5+ into ! e> ) ! o!r h&1 & ! object may fall out4 ,fail+ 9 ?is1 syr++ ) w>m wat]1 z = removal ( wax1 :ile ! pati5t is sitt+1 may prove successful4 ,! ess5tials ( treatm5t !n consi/1 fir/1 9 keep+ cool2 !n 9 kill+ insects by dropp+ oil or wat] into ! e>1 &1 if syr++ proves ineffective1 9 us+ no in/rum5tal me?ods 9 an attempt to remove ! =eign body1 b 9 await+ su* "t z skill$ m$ical s]vices c be obta9$4 ,if beans or se$s are n wa%$ out by syr++1 ! wat] may cause !m to swell & produce pa94 ,to obviate ?is1 drop glyc]9 9 ! e> :i* absorbs wat]1 & w ?us %rivel ! se$4 ,,=eign ,,bodies ,,9 ,,! ,,nose4--,*ildr5 (t5 put =eign bodies 9 _! noses1 z %oe buttons1 beans1 & pebbles4 ,!y may n tell ( x1 & ! mo/ conspicu\s symptoms are ! appe>ance ( a ?ick dis*>ge f "o no/ril1 hav+ a bad odor1 & "s ob/ruction to brea?+ on ! same side4 ,if ! =eign body c be se51 ! no/ril on ! unob/ruct$ side %\ld be clos$ & ! *ild made to bl[ out ( ! o!r "o4 ,if bl[+ does n remove ! body x is be/ to secure m$ical aid v spe$ily4 ,,footnotes3 #d ,! ,editors h deem$ x advisable to repeat "h ! foll[+ in/ructions1 also occurr+ 9 ,vol4 ,,ii1 ,"p ,i1 = ! removal ( =eign bodies 9 ! eye1 e>1 & nose1 z prop]ly com+ "u ! head ( ,fir/ ,aid 9 ,em]g5cies4 ,,*apt] ,,iv ,fractures ,h[ to ,tell a ,brok5 ,bone--,a ,simple ,sl+--,spl9ts & ,b&age1--,a ,brok5 ,rib--,fractures ( ,arm1 ,%\ld]1 ,h&1 ,hips ,leg & ,o!r ,p>ts4 ,,brok5 ,,bone2 ,,fracture4#e ,fir/ ,aid ,rule #a4--;,be sure bone is brok54 ,if brok51 pati5t c sc>cely 7if at all7 move ! "p beyond ! break1 :ile att5dant c move x freely 9 8 h&s4 ,if brok51 grat+ ( r\gh edges ( bone may be felt by att5dant b %\ld n be s\ght =4 ,if brok51 limb is g5]ally %ort5$4 ,rule #b4--;,d n try to set bone p]man5tly4 ,s5d at once = surgeon4 ,,comp\nd ,,fracture4 ,important4 ,if !re is op5+ to ! air f ! break1 because ( te>+ ( tissues by end ( bone1 condition is v dang]\s2 fir/ treatm5t may save life1 by prev5t+ infection4 ,be=e r$uc+ fracture1 & )\t /irr+ ! pati5t mu*1 aft] scrubb+ y\r h&s v clean1 note3 ,fir/ ,aid ,rule #a4--;,if hairy1 %ave l>ge spot ab\t w\nd4 ,rule #b4--;,clean l>ge area ab\t w\nd ) soap & wat]1 v g5tly4 ,!n wa% mo/ ?or\ghly aga9 ) clean wat]1 previ\sly boil$ & cool$4 ,flood w\nd ) cool boil$ wat]4 ,rule #c4--;,cov] w\nd ) absorb5t cotton 7or pieces ( musl97 :i* has be5 boil$4 ,!n att5d to brok5 bone1 z h]eaft] direct$1 9 ! case ( ea* v>iety ( fracture4 ,aft] ! bone is set1 accord+ to directions1 !n note3 ,rule #d4--,r5ew pieces ( previ\sly boil$ musl9 f "t to "t1 :5 at all /a9$ ) dis*>ges4 ,e day wa% c>efully ab\t w\nd1 betwe5 ! spl9ts1 ) cool c>bolic-acid solution 7"o teaspoonful to a p9t ( hot wat]7 be=e putt+ on ! fre% clo?s4 ,,brok5 ,,bones ,,or ,,fractures4#f--;,x frequ5tly happ5s t ! fir/ treatm5t ( fracture devolves ^u ! inexp]i5c$ layman4 ,imm$iate treatm5t is n ess5tial1 9 s f> z ! repair ( ! fracture is directly conc]n$1 = a brok5 bone does n unite = sev]al weeks1 & if a fracture 7 n se5 by ! surgeon = a week aft] its occurr5ce1 no h>m w\ld be done1 provid$ t ! limb 7 kept quiet 9 fair position until t "t4 ,! object ( imm$iate c>e ( a brok5 bone is to prev5t pa9 & avoid damage :i* w\ld ensue if ! %>p ends ( ! brok5 bone 7 all[$ to injure ! s(t tissues dur+ movem5ts ( ! brok5 limb4 ,fractures are p>tial or complete1 ! =m] :5 ! bone is brok5 only "p way ?r\gh2 simple1 :5 ! fracture is a m]e break ( ! bone1 & comp\nd1 :5 ! end ( "o or bo? fragm5ts pu% ?r\gh ! sk91 all[+ ! air ) its g]ms to come 9 contact ) ! w\nd1 ?us greatly increas+ ! dang]4 ,to be sure t a bone is brok5 we mu/ consid] sev]al po9ts4 ,! pati5t has usually fall5 or has receiv$ a sev]e bl[ ^u ! "p4 ,?is is n necess>ily true1 = old p (t5 break ! ?igh bone at ! hip jo9t by simply mak+ a false /ep4 ,inability to use ! limb & pa9 fir/ call our att5tion to a brok5 bone4 ,!n :5 we exam9e ! seat ( injury we usually notice "s de=mity--! limb or bone is out ( l9e1 & !re may be an unusual swell+4 ,b to di/+ui% ?is condition f spra9 or bruise1 we mu/ f9d t !re is a new jo9t 9 ! c\rse ( ! bone :]e !re ought n to be any2 e4 g41 if ! leg 7 brok5 midway betwe5 ! knee & ankle1 we %\ld feel t !re 0 app>5tly a new jo9t at ?is place1 t !re 0 increas$ capacity = movem5t 9 ! middle ( ! leg1 & p]haps ! ends ( ! fragm5ts ( bones c\ld be he>d or felt grat+ toge!r4 ,^!1 !n1 are ! absolute te/s ( a brok5 bone--unusual mobility 7or capacity = movem5t7 9 ! c\rse ( ! bone1 & grat+ ( ! brok5 fragm5ts toge!r4 ,! la/ w n occur1 ( c\rse1 unless ! fragm5ts happ5 to lie s t !y t\* ea* o!r & %\ld n be s\ght =4 ,9 ! case ( limbs1 sudd5 %ort5+ ( ! brok5 memb] f ov]lapp+ ( ! fragm5ts is a sure sign4 ,,special ,,fractures4 ,,brok5 ,,rib4--,fir/ ,aid ,rule4--,pati5t puts h&s on head :ile att5dant puts adhesive-pla/] b&1 "o foot wide1 ar\nd injur$ side f sp9e ov] brea/bone to l9e ( armpit ( s\nd side4 ,!n put pati5t to b$4 ,a rib is usually brok5 by direct viol5ce4 ,! symptoms are pa9 on tak+ a deep brea?1 or on c\gh+1 toge!r ) a small1 v t5d] po9t4 ,! de=mity is n usually great1 if1 inde$1 any exi/s1 s t no?+ 9 ! ext]nal appe>ance may call ! att5tion to fracture4 ,grat+ betwe5 ! fragm5ts may be he>d by ! pati5t or by ! exam9]1 & ! pati5t c (t5 place 8 f+] on ! exact location ( ! break4 ,:5 x is a matt] ( d\bt :e!r a rib is brok5 or n ! treatm5t = brok5 rib %\ld be foll[$ = relief ( pa94 ,illu/ration3 ,,fig4 #h4 ,,me?od ,,( ,,b&ag+ ,,brok5 ,,rib 7,,scudd]74 ,note mann] ( /ick+ "o end ( wide adhesive pla/] along backbone2 also assi/ant c>ry+ /rip ar\nd injur$ side4 ,treatm5t consi/s 9 apply+ a wide b& ( surgeon's adhesive pla/]1 to be obta9$ at any drug %op4 ,! b& is made by ov]lapp+ /rips f\r or five in*es wide1 till a wid? ( "o foot is obta9$4 ,?is is !n appli$ by /ick+ "o end along ! back bone & c>ry+ x =w>d ar\nd ! injur$ side ( ! *e/ ov] ! brea/bone z f> z a l9e bel[ ! armpit on ! un9jur$ side ( ! *e/1 i4 e41 ?ree-qu>t]s way ab\t ! *e/4 ,^! f\r- or five-in* /rips ( pla/] may be cut ! "r l5g? fir/ & laid toge!r1 ov]lapp+ ab\t two in*es1 & put on z a :ole1 or1 :at is easi]1 ea* /rip may be put on sep>ately1 beg9n+ at ! sp9e1 five in*es bel[ ! fracture1 & cont9u+ to apply ! /rips1 ov]lapp+ ea* o!r ab\t two in*es1 until ! b& is made to ext5d to ab\t five in*es above ! po9t ( fracture1 all ! /rips end+ 9 ! l9e ( ! armpit ( ! un9jur$ side4 7,fig4 #h47 ,if surgeon's pla/] _c be obta9$1 a /rong unblea*$ cotton or flannel b&age1 a foot wide1 %\ld be plac$ all ar\nd ! *e/ & fa/5$ z snugly z possible ) safety p9s1 9 ord] to limit ! motion ( ! *e/ wall4 ,! pati5t w (t5 be m com=table sitt+ up1 & %\ld take c>e n to be expos$ to cold or wet = "s weeks1 z pleurisy or pneumonia may foll[4 ,?ree weeks are requir$ = firm union to be e/abli%$ 9 brok5 ribs4 ,,coll>-,,bone ,,fracture4 ,fir/ ,aid ,rule4--,put pati5t flat on back1 on level b$1 ) small pill[ betwe5 8 %\ld]s2 place =e>m ( injur$ side across *e/1 & reta9 x s ) b&age ab\t *e/ & arm4 ,illu/ration3 ,,fig4 #i4 ,a ,,brok5 ,,coll> ,,bone 7,,scudd]74 ,usual attitude ( pati5t ) a fracture ( ?is k9d2 note l[]+ & n>r[$ appe>ance ( left %\ld]4 ,fracture ( ! coll> bone is "o ( ! commone/ accid5ts4 ,! bone is usually brok5 9 ! middle ?ird4 ,a swell+ (t5 appe>s at ?is po9t1 & !re is pa9 !re1 especially on lift+ ! arm up & away f ! body4 ,x w be notic$ t ! %\ld]1 on ! side ( ! injury1 seems n>r[] & also l[] ?an its fell[4 ,! head is (t5 b5t t[>d ! injur$ side1 & ! arm ( ! same side is grasp$ bel[ ! elb[ by ! o!r h& ( ! pati5t & support$ z 9 a sl+4 7,see ,fig4 #i47 ,9 exam9+ an app>5tly brok5 bone ! utmo/ g5tl5ess may be us$ or s]i\s damage may result4 ,treatm5t4--,! be/ treatm5t consi/s 9 re/ 9 b$ on a h>d mattress2 ! pati5t ly+ flat on ! back ) a small pill[ betwe5 ! %\ld]s & ! =e>m ( ! injur$ side across ! *e/4 ,?is is a we>isome process1 z x takes f two to ?ree weeks to secure repair ( ! break4 ,on ! o!r h&1 if ! =e>m is c>ri$ 9 a sl+1 s z to raise & support ! %\ld]1 :ile ! pati5t walks ab\t1 a s]viceable result is usually obta9$2 ! only drawback be+ t an unsightly swell+ rema9s at ! seat ( ! break4 ,to make a sl+1 a piece ( /rong cotton clo? a y>d squ>e %\ld be cut diagonally f corn] to corn]1 mak+ two "r-angl$ triangles4 ,ea* ( ^! w make a prop]ly %ap$ piece = a sl+4 7,see ,figs4 #aj & #aa47 ,fracture ( ! coll> bone happ5s v (t5 9 little *ildr51 & is commonly only a p>tial break or splitt+ ( ! bone1 n ext5d+ :olly ?r\gh ! %aft s z to divide x into two fragm5ts1 b caus+ little m ?an b5d+ ( ! bone 7! gre5-/ick fracture74 ,illu/ration3 ,,fig4 #aj4 ,,h[ ,,to ,,make ,a ,,sl+ 7,,scudd]74 ,9 ,fig4 #aj note ?ree-corn]$ b&age2 ,no4 #b end is c>ri$ ov] "r %\ld]1 ,no4 #a ov] left1 !n bo? fa/5$ beh9d neck2 ,no4 #c br\ght ov] & p9n$4 ,illu/ration3 ,,fig4 #aa4 ,,h[ ,,to ,,make ,a ,,sl+ 7,,scudd]74 ,! above illu/ration %[s sl+ 9 position4 ,x is made ( cotton clo? a y>d squ>e cut diagonally f corn] to corn]4 ,a fall f a *air or b$ is suffici5t to cause ! accid5t4 ,a *ild g5]ally cries out on movem5t ( ! arm ( ! injur$ side1 or on be+ lift$ by plac+ ! h&s "u ! armpits ( ! pati5t4 ,a t5d] swell+ is se5 at ! po9t ( ! injury ( ! coll> bone4 ,a broad cotton b&1 ) /raps ov] ! %\ld]s to keep x up1 %\ld encircle ! body & upp] arm ( ! injur$ side1 & ! h& ( ! same side %\ld be support$ by a n>r[ sl+ fa/5$ above beh9d ! neck4 ,,l[]-,,jaw ,,fracture4 ,fir/ ,aid ,rule4--,put fragm5ts into place ) y\r f+]s1 secur+ good l9e ( 8 tee?4 ,support l[] jaw by firmly b&ag+ x aga9/ upp] jaw1 m\? %ut1 us+ f\r-tail$ b&age4 7,fig4 #ab47 ,fracture ( ! l[] jaw is caus$ by a direct bl[4 ,x involves ! "p ( ! jaw occupi$ by ! l[] tee?1 & is m apt to occur 9 ! middle l9e 9 front1 or a %ort di/ance to "o side ( ?is po9t4 ,! =ce caus+ ! break usually n only breaks ! bone1 b also te>s ! gum ?r\gh into ! m\?1 mak+ a comp\nd fracture4 ,!re is imm$iate swell+ ( ! gum at ! po9t ( injury1 & ble$+4 ,! m\? c be op5$ ) difficulty4 ,! condition ( ! tee? is ! mo/ important po9t to obs]ve4 ,ow+ to displacem5t ( ! fragm5ts !re is a diff]5ce 9 ! level ( ! tee? or l9e ( ! tee?1 or bo?1 at ! place :]e ! fracture occurs4 ,also "o or m ( ! tee? are usually loos5$ at ?is po9t4 ,9 addition1 unusual movem5t ( ! fragm5ts may be detect$ z well z a grat+ s\nd on manipulation4 ,treatm5t4--,! brok5 fragm5ts %\ld be press$ into place ) ! f+]s1 & reta9$ tempor>ily ) a f\r-tail$ b&age1 z %[n 9 ! cut4 ,fe$+ is done ?r\gh a glass tube1 us+ milk1 bro?s1 & ?9 gruels4 ,a m\? wa% %\ld be employ$ f\r times daily1 to keep ! m\? clean & assi/ 9 heal+ ( ! gum4 ,a conv5i5t prep>ation consi/s ( m5?ol1 "o-half gra92 ?ymol1 "o-half gra92 boric acid1 tw5ty gra9s2 wat]1 eight ounces4 ,illu/ration3 ,,fig4 #ab4 ,,b&age ,,= ,a ,,brok5 ,,jaw 7,,am]ican ,,text-,,book74 ,above cut %[s a f\r-tail$ b&age2 note me?od ( ty+2 "o /rip supports l[] jaw2 ! o!r holds x 9 place aga9/ upp] jaw4 ,,%\ld]-,,blade ,,fracture4 ,fir/ ,aid ,rule4--,!re is no displacem5t4 ,b&age f+]s1 =e>m1 & arm ( affect$ side1 & put ?is arm 9 sl+4 ,fa/5 slung arm to body ) _m turns ( a b&age1 :i* holds =e>m aga9/ *e/ & arm aga9/ side4 ,%\ld]-blade fracture occasions pa91 swell+1 & t5d]ness on pressure ov] ! po9t ( injury4 ,on manipulat+ ! bone a grat+ s\nd may be he>d & unnatural motion detect$4 ,! treatm5t consi/s 9 b&ag+ ! =e>m & arm on ! injur$ side f bel[ upw>d1 beg9n+ at ! wri/2 sl++ ! =e>m b5t at a "r angle across ! front ( ! body1 susp5d$ by a n>r[ sl+ f ! neck1 & !n encircl+ ! body & arm ( ! injur$ side f %\ld] to elb[ ) a wide b&age appli$ "u ! sl+1 :i* holds ! arm snugly aga9/ ! side4 ,?is b&age is prev5t$ f slipp+ d[n by /raps atta*$ to x & c>ri$ ov] ea* %\ld]4 ,,arm ,,fracture4 ,fir/ ,aid ,rule4--,pad two pieces ( ?9 bo>d n9e by ?ree in*es ) h&k]*iefs4 ,c>efully pull fragm5ts ( bone ap>t1 grasp+ l[] fragm5t ne> elb[ :ile assi/ant pulls g5tly on upp] fragm5t ne> %\ld]4 ,put padd$ bo>ds 7spl9ts7 "o ea* side ( ! fracture1 & w9d b&age ab\t _! :ole l5g?1 tightly en\gh to keep bony fragm5ts firm 9 position4 ,put =e>m & h& 9 sl+4 ,9 fracture ( ! arm betwe5 ! %\ld] & elb[1 swell+ & %ort5+ may give rise to de=mity4 ,pa9 & abnormal motion are symptoms1 :ile a grat+ s\nd may be detect$1 b manipulation ( ! arm = ?is purpose %\ld be avoid$4 ,! surface is apt soon to become black & blue1 ow+ to rupture ( ! blood vessels b5ea? ! sk94 ,! h& & =e>m %\ld be b&ag$ f bel[ upw>d to ! elb[4 ,! bone is put 9 place by grasp+ ! pati5t's elb[ & pull+ directly d[n 9 l9e ) ! arm1 :i* is held slightly away f ! side ( ! pati5t1 :ile an assi/ant /eadies & pulls up ! %\ld]4 ,!n a w$ge-%ap$ pad1 long en\gh to rea* f ! pati5t's armpit to 8 elb[ 7made ( cotton wadd+ or blanket+ sew$ 9 a cotton case7 & ab\t f\r in*es wide & ?ree in*es ?ick at "o end1 tap]+ up to a po9t at ! o!r1 is plac$ aga9/ ! pati5t's side ) ! tap]+ end upp]mo/ 9 ! armpit & ! ?ick end d[n4 ,?is pad is kept 9 place by a /rip ( surgeon's adhesive pla/]1 or b&age pass+ ?r\gh ! small end ( ! w$ge1 & br\ght up & fa/5$ ov] ! %\ld]4 ,illu/ration3 ,,fig4 #ac4 ,,fig4 #ad4 ,,b&age ,,= ,,brok5 ,,arm 7,,scudd]74 ,9 ,fig4 #ac note spl9ts secur$ by adhesive pla/]2 also pad 9 armpit2 9 ,fig4 #ad see wide b&age ar\nd body2 also sl+4 ,:ile ! arm is pull$ d[n f ! %\ld]1 ?ree /rips ( well-padd$ t9 or ?9 bo>d 7su* z picture-frame back+7 two in*es wide & long en\gh to rea* f %\ld] to elb[1 are laid aga9/ ! front1 outside1 & back ( ! arm1 & secur$ by encircl+ /rips ( surgeon's pla/] or b&age4 ,! arm is !n br\ght into ! pad ly+ aga9/ ! side "u ! armpit1 & is held !re firmly by a wide b&age surr\nd+ ! arm & entire *e/1 & rea*+ f ! %\ld] to elb[4 ,x is prev5t$ f slipp+ by /rips ( cotton clo?1 :i* are plac$ ov] ! %\ld]s & p9n$ beh9d & be=e to ! top ( ! b&age4 ,! wri/ is !n support$ 9 a sl+1 n ov] two in*es wide1 ) ! =e>m c>ri$ 9 a horizontal position across ! front ( ! body4 ,firm union ( ! brok5 arm takes place usually 9 f f\r to six weeks4 7,see ,figs4 #ac & #ad47 ,,=e>m ,,fracture4 ,fir/ ,aid ,rule4--,set bones 9 prop] place by pull+ /eadily on wri/ :ile assi/ant holds back ! upp] "p ( ! =e>m4 ,if unsuccessful1 leave x = surgeon to r$uce aft] p]iod ( inaction comes1 a few days lat]1 :5 swell+ subsides4 ,if successful1 put padd$ spl9ts 7pieces ( cig> box padd$ ) h&k]*iefs7 "o on ea* side1 front & back1 & w9d a b&age ab\t :ole ?+ to hold x immovably4 ,two bones ent] into ! /ructure ( ! =e>m4 ,"o or bo? ( ^! may be brok54 ,! fracture may be simple or comp\nd1#g :5 ! s(t p>ts are damag$ & ! break ( ! bone communicates ) ! air1 ! ends ( ! bone ev5 project+ ?r\gh ! sk94 ,9 fracture ( bo? bones !re is m>k$ de=mity1 caus$ by displacem5t ( ! brok5 fragm5ts1 & unusual motion may be discov]$2 a grat+ s\nd may also be detect$ b1 z /at$ be=e1 manipulation ( ! arm %\ld be avoid$4 ,illu/ration3 ,,fig4 #ae4 ,,sett+ ,a ,,brok5 ,,=e>m 7,,scudd]74 ,see mann] ( hold+ arm & apply+ adhesive pla/] /rips2 "o spl9t is %[n1 ano!r is plac$ back ( h& & =e>m4 ,:5 only "o bone is brok5 ! signs are n s m>k$1 b !re is usually a v t5d] po9t at ! seat ( ! fracture1 & an irregul>ity ( ! surface ( ! bone may be felt at ?is po9t4 ,if false motion & a grat+ s\nd c also be elicit$1 ! condition is cle>4 ,! brok5 bones are put into _! prop] place by ! op]ator :o pulls /eadily on ! wri/1 :ile an assi/ant grasps ! upp] "p ( ! =e>m & pulls ! o!r way4 ,! ends ( ! fragm5ts are at ! same "t press$ into place by ! o!r h& ( ! op]ator1 s t ! prop] /raight l9e ( ! limb is re/or$4 ,illu/ration3 ,,fig4 #af4 ,,fracture ,,( ,,bo? ,,bones ,,9 ,,=e>m 7,,scudd]74 ,?is cut %[s ! position & l5g? ( ! two padd$ spl9ts2 also me?od ( apply+ adhesive pla/]4 ,aft] ! =e>m is set1 x %\ld be held /eadily 9 ! foll[+ position :ile ! spl9ts are appli$4 ,! elb[ is b5t s t ! =e>m is held at "r angles ) ! arm horizontally across ! front ( ! *e/ ) ! h& ext5d$1 op5 palm t[>d ! body & ?umb upp]mo/4 ,! spl9ts1 two 9 numb]1 are made ( wood ab\t "o-qu>t] in* ?ick1 & "o-qu>t] in* wid] ?an ! =e>m4 ,!y %\ld be long en\gh to rea* f ab\t two in*es bel[ ! elb[ to ! root ( ! f+]s4 ,!y are cov]$ smoo?ly ) cotton wadd+1 cotton wool1 or o!r s(t mat]ial1 & !n ) a b&age4 ,! spl9ts are appli$ to ! =e>m 9 ! positions describ$1 "o to ! back ( ! h& & =e>m1 & ! o!r to ! palm ( ! h& & front ( ! =e>m4 ,usually !re are spaces 9 ! palm ( ! h& & front ( ! wri/ requir+ to be fill$ ) extra padd+ 9 addition to t on ! spl9t4 ,! spl9ts are b\nd toge!r & to ! =e>m by ?ree /rips ( surgeon's adhesive pla/] or b&age1 ab\t two in*es wide4 ,"o /rip is w\nd ab\t ! upp] ends ( ! spl9ts1 "o is wrapp$ ab\t !m above ! wri/1 & ! ?ird surr\nds ! back ( ! h& & palm1 b9d+ ! spl9ts toge!r bel[ ! ?umb4 ,! spl9ts %\ld be held firmly 9 place1 b great c>e %\ld be ex]cis$ to use no m =ce 9 apply+ ! adhesive pla/] or b&age ?an is necess>y to accompli% ?is end1 z x is easy to /op ! circulation by pressure 9 ?is "p4 ,!re %\ld be "s spr+ felt :5 ! spl9ts are press$ toge!r aft] _! application4 ,a b&age is to be appli$ ov] ! spl9ts & /rips ( pla/]1 beg9n+ at ! wri/ & cov]+ ! =e>m to ! elb[1 us+ ! same c>e n to put ! b&age on too firmly4 ,! =e>m is !n to be held 9 ! same position by a wide sl+1 z %[n above4 7,see ,figs4 #ae1 #af1 #ag47 ,illu/ration3 ,,fig4 #ag4 ,,dress+ ,,= ,,brok5 ,,=e>m 7,,scudd]74 ,prop] position ( arm 9 sl+2 note t h& is unsupport$ ) palm turn$ inw>d & ?umb upp]mo/4 ,f\r weeks are requir$ to secure firm union aft] ?is fracture4 ,:5 ! fracture is comp\nd ! same treatm5t %\ld be employ$ z describ$ "u ,comp\nd ,fracture ( ,leg1 p4 #aaf4 ,,fracture ,,( ,,! ,,wri/2 ,,colles',s ,,fracture4--,?is is a break ( ! l[] end ( ! bone on ! ?umb side ( ! wri/1 & mu* ! l>g] bone 9 ?is "p ( ! =e>m4 ,! accid5t happ5s :5 a p]son falls & /rikes on ! palm ( ! h&2 x is m common 9 eld]ly p4 ,a peculi> de=mity results4 ,a hump or swell+ appe>s on ! back ( ! wri/1 & a deep crease is se5 j above ! h& 9 front4 ,! :ole h& is also displac$ at ! wri/ t[>d ! ?umb side4 ,illu/ration3 ,,fig4 #ah4 ,a ,,brok5 ,,wri/ 7,,scudd]74 ,*>act]i/ic appe>ance ( a ,colles's fracture2 note backw>d displacem5t ( h& at wri/2 also =k-%ap$ de=mity4 ,x is n usual to be able to detect abnormal motion 9 ! case ( ?is fracture1 or to he> any grat+ s\nd on manipulat+ ! "p1 z ! ends ( ! fragm5ts are g5]ally s jamm$ toge!r t x is necess>y to secure a surgeon z soon z possible to pull !m ap>t "u e!r1 9 ord] to rem$y ! exi/+ silv]-=k de=mity4 7,see ,figs4 #ah1 #ai1 #bj1 #ba1 #bb47 ,treatm5t4--,until m$ical aid c be obta9$ ! same sort ( spl9ts %\ld be appli$1 & 9 ! same way z = ! treatm5t ( fractur$ =e>m4 ,if ! de=mity is n reliev$ a /iff & pa9ful jo9t usually p]si/s4 ,x is sometimes impossible = ! mo/ skillful surgeon entirely to correct ! exi/+ de=mity1 & 9 eld]ly p "s /iffness & pa9 9 ! wri/ & f+]s are (t5 unavoidable results4 ,illu/ration3 ,,fig4 #ai4 ,,fig4 #bj4 ,,fig4 #ba4 ,,fig4 #bb4 ,,fracture ,,( ,,! ,,wri/ 7,,scudd]74 ,above illu/rations %[ de=mities result+ f a brok5 wri/2 ,figs4 #ai & #bj ! crease at base ( ?umb2 ,fig4 #ba hump on back ( wri/2 ,fig4 #bb twi/$ appe>ance ( h&4 ,,fracture ,,( ,,bone ,,( ,,h&1 ,,or ,,f+]4 ,fir/ ,aid ,rule4--,set fragm5ts ( bone 9 place by pull+ ) "o h& on f+]1 :ile press+ fragm5ts into position ) o!r h&4 ,put on ea* side ( bone a spl9t made ( cig> box1 padd$ ) fold$ h&k]*iefs1 & reta9 9 place ) b&age w\nd ab\t snugly4 ,put =e>m & h& 9 sl+4 ,?is accid5t m commonly happ5s to ! bones correspond+ to ! middle & r+ f+]1 & occurs betwe5 ! knuckle & ! wri/1 appe>+ z a swell+ on ! back ( ! h&4 ,on look+ at ! clos$ fi/ x w be se5 t ! knuckle correspond+ to ! brok5 bone 9 ! back ( ! h& has ceas$ to be prom95t1 & has sunk5 d[n bel[ ! level ( its fell[s4 ,! end ( ! fragm5t ne>] ! wri/ c g5]ally be felt /ick+ up 9 ! back ( ! h&4 ,illu/ration3 ,,fig4 #bc4 ,a ,,brok5 ,,f+] 7,,scudd]74 ,note spl9t ext5d+ f wri/ to tip ( f+]2 also mann] ( apply+ adhesive pla/] /rips & pad 9 palm4 ,if ! f+] correspond+ to ! brok5 bone 9 ! back ( ! h& be pull$ on =cibly1 & ! fragm5ts be held betwe5 ! ?umb & =ef+] ( ! o!r h& ( ! op]ator1 pa9 & abnormal motion may be detect$1 & ! ends ( ! brok5 bone press$ into place4 ,a ?9 wood5 spl9t1 z a piece ( cig> box1 ab\t an in* wide at base & tap]+ to ! wid? ( ! f+] %\ld be appli$ to ! palm ( ! h& ext5d+ f ! wri/ to a little beyond ! f+] tip1 secur$ by /rips ( adhesive pla/]1 z 9 ! cut1 & cov]$ by a b&age4 ,! spl9t %\ld be well padd$1 & an additional pad %\ld be plac$ 9 ! palm ( ! h& ov] ! po9t ( fracture4 ,?ree weeks are requir$ = firm union1 & ! h& %\ld n be us$ = a mon?4 ,x is usually easy to recognize a brok5 bone 9 a f+]1 unless ! break is ne> a jo9t1 :5 x may be mi/ak5 = a dislocation4 ,pa91 abnormal motion1 & grat+ betwe5 ! fragm5ts are obs]v$4 ,if !re is de=mity1 x may be correct$ by pull+ on ! injur$ f+] ) "o h&1 :ile ) ! o!r ! fragm5ts are press$ into l9e4 ,a n>r[1 padd$ wood5 or t9 spl9t is appli$1 z 9 ! cut 7p4 #ajb71 rea*+ f ! middle ( ! palm to ! f+] tip4 ,any exi/+ displacem5t ( ! brok5 bone c be reliev$ by us+ pressure ) little pads ( cotton held 9 place by n>r[ /rips ( adhesive pla/] :]e x is ne$$ to keep ! bone 9 l9e4 ,! spl9t may be remov$ 9 two weeks & a /rip ( adhesive pla/] w\nd ab\t ! f+] to support x = a week or two m4 ,9 fracture ( ! ?umb1 ! spl9t is appli$ along ! back in/ead ( on ! palm side4 ,,hip ,,fracture4 ,fir/ ,aid ,rule4--,put pati5t flat on back 9 b$1 ) limb w$g$ betwe5 pill[s till surgeon arrives4 ,illu/ration3 ,,fig4 #bd4 ,,treat+ ,a ,,brok5 ,,hip 7,,scudd]74 ,note ! mann] ( /raight5+ leg & gett+ brok5 bone into l9e2 also assi/ant c>efully /eady+ ! ?igh4 ,a fracture ( ! hip is really a break ( t portion ( ! ?igh bone :i* ent]s into ! socket ( ! pelvic bone & =ms ! hip jo9t4 ,x occurs mo/ commonly 9 ag$ p z a result ( s slight an accid5t z tripp+ on a rug1 or 9 fall+ on ! floor f ! /&+ position1 mak+ a mis/ep1 or :ile attempt+ to avoid a fall4 ,:5 ! accid5t has occurr$ ! pati5t is unable to rise or walk1 & suff]s pa9 9 ! hip jo9t4 ,:5 he has be5 help$ to b$ x w be se5 t ! foot ( ! injur$ side is turn$ out1 & ! leg is p]haps app>5tly %ort] ?an its fell[4 ,!re is pa9 on movem5t ( ! limb1 & ! pati5t _c raise 8 heel1 on ! injur$ side1 f ! b$4 ,%ort5+ is an important sign4 ,) ! pati5t ly+ flat on ! back & bo? legs toge!r 9 a /raight l9e ) ! body1 measurem5ts f ea* hip-bone are made ) a tape to ! bony prom95ce on ! inside ( ea* ankle1 9 turn4 ,"o end ( ! tape is held at ! navel & ! o!r is swung f "o ankle to ! o!r1 comp>+ ! l5g? ( ! two limbs4 ,%ort5+ ( less ?an half an in* is ( no importance z a sign ( fracture4 ,! fragm5ts ( brok5 bone are (t5 jamm$ toge!r 7impact$7 s t x is impossible to get any s\nd ( grat+ betwe5 !m1 & x is v unwise to manipulate ! leg or hip jo9t1 except 9 ! g5tle/ mann]1 9 an attempt to get ?is grat+4 ,if ! ends ( ! fragm5ts become dis5gag$ f ea* o!r x (t5 happ5s t union ( ! break nev] occurs4 ,illu/ration3 ,,fig4 #be4 ,,treatm5t ,,= ,,fractur$ ,,hip 7,,scudd]74 ,note me?od ( hold+ spl9ts 9 place ) musl9 /rips2 "o above ankle1 "o bel[ & "o above knee1 "o 9 middle & "o ar\nd upp] "p ( ?igh4 ,! treatm5t simply consi/s 9 keep+ ! pati5t quiet on a h>d mattress1 ) a small pill[ "u ! knee ( ! injur$ side & ! limb /eadi$ on ei!r side by pill[s or cu%ions until a surgeon c be obta9$4 7,see ,?igh-bone ,fracture47 ,,?igh-,,bone ,,fracture4 ,fir/ ,aid ,rule4--,prep>e long piece ( ?9 bo>d :i* w rea* f armpit to ankle1 & ano!r piece long en\gh to rea* f crot* to knee1 & pad ea* ) fold$ t[els or blanket4 ,:ile "o assi/ant holds body back1 & ano!r assi/ant pulls on ankle ( injur$ side1 see t ! fragm5ts are sep>at$ & br\ght into good l9e1 & !n apply ! spl9ts1 assi/ants /ill pull+ /eadily1 & fa/5 ! spl9ts 9 place ) b&age1 or by ty+ sev]al clo?s across at ?ree places above ! knee & two places bel[ ! knee4 ,f9ally1 pass a wide b& ( clo? ab\t ! body1 f armpit to hips1 inclos+ ! upp] "p ( ! well-padd$ spl9t1 & fa/5 x snugly4 ,! holl[ betwe5 spl9t & wai/ mu/ be fill$ ) padd+ be=e ?is wide clo? is appli$4 ,9 fracture ( ! ?igh bone 7betwe5 ! hip & knee71 !re is (t5 great swell+ ab\t ! break4 ,! limb is helpless & useless4 ,!re is int5se pa9 & abnormal position 9 ! injur$ "p1 besides de=mity produc$ by ! swell+4 ,! foot ( ! injur$ limb is turn$ ov] to "o side or ! o!r1 ow+ to a roll+ ov] ( ! portion ( ! limb bel[ ! break4 ,) bo? l[] limbs 9 l9e ) ! body1 & ! pati5t ly+ on ! back1 measurem5ts are made f ea* hip-bone to ! prom95ce on ! inside ( ei!r ankle jo9t4 ,%ort5+ ( ! injur$ leg w be f\nd1 v>y+ f "o to ov] two in*es1 accord+ to ! ov]lapp+ & displacem5t ( ! fragm5ts4 ,treatm5t4--,to set ?is fracture tempor>ily1 a bo>d ab\t five in*es wide & long en\gh to rea* f ! armpit to ! foot %\ld be padd$ well ) t[els1 %eets1 %awls1 coats1 blanket1 or :atev] is at h&1 & ! padd+ c be/ be kept 9 place by surgeon's adhesive pla/]1 bicycle tape1 or /rips ( clo?4#h ,ano!r spl9t %\ld be provid$ z wide z ! ?igh & long en\gh to rea* along ! back ( ! leg f ! middle ( ! calf to ! buttock1 & also padd$ 9 ! same way4 ,a ?ird spl9t %\ld be prep>$ 9 ! same mann] to g inside ! leg1 rea*+ f ! crot* to ! inside ( ! foot4 ,/ill a f\r? spl9t made ( a ?9 bo>d z wide z ! ?igh1 ext5d+ f ! upp] "p ( ! ?igh to j above ! knee1 is padd$ = application to ! front ( ! ?igh4 ,:5 ^! are made ready & at h&1 ! leg %\ld be pull$ on /eadily b c>efully /raight away f ! body to relax ! muscles1 an assi/ant hold+ ! upp] "p ( ! ?igh & pull+ 9 ! opposite direction4 ,!n1 :5 ! leg has be5 /raight5$ out & ! ?igh bone seems 9 fair l9e1 ! spl9ts %\ld be appli$2 ! fir/ to ! outside ( ! ?igh & body1 ! second "u ! calf1 knee1 & ?igh2 ! ?ird to ! inside ( ! :ole limb1 & ! f\r? to ! front ( ! ?igh4 ,wide pads %\ld be plac$ ov] ! ribs "u ! outside spl9t to fill ! space above ! hips & "u ! armpit4 ,!n all f\r spl9ts are drawn toge!r & held 9 place by rubb]-pla/] /raps or /rips ( /rong musl9 appli$ z foll[s3 "o above ! ankle2 "o bel[ ! knee2 "o above ! knee2 "o 9 ! middle ( ! ?igh1 & "o ar\nd ! upp] "p ( ! ?igh4 ,a wide b& ( /rong musl9 or %eet+ %\ld !n be b\nd ar\nd ! :ole body betwe5 ! armpits & hips1 inclos+ ! upp] "p ( ! outside spl9t4 ,! pati5t c !n be borne com=tably ^u a /ret*] made ( bo>ds & a mattress or "s improvis$ cu%ion4 7,see ,figs4 #bd & #be47 ,:5 ! pati5t c be put imm$iately to b$ aft] ! injury1 & does n h to be transport$1 x is only necess>y to apply ! out]1 back1 & front spl9ts1 omitt+ ! inn] spl9t4 ,x is necess>y = ! prop] & p]man5t sett+ ( a fractur$ ?igh t a surgeon give an anae/hetic & apply ! spl9ts :ile ! muscles are completely relax$4 ,x is also ess5tial t ! muscles be kept f contract+ !reaft] by ! application ( a fifte5- or tw5ty-p\nd weight to ! leg1 aft] ! spl9ts are appli$1 b x is possible to outl9e "h only ! prop] fir/-aid treatm5t4 ,,kneepan ,,fracture4 ,fir/ ,aid ,rule4--,pa9 is imm$iate & int5se4 ,sep>at$ fragm5ts may be felt at fir/4 ,swell+ prompt & enorm\s4 ,ev5 if n sure1 foll[ ^! directions = safety4 ,prep>e spl9t3 ?9 bo>d1 f\r in*es wide1 & long en\gh to rea* f upp] "p ( ?igh to j above ankle4 ,pad ) fold$ piece ( blanket or s(t t[els4 ,place x beh9d leg & ?igh2 c>efully fill space beh9d knee ) pad2 fa/5 spl9t to limb ) ?ree /rips ( broad adhesive pla/]1 "o ar\nd upp] end ( spl9t1 "o ar\nd l[] end1 "o j bel[ knee4 ,lay l>ge flat1 dry sponge ov] knee ?us held1 & b&age ?is 9 place4 ,keep sponge & b&age wet ) ice wat]4 ,if no sponge is available1 half fill rubb] hot-wat] bottle ) crack$ ice1 & lay ?is ov] knee jo9t4 ,put pati5t to b$4 ,fracture ( kneepan is caus$ ei!r by direct viol5ce or muscul> /ra94 ,x m frequ5tly occurs 9 "y adults4 ,imm$iate pa9 is felt 9 ! knee & walk+ becomes impossible2 9 fact1 (t5 ! pati5t _c rise f ! gr\nd aft] ! accid5t4 ,swell+ at fir/ is slight1 b increases enorm\sly )9 a few h\rs4 ,imm$iately aft] ! injury x may be possible to feel ! sep>ate brok5 fragm5ts ( ! kneepan & to recognize t !y are sep>at$ by a consid]able space if ! break is horizontally across ! bone4 ,illu/ration3 ,,fig4 #bf4 ,a ,,brok5 ,,kneepan 7,,scudd]74 ,a padd$ spl9t1 support+ knee1 is %[n rea*+ f ankle to ?igh4 ,note numb] & location ( adhesive pla/] /rips4 ,no?+ c be done to set ! fracture until ! swell+ ab\t ! jo9t has be5 r$uc$1 s t ! fir/ treatm5t consi/s 9 secur+ imm$iate re/ = ! kneejo9t1 & immobility ( ! fragm5ts4 ,a spl9t made ( bo>d1 ab\t a qu>t] ( an in* ?ick & ab\t f\r in*es wide = an adult1 rea*+ f ! upp] "p ( ! ?igh above to a little above ! ankle bel[1 is appli$ to ! back ( ! limb & well padd$1 especially to fill ! space beh9d ! knee4 ,! spl9t is atta*$ to ! limb by /raps ( adhesive pla/] two in*es & a half wide2 "o ar\nd ! l[] end ( ! spl9t1 "o ar\nd ! upp] "p1 & ! ?ird plac$ j bel[ ! knee4 ,to prev5t & arre/ ! swell+ & pa91 pressure is !n made on ! knee by b&ag+4 ,"o ( ! be/ me?ods 7,scudd]'s7 is to b9d a l>ge1 flat1 dry sponge ov] ! knee & !n keep x wet ) cold wat]2 or to apply an ice bag directly to ! swoll5 knee2 a spl9t 9 ei!r case be+ ! fir/ requisite4 ,! pati5t %\ld ( c\rse be put to b$ z soon z possible aft] ! accid5t1 & %\ld lie on ! back ) ! injur$ leg elevat$ on a pill[ ) a cradle to keep ! clo!s f press+ on ! injur$ limb4 7,see cut1 p4 #aaj47 ,,fracture ,,( ,,leg ,,bones1 ,,betwe5 ,,knee ,,& ,,ankle4 ,fir/ ,aid ,rule4--,h&le v c>efully2 great dang] ( mak+ op5+ to surface4 ,special pa9ful po9t1 angle or new jo9t 9 bone1 disability1 & grat+ felt w decide exi/5ce ( break4 ,let assi/ant pull on foot1 to sep>ate fragm5ts1 :ile y exam9e "p ( suppos$ break4 ,if only "o bone is brok51 !re may be no displacem5t4 ,put pati5t on back4 ,:ile two assi/ants pull1 "o on ankle & "o on ?igh at knee1 ?us sep>at+ fragm5ts1 slide pill[ l5g?wise "u knee1 &1 br++ its edges up ab\t leg1 p9 !m snugly above leg4 ,prep>e ?ree pieces ( ?9 wood1 f\r in*es wide & long en\gh to rea* f sole ( foot to a po9t f\r in*es above knee4 ,:ile assi/ants pull on limb aga91 z be=e1 put "o spl9t ea* side & ?ird beh9d limb1 & ) b&age or /rips ( /ick+ pla/] fa/5 ^! spl9ts to ! leg inclos$ 9 its pill[ z tight z possible4 ,9 fracture ( ! leg betwe5 ! knee & ankle we h pa91 angul> de=mity or an app>5t false jo9t 9 ! leg1 swell+ & t5d]ness ov] ! seat ( fracture1 toge!r ) inability to use ! injur$ leg4 ,two bones =m ! framework ( ! leg2 ! inn]1 or %9bone1 ! %>p edge ( :i* c be felt 9 front ?r\gh\t mo/ ( its c\rse1 be+ mu* ! l>g] & /rong] bone4 ,:5 bo? bones are brok51 ! displacem5t ( ! fragm5ts1 abnormal motion & consequ5t de=mity1 are commonly app>5t1 & a grat+ s\nd may be he>d1 b %\ld n be s\ght =4 ,illu/ration3 ,,fig4 #bg4 ,,fracture ,,( ,,bo? ,,leg ,,bones 7,,scudd]74 ,?is cut %[s ! peculi> de=mity 9 breaks ( ?is k9d2 see position ( kneepan2 also prom95ce ( brok5 bone above ankle4 ,an op5 w\nd (t5 communicates ) ! break1 mak+ ! fracture comp\nd1 a mu* m s]i\s condition4 ,to avoid mak+ ! fracture a comp\nd "o1 dur+ exam9ation ( ! leg1 ow+ to ! %>p ends ( ! bony fragm5ts1 ! utmo/ g5tl5ess %\ld be us$4 ,"u no circum/ances attempt to move ! fragm5ts f side to side1 or backw>d & =w>d1 9 an ef=t to detect ! grat+ s\nd (t5 caus$ by ! ends ( brok5 bones4 ,! greate/ dang] lies 9 ! desire to d too mu*4 ,we aga9 ref] ! read] to ,fir/ ,aid ,rule #a4 ,illu/ration3 ,,fig4 #bh4 ,,b&age ,,= ,,brok5 ,,leg 7,,scudd]74 ,note ! pill[ br\ght up ar\nd leg & edges p9n$ toge!r2 also l5g? & me?od ( fa/5+ spl9t ) /raps4 ,:5 "o bone is brok5 !re may be only a po9t ( t5d]ness & swell+ ab\t ! vic9ity ( ! break & no displacem5t or grat+ s\nd4 ,:5 9 d\bt z to ! exi/5ce ( a fracture always treat ! limb z if a fracture 7 pres5t4 ,black & blue discoloration ( ! sk9 mu* m ext5sive ?an t foll[+ spra9 w become evid5t ov] ! :ole leg )9 tw5ty-f\r h\rs4 ,treatm5t4--,:5 a surgeon _c be obta9$1 ! foll[+ tempor>y pill[dress+1 recomm5d$ by ,scudd] 9 8 book on fractures1 is "o ( ! be/4 ,) ! pati5t on 8 back1 ! leg hav+ be5 /raight5$ & any de=mity remov$ z f> z possible by grasp+ ! foot & pull+ directly away f ! body :ile an assi/ant /eadies ! ?igh1 a l>ge1 s(t pill[1 inclos$ 9 a pill[case1 is plac$ "u ! leg4 ,! sides ( ! pill[ are br\ght well up ab\t ! leg & ! edges ( ! pill[case are p9n$ toge!r along ! front ( ! leg4 ,!n ?ree /rips ( wood ab\t f\r in*es wide1 ?ree-sixte5?s to a qu>t] ( an in* ?ick1 & long en\gh to rea* f ! sole ( ! foot to ab\t f\r in*es above ! knee1 are plac$ outside ( ! pill[ along ! inn] & out] aspects ( ! leg & b5ea? x4 ,! spl9ts are held 9 place1 ) ! pill[ z padd+ b5ea?1 by f\r /raps ( webb+ 7or if ^! _c be obta9$1 by /rips ( /\t clo?1 adhesive pla/]1 or ev5 rope72 b f\r pads made ( fold$ t[els %\ld be put "u ! /raps :]e !y cross ! front ( ! leg :]e little b ! pill[case ov]laps4 ,^! /raps are appli$ ?us3 "o above ! knee1 "o above ! ankle1 & ! o!r two betwe5 ^! two po9ts1 hold+ all firmly toge!r4 ,?is dress+ may be left undi/urb$ = a week or ev5 t5 days if necess>y4 7,see ,figs4 #bg & #bh47 ,! leg %\ld be kept elevat$ aft] ! spl9ts are appli$1 & /eadi$ by pill[s plac$ ei!r side ( x4 ,f "o to two mon?s are requir$ to secure union 9 a brok5 leg 9 adults1 & f ?ree to five mon?s elapse be=e ! limb is completely s]viceable4 ,9 *ildr5 ! "t requisite = a cure is usually mu* %ort]4 ,,ankle-,,jo9t ,,fracture4 ,fir/ ,aid ,rule4--,"o or bo? bones ( leg may be brok5 j above ankle4 ,foot is g5]ally pu%$ or b5t outw>d4 ,prep>e two pieces ( ?9 wood1 f\r in*es wide & long en\gh to g f sole ( foot to j bel[ knee3--! spl9ts4 ,pad !m ) fold$ t[els or pieces ( blanket4 ,:ile assi/ants pull bones ap>t g5tly1 "o pull+ on knee1 o!r pull+ on foot & turn+ x /raight1 apply ! spl9ts1 "o ea* side ( ! leg4 ,a fracture ( ! ankle jo9t is really a fracture ( ! l[] extremities ( ! bones ( ! leg4 ,!re are pres5t pa9 & great swell+1 p>ticul>ly on ! inn] side ( ! ankle at fir/1 & ! :ole foot is pu%$ & b5t outw>d4 ,! bony prom95ce on ! inn] side ( ! ankle is unduly m>k$4 ,! foot besides be+ b5t outw>d is also displac$ backw>d on ! leg4 ,?is fracture might be tak5 = a dislocation or spra9 ( ! ankle4 ,dislocation ( ! ankle )\t fracture is v r>e1 & :5 ! foot is return$ to its prop] position x w /ay !re1 :ile 9 fracture ! foot drops back to its =m] displac$ /ate4 ,9 spra9$ ankle !re are pa9 & swell+1 b n ! de=mity caus$ by ! displacem5t ( ! foot4 ,?is fracture may be treat$ tempor>ily by return+ ! foot to its usual position & putt+ on side spl9ts & a back spl9t1 z describ$ = ! treatm5t ( fracture ( ! leg4 ,,comp\nd ,,or ,,op5 ,,fracture ,,( ,,! ,,leg4--,?is condition may be produc$ ei!r by ! viol5ce :i* caus$ ! fracture also lead+ to de/ruction ( ! sk9 & s(t p>ts b5ea?1 or by ! end ( a bony fragm5t pi]c+ ! muscles & sk9 f )94 ,9 ei!r ev5t ! result is mu* m s]i\s ?an t ( an ord9>y simple fracture1 = g]ms c ga9 entrance ?r\gh ! w\nd 9 ! sk9 & cause inflammation ) p>tial de/ruction or dea? ( ! "p4 ,treatm5t4--,imm$iate treatm5t is "h ( ! utmo/ value4 ,x is applicable to op5 or comp\nd fracture 9 any "p ( ! body4 ,! area = a consid]able di/ance ab\t ! w\nd1 if cov]$ ) hair1 %\ld be %av$4 ,x %\ld !n be wa%$ ) w>m wat] & soap by means ( a clean piece ( cotton clo? or absorb5t cotton4 ,!n "s absorb5t cotton or cotton clo? %\ld be boil$ 9 wat] 9 a clean vessel = a few m9utes1 &1 aft] ! op]ator has ?or\ghly wa%$ 8 h&s1 ! boil$ wat] 7:5 suffici5tly cool7 %\ld be appli$ to ! w\nd$ area & surr\nd+ p>ts ) ! boil$ cotton1 remov+ 9 ! mo/ pa9/ak+ way all visible & invisible dirt4 ,by all[+ "s ( ! wat] to fl[ ov] ! w\nd f ! height ( a few feet ?is result is favor$4 ,f9ally "s ( ! boil$ cotton1 :i* has n be5 previ\sly t\*$1 is spread ov] ! w\nd wet1 & cov]$ ) clean1 dry cotton & b&ag$4 ,spl9ts are !n appli$ z = simple fracture 9 ! same locality 7p4 #aac74 ,if a fragm5t ( bone projects ?r\gh ! w\nd x may be replac$ aft] ! cleans+ j describ$1 by grasp+ ! l[] "p ( ! limb & pull+ 9 a /raight l9e ( ! limb away f ! body1 :ile an assi/ant holds firmly ! upp] "p ( ! limb & pulls 9 ! opposite direction4 ,dur+ ! :ole process nei!r ! h&s ( ! op]ator nor ! boil$ cotton %\ld come 9 contact ) any?+ except ! vessel conta9+ ! boil$ wat] & ! pati5t4 ,,footnotes3 #e ,! engrav+s illu/rat+ ! *apt]s on ,fractures & ,dislocations are f ,buck's ,ref]5ce ,h&book ( ,m$ical ,sci5ce1 publi%$ by ,william ,wood ,co41 ,new ,york2 also1 ,scudd]'s ,treatm5t ( ,fractures & ,am]ican ,text-,book ( ,surg]y1 publi%$ by ,w4 ,b4 ,saund]'s ,company1 ,philadelphia4 #f ,x %\ld be di/9ctly und]/ood t ! in=mation ab\t fractures is n suppli$ to enable anyone to avoid call+ a surgeon1 b is to be foll[$ only until exp]t assi/ance c be obta9$ &1 l o!r advice 9 ?is book1 is int5d$ to furni% fir/-aid in=mation or directions to ^? :o are 9 places :]e physicians _c be secur$4 #g ,= treatm5t ( comp\nd fracture1 see ,comp\nd ,fracture ( ,leg 7p4 #aaf74 #h ,?is me?od foll[s closely t recomm5d$ by ,scudd]1 9 8 book ,! ,treatm5t ( ,fractures4 ,,*apt] ,v ,dislocations ,h[ to ,tell a ,dislocation--,r$uc+ a ,dislocat$ ,jaw--,/imson's ,me?od ( ,treat+ a ,dislocat$ ,%\ld]--,appe>ance ( ,elb[ :5 ,out ( ,jo9t--,hip ,dislocations--,=ms ( ,b&ages4 ,,dislocations2 ,,bones ,,out ,,( ,,jo9t4 ,,jaw4--,r>e4 ,m\? rema9s op51 l[] tee? advanc$ =w>d4 ,fir/ ,aid ,rule #a4--,protect y\r ?umbs4 ,put on ?ick lea!r gloves1 or b9d !m ) ?ick b&age4 ,rule #b4--;,assi/ant /eadies pati5t f beh9d1 ) h&s bo? sides ( 8 head1 op]ator presses d[nw>d & backw>d ) 8 ?umbs on back tee? ( pati5t1 ea* side ( pati5t's jaw1 :ile ! *9 is grasp$ betwe5 =ef+]s & rais$ upw>d4 ,idea is to /ret* ! ligam5t at jaw jo9t1 & sw+ jaw back :ile pull+ on ?is ligam5t4 7,fig4 #bi47 ,rule #c4--,tie jaw ) f\r-tail$ b&age up aga9/ upp] jaw = a week4 7,fig4 #ab1 p4 #ij47 ,,%\ld]4--,common accid5t4 ,no hurry4 ,see p4 #abb4 ,,elb[4--,r>e4 ,no hurry4 ,see p4 #abe4 ,,hip4--,no hurry4 ,see p4 #abi4 ,,knee4--,r>e4 ,easily r$uc$4 ,head ( l[] bone 7tibia7 is mov$ to "o side2 knee slightly b5t4 ,fir/ ,aid ,rule #a4--,put pati5t on back4 ,rule #b4--;,flex ?igh on abdom5 & hold x !re4 ,rule #c4--;,grasp leg bel[ knee & twi/ x back & =?1 & /raight5 knee4 ,,dislocations4--,a dislocation is an injury to a jo9t :]e9 ! ends ( ! bones =m+ a jo9t are =c$ out ( place4 ,a dislocation is commonly describ$ z a condition 9 :i* a "p 7z ! %\ld]7 is out ( jo9t or out ( place4 ,a dislocation mu/ be di/+ui%$ f a spra91 & f a fracture ne> a jo9t4 ,9 a spra91 z has be5 /at$ 7p4 #fe71 ! bones ent]+ into ! =mation ( ! jo9t are p]haps mom5t>ily displac$1 b return into _! prop] place :5 ! viol5ce is remov$4 ,b1 ow+ to great] injury1 9 dislocation ! head ( ! bone slips out ( ! socket :i* %\ld hold x1 breaks ?r\gh ! ligam5ts surr\nd+ ! jo9t1 & rema9s p]man5tly out ( place4 ,= ?is reason !re is a peculi> de=mity1 produc$ by ! head ( ! bone's ly+ 9 its new & unnatural situation1 :i* is n se5 9 a spra94 ,also1 ! dislocat$ jo9t _c be mov$ by ! pati5t or by ano!r p]son1 except )9 n>r[ limits1 :ile a spra9$ jo9t c be mov$1 ) ! production ( pa9 x is true1 b )\t any me*anical ob/acle4 ,9 ! case ( fracture ne> a jo9t !re is usually increas$ movem5t 9 "s new direction4 ,:5 a dislocat$ jo9t is put 9 prop] place x /ays 9 place1 :]eas :5 a fractur$ "p is r$uc$ !re is no?+ to keep x 9 place &1 if let alone1 x quickly resumes its =m] faulty position4 ,only a few ( ! common] dislocations w be consid]$ "h1 z ! o!rs are ( r>e occurr5ce & require m skill ?an c be imp>t$ 9 a book int5d$ = ! laity4 ,! foll[+ in/ructions are n to be foll[$ if skill$ surgical att5dance c be secur$2 !y are int5d$ solely = ^? n s =tunately situat$4 ,,dislocation ,,( ,,! ,,jaw4--,?is condition is caus$ by a bl[ on ! *91 or occurs 9 gap+ or :5 ! m\? is kept widely op5 dur+ prolong$ d5tal op]ations4 ,! jo9t surface at ! upp] "p ( ! l[] jaw1 j 9 front ( ! entrance to ! e>1 is ?r[n out ( its socket on "o side ( ! face1 or on bo? sides4 ,if ! jaw is put out ( place on bo? sides at once1 ! *9 w be f\nd project+ s t l[] front tee? jut out beyond ! upp] front tee?1 ! m\? is op5 & _c be clos$1 & ! pati5t is suff]+ consid]able pa94 ,:5 ! jaw is dislocat$ on "o side only1 ! *9 is pu%$ ov] t[>d ! un9jur$ side ( ! face1 :i* gives ! face a twi/$ appe>ance2 ! m\? is p>tly op5 & fix$ 9 t position4 ,a depression is se5 on ! injur$ side 9 front ( ! e>1 :ile a correspond+ prom95ce exi/s on ! opposite side ( ! face1 & ! l[] front tee? project beyond ! upp] front tee?4 ,illu/ration3 ,,fig4 #bi4 ,,r$uc+ ,,dislocation ,,( ,,jaw 7,,am]ican ,,text-,,book74 ,?umbs plac$ ^u la/ mol> tee? on ea* side2 note jaw grasp$ betwe5 f+]s & ?umbs to =ce x into place4 ,treatm5t4--,a dislocation ( "o side ( ! jaw is treat$ 9 ! same mann] z t ( bo? sides4 ,! dislocation may sometimes be r$uc$ by plac+ a good-siz$ cork z f> back z possible betwe5 ! back tee? ( ! upp] & l[] jaws 7on "o or bo? sides1 accord+ z ! jaw is out ( place on "o or bo? sides71 & gett+ ! pati5t to bite d[n on ! cork4 ,?is may pry ! jaw back into place4 ,! common me?od is = ! op]ator to protect bo? ?umbs by wrapp+ b&age ab\t 8 ?umbs1 or we>+ lea!r gloves1 & !n1 :ile an assi/ant /eadies ! head1 ! op]ator presses d[nw>d & backw>d on ! back tee? ( ! pati5t on ea* side ( ! l[] jaw ) bo? ?umbs 9 ! pati5t's m\?1 :ile ! *9 is grasp$ b5ea? by ! =ef+]s ( ea* h& & rais$ upw>d4 ,:5 ! jaw slips into place x %\ld be ma9ta9$ !re by a b&age plac$ ar\nd ! head "u ! *9 & reta9$ !re = a week4 ,dur+ ?is "t ! pati5t %\ld be f$ on liquids ?r\gh a tube1 s t x w n be necess>y = him to op5 8 m\? to any ext5t4 7,see ,fig4 #bi47 ,,dislocation ,,( ,,! ,,%\ld]4--,?is is by f> ! mo/ common ( dislocations 9 adults1 con/itut+ ov] "o-half ( all su* accid5ts affect+ any ( ! jo9ts4 ,x is caus$ by a fall or bl[ on ! upp] arm or %\ld]1 or by fall+ ^u ! elb[ or out/ret*$ h&4 ,! upp] "p 7or head7 ( ! bone ( ! arm 7hum]us7 slips d[nw>d out ( ! socket or1 9 "s cases1 inw>d & =w>d4 ,9 ei!r case ! g5]al appe>ance & treatm5t ( ! accid5t are mu* ! same4 ,! %\ld] ( ! injur$ side loses its fullness & looks flatt] 9 front & on ! side4 ,! arm is held ) ! elb[ a few in*es away f ! side1 & ! l9e ( ! arm is se5 to slope inw>dly t[>d ! %\ld]1 z comp>$ ) ! s\nd arm4 ,! injur$ arm _c be mov$ mu* by ! pati5t1 al?\gh x c be lift$ up & away f ! side by ano!r p]son1 b _c be mov$ s t1 ) ! elb[ aga9/ ! front ( ! *e/1 ! h& ( ! injur$ arm c be laid on ! opposite %\ld]4 ,nei!r c ! arm1 ) ! elb[ at a "r angle1 be made to t\* ! side ) ! elb[1 )\t caus+ great pa94 ,treatm5t4--,"o ( ! simple/ me?ods 7,/imson's7 ( r$uc+ ?is dislocation consi/s 9 plac+ ! pati5t on 8 injur$ side on a canvas cot1 :i* %\ld be rais$ high en\gh f ! floor on *airs1 & all[+ ! injur$ arm to hang directly d[nw>d t[>d ! floor ?r\gh a hole cut 9 ! cot1 ! h& n t\*+ ! floor4 ,!n a t5-p\nd weight is atta*$ to ! wri/4 ,! gradual pull produc$ by ?is means g5]ally br+s ! %\ld] back into place )\t pa9 & )9 six m9utes4 7,fig4 #cj47 ,illu/ration3 ,,fig4 #cj4 ,,treat+ ,a ,,dislocat$ ,,%\ld]4 7,,ref]5ce ,,h&book47 ,pati5t ly+ on injur$ side2 note arm hang+ ?r\gh hole 9 cot rais$ f floor on *airs2 also weight atta*$ to wri/4 ,! m ord9>y me?od consi/s 9 putt+ ! pati5t on 8 back on ! floor1 ! op]ator also sitt+ on ! floor ) 8 /ock+$ foot aga9/ ! pati5t's side "u ! armpit ( ! injur$ %\ld] & grasp+ ! injur$ arm at ! elb[1 he pulls ! arm directly outw>d 7i4 e41 ) ! arm at "r angles ) ! body7 & away f ! trunk4 ,an assi/ant may at ! same "t aid by lift+ ! head ( ! arm bone upw>d ) 8 f+]s 9 ! pati5t's armpit & 8 ?umbs ov] ! injur$ %\ld]4 ,if ! arm does n g into place easily by "o ( ^! me?ods x is unwise to cont9ue mak+ fur!r attempts4 ,also if ! %\ld] has be5 dislocat$ sev]al days1 or if ! pati5t is v muscul>1 x w g5]ally be necess>y t a surgeon give e!r 9 ord] to r$uce ! dislocation4 ,x is entirely possible = a skillful surgeon to secure r$uction ( a dislocation ( ! %\ld] sev]al weeks aft] its occurr5ce4 ,aft] ! dislocation has be5 reliev$ ! arm1 above ! elb[1 %\ld be b&ag$ to ! side ( ! *e/ & ! h& ( ! injur$ side c>ri$ 9 a sl+ = t5 days4 ,,dislocation ,,( ,,! ,,elb[4--,?is is m frequ5t 9 *ildr51 & is usually produc$ by a fall on ! out/ret*$ h&4 ,! elb[ is ?r[n out ( jo9t1 s t ! =e>m is displac$ backw>d on ! arm1 9 ! m usual =m ( dislocation4 ,! elb[ jo9t is swoll5 & g5]ally held slightly b5t1 b _c be mov$ to any ext5t )\t great pa94 ,! tip ( ! elb[ projects at ! back ( ! jo9t m ?an usual1 :ile at ! front ( ! arm ! di/ance betwe5 ! wri/ & ! b5d ( ! elb[ is less ?an t ( ! s\nd arm4 7,see cut1 p4 #abf47 ,illu/ration3 ,,fig4 #ca4 ,above cut %[s *>act]i/ic appe>ance ( a dislocat$ %\ld]2 note loss ( fullness2 also elb[ held away f side & inw>d slop+ ( arm4 ,,fig4 #cb4 ,,dislocat$ ,,elb[ ,,& ,,%\ld]4 7,,am]ican ,,text-,,book47 ,fig4 #cb %[s dislocation ( elb[ backw>d2 note swoll5 condition ( left elb[ held slightly b5t2 also ! projection ( back ( jo9t4 ,= fur!r pro( t ! elb[ is out ( jo9t we mu/ comp>e ! relations ( ?ree po9ts 9 ea* elb[4 ,^! are ! two bony prom95ces on ea* side ( ! jo9t 7belong+ to ! bone ( ! arm above ! elb[7 & ! bony prom95ce t =ms ! tip ( ! elb[ :i* belongs to ! bone ( ! =e>m4 ,illu/ration3 ,,fig4 #cc4 ,,treatm5t ,,( ,,dislocat$ ,,elb[ 7,,scudd]74 ,note padd$ "r-angl$ t9 spl9t2 also ?ree /rips ( surgeon's pla/] on arm & =e>m4 ,9 dislocation backw>d ( ! =e>m1 ! tip ( ! elb[ is obs]v$ to be f>!r back1 9 relation to ! two bony prom95ces at ! side ( ! jo9t1 ?an is ! case 9 ! s\nd elb[4 ,?is is be/ asc]ta9$ by t\*+ ! ?ree po9ts on ! pati5t's elb[ ( ea* arm 9 turn ) ! ?umb & middle f+] on ea* ( ! prom95ces on ! side ( ! jo9t1 :ile ! =ef+] is plac$ on ! tip ( ! elb[4 ,! l[] end ( ! bone ( ! upp] arm is (t5 se5 & felt v easily j above ! b5d ( ! elb[ 9 front1 z x is ?r[n =w>d 7see ,fig4 #cb1 p4 #abf74 ,fracture ( ! l[] "p ( ! bone ( ! arm above ! elb[ jo9t may pres5t mu* ! same appe>ance z ! dislocation we are describ+1 b !n ! :ole elb[ is displac$ backw>d1 & ! relation ( ! ?ree po9ts describ$ above is ! same 9 ! injur$ z 9 ! un9jur$ arm4 ,moreov] 9 fracture ! de=mity1 :5 reliev$1 w imm$iately recur :5 ! arm is releas$1 z !re is no?+ to hold ! bones 9 place2 b 9 dislocation1 aft] ! bones are replac$ 9 _! normal position1 ! de=mity w n reappe>4 ,treatm5t4--,! treatm5t = dislocation consi/s 9 b5d+ ! =e>m backw>d to a /raight l9e1 or ev5 a little m1 & !n :ile an assi/ant holds firmly ! arm above ! elb[1 ! =e>m %\ld be grasp$ bel[ ! elb[ & pull$ ) great =ce away f ! assi/ant &1 :ile ex]t+ ?is traction1 ! elb[ is sudd5ly b5t =w>d to a "r angle1 :5 ! bones %\ld slip into place4 ,! aft] treatm5t is mu* ! same z = mo/ fractures ( ! elb[4 ,! arm is reta9$ 9 a well-padd$ "r-angl$ t9 spl9t :i* is appli$ ) ?ree /rips ( surgeon's pla/] & b&age to ! front ( ! arm & =e>m 7see ,fig4 #cc7 = two or ?ree weeks4 ,! spl9t %\ld be remov$ e few days1 & ! elb[ jo9t %\ld be mov$ to & fro g5tly to prev5t /iffness1 & ! spl9t !n reappli$4 ,,dislocation ,,( ,,! ,,hip4--,?is occurs m commonly 9 males f fifte5 to =ty-five ye>s ( age1 & is due to ext]nal viol5ce4 ,9 ! m ord9>y =m ( hip dislocation ! pati5t /&s on ! s\nd leg ) ! body b5t =w>d1 ! injur$ leg be+ greatly %ort5$1 ) ! toes turn$ inw>d s mu* t ! foot ( ! injur$ limb crosses ov] ! in/ep ( ! s\nd foot4 ,! injur$ limb _c be mov$ outw>d & b slightly inw>d1 yet may be b5t =w>d4 ,walk+ is impossible4 ,pa9 & de=mity ( ! hip jo9t are evid5t4 ,! only condition ) :i* ?is w\ld be likely to be confus$ is a fracture ( bone 9 ! region ( ! hip4 ,fracture ( ! hip is common 9 old p1 b n 9 y\? or middle adult life4 ,9 fracture !re is usually n en\gh %ort5+ to be p]ceiv$ ) ! eye2 ! toes are m (t5 turn$ out1 & ! pati5t c (t5 be> "s weight on ! limb & ev5 walk4 ,treatm5t4--,! simple/ treatm5t is t recomm5d$ by ,/imson1 z foll[s3 ! pati5t is to be slung up 9 ! air 9 a v]tical position by means ( a %eet or belt ( "s sort plac$ ar\nd ! body "u ! armpits1 s t ! feet dangle a foot or s f ! floor1 & !n a weight ( ab\t t5 or fifte5 p\nds1 accord+ to ! /r5g? ( ! pati5t's muscles1 is atta*$ to ! foot ( ! injur$ leg 7bricks1 flatirons1 or /ones may be us$71 & ?is weight w usually draw ! bone d[n into its socket )9 t5 or fifte5 m9utes4 ,illu/ration3 ,,fig4 #cd4 ,,r$uc+ ,,dislocation ,,( ,,hip 7,,ref]5ce ,,h&book74 ,pati5t ly+ on table2 un9jur$ leg held by assi/ant2 leg ( dislocat$ side at "r angles2 note weight at b5d ( knee4 ,or ! pati5t may assume ! position %[n 9 ! accompany+ cut1 ly+ prone ^u a table ) ! un9jur$ leg held horizontally by "o p]son1 :ile ano!r1 ) ! injur$ ?igh held v]tically & leg at "r angles1 grasps ! pati5t's ankle & moves x g5tly f side to side aft] plac+ a five-to t5-p\nd s& bag1 or simil> weight ( o!r sub/ance1 at ! flexure ( ! knee4 ,:5 ! dislocation has be5 ov]come ! pati5t %\ld /ay 9 b$ = a week or two & !n g ab\t gradually on crut*es = two weeks long]4 ,,surgical ,,dress+s4--,/]iliz$ gauze is ! *ief surgical dress+ ( ! pres5t day4 ,?is mat]ial is simply *eese clo?1 f :i* grease & dirt h be5 remov$ by boil+ 9 "s alkal9e prep>ation1 usually wa%+ soda1 & r9s+ 9 pure wat]4 ,! gauze is /]iliz$ by subject+ x to moi/ or dry heat4 ,/]iliz$ gauze may be b\ght at %ops deal+ 9 surgeons' supplies & in/rum5ts1 & at mo/ drug /ores4 ,gauze or *eese clo? may be /]iliz$ 7to de/roy g]ms7 by bak+ 9 a sl[ ov51 9 t9 boxes1 or wrapp$ 9 cotton clo?1 until x beg9s to turn br[n4 ,x is well to h a small piece ( ! gauze 9 a sep>ate package1 :i* may be inspect$ f "t to "t 9 ord] to see h[ ! bak+ is progress+1 z ! mat]ial to be employ$ = surgical purposes %\ld n be op5$ until j be=e x is to be us$1 any rema9d] be+ imm$iately cov]$ aga94 ,cut ! gauze into pieces z l>ge z ! h&1 be=e x is /]iliz$1 to avoid cutt+ & h&l+ aft]w>ds4 ,gauze may also be /]iliz$ by /eam+ 9 an ,arnold /]iliz]1 su* z is us$ = milk1 or by boil+1 if x is to be appli$ wet4 ,c>boliz$1 borat$1 & corrosive-sublimate gauze h little special value4 ,illu/ration3 ,,plate ,i4 ,fig4 ,i4 ,fig4 ,,ii4 ,fig4 ,,iii4 ,fig4 ,,iv4 ,,apply+ ,a ,,roll] ,,b&age 7,,ref]5ce ,,h&book74 ,fig4 ,i %[s me?od ( />t+ a spiral b&age2 ,fig4 ,,ii1 ready to rev]se2 ,fig4 ,,iii1 ! rev]se complet$2 ,fig4 ,,iv %[s spica b&age appli$ to gro94 ,absorb5t cotton is also employ$ z a surgical dress+1 & %\ld also be /]iliz$ if x is to be us$ on raw surfaces4 ,x is n s useful = dress+ w\nds z gauze1 s9ce x mats d[n closely1 does n absorb secretions & dis*>ges s well1 & /icks to ! p>ts4 ,:5 torn into balls z l>ge z an egg & boil$ = fifte5 m9utes 9 wat]1 x is useful z sponges = clean+ w\nds4 ,%eet wadd+1 or cotton1 is s]viceable 9 cov]+ spl9ts be=e !y are appli$ to ! sk94 ,wet antiseptic surgical dress+s are valuable 9 treat+ w\nds :i* are inflam$ & n heal+ well4 ,!y are made by soak+ gauze 9 solutions ( c>bolic acid 7half a teaspoonful ( ! acid to "o p9t ( hot wat]71 &1 aft] application1 cov]+ ! gauze ) oil silk1 rubb] dam1 or p>aff9 pap]4 ,heavy br[n wrapp+ pap]1 well oil$ or greas$1 w answ] ! purpose :5 bett] mat]ial is n at h&4 ,,b&ages4--,b&ag+ is an art t c only be acquir$ 9 any degree ( p]fection by practical in/ruction & exp]i5ce4 ,"s useful h9ts1 h[ev]1 may be giv5 to ! inexp]i5c$4 ,cotton clo?1 blea*$ or unblea*$1 is commonly employ$ = b&ages2 also gauze1 :i* does n make s effective a dress+1 b is mu* easi] ( application1 is s(t] & m com=table1 & is be/ adapt$ to ! use ( ! novice4 ,a b&age _c be put on prop]ly unless x is fir/ roll$4 ,a b&age = ! limbs %\ld be ab\t two & a half in*es wide & eight y>ds long2 = ! f+]s1 ?ree-qu>t]s ( an in* wide & ?ree y>ds long4 ,! b&age may be roll$ on itself till x is z l>ge z ! f+]1 & !n roll$ d[n ! front ( ! ?igh1 ) ! palm ( ! "r h&1 :ile ! loose end is held taut 9 ! left h&4 ,illu/ration3 ,,plate ,,ii4 ,fig4 ,i4 ,fig4 ,,ii4 ,fig4 ,,iii4 ,fig4 ,,iv4 ,,diff]5t ,,=ms ,,( ,,b&ages4 7,,am]ican ,,text-,,book ,,& ,,ref]5ce ,,h&book47 ,fig4 ,i %[s application ( figure-(-eight b&age2 ,fig4 ,,ii1 a spica b&age ( ?umb2 ,fig4 ,,iii1 a spica b&age ( foot2 ,fig4 ,,iv1 a ,t-b&age4 ,two =ms ( b&ages are adapt$ to ! limbs1 ! figure-(-eight1 & ! spiral rev]s$ b&age4 ,9 apply+ a b&age always beg9 at ! l[] extremity ( ! limb & approa* ! body4 ,make a few circul> turns ab\t ! limb 7see ,fig4 ,i1 p4 #acb71 !n z ! limb enl>ges1 draw ! b&age up spirally1 rev]s+ x ea* "t x encircles ! limb1 z %[n 9 ,fig4 ,i1 p4 #acd4 ,9 rev]s+1 hold ! b&age ) ! left ?umb s t x w n slip1 & !n all[+ ! free end to fall slack1 turn d[n z 9 ,fig4 ,,ii1 p4 #acb4 ,! ,t-b&age is us$ to b&age ! crot* betwe5 ! ?ighs1 or ar\nd ! =ehead & ov] ! top ( ! skull4 7,see ,fig4 ,,iv1 p4 #acd47 ,9 ! =m] case1 ! ends #a-a are put ab\t ! body z a belt1 & ! end #b is br\ght f beh9d1 9 ! n>r[ "p ( ! back1 d[n =w>d betwe5 ! ?ighs1 ov] ! crot*1 & up to ! belt 9 ! l[] "p ( ! belly4 ,! figure-(-eight b&age is us$ on v>i\s p>ts1 & is illu/rat$ 9 ! b&age call$ spica ( ! gro91 ,fig4 ,,iv1 p4 #acb4 ,beg9n+ ) a few circul> turns ab\t ! body 9 ! direction ( #a1 ! b&age is br\ght d[n 9 front ( ! body & gro91 z 9 #b1 & !n ab\t ! back ( ! ?igh up ar\nd ! front ( ! ?igh1 z 9 #c1 across ! back & once ar\nd ! body & d[n aga9 z 9 #b4 ,o!r b&ages appropriate to v>i\s p>ts ( ! body are also illu/rat$ t by _! help ! prop] me?od ( _! application may be und]/ood4 ,see pages #acb1 #acd1 #acf1 #acg4 ,! triangul> b&age 7see p4 #hh7 made f a l>ge h&k]*ief or piece ( musl9 a y>d squ>e1 cut or fold$ diagonally f corn] to corn]1 w be f\nd invaluable 9 em]g5cy cases4 ,x is easily & quickly adju/$ to almo/ any "p ( ! body1 & may be us$ = dress+ w\nds1 or z a b&age = fractures1 etc4 ,illu/ration3 ,,plate ,,iii4 ,fig4 ,i4 ,fig4 ,,ii4 ,,b&ages ,,= ,,extremities 7,,am]ican ,,text-,,book74 ,fig4 ,i %[s a spiral rev]s$ b&age ( arm & h&1 requir+ roll] #b-a_/b in*es wide & #g y>ds long2 ,fig4 ,,ii %[s a spiral rev]s$ b&age ( leg & foot1 requir+ roll] #b-a_/b in*es wide & #ad y>ds long4 ,illu/ration3 ,,plate ,,iv4 ,fig4 ,i4 ,fig4 ,,ii4 ,fig4 ,,iii4 ,fig4 ,,iv4 ,,b&ages ,,= ,,head ,,& ,,h&4 7,,am]ican ,,text-,,book47 ,fig4 ,i %[s a gauntlet b&age2 ,fig4 ,,ii1 a circul> b&age = ! jaw2 ,fig4 ,,iii1 a circul> b&age = ! head2 ,fig4 ,,iv1 a figure-(-eight b&age = bo? eyes4 ,,*apt] ,,vi ,ord9>y ,poisons ,unkn[n ,poisons--,antidotes = ,poison+ by ,acids & ,alkalies--,! ,/oma* ,pump--,emetics--,symptoms & ,treatm5t ( ,metal ,poison+-- ,n>cotics4 ,fir/ ,aid ,rule #a4--,s5d at once = physician4 ,rule #b4--;,empty /oma* ) emetic4 ,rule #c4--;,give antidote4 ,9 mo/ cases ( poison+ emetics & purgatives d ! mo/ good4 ,,unkn[n ,,poisons4--,act at once be=e mak+ inquiry or inve/igation4 ,fir/ ,aid ,rule4--,give two teaspoonfuls ( *alk 7or :it+1 or :itewa% scrap$ f ! wall or a f5ce7 mix$ ) a w9eglass ( wat]4 ,beat f\r eggs 9 a glass ( milk1 add a tablespoonful ( :isky1 & give at once4 ,mean:ile1 turn to p4 #ahf1 & be prep>$ to foll[ ,rule #b "u ,suffocation1 9 case artificial respiration may be necess>y1 9 spite ( ! /imulant & antidotes4 ,aft] hav+ tak5 ! fir/ /eps1 try to asc]ta9 ! exact poison us$1 b wa/e no "t at ! />t4 ,if y c f9d out j :at poison 0 swall[$1 give ! treatm5t advis$ "u t poison1 except+ :at y may already h giv54 ,,acids4--,symptoms3 ,corrosion or ble$+ ( ! p>ts ) :i* !y come 9 contact1 foll[$ by int5se pa91 & !n pro/ration f %ock4 ,nitric acid /a9s face yell[2 sulphuric black5s2 c>bolic :it5s ! muc\s membrane1 & also causes nausea & /upor4 ,treatm5t4--,c>bolic3 ,give a tablespoonful ( alcohol or w9eglass ( :isky or br&y at once2 or "o tablespoonful ( ca/or oil1 also a half p9t ( sweet oil1 also a p9t ( milk4 ,put to b$1 & apply hot-wat] bottles4 ,nitric & ,oxalic3 ,*alk1 lime (f walls1 :itewa% scrap$ (f f5ce or wall1 "o teaspoonful mix$ ) a qu>t] ( a glass ( wat]4 ,give "o tablespoonful ca/or oil1 & half a p9t ( sweet oil4 ,inject into ! rectum "o tablespoonful ( :isky 9 two ( wat]4 ,sulphuric3 ,soapsuds1 half a glass2 a p9t ( milk4 ,o!r ,acids3 ,limewat]1 or two teaspoonfuls ( aromatic _s ( ammonia dilut$ ) a glass ( wat]4 ,"o tablespoonful ( ca/or oil4 ,,alkalies4--,symptoms3 ,burn+ & de/ruction ( ! muc\s membrane ( m\?1 sev]e pa91 vomit+ & purg+ ( bloody matt]1 rapid dea? by %ock4 ,ammonia2 ,pota%2 ,lye2 ,cau/ic ,soda2 ,wa%+ ,soda3 ,give half a glass ( v9eg> mix$ ) half a glass ( wat]2 also juice ( f\r lemons 9 two glasses ( wat]4 ,"o teaspoonful ( ca/or oil 9 half a glass ( olive oil4 ,if pro/rat$1 give tablespoonful ( :isky 9 a qu>t] ( a glass ( hot wat]4 ,,metals4--,symptoms3 ,great irritation1 cramps & purg+1 suppression ( ur9e1 delirium or /upor1 collapse1 & g5]ally dea?4 ,ars5ic2 ,p>is ,gre52 ,f[l]'s ,solution2 ,r\gh on ,rats3 ,int5se pa91 ?ir/1 grip+ 9 b[els1 vomit+ & bloody purg+1 %ock1 delirium4 ,pati5t picks at ! nose4 ,s5d to druggi/'s = two ounces hydrat$ sesquioxide ( iron1 ! be/ antidote1 & give tablespoonful e qu>t] h\r 9 half a glass ( wat]4 ,mean:ile1 or if antidote is n to be _h1 give a glass or two ( limewat]1 foll[$ by a teaspoonful ( mu/>d dissolv$ 9 a glass ( wat]1 foll[$ by w>m wat] 9 any quantity4 ,copp]2 ,blue ,vitriol2 ,v]digris3 ,give "o tablespoonful ( mu/>d 9 a glass ( w>m wat]4 ,aft] vomit+1 give :ites ( ?ree eggs1 "o p9t ( milk4 ,m]cury2 ,corrosive ,sublimate2 ,bug ,poison2 ,:ite ,precipitate2 ,bi*loride ( ,m]cury3 ,give :ites ( f\r eggs = e gra9 ( m]cury suspect$2 cause vomit+ by giv+ a tablespoonful ( mu/>d mix$ ) a glass ( w>m wat]1 or ?irty gra9s ( p[d]$ ipecac mix$ ) half a glass ( wat]4 ,silv] ,nitrate3 ,give two teaspoonfuls ( table salt dissolv$ 9 two glasses ( hot wat]4 ,aft] half an h\r give a tablespoonful ( ca/or oil4 ,phosphor\s2 ,mat*es3 ,give teaspoonful ( mu/>d mix$ 9 a glass ( wat]4 ,aft] vomit+ has occurr$1 give a tablespoonful ( gum arabic dissolv$ 9 a tumbl]ful ( hot wat]4 ,an h\r lat] give tablespoonful ( ,epsom salts dissolv$ 9 a glass ( wat]4 ,,give ,,no ,,oil4 ,antimony2 ,t>t> ,emetic3 ,symptoms z /at$ = metals4 ,give ?irty gra9s ( p[d]$ ipecac /irr$ 9 w9eglass ( wat]1 ev5 if vomit+ has occurr$4 ,give ?ree cups ( /rong tea1 or hot infusion ( oak b>k1 & two teaspoonfuls ( :isky 9 w9eglass ( hot wat]4 ,use hot-wat] bottles to keep pati5t w>m4 ,,n>cotics4--,aconite2 ,belladonna2 ,camphor2 ,digitalis2 ,ergot2 ,hellebore2 ,lobelia3 ,^! all cause nausea1 numbness1 /upor1 rapidity ( ! he>t foll[$ by weakness ( he>t1 delirium or convulsions1 coma1 & dea?4 ,!re is (t5 an acid ta/e 9 m\?1 ) dryness ( ?roat & m\?1 fev]1 vomit+ & di>rhea1 ) sev]e pa9 9 ! b[els4 ,pupils are dilat$4 ,9 ei!r case use ! /oma* pump at once4 ,if no pump is at h&1 siphon out /oma* ) rubb] tube & funnel4 ,if tube is n available1 give ?irty gra9s ( p[d]$ ipecac /irr$ 9 a w9eglass ( wat]1 foll[$ by two glasses ( w>m wat]4 ,z ! pati5t vomits1 give m w>m wat]4 ,:5 vomit+ ceases1 give two cups ( /rong hot c(fee1 & !n a tablespoonful ( ca/or oil4 ,keep pati5t awake by rubb+2 d n exhau/ him by walk+ him ab\t4 ,he mu/ lie flat4 ,if pro/ration foll[s1 give two teaspoonfuls ( :isky 9 w9eglass ( hot wat] f "t to "t1 if repetition is necess>y4 ,alcohol2 ,liquors ,conta9+ ,x3 ,symptoms ( drunk5ness1 /upor1 dr[s9ess1 irritability ( temp]1 rapid1 weak he>t1 sleep1 coma4 ,brea? te/ifies4 ,if possible1 use /oma* pump e>ly1 or tube & funnel4 ,or give ?irty gra9s ( p[d]$ ipecac /irr$ 9 a w9eglass ( wat]1 & :5 vomit+ ceases give ?irty drops ( aromatic _s ( ammonia 9 a w9eglass ( wat] e half h\r till pulse has become full & rapid4 ,!n apply cold to ! head & heat to ! extremities4 ,*loral2 ,pat5t ,sleep+ ,m$ic9es2 ,knock-out ,drops4 ,symptoms3 ,nausea1 coldness & numbness1 /upidity1 pro/ration1 (t5 vomit+ & purg+1 sleep1 coma4 ,he>t v weak1 ) pulse at wri/ v feeble4 ,con/riction ( ! m\? & ?roat1 ) dryness4 ,pa9 9 b[els is m>k$ be=e /upor appe>s4 ,use /oma* pump if possible1 or empty /oma* ) rubb] tube & funnel1 siphon+ fluids out4 ,or give ?irty gra9s ( p[d]$ ipecac /irr$ 9 a w9eglass ( wat]4 ,:5 vomit+ ceases1 give two teaspoonfuls ( :isky 9 half a glass ( hot wat]4 ,give hypod]mic injection ( sulphate ( /ry*n9e1 "o-tw5tie? ( a gra9 e two or ?ree h\rs1 till pati5t is r\s$ & weakness is pa/4 ,rubb+ ( ! surface1 application ( hot-wat] bottles to ! body & legs4 ,if brea?+ ceases1 foll[ ,rule #b "u ,suffocation 7p4 #ahf7 till brea?+ is well e/abli%$ aga94 ,opium2 ,morph9e2 ,laudanum2 ,p>egoric2 ,soo?+ ,syrups4 ,symptoms3 ,dr[s9ess1 sleep1 /upor :5 r\s$1 pupils v small--p9 po9t unless pati5t is us$ to ! drug--con/ipation1 cold sk94 ,use /oma* pump1 if at h&4 ,or give emetic ( ?irty gra9s ( p[d]$ ipecac /irr$ 9 a w9eglass ( wat]1 foll[$ by two glasses ( w>m wat]1 z vomit+ proce$s4 ,let ! pati5t inhale ammonia or smell+ salts4 ,give him half a gra9 ( p]manganate ( pota% dissolv$ 9 a w9eglass ( wat]1 e half h\r4 ,inject two ounces ( black c(fee1 at blood heat1 into ! rectum4 ,rub ! l[] "p ( ! body & legs briskly t[>d ! he>t1 :ile artificial respiration is be+ c>ri$ out4 ,see ,rule #b "u ,suffocation 7p4 #ahf74 ,?irty drops ( t9cture ( belladonna to an adult1 e h\r1 w assi/ ! brea?+4 ,d n exhau/ ! pati5t by walk+ him ar\nd1 slapp+ him ) wet t[els1 or /rik+ him on ! calves2 keep him awake by rubb+4 ,tobacco :5 ,swall[$3 ,nausea & vomit+ occur1 ) sev]e pa9 & great pro/ration2 delirium or convulsions may foll[4 ,! he>t1 at fir/ rapid & full1 becomes weak & compressible4 ,give emetic at once3 ?irty gra9s ( p[d]$ ipecac /irr$ 9 w9eglass ( wat]1 foll[$ by two glasses ( w>m wat]1 by degrees4 ,give :isky1 two teaspoonfuls 9 w9eglass ( hot wat]4 ,keep pati5t w>m4 ,nux ,vomica2 ,/ry*n9e4 ,symptoms3 ,excitem5t1 rapid he>t action1 re/lessness1 panic ( appreh5sion1 twit*+ ( =e>ms & h&s1 possibly convulsions1 dur+ consci\sness4 ,use /oma* pump1 if possible1 or give ?irty gra9s ( p[d]$ ipecac /irr$ 9 a w9eglass ( wat]4 ,!n1 :5 vomit+ has ceas$1 give tw5ty gra9s ( *loral1 toge!r ) ?irty gra9s ( bromide ( sodium 9 half a glass ( wat]1 at blood heat1 inject$ into ! rectum4 ,give tw5ty gra9s ( bromide ( sodium 9 a w9eglass ( wat]1 e h\r1 by ! m\?4 ,if convulsions1 put *lor(orm be=e nose & m\?1 z foll[s3 p\r tw5ty drops ( *lor(orm on a h&k]*ief & hold x close to ! m\?1 lett+ air pass freely "u x4 ,/op :5 pati5t relaxes4 ,resume if he becomes rigid aga94 ,coca9e4 ,symptoms3 ,g5]al n]v\sness1 irritability ( temp]1 wakefulness1 foll[$ quickly by great pallor1 dilatation ( ! pupils1 unconsci\sness1 & convulsions4 ,give ! pati5t two teaspoonfuls ( :isky 9 a w9eglass ( wat] e h\r4 ,give1 if possible1 a hypod]mic ( a ?irtie? ( a gra9 ( /ry*n9e1 e two h\rs1 or z he may require x1 to keep ! pulse full & /rong4 ,use hot-wat] bottles to feet & legs4 ,ph5acet92 ,acetanilid2 ,heada*e ,p[d]s3 ,give two teaspoonfuls ( :isky 9 a w9eglass ( hot wat]4 ,if ! he>t flags1 give t9cture ( digitalis1 five m9ims 9 tablespoonful ( wat]1 e two h\rs1 or till ?ree doses are giv54 ,x is bett] to use digital91 "o "o-hundr$? ( a gra9 hypod]mically1 if possible4 ,,*apt] ,,vii ,food ,poison+ ,food ,conta9+ ,bact]ial ,poisons ,result+ f ,putrefaction2 ,food ,infect$ ) ,disease ,g]ms2 ,food ,conta9+ ,p>asites--,tapeworm-- ,tri*9iasis--,potato ,poison+4 ,,food ,,poison+4--,mu* ! same symptoms f all meats1 fi%1 %ellfi%1 milk1 *eese1 ice cream1 & vegetables2 namely1 vomit+1 cramps1 di>rhea1 heada*e1 pro/ration1 weak pulse1 cold h&s & feet1 possibly an eruption4 ,fir/ ,aid ,rule #a4--,rid pati5t ( poison4 ,cause repeat$ vomit+ by giv+ ?ree or f\r glasses ( w>m wat]1 ea* conta9+ half a level teaspoonful ( mu/>d4 ,put f+] d[n ?roat to assi/4 ,empty b[els by giv+ w>m injection ( soapsuds & wat] by f\nta9 syr+e4 ,rule #b4--,support he>t & rally n]ve =ce4 ,give teaspoonful ( :isky 9 tablespoonful ( hot wat] e half h\r1 z ne$$4 ,put hot-wat] bottles at feet & ab\t body4 ,conditions1 ,etc4--,bact]ial poisons1 con/itut+ irritants ( ! /oma* & b[els1 are f\nd 9 c]ta9 mussels1 oy/]s f artificial b$s1 eels out ( /agnant dit*es--z well z ! uncook$ blood ( ! common riv] eel--c]ta9 fi% at all times1 c]ta9 fi% :5 spawn+1 putrefi$ fi%1 f]m5t$ cann$ fi%1 sausages ( :i* ! +r$i5ts h putrefi$1 putrefi$ meat1 imp]fectly cur$ bacon1 putrefi$ *eese1 milk improp]ly h&l$ & n cool$ be=e be+ transport$1 ice cream :i* f]m5t$ be=e freez+1 or ice cream conta9+ putrid gelat91 & m\ldy corn meal & ! bread made f x4 ,^! poisons are call$ tox9s1 or toxalbum9s1 or bact]ial proteids4 ,!y are no long] call$ ptoma9es1 because _m ptoma9es are n poison\s4 ,!y are =m$ )9 ! cells ( ! bact]ia1 & result f ! comb9ation ( c]ta9 con/itu5ts ( ! food mat]ial t n\ri%es ! bact]ia1 9 "s way n q und]/ood4 ,"s decomposition mu/ h tak5 place 9 ! food be=e x c furni% to ! bact]ia ! n\ri%m5t x ne$s4 ,if ?is has happ5$1 ! bact]ia multiply rapidly1 & ! tox9s t are =m$ are tak5 up by ! lymphatics & c>ri$ away f ! tissues z fa/ z possible4 ,b s great is _! virul5ce t !y act on sev]al vital organs be=e !y c be antagoniz$ by ! natural elem5ts ( ! blood4 ,symptoms4--,! symptoms are mu* ! same 9 all ! cases ( bact]ial poison+ m5tion$4 ,sudd5 & viol5t vomit+ & di>rhea appe> a few h\rs aft] eat+ ! spoil$ food1 or may be delay$4 ,!re may be heada*e1 colic1 & cramps 9 ! muscles4 ,m>k$ pro/ration & weak pulse ) cold h&s & feet are *>act]i/ic4 ,! appe>ance ( sk9 eruptions is n uncommon4 ,! occurr5ce ( su* symptoms 9 sev]al p]sons1 "s h\rs aft] p>tak+ ( ! same food1 is suffici5t to w>rant "o 9 pron\nc+ ! tr\ble food poison+4 ,treatm5t4--,! objects ( treatm5t are to rid ! pati5t ( ! poison1 & to /imulate ! he>t & g5]al circulation1 & draw on ! res]ve n]ve =ce4 ,x is be/ to procure m$ical aid to wa% out ! /oma*1 b :5 ?is is impossible1 ! pati5t %\ld be enc\rag$ to swall[ pl5ty ( tepid wat] & !n vomit x4 ,if !re is no natural incl9ation to d s1 vomit+ may be br\ght ab\t by putt+ ! f+] 9 ! back ( ! ?roat4 ,! same process %\ld be repeat$ a numb] ( times1 & ! result w be almo/ z good z ?\gh a physician _h us$ a /oma* tube4 ,a teaspoonful ( salt or tablespoonful ( mu/>d 9 ! wat] w ha/5 its rejection4 ,!n ! b[els %\ld likewise be empti$4 ,if vomit+ cont9ues ?is w n be possible by means ( drugs giv5 by ! m\?1 al?\gh calomel may be reta9$ giv5 9 half-gra9 tablets h\rly to an adult1 until ! b[els beg9 to move1 or till eight to t5 tablets are tak54 ,:5 vomit+ is excessive1 empty+ ( ! b[els may be br\ght ab\t quickly by giv+ w>m injections ( soapsuds into ! b[el ) a f\nta9 syr+e4 ,br&y or :isky 9 teaspoonful doses giv5 9 a tablespoonful ( hot wat] at half-h\r int]vals %\ld foll[ ! empty+ ( ! /oma* & b[els1 & ! pati5t mu/ be kept quiet4 ,he mu/ also be kept w>m by means ( hot-wat] bags & blankets4 ,,infect$ ,,food4--,a frequ5t s\rce ( illness is infection by disease g]ms transmitt$ 9 food4 ,! meat ( animals slaught]$ :5 sick ) abscess1 pneumonia1 kidney disease1 di>rhea1 or an?rax 7malignant pu/ule7 c>ries disease g]ms & causes s]i\s illness2 s does ! meat ( animals kill$ aft] rec5t bir? ( _! "y1 & probably hav+ fev]4 ,oy/]s may be contam9at$ ) excrem5t f typhoid pati5ts1 & may !n transmit ! disease to ^? :o eat !m4 ,milk f diseas$ animals1 or contam9at$ ) g]ms ( typhoid fev]1 sc>let fev]1 tub]culosis1 diph!ria1 etc41 is apt to cause ! same disease 9 ! human be+ :o dr9ks x4 ,if su* infect$ food is eat5 raw1 ! diseases ) :i* x is contam9at$ may be transmitt$4 ,if subject$ to cook+ at a temp]ature ( at lea/ ! boil+ po9t1 comp>ative safety is secur$2 b ! tox9s accompany+ ! disease g]ms 9 ! infect$ food are n z a rule r5d]$ h>mless4 ,treatm5t mu/ be direct$ to ea* disease ?us transmitt$4 ,poison+ result+ f eat+ cann$ meats has sometimes be5 attribut$ to suppos$ traces ( t91 z9c1 or sold]1 :i* h become dissolv$ 9 ! fluids ( ! meat1 b 9 ! va/ majority ( cases su* poison+ is due to tox9s accompany+ ! g]ms ( putrefaction1 ! meats hav+ be5 unfit = cann+ at ! outset4 ,9 su* cases ! symptoms are ! same z 9 o!r food poison+1 & ! treatm5t mu/ be su* z is else:]e direct$ 7see pp4 #adg & #adi74 ,:ile human brea/ milk is g]m free1 ! c[s' milk sold 9 cities is a v common s\rce ( disease4 ,scrupul\s c>e ( ! c[s1 ( ! clo?+ & h&s ( ! milk]s1 ( ! /ables at :i* ! h]ds are qu>t]$1 & ( ! cans1 pails1 & pans us$1 r$uces to a m9imum ! am\nt ( fil? & impurity o!rwise mix$ ) milk4 ,9 ! h\sehold1 z well z dur+ transportation1 milk %\ld be kept cool1 ) ice if necess>y4 ,x %\ld also nev] be left uncov]$1 = x readily absorbs gases1 effluvia1 & contam9at+ sub/ances 9 ! air1 & af=ds an excell5t m$ium = ! gr[? & propagation ( g]ms4 ,:5 p>tially or entirely s\r$1 x %\ld n be us$1 except 9 ! prep>ation ( articles ( food by cook+1 z direct$ 9 cook books4 ,x %\ld nev] be us$ if !re is any d\bt ab\t its purity4 ,unless all d\bt has be5 remov$1 x is be/ to subject milk int5d$ = *ildr5's consumption to a temp]ature ( #afj deg4 ,f4 = t5 m9utes1 & !n put x on ! ice1 especially dur+ hot wea!r4 ,g]ms are ?us r5d]$ h>mless1 & ! n\ri%+ qualities ( ! milk rema9 unimpair$4 ,summ] di>rhea ( *ildr51 also call$ *ol]a infantum1 occurs z an epidemic 9 almo/ all l>ge cities dur+ ! hotte/ days ( summ]4 ,! disease is l>gely fatal1 especially dur+ ! fir/ hot mon?1 because ! mo/ susceptible & t5d] *ildr5 are ! fir/ affect$4 ,x is due to ! absorption into ! sy/ems ( ^! *ildr5 ( ! tox9s =m$ dur+ ! putrefy+ ( milk 9 ! /oma*s & b[els ( ! little suff]]s4 ,clean1 pure sweet milk1 free f bact]ia %\ld be us$ to prev5t ! occurr5ce ( ?is disease4 ,its treatm5t is outl9$ 9 ,vol4 ,,iii4 ,exactly :at bact]ia cause ! disease is n decid$4 ,possibly ! milk is infect$1 b probably ! poison\s results come f tox9s4 ,,food ,,conta9+ ,,p>asites4--,! p>asites f\nd 9 food 9 ?is c\ntry are e*9ococcus1 gu9eaworm1 hookworm1 tri*9a1 & tapeworm4 ,e*9ococcus _c be und]/ood or diagnos$ by ! layman4 ,gu9eaworm is excessively r>e 9 ! ,unit$ ,/ates2 x ga9s access into ! body ?r\gh dr9k+ wat] :i* conta9s ! individuals4 ,hookworm is ! cause ( m9]s' anaemia1 & is extremely r>e 9 ?is c\ntry4 ,! entrance ( liv+ food p>asites c be absolutely prev5t$ by ?or\gh cook+ ( meats1 especially pork & beef4 ,heat de/roys ! measles & ! tri*9a worms4 ,,tapeworm4--,?is is develop$ 9 man aft] eat+ measly beef or pork4 ,measles are embryo tapeworms call$1 f _! appe>ance1 bladd] worms4 ,9 f six to t5 weeks aft] be+ receiv$ into ! inte/9e ( a man1 ^! bladd] worms become full gr[n1 & measure f t5 to ?irty feet 9 l5g?--! tapeworms4 ,symptoms4--,v]tigo1 impairm5t ( sight & ( he>+1 it*+ ( ! nose1 salivation1 loss ( appetite1 dyspepsia1 emaciation1 colic1 palpitation ( ! he>t1 & sometimes fa9t+ accompany ! pres5ce ( ! tapeworm4 ,g5]ally ! condition becomes kn[n ?r\gh ! passage 9 ! excrem5t ( small sections ( ! worm4 ,^! sections resemble flat portions ( mac>oni4 ,treatm5t4--,?is1 to be successful1 mu/ be direct$ by a physician4 ,:5 no physician c be procur$1 ! pati5t may attempt 8 own relief4 ,aft] fa/+ = tw5ty-f\r h\rs1 pumpk9 se$1 f :i* ! out] cov]+s h be5 remov$ by cru%+1 are soak$ ov]night 9 wat] & tak5 on an empty /oma* 9 ! morn+2 a *ild takes "o or two ounces ?or\ghly ma%$ & mix$ ) sirup or honey1 & an adult f\r ounces 7see ,vol4 ,,iii1 p4 #bde74 ,,tri*9iasis4--,?is is a dang]\s disease caus$ by ! pres5ce 9 ! muscles & o!r tissues ( ! tri*9ae1 little worms :i* are swall[$ 9 raw or p>tly cook$ pork1 ham1 or bacon4 ,nausea1 vomit+1 colic1 & di>rhea appe> e>ly1 g5]ally on ! second day aft] eat+ ! infect$ meat4 ,lat]1 /iffness ( ! muscles occurs1 ) great t5d]ness1 swell+ ( ! face & ( ! extremities1 sweat+1 ho>s5ess1 difficult brea?+1 inability to sleep1 bron*itis1 & pneumonia4 ,!re is no treatm5t = ! disease4 ,_m cases :i* are n fatal are probably consid]$ to be obscure rheumatism4 ,_m cases ( pneumonia are caus$ by ! worm4 ,,potato ,,poison+4--,!re rema9s "o v>iety ( food poison+ :i* ne$s m5tion1 s9ce x occurs :5 lea/ expect$1 & :5 prop] food has be5 subject$ to natural gr[?4 ,z ! potato belongs to ! botanical family conta9+ ! dang]\s belladonna1 tobacco1 hyoscyamus1 & /ramonium1 x is n surpris+ t is %\ld also conta9 a p[]ful poison\s alkaloid1 namely1 solan9e4 ,solan9e is develop$ 9 potatoes1 especially dur+ _! spr\t+ /age4 ,viol5t vomit+ & di>rhea & inflammation ( ! /oma* & b[els are caus$ by x4 ,c>eful peel+ ( spr\t+ potatoes1 & removal ( _! eyes1 w less51 if n :olly obviate1 ! dang] f eat+ !m4 ,?is =m ( food poison+ is r>e4 ,,*apt] ,,viii ,bites & ,/+s ,sev]al ,k9ds ( ,mosquitoes--,cause ( ,yell[ ,fev]--,bee1 ,wasp1 & ,hornet ,/+s--,wood ,ticks1 ,lice1 & ,fleas--,scorpions & ,c5tip$es--,poison\s ,snakes--,dog & ,cat ,bites4 ,,mosquitoes4--,! female mosquito is ! (f5d]4 ,dur+ or aft] suck+ blood %e injects a poison into ! body :i* causes it*+1 swell+1 &1 9 "s susceptible p]sons1 consid]able inflammation ( ! sk94 ,! bites ( ! mosquitoes liv+ on ! %ores ( ! ,arctic ,ocean & 9 ! tropics are ! mo/ virul5t4 ,! mo/ important relation ( mosquitoes to man 0 only rec5tly discov]$4 ,!y are probably ! sole cause ( mal>ia & yell[ fev] 9 ! human be+4 ,! mal>ial p>asite :i* lives 9 ! blood ( man1 :5 he is suff]+ f mal>ia1 fir/ inhabits ! body ( a c]ta9 k9d ( mosquito4 ,! mosquito acquires ! undevelop$ p>asite by bit+ ! human mal>ial pati5t1 & !n acts z a m$ium ( infection by transmitt+ ! active p>asite to "s heal?y man1 ?r\gh ! bite4 ,! m common h\se mosquito1 ! ,culex1 does n c>ry ! p>asite ( mal>ia1 & x is important to be able to di/+ui% ! ,anopheles :i* is ! s\rce ( mal>ia4 ,! ,anopheles is m common 9 ! c\ntry1 :ile ! ,culex is a city pe/4 ,! ,culex has v %ort palpi1 ! "n giv5 to ! projections p>allel to ! proboscis2 :ile ^? ( ,anopheles are s l>ge t x appe>s to h ?ree probosces4 ,!re are no m>k+s on ! w+s ( ! ord9>y species ( ,culex1 :ile ! w+s ( ,anopheles are di/9ctly mottl$4 ,! ,culex1 sitt+ on a wall or ceil+1 holds its h9d legs above its back & its body ne>ly p>allel to ! wall or ceil+1 b ! ,anopheles c>ries its h9d legs ei!r aga9/ ! wall or hang+ d[n 7r>ely above ! back71 & its body1 in/ead ( ly+ p>allel to ! wall or ceil+1 hangs away at an angle ( ab\t =ty-five degrees f x4 ,! ,culex lays h] eggs 9 s9ks1 tanks1 ci/]ns1 & wat] ab\t h\ses1 b ! ,anopheles deposits h] ova 9 %all[ pools & sluggi% /reams1 especially ^? on :i* is a gr[? ( gre5 scum or algae4 ,su* are ! ma9 di/+ui%+ features ( ! mal>ia-c>ry+ mosquito1 ! ,anopheles1 & ! common] h\se v>iety1 ! ,culex4 ,to prev5t mal>ia1 mosquito bites mu/ be prev5t$ by nett+s 9 h\ses1 especially = ! protection ( sleep]s4 ,pools1 ponds1 & m>%y di/ricts mu/ be dra9$ 9 ord] to de/roy ! bre$+ places ( ,anopheles1 & 9 ! mal>ial season1 petroleum 7k]os5e7 mu/ be p\r$ on ! surface ( su* wat]s to arre/ ! developm5t ( ! immature insects 7l>vae74 ,! mosquito is believ$ to be ! sole cause ( yell[ fev]1 be+ capable ( communicat+ ! g]m ( ! disease to man by its bite two weeks aft] x has itself be5 contam9at$ ) ! g]m 9 fe$+ on ! blood ( a yell[-fev] pati5t4 ,?is invaluable discov]y 0 made by ,dr4 ,walt] ,re$1 ,u4 ,s4 ,a41 9 #aija1 z a result ( 8 labors & ^? ( o!r memb]s ( ! yell[-fev] commission ( ! ,u4 ,s4 ,army 9 ,cuba1 involv+ ! dea? ( "o ( ! memb]s ( ! commission 7,dr4 ,laze>71 & utiliz+ ! h]oism ( a numb] ( our "y soldi]s :o volunt>ily (f]$ !mselves to be bitt5 by mosquitoes t _h previ\sly bitt5 yell[-fev] pati5ts1 & :o exp]im5tally occupi$ premises conta9+ all sorts ( articles infect$ by yell[-fev] pati5ts4 ,! result ( _! rese>* proves t yell[ fev] is n contagi\s at all1 9 ! usual s5se1 b is communicat$ only ?r\gh ! m$ium ( mosquitoes4 ,?is %[s ! fallacy ( _m qu>ant9e rules reg>d+ yell[-fev] pati5ts1 & ( ! fe> ( nurs+ ! sick1 & w result 9 controll+ ! disease4 ,9 ! case ( mal>ia or yell[ fev]1 !re is a vici\s circle into :i* man & ! mosquito ent]2 mal>ia & yell[-fev] pati5ts contam9ate ! mosquitoes :i* bite !m1 & ! mosquitoes 9 _! turn infect man ) ^! diseases4 ,a pati5t ) mal>ia com+ into a nonmal>ial place1 & be+ bitt5 by mosquitoes1 may lead to an epidemic ( ! disord] :i* becomes endemic4 ,to t]m9ate ?is condition1 x is necess>y to prev5t ! contact ( man ) mosquitoes & to kill ^! insects4 ,bo? mal>ia & yell[ fev] w d\btless be practically eradicat$ be=e long ?r\gh ! result ( ^! sci5tific discov]ies4 ,treatm5t ( ,mosquito ,bites4--,to prev5t mosquitoes1 fleas1 lice1 horseflies1 etc41 f bit+1 x is necess>y m]ely to dip ! clean h&s into a pail ( wat] 9 :i*1 :ile hot1 "o ounce ( pure c>bolic acid 0 dissolv$1 & :ile !y are ?us wet rub ! solution ov] all ! expos$ sk9 & all[ x to dry naturally4 ,a mixture ( k]os5e 7petroleum7 & wat] us$ 9 ! same way w also af=d protection4 ,all poisons introduc$ into ! body by insects are ( an acid nature1 & to ?is quality are due ! pa9 & irritation :i* x is our object to ov]come4 ,! be/ rem$y1 naturally1 is an alkali ( "s sort4 ,wat] ( ammonia1 dilut$1 or a /rong solution ( sal]atus or bak+ soda 9 wat]1 are ! two mo/ successful rem$ies to apply1 ei!r ?r\gh ba?+1 or on clo?s saturat$ 9 "o ( ! solutions4 ,clean clay1 mix$ ) wat] to make a mud p\ltice1 is a useful application 9 em]g5cies4 ,,bee1 ,,wasp1 ,,& ,,hornet ,,/+s4--,! pa9 & swell+ are produc$ by ! poison ( ! insect :i* leaves ! poison bag at ! base ( ! b>b at ! in/ant t ! p]son is /ung4 ,! bee /+s b once1 z ! /+ be+ b>b$ is brok5 (f1 & is reta9$ 9 ! fle% ( ! victim4 ,! /+ ( ! wasp & hornet is m]ely po9t$1 & is n lo/ dur+ ! /++ process s t !y c repeat ! act4 ,bee keep]s1 aft] be+ /ung a numb] ( times1 usually become immune1 i4 e41 !y are no long] poison$ by bites ( ^! insects4 ,x is well to extract ! /+ ( bees be=e all ( ! poison has come away4 ,a f9e pair ( =ceps is useful = ?is purpose2 or1 by press+ ! holl[ tube ( a small key directly d[n ov] ! puncture made by ! /+1 x may be squeez$ out4 ,ammonia wat]1 z recomm5d$ = mosquitoes1 is ! be/ rem$y to relieve ! pa94 ,,wood ,,ticks4--,ticks inhabit ! woods & bu%es ?r\gh\t ! temp]ate zone1 & at c]ta9 p]iods dur+ ! summ] season attack pass+ m5 & animals4 ,! common tick is ne>ly circul> 9 %ape1 v flat1 ) a d>k1 br[n1 horny body ab\t "o-sixte5? to "o-eigh? in* 9 diamet]4 ,ea* ( its eight legs possesses two claws1 & ! proboscis incloses feel]s :i* are simil>ly arm$4 ,! beetle plunges its b>b$ proboscis into ! fle% ( man or animals1 & holds on v firmly ) its o!r memb]s till x is gorg$ ) blood1 gr[+ z l>ge z a good-siz$ bean1 :5 x drops (f4 ,! bite is pa9less1 & x is n until ! insect is engorg$ ) blood t x is p]ceptible2 if1 h[ev]1 attempts are made to remove ! tick be=e x is ready to let g1 ! proboscis may be torn (f & left 9 ! sk91 :5 pa9ful local suppuration w foll[4 ,treatm5t4--,z ! pres5ce ( tick is f> f agreeable1 ! insect may (t5 be remov$ by pa9t+ x ) turp5t9e1 :i* ei!r kills x or causes ! claws to be relax$2 9 ei!r case ! tick loos5s its hold & drops to ! gr\nd4 ,a tropical v>iety1 c>apato1 buries ! :ole head 9 ! fle% ( its ho/ be=e x is p]ceiv$1 & if turp5t9e does n loos5 its hold1 ! head mu/ be dug out ) a clean ne$le or knife blade4 ,,lice 7,p$iculi74--,head lice are mo/ common4 ,!y are gray ) black m>g9s1 ab\t "o-tw5ty-fif? to "o-twelf? in* long1 & w+less4 ,! color *anges ) ! ho/1 z ! lice are black on ! negro1 & :ite 9 ! case ( ! ,eskimos4 ,! female lays fifty to sixty eggs 7nits71 se5 z m9ute1 :ite specks glu$ to ! side ( a hair2 usually n m ?an "o or two on a s+le hair4 ,! eggs hat* 9 six days4 ,! irritation produc$ by ! pres5ce ( ! p>asites on ! head leads to g5]al it*+1 m p>ticul>ly on ! l[] "p ( ! back ( ! head4 ,! con/ant scrat*+ />ts an inflammation ( ! sk9 ) ! =mation ( pimples1 weep+ spots1 & cru/s1 f ! dri$ dis*>ge1 possess+ a bad odor4 ,! d5ud$ spots becom+ infect$1 ! neighbor+ gl&s enl>ge & are felt z t5d] lumps b5ea? ! sk9 at ! back ( ! neck1 "u ! jaw1 or at ei!r side ( ! neck4 ,:5ev] !re are p]si/5t it*+ & irritation ( ! scalp1 p>ticul>ly at ! back ( ! head1 lice or nits %\ld be s\ght =4 ,sometimes x is m easy to f9d !m on a f9e-too? comb pass$ ?r\gh ! hair4 ,lice are v common 9 dirty h\seholds1 & are occasionally se5 on ! mo/ fa/idi\s p]sons1 :o accid5tally acquire !m 9 public places or conveyances4 ,treatm5t4--,! hair %\ld be cut %ort :5 p]missible4 ,any cru/s on ! head %\ld be s(t5$ by ! application ( sweet oil1 & !n remov$ by wa%+ 9 soap & w>m wat]4 ,petroleum or k]os5e is a good rem$y4 ,x mu/ be rubb$ on ! head two successive nights1 ! head be+ cov]$ by a cap1 & wa%$ (f ea* morn+ ) hot wat] & soap4 ,! pati5t mu/ be caution$ n to approa* an op5 flame aft] k]os5e has be5 put on 8 head4 ,! eggs or nits are next to be attack$ ) v9eg>1 :i* is spong$ on ! hair & ! f9e-too? comb pli$ daily = a week4 ,! rema9+ irritation ( ! scalp c be cur$ by wa%+ ! head daily & apply+ sweet oil4 ,a simpl] plan consi/s ( dr5*+ hair & scalp twice ) cold infusion ( 7poison\s7 l>kspur se$1 made by /eep+ = an h\r an ounce ( ! se$ 9 six ounces ( hot wat]4 ,?is treatm5t w de/roy bo? insects & eggs4 ,aft] tw5ty-f\r h\rs ! hair & scalp mu/ be %ampoo$ ) w>m wat] ?or\ghly4 ,,clo!s ,,lice4--,^! insects are a trifle l>g] ?an ! head lice1 be+ "o-twelf? to "o-eigh? in* long1 ( a dirty1 yell[i%-gray color1 & only infe/+ ! mo/ fil?y p4 ,! lice are g5]ally only se5 on ! clo!s1 :]e !y live1 com+ out on ! body only to fe$4 ,! visible signs on ! body are v>y+ degrees ( irritation f r$ness to ulc]ation1 due to scrat*+4 ,! treatm5t is simply cleanl9ess ( ! body & clo!s4 ,,crab ,,lice4--,! crab l\se or crab inhabits ! sk9 cov]$ by hair ab\t & above ! sexual organs mo/ frequ5tly1 & f !nce spreads to ! hairy region on ! abdom51 *e/1 armpits1 be>d1 & eye la%es4 ,it*+ & scrat*+ fir/ call att5tion to ! pres5ce ( ! p>asites1 :i* are ev5 m tr\blesome ?an ! o!r species4 ,application ( k]os5e to ! "p is suffici5t to kill ! lice1 b ?is treatm5t mu/ be repeat$ sev]al times at int]vals ( a week1 9 ord] to kill ! p>asites subsequ5tly hat*$4 ,,flea4--,flea bites are recogniz$ by ! it*+ caus$ by ! poison introduc$ by ! insect1 & by po9ts ( dri$ blood surr\nd$ = a little :ile by a r$ zone4 ,9 ! case ( *ildr5 & p ) delicate sk9s1 r$ or :ite lumps appe> resembl+ nettl]a%4 ,g5]ally ! sk9 is simply cov]$ ) m9ute1 r$ po9ts1 p]haps rais$ a little by swell+ above ! surface1 & :5 v num]\s may remotely resemble ! ra% ( measles4 ,fleas1 unlike lice1 d n bre$ on ! body1 b z soon z !y are satiat$ leave _! ho/4 ,_! eggs are laid 9 cracks 9 floors1 on dirty clo!s & simil> spots1 & x is only ! mature flea :i* preys ^u man4 ,! human flea may infe/ ! dog & return to man1 b ! dog flea is a di/9ct species1 & nev] rema9s p]man5tly on ! human ho/4 ,= ^! reasons x is n difficult to get rid ( fleas aft] !y h attack$ ! body1 unless cont9ually surr\nd$ by !m4 ,,jigg] ,,or ,,s& ,,flea4--,also call$ *ique1 *igo1 & nigua4 ,x is common 9 ,cuba1 ,porto ,rico1 & ,brazil4 ,ab\t "o-half ! size ( ! ord9>y flea1 x is ( a br[ni%-r$ color ) a :ite spot on ! back4 ,! female lives 9 ! s& & attacks man1 on :om %e lives1 bor+ into ! sk9 ab\t ! toe nail1 usually1 & lay+ h] eggs "u ! sk91 :i* gives rise to it*+ at fir/ & !n viol5t pa94 ,! insect sucks blood & gr[s z x gorges itself1 produc+ a :ite swell+ ( ! sk9 9 ! c5t] ( :i* is se5 a black spot1 ! front "p ( ! flea4 ,! flea aft] expell+ its eggs drops (f & dies4 ,p ) habitually sweaty feet are exempt f attacks ( ! pe/4 ,unless ! flea is unatta*$1 "o mu/ ei!r wait until ! insect comes away ( its own free w1 or remove x ) a r$-hot ne$le 9 ord] to de/roy ! eggs4 ,! negroes peel ! sk9 f ! swell+ ) a ne$le & squeeze out ! eggs4 ,ord9>ily ! bites d no p]man5t injury1 b occasionally if num]\s1 or if ! insect is press$ into ! sk9 9 ! ef=ts to remove x1 or if sores result+ f bites are neglect$1 !n viol5t inflammation1 great pa91 & ev5 dea? ( ! "p may result4 ,s\nd %oes & a night & morn+ inspection ( ! feet w protect aga9/ ! inroads ( ! s& fleas4 ,,flies4--,! common h\sefly does n bite1 b is con/antly inimical to human heal? by convey+ disease g]ms ( typhoid fev]1 *ol]a1 & o!r disord]s f b[el dis*>ges ( pati5ts suff]+ f ^! diseases to articles ( food on :i* ! insects light4 ,flies h be5 a fruitful s\rce ( sickness 9 milit>y camps1 z evid5c$ 9 ! rec5t ,spani%-,am]ican & ,anglo-,african campaigns4 ,! bites ( ! s&fly1 gadfly1 & horsefly may be bo? reliev$ & prev5t$ by ! same means recomm5d$ 9 ! case ( mosquitoes = ^! purposes4 ,,scorpion ,,or ,,c5tip$e ,,/+4 ,fir/ ,aid ,rule4--,squeeze lemon juice on w\nd4 ,,spid] ,,or ,,t>antula ,,bite4 ,fir/ ,aid ,rule4--,p\r wat] ( ammonia on bite4 ,if pati5t is depress$1 give /rong c(fee4 ,,scorpions ,,& ,,c5tip$es4--,^! bo? inhabit ! tropics & semitropical regions1 & lurk 9 d>k corn]s & out-(-!-way places1 crawl+ into ! boots & clo?+ dur+ ! night4 ,scorpions /+ ) _! tails1 :i* are br\ght ov] ! head & back = ! purpose1 :ile hold+ on to ! victim ) _! lob/]like claws4 ,! poison\s c5tip$e has a flatt5$ br[ni%-yell[ body1 ) a s+le pair ( %ort legs = ea* body segm5t1 & long1 _m-jo9t$ ant5nae4 ,! w\nds made by ei!r ( ^! pe/s are r>ely dang]\s1 except 9 "y *ildr5 & ^? 9 feeble heal?4 ,! /+s are usually reliev$ by ba?+ ) a two p] c5t solution ( c>bolic acid1 ) rum1 or ) lemon juice4 ,,spid]s4--,_m ( ! tropical spid]s bite ! human be+4 ,trapdoor spid]s are among ! commone/ ( ^! pe/s4 ,_! bodies gr[ to great size1 two to two & a half in*es long1 & are cov]$ ) hair giv+ !m a horrid appe>ance4 ,!y live 9 holes bor$ 9 ! gr\nd1 & provid$ ) a trapdoor contrivance :i* is clos$ :5 ! insect is at home4 ,! trapdoor spid] resembles ! t>antula1 by :i* "n x is usually kn[n 9 ,cuba & ,jamaica1 b is some:at small] & common]4 ,nei!r ! /+s ( ! trapdoor spid] nor true t>antula are usually dang]\s al?\gh ! w\nds caus$ by ! bites may heal sl[ly4 ,application ( wat] ( ammonia & ( ! o!r rem$ies recomm5d$ = mosquito bites 7p4 #aeh7 are indicat$ "h1 & if ! pati5t is g5]ally depress$ by ! poison1 /rong c(fee =ms a good antidote4 ,,snake ,,bite4 ,fir/ ,aid ,rule #a4--,make ! w\nd ble$4 ,cut slit ?r\gh ! w\nd1 l5g?wise ( limb1 two in*es long & half an in* deep4 ,squeeze tissues4 ,,d ,,n ,,suck ,,! ,,w\nd4 ,rule #b4--,keep poison out ( g5]al circulation4 ,tie l>ge cord or b&age tightly ab\t "p betwe5 w\nd & he>t4 ,loos5 9 fifte5 m9utes4 ,rule #c4--,use antidote4 ,wa% w\nd & cut ) fre% solution ( *loride ( lime 7"o "p to sixty p>ts ( wat]74 ,inject anti-v55e ) hypod]mic syr+e1 t5 cubic c5timet]s1 z on label4 ,or1 inject ) hypod]mic syr+e ?irty m9ims ( solution ( p]manganate ( pota% 7five gra9s to two ounces ( wat]71 ?ree times 9 diff]5t places4 ,if no syr+e at h&1 p\r p]manganate solution into w\nd4 ,rule #d4--,support he>t if weak4 ,inject ) hypod]mic syr+e "o-?irtie? gra9 ( sulphate ( /ry*n9e into leg4 ,repeat z ne$$ e ?irty m9utes ) caution4 ,rule #e4--;,give no :isky or o!r liquor4 ,d n burn ! w\nd4 ,,snake ,,bite4--,!re are _m diff]5t species ( poison\s snakes 9 ! ,unit$ ,/ates4 ,! m common are ! rattlesnake1 ! moccas91 ! copp]head1 & ! common vip]4 ,all ! v5om\s snakes h c]ta9 *>act]i/ics by :i* !y may be di/+ui%$ f _! h>mless bre?r54 ,! head is g5]ally broad & flat & ( a triangul> %ape1 ! wide1 heavy jaws tap]+ to a po9t at ! lips4 ,!re is a depression or pit betwe5 ! no/ril & eye on ! upp] lip1 h5ce ! "n pit vip]s giv5 to poison\s snakes4 ,! pupil ( ! eye is long & v]tical1 ( an oval or elliptical %ape4 ,v5om\s snakes are ?ick] 9 proportion to _! l5g? ?an h>mless snakes1 ! surface ( _! bodies is r\gh]1 & _! tails are blunt or club-%ap$4 ,conv]sely1 h>mless snakes possess long n>r[ heads1 ! pupils ( _! eyes are r\nd1 n v]tical slits1 & _! bodies are n ?ick = _! l5g?1 b long & slim ) po9t$ tails4 ,! bite ( vip]s ( all k9ds is mu* m poison\s 9 tropical regions1 & 9 ! ,nor? fatal snake bite is a r>e occurr5ce4 ,if !re is a d\bt :e!r a snake is poison\s1 ! neck may be press$ d[n aga9/ ! gr\nd betwe5 ! jaws ( a =k$ /ick1 & ! poison fangs look$ = )\t dang]4 ,^! hang directly d[n f ! front "p ( ! upp] jaw1 or are ?ru/ horizontally =w>d j 9 front ( ! upp] lip1 & may drip saliva & v5om4 ,9 ,cuba & ,porto ,rico !re is a vip] call$ ,juba1 or ,boaquira1 :i* is a c\nt]p>t ( ! ,nor!rn rattlesnake1 & ! mo/ poison\s ( ! _m species 9 t region4 ,among v5om\s species ( ! ,philipp9es are two boas & also a vip] f n9e to t5 feet long1 :i* exceptionally pursues & attacks man4 ,?is snake is easily kill$ by a bl[ on ! neck4 ,ano!r small vip] ) a club-%ap$ tail1 inhabit+ ^! isl&s1 is nocturnal 9 its habits1 & may get into boots at night4 ,boots1 !re=e1 %\ld always be inspect$ be=e "o puts !m on 9 ! morn+4 ,usually x is only ! "y1 old1 & weak :o succumb to snake bite4 ,symptoms4--,! symptoms ( snake bite ( all poison\s species are simil>4 ,at fir/ !re is "s pa9 9 ! w\nd1 :i* rapidly increases toge!r ) swell+ & discoloration until dea? ( ! "p may ensue4 ,! vital c5t]s 9 ! bra9 controll+ ! he>t & brea?+ app>atus1 are p>alyz$ by ! poison4 ,!re is (t5 dr[s9ess & /upor1 & ! brea?+ is labor$ & ! pulse weak & irregul>1 ) fa9tness & cold sweats4 ,treatm5t4--,! treatm5t consi/s fir/ 9 keep+ ! poison out ( ! g5]al blood /ream4 ,) ?is purpose 9 view a h&k]*ief1 piece ( cotton clo?+1 /r+1 or /rap %\ld be imm$iately w\nd ab\t ! bitt5 limb above ! w\nd1 betwe5 x & ! he>t4 ,?is w ret>d absorption ( ! poison only = a "t2 x is said tw5ty-five m9utes4 ,! knife is ! mo/ effective means ( remov+ ! poison by mak+ an oval cut on ea* side ( ! w\nd s t ! two incisions meet & remove all ! fle% bel[ & ar\nd ! w\nd4 ,ble$+ %\ld be enc\rag$ to dra9 out ! poison4 ,! sk9 conta9+ ! w\nd may be lift$ up1 & ! :ole w\nd cut out by "o snip ( ! scissors :]e ?is is practicable4 ,"s advocate burn+ out ! w\nd ) a r$-hot wire1 or d>n+ ne$le1 in/ead ( cutt+1 b ! treatm5t is less effective & m pa9ful4 ,rambaud =bids burn+4 ,z to ! g5]al condition3 if /upor is a prom95t symptom ! pati5t mu/ be made to move ab\t & ex]cise to keep alive 8 n]ve c5t]s4 ,o!rwise "o tablespoonful ( :isky may be giv5 9 half a cup ( hot wat] h\rly1 to su/a9 ! weak5$ he>t & respiration until recov]y ensues4 ,! mo/ effective treatm5t1 accord+ to ,dr4 ,george ,rambaud1 ,director ( ! ,pa/eur ,in/itute ( ,new ,york ,city1 is ?or\gh wa%+ ( ! w\nd 7aft] x has be5 op5$ ) ! knife7 ) fre%ly prep>$ solution ( *loride ( lime1 9 ! proportion ( "o "p ( lime to sixty ( wat]4 ,! burn+ ( a w\nd is bad practice4 ,if necess>y1 *loride-(-lime solution %\ld be inject$ into ! tissues ar\nd ! w\nd4 ,"o ab\t to g into a place :]e ! mo/ v5om\s snakes are f\nd %\ld inject into himself a dose ( ,calmette's antiv5om\s s]um e two or ?ree weeks z a means ( prev5tion4 ,if ! s]um is us$1 :isky %\ld n be giv5 9 ! treatm5t ( "o :o has be5 bitt51 = ! anti-v55e is a p[]ful cell /imulator4 ,calmette1 ! ,director ( ! ,pa/eur ,in/itute 9 ,lille1 ,france1 sev]al ye>s ago discov]$ antiv5om\s s]um4 ,t s]um is effici5t = ! bites ( mo/ ( ! v5om\s snakes ( diff]5t c\ntries1 includ+ ! rattlesnake1 cobra1 py?on1 etc4 ,x is prep>$ 9 ! dry =m s t x c be c>ri$ easily1 & w keep almo/ indef9itely4 ,! prop] c\rse to be foll[$ by p]sons go+ into c\ntries infe/$ by v5om\s snakes is always to h on h& a few doses ( x4 ,its value has be5 positively demon/rat$ )9 ! la/ few ye>s 9 ,india1 :]e x is us$ 9 ! ,briti% ,army1 z well z 9 o!r c\ntries4 ,9 ! fluid =m x %\ld be us$ hypod]mically1 a dose ( t5 cubic c5timet]s be+ inject$ )9 eighty or n9ety m9utes ( ! reception ( ! poison4 ,,dog ,,bite ,,or ,,cat ,,bite4 7,see ,hydrophobia1 ,vol4 ,v1 p4 #bfd47 ,fir/ ,aid ,rule #a4--,make sure animal is mad4 ,s5d pati5t to ,pa/eur in/itute if "o is )9 rea*4 ,rule #b4--,remove poison f w\nd4 ,enc\rage ble$+ by squeez+ tissue ab\t w\nd4 ,suck w\nd1 if y h no cracks 9 lips1 & spit out fluid4 ,p\r hot c>bolic solution into w\nd 7a ?ird ( a teaspoonful ( c>bolic acid to a p9t ( hot wat]74 ,rule #c4--;,caut]ize4 ,dip wood5 meat skew]1 or lead p5cil1 into pure nitric acid1 & rub into w\nd4 ,or1 use r$-hot pok]1 or r$-hot nail grasp$ by tongs or p9c]s1 or r$ coal f fire4 ,rule #d4--;,d n kill ! animal4 ,if he is alive & well at ! end ( a week1 he 0 n mad4 ,,*apt] ,,ix ,burns1 ,scalds1 ,fro/bites1 ,etc4 ,classes ( ,burns--,treatm5t--,burns ,caus$ by ,acids & ,alkalies--,fir/ ,aid ,rules = ,fro/bites--,real ,freez+--,+r[+ ,toe ,nail--,fa9t+--,suffocation--,fits4 ,,burns ,,& ,,scalds4--,if slight1 sk9 v r$1 unbrok54 ,fir/ ,aid ,rule4--,cov] ) clo?s wet 9 /rong solution ( bak+ soda 9 cold wat]4 ,dry g5tly1 & spread ) :ite ( egg1 ?ick4 ,if deep]1 bli/]s1 sk9 brok51 ?ick swell+2 !re may be "s ble$+4 ,fir/ ,aid ,rule #a4--,/op pa9 quickly4 ,cut away clo?+ v g5tly4 ,break no bli/]s4 ,cov] ) ,c>ron oil 7equal p>ts ( limewat] & l9se$ or olive oil7 & light b&age4 ,give fifte5 drops ( laudanum#i e half h\r 9 tablespoonful ( wat]1 till reliev$ 9 "p or ?ree doses are tak54 ,rule #b4--;,combat %ock4 ,if pati5t is cold1 pulse weak1 head confus$1 give tablespoonful ( :isky 9 a qu>t] ( a glass ( hot wat]4 ,put hot-wat] bottles at feet4 ,rule #c4--,qu5* ?ir/ ) pieces ( ice held 9 m\? or a swall[ ( cold milk4 ,see page #agd = subsequ5t treatm5t4 ,a burn is produc$ by dry heat1 a scald by moi/ heat2 ! effect & treatm5t ( bo? are practically id5tical4 ,burns are commonly divid$ into ?ree classes1 accord+ to ! am\nt ( damage inflict$ ^u ! body4 ,fir/ ,class4--,!re is r$ness1 pa91 & "s swell+ ( ! sk91 foll[$1 9 a few days1 by peel+ ( ! surface lay] 7epid]mis7 & recov]y4 ,sunburn & burns caus$ by slight exposures to gases & vapors fall into ?is category4 ,treatm5t4--,! imm$iate imm]sion ( ! "p 9 cold wat] is foll[$ by relief1 or ! application ( clo?s wet ) a saturat$ solution ( sal]atus or bak+ p[d] is useful4 ,any?+ :i* protects ! burn$ sk9 f ! irritat+ effect ( ! air is efficaci\s1 & 9 em]g5cies any "o ( ! foll[+ may be appli$3 />*1 fl\r1 molasses1 :ite pa9t1 or a mixture ( :ite ( egg & sweet oil1 equal p>ts4 ,usually aft] ! fir/ pa9 has be5 reliev$ by ba?+ ) soda & wat]1 or its application on clo?s1 ! employm5t ( a simple o9tm5t suffices1 z cold cream or vasel9e4 ,second ,class4--,9 ?is class ( cases ! inflammation is m sev]e & ! deep] lay]s ( ! sk9 are involv$4 ,9 addition to ! r$ness & swell+ ( ! sk9 !re are pres5t bli/]s :i* appe> at once or )9 a few h\rs4 ,! g5]al condition is affect$ accord+ to ! size ( ! burn4 ,if half ( ! body is only r$d5$1 dea? usually results1 & a burn ( a ?ird ( ! body is (t5 fatal4 ,! %ock is s great at times t pa9 may n be at once int5se4 ,%ock is evid5c$ by g5]al depression1 ) weakness1 apa?y1 cold feet & h&s1 & failure ( ! pulse4 ,if ! pati5t rallies f ?is condition1 !n fev] & pa9 become prom95t4 ,if /eam has be5 inhal$1 !re may be sudd5 dea? f swell+ ( ! int]ior ( ! ?roat1 or inflammation ( ! lungs may foll[ inhalation ( smoke & hot air4 ,?ird ,class4--,9 ?is class are includ$ burns ( s sev]e a nature t de/ruction & dea? ( ! tissues foll[s2 n only ( ! sk9 b ( ! fle% & bones 9 ! wor/ cases4 ,x is impossible to tell by ! appe>ance ( ! sk9 :at ! ext5t ( ! de/ruction may be until ! dead p>ts sl\gh away aft] a week or t5 days4 ,! sk9 is ( a uni=m :ite color 9 "s cases1 or may be ( a yell[1 br[n1 gray1 or black hue1 & is comp>atively ins5sitive at fir/4 ,pus 7matt]7 beg9s to =m ar\nd ! dead "p 9 a few days1 & ! dead tissue comes away lat]1 to be foll[$ by a long c\rse ( suppuration1 pa91 excessive granulations 7pr\d fle%71 &1 unless skillfully treat$1 by contraction ( ! surr\nd+ area1 leav+ ugly sc>s & int]f]+ ) ! appe>ance & usefulness ( ! p>ts4 ,! treatm5t ( su* cases aft] ! fir/ c>e becomes t to be pursu$ 9 w\nds g5]ally 7p4 #ej71 & belongs )9 ! doma9 ( ! surgeon4 ,treatm5t ( ! ,m ,sev]e ,burns4--,if ! pati5t is suff]+ f %ock he %\ld receive "s hot alcoholic dr9k1 z hot wat] & :isky1 & be put to b$ "u w>m cov]+s ) hot-wat] bags or bottles at 8 feet4 ,! clo?+ mu/ be cut away f ! burn$ p>ts ) ! greate/ c>e1 & only a portion ( ! body %\ld be uncov]$ at a "t & 9 a w>m room4 ,pa9 may be subdu$ by laudanum#aj2 fifte5 drops may be giv5 to an adult1 & ! drug may be repeat$ at h\r int]vals 9 doses ( t5 drops until ! suff]+ has be5 allay$4 ,lumps ( ice held 9 ! m\? w qu5* ?ir/1 & ! diet %\ld be liquid1 z milk1 s\ps1 gruels1 :ite ( egg1 & wat]4 ,! b[els %\ld be mov$ daily by rectal injections ( soap & w>m wat]4 ,z a matt] ( local treatm5t1 ! surface lay] ( ! sk9 %\ld be kept intact if possible4 ,bli/]s are n to be di/urb$ unless !y are l>ge & t5se2 if s1 _! bases may be prick$ ) a ne$le suffici5tly to let out ! fluid cont5ts4 ,c>ron oil 7equal p>ts ( olive oil & limewat]7 has be5 ! common rem$y = burns1 & x is an effici5t1 ?\gh v dirty1 dress+1 useful if ! sk9 is g5]ally unbrok54 ,x %\ld be appli$ on clean1 s(t l95 or cotton clo?1 :i* is soak$ 9 ! oil1 laid ov] ! burn$ area1 & cov]$ ) a ?ick lay] ( cotton batt+ & a b&age4 ,:5 ! sk9 is d5ud$1 leav+ a raw surface expos$1 ! burn mu/ be treat$ on ! same plan z w\nds1 & %\ld be kept z clean & free f g]ms z possible4 ,an o9tm5t made ( equal p>ts ( boric acid & vasel9e1 spread ?ickly on clean clo?1 is a good antiseptic prep>ation 9 cases :]e ! sk9 is brok54 ,x is be/ n to *ange ! dress+ (t5] ?an once 9 two or ?ree days1 unless ! dis*>ge or odor are consid]able4 ,fre% dress+ is v pa9ful & (t5 h>mful4 ,:5 ! dress+ is remov$1 w>m sal9e solution 7"o teaspoonful ( common salt 9 a qu>t ( wat]7 is all[$ to fl[ ov] ! burn until all dis*>ge is wa%$ (f4 ,!n ! raw surface is du/$ ov] ) pure boric acid or ari/ol1 & ! boric-acid o9tm5t appli$ z be=e4 ,! clo? ^u :i* ! o9tm5t is spread %\ld be made free f g]ms by boil+ 9 wat]1 & !n dry+ x 9 an ov5 & keep+ x well wrapp$ 9 a clean t[el except :5 want$4 ,! same c>e is requisite z t describ$ "u w\nds 7p4 #ej7 9 reg>d to cleanl9ess4 ,v ext5sive burns are mo/ satisfactorily treat$ by complete imm]sion ( ! burn$ limbs or entire body 9 salt solution 7same /r5g? z above71 :i* is kept at a temp]ature ( f #id deg4 to #ajd deg4 ,f41 accord+ to ! feel+s ( ! pati5t4 ,! pati5t lies 9 a ba? tub on horsehair1 or bett]1 rubb] mattress & rubb] pill[s2 completely cov]$ ) wat] except ! head4 ,! ur9e & b[el dis*>ges mu/ be pass$ 9 ! wat]1 :i* is !n *ang$1 & ! temp]ature is kept at an ev5 m>k by all[+ w>m wat] to cont9ually run into ! tub to displace t :i* runs out4 ,! latt] c be arrang$ by siphonage ) a rubb] tube4 ,:ile ?is me?od requires m c>e1 & runn+ hot & cold wat]1 x is ! mo/ com=table treatm5t = ^! cases1 usually att5d$ by awful suff]+1 & at ! same "t x is mo/ favorable to heal+4 ,x is beyond ! scope ( ?is "w to describe ! v>i\s complications & ! details ( ! aft] treatm5t 9 sev]e burns1 includ+ sk9 graft+1 :i* may tax all ! +5uity ( ! skill$ surgeon4 ,x is hop$ t ! =ego+ may give a cle> idea ( ! treatm5t to be pursu$ 9 em]g5cies & may prove ( "s use to ^? :o may un=tunately be compell$ to c>e = burns dur+ a consid]able "t )\t ! aid ( a physician4 ,,burn ,,by ,,/rong ,,acid4 ,fir/ ,aid ,rule #a4--,neutralize ! acid4 ,scatt] bak+ soda ?ickly ov] burn1 or p\r limewat] ov] x4 ,rule #b4--;,control pa94 ,wa% (f soda ) /ream ( wat]4 ,apply ,c>ron oil 7equal p>ts ( limewat] & l9se$ oil or olive oil74 ,b&age lightly4 ,,burn ,,by ,,/rong ,,alkali4--,z ammonia1 quicklime1 lye4 ,fir/ ,aid ,rule #a4--,neutralize ! alkali4 ,p\r v9eg> ov] ! burn4 ,rule #b4--;,control pa94 ,wa% (f v9eg> ) /ream ( wat]4 ,dry g5tly4 ,apply vasel9e or cold cream4 ,,burns ,,caus$ ,,by ,,/rong ,,m9]al ,,acids ,,or ,,by ,,alkalies4--,if acids are ! cause1 ! sk9 %\ld n be wa%$ at fir/1 b ei!r *alk1 :it+1 or "s mild alkali1 z bak+ soda1 %\ld be /rewn ov] ! burn1 & !n aft] ! effect ( ! acid is neutraliz$1 wa% (f ! soda ) /ream ( w>m wat]4 ,dry g5tly ) gauze4 ,apply ,c>ron oil or pa/e ( boric acid & vasel9e1 equal p>ts4 ,if /rong alkalies h be5 spill$ on ! sk91 z ammonia1 pota%1 or quicklime1 !n v9eg> is ! prop] sub/ance to employ1 foll[$ by wa%+4 ,!n dry g5tly4 ,vasel9e or cold cream is usually suffici5t z aft] treatm5t4 ,limewat] is useful 9 c\nt]act+ ! effect ( acids spatt]$ 9 ! eye4 ,9 ! case ( alkalies 9 ! eye1 ! v9eg> us$ %\ld be dilut$ ) ?ree p>ts ( wat]4 ,albol5e or liquid vasel9e is ! be/ ag5t to drop 9 ! eye aft] ei!r accid5t1 9 ord] to relieve ! irritation & pa91 & ! pati5t %\ld /ay 9 a d>k room4 ,,fro/bite1 ,,real ,,freez+4--,nose1 e>s1 f+]s1 toes2 ins5sible to t\*1 /iff1 pale or blue4 ,p]son may be unconsci\s4 ,fir/ ,aid ,rule #a4--,re/ore circulation4 ,rub g5tly1 !n vigor\sly1 ) sn[4 ,rule #b4--,re/ore heat v gradually4 ,sudd5 heat is fatal4 ,keep 9 cold room1 & rub ) clo? wet ) v cold wat] till circulation is e/abli%$4 ,!n rub ) equal p>ts ( alcohol & wat] & expose gradually to heat ( liv+ room4 ,rule #c4--;,if p]son ceases to brea!1 resuscitate z if dr[n$4 ,op5 8 m\?1 grasp 8 tongue1 & pull x =w>d & keep x !re4 ,let ano!r assi/ant grasp ! arms j bel[ ! elb[s & draw !m /eadily upw>d by ! sides ( ! pati5t's head to ! gr\nd1 ! h&s ne>ly meet+ 7:i* enl>ges ! capacity ( ! *e/ & induces inspiration47 7,see pp4 #cj & #ca47 ,:ile ?is is be+ done1 let a ?ird assi/ant take position a/ride ! pati5t's hips ) 8 elb[s re/+ on 8 own knees1 8 h&s ext5d$ ready = action4 ,next1 let ! assi/ant /&+ at ! head turn d[n ! pati5t's arms to ! sides ( ! body1 ! assi/ant hold+ ! tongue *ang+ h&s if necess>y to let ! arms pass4 ,j be=e ! pati5t's h&s rea* ! gr\nd ! man a/ride ! body w grasp ! body ) 8 h&s1 ! ball ( ! ?umb re/+ on ei!r side ( ! pit ( ! /oma*1 ! f+]s fall+ into ! grooves betwe5 ! %ort ribs4 ,n[1 us+ 8 knees z a pivot1 he w at ! mom5t ! pati5t's h&s t\* ! gr\nd ?r[ 7n too sudd5ly7 8 :ole weight =w>d on 8 h&s1 & at ! same "t squeeze ! wai/ betwe5 !m1 z if he wi%$ to =ce some?+ 9 ! *e/ upw>d out ( ! m\?2 he w deep5 ! pressure :ile he sl[ly c\nts "o1 two1 ?ree1 f\r 7ab\t five seconds71 !n sudd5ly lets g ) a f9al pu%1 :i* w s5d him back to 8 fir/ position4 ,?is completes expiration4 7,a *ild or a delicate p]son mu/ be m g5tly h&l$47 ,at ! in/ant ( lett+ g1 ! man at ! head ( ! pati5t w aga9 draw ! arms /eadily upw>d to ! sides ( ! pati5t's head z be=e 7! assi/ant hold+ ! tongue aga9 *ang+ h&s to let ! arms pass1 if necess>y71 hold+ !m !re :ile he sl[ly c\nts "o1 two1 ?ree1 f\r 7ab\t five seconds74 ,repeat ^! movem5ts delib]ately & p]sev]+ly twelve or fifte5 times 9 e m9ute--?us imitat+ ! natural motions ( brea?+4 ,cont9ue ! artificial respiration f "o to f\r h\rs1 or until ! pati5t brea!s2 & = a :ile aft] ! appe>ance ( return+ life c>efully aid ! fir/ %ort gasps until deep5$ into full brea?s4 ,keep body w>m aft] ?is ) w>m-wat] bottles4 ,,fro/bite4--,! nose1 *91 e>s1 f+]s1 & toes are ! p>ts usually froz51 al?\gh sev]e results end+ 9 dea? ( ! froz5 "p occur m (t5 ow+ to l[ vitality ( ! pati5t ?an to ! cold itself4 ,9 ! mild] degree ( fro/bite !re is /iffness1 numbness1 & t+l+ ( ! froz5 memb]2 ! sk9 is ( a pale1 blui% hue & some:at %runk54 ,recov]y ensues ) burn+ pa91 t+l+1 r$ness1 swell+ & peel+ ( ! epid]mis1 z aft] slight burns4 ,! sk9 is icy cold1 :ite1 & ins5sitive 9 sev]e =ms ( fro/bite1 &1 if n skillfully treat$1 becomes1 lat]1 ei!r swoll5 & discolor$1 or %rivel$1 dry1 & black4 ,9 ei!r case ! froz5 "p dies & is sep>at$ f ! liv+ tissue aft] ! e/abli%m5t ( a %>p l9e ( inflammation :i* results 9 ulc]ation & =mation ( pus1 & ?us ! dead "p sl\ghs (f4 ,x is1 h[ev]1 possible = a "p ?or\ghly froz5 to rega9 its vitality4 ,treatm5t4--,! ess5tial elem5t 9 ! treatm5t is to secure a v gradual return ( blood to ! froz5 tissues1 & s avoid viol5t inflammation4 ,to obta9 ?is result ! pati5t %\ld be c>$ = 9 a cold room1 ! froz5 p>ts are rubb$ g5tly ) sn[1 or clo? wet ) ice wat]1 until !y resume _! usual w>m?4 ,!n x is well to rub !m ) a mixture ( alcohol & wat]1 equal p>ts1 = a "t & expose !m to ! usual temp]ature ( a dwell+ room4 ,w>m dr9ks are n[ adm9i/]$ to ! pati5t4 ,! froz5 memb]1 if h& or foot1 is rais$ high 9 ! air on pill[s & cov]$ well ) absorb5t cotton & b&age4 ,if mu* r$ness1 swell+1 & pa9 result ?is dress+ is remov$ & ! "p is wrapp$ 9 a s+le ?ickness ( cotton clo? kept cont9ually wet ) alcohol & wat]4 ,subsequ5t treatm5t consi/s 9 keep+ ! damag$ p>ts cov]$ ) vasel9e or cold cream1 absorb5t cotton1 & b&age4 ,if bli/]s & sores result1 ! c>e is simil> to t describ$ = l conditions "u burns4 ,if dea? ( ! froz5 "p becomes inevitable1 ! h& or foot %\ld be susp5d$ 9 a ne>ly v]tical position to keep ! blood out1 & ! "p ba!d twice daily ) a solution ( corrosive sublimate 7"o #g4g gr4 tablet to p9t ( wat]71 du/$ well ) ari/ol1 & dress$ ) absorb5t cotton & b&age until ! dead tissue sep>ates & comes away4 ,if ! froz5 "p is l>ge x may be necess>y to remove x ) a knife1 b ?is is n ess5tial :5 ! tips ( ! f+]s or toes are froz54 ,g5]al ,effect ( ,cold4--,sudd5 exposure to sev]e cold causes sleep1 /upor1 & dea?4 ,p]sons f\nd app>5tly froz5 to dea? %\ld be br\ght into a cold room1 :i* %\ld be gradually heat$1 & ! body rubb$ ) sn[ or ice wat]1 & artificial respiration employ$1 z j direct$4 ,attempts at resuscitation ought to be p]si/5t1 z recov]ies h be5 report$ aft] sev]al h\rs ( unconsci\sness & app>5t dea? f freez+4 ,,*ilbla9s ,,& ,,mild ,,fro/bites4--,! effects ( sev]e cold on ! body are v simil> to ^? ( int5se heat1 ?\gh !y are v mu* sl[] 9 mak+ _! appe>ance4 ,aft] a p]son has froz5 a f+] or toe he may n notice mu* inconv5i5ce = days1 :5 sudd5ly viol5t inflammation may set 94 ,! f+]s1 e>s1 nose1 & toes are ! memb]s :i* suff] mo/ frequ5tly f ! effects ( cold4 ,simil> symptoms ( inflammation1 describ$ "u burns1 also result f cold1 t is1 r$ness & swell+ ( ! sk91 bli/]s ) m sev]e & deep] inflammatory involvem5t1 or1 9 case ! p>ts are ?or\ghly froz51 local dea? & de/ruction ( ! tissues4 ,b x is n ess5tial t ! body be expos$ to ! freez+ temp]ature or be froz5 at all1 9 ord] t "s h>m may result1 = *ilbla9s (t5 foll[ :5 ! temp]ature has n be5 l[] ?an #dj deg4 ,f41 or !reab\ts4 ,! effect ( cold is to contract ! blood vessels1 ) ! production ( numbness1 pallor1 & t+l+ ( ! sk94 ,:5 ! cold no long] acts !n ! blood vessels dilate to m ?an _! usual & normal /ate1 & m or less inflammation results4 ,! m sudd5 ! return to w>m? ! great] ! inflammatory sequel4 ,*ilbla9s repres5t ! milde/ morbid effect ( cold on ! body4 ,!y exi/ z blui%-r$ swell+s ( ! sk91 usually on ! feet or h&s1 b may attack ! nose or e>s1 & are att5d$ by burn+1 it*+1 & sm>t+4 ,?is condition is caus$ by dilatation ( ! vessels foll[+ exposure to cold4 ,x is m apt to happ5 9 "y1 anaemic wom54 ,*ilbla9s usually disappe> dur+ w>m wea!r4 ,scrat*+1 friction1 or ! sev]ity ( ! attack may lead to ! appe>ance ( bli/]s & sores4 ,9 sev]e cases ! f+]s & toes pres5t a sausage-l appe>ance1 ow+ to swell+4 ,treatm5t4--,susceptible p]sons %\ld we> ?ick1 w>m 7n r\gh7 /ock+s & w>m gloves4 ,! *ill$ memb]s mu/ nev] be sudd5ly w>m$4 ,regul> ex]cise & cold %[] ba?s are good to /r5g!n ! circulation1 b ! feet & h&s mu/ be wa%$ 9 w>m wat] only1 & ?or\ghly dri$4 ,if sweat+ ( ^! p>ts is a common occurr5ce1 />* or z9c oxide %\ld be du/$ on freely night & morn+4 ,cod-liv] oil is an efficaci\s rem$y 9 ^! cases2 "o teaspoonful ( ,pet] ,moell]'s pure oil ?ree times daily aft] meals4 ,! affect$ p>ts are ba!d twice daily 9 a solution ( z9c acetate 7"o dram to "o p9t ( wat]71 & foll[$ by ! application1 on s(t l95 or cotton1 ( z9c-oxide o9tm5t conta9+ two p] c5t ( c>bolic acid4 ,if ?is is n curative1 iod9e o9tm5t mix$ ) an equal quantity ( l>d may be tri$4 ,exposure to cold w imm$iately br+ on a recurr5ce ( ! tr\ble4 ,if ! affection ( ! feet is sev]e ! pati5t mu/ re/ 9 b$4 ,if ! p>ts become bli/]$ & op5 sores appe>1 !n ! same treatm5t z = burns is indicat$4 ,wa% ) a weak solution ( corrosive sublimate 7"o tablet = surgical purposes 9 two qu>ts ( w>m wat]7 & apply an o9tm5t ( boric acid & vasel9e1 equal p>ts1 spread on s(t1 clean cotton or l954 ,re/ ( ! "p & exi/5ce 9 a w>m atmosph]e w complete ! cure4 ,,+r[+ ,,toe ,,nail4--,?is is a condition 9 :i* ! fle% along ! edges ( ! great toe nail becomes inflam$1 ow+ ei!r to ov]gr[? ( ! nail or to pressure ( ! s(t p>ts aga9/ x4 ,improp] footge> is ! mo/ common cause1 z %oes :i* are too n>r[ across ! toes1 or n long en\gh1 or ^? ) high heels :i* ?r[ ! toes =w>d s t !y are compress$ by ! toe ( ! boot1 especially 9 walk+ d[nhill4 ,a faulty mode ( cutt+ ! toe nails 9 a heal?y foot may favor +r[+ toe nails4 ,toe nails %\ld be cut /raight across1 & n trimm$ away at ! corn]s to foll[ ! outl9e ( ! toes--z !n ! fle% cr[ds 9 at ! corn]s ( ! nails1 & :5 ! nail pu%es =w>d 9 its gr[? x presses into ! fle%4 ,nails :i* h a v r\nd$ surface are m apt to produce tr\ble1 because !n ! edges are likely to gr[ d[n into ! fle%4 ,inflammation 9 +r[+ toe nail usually arises along ! out] edge ( ! nail4 ,! fle% "h becomes r$1 t5d]1 pa9ful1 & swoll5 s t x ov]laps ! nail4 ,aft] a "t matt] or pus =ms & f9ds its way "u ! nail1 & ! p>ts ab\t x ulc]ate1 & pr\d fle% or excessive granulation tissue spr+s up & imb$s ! edge ( ! nail4 ,we>+ a %oe1 or walk+1 becomes impossible4 ,! condition may la/ = mon?s1 or ev5 ye>s1 if n rightly treat$4 ,treatm5t4--,prop]ly fitt+ footge> mu/ be worn--broad at ! toes ) l[ heels & ( suffici5t l5g?4 ,if pus 7matt]7 =ms1 ! cut edge %\ld be rais$ up by pu%+ 9 a little absorb5t cotton "u ! nail e day4 ,hot p\ltices ( flaxse$ meal1 or o!r mat]ial w relieve any special pa9 & inflammation4 ,soak+ ! foot frequ5tly 9 hot wat]1 & obs]v+ especial cleanl9ess1 w aid recov]y4 ,tannic acid1 or "s antiseptic p[d] l nosoph51 %\ld be du/$ along ! edge ( ! nail1 & ! fle% cr[d$ away f ! nail by pu%+ 9 a little cotton ) "s tannic acid ^u x4 ,if !re is a raw surface ab\t ! bord] ( ! nail1 p[d]$ lead nitrate may be du/$ ^u x ea* morn+ = f\r or five days1 till ! ulc]at$ tissue %r9ks away & ! edge ( ! nail becomes visible4 ,! toe %\ld be cov]$ ) absorb5t cotton & a b&age4 ,z soon z ! toe is really inflam$ ! case becomes surgical1 & z su* dem&s ! c>e ( a surgeon :5 "o c be obta9$4 ,,fa9t+4 ,fir/ ,aid ,rule #a4--,remove imp$im5ts to respiration4 ,remove coll>1 loos5 all wai/ b&s & cords1 unhook corset or cut ! laces at p]son's back4 ,rule #b4--;,assi/ he>t & bra9 ) blood pressure4 ,put cu%ion "u buttocks1 w9d skirt close ab\t legs1 & raise feet 9 air4 ,wait t5 seconds4 ,rule #c4--;,aid respiration4 ,put mild smell+ salts "u nose4 ,spatt] cold wat] 9 face4 ,,suffocation ,,f ,,gas ,,9 ,,wells1 ,,ci/]ns1 ,,or ,,m9es1 ,,or ,,f ,,illum9at+ ,,gas4 ,fir/ ,aid ,rule #a4--,remove quickly into pure air4 ,rule #b4--,resuscitate z if dr[n$4 ,op5 8 m\?1 grasp 8 tongue1 pull x =w>d & keep x !re4 ,let ano!r assi/ant grasp ! arms j bel[ ! elb[s1 & draw !m /eadily upw>d by ! sides ( ! pati5t's head to ! gr\nd1 ! h&s ne>ly meet+1 :i* enl>ges ! capacity ( ! *e/ & induces inspiration4 7,see pp4 #cj & #ca47 ,:ile ?is is be+ done1 let a ?ird assi/ant take position a/ride ! pati5t's hips ) 8 elb[s re/+ on 8 own knees1 8 h&s ext5d$ ready = action4 ,next1 let ! assi/ant /&+ at ! head turn d[n ! pati5t's arms to ! sides ( 8 body1 ! assi/ant hold+ ! tongue1 *ang+ h&s if necess>y to let ! arms pass4 ,j be=e ! pati5t's h&s rea* ! gr\nd1 ! man a/ride ! body w grasp ! body ) 8 h&s1 ! ball ( ! ?umb re/+ on ei!r side ( ! pit ( ! /oma*1 ! f+]s fall+ into ! grooves betwe5 ! %ort ribs4 ,n[1 us+ 8 knees z a pivot1 he w1 at ! mom5t ! pati5t's h&s t\* ! gr\nd1 ?r[ 7n too sudd5ly7 8 :ole weight =w>d on 8 h&s1 & at ! same "t squeeze ! wai/ betwe5 !m1 z if he wi%$ to =ce some?+ 9 ! *e/ upw>d out ( ! m\?2 he w deep5 ! pressure :ile he sl[ly c\nts "o1 two1 ?ree1 f\r 7ab\t five seconds71 !n sudd5ly lets g ) a f9al pu%1 :i* w s5d him back to 8 fir/ position4 ,?is completes expiration4 ,a *ild or a delicate p]son mu/ be m g5tly h&l$4 ,at ! in/ant ( lett+ g1 ! man at ! head ( ! pati5t w aga9 draw ! arms /eadily upw>d1 to ! sides ( ! pati5t's head1 z be=e 7! assi/ant hold+ ! tongue aga91 *ang+ h&s if necess>y to let ! arms pass1 hold+ !m !re :ile he sl[ly c\nts "o1 two1 ?ree1 f\r 7ab\t five seconds774 ,repeat ^! movem5ts delib]ately & p]sev]+ly twelve or fifte5 times 9 e m9ute1 ?us imitat+ ! natural motions ( brea?+4 ,cont9ue ! artificial respiration f "o to f\r h\rs1 or until ! pati5t brea!s2 & = a :ile aft] ! appe>ance ( return+ life1 c>efully aid ! fir/ %ort gasps until deep5$ into full brea?s4 ,keep ! body w>m ) hot-wat] bottles & blanket4 ,rule #c4--;,give oxyg5 to brea! f a cyl9d]1 = two days1 at %ort int]vals1 9 ! case ( illum9at+ gas4 ,,fit2 ,,convulsion4 ,fir/ ,aid ,rule #a4--;,aid brea?+4 ,loos5 coll>1 wai/ b&s1 & unhook corset1 or cut ! laces beh9d4 ,rule #b4--,protect f injury4 ,g5tly re/ra9 f fall+ or roll+ aga9/ furniture2 lay flat on b$4 ,rule #c4--,protect tongue f be+ bitt54 ,op5 jaws & put betwe5 tee? rubb] eras] ti$ to /\t /r+1 or rubb] /opp] ti$ to /\t /r+4 ,rule #d4--;,cru% pe>l ( amyl nitrite 9 h&k]*ief1 & hold close to pati5t's nose & m\?1 till face is r$ & pati5t relaxes4 ,rule #e4--,let pati5t sleep aft] fit )\t r\s+4 ,,footnotes3 #i ,caution4 ,dang]\s4 ,use only on physician's ord]4 #aj ,caution4 ,dang]\s4 ,use only on physician's ord]4 ,"p ,,ii ,,g]m ,,diseases ,,by ,,k5elm ,,w9sl[ ,,*apt] ,i ,contagi\s ,diseases ,sc>let ,fev]--,symptoms & ,treatm5t--,precautions ,necess>y--,measles--,communicat+ ! ,disease--,smallpox--,vacc9ation--,h[ to ,diagnose ,*ick5pox4 ,,eruptive ,,contagi\s ,,fev]s 7includ+ ,sc>let ,fev]1 ,measles1 ,g]man ,measles1 ,smallpox1 & ,*ick5pox74--,^!1 ) ! exception ( smallpox1 attack *ildr5 m commonly ?an adults4 ,z !y all beg9 ) fev]1 & ! *>act]i/ic ra% does n appe> = f "o to f\r days aft] ! beg9n+ ( ! sickness1 ! diagnosis ( ^! diseases mu/ always be at ! onset a matt] ( d\bt4 ,= ?is reason x is wise to keep any *ild ) a fev] isolat$1 ev5 if ! tr\ble seems to be due to a cold or to dige/ive di/urbance1 to avoid possible communication ( ! disord] to o!r *ildr54 ,:ile colds & indige/ion are among ! mo/ frequ5t ailm5ts ( *ildr51 !y mu/ n be neglect$1 = measles beg9s z a bad cold1 smallpox l ! grippe1 & sc>let fev] ) a sore ?roat or tonsilitis1 & vomit+4 ,by isolation is meant t ! sick *ild %\ld /ay 9 a room by himself1 & ! doors %\ld be kept clos$ & no *ildr5 %\ld ent]1 nor %\ld any objects 9 ! room be remov$ to o!r p>ts ( ! h\se aft] ! beg9n+ ( its occupation by ! pati5t4 ,! s]vices ( a physician are p>ticul>ly desirable 9 all ^! diseases1 9 ord] t an e>ly diagnosis be made & measures be tak5 to protect ! family1 neighbors1 & community f contagion4 ,! failure ( p>5ts or gu>dians to secure m$ical aid = *ildr5 is reg>d$ by ! law z crim9al neglect1 & is subject to puni%m5t4 ,bo>ds ( heal? require ! report+ ( all contagi\s diseases z soon z _! pres5ce is kn[n1 & failure to comply ) _! rules also r5d]s ! (f5d] liable to f9e or imprisonm5t 9 mo/ places4 ,,sc>let ,,fev] 7,sc>lat9a74--,!re is no diff]5ce betwe5 sc>let fev] & sc>lat9a4 ,x is a popul> mi/ake t ! latt] is a mild type ( sc>let fev]4 ,fev]1 sore ?roat1 & a bright-r$ ra% are ! *>act]i/ics ( ?is disease4 ,x occurs mo/ frequ5tly 9 *ildr5 betwe5 ! ages ( two & six ye>s4 ,x is practically unkn[n "u "o ye> ( age4 ,pr(4 ,h4 ,m4 ,biggs1 ( ! ,new ,york ,dep>tm5t ( ,heal?1 has se5 b two und\bt$ cases 9 infants "u twelve mon?s4 ,x is r>e 9 adults1 & "o attack usually protects ! pati5t f ano!r4 ,second attacks h occurr$1 b _m su* are m app>5t ?an real1 s9ce an error 9 diagnosis is n uncommon4 ,! disease is communicat$ *iefly by means ( ! scales ( sk9 :i* escape dur+ ! peel+ process1 b may also be acquir$ at any "t f ! onset ( ! attack f ! brea?1 ur9e1 & dis*>ges f ! body2 or f sub/ances :i* h come 9 contact ) ^! emanations4 ,sc>let fev] is probably a g]m disease1 & ! g]ms may live = weeks 9 toys1 books1 lett]s1 clo?+1 wall pap]1 etc4 ,close contact ) ! pati5t1 or ) objects :i* h come 9 close t\* ) ! pati5t1 is app>5tly necess>y = contagion4 ,p]iod ( ,developm5t4--,aft] exposure to ! g]ms ( sc>let fev]1 usually f two to five days elapse be=e ! disease %[s itself4 ,occasionally ! outbreak ( ! disease occurs )9 tw5ty-f\r h\rs ( exposure1 & r>ely is delay$ = a week or t5 days4 ,symptoms4--,! onset is usually sudd54 ,x beg9s ) vomit+ 79 v "y *ildr5 sometimes convulsions71 sore ?roat1 fev]1 *ill9ess1 & heada*e4 ,! tongue is furr$4 ,! pati5t is (t5 /upid2 or may be re/less & deliri\s4 ,)9 tw5ty-f\r h\rs or s ! ra% appe>s--fir/ on ! neck1 *e/1 or l[] "p ( back--& rapidly spreads ov] ! trunk1 & by ! end ( =ty-eight h\rs cov]s ! legs & entire body except+ ! face1 :i* may be simply flu%$4 ,! ra% appe>s z f9e1 sc>let p9 po9ts scatt]$ ov] a backgr\nd ( flu%$ sk94 ,at its fulle/ developm5t1 at ! end ( ! second or ?ird day1 ! :ole body may pres5t ! color ( a boil$ lob/]4 ,aft] ?is "t ! ra% g5]ally fades away & disappe>s )9 five to sev5 days4 ,x is likely to v>y mu* 9 int5sity :ile x la/s4 ,z ! ra% fades1 scal+ ( ! sk9 beg9s 9 l>ge flakes & cont9ues f t5 days to z _m weeks1 usually t]m9at+ by ! end ( ! six? to eigh? week4 ,"o ( ! notable features is ! appe>ance ( ! tongue1 at fir/ %[+ r$ po9ts ?r\gh a :ite coat+1 & aft] ?is has cle>$ away1 9 pres5t+ a raspb]ry-l aspect4 ,! ?roat is g5]ally deep r$1 & ! tonsils may be dott$ ov] ) :ite spots 7see ,tonsilitis7 or cov]$ ) a :iti% or gray membrane sugge/+ diph!ria1 :i* occasionally complicates sc>let fev]4 ,! fev] usually is high 7#ajc deg4 to #ajg deg4 ,f71 & ! pulse ranges f #abj to #aej2 bo? decl9+ aft] ! ra% is fully develop$1 g5]ally by ! f\r? day4 ,! ur9e is scanty & d>k4 ,!re is1 h[ev]1 great v>iation 9 ! symptoms z to _! pres5ce or abs5ce1 int5sity1 & "t ( occurr5ce & disappe>ance4 ,complications & ,sequels4--,^! are frequ5t & make sc>let fev] ! mo/ dread$ ( ! eruptive diseases1 except smallpox4 ,enl>g$ gl&s "u ! jaw & at ! sides ( ! neck are common1 & appe> z lumps 9 ^! sites4 ,usually n s]i\s1 !y may enl>ge & ?reat5 life4 ,pa9 & swell+ 9 ! jo9ts1 especially ( ! elb[s & knees1 are n r>e1 & may be ! precursors ( s]i\s inflammation ( ^! p>ts4 ,"o ( ! mo/ frequ5t & s]i\s complications ( sc>let fev] is inflammation ( ! kidneys1 occurr+ m (t5 t[>d ! end ( ! second week ( ! disease4 ,exam9ation ( ! ur9e by ! att5d+ physician at frequ5t int]vals ?r\gh\t ! c\rse ( ! disord] is ess5tial1 al?\gh puff9ess ( ! eyelids & face1 & ( ! feet1 ankles1 & h&s1 toge!r ) less5$ secretion ( ur9e--:i* (t5 becomes ( a d>k & smoky hue--may d5ote ! onset ( ?is complication4 ,! disease ( ! kidneys usually results 9 recov]y1 b occasionally 9 dea? or 9 *ronic ,bright's disease ( ^! organs4 ,inflammation ( ! middle e> ) abscess1 dis*>ge ( matt] f ! e> ext]nally1 &--z ! f9al outcome--deafness1 is n uncommon4 ,?is complication may be prev5t$ to a consid]able ext5t by spray+ ! nose & ?roat frequ5tly & by ! pati5t's use ( a nightcap ) e>laps1 if ! room is n suffici5tly w>m4 ,inflammation ( ! eyelids is an occasional complication4 ,! he>t is sometimes attack$ by ! tox9s ( ! disease1 & p]man5t damage to ! organ1 9 ! =m ( valvul> tr\ble1 may result4 ,bl9dness & n]v\s disord]s are among ! r>] sequels includ+ p>alyses & ,/4 ,vitus's dance4 ,det]m9ation ( ,sc>let ,fev]4--,:5 beg9n+ ) vomit+1 heada*e1 high fev]1 & sore ?roat1 & foll[$ 9 tw5ty-f\r h\rs ) a g5]al sc>let ra%1 ?is is n difficult2 b occasionally o!r diseases pres5t ra%es1 z indige/ion1 grippe1 & ,g]man measles1 :i* puzzle ! mo/ acute physicians4 ,measles may be di/+ui%$ f sc>let fev] 9 t measles appe>s fir/ on ! face1 ! ra% is pat*y or blot*y1 & does n %[ = ?ree to f\r days aft] ! beg9n+ ( ! sickness4 ,! pati5t seems to h a bad cold1 ) c\gh1 runn+ at ! nose1 & sore eyes4 ,g]man measles is mild1 & :ile ! ra% may look some?+ l t ( sc>let fev]1 ! pati5t does n seem g5]ally ill1 is h>dly affect$ at all1 ?\gh r>ely tr\bl$ ) slight cat>rh ( ! nose4 ,9 no sickness are ! s]vices ( a physician m necess>y ?an 9 sc>let fev]2 fir/1 to det]m9e ! exi/5ce ( ! disease1 & !n to prev5t or combat ! complications :i* (t5 approa* insidi\sly4 ,outlook4--,! av]age dea? rate ( sc>let fev] is ab\t t5 p] c5t4 ,x is v fatal 9 *ildr5 ab\t a ye> old1 & mo/ ( ! dea?s occur 9 ^? "u ! age ( six4 ,b ! mortality v>ies greatly at diff]5t times & 9 diff]5t epidemics4 ,9 #aijd-e1 9 _m p>ts ( ! ,unit$ ,/ates1 ! disease 0 v preval5t & correspond+ly mild1 & dea?s 7 r>e4 ,duration ( ,contagion4--,! disease is commonly consid]$ contagi\s only s long z peel+ ( ! sk9 la/s4 ,b x seems probable t any cat>rhal secretion f ! nose1 ?roat1 or e> is capable ( communicat+ ! g]ms f a pati5t to ano!r p]son = _m days aft] o!r evid5ces ( ! disease are pa/4 ,sc>let fev] pati5ts %\ld always be isolat$ = z long a p]iod z six weeks--& bett] eight weeks--)\t reg>d to any %ort] duration ( peel+1 & if peel+ cont9ues long]1 s %\ld ! isolation4 ,treatm5t4--,9 case a physician is unobta9able ! pati5t mu/ be put to b$ 9 ! mo/ airy1 sun%9y room1 :i* %\ld be heat$ to #gj deg4 ,f41 & f :i* all ! unnecess>y movables %\ld be tak5 out be=e ! entrance ( ! pati5t4 ,a flannel nightg[n & light b$ clo?+ are desirable4 ,! fev] is be/ ov]come by cold spong+1 :i* at ! same "t dim9i%es ! n]v\s symptoms1 su* z re/lessness & delirium4 ,! body is spong$--"p at a "t--) wat] at ! temp]ature ( ab\t #gj deg4 ,f41 aft] plac+ a s+le ?ickness ( old cotton or l95 wet ) ice or cold wat] 7bett] an ice cap7 ov] ! =ehead4 ,! "p is ?or\ghly dri$ z soon z spong$1 & ! process is repeat$ :5ev] ! temp]ature is ov] #ajc deg4 ,f4 ,!re ne$ be no fe> t ! pati5t may cat* cold if only a portion ( ! body is expos$ at any "o "t4 ,if !re is any *ill9ess foll[+ spong+1 a bag or bottle conta9+ hot wat] may be plac$ at ! feet4 ,x is well t a rubb] bag conta9+ ice1 or fail+ ?is a cold clo?1 be kept cont9ually on ! head :ile fev] la/s4 ,! ?roat %\ld be spray$ h\rly ) a solution ( hydrog5 p]oxide 7full /r5g?7 & ! nose ) ! same1 dilut$ ) an equal am\nt ( wat]1 ?ree times a day4 ,! outside ( ! ?roat x is wise to surr\nd ) an ice bag1 or lack+ ?is1 a cold clo? frequ5tly wet & cov]$ ) a piece ( oil silk 7or rubb]7 & flannel4 ,! diet %\ld consi/ ( milk1 bro?s1 or ?9 gruels1 & pl5ty ( wat] %\ld be all[$4 ,sweet oil or c>boliz$ vasel9e %\ld be rubb$ ov] ! :ole body night & morn+ dur+ ! entire sickness & convalesc5ce4 ,! b[els mu/ be kept regul> by injections or mild ca?>tics1 &1 aft] ! fev] subsides1 vegetables1 fruit1 c]eals1 & milk may be p]mitt$1 toge!r ) meat or eggs once daily4 ,x is imp]ative = ! nurse & also ! "m to we> a g[n & cap ov] ! outside clo!s1 to be slipp$ (f 9 ! hall at ! door ( ! sick room :5 leav+ ! latt]4 ,,measles4--,measles is a contagi\s disease1 *>act]iz$ by a prelim9>y /age ( fev] & cat>rh ( ! eyes1 nose1 & ?roat1 & foll[$ by a g5]al eruption on ! sk94 ,"o attack practically protects a p]son f ano!r1 yet1 on ! o!r h&1 second attacks occur ) extreme r>ity4 ,x is m contagi\s ?an sc>let fev]1 & isolation ( a pati5t 9 a h\se is ( less s]vice 9 prev5t+ communication to o!r inmates1 :]eas 9 sc>let fev] half ! numb] ( susceptible *ildr5 may escape ! disease ?r\gh ?is precaution4 ,! g]ms :i* cause measles p]i% rapidly1 s t infect$ clo!s or o!r objects m]ely require a ?or\gh air+ to be r5d]$ safe1 :]eas 9 sc>let fev] ! dang] ( transmission ( ! contagion may lurk 9 infect$ clo?+ & o!r sub/ances = weeks1 unless !y are subject$ to prop] dis9fection4 ,a pati5t ) measles is capable ( communicat+ ! disord] f its onset1 be=e ! appe>ance ( ! ra%1 ?r\gh ! brea?1 dis*>ges f ! nose & eyes1 te>s & saliva & all ! secretions4 ,at ! end ( ! ?ird week ( ! disease ! pati5t is usually incapable ( giv+ ! disease to o!rs4 ,close contact ) a pati5t is commonly necess>y = "o to acquire ! disease1 b x is frequ5tly claim$ t x is c>ri$ by a ?ird p]son 9 ! clo!s1 z by a nurse4 ,x is infrequ5t 9 infants "u six mon?s1 & mo/ frequ5t betwe5 ! second & six? ye>4 ,adults are attack$ by measles m (t5 ?an by sc>let fev]4 ,developm5t4--,a p]iod ( f sev5 to sixte5 days aft] exposure to measles elapses be=e ! disease becomes app>5t4 ,symptoms4--,! disease beg9s l a sev]e nasal cat>rh ) fev]4 ,! eyes are r$ & wat]y1 ! nose runs1 & ! ?roat is irritable1 r$1 & sore1 & !re is "s c\gh1 ) *ill9ess & muscul> sor5ess4 ,! fev]1 high] at night1 v>ies f #ajb deg4 to #ajd deg4 ,f41 & ! pulse ranges f #ajj to #abj4 ,!re is (t5 m>k$ dr[s9ess = a day or two be=e ! ra% appe>s4 ,coat$ tongue1 loss ( appetite1 occasional vomit+1 & ?ir/ are pres5t dur+ ?is p]iod4 ,! appe>ance ( m9ute1 :iti% spots1 surr\nd$ by a r$ zone1 may (t5 be se5 9 ! inside ( ! m\? opposite ! back tee? = "s days be=e ! eruption occurs4 ,! prelim9>y p]iod1 :5 ! pati5t seems to be suff]+ ) a bad cold1 la/s = f\r days usually1 & on ! ev5+ ( ! f\r? day ! ra% breaks out4 ,x fir/ appe>s on ! face & !n spreads to ! *e/1 trunk1 & limbs4 ,two days are g5]ally requir$ = ! complete developm5t ( ! ra%2 x rema9s ?us 9 full bloom = ab\t two days m1 !n beg9s to subside1 fad+ completely 9 ano!r two days--six days 9 all4 ,! ra% appe>s z bright-r$1 slightly rais$ blot*es on ! face1 :i* is g5]ally some:at swoll54 ,! same ra% ext5ds to ! abdom51 back1 & limbs4 ,betwe5 ! mottl$1 r$ ra% may be se5 ! natural color ( ! sk94 ,at ?is "t ! c\gh may be ho>se & incessant1 & ! eyes extremely s5sitive to light4 ,! fev] & o!r symptoms abate :5 ! ra% subsides1 & well-m>k$ scal+ ( ! sk9 occurs4 ,complications & ,sequels4--,sev]e bron*itis1 pneumonia1 cr\p1 l>yngitis1 sore eyes1 e> abscess & deafness1 viol5t di>rhea1 convulsions1 &1 z a late result1 consumption sometimes accompany or foll[ measles4 ,= ! consid]ation ( ^! disord]s1 see special articles 9 o!r p>ts ( ?is "w4 ,outlook4--,! va/ majority ( heal?y pati5ts ov] two ye>s old recov] f measles completely4 ,y\ng] *ildr51 or ^? suff]+ f o!r diseases1 may die ?r\gh "s ( ! complications affect+ ! lungs4 ,! disease is peculi>ly fatal 9 "s epidemics occurr+ among ^? liv+ 9 unhygi5ic surr\nd+s1 & 9 communities unaccu/om$ to ! ravages ( measles4 ,?us1 9 an epidemic attack+ ! ,fiji ,isl&]s1 ov] "o-qu>t] ( ! :ole population 7#aej1jjj7 di$ ( measles 9 #ahge4 ,measles is m sev]e 9 adults ?an 9 *ildr54 ,diagnosis4--,= "o n famili> ) ! *>act]i/ic ra% a writt5 description ( x w n suffice = ! c]ta9 recognition ( ! disease1 b if ! long prelim9>y p]iod ( cat>rh & fev]1 & ! appe>ance ( ! eruption on ! f\r? day1 be tak5 into acc\nt--toge!r ) ! exi/5ce ( sore eyes & ho>se1 h>d c\gh--! det]m9ation ( ! pres5ce ( measles w n be difficult 9 mo/ cases4 ,treatm5t4--,! pati5t %\ld be put to b$ 9 a d>k5$1 well-v5tilat$ room at a temp]ature ( #fh deg4 to #gj deg4 ,f4 ,:ile by isolation ( ! pati5t we may (t5 fail to prev5t ! occurr5ce ( measles 9 o!r susceptible p]sons 9 ! same h\se1 because ( ! v infecti\s "* ( ! disease1 & because x is probable t !y h already be5 expos$ dur+ ! e>ly /ages :5 measles 0 n suspect$1 yet all possible precautions %\ld be adopt$ promptly4 ,= ?is reason o!r *ildr5 9 ! h\se %\ld be kept f s*ool & away f _! companions1 & !y ought n to be s5t away f home to spread ! disease else:]e4 ,! b[els %\ld be kept regul> by soapsuds injections or by mild ca?>tics1 z a ,seidlitz p[d]4 ,if ! fev] is ov] #ajc deg4 ,f4 & is accompani$ by mu* di/ress & re/lessness1 *ildr5 may be spong$ ) tepid wat]1 & adults ) wat] at #hj deg4 ,f41 e two h\rs or s z direct$ "u sc>let fev]4 ,:5 c\gh is incessant or ! ra% does n come out well1 !re is no?+ bett] ?an ! hot pack4 ,! pati5t is /ripp$ & wrapp$ f feet to neck 9 a blanket wrung out ( hot wat] conta9+ two teaspoonfuls ( mu/>d /irr$ into a gallon ( wat]4 ,?is is !n cov]$ ) two dry blankets & ! pati5t all[$ to rema9 9 ! blankets = two or ?ree h\rs1 :5 ! application may be repeat$4 ,x is well to keep a cold clo? on ! head dur+ ! process4 ,c\gh is also reliev$ by a mixture conta9+ syrup ( ipecac1 tw5ty drops2 p>egoric1 "o teaspoonful1 = an adult 7or "o-?ird ! dose = a *ild ( six71 :i* %\ld be giv5 9 "o-qu>t] glass ( wat] & may be repeat$ e two h\rs4 ,if !re is ho>s5ess1 ! neck %\ld be rubb$ ) a mixture ( sweet oil1 two p>ts2 & oil ( turp5t9e1 "o "p1 & cov]$ ) a flannel b&age4 ,! c\gh mixture w t5d to relieve ?is condition also4 ,a solution ( boric acid 7t5 gra9s ( boric acid to ! ounce ( wat]7 is to be dropp$ 9 bo? eyes e two h\rs ) a m$ic9e dropp]4 ,al?\gh usually mild1 ! eye symptoms may be v sev]e & require special treatm5t1 & consid]ably impair$ vision may be ! ultimate result4 ,sev]e di>rhea is combat$ ) bismu? subnitrate1 "o-qu>t] teaspoonful1 e ?ree h\rs4 ,= adults1 ! diet consi/s ( milk1 bro?s1 gruels1 & raw eggs4 ,"y *ildr5 liv+ on milk mixtures %\ld receive ! mixture to :i* !y are accu/om$1 dilut$ "o-half ) b>ley wat]4 ,n\ri%m5t mu/ be giv5 e two h\rs except dur+ sleep4 ,! pati5t %\ld be t5 days 9 b$1 & %\ld rema9 ?ree days 9 8 room aft] gett+ up 7or ?ree weeks 9 all1 if !re are o!rs :o may contract measles 9 ! h\se71 & aft] leav+ 8 room %\ld /ay 9 ! h\se a week long]4 ,! pr9cipal dang] aft] an attack ( measles is ( lung tr\ble--pneumonia or tub]culosis 7consumption7--& ! greate/ c>e %\ld be ex]cis$ to avoid exposure to ! wet or to cold draughts4 ,,g]man ,,measles 7,roe!ln74--,g]man measles is relat$ nei!r to measles nor sc>let fev]1 b resembles !m bo? to a c]ta9 ext5t--m closely ! =m] 9 mo/ cases4 ,x is a di/9ct disease1 & p]sons :o h _h bo? measles & sc>let fev] are /ill susceptible to ,g]man measles4 ,"o attack ( ,g]man measles usually protects ! pati5t f ano!r4 ,adults1 :o h n be5 previ\sly attack$1 are almo/ z liable to ,g]man measles z *ildr51 b x is r>e t infants acquire ! disease4 ,x is a v contagi\s disord]--b n s mu* s z true measles--& (t5 occurs 9 widespread epidemics4 ,! brea? & emanations f ! sk9 transmit ! contagium f ! appe>ance ( ! fir/ symptom to ! disappe>ance ( ! eruption4 ,developm5t4--,! p]iod elaps+ aft] exposure to ,g]man measles & be=e ! appe>ance ( ! symptoms v>ies greatly--usually ab\t two weeks2 x may v>y f five to eighte5 days4 ,symptoms4--,! ra% may be ! fir/ sign ( ! disease & m frequ5tly is s 9 *ildr54 ,9 o!rs1 = a day or two prec$+ ! eruption1 !re may be heada*e1 sor5ess1 & r$ness ( ! ?roat1 ! appe>ance ( r$ spots on ! upp] surface ( ! back ( ! m\?1 *ill9ess1 sor5ess 9 ! muscles1 loss ( appetite1 wat]+ ( ! eyes4 ,cat>rhal symptoms are mo/ g5]ally abs5t1 an important po9t 9 diagnosis4 ,:5 pres5t1 !y are always mild4 ,^! prelim9>y symptoms1 if pres5t1 are mu* mild] & ( %ort] duration ?an 9 measles1 :]e !y la/ = f\r days be=e ! ra% appe>s2 & ! h>d1 p]si/5t c\gh ( measles is abs5t 9 ,g]man measles4 ,also1 :ile !re is sore ?roat 9 ! latt]1 !re is n ! sev]e =m ) swoll5 tonsils cov]$ ) :ite spots s (t5 se5 9 sc>let fev]4 ,fev] is sometimes abs5t 9 ,g]man measles2 usually x ranges ab\t #ajj deg4 ,f41 r>ely ov] #ajb deg4 ,f4 ,?us1 ,g]man measles diff]s m>k$ly f bo? sc>let fev] & measles prop]4 ,! ra% usually appe>s fir/ on ! face1 !n on ! *e/1 & f9ally cov]s ! :ole body1 9 ! space ( a few h\rs--tw5ty-f\r h\rs at mo/4 ,! eruption takes ! =m ( rose-r$1 r\nd or oval1 slightly rais$ spots--f ! size ( a p9 head to t ( a pea--sometimes runn+ toge!r into uni=m r$ness1 z 9 sc>let fev]4 ,! ra% rema9s fully develop$ = ab\t two days1 & (t5 *anges into a copp]y hue z x gradually fades away4 ,!re are (t5 lumps--enl>g$ gl&s--to be felt "u ! jaw1 on ! sides & back ( ! neck1 :i* occur m commonly 9 ,g]man ?an 9 true measles4 ,! gl&s at ! back ( ! neck are ! mo/ *>act]i/ic4 ,!y are enl>g$ 9 ab\t two-?irds ( ! cases4 ,det]m9ation4--,! diagnosis or det]m9ation ( ! exi/5ce ( measles mu/ be made1 9 ! abs5ce ( a physician1 on ! g5]al symptoms r ?an on ! ra%1 :i* requires exp]i5ce = its recognition & is subject to great v>iations 9 appe>ance1 at "o "t simulat+ measles1 at ano!r sc>let fev]4 ,g]man measles diff]s f true measles 9 ! foll[+ po9ts3 ! prelim9>y p]iod--be=e ! ra%--is mild1 %ort1 or abs5t2 fev] is mild or abs5t2 ! cold 9 ! nose & eyes & c\gh are slight or may be abs5t1 z contra/$ ) ^! symptoms 9 measles1 :ile ! enl>g$ gl&s 9 ! neck are m pron\nc$ ?an 9 measles4 ,! onset ( ,g]man measles is n s sudd5 z 9 sc>let fev] & n accompani$ ) vomit+ z 9 ! latt]1 :ile ! sore ?roat & fev] are mu* mild] 9 ,g]man measles4 ,! peel+1 :i* is s prom95t 9 sc>let fev] ) ! disappe>ance ( ! ra%1 is n infrequ5tly pres5t4 ,x may be abs5t4 ,its pres5ce or abs5ce seems to dep5d ^u ! sev]ity ( ! eruption4 ,! desquamation :5 pres5t is f9] ?an 9 ei!r measles or sc>let fev]4 ,outlook4--,recov]y f ,g]man measles is ! inv>iable rule1 & )\t complications or delay4 ,treatm5t4--,little or no treatm5t is requir$4 ,! pati5t %\ld rema9 9 b$ 9 a d>k5$ room on a liquid diet :ile fev] la/s1 & be isolat$ f o!rs indoors until all signs ( ! eruption are pass$4 ,! eyes %\ld be treat$ ) boric acid z 9 measles2 ! diet1 dur+ ! fev]1 consi/+ ( milk1 bro?s1 ?9 c]eals1 beef juice1 raw eggs or eggnog1 = adults & old] *ildr52 :ile infants %\ld h _! milk mixture dilut$ "o-half ) b>ley wat]4 ,a ba? & fre% clo?+ = ! pati5t1 & ?or\gh cleans+ & air+ ( ! sick room & clo?+ are usually suffici5t aft] ! pass+ ( ! disease )\t *emical dis9fection4 ,,smallpox4--,smallpox is "o ( ! mo/ contagi\s diseases kn[n4 ,x is extremely r>e = anyone expos$ to ! disease to escape its onslaught unless previ\sly protect$ by vacc9ation or by a =m] attack ( ! disease4 ,"o is absolutely safe f acquir+ smallpox if rec5tly & successfully vacc9at$1 & ?us has "o ( ! mo/ frightful & fatal sc\rges to :i* mank9d has ev] be5 subject be5 robb$ ( its dang]s4 ,! contagium is probably d]iv$ entirely f ! scales & p>ticles ( sk9 escap+ f smallpox pati5ts1 & 9 ! ye> #aije-f ! true g]m ( ! disease 0 discov]$ by ,c\ncilman1 ( ,bo/on4 ,x is n necess>y to come 9 direct contact ) a pati5t to contract ! disease1 z ! contagium may be transmitt$ "s little di/ance ?r\gh ! air1 possibly ev5 outside ( ! sick room4 ,"o attack almo/ inv>iably protects aga9/ ano!r4 ,all ages are liable to smallpox2 x is p>ticul>ly fatal 9 "y *ildr51 & dur+ c]ta9 epidemics has prov$ m s 9 color$ ?an 9 :ite p4 ,developm5t4--,a p]iod ( t5 or twelve days usually elapses aft] exposure to smallpox be=e ! appe>ance ( ! fir/ symptoms ( ! disease4 ,?is p]iod may v>y1 h[ev]1 f n9e to fifte5 days4 ,symptoms4--,!re is a prelim9>y p]iod ( f tw5ty-f\r to =ty-eight h\rs aft] ! beg9n+ ( ! disease be=e an eruption occurs4 ,! onset is u%]$ 9 by a set ( symptoms simulat+ ^? se5 9 sev]e grippe1 = :i* smallpox is (t5 mi/ak5 at ?is "t4 ,! pati5t is sudd5ly seiz$ ) a *ill1 sev]e pa9s 9 ! head1 back1 & limbs1 loss ( appetite & vomit+1 dizz9ess on sitt+ up1 & fev]--#ajc deg4 to #aje deg4 ,f4 ,9 "y *ildr5 convulsions (t5 take ! place ( ! *ill se5 9 adults4 ,on ! second day a ra% (t5 appe>s on ! l[] "p ( ! belly1 ?ighs1 & armpits1 :i* may resemble t *>act]i/ic ( measles or sc>let fev]1 b does n la/ = ov] a day or two4 ,x is v evanesc5t &1 consequ5tly1 r>ely se54 ,di>rhea (t5 occurs1 z well z vomit+1 p>ticul>ly 9 *ildr54 ,on ! ev5+ ( ! f\r? day ! true eruption usually appe>s2 fir/ on ! =ehead or face1 & !n on ! arms1 h&s1 & legs1 palms1 & soles4 ,! eruption takes successively f\r =ms3 fir/1 r$1 feel+ l h>d pimples or l %ot2 !n1 on ! second or ?ird day ( ! eruption1 ^! pimples become tipp$ ) little bli/]s ) depress$ c5t]s1 & surr\nd$ by a r$ blu%4 ,two or ?ree days lat] ! bli/]s are fill$ ) matt] or pus & pres5t a yell[i% appe>ance & are r\nd$ on top4 ,f9ally1 on ab\t ! t5? day ( ! eruption1 ! pu/ules dry up & ! matt] exudes1 =m+ l>ge1 yell[i% or br[ni% cru/s1 :i*1 aft] a :ile1 drop (f & leave r$ m>ks &1 9 sev]e cases1 pitt+4 ,! fev] prec$+ ! eruption (t5 disappe>s ^u ! appe>ance ( ! latt] & 9 mild cases does n reappe>1 b 9 sev]e =ms ! temp]ature rema9s ab\t #ajj deg4 ,f41 & :5 ! eruption is at its height aga9 m\nts to #ajc deg4 to #aje deg4 ,f41 & gradually falls ) convalesc5ce4 ,! eruption is mo/ m>k$ on ! face1 h&s1 & =e>ms1 & occurs less ?ickly on ! body4 ,x appe>s also 9 ! m\? & ?roat & :5 fully develop$ on ! face gives rise to pa9 & consid]able swell+ & di/ortion ( ! features1 s t ! eyes are clos$ & ! pati5t becomes frightfully disfigur$ & well-nigh unrecognizable4 ,delirium is common at ?is "t1 & pati5ts ne$ con/ant wat*+ to prev5t _! escape f b$4 ,9 ! sev]e =ms ! sep>ate eruptive po9ts run toge!r s t ! face & h&s pres5t "o di/ort$ mass ( sor5ess1 swell+1 & cru/+4 ,9 ^!1 pitt+ inv>iably foll[s1 :ile 9 ^? cases :]e ! eruption rema9s di/9ct1 pitt+ is n c]ta9 to occur4 ,a /ill worse =m is t /yl$ black smallpox1 9 :i* ! sk9 becomes ( a d>k-purpli% hue1 f ! fact t ea* pu/ule is a small blood bli/]1 & ble$+ occurs f ! nose1 m\?1 etc4 ,^! cases are almo/1 )\t exception1 fatal 9 five to six days4 ,! pati5t may say t ! eruption 0 ! fir/ symptom he obs]v$4 ,?is 0 p>ticul>ly notic$ 9 negroes1 _m ( :om _h nev] be5 vacc9at$4 ,! eruption may exhibit b a doz5 or s po9ts1 especially ab\t ! =ehead1 wri/s1 palms1 & soles4 ,aft] ! fir/ f\r days ! fev] & all ! disagreeable symptoms may subside1 & ! pati5t may feel absolutely well4 ,! eruption1 h[ev]1 passes ?r\gh ! /ages m5tion$1 al?\gh b half ! "t may be occupi$ by ! *anges2 five or six days in/ead ( t5 to twelve = cru/s to =m4 ,9 su* cases ! dea? rate has be5 exce$+ly l[1 al?\gh x is p]fectly possible = a p]son to contract ! mo/ sev]e smallpox f "o ( ^! mild 7& (t5 unrecogniz$7 cases1 z has un=tunately happ5$4 ,smallpox occurr+ aft] successful vacc9ation resembles1 9 its *>act]i/ics1 ! cases j describ$1 & unless vacc9ation _h be5 done _m ye>s previ\sly1 ! results are almo/ always favorable z reg>ds life & abs5ce ( pitt+4 ,detection4--,smallpox is (t5 mi/ak5 = *ick5pox1 or "s ( ! sk9 diseases1 9 its mild =ms4 ,! read] is ref]r$ to ! article on *ick5pox = a consid]ation ( ?is matt]4 ,! mild type %\ld be treat$ j z rigidly z sev]e cases ) reg>d to isolation & qu>ant9e1 be+ m dang]\s to ! community because lightly judg$ & n /imulat+ to ! adoption ( necess>y precautions4 ,! prelim9>y fev] & o!r symptoms peculi> to smallpox w g5]ally s]ve to det]m9e ! true nature ( ! disease1 s9ce ^! d n occur 9 simple eruptions on ! sk94 ,! g5]al symptoms & c\rse ( smallpox mu/ guide ! layman r ?an ! appe>ance ( ! eruption1 :i* requires educat$ skill & exp]i5ce to recognize4 ,*ick5pox 9 an adult is less common ?an 9 *ildr54 ,smallpox is v r>e 9 "o :o has suff]$ f a previ\s attack ( ! disease or 9 "o :o has be5 successfully vacc9at$ )9 a few ye>s4 ,outlook4--,! dea? rate ( smallpox 9 ^? :o h be5 previ\sly vacc9at$ at a comp>atively rec5t date1 or 9 v>ioloid1 z x is call$ :5 ?us modifi$ by vacc9ation1 is only #a4b p] c5t4 ,!re are1 h[ev]1 sev]e cases foll[+ vacc9ations done _m ye>s previ\s to ! attack ( smallpox4 ,:ile ^! _c be call$ v>ioloid1 yet ! dea? rate is mu* l[] ?an 9 smallpox occurr+ 9 ! unvacc9at$4 ,?us1 be=e ! mild epidemic ( #ahid ! dea? rate 9 ! vacc9at$ 0 sixte5 p] c5t2 s9ce #ahid x has be5 only sev5 p] c5t2 :ile 9 ! unvacc9at$ be=e #ahid x 0 fifty-eight p] c5t2 & s9ce t date x has be5 b sev5te5 p] c5t1 z report$ by ,wel* f ! /ati/ics ( #e1jjj cases 9 ! ,philadelphia ,municipal ,hospital4 ,complications4--,:ile a v>iety ( disord]s may foll[ 9 ! c\rse ( smallpox1 complications are n v frequ5t 9 ev5 sev]e cases4 ,inflammation ( ! eyelids is v common1 h[ev]1 & also boils 9 ! lat] /ages4 ,delirium & convulsions 9 *ildr5 are also frequ5t1 z well z di>rhea2 b ^! may almo/ be reg>d$ z natural accompanim5ts ( ! disease4 ,among ! less common complications are3 l>yngitis1 pneumonia1 diseases ( ! he>t1 insanity1 p>alysis1 v>i\s sk9 eruptions1 inflammation ( ! jo9ts & ( ! eyes & e>s1 & baldness4 ,treatm5t4--,prev5tion is ( greate/ importance4 ,vacc9ation /&s alone z ! mo/ effective prev5tive measure 9 smallpox1 & z su* has no rival 9 ! :ole doma9 ( m$ic9e4 ,! mod]n me?od includes ! inoculation ( a human be+ ) matt] tak5 f "o ( ! eruptive po9ts on ! body ( a calf suff]+ ) c[pox4 ,:e!r c[pox is a modifi$ =m ( smallpox or a di/9ct disease is unkn[n4 ,! p]iod ( protection af=d$ by a successful vacc9ation is unc]ta91 because x v>ies ) diff]5t individuals4 ,9 a g5]al way immunity = ab\t f\r or five ye>s is ?us secur$2 t5 or twelve ye>s aft] vacc9ation ! protection is c]ta9ly lo/ & smallpox may be !n acquir$4 ,e individual %\ld be vacc9at$ betwe5 ! second & ?ird mon? aft] bir?1 & betwe5 ! ages ( t5 & twelve1 & at o!r times :5ev] an epidemic ?reat5s4 ,an unvacc9at$ p]son %\ld be vacc9at$ & revacc9at$1 until ! result is successful1 z immunity to vacc9ation 9 an unvacc9at$ p]son is practically unkn[n4 ,:5 unsuccessful1 ! vacc9e matt] or ! te*nique is faulty4 ,a p]son cont9u\sly expos$ to smallpox %\ld be vacc9at$ e few weeks--if unsuccessful1 no h>m or suff]+ foll[2 if successful1 x proves liability to smallpox4 ,a p]son previ\sly vacc9at$ successfully may take aga9 at any "t aft] f\r or five ye>s1 &1 9 ev5t ( possible exposure to smallpox1 %\ld be revacc9at$ sev]al times )9 a few weeks--if ! vacc9ation does n take--be=e ! attempt is giv5 up4 ,an unvacc9at$ p]son1 :o has be5 expos$ to smallpox1 c (t5 escape ! disease if successfully vacc9at$ )9 ?ree days f ! date ( ! exposure1 b is n sure to d s4 ,diseases are n introduc$ ) vacc9ation n[ t ! vacc9e matt] is tak5 f calves & n f ! human be+1 z =m]ly4 ,mo/ ( ! tr\ble & inflammation ( ! vacc9at$ "p foll[+ vacc9ation may be avoid$ by cleanl9ess & prop] c>e 9 vacc9at+4 ,9 ! abs5ce ( a physician1 vacc9ation may be prop]ly done by any intellig5t p]son :5 ! circum/ances dem& x4 ,vacc9ation is usually p]=m$ ^u ! outside ( ! arm1 a few in*es bel[ ! %\ld]1 9 ! depression situat$ 9 t region4 ,if done on ! leg1 ! vacc9ation is apt to be mu* m tr\blesome & may conf9e ! pati5t to b$4 ,! arm %\ld be ?or\ghly wa%$ 9 soap & w>m wat]1 f %\ld] to elb[1 & !n 9 alcohol dilut$ "o-?ird ) wat]4 ,:5 ?is has evaporat$ 7)\t rubb+71 ! dry arm is scrat*$ lightly ) a cold ne$le :i* has previ\sly be5 held 9 a flame & its po9t heat$ r$ hot4 ,! po9t mu/ !reaft] n be t\*$ ) any?+ until ! sk9 is scrat*$ ) x4 ,! object is n to draw blood1 b to remove ! out] lay] ( sk91 ov] an area ab\t "o-f\r? ( an in* squ>e1 s t x appe>s r$ & moi/ b n ble$+4 ,?is is accompli%$ by v light scrat*+ 9 v>i\s directions4 ,ano!r spot1 ab\t an in* or two bel[1 may be simil>ly treat$4 ,!n vacc9e matt]1 if liquid1 is squirt$ on ! raw spots1 or1 if dri$ on po9ts1 ! ivory po9t is dipp$ 9 wat] :i* has be5 boil$ & cool$1 & rubb$ ?or\ghly ov] ! raw places4 ,! arm mu/ rema9 b>e & ! vacc9ation m>k unt\*$ until ! surface ( ! raw spot is p]fectly dry1 :i* may take half an h\r4 ,a piece ( /]iliz$ surgical gauze1 rea*+ halfway ab\t ! arm & kept 9 place ) /rips ( adhesive pla/] 7or an absolutely clean h&k]*ief b\nd ab\t ! arm1 & held by sew+ or safety p9s71 ought to cov] ! vacc9ation = ?ree days4 ,aft] ?is "t ! sore mu/ only come 9 contact ) s(t & clean old cotton or l951 :i* may be daily p9n$ 9 ! sleeve ( ! "u g>m5t4 ,if ! scab is knock$ (f & an op5 sore results x %\ld be treat$ l any w\nd4 ,if ! vacc9ation takes1 x passes ?r\gh sev]al /ages4 ,on ! ?ird day foll[+ vacc9ation a r$ pimple =ms at ! po9t ( introduction ( ! matt]1 :i* is surr\nd$ by a circle ( r$ness4 ,"s little fev] may occur4 ,on ! fif? day a bli/] or pimple conta9+ cle> fluid ) a depress$ c5t] is se51 & a c]ta9 am\nt ( h>d swell+1 it*9ess1 & pa9 is pres5t ab\t ! vacc9ation4 ,a sore lump 7gl&7 is (t5 felt "u ! arm4 ,! full developm5t is rea*$ by ! eigh? day1 :5 ! pimple is full & r\nd$ & conta9s matt]1 & is surr\nd$ by a l>ge area ( r$ness4 ,f ! elev5? day ! vacc9ation sore dries1 & a br[n scab =ms ov] x ab\t ! end ( ! f\rte5? day1 & ! r$ness & swell+ gradually dep>t4 ,at ! end ( ab\t ?ree weeks ! scab drops (f1 leav+ a pitt$ sc> or m>k4 ,n infrequ5tly ! vacc9ation results 9 a v slight pimple & r$ness1 :i* passes ?r\gh ! v>i\s /ages describ$1 9 a week or t5 days1 9 :i* case ! vacc9ation %\ld be repeat$4 ,unless ! vacc9ation foll[s v closely ! c\rse describ$1 x _c be reg>d$ z successful1 al?\gh aft] ! fir/ "o or two vacc9ations ! result is (t5 n s sev]e1 & ! "t ( completion ( ! v>i\s /ages some:at %ort5$4 ,r>ely an eruption1 resembl+ t at ! vacc9ation site1 appe>s on ! vacc9at$ limb & ev5 becomes g5]al ^u ! body1 due to urtic>ia or to inoculation1 ?r\gh scrat*+4 ,! special treatm5t ( an attack ( smallpox is l>gely a matt] ( c>eful nurs+4 ,a physician or nurse c sc>cely lay claim to any great degree ( h]oism 9 c>+ = smallpox pati5ts1 z !re is no dang] ( contract+ ! disease provid+ a successful vacc9ation has be5 rec5tly p]=m$ ^u !m4 ,! pati5t %\ld be qu>ant9$ 9 an isolat$ build+1 & all unnecess>y articles %\ld be remov$ f ! sick room1 9 ! way ( c>pets & o!r furni%+s4 ,x is well t ! room be d>k5$ to save irritation ( ! eyes4 ,! diet %\ld be liquid3 milk1 bro?s1 & gruels4 ,laudanum1 fifte5 drops1 or p>egoric1 "o tablespoonful 9 wat]1 may be giv5 to adults1 once 9 ?ree h\rs1 to relieve pa9 dur+ ! fir/ few days4 ,spong+ ?r\gh\t ! c\rse ( ! disease is ess5tial2 fir/1 ) cool wat]1 z direct$ = sc>let fev]1 ) ! use ( cold on ! head to relieve ! it*+1 fev]1 & delirium4 ,! cold pack is /ill m effici5t4 ,to give ?is1 ! pati5t is wrapp$ 9 a %eet wrung out 9 wat] at a temp]ature betwe5 #fh deg4 & #ge deg4 ,f4 ,! %eet surr\nds ! nak$ body f feet to neck1 & is tuck$ betwe5 ! legs & betwe5 ! body & arms2 ! :ole is !n cov]$ ) a dry blanket1 & a cold1 wet clo? or ice cap is plac$ ^u ! head4 ,! pati5t may be p]mitt$ to rema9 9 ! pack = an h\r1 :5 x may be r5ew$1 if necess>y1 to allay fev] & re/lessness2 o!rwise x may be discont9u$4 ,! cold spong+ or cold pack are indicat$ :5 ! temp]ature is ov] #ajb4e deg4 ,f41 & :5 ) fev] !re are re/lessness & delirium4 ,great cleanl9ess is important ?r\gh\t ! disease2 ! b$clo!s %\ld be *ang$ daily & ! pati5t spong$ two or ?ree times daily ) w>m wat]1 unless fev] is high4 ,clo?s wet ) cold c>bolic-acid solution 7"o-half teaspoonful to ! p9t ( hot wat]7 %\ld be kept cont9u\sly on ! face & h&s4 ,holes are cut 9 ! face mask = ! eyes1 nose1 & m\?1 & ! :ole cov]$ ) a simil> piece ( oil silk to keep 9 ! moi/ure4 ,su* applications give mu* relief1 & to "s ext5t prev5t pitt+4 ,! hair mu/ be cut %ort1 & cru/s on ! scalp treat$ ) frequ5t spong+ & applications ( c>boliz$ vasel9e1 to s(t5 !m & ha/5 _! fall+4 ,! boric-acid solution %\ld be dropp$ into ! eyes z recomm5d$ = measles1 & ! ?roat spray$ e few h\rs ) ,dobell's solution4 ,di>rhea 9 adults may be *eck$ ) teaspoonful doses ( p>egoric giv5 h\rly 9 wat]4 ,vasel9e & clo?s us$ on a pati5t mu/ n be employ$ on ano!r1 z boils are ?us readily propagat$4 ,all clo?+1 di%es1 etc41 com+ 9 contact ) a pati5t mu/ be boil$1 or soak$ 9 a two-p] c5t c>bolic-acid solution = tw5ty-f\r h\rs1 or burn$4 ,:5 ! pati5t is entirely free f scabs1 aft] ba?+ & putt+ on dis9fect$ or new clo!s outside ( ! sick room1 he is fit to re5t] ! _w4 ,,*ick5pox4--,*ick5pox is a contagi\s disease1 *iefly attack+ *ildr54 ,:ile x resembles smallpox 9 "s respects1 at times simulat+ ! latt] s closely z to puzzle physicians1 x is a di/9ct disease & is 9 no way relat$ to smallpox4 ,?is is %[n by ! fact t *ick5pox sometimes attacks a pati5t suff]+ )1 or recov]+ f1 smallpox4 ,nei!r d vacc9ation nor a previ\s attack ( smallpox protect an individual f *ick5pox4 ,*ick5pox is n common 9 adults1 & its app>5t pres5ce 9 a gr[n p]son %\ld awak5 ! livelie/ suspicion le/ ! case be "o ( smallpox1 s9ce ?is mi/ake has be5 frequ5tly made1 & ) disa/r\s results1 dur+ an epidemic ( mild smallpox4 ,"o attack ( *ick5pox usually protects aga9/ ano!r1 b two or ?ree attacks 9 ! same individual are n unkn[n4 ,! disease may be transmitt$ f ! pati5t to ano!r p]son f ! "t ( ! fir/ symptom until ! disappe>ance ( ! eruption4 ,! disease ord9>ily occurs 9 epidemics1 b occasionally 9 isolat$ cases4 ,developm5t4--,a p]iod ( two weeks commonly elapses aft] exposure to ! disease be=e ! appe>ance ( ! fir/ symptom ( *ick5pox1 b ?is p]iod may v>y f ?irte5 to tw5ty-"o days4 ,symptoms4--,! *>act]i/ic eruption is (t5 ! fir/ w>n+ ( *ick5pox1 b 9 "s cases !re may be a prelim9>y p]iod ( discom=t1 la/+ = a few h\rs1 be=e ! appe>ance ( ! ra%2 p>ticul>ly 9 adults1 9 :om ! premonitory symptoms may be q sev]e4 ,?us1 !re may be *ill9ess1 nausea1 & ev5 vomit+1 r>ely convulsions 9 infants1 pa9 9 ! head & limbs1 & slight fev] 7#ii deg4 to #ajb deg4 ,f47 at ?is "t4 ,! eruption %[s fir/ on ! body1 9 mo/ cases1 especially ! back4 ,x consi/s ( small r$ pimples1 :i* rapidly develop into pe>ly look+ bli/]s ab\t z l>ge z a pea to t ( ! f+] nail1 & are sometimes surr\nd$ by a r$ blu% on ! sk94 ,^! bli/]s v>y 9 numb]1 f a doz5 or s to two hundr$4 ,!y d n run toge!r1 & 9 ?ree to f\r days dry up1 become %rivel$ & puck]$1 & cov]$ ) a d>k-br[n or blacki% cru/1 & drop (f1 leav+ only tempor>y r$ spots 9 mo/ cases4 ,! fev] usually cont9ues dur+ ! eruption4 ,dur+ ! fir/ few days successive fre% crops ( fre% pimples & bli/]s appe>1 s t :ile ! fir/ crop is dry+ ! next may be 9 full developm5t4 ,?is =ms "o ( its di/+ui%+ features :5 *ick5pox is comp>$ ) smallpox4 ,9 *ick5pox ! eruption is se5 on ! unexpos$ sk9 *iefly1 b may occur on ! scalp & =ehead1 & ev5 on ! palms1 soles1 =e>ms1 & face4 ,9 _m cases ! eruption is f\nd 9 ! m\?1 on its ro(1 & ! inside ( ! *eeks4 ,! bli/]s r>ely conta9 matt] or pus1 z 9 smallpox1 unless !y are scrat*$4 ,scrat*+ may lead to ! =mation ( ugly sc>s & %\ld be prev5t$1 especially :5 ! eruption is on ! face4 ,pitt+ r>ely occurs4 ,det]m9ation4--,! discrim9ation betwe5 *ick5pox & smallpox is sometimes extremely puzzl+ & dem&s ! skill ( an exp]i5c$ physician4 ,:5 "o is unavailable1 ! foll[+ po9ts may s]ve to di/+ui% ! two disord]s3 smallpox usually beg9s l a sev]e attack ( grippe1 ) pa9 9 ! back & head1 g5]al pa9s & nausea or vomit+1 ) high fev] 7#ajc deg4 to #ajd deg4 ,f47 ,^! la/ two or ?ree days1 & may completely subside :5 ! ra% appe>s4 ,9 *ick5pox prelim9>y discom=t is abs5t1 or la/s b a few h\rs be=e ! eruption4 ,! eruption ( smallpox usually occurs fir/ on ! =ehead1 ne> ! hair1 or on ! palms ( ! h&s1 soles ( ! feet1 ! arms & legs1 b is usually sp>se on ! body4 ,! eruption appe>s ab\t ! same "t 9 smallpox & n 9 successive crops1 z 9 *ick5pox4 ,*ick5pox is m commonly a disease ( *ildhood2 smallpox attacks all ages4 ,! cru/s 9 *ick5pox are ?91 & appe> 9 f\r or five days1 :ile ^? ( smallpox are l>ge & yell[1 & occur aft] t5 or twelve days4 ,outlook4--,*ick5pox almo/ inv>iably results 9 a rapid & spe$y recov]y )\t complications or sequels4 ,! "y pati5ts (t5 feel well ?r\gh\t ! attack1 :i* la/s f eight to twelve days4 ,treatm5t4--,*ildr5 %\ld be kept 9 b$ dur+ ! eruptive /age until ! bli/]s h dri$4 ,to prev5t scrat*+1 ! calam9e lotion may be us$ 7,vol4 ,,ii1 p4 #ade71 or c>boliz$ vasel9e1 or ba?+ ) a solution ( bak+ soda1 "o teaspoonful to ! p9t ( tepid wat]4 ,! diet %\ld be t recomm5d$ = ,g]man measles4 ,pati5ts %\ld be kept 9 ! h\se & isolat$ until all signs ( ! eruption are pass$1 & !n receive a good ba? & fre% clo?+ be=e m+l+ ) o!rs4 ,! sick room %\ld be ?or\ghly clean$ & air$2 ?or\gh *emical dis9fection is n ess5tial4 ,! s]vices ( a physician are always desirable 9 ord] t x may be positively det]m9$ t ! disease is n a mild =m ( smallpox4 ,,*apt] ,,ii ,infecti\s ,diseases ,typhoid ,fev]--,h[ x is ,contract$--,complications & ,sequels--,re/1 ,diet1 & ,ba?+ ! ,requisites--,mumps--,:oop+ ,c\gh--,erysipelas4 ,,typhoid ,,fev] 7,,ent]ic ,,fev]74--,?r\gh ignorance :i* prevail$ be=e ! discov]y ( ! g]m ( typhoid fev] & exact me?ods = det]m9+ ! pres5ce ( ! same1 ! t]m 0 loosely appli$ & is to ?is day4 ,?us mild =ms ( typhoid are call$ ga/ric fev]1 sl[ fev]1 mal>ial fev]1 n]v\s fev]1 etc41 all true typhoid 9 mo/ cases2 :ile typhoid fev]1 common to c]ta9 localities & diff]+ 9 "s respects f ! typical =m1 is (t5 nam$ aft] ! locality 9 :i* x occurs1 z ! m\nta9 fev] common to ! elevat$ regions ( ! we/]n ,unit$ ,/ates4 ,?is want ( in=mation is apt to prevail 9 regions remote f m$ical c5t]s1 & leads to neglect ( ! necess>y /rict measures = ! protection ( neighbor+ communities1 = ! excretion ( "o typhoid pati5t has l$ to ?\s&s ( cases & hundr$s ( dea?s4 ,typhoid fev] is a communicable disease caus$ by a g]m :i* attacks ! inte/9es *iefly1 b also invades ! blood1 & at times all ! o!r p>ts ( ! body1 & is *>act]iz$ by cont9u$ fev]1 an eruption1 t5d]ness & di/5tion ( ! b[els1 & g5]ally di>rhea4 ,x is common to all p>ts ( ! e>? 9 ! temp]ate zones1 & occurs m frequ5tly f ,july to ,decemb] 9 ! nor? temp]ate zone1 f ,febru>y to ,july 9 ! s\? temp]ate zone4 ,x is mo/ preval5t 9 ! late summ] & autumn mon?s & aft] a hot1 dry summ]4 ,individuals betwe5 ! ages ( fifte5 & ?irty are m prone to typhoid fev]1 b no age is exempt4 ,! sexes are almo/ equally liable to ! disease1 al?\gh x is said t = e f\r female cases !re are five male cases4 ,! robu/ succumb z readily z ! weak4 ,cause & ,modes ( ,communication4--,:ile ! typhoid g]m is always ! imm$iate cause1 yet x is br\ght 9 contact ) ! body 9 v>i\s ways4 ,contam9ation ( wat] supply ?r\gh bad dra9age is ! pr9cipal s\rce ( epidemics ( typhoid4 ,be=e c>efully protect$ public wat] supplies 7 9 vogue 9 ,massa*usetts1 !re 7 n9ety-two dea?s f typhoid fev] 9 #ajj1jjj inhabitants1 :ile ?irty-five ye>s aft] t[n wat] supplies became ! rule1 !re 7 only n9ete5 dea?s = ! same population4 ,:5ev] typhoid is preval5t1 ! wat] us$ = dr9k+ & all o!r h\sehold purposes %\ld be boil$1 & uncook$ food %\ld be avoid$4 ,flies are c>ri]s ( typhoid g]ms by light+ on ! nose1 ! m\?1 & ! dis*>ges ( typhoid pati5ts1 & !n convey+ ! g]ms to food1 gre5 vegetables1 & milk4 ,cook+ ! food1 prev5t+ contact ( flies ) ! pati5ts1 & keep+ flies out ( human habitations becomes imp]ative4 ,milk is a s\rce ( contagion ?r\gh contam9at$ wat] us$ to wa% cans1 or to adult]ate x1 or ?r\gh h&l+ ( x by pati5ts or ^? :o h come 9 contact ) pati5ts4 ,oy/]s gr[+ 9 ! m\?s ( riv]s & ne> ! outlets ( dra9s & sew]s are c>ri]s ( typhoid g]ms1 &1 if eat5 raw1 sometimes communicate typhoid fev]4 ,du/ is an occasional m$ium ( communication ( ! g]m4 ,x is probable1 h[ev]1 t ! g]m always ent]s ! body by be+ swall[$ ) food or dr9k1 & does n ent] ?r\gh ! lungs4 ,!re is little d\bt on ?is po9t4 ,ice may h>bor ! g]m = _m mon?s1 = freez+ does n kill x1 & epidemics h be5 trac$ to ?is s\rce4 ,clo?+1 wood1 ut5sils1 door h&les1 etc41 :i* h be5 contam9at$ by contact ) dis*>ges f pati5ts1 may also prove m$iums ( communication ( ! typhoid g]m to heal?y individuals4 ,typhoid g]ms escape f pati5ts sick ) ! disease *iefly 9 ! b[el dis*>ges & ur9e1 sometimes 9 ! sweat1 saliva1 & vomit$ matt]4 ,sew] gas & emanations f sewage & fil? w n communicate typhoid fev] directly1 b ! latt] af=d nutrim5t = ! gr[? ( ! g]m1 & aft] becom+ infect$1 may ev5tually come 9 contact ) dr9k+ wat] or food1 & s prove dang]\s4 ,improp] c>e ( dis*>ges ( excrem5t & ur9e--) ! assi/ance ( flies--are responsible = ! enorm\s typhoid epidemics 9 milit>y camps1 s t 9 ! late ,spani%-,am]ican ,w> "o-fif? ( all our soldi]s 9 camp contract$ ! disease4 ,9 ! upp] lay]s ( ! soil typhoid g]ms may live = six mon?s ?r\gh fro/s & ?aws4 ,! disease is prev5table1 & w probably be /amp$ out 9 "t4 ,9 "s ( ! mo/ ?ickly populat$ cities 9 ! _w1 z 9 ,vi5na1 its occurr5ce is mo/ infrequ5t1 ow+ to intellig5t sanit>y control & pure wat] supply1 :ile 9 ! mo/ salubri\s c\ntry di/ricts its inroads are ! mo/ s]i\s & fatal ?r\gh ignorance & c>elessness4 ,developm5t4--,f eight to tw5ty-?ree days elapse f ! "t ( entrance ( typhoid g]ms into ! body be=e ! pati5t is tak5 sick4 ,"o attack usually protects "o aga9/ ano!r1 b two or ?ree attacks are n unhe>d ( 9 ! same p]son4 ,symptoms4--,typhoid fev] is subject to inf9ite v>iations1 & x w "h be possible only to outl9e :at may be call$ a typical case4 ,9 a "w ( ?is k9d ! prelim9>y symptoms are ( mo/ importance 9 w>n+ "o ( ! probability ( an attack1 s t ! prospective pati5t c gov]n himself accord+ly1 z 9 no o!r disease is re/ 9 b$ ( m value4 ,pati5ts :o p]si/ 9 walk+ ab\t ) typhoid fev] = ! fir/ week or s are mo/ likely to die ( ! disease4 ,! av]age duration ( ! disease is ab\t "o mon?4 ,dur+ ! fir/ week ! onset is gradual1 ! temp]ature m\nt+ a little high] ea* day--z #ii4e deg4 ,f4 ! fir/ ev5+1 #aja deg4 ! second1 #ajb deg4 ! f\r?1 #ajd deg4 ! fif?1 #aje deg4 ! six?1 & #aje4e deg4 ! sev5?4 ,9 ! morn+ ( ea* day ! temp]ature is usually ab\t a degree or m l[] ?an t ( ! previ\s night4 ,f ! end ( ! fir/ week to ! beg9n+ ( ! ?ird ! temp]ature rema9s at its highe/ po9t1 be+ ab\t ! same ea* ev5+ & fall+ "o or two degrees 9 ! morn+4 ,dur+ ! ?ird week ! temp]ature gradually falls1 ! highe/ po9t ea* ev5+ be+ a degree or s l[] ?an ! previ\s day1 :ile 9 ! f\r? week ! temp]ature may be bel[ normal 9 ! morn+ & a degree or s above normal at night4 ,s mu* = ?is symptom4 ,aft] ! entrance ( typhoid g]ms into ! b[els & be=e ! recogniz$ onset ( ! disease1 !re may be lassitude & dis9cl9ation = ex]tion4 ,! disease beg9s ) heada*e1 backa*e1 loss ( appetite1 sometimes a *ill 9 adults or a convulsion 9 *ildr51 sor5ess 9 ! muscles1 pa9s 9 ! belly1 noseble$1 occasional vomit+1 di>rhea1 coat$ tongue1 (t5 "s c\gh1 flu%$ face1 pulse #ajj1 gradually increas+ z describ$4 ,^! symptoms are1 to a consid]able ext5t1 *>act]i/ic ( ! beg9n+ ( _m acute diseases1 b ! gradual onset ) con/ant fev]1 noseble$1 & loos5ess ( ! b[els are ! mo/ sugge/ive features4 ,!n1 if at ! end ( ! fir/ week or t5 days p9k-r$ spots1 ab\t z l>ge z a p9 head1 appe> on ! *e/ & belly to ! numb] ( two or ?ree to a doz51 ( v num]\sly1 & disappe> on pressure 7only to return imm$iately71 ! exi/5ce ( typhoid fev] is pretty c]ta94 ,heada*e is n[ int5se4 ,^! rose spots--z !y are call$--(t5 appe> 9 crops dur+ ! second & ?ird weeks1 la/+ = a few days1 !n dep>t+4 ,dur+ ! second week !re is (t5 delirium & w&]+ at night2 ! heada*e goes1 b ! pati5t is /upid & has a dusky1 flu%$ face4 ,! tongue becomes br[ni% 9 color1 & its coat is crack$1 & ! tee? are cov]$ ) a br[ni% matt]4 ,! sk9 is g5]ally r$ & ! belly di/5d$ & t5d]4 ,di>rhea is (t5 pres5t ) ?ree to t5 dis*>ges daily ( a light-yell[1 pea-s\p nature1 ) a v (f5sive odor4 ,con/ipation ?r\gh\t ! disease is1 h[ev]1 n uncommon 9 ! m s]i\s cases4 ,! pulse ranges f #hj to #abj a m9ute4 ,dur+ ! ?ird week1 9 cases ( mod]ate sev]ity1 ! g5]al condition beg9s to improve ) l[]+ ( ! temp]ature1 cle>+ ( ! tongue1 & less frequ5t b[el movem5ts4 ,b 9 sev]e cases ! pati5t becomes weak]1 ) rapid1 feeble pulse1 rang+ f #abj to #adj2 /upor & mutt]+ delirium2 twit*+ ( ! wri/s & pick+ at ! b$clo!s1 ) g5]al trembl+ ( ! muscles 9 mov+2 sl[1 hesitat+ spee*1 & emaciation2 :ile ! ur9e & faeces may be pass$ unconsci\sly 9 b$4 ,occasionally ! pati5t ) delirium may require wat*+ to prev5t him f gett+ out ( b$ & injur+ himself4 ,he may appe> insane4 ,dur+ ! f\r? week1 9 favorable cases1 ! temp]ature falls to normal 9 ! morn+1 ! pulse is r$uc$ to #hj or #ajj1 ! di>rhea ceases1 & natural sleep returns4 ,among ! _m & frequ5t v>iations f ! type describ$1 !re may be a fev] prolong$ = five or six weeks1 ) a good recov]y4 ,*ills are n uncommon dur+ ! disease1 sometimes ow+ to complications4 ,relapse1 or a return ( ! fev] & o!r symptoms all ov] aga91 occurs 9 ab\t t5 p] c5t ( ! cases4 ,?is may happ5 m ?an once1 & z _m z five relapses h be5 record$ 9 "o pati5t4 ,a slight return ( ! fev] = a day or two is (t5 se51 ow+ to error 9 diet1 excitem5t1 or o!r imprud5ce aft] app>5t recov]y4 ,dea? may occur at any "t f ! fir/ week1 ow+ to complications or ! action ( ! poison ( ! disease4 ,pneumonia1 p]=ation ( & ble$+ f ! b[els are ! mo/ frequ5t dang]\s complications4 ,unfavorable symptoms are cont9u$ high fev] 7#aje deg4 to #ajf deg4 ,f471 m>k$ delirium1 & trembl+ ( ! muscles 9 e>ly /ages1 & ble$+ f ! b[els2 also int5se & sudd5 pa9 ) vomit+1 indicat+ p]=ation ( ! inte/9es4 ,! result is m apt to prove unfavorable 9 v fat pati5ts1 & especially s 9 p]sons :o h walk$ ab\t until ! fev] has become pron\nc$4 ,ble$+ f ! b[els occurs 9 f\r to six p] c5t ( all cases & is responsible = fifte5 p] c5t ( ! dea?s2 p]=ation ( ! b[els happ5s 9 "o to two p] c5t ( all cases & occasions t5 p] c5t ( ! dea?s4 ,detection4--,x is impossible = ! layman to det]m9e ! exi/5ce ( typhoid fev] 9 any giv5 pati5t absolutely1 b :5 ! symptoms foll[ ! g5]al c\rse indicat$ above1 a probability becomes e/abli%$4 ,unusual types are among ! mo/ difficult & puzzl+ cases :i* a physician has to diagnose1 & he c r>ely be absolutely sure ( ! nature ( any case be=e ! end ( ! fir/ week or t5 days1 :5 exam9ation ( ! blood (f]s an exact me?od ( det]m9+ ! pres5ce ( typhoid fev]4 ,typhoid fev]--especially :]e !re are *ills--is (t5 ?\ght to be mal>ia1 :5 occurr+ 9 mal>ial regions1 & may be improp]ly call$ typhoid mal>ia4 ,!re is no su* disease4 ,r>ely typhoid fev] & mal>ia coexi/ 9 ! same p]son1 & :ile ?is 0 n uncommon 9 ! soldi]s return+ f ,cuba & ,porto ,rico1 x is an extremely unusual occurr5ce 9 ! ,unit$ ,/ates4 ,exam9ation ( ! blood w det]m9e ! pres5ce or abs5ce ( bo? ( ^! diseases4 ,complications & ,sequels4--,^! are v num]\s4 ,among ! =m] are di>rhea1 delirium1 m5tal & n]v\s diseases1 bron*itis1 pleurisy1 pneumonia1 e> abscess1 p]=ation ( & hemorrhage f ! b[els1 inflammation ( ! gall bladd]1 disease ( he>t1 kidney1 & bladd]1 & _m r>] conditions1 dep5d+ ^u ! organ :i* ! g]m invades4 ,among sequels are boils1 baldness1 bone disease1 pa9ful sp9e1 &1 less commonly1 insanity & consumption4 ,:ile convalesc5ce requires weeks & mon?s1 ! pati5t (t5 ga9s greatly 9 fle% & feels made ov] anew1 z 9 fact he has be5 to a great ext5t1 ?r\gh ! de/ruction & repair ( 8 organs4 ,outlook4--,! dea? rate v>ies greatly 9 diff]5t epidemics & "u diff]5t conditions4 ,dur+ ! ,spani%-,am]ican ,w> 9 ! enorm\s numb] ( cases--ov] #bj1jjj--! dea? rate 0 only ab\t sev5 p] c5t1 :i* repres5ts t 9 ! be/ hospitals ( ?is c\ntry & 9 private practice4 ,osl] /ates t ! mortality ranges f five to twelve p] c5t 9 private practice1 & f sev5 to tw5ty p] c5t 9 hospital practice1 because hospital cases are usually advanc$ be=e admission4 ,! *ances ( recov]y are mu* great] 9 pati5ts "u fifte5 ye>s1 & are also m favorable betwe5 ! tw5ty-second & =tie? ye>s4 ,treatm5t4--,!re is p]haps no disease 9 :i* ! s]vices ( a physician are m desirable or useful ?an 9 typhoid fev]1 on acc\nt ( its prolong$ c\rse & ! numb] ( complications & incid5ts :i* may occur dur+ its exi/5ce4 ,x is ! duty ( ! physician to report cases ( typhoid to ! heal? au?orities1 & ?us act z a gu>dian ( ! public heal?4 ,if1 h[ev]1 9 any circum/ances "o %\ld h ! mis=tune to h ! c>e ( a typhoid pati5t remote f m$ical aid1 x is a consolation to "k t ! outlook is n greatly alt]$ by m$ic9e or special treatm5t ( any sort4 ,!re h be5 epidemics 9 remote p>ts ( ?is c\ntry :]e numb]s ( p]sons h suff]$ ) typhoid )\t any pr(essional c>e1 & yet ) surpris+ly good results4 ,?us1 9 an epidemic occurr+ 9 a small community 9 ,canada1 tw5ty-f\r p]sons sick5$ ) typhoid & receiv$ no m$ical c>e or treatm5t :atev]1 & yet !re 0 b "o dea?4 ,! ess5tials ( treatm5t are compris$ 9 ,re/1 ,diet1 & ,ba?+4 ,re/ to ! ext5t ( absolute quiet 9 ! horizontal position1 at ! fir/ suspicion ( typhoid1 is requisite 9 ord] to avoid ! dang]s ( ble$+ & p]=ation ( ! b[els result+ f ulc]ation ( /ructures weak5$ by ! disease4 ,! pati5t %\ld be assi/$ to turn 9 b$1 mu/ make no ef=t to rise dur+ ! sickness1 & %\ld pass ur9e & b[el dis*>ges into a b$pan or ur9al "u cov]4 ,9 case ( ble$+ f ! b[els1 ! b$pan %\ld n be us$1 b ! dis*>ges may be receiv$ = a "t 9 clo?s1 )\t /irr+ ! pati5t4 ,diet4--,?is %\ld consi/ *iefly ( liquids until a week aft] ! fev]'s complete disappe>ance4 ,a cup ( liquid %\ld be giv5 e two h\rs except dur+ a portion ( ! sleep+ h\rs4 ,milk1 dilut$ ) an equal am\nt ( wat]1 =ms ! *ief food 9 mo/ cases unless x disagrees1 is refus$1 or is unobta9able4 ,9 addition to milk1 album5 wat]--:ite ( raw egg1 /ra9$ & dilut$ ) an equal am\nt ( wat]1 & flavor$ ) a few drops ( lemon juice or ) br&y--is valuable2 also juice squeez$ f raw beef--9 doses ( f\r tablespoonfuls--c(fee1 cocoa1 & /ra9$ b>ley1 rice1 or oatmeal gruel1 bro?s1 unless di>rhea is m>k$ & increas$ by ! same4 ,s(t cu/>d1 jellies1 ice cream1 milk-&-fl\r porridge1 & eggnog may be us$ to increase ! v>iety4 ,f9ely scrap$ raw or r>e beef1 v s(t toa/1 & s(t-boil$ or poa*$ eggs are all[able aft] ! fir/ week ( normal temp]ature1 at ! end ( ! ?ird or f\r? week ( ! disease1 & dur+ ! c\rse ( ! disease "u circum/ances :]e ! fluids are n obta9able or n well borne4 ,an abundance ( wat] %\ld be suppli$ to ! pati5t ?r\gh\t ! disease4 ,ba?+4--,! importance ( cold1 ?r\gh ! m$ium ( wat]1 9 typhoid fev] accompli%es mu*1 bo? 9 r$uc+ ! temp]ature & 9 /imulat+ ! n]v\s sy/em & reliev+ re/lessness & delirium4 ,ba?+ is usually appli$ :5 ! temp]ature rises above #ajb4e deg4 ,f41 & may be repeat$ e two or ?ree h\rs if re/lessness1 delirium1 & high temp]ature require x4 ,! imm]sion ( pati5ts 9 tubs ( cold wat]1 z practic$ ) b5efit 9 hospitals1 is out ( ! "q = use by inexp]i5c$ laym54 ,! pati5t %\ld h a wov5-wire spr+ b$ & s(t hair mattress1 ov] :i* is laid a fold$ blanket cov]$ by a rubb] %eet4 ,spong+ ! nak$ body ) ice wat] w suffice 9 "s cases2 9 o!rs1 :5 ! temp]ature is ov] #ajb-a_/b deg4 ,f41 envelop+ ! :ole body 9 a %eet wet 9 wat] at #fe deg41 & ei!r rubb+ ! surface ) ice or clo?s wet 9 ice-cold wat]1 = t5 or fifte5 m9utes1 is advisable4 ,rubb+ ( ! sk9 ( ! *e/ & sides is necess>y dur+ ! application ( cold to prev5t %ock4 ,! use ( a cold clo? on ! head & hot-wat] bottle at ! feet1 dur+ ! spong+1 w also prove b5eficial4 ,9 *ildr5 & o!rs object+ to ^! cold applications1 ! vapor ba? is effective4 ,= ?is a piece ( *eese clo? 7s+le ?ickness7 is wet ) w>m wat]--#ajj deg4 to #aje deg4--& is wrapp$ ab\t ! nak$ body f %\ld]s to feet1 & is cont9ually wet by spr9kl+ ) wat] at ! temp]ature ( #ih deg44 ,! evaporation ( ! wat] w usually1 9 fifte5 to tw5ty m9utes1 cool ! body suffici5tly if ! pati5t is fann$ cont9u\sly by two att5dants4 ,9 w>m wea!r ! pati5t %\ld only be cov]$ ) a %eet = a :ile aft] ! ba?1 :i* %\ld r$uce ! temp]ature to #c deg44 ,hot wat] at ! feet1 & a little br&y or :isky giv5 be=e ! spong+ if ! pulse be feeble1 w g5]ally prev5t a *ill4 ,pati5ts %\ld be g5tly dri$ aft] ! ba? & cov]$ ) dry b$clo?+4 ,! utmo/ c>e %\ld be tak5 n to agitate a feeble pati5t dur+ spong+4 ,! long p]iod ( ly+ 9 b$ favors ! occurr5ce ( b$sores4 ,^! are apt to appe> ab\t ! l[] "p ( ! sp9e1 & beg9 ) r$ness ( ! sk91 und]nea? :i* a lump may be felt4 ,con/ant cleanl9ess & ba?+ ) alcohol1 dilut$ ) an equal am\nt ( wat]1 w t5d to prev5t ?is tr\ble1 :ile mov+ ! pati5t s z to take ! pressure (f ?is region & avoid+ any rumpl+ ( ! b$d+ "u 8 body are also s]viceable1 z well z ! r+ air cu%ion4 ,m$ic9e is n requir$1 except = special symptoms1 & has no influ5ce ei!r 9 less5+ ! sev]ity ( or 9 %ort5+ ! disease4 ,br&y or :isky dilut$ ) wat] are valuable 9 sev]e cases1 ) mutt]+ delirium1 dry tongue1 & feeble pulse2 x is n usually call$ = be=e ! end ( ! second week1 & n 9 mild cases at any "t4 ,a tablespoonful ( ei!r1 once 9 two to f\r h\rs1 is commonly suffici5t4 ,pa9 & di/5tion ( ! belly are reliev$ by apply+ a pad ov] ! :ole front ( ! belly--consi/+ ( two lay]s ( flannel wrung out ( a little v hot wat] conta9+ a teaspoonful ( turp5t9e--& cov]$ by a dry flannel b&age wrapp$ ab\t ! body4 ,also ! use ( :ite ( egg & wat]1 & beef juice1 in/ead ( milk1 w b5efit ?is condition4 ,di>rhea--if !re are m ?an f\r dis*>ges daily--may be *eck$ by "o-qu>t] level teaspoonful doses ( bismu? subnitrate1 or teaspoonful doses ( p>egoric1 once 9 ?ree h\rs4 ,con/ipation is reliev$ by injections ( w>m soapsuds1 once 9 two days4 ,ble$+ f ! b[els mu/ be treat$ by secur+ p]fect quiet on ! pati5t's "p1 & by giv+ lumps ( ice by ! m\?1 & cutt+ d[n ! n\ri%m5t = six h\rs4 ,fifte5 drops ( laudanum %\ld be giv5 to adults1 if !re is re/lessness1 & "s :isky1 if ! pulse becomes feeble1 b x is bett] to res]ve ?is until ! ble$+ has /opp$4 ,pati5ts may be p]mitt$ to sit up aft] a week ( normal temp]ature1 b solid food mu/ n be resum$ until two or ?ree weeks aft] dep>ture ( fev]1 & !n v gradually1 avoid+ all co>se & uncook$ vegetables & fruit4 ,! greate/ c>e mu/ be ex]cis$ by att5dants to escape contract+ ! disease & to prev5t its communication to o!rs4 ,! b[el dis*>ges mu/ be subm]g$ 9 milk ( lime 7"o "p ( slak$ lime to f\r p>ts ( wat]71 & rema9 9 x "o h\r be=e be+ empti$4 ,! ur9e %\ld be mix$ ) an equal am\nt ( ! same1 or solution ( c>bolic acid 7"o "p 9 tw5ty p>ts ( hot wat]71 & ! mixture %\ld /& an h\r be=e be+ ?r[n into privy or sew]4 ,clo?+ & l95 9 contact ) ! pati5t mu/ be soak$ 9 ! c>bolic solution = two h\rs4 ,! pati5t's expectoration is to be receiv$ on old musl9 pieces1 :i* mu/ be burn$4 ,! b$pan & eat+ ut5sils mu/ be frequ5tly scald$ 9 boil+ wat]4 ,! att5dant %\ld wa% 8 h&s always aft] t\*+ ! pati5t1 or objects :i* h come 9 contact ) pati5t or 8 dis*>ges1 & ?us w avoid contagion4 ,if f>m or dairy work]s come 9 contact ) ! pati5t1 ! latt] precaution is especially important4 ,if !re is no wat]-closet 9 ! h\se1 ! dis9fect$ dis*>ges may be buri$ at lea/ #ajj feet f any well or /ream4 ,typhoid fev] is only d]iv$ f ! g]ms escap+ 9 ! ur9e1 & 9 ! b[el1 nose1 or m\? dis*>ges ( typhoid pati5ts4 ,,mumps4--,mumps is a contagi\s disease *>act]iz$ by inflammation ( ! p>otid gl&s1 situat$ bel[ & 9 front ( ! e>s1 & sometimes ( ! o!r saliv>y gl&s bel[ ! jaw1 & r>ely ( ! te/icles 9 males & ! brea/s 9 females4 ,swell+ & inflammation ( ! p>otid gl& also occur f injury2 & z a complication ( o!r diseases1 z sc>let fev]1 typhoid fev]1 etc42 b su* conditions are :olly di/9ct f ! disease "u discussion4 ,mumps is m or less con/antly preval5t 9 mo/ l>ge cities1 m (t5 9 ! spr+ & fall1 & is (t5 epidemic1 attack+ n9ety p] c5t ( "y p]sons :o h n previ\sly _h ! disease4 ,x is m common 9 males1 affect+ *ildr5 & y\?s1 b r>ely infants or ^? pa/ middle age4 ,"o attack usually protects aga9/ ano!r4 ,developm5t4--,a p]iod ( f "o to ?ree weeks elapses1 aft] exposure to ! disease1 be=e ! fir/ signs develop4 ,! g]m has n yet be5 discov]$1 & ! means ( communication are unkn[n4 ,! brea? has be5 ?\ght to spread ! g]ms ( ! disease1 & mumps c be convey$ f ! sick to ! well1 by nurses & o!rs :o !mselves escape4 ,symptoms4--,sometimes !re is "s prelim9>y discom=t be=e ! app>5t onset4 ,?us1 9 *ildr51 re/lessness1 peevi%ness1 languor1 nausea1 loss ( appetite1 *ill9ess1 fev]1 & convulsions may u%] 9 an attack4 ,mumps beg9s ) pa9 & swell+ bel[ ! e> on "o side4 ,)9 =ty-eight h\rs a l>ge1 firm1 s5sitive lump =ms "u ! e> & ext5ds =w>d on ! face1 & d[nw>d & backw>d 9 ! neck4 ,! swell+ is n g5]ally v pa9ful1 b gives a feel+ ( tightness & disfigures ! pati5t4 ,x makes speak+ & swall[+ difficult2 ! pati5t refuses food1 & talks 9 a husky voice2 *ew+ causes sev]e pa94 ,aft] a p]iod ( two to f\r days ! o!r gl& usually becomes simil>ly inflam$1 b occasionally only "o gl& is attack$4 ,!re is always fev] f ! beg9n+4 ,at fir/ ! temp]ature is ab\t #aja deg4 ,f41 r>ely mu* high] ?an #ajc deg4 or #ajd deg44 ,! fev] cont9ues f\r or five days & !n gradually decl9es4 ,! swell+ rea*es its height 9 f two to five days1 & !n aft] =ty-eight h\rs sl[ly subsides1 & disappe>s entirely )9 t5 to f\rte5 days4 ,! pati5t may communicate ! disease = t5 days aft] ! fev] is pa/1 & ne$s to be isolat$ = t p]iod4 ,e>a*e & noises 9 ! e> frequ5tly accompany mumps1 & r>ely abscess ( ! e> & deafness result4 ,! mo/ common complication occurs 9 males pa/ pub]ty1 :51 dur+ recov]y or a week or t5 days lat]1 "o or bo? te/icles become pa9ful & swoll51 & ?is cont9ues = z long a "t z ! orig9al mumps4 ,less (t5 ! brea/s & sexual organs ( females are simil>ly affect$4 ,complications & ,sequels4--,recov]y )\t mi%ap is ! usual result 9 mumps1 ) ! exception ( involvem5t ( ! te/icles4 ,r>ely !re are high fev]1 delirium1 & great pro/ration4 ,sometimes aft] inflammation ( bo? te/icles 9 ! "y ! organs cease to develop1 & rema9 s1 b sexual vigor is usually reta9$4 ,sometimes abscess & gangr5e ( ! inflam$ p>otid gl& occur4 ,recurr+ swell+ & inflammation ( ! gl& may occur1 & p]man5t swell+ & h>dness rema94 ,m5+itis1 n]v\s & jo9t complications are among ! r>] sequels4 ,treatm5t4--,! pati5t %\ld rema9 9 b$ :ile ! fev] la/s4 ,a liquid diet is advisable dur+ ?is "t4 ,fev] may be allay$ by frequ5t spong+ ( ! nak$ body ) tepid wat]4 ,high fev] & delirium dem& ! con/ant use1 on ! head1 ( ! ice cap 7a rubb] bag1 made to fit ! head1 conta9+ ice74 ,! relief ( pa9 9 ! swoll5 gl& is secur$ by ! frequ5t application ( a ?ick lay] ( %eet cotton1 l>ge en\gh to cov] ! :ole side ( ! neck1 wrung out ( hot wat] & cov]$ ) oil-silk or rubb] %eet+1 ) a b&age to reta9 x 9 place4 ,p>egoric may be giv5 = ! same purpose--a tablespoonful = adults2 a teaspoonful = a *ild ( eight to t51 well dilut$ ) wat]1 & n repeat$ inside ( two h\rs1 & n !n unless ! pa9 cont9ues unabat$4 ,inflammation ( ! te/icles dem&s re/ 9 b$1 elevation ( ! te/icle on a pill[ aft] wrapp+ x 9 a ?ick lay] ( absorb5t cotton1 or apply+ hot compresses1 z recomm5d$ = ! neck4 ,aft] ! fir/ few days ( ?is treatm5t1 adju/ a susp5sory b&age1 :i* c be procur$ at any apo!c>y %op1 & apply daily ! foll[+ o9tm5t3 guiacol1 sixty gra9s2 l>d1 "o-half ounce1 ov] ! swoll5 te/icle4 ,,:oop+ ,,c\gh4--,a contagi\s disease *>act]iz$ by fits ( c\gh+1 dur+ :i* a :oop+ or cr[+ s\nd is made foll[+ a long-drawn brea?4 ,:oop+ c\gh is g5]ally tak5 ?r\gh direct contact ) ! sick1 r>ely ?r\gh exposure to ! sick room1 or to p]sons or clo?+ us$ by ! sick4 ,! g]m :i* causes ! disease is probably 9 ! mucus ( ! nose & ?roat4 ,:oop+ c\gh is usually m or less preval5t 9 all ?ickly settl$ civiliz$ communities1 at times is epidemic1 & (t5 foll[s epidemics ( measles4 ,x occurs *iefly 9 *ildr5 f six mon?s to six ye>s ( age4 ,girls & all weak & delicate subjects are slightly m susceptible to ! disease4 ,"s *ildr5 are naturally immune to :oop+ c\gh4 ,"o attack usually protects aga9/ ano!r4 ,developm5t4--,a v>iable p]iod elapses betwe5 ! "t ( exposure to :oop+ c\gh & ! appe>ance ( ! fir/ symptoms4 ,?is may be f two days to two weeks2 usually sev5 to t5 days4 ,symptoms4--,:oop+ c\gh beg9s l an ord9>y cold 9 ! head1 ) c\gh1 worse at night1 :i* p]si/s4 ,! c\gh+ fits increase & ! *ild gets r$ 9 ! face1 has difficulty 9 gett+ its brea? dur+ !m1 & sometimes vomits :5 ! attack is ov]4 ,aft] a v>iable p]iod1 f a few days to two weeks f ! beg9n+ ( ! c\gh1 ! peculi> feature ( ! disease appe>s4 ,! *ild gives fifte5 or tw5ty %ort c\ghs )\t draw+ brea?1 ! face swells & gr[s blue1 ! eyeballs protrude1 ! ve9s /& out1 & ! pati5t appe>s to be suffocat+1 :5 at la/ he draws 9 a long brea? ) a cr[+ or :oop+ s\nd1 :i* gives rise to ! "n ( ! disease4 ,sev]al su* fits ( c\gh+ may foll[ "o ano!r & are (t5 succe$$ by vomit+ & ! expulsion ( a l>ge am\nt ( phlegm or mucus1 :i* is sometimes /reak$ ) blood4 ,9 mild cases !re may be six to twelve attacks 9 tw5ty-f\r h\rs2 9 sev]e cases f =ty to eighty4 ,! attacks la/ f a few seconds to "o or two m9utes4 ,occasionally ! :oop comes be=e ! c\gh+ fit1 & sometimes !re may be no :oop+ at all1 only fits ( c\gh+ ) vomit+4 ,betwe5 ! attacks1 puff9ess ( ! face & eyes & blu5ess ( ! tongue p]si/4 ,! c\gh+ fits & :oop+ la/ usually f ?ree to six weeks1 b ! duration ( ! disease is v v>iable4 ,occasionally x la/s _m mon?s1 especially :5 x occurs 9 w9t]4 ,! contagi\sness ( :oop+ c\gh cont9ues ab\t two mon?s1 or ceases be=e t "t ) ! cessation ( ! c\gh4 ,(t5times !re may be occasional :oop+ = mon?s2 or1 aft] ceas+ altoge!r = "s days1 x may beg9 aga94 ,9 nei!r ( ^! conditions is ! disease consid]$ /ill contagi\s aft] two mon?s4 ,:5 an attack ( :oop+ is com+ on1 ! *ild (t5 seems to h "s w>n+1 z he seems t]rifi$ & sudd5ly sits up 9 b$1 or1 if play+1 grasps hold ( some?+1 or runs to 8 "m or nurse4 ,c\gh+ fits are favor$ by emotion or excitem5t1 by cry+1 s++1 eat+1 dr9k+1 sudd5 *ange ( temp]ature1 & by bad air4 ,complications & ,sequels4--,^! are _m & make :oop+ c\gh a critical disease = v "y *ildr54 ,bron*itis & pneumonia (t5 complicate :oop+ c\gh 9 w9t]1 & di>rhea frequ5tly occurs ) x 9 summ]4 ,convulsions n infrequ5tly foll[ ! c\gh+ fits 9 infants1 &1 ow+ to ! am\nt ( blood =c$ to ! head dur+ ! attacks1 noseble$ & d>k spots on ! =ehead & surface ( ! eyes appe> f break+ ( small blood vessels 9 ^! places4 ,sev]e vomit+ & di>rhea occasionally aggravate ! case1 & pleurisy & consumption may occur4 ,! viol5t c\gh+ may p]man5tly damage ! he>t4 ,rupture ( ! lung tissue happ5s f ! same cause1 & p>alysis sometimes foll[s break+ ( a blood vessel 9 ! bra94 ,b 9 ! va/ majority ( cases 9 *ildr5 ov] two ye>s old no dang]\s sequel ne$ be fe>$4 ,outlook4--,ow+ to ! num]\s complications1 :oop+ c\gh mu/ be look$ ^u z a v s]i\s disease1 especially 9 infants "u two ye>s1 & 9 weak1 delicate *ildr54 ,x causes "o-f\r? ( all dea?s among *ildr51 ! dea? rate v>y+ f ?ree to fifte5 p] c5t 9 diff]5t times & "u diff]5t circum/ances4 ,= ?is reason a physician's s]vices %\ld always be secur$ :5 possible4 ,treatm5t4--,a ho/ ( rem$ies is us$ = :oop+ c\gh1 b no s+le "o is always ! be/4 ,x is (t5 necess>y to try diff]5t m$ic9es till we f9d "o :i* excels4 ,fre% air is ( greate/ importance4 ,pati5ts %\ld be /rictly isolat$ 9 rooms by !mselves1 & x is wise to s5d away *ildr5 :o h n be5 expos$4 ,morally1 p>5ts are crim9ally neglig5t :o all[ _! *ildr5 ) :oop+ c\gh to associate ) heal?y *ildr54 ,if ! c\gh+ fits are sev]e or !re is fev]1 *ildr5 %\ld be kept 9 b$4 ,usually !re is n mu* fev]2 p]haps an elevation ( a degree or two at fir/1 & at times dur+ ! disease4 ,o!rwise1 *ildr5 may be outdoors 9 w>m wea!r1 & 9 w9t] on w>m1 quiet days4 ,sea air is especially good = !m4 ,x is be/ t ! sick %\ld h two rooms1 go+ f "o to ! o!r1 s t ! w9d[s 9 ! room la/ occupi$ may be op5$ & well v5tilat$4 ,fre% air at night is especially ne$ful1 & ! pati5t %\ld sleep 9 a room :i* has be5 fre%ly air$4 ,! temp]ature %\ld be kept at an ev5 #gj deg4 ,f41 & ! *ild %\ld n be expos$ to draughts4 ,vaporiz+ antiseptics 9 ! sick room has prov$ b5eficial4 ,a two p] c5t solution ( c>bolic acid 9 wat] is useful = ?is purpose1 or a sub/ance call$ vapo-cresol9e1 ) :i* is sold a vaporiz+ lamp & directions = use4 ,a "o p] c5t solution ( resorc91 or ( hydrog5 dioxide1 dilut$ ) f\r p>ts ( wat]1 us$ 9 an atomiz] = spray+ ! ?roat1 e two h\rs1 has giv5 good results4 ,9 ! beg9n+ ( ! disease1 be=e ! :oop+ has begun1 a mixture ( p>egoric & syrup ( ipecac w relieve ! c\gh1 t5 drops ( ! =m] ) five ( ! latt]1 = a *ild ( two ye>s1 giv5 toge!r 9 wat] e ?ree h\rs4 ,! bromide ( sodium1 five gra9s 9 wat]1 e ?ree h\rs dur+ ! day1 = a *ild ( two1 is s]viceable 9 reliev+ ! fits ( c\gh+ 9 ! day2 :ile at night1 two gra9s ( *loral1 n repeat$1 may be giv5 9 wat] at b$time to secure sleep1 9 a *ild ( two4 ,! t9cture ( belladonna1 9 doses ( two drops 9 wat]1 ?ree times daily1 = a *ild ( two1 is also (t5 efficaci\s4 ,qu99e1 giv5 9 ! dose ( "o-six? gra9 = ea* mon? ( ! *ild's age "u a ye>2 or 9 "o & "o-half gra9 doses = ea* ye> ( age "u five1 is "o ( ! old] & m valuable rem$ies4 ,x %\ld be giv5 ?ree times daily 9 pill ) jelly1 or solution 9 wat]4 ,brom(orm 9 doses ( two drops = a *ild ( two1 & increas+ to five drops = a *ild ( six1 may be giv5 9 syrup ?ree times daily ) b5efit4 ,mo/ ( ^! drugs %\ld be employ$ only ) a doctor's advice1 :5 ?is is possible4 ,to sum up1 use ! vapo-cresol9e e day4 ,:5 no physician is available1 beg9 ) belladonna dur+ ! day1 us+ bromide ( sodium at night4 ,if ?is fails to modify ! :oop+ aft] five days' trial1 use bromide & *loral4 ,9 sev]e cases use brom(orm4 ,dur+ a fit ( c\gh+ & :oop+1 x is well to support ! *ild's head1 & if he ceases to brea!1 he %\ld be slapp$ ov] ! face & *e/ ) a t[el wet ) cold wat]4 ,int]f]5ce ) sleep caus$ by c\gh+1 & loss ( prop] n\ri%m5t ?r\gh vomit+1 lead to wa/+ & debility4 ,teaspoonful doses ( emulsion ( cod-liv] oil ?ree times daily1 aft] eat+1 are (t5 useful 9 convalesc5ce1 & great c>e mu/ be tak5 at ?is "t to prev5t exposure & pneumonia4 ,*ange ( air & place w frequ5tly ha/5 recov]y rem>kably 9 ! lat] /ages ( ! disease4 ,,erysipelas4--,erysipelas is a disease caus$ by g]ms :i* ga9 entrance ?r\gh "s w\nd or abrasion 9 ! sk9 or muc\s membranes4 ,ev5 :]e no w\nd is evid5t x may be tak5 = grant$ t !re has be5 "s slight abrasion ( ! surface1 al?\gh invisible4 ,erysipelas _c be communicat$ any di/ance ?r\gh ! air1 b x is contagi\s 9 t ! g]ms :i* cause x may be c>ri$ f ! sick to ! well by nurses1 furniture1 b$d+1 dress+s1 clo?+1 & o!r objects4 ,?us1 pati5ts ) w\nds1 wom5 9 *ildbir?1 & ! newborn may become affect$1 b mod]n me?ods ( surgical cleanl9ess h l>gely elim9at$ ^! =ms ( erysipelas1 especially 9 hospitals1 :]e x us$ to be common4 ,erysipelas attacks p ( all ages1 "s p]sons be+ v susceptible & suff]+ frequ5t recurr5ces4 ,! =m :i* arises )\t any visible w\nd is se5 usually on ! face1 & occurs mo/ frequ5tly 9 ! spr+4 ,! p]iod ( developm5t1 f ! "t ! g]ms ent] ! body until ! appe>ance ( ! disease1 la/s f ?ree to sev5 days4 ,erysipelas beg9s ) usually a sev]e *ill 7or convulsion 9 a baby7 & fev]4 ,vomit+1 heada*e1 & g5]al lassitude are (t5 pres5t4 ,a pat* ( r$ appe>s on ! *eeks1 bridge ( nose1 or ab\t ! eye or no/ril1 & spreads ov] ! face4 ,! m>g9s ( ! eruption are %>ply def9$4 ,)9 tw5ty-f\r h\rs ! disease is fully develop$2 ! sk9 is t5se1 smoo?1 & %9y1 sc>let & swoll51 & feels hot1 & is (t5 cov]$ ) small bli/]s4 ,! pa9 is m or less int5se1 burn+ or it*+ occurs1 & !re is a s5sation ( great tightness or t5sion4 ,on ! face ! swell+ closes ! eye & may int]f]e ) brea?+ ?r\gh ! nose4 ,! lips1 e>s1 & scalp are swoll51 & ! p]son may become unrecognizable 9 a c\ple ( days4 ,erysipelas t5ds to spread l a drop ( oil1 & ! bord]s ( ! inflammatory pat* are well m>k$4 ,x r>ely spreads f ! face to ! *e/ & body1 & b occasionally attacks ! ?roat4 ,dur+ ! height ( ! inflammation ! temp]ature rea*es #ajd deg4 ,f1 or ov]4 ,aft] f\r or five days1 9 mo/ cases1 erysipelas beg9s to subside1 toge!r ) ! pa9 & temp]ature1 & recov]y occurs ) "s scal+ ( ! sk94 ,! dea? rate is said to av]age ab\t t5 p] c5t 9 hospitals1 f\r p] c5t 9 private practice4 ,heada*e1 delirium1 & /upor are common :5 erysipelas attacks ! scalp4 ,! appe>ance ( ! disease 9 o!r locations is simil> to t describ$4 ,relapses are n uncommon1 b are n s sev]e z ! orig9al attack4 ,spread+ may ext5d ov] a l>ge area1 & ! deep] p>ts may become affect$1 ) ! =mation ( deep abscesses & great de/ruction ( tissue4 ,c]ta9 int]nal organs1 he>t1 lungs1 sple51 & kidneys1 are occasionally involv$ ) s]i\s consequ5ces4 ,! old1 ! diseas$1 & ! alcoholic are m apt to succumb1 also ! newborn4 ,x is a curi\s fact t cure ( malignant gr[?s 7s>coma71 *ronic sk9 diseases1 & old ulc]s sometimes foll[s attacks ( erysipelas4 ,treatm5t4--,! duration ( erysipelas is usually f a few days to ab\t two weeks1 accord+ to its ext5t4 ,x t5ds to run a def9ite c\rse & to recov]y 9 mo/ cases )\t treatm5t4 ,! pati5t mu/ be isolat$ 9 a room ) good v5tilation & sunlight4 ,dress+s & objects com+ 9 contact ) him mu/ be burn$ or boil$4 ,! diet %\ld be liquid1 su* z milk1 beef tea1 s\ps1 & gruels4 ,! use ( clo?s wet con/antly ) cold wat]1 or ) a cold solution ( "o-half teaspoonful ( pure c>bolic acid to ! p9t ( hot wat]1 or ) a poison\s solution ( sug> ( lead1 f\r gra9s to ! p9t1 %\ld be kept ov] small inflam$ areas4 ,fev] is r$uc$ by spong+ ! :ole nak$ body ) cold wat] at frequ5t int]vals4 ,a tablespoonful ( :isky or br&y 9 wat] may be giv5 e two h\rs to adults if ! pulse is weak4 ,pa9t+ ! bord]s ( ! inflam$ pat* ) contractile collodion may prev5t its spread+4 ,! pati5t mu/ be qu>ant9$ until all scal+ ceases1 usually = two weeks4 ,,*apt] ,,iii ,mal>ia & ,yell[ ,fev] ,! ,mal>ial ,p>asite--,mosquitoes ! ,means ( ,infection--,diff]5t ,=ms ( ,mal>ia--,symptoms & ,treatm5t--,no ,specific = ,yell[ ,fev]4 ,,mal>ia2 ,,*ills ,,& ,,fev]2 ,,ague2 ,,fev] ,,& ,,ague2 ,,swamp ,,or ,,m>% ,,fev]2 ,,int]mitt5t ,,or ,,remitt5t ,,fev]2 ,,bili\s ,,fev]4--,mal>ia is a communicable disease *>act]iz$ by attacks ( fev] occurr+ at c]ta9 int]vals1 & due to a m9ute animal p>asite :i* inhabits ! body ( ! mosquito1 & is communicat$ to ! blood ( man by ! bites ( ?is insect4 ,9 accordance ) ?is def9ition mal>ia is n a contagi\s disease 9 ! s5se t x is acquir$ by contact ) ! sick1 :i* is n ! case1 b x is d]iv$ f contact ) c]ta9 k9ds ( mosquitoes1 & c be contract$ 9 no o!r way1 despite ! _m popul> notions to ! contr>y4 ,mosquitoes1 9 _! turn1 acquire ! mal>ial p>asite by bit+ human be+s suff]+ f mal>ia4 ,x ?us becomes possible = "o mal>ial pati5t1 com+ to a region hi!rto free f ! disease1 to infect ! :ole di/rict ) mal>ia ?r\gh ! m$ium ( mosquitoes4 ,causes4--,:ile ! p>asite infe/+ mosquitoes is ! only direct cause ( mal>ia1 yet c]ta9 circum/ances are requisite = ! life & gr[? ( ! mosquitoes4 ,^! are moi/ure & prop] temp]ature1 :i* %\ld av]age n less ?an #fj deg4 ,f4 ,damp soil1 m>%es1 or bodies ( wat] h always be5 recogniz$ z favor+ mal>ia4 ,mal>ia is common 9 temp]ate climates--9 ! summ] & autumn mon?s p>ticul>ly1 less (t5 9 spr+1 & v r>ely 9 w9t]1 :ile x is preval5t 9 ! tropics & subtropics all ! ye> r\nd1 b m commonly 9 ! spr+ & fall ( ^! regions4 ,! old] ideas1 t mal>ia 0 caus$ by some?+ aris+ 9 vapors f wet gr\nds or wat]1 or by contam9ation ( ! dr9k+ wat]1 or by night air1 or 0 due to sleep+ outdoors or on ! gr\nd floors ( dwell+s1 are only true 9 s f> z ^! favor ! gr[? ( ! peculi> k9d ( mosquitoes infect$ by ! mal>ial p>asites4 ,two ess5tials are requisite = ! exi/5ce ( mal>ia 9 a region3 ! pres5ce ( ! p>ticul> mosquito1 & ! actual infection ( ! mosquito ) ! mal>ial p>asite4 ,! k9d ( mosquito act+ z ho/ to ! mal>ial p>asite is ! g5us ,anopheles1 ( :i* !re are sev]al species4 ,! m common h\se mosquito ( ! ,unit$ ,/ates is ! ,culex4 ,! ,anopheles c usually be di/+ui%$ f ! latt] by its mottl$ w+s1 &1 :5 on a wall or ceil+1 x sits ) ! body protrud+ at an angle ( #de deg4 f ! surface1 ) its h9d legs hang+ d[n or drawn aga9/ ! wall4 ,9 ! case ( ! ,culex1 ! body is held p>allel ) ! wall1 ! w+s are usually n mottl$1 & ! h9d legs are c>ri$ up ov] ! back4 ,:5 a mosquito infect$ ) ! mal>ial p>asite bites man1 ! p>asite ent]s 8 blood along ) ! saliva t ano9ts ! lancet ( ! mosquito4 ,! p>asite is "o ( ! simple/ =ms ( animal life1 consi/+ ( a microscopical mass ( liv+1 motile matt] :i* ent]s ! r$-blood cell ( man1 & !re gr[s1 und]goes *anges1 &1 aft] a v>iable "t1 multiplies by divid+ into a numb] ( /ill small] bodies :i* repres5t a new g5]ation ( "y p>asites4 ,?is completes ! :ole p]iod ( _! exi/5ce4 ,x is at t /age 9 ! developm5t ( ! p>asite 9 ! human body :5 x multiplies by divid+ t ! *ills & fev] 9 mal>ia appe>4 ,:at causes ! mal>ial attack at ?is po9t is unkn[n1 unless x be t ! p>asites give rise to a poison at ! "t ( _! division4 ,betwe5 ! attacks ( *ills & fev] 9 mal>ia !re is usually an int]val ( fre$om ( a few h\rs1 :i* corresponds to ! p]iod int]v5+ 9 ! life ( ! p>asite 9 ! human body1 betwe5 ! bir? ( ! "y p>asites & _! gr[? & f9al division1 9 turn1 into new individuals4 ,?is int]val v>ies ) ! k9d ( p>asite4 ,! common =m ( mal>ia is caus$ by a p>asite requir+ =ty-eight h\rs = its developm5t4 ,! mal>ial attacks caus$ by ?is p>asite !n occur e o!r day1 :5 ! p>asite und]goes reproduction by division4 ,h[ev]1 an attack may occur e day :5 !re are two sep>ate gr\ps ( ^! p>asites 9 ! blood1 ! "t ( bir? ( "o set ( p>asites1 ) an accompany+ mal>ial attack1 happ5+ "o day2 t ( ! o!r gr\p com+ on ! next1 s t betwe5 ! two !re is a daily bir? ( p>asites & a daily attack ( mal>ia4 ,9 cases ( mal>ia caus$ by "o gr\p ( p>asites ! attacks appe> at ab\t ! same "t ( day1 b :5 ! attacks are caus$ by diff]5t gr\ps ( p>asites ! times ( attack may v>y on diff]5t days4 ,9 ! wor/ types ( mal>ia ! p>asites d n all g ?r\gh ! same /ages ( developm5t at ! same "t1 z is commonly ! case 9 ! mild] =ms preval5t 9 temp]ate regions1 s t ! fev]--correspond+ to ! /age ( reproduction ( ! p>asites--occurs at irregul> int]vals4 ,9 a n uncommon type ( mal>ia ! attacks occur e ?ird day1 ) two days ( int]mission or fre$om f fev]4 ,diff]5t gr\ps ( p>asites caus+ ?is =m ( mal>ia1 & hav+ diff]5t times ( reproduction1 may inhabit ! same pati5t & give rise to v>iation 9 ! times ( attack4 ,?us1 an attack may occur on two successive days ) a day ( int]mission4 ,! reproduction ( ! p>asite 9 ! human blood is n a sexual reproduction2 t takes place 9 ! body ( ! mosquito4 ,:5 a heal?y mosquito bites a mal>ial pati5t1 ! p>asite ent]s ! body ( ! mosquito ) ! blood ( ! pati5t bitt54 ,x ent]s its /oma*1 :]e c]ta9 diff]+ =ms ( ! p>asite1 tak+ ! "p ( male & female individuals1 unite & =m a new p>asite1 :i*1 ent]+ ! /oma* wall ( ! mosquito1 gives bir? 9 ! c\rse ( a week to innum]able small bodies z _! prog5y4 ,^! f9d _! way into ! saliv>y gl&s :i* secrete ! poison ( ! mosquito bite1 & escape1 :5 ! mosquito bites a human be+1 into ! blood ( ! latt] & give him mal>ia4 ,di/ribution4--,mal>ia is v widely di/ribut$1 & is mu* m sev]e 9 tropical c\ntries & ! w>m] p>ts ( temp]ate regions4 ,9 ! ,unit$ ,/ates mal>ia is preval5t 9 "s p>ts ( ,new ,engl&1 z 9 ! ,connecticut ,valley1 & 9 ! c\rse ( ! ,*>les ,riv]1 9 ! c\ntry ne> ,bo/on4 ,x is common 9 ! vic9ity ( ! cities ( ,philadelphia1 ,new ,york1 & ,baltimore1 b "h is less frequ5t ?an =m]ly1 & is ( a comp>atively mild type4 ,m sev]e =ms prevail along ! ,gulf ( ,mexico & ! %ores ( ! ,mississippi & its bran*es1 especially 9 ,mississippi1 ,texas1 ,l\isiana1 & ,arkansas1 b ev5 "h x is less fatal & widespread ?an =m]ly4 ,9 ,alaska1 ! ,nor?we/1 & on ! ,pacific ,coa/ ( ! ,unit$ ,/ates mal>ia is almo/ unkn[n1 :ile x is b slightly preval5t 9 ! region ( ! ,great ,lakes1 z ab\t ,lakes ,erie & ,/4 ,clair4 ,developm5t4--,usually a week or two elapses aft] ! entrance ( ! mal>ial p>asite into ! blood be=e symptoms occur2 r>ely ?is p]iod is z %ort z tw5ty-f\r h\rs1 & occasionally may ext5d to sev]al mon?s4 ,x (t5 happ5s t ! p>asite rema9s quiesc5t 9 ! sy/em )\t be+ completely ext]m9at$ aft] recov]y f an attack1 only to gr[ & occasion a fre% attack1 a mon? or two aft] ! fir/1 unless treatm5t has be5 ?or\ghly prosecut$ = a suffici5t "t4 ,symptoms4--,c]ta9 symptoms give w>n+ ( an attack1 z heada*e1 lassitude1 yawn+1 re/lessness1 discom=t 9 ! region ( ! /oma*1 & nausea or vomit+4 ,! attack beg9s ) a *ill9ess or creep+ feel+1 & !re may be s sev]e a *ill t ! pati5t is viol5tly %ak5 f head to foot & ! tee? *att]4 ,*ills are n g5]ally se5 9 *ildr5 "u six1 b an attack beg9s ) uneas9ess1 ! face is p9*$1 ! eyes sunk51 ! lips & tips ( ! f+]s & toes are blue1 & !re is dullness & (t5 nausea & vomit+4 ,!n1 in/ead ( a *ill1 ! eyelids & limbs beg9 to twit*1 & ! *ild goes into a convulsion4 ,:ile ! surface ( ! sk9 is cold & blue dur+ a *ill1 yet ! temp]ature1 tak5 ) ! !rmomet] 9 ! m\? or b[el1 rea*es #ajb deg41 #aje deg41 or #ajf deg4 ,f41 (t54 ,! *ill la/s f a few m9utes to an h\r1 & z x passes away ! face becomes flu%$ & ! sk9 hot4 ,!re is (t5 a ?robb+ heada*e1 ?ir/1 & sometimes mild delirium4 ,! temp]ature at ?is "t1 :5 ! pati5t feels int5sely fev]i%1 is v little high] ?an dur+ ! *ill4 ,! fev] la/s dur+ ?ree or f\r h\rs1 9 mo/ cases1 & gradually decl9es1 z well z ! heada*e & g5]al di/ress+ symptoms ) ! onset ( sweat+1 to disappe> 9 an h\r or two1 :5 ! pati5t (t5 s9ks into a refre%+ sleep4 ,su* attacks m commonly occur e day1 e o!r day1 or aft] int]missions ( two days4 ,r>ely d attacks come on ) int]vals ( f\r1 five1 six1 or m days4 ,! attacks are apt to recur at ! same "t ( day z 9 ! fir/ attack4 ,9 sev]e cases ! int]vals may gr[ %ort]1 9 mild cases1 long]4 ,9 ! int]val betwe5 ! attacks ! pati5t usually feels well unless ! disease is ( exceptional sev]ity4 ,!re is also entire fre$om f fev] 9 ! int]vals except 9 ! grave types common to hot climates4 ,frequ5tly ! *ill is abs5t1 & aft] a prelim9>y /age ( dullness !re is fev] foll[$ by sweat+4 ,?is v>iety is kn[n z dumb ague4 ,irregul> & ,sev]e ,=m--,*ronic ,mal>ia4--,?is occurs 9 ^? :o h liv$ long 9 mal>ial regions & h suff]$ repeat$ attacks ( fev]1 or 9 ^? :o h n receiv$ prop] treatm5t4 ,x is *>act]iz$ by a g5]ally enfeebl$ /ate1 ! pati5t hav+ a sall[ complexion1 cold h&s & feet1 & temp]ature bel[ normal1 except occasionally1 :5 !re may be slight fev]4 ,:5 ! condition is m>k$1 !re are brea?lessness on slight ex]tion1 swell+ ( ! feet & ankles1 & ague cake1 t is1 enl>gem5t ( ! sple51 %[n by a lump felt 9 ! abdom5 ext5d+ d[nw>d f b5ea? ! ribs on ! left side4 ,among unusual =ms ( mal>ia are3 p]iodic attacks ( dr[s9ess )\t *ills1 b accompani$ by slight fev] 7#ajj deg4 to #aja deg4 ,f472 p]iodic attacks ( neuralgia1 z ( ! face1 *e/1 or 9 ! =m ( sciatica2 p]iodic sick heada*es4 ,^! may take ! place ( ord9>y mal>ial attacks 9 mal>ial regions1 & are cur$ by ord9>y mal>ial treatm5t4 ,remitt5t ,=m 7un=tunately t]m$ bili\s74--,?is sev]e type ( mal>ia occurs sometimes 9 late summ] & autumn1 9 temp]ate climates1 b is se5 mu* m commonly 9 ! ,s\!rn ,unit$ ,/ates & 9 ! tropics4 ,x beg9s (t5 ) lassitude1 heada*e1 loss ( appetite & pa9s 9 ! limbs & back1 a bad ta/e1 & nausea = a day or two1 foll[$ by a *ill1 & fev] rang+ f #aja deg4 to #ajc deg4 ,f41 or m4 ,! *ill is n usually repeat$1 b ! fev] is cont9u\s1 (t5 sugge/+ typhoid fev]4 ,) ! fev]1 !re are flu%$ face1 occasional delirium1 & vomit+ ( bile1 b m (t5 a dr[sy /ate4 ,aft] twelve to =ty-eight h\rs ! fev] abates1 b ! temp]ature does n usually fall bel[ #ajj deg4 ,f41 & ! pati5t feels bett]1 b n entirely well1 z 9 ! ord9>y =m ( mal>ia1 :]e ! fev] disappe>s entirely betwe5 ! attacks4 ,aft] an int]val v>y+ f ?ree to ?irty-six h\rs ! temp]ature rises aga9 & ! m sev]e symptoms reappe>1 & s ! disease cont9ues1 !re nev] be+ complete fre$om f fev]1 ! temp]ature sometimes ris+ z high z #aje deg4 or #ajf deg4 ,f4 ,9 "s cases !re are noseble$1 crack$ tongue1 & br[ni% deposit on ! tee?1 & a deliri\s or /upid /ate1 z 9 typhoid fev]1 b ! di/5tion ( ! belly1 di>rhea1 & rose spots are abs5t4 ,! sk9 & :ites ( ! eyes (t5 take on ! yell[i% hue ( jaundice4 ,?is fev] has be5 call$ typhomal>ial fev]1 "u ! supposition t x 0 a hybrid ( ! two4 ,?is is n ! case1 al?\gh x is possible t ! two diseases may occur 9 ! same individual at ! same "t4 ,?is1 inde$1 frequ5tly happ5$ z /at$1 9 our soldi]s com+ f ! ,we/ ,indies dur+ ! ,spani%-,am]ican ,w>--b is an extremely uncommon ev5t 9 ! ,unit$ ,/ates4 ,p]nici\s ,mal>ia4--,?is is a v grave =m ( ! disease4 ,x r>ely is se5 9 temp]ate regions1 b (t5 occurs 9 ! tropics & subtropics4 ,x may foll[ an ord9>y attack ( *ills & fev]1 or come on v sudd5ly4 ,aft] a *ill ! hot /age appe>s1 & ! pati5t falls into a deep /upor or unconsci\s /ate1 ) flu%$ face1 noisy brea?+1 & high fev] 7#ajd deg4 to #aje deg4 ,f474 ,wild delirium or convulsions afflict ! pati5t 9 "s cases4 ,! attack may la/ = six to tw5ty-f\r h\rs1 f :i* ! pati5t may recov]1 only to suff] ano!r l seizure1 or he may die 9 ! fir/4 ,9 ano!r =m ( ?is p]nici\s mal>ia ! symptoms resemble true *ol]a1 & is peculi> to ! tropics4 ,9 ?is !re are viol5t vomit+1 wat]y di>rhea1 cramps 9 ! legs1 cold h&s & feet1 & collapse4 ,sometimes ! attack beg9s ) a *ill1 b fev]1 if any1 is slight1 al?\gh ! pati5t compla9s ( great ?ir/ & inw>d heat4 ,! pulse is feeble & ! brea?+ %all[1 b ! intellect rema9s cle>4 ,dea? (t5 occurs 9 ?is1 z 9 ! =m] type ( p]nici\s mal>ia1 yet vigor\s treatm5t ) qu99e1 iron1 & nitre w frequ5tly prove curative 9 ei!r =m4 ,black ,wat] ,fev]4--,r>ely 9 temp]ate climates1 b frequ5tly 9 ! ,s\!rn ,unit$ ,/ates & 9 ! tropics1 especially ,africa2 aft] a few days ( fev]1 or aft] *ill9ess & slight fev]1 ! ur9e becomes v d>k1 ow+ to blood escap+ 9 x4 ,?is sometimes appe>s only p]iodically1 & is (t5 reliev$ by qu99e4 ,x is app>5tly a mal>ial fev] ) an add$ infection f ano!r cause4 ,*agres ,fev]4--,a sev]e =m ( mal>ial fev] acquir$ on ! ,i/hmus ( ,panama1 app>5tly a hemorrhagic =m ( ! p]nici\s v>iety1 & s treat$4 ,detection4--,to ! well-educat$ physician is n[ op5 an exact me?od ( det]m9+ ! exi/5ce ( mal>ia1 & ( di/+ui%+ x f all simil> diseases1 by ! exam9ation ( ! pati5t's blood = ! mal>ial p>asite--its pres5ce or abs5ce decid+ ! pres5ce or abs5ce ( ! disease4 ,= ! layman ! foll[+ po9ts are (f]$3 int]mitt5cy ( *ills & fev]1 or ( fev] alone1 %\ld sugge/ mal>ia1 p>ticul>ly 9 a pati5t liv+ 9 or com+ f a mal>ial region1 or 9 a previ\s suff]] f ! disease4 ,9 su* a case treatm5t ) qu99e w solve ! d\bt 9 mo/ cases1 & w d no h>m ev5 if ! disease be n mal>ia4 ,mal>ia is "o ( ! few diseases :i* c be cur$ ) c]ta9ty by a drug2 failure to /op ! symptoms by prop] am\nts ( qu99e means1 9 ! va/ majority ( cases1 t !y are n due to mal>ia4 ,!re are _m o!r diseases 9 :i* *ills1 fev]1 & sweat+ occur at int]vals1 z 9 poison+ f ! pres5ce ( suppuration or =mation ( pus any:]e 9 ! body1 b ! layman's ignorance w n p]mit him to recognize ^! 9 _m in/ances4 ,! qu99e te/ is ! be/ = him4 ,prev5tion4--,s9ce ! ,fr5* surgeon1 ,lav]an1 discov]$ ! p>asite ( mal>ia 9 #ahhj1 & ,manson1 9 #ahif1 emphasiz$ ! fact t ! mosquito is ! m$ium ( its communication to man1 ! way = ! ext]m9ation ( ! disease has be5 pla94 ,mosquito eng9e]+ has atta9$ a recogniz$ place4 ,?is consi/s 9 de/roy+ ! abodes ( mosquitoes 7m>%es1 ponds1 & pools7 by dra9age & fill+1 also 9 ! application ( petroleum on _! surface to de/roy ! immature mosquitoes4 ,su* "w has already l$ to wond]ful results4#aa ,op5 wat] b>rels & wat] tanks prove a fruitful bre$+ place = ^! insects1 & %\ld be aboli%$4 ,! protection ( ! p]son f mosquito bites is obta9$ by prop] scre5+ ( habitations & ! avoidance ( unscre5$ op5 air1 at or aft] nightfall1 :5 ! pe/s are mo/ 9 evid5ce4 ,dwell+s on high gr\nds are less liable to mosquitoes4 ,p]sons ent]+ a mal>ial region %\ld take f two to ?ree gra9s ( qu99e ?ree times a day to kill any mal>ial p>asites :i* may invade _! blood1 & %\ld scre5 doors & w9d[s4 ,pati5ts aft] recov]y f mal>ia mu/ prolong ! treatm5t z advis$1 & r5ew x ea* spr+ & fall = sev]al ye>s !reaft]4 ,a mal>ial pati5t is a direct m5ace to 8 entire neighborhood1 if mosquitoes ent]4 ,treatm5t4--,! treatm5t ( mal>ia practically means ! use ( qu99e giv5 9 ! prop] way & 9 ! prop] =m & dose4 ,despite popul> prejudices aga9/ x1 qu99e is capable ( little h>m1 unless us$ 9 l>ge doses = mon?s1 & no o!r rem$y has yet succe$$ 9 rival+ x 9 any way4 ,qu99e is frequ5tly useless f adult]ation2 ?is may be avoid$ by gett+ x ( a reliable drug h\se & pay+ a fair price = ! be/ to be _h4 ,nei!r pills nor tablets ( qu99e are suitable1 z !y sometimes pass ?r\gh ! b[els undissolv$4 ,! drug %\ld be tak5 dissolv$ 9 wat]1 or1 m pleasantly1 9 />* waf]s or gelat9 capsules4 ,:5 ! drug is vomit$ x may be giv5 79 d\ble ! dose7 dissolv$ 9 half a p9t ( wat]1 z an injection into ! b[els1 ?ree times daily4 ,infants ( a few mon?s may be treat$ by rubb+ an o9tm5t 7conta9+ ?irty gra9s ( qu99e sulphate mix$ ) an ounce & a half ( l>d7 well into ! sk9 ( ! armpits & gro9s1 night & morn+4 ,*ildr5 "u ! age ( two c be be/ treat$ by qu99e made into suppositories--little conical bodies ( cocoa butt] conta9+ two gra9s ea*--"o be+ introduc$ into ! b[el1 night & morn+4 ,dur+ an attack ( mal>ia ! discom=t ( ! *ill & fev] may be reliev$ to consid]able ext5t by ?irty gra9s ( sodium bromide 7adult dose7 9 wat]4 ,hot dr9ks & hot-wat] bottles ) w>m cov]+ may be us$ dur+ ! *ill1 :ile cold spong+ ( ! :ole nak$ body w af=d com=t dur+ ! hot /age4 ,9 ! p]nici\s =m1 att5d$ ) unconsci\sness1 spong+ ) v cold wat]1 or ! use ( ! cold ba? ) vigor\s friction ( ! :ole body & cold to ! head are valuable4 ,! effect ( qu99e is greate/ dur+ ! "t ( bir? ( a new g5]ation ( "y p>asites 9 ! blood1 :i* corresponds ) ! "t ( ! mal>ial attack4 ,b 9 ord] t ! qu99e %all h "t to p]meate ! blood1 x mu/ be giv5 two to f\r h\rs be=e ! expect$ *ill1 & !n w probably prev5t ! next attack b "o4 ,a dose ( t5 gra9s ( qu99e sulphate tak5 ?ree times daily = ! fir/ ?ree days ( treatm5t2 !n a dose ( ?ree gra9s1 ?ree times daily = two weeks2 & f9ally two gra9s1 ?ree times daily = ! re/ ( ! mon? ( treatm5t w1 9 _m cases1 complete a cure4 ,if ! qu99e cause mu* r++ 9 ! e>s & deafness1 x w be f\nd t sodium bromide tak5 ) ! qu99e 79 twice ! dose7 dissolv$ 9 wat]1 w correct ?is tr\ble4 ,if ! pati5t is con/ipat$ & ! b[el dis*>ges are light color$1 a few "o-qu>t] gra9 doses ( calomel may be tak5 e two h\rs1 & foll[$ 9 twelve h\rs by a dose ( ,epsom salts1 on ! fir/ day ( treatm5t1 ) qu99e4 ,x is no use to take qu99e by ! m\? lat] ?an two h\rs be=e an attack1 & if ! pati5t _c secure treatm5t be=e ?is "t1 he %\ld take a s+le dose ( tw5ty gra9s ( qu99e4 ,to *ildr5 may be giv5 a daily am\nt ( qu99e equal to "o gra9 = ea* ye> ( _! age4 ,9 ! sev]e =ms ( remitt5t & p]nici\s types ( mal>ia x may be necess>y = ! pati5t to take z mu* z ?irty gra9s ( qu99e e ?ree days or s to cut %ort ! attack4 ,b1 un=tunately1 ! dige/ion may be s poor t absorption ( ! drug does n occur1 & 9 su* an ev5t ! use ( qu99e 9 ! =m ( ! bisulphate 9 ?irty-gra9 doses1 ) five gra9s ( t>t>ic acid1 w 9 "s cases prove effective4 ,*ronic mal>ia is be/ treat$ ) small doses ( qu99e1 toge!r ) ars5ic & iron4 ,a capsule conta9+ two gra9s ( qu99e sulphate1 "o-?irtie? gra9 ( ars5i\s acid1 & two gra9s ( r$uc$ iron %\ld be tak5 ?ree times daily = sev]al weeks4 ,,yell[ ,,fev]4--,?is is a disease ( tropical & subtropical c\ntries *>act]iz$ by fev]1 jaundice1 & vomit+ 79 sev]e cases vomit+ ( blood71 caus$ by a special g]m or p>asite :i* is communicat$ to man solely ?r\gh ! ag5cy ( ! bites ( a special mosquito1 ,/egomyia fasciata4 ,di/ribution4--,yell[ fev] has always be5 pres5t 9 ,havana1 ,rio1 ,v]a ,cruz1 & o!r ,spani%-,am]ican seaports2 also on ! we/ coa/ ( ,africa4 ,x is frequ5tly epidemic 9 ! tropical ports ( ! ,atlantic 9 ,am]ica & ,africa1 & !re h be5 num]\s epidemics 9 ! s\!rn & occasional ones 9 ! nor!rn seacoa/ cities ( ! ,unit$ ,/ates4 ,! la/ epidemic occurr$ 9 ! ,s\? 9 #ahii4 ,r>ely has ! disease be5 introduc$ into ,europe1 & x has nev] spread !re except 9 ,spani% ports4 ,! disease is "o requir+ w>m wea!r1 = a temp]ature "u #ge deg4 ,f4 is unsuitable to ! gr[? ( ! special mosquito h>bor+ ! yell[-fev] p>asite4 ,x spreads 9 ! cr[d$ & unsanit>y p>ts ( seacoa/ cities1 to :i* x is br\ght on vessels by contam9at$ mosquitoes or yell[-fev] pati5ts f ! tropics4 ,havana has h]et(ore be5 ! s\rce ( infection = ! ,unit$ ,/ates1 b s9ce ! disease has be5 eradicat$ by ! ,am]ican army ( occupation1 t dang] has be5 remov$4 ,yell[ fev] is n at all contagi\s 9 ! s5se t a heal?y p]son c contract ! disease by contact ) a yell[-fev] pati5t1 or ) 8 dis*>ges f ! /oma*1 b[els1 or else:]e1 & is probably only communicat$ to man by ! bite ( a p>ticul> k9d ( mosquito h>bor+ ! yell[-fev] organism 9 its body4 ,bo? ^! facts h be5 inconte/ably prov$1#ab 9 "p by brave volunte]s f ! ,unit$ ,/ates ,army :o submitt$ to sleep = tw5ty-"o days on clo!s soil$ ) dis*>ges f pati5ts dy+ ( yell[ fev]1 & escap$ ! disease2 & by o!rs liv+ 9 uncontam9at$ surr\nd+s :o p]mitt$ !mselves to be bitt5 by infect$ mosquitoes & promptly develop$ yell[ fev]4 ,developm5t4--,aft] a p]son has be5 bitt5 by an infect$ mosquito1 f f\rte5 h\rs to five days & sev5te5 h\rs elapse be=e ! developm5t ( ! fir/ symptoms--usually ?is p]iod la/s f ?ree to f\r days4 ,) ! appe>ance ( a s+le case 9 a region1 a p]iod ( two weeks mu/ elapse be=e ! developm5t ( ano!r case aris+ f ! fir/ "o4 ,?is foll[s because a mosquito1 aft] bit+ a pati5t1 _c communicate ! g]m to ano!r p]son = twelve days1 & two days m mu/ elapse be=e ! disease appe>s 9 ! latt]4 ,symptoms4--,dur+ ! night or morn+ ! pati5t has a *ill 7or feels *illy7 & exp]i5ces discom=t 9 ! /oma*1 ) sometimes nausea & vomit+4 ,!re is pa9 ?r\gh ! =ehead & eyes1 9 ! back & ?ighs1 & (t5 9 ! calves4 ,! face is flu%$ & slightly swoll5--p>ticul>ly ! upp] lip--& ! eyes are blood%ot1 & gradually1 9 ! c\rse ( ?irty-six h\rs1 ! :ites become yell[i%4 ,?is is "o ( ! mo/ di/+ui%+ features ( ! fev]1 b is (t5 abs5t 9 *ildr54 ,! tongue is coat$1 !re are loss ( appetite1 lassitude1 sore ?roat1 & con/ipation4 ,9 ! beg9n+ ! temp]ature ranges f #aja deg4 to #ajc deg4 ,f41 or 9 sev]e cases z high z #aje deg4 or #ajf deg4 ,f41 & ! pulse f #aaj to #abj beats a m9ute4 ,! fev] cont9ues = sev]al days--except 9 mild cases--b ! pulse usually falls be=e ! temp]ature does4 ,= example1 ! temp]ature may rise a degree dur+ ! ?ird day to #ajc deg4 ,f41 :ile ! pulse falls t5 or m beats at ! same "t & may n be ov] #gj or #hj1 :ile ! temp]ature is /ill elevat$4 ,?is is ano!r peculi> feature ( ! disease4 ,vomit+ (t5 increases on ! second or ?ird day1 & ! dread$ black vomit may !n occur4 ,?is pres5ts ! appe>ance ( c(fee gr\nds or t>ry matt] &1 :ile a dang]\s symptom1 does n by any means presage a fatal end+4 ,! black color is due to alt]$ blood f ! /oma*1 & ble$+ sometimes takes place f ! nose1 ?roat1 gums1 & b[els1 ) black dis*>ges f ! latt]4 ,! action ( ! kidneys is usually int]f]$ )1 caus+ dim9ution 9 ! am\nt ( ur9e4 ,x is extremely important to pay reg>d to ?is feature1 because failure ( ! pati5t to pass a prop] am\nt ( ur9e calls = prompt action to av]t fatal poison+ f reta9$ wa/e matt]s 9 ! blood4 ,! normal am\nt ( ur9e pass$ 9 tw5ty-f\r h\rs 9 heal? is ov] ?ree p9ts1 & :ile n m ?an two-?irds ( ?is am\nt c\ld be expect$ to be pass$ by a fev] pati5t1 yet 9 yell[ fev] ! passage ( ur9e may be almo/ or :olly suppress$4 ,! c\rse ( ! disease v>ies greatly4 ,9 *ildr5--especially ( ! ,creoles--x is frequ5tly s mild z to pass unnotic$4 ,9 adults ! fev] may only la/ a few h\rs1 or two or ?ree days1 ) gradual recov]y f ! v>i\s symptoms1 & yell[ness ( ! sk9 la/+ = "s "t4 ,?is is n se5 readily dur+ ! /age ( fev] :5 ! surface is r$d5$1 b at t "t may be detect$ by pressure on ! sk9 = a m9ute1 :5 ! sk9 w pres5t a yell[ hue on remov+ ! f+] be=e ! blood returns to ! pressure spot4 ,) fall ( fev]1 & abatem5t ( symptoms aft] two or ?ree days1 ! pati5t1 in/ead ( go+ on to recov]y may1 aft] a few h\rs or a day or two1 aga9 become v fev]i% & h vomit+--p]haps ( blood or black vomit--yell[ sk91 feeble pulse1 failure ( kidney action ) suppression ( ur9e1 delirium1 convulsions1 /upor1 & dea?2 or may beg9 to aga9 recov] aft] a few days4 ,mild fev]1 slight jaundice1 & abs5ce ( ble$+ are favorable signs2 black vomit1 high fev]1 & passage ( little ur9e are unfavorable signs4 ,! dea? rate is v v>iable 9 diff]5t epidemics & among diff]5t classes2 any:]e f fifte5 to eighty-five p] c5t4 ,among ! bett] classes x is (t5 n great] ?an t5 p] c5t 9 private practice4 ,heavy dr9k]s & ^? liv+ 9 unfavorable surr\nd+s are apt to succumb4 ,prev5tion4--,yell[ fev]1 l mal>ia1 is a prev5table disease1 & w "o day be only a matt] ( hi/oric int]e/4 ,dr4 ,w4 ,c4 ,gorgas1 ,u4 ,s4 ,a41 dur+ #aija1 by ridd+ ,havana ( ! mosquito c>ry+ ! yell[-fev] organism ?r\gh scre5+ b>rels & receptacles hold+ wat]1 & by treat+ dra9s1 cesspools1 etc41 ) k]os5e1 succe$$ 9 also eradicat+ yell[ fev] f t city1 s t 9 ! foll[+ ye> !re 0 n "o dea? f ?is disease2 :]eas1 be=e ?is "t1 ! av]age ye>ly mortality _h be5 #gea dea?s 9 ,havana4 ,spread ( ! disease is controll$ by prev5t+ access ( mosquitoes to ! bodies ( liv+ or dead yell[-fev] pati5ts2 :ile p]sonal fre$om f yell[ fev] may be secur$ by avoid+ mosquito bites1 ?r\gh protection by scre5s indoors1 & cov]+ expos$ p>ts ( ! face1 h&s1 & ankles ) oil ( p5nyroyal or _s ( camphor1 :ile outdoors4 ,treatm5t4--,!re is un=tunately no special cure kn[n = yell[ fev] su* z we possess 9 mal>ia4 ,! pati5t %\ld be well cov]$ & surr\nd$ ) hot-wat] bags dur+ *ill4 ,x is advisable to give a c\ple ( comp\nd ca?>tic pills or a tablespoonful ( ca/or oil at ! />t4 ,two1 or at mo/ ?ree1 t5-gra9 doses ( ph5acet9 at ?ree h\rs int]vals w relieve ! pa9 dur+ ! e>ly /age4 ,crack$ ice giv5 frequ5tly by ! m\? & ! application ( a mu/>d pap] or pa/e 7"o "p mu/>d1 ?ree p>ts fl\r1 mix$ ) w>m wat] & appli$ betwe5 two lay]s ( ?9 cotton7 ov] ! /oma* w s]ve to allay vomit+4 ,cold spong+ 7see ,typhoid ,fev]1 p4 #bcb7 is ! be/ treatm5t = fev]4 ,! black vomit may be arre/$ by "o-qu>t] teaspoonful doses ( t9cture ( ! *loride ( iron1 giv5 9 f\r tablespoonfuls ( wat]1 e h\r aft] vomit+4 ,! b[els %\ld be mov$ daily by injection ( w>m soapsuds4 ,! pati5t %\ld n rise f 8 b$1 b %\ld use a b$pan or o!r receptacle4 ,9 addition1 a p9t ( w>m wat]1 conta9+ "o-half teaspoonful ( salt1 %\ld be inject$ into ! b[el night & morn+ &1 if possible1 reta9$ by ! pati5t4 ,! object ( ! latt] is by its absorption to /imulate ! action ( ! kidneys4 ,! diet %\ld consi/ ( milk1 dilut$ ) an equal am\nt ( wat]1 bro?s1 gruels1 etc41 & only s(t food %\ld be giv5 = t5 days aft] recov]y4 ,ic$ *ampagne 9 tablespoonful doses at frequ5t int]vals1 or two teaspoonful doses ( :isky 9 a little ice wat]1 giv5 e half h\r1 relieves vomit+ & supports ! /r5g?4 ,,footnotes3 #aa ,see ,volume ,v1 p4 #gf1 = detail$ me?ods4--,,editor4 #ab ,see ,frontispiece1 ,vol4 ,v4 ---------------------------------------- ---------------------------- ,,transcrib]',s ,,note4 ,! foll[+ *ange 0 made3 ,"p ,,ii1 ,*apt] ,,ii1 ,typhoid ,fev]1 ,symptoms 7p4 #bbe7 ,orig9al text3 444 flu%$ face1 pulse #ajj deg41 gradually increas+ z describ$4 ,*ang$ to3 444 flu%$ face1 pulse #ajj1 gradually increas+ z describ$4 ,pulse #ajj 0 pref]r$ ov] temp]ature #ajj deg44 ---------------------------------------- ----------------------------