,,backwoods ,,surg]y ,,backwoods ,,surg]y ,,m$ic9e ,,by ,,*>les ,,/u>t ,,moody1 ,m4 ,d4 ,,mcmx ,,out+ ,,publi%+ ,,company ,,new ,,york ,,copyright1 #aiaj1 ,,by ,,out+ ,,publi%+ ,,company ,ent]$ at ,/ation]'s ,hall1 ,london1 ,eng4 ,all rights res]v$ ,,cont5ts ,,*apt] ,,page ,i4 ,h[ to ,treat ,fractures1 ,spra9s & ,dislocations #i ,,ii4 ,c>+ = ,burns1 ,cuts1 ,dr[n+1 & ,m9or ,accid5ts #bi ,,iii4 ,m$ical ,treatm5t ( ,camp ,diseases #ea ,,iv4 ,s]p5t ,w\nds & ,_! ,treatm5t #gc ,! ,camp]'s ,m$ic9e ,*e/ #ic ,,h[ ,,to ,,treat ,,fractures1 ,,spra9s ,,& ,,dislocations ,backwoods ,surg]y & ,m$ic9e ,,*apt] ,i ,,h[ ,,to ,,treat ,,fractures1 ,,spra9s ,,& ,,dislocations ,sev]al ye>s ago ,i /ood beside a cot 9 a hunt]'s cab9 9 ! he>t ( ! ,bitt] ,root ,m\nta9s 9 ,idaho1 aft] a ?ree days' ride1 & wat*$ a valuable "y life g out z ! result ( an unatt5d$ comp\nd fracture ( ! ?igh4 ,at ano!r "t ,i amputat$ a leg to prev5t ! spread ( gangr5e f a simple cut across ! in/ep :ile ! camp] 0 splitt+ wood1 an accid5t :i*1 prop]ly treat$1 w\ld h result$ at mo/ only 9 a slight inconv5i5ce4 ,once aga91 ,i trans=m$ my boat into a fun]al b>ge & convey$ a "y man :o _h only be5 9 ! wat] ?ree m9utes back to 8 sorr[+ p>5ts dead1 because 8 companions 7 ignorant ( h[ to resuscitate him4 ,^! & _m o!r in/ances t h come "u my obs]vation ( ! sacrifice ( lives f trivial causes1 ow+ to a lack ( k1 h impress$ me ) ! value ( a few sugge/ions on h[ to treat ! common] injuries & diseases t may befall ^? :o seek recreation 9 ! remote wilds4 ,! rules w necess>ily be brief & f ! nature ( ?+s easily foll[$4 ,! woods loaf] %\ld le>n !m & be prep>$ :5ev] ! occasion arises4 ,works on fir/ aid1 writt5 o/5sibly = ! guidance ( ! laym51 are apt to presuppose a f> great] supply ( surgical necessities ?an ! hunt] c>es to burd5 himself )4 ,x is "o ?+ to apply surgical measures1 hav+ at h& a well-fill$ em]g5cy bag1 & q ano!r to r5d] ! same assi/ance ) no?+ to dep5d ^u b y\r native adaptability4 ,my int5tion is to tell 9 ! pla9e/ & simple/ mann] possible h[ to r5d] intellig5t assi/ance to an injur$ comrade1 us+ only ! fewe/ appliances & ^? ( ! mo/ primitive "*4 ,^! h9ts are ! result ( ov] tw5ty ye>s ( life 9 ! ,we/1 9 m9+ camps1 c[ camps1 logg+ camps1 & 9 ! he>t ( ! m\nta9s1 :]e p did n h =e?\ght en\gh to provide !mselves ) ev5 a b&age1 _m times hundr$s ( miles f :]e su* ?+s c\ld be obta9$4 ,! mo/ appall+ accid5t t c befall a man isolat$ f skill$ surgical aid is ! fracture ( a limb1 especially ( ! leg1 & yet ?is is "o ( ! commone/ ( all woods mis=tunes4 ,be=e proce$+ to ! discussion ( individual fractures1 a brief consid]ation ( ! classification & detection ( fractures 9 g5]al is necess>y4 ,surgeons divide fractures into3 simple1 ^? :]e !re is a simple sep>ation ( ! bone )\t injury to ! fle%2 comp\nd1 :]e 9 addition to ! sep>ation ( ! bone !re is lac]ation ( ! fle% & "o or bo? ends ( ! bone are driv5 out ?r\gh ! sk92 & comm9ut$1 :]e ! bone is 9 sev]al fragm5ts4 ,a comm9ut$ fracture may be ei!r simple or comp\nd1 accord+ z x does or does n p5etrate ! fle%4 ,! symptoms ( fracture are pa91 loss ( motion1 *ange ( position1 *ange ( cont\r ( ! fle%y p>ts1 & mo/ important ( all1 a light crackl+ s\nd :5 ! limb is mov$--crepitation ! surgeons call x4 ,pa9 foll[+ an injury t might produce a fracture is n necess>ily pro( positive ( ! exi/5ce ( a fracture4 ,pa9 may & (t5 does foll[ a bruise1 spra91 or dislocation1 9 a great] degree ?an t foll[+ a fracture4 ,loss ( motion1 too1 is q z m>k$ 9 dislocations & sev]e spra9s z 9 fractures4 ,*ange ( cont\r1 unless 9 ! locality ( prom95t jo9ts1 is q a valuable sign4 ,! fractur$ limb1 except 9 c]ta9 r>e cases1 w %[ a *ange 9 ! appe>ance ( its g5]al outl9e4 ,by crepitation is meant t *>act]i/ic grat+ s\nd produc$ by rubb+ ! two ends ( ! fractur$ bone toge!r4 ,x is ! "o absolute sign ( a fracture1 & once he>d c nev] be =gott54 ,x may be lik5$ to ! s\nd produc$ by rubb+ two or ?ree co>se hairs betwe5 ! f+] & ?umb4 ,if a fracture is suspect$ let ! pati5t himself1 or "s "o = him1 grasp ! limb above & bel[ ! site ( ! suspect$ fracture & turn x 9 opposite directions4 ,if a fracture is pres5t x w be manife/$ by a di/9ct grat+ s\nd1 also by a j>r+ s5sation z ! unev5 fragm5ts pass ov] ea* o!r4 ,a description ( all ! fractures ( ! diff]5t bones ( ! body w\ld be manife/ly out ( place 9 a book ( ?is "*1 s ,i %all conf9e myself to ^? mo/ liable to be enc\nt]$ 9 ! woods--t is1 fractures ( ! leg1 ?igh1 =e>m1 & arm4 ,fractures ( ! leg or ?igh w entail an en=c$ /ay ( f f\r to six weeks 9 ! woods1 or ! devis+ ( "s means to transport ! pati5t to a place :]e he c h prop] c>e1 an ardu\s task 9 a c\ntry :]e !re are no roads & ! trails are difficult4 ,if a p]sonal exp]i5ce may be all[$1 ,i w tell h[ ,i once treat$ a man ) fractur$ ?igh & convey$ him ) comp>atively little discom=t ov] sixte5 miles ( rugg$ m\nta9 trail & "s =ty miles ( equally rugg$ m\nta9 road4 ,i f\nd ! man 9 a m9+ camp 9 ! v he>t ( ! high] m\nta9s1 ly+ 9 8 bunk ) a badly fractur$ ?igh4 ,! bone 0 sep>at$ betwe5 ! upp] & middle ?ird--t is1 up t[>d ! body4 ,! accid5t _h occurr$ "s tw5ty h\rs previ\s & !re 0 mu* swell+1 :i* x 0 necess>y to r$uce be=e any?+ else c\ld be done4 ,?is 0 accompli%$ by ! application ( cold wat] by means ( /rips ( blanket1 *ang+ ! application z fa/ z ! wat] became w>m$ by ! body heat4 ,9 ! meantime ,i w5t out into ! timb] & fell$ a small c$> tree "s six in*es 9 diamet]4 ,f ?is ,i cut a section five feet 9 l5g? & remov$ ! b>k4 ,splitt+ ! b>k 9 half1 ,i r\nd$ up ! edges & made a spl9t = ! outside ( ! limb ext5d+ f ! armpit to six in*es bel[ ! foot4 ,! o!r half 0 made into a simil> spl9t1 only %ort]1 = ! inside ( ! limb1 ext5d+ f well up into ! gro9 to a po9t opposite ! out] spl9t bel[ ! foot4 ,x 0 necess>y to cut holes 9 ! spl9ts :]e ! bony prom95ces came4 ,:5 all 0 9 read9ess & ! limb r$uc$ 9 size1 ,i wrapp$ x well 9 s(t clo?1 hav+ no absorb5t cotton1 & appli$ my spl9ts4 ,i _h a man /& at ! feet ( ! injur$ man1 take hold ( ! injur$ leg1 & pull /eadily :ile ,i manipulat$ ! fracture4 ,"r "h ,i want to /ate t x is unnecess>y to try to pull a brok5 bone out ( ! socket 9 ord] to set a fracture4 ,a p]si/5t pull ( "s fifty p\nds w soon ov]come ! contraction ( ! muscles & ! bone w be replac$4 ,! act+ surgeon mu/ at ! same "t grasp ! limb at ! site ( ! break & knead ! two ends into place4 ,y w "k :5 !y are 9 place by ! abs5ce ( inequality at ! po9t ( break4 ,aft] ! bone _h be5 replac$1 ,i plac$ my spl9ts 9 position & b\nd !m on1 us+ /rips ( %eet torn up = b&ages4 ,any /\t clo? w d z well4 ,!y may be plac$ 9 ! ord9>y mann]1 ea* wrap beside ! o!r1 or !y may be run on 9 cont9u\s =m1 p]mitt+ ea* asc5d+ turn to half ov]lap ! "o bel[ x4 ,c>e mu/ be tak5 t ! pressure is equal 9 all p>ts ( ! b&age & t x is plac$ tight en\gh to prev5t any slipp+ ( ! spl9ts4 ,! next problem 0 to get ! man out4 ,aga9 ! c$> =e/ came to my relief4 ,i fell$ ano!r & some:at l>g] tree1 suffici5tly l>ge to p]mit plac+ ! injur$ man 9 a boat-%ap$ section ( ! b>k4 ,?is 0 made long] ?an 8 body & a semi-circul> bo>d fitt$ 9 ea* end4 ,:5 ! :ole 0 complet$ x resembl$ a rude tr\gh4 ,?is tr\gh 0 l9$ ) blankets until x 0 q s(t4 ,two poles twelve feet 9 l5g? 7 la%$ to ei!r side & ! man securely la%$ 9 ! contrivance4 ,:5 we 7 ready to />t two /eady pack animals 7 br\ght out & ! litt] ) its burd5 swung 9 su* mann] t ! animals c\ld w9d d[n ! /eep rocky trail ) ! burd5 betwe5 !m4 ,9 ?is mann] we jogg$ d[n ! m\nta9side all day1 our pati5t laugh+ & enjoy+ 8 pipe z ?\gh he 7 ! gue/ ( honor 9 "s triumphal procession4 ,:ile c$> 0 m5tion$ z hav+ be5 us$ 9 ! above case1 ! read] w appreciate t any sort ( timb] ) a t\gh b>k w answ] equally well4 ,!re is "o important fact t %\ld always be borne 9 m9d 9 ! treatm5t ( all fractures1 & t is t at lea/ ! two adjo9+ jo9ts %\ld be fix$4 ,if x is ! ?igh t is fractur$1 ! hip1 knee1 & ankle %\ld be includ$ 9 ! spl9t4 ,if ! leg1 !n ! knee & ankle4 ,! same rule holds good ) fractures ( ! =e>m or arm4 ,if timb] ) t\gh b>k is n available1 or 9 op5 c\ntries :]e no timb] gr[s1 a brok5 bone may be nicely spl9t$ by us+ small r\nd /icks4 ,nev] use a clapbo>d unless x is extremely well padd$2 ev5 !n x is undesirable f ! fact t x is liable to press ^u "s bony po9t & cause tr\ble4 ,also x is v liable to slip & p]mit y\r fractur$ bone to become displac$4 ,to fix a limb by us+ r\nd /icks1 wrap ! limb well 9 s(t clo?2 !n1 hav+ cut y\r /icks ! "r l5g?1 place !m at regul> int]vals ab\t ! limb & b9d z be=e4 ,9 ! abs5ce ( any?+ bett]1 two lea!r gun scabb>ds make q effective spl9ts4 ,:at has be5 said ) reg>d to fractures ( ! l[] limb w apply ) equal =ce to breaks ( ! upp] except1 ( c\rse1 t ! case is "o ( f> less gravity4 ,9 cases ( fracture ( ! arm1 ei!r above or bel[ ! elb[1 ! injur$ p]son c make himself q com=table by p9n+ ! bottom ( 8 coat to 8 %\ld] & plac+ ! injur$ arm 9 ! ,v-%ap$ sl+ ?us =m$4 ,! treatm5t ( comp\nd fractures is "o t requires "s n]ve on ! "p ( ! act+ surgeon & a great deal ( =titude 9 ! injur$ p]son4 ,a comp\nd fracture ( ! leg or ?igh is ! mo/ t]rible accid5t1 %ort ( dea?1 t c befall a man 9 ! woods4 ,unless great c>e is ex]cis$ ! man w die1 ei!r %ortly f septic poison+1 or almo/ imm$iately f %ock4 ,fir/1 get y\r pati5t into camp if he is away f x4 ,t may be done 9 ! foll[+ mann]1 :i* w also illu/rate h[ to c>ry a p]son injur$ 9 any mann]3 take a blanket & lay x at full l5g? on ! gr\nd2 place a pole two feet long] ?an ! blanket directly 9 ! c5t] & fold ! blanket ov] x2 lay a simil> pole 9 ! c5t] ( ! fold$ half & fold ! free side back ov]2 place y\r pati5t on top1 & two m5 c c>ry him z com=tably z ?\gh he 7 9 a litt]4 ,x is1 9 fact1 an em]g5cy litt]4 ,ano!r em]g5cy litt] may be con/ruct$ by button+ an ov]coat its full l5g? & runn+ two poles d[n ! sides1 lay+ ! pati5t betwe5 !m4 ,fail+ an ov]coat1 two %ort coats or ,mack9aw jackets may be made to s]ve4 ,hav+ got y\r pati5t ) ! comp\nd fracture into camp1 cut (f all clo?+ f ! w\nd$ limb1 b no m4 ,x is a bad plan to remove too mu* clo?+ f badly injur$ p]sons4 ,all ! w>m? mu/ be cons]v$1 ev5 to ! ext5t ( apply+ artificial heat4 ,exam9e ! w\nd = =eign matt] & c>efully remove x1 especially bits ( clo?+1 leaves1 small /icks1 & bits ( e>?4 ,:ile y h be5 ?us engag$1 wat] %\ld be heat$ 9 ! cleane/1 brighte/ vessel ! camp af=ds4 ,if !re are none bright en\gh1 "o may be /]iliz$ by burn+ x ov] a hot fire = at lea/ t5 m9utes4 ,x is absolutely ess5tial t ! wat] us$ to cleanse a w\nd ( ?is "* %\ld be /]ile--t is1 )\t any g]m life :atev]2 h5ce ! directions = boil+ x4 ,9 ano!r clean vessel boil all ! clo?s1 t[els1 & o!r dress+s t y int5d us+4 ,any s(t clo? w d = dress+s1 provid$ x is /]iliz$ & /]ilization consi/s only 9 ?or\gh boil+4 ,"o ( ! articles ,i %all m5tion 9 a v limit$ surgical kit is a bottle ( tablets compos$ ( bi*loride ( m]cury kn[n z ,b]nay's tablets4 ,!y are made by all *emical h\ses & v>y 9 =m1 b all conta9 ab\t ! same quantity ( ! antiseptic ag5t4 ,"s are :ite & "s blue 9 color1 ! blue be+ pref]able4 ,"o ( ^! tablets dissolv$ 9 a qu>t ( wat] makes a solution ( ab\t ! prop] /r5g? = dress+ w\nds4 ,make y\r solution & ) y\r /]iliz$ clo?s wa% out ! w\nd ?or\ghly1 & t does n mean to let a little wat] fl[ ov] ! w\nd2 x means to remove e p>ticle ( =eign matt] 9 & ab\t ! w\nd4 ,if ! bones h /uck into ! e>?1 z is q (t5 ! case1 !y mu/ be expos$ & ! n>r[ canal clean$4 ,!n replace ! bones 9 z ne>ly _! prop] position z possible4 ,d n attempt to set ! bone2 j put x back fairly ne>ly 9 l9e4 ,!n cov] ) sev]al lay]s ( moi/ clo? t h be5 previ\sly boil$ & dipp$ 9 ! bi*loride solution4 ,e day expose ! w\nd1 wa% x out1 & dress x4 ,if ! pati5t is ( /rong physique & ,god smiles1 he may n h septic fev]4 ,if1 h[ev]1 ! limb %[s signs ( inflammation evid5c$ by swell+ & r$ness1 accompani$ by fev]1 *ills1 & ?ir/1 !n mu/ y p]=m "s h]oic tasks to save y\r pati5t's life4 ,remove all dress+s & wrap 9 p]fectly clean dress+s ! entire limb f ! hip to ! foot1 elevate s t x w dra9 prop]ly1 & keep cold wat] runn+ ov] x 9 a small /ream con/antly4 ,?is may be done by mak+ a small hole 9 ! side or ! bottom ( a bucket & hang+ x 9 su* a way t x w p]mit ! /ream to fall on ! limb4 ,if y foll[ ! =ego+ directions implicitly1 y h done all t c be done4 ,x w be und]/ood t :at ,i h said t\*es ^u ! subject ( fractures 9 only a v g5]al way4 ,! me?ods ( treatm5t outl9$ w apply to practically any fracture1 & c]ta9ly to ^? mo/ liable to be enc\nt]$ 9 ! woods4 ,! f\r pr9cipal dislocations t are liable to engage y\r att5tion are ^? ( ! hip1 knee1 elb[1 & %\ld]4 ,( ^!1 t ( ! hip is ! mo/ s]i\s4 ,)\t go+ deeply into ! classification ( hip-jo9t dislocation1 x w be suffici5t to say t =tunately by f> ! great] numb] ( ^! is :]e ! head ( ! bone slips out ( its socket upw>d & backw>d4 ,^? 9 :i* ! head ( ! bone occupies o!r positions ) relation to its socket are mu* m difficult1 9 fact1 = ! layman practically impossible4 ,! signs ( a hip-jo9t dislocation are %ort5+ ( ! limb1 loss ( motion1 pa91 & ! turn+ ( ! toes 9 t[>d ! opposite foot4 ,y w be able to di/+ui% x f a fracture ( ! ?igh by ! abs5ce ( crepitation 7:i* ,i h describ$ z ! slight grat+ s\nd made by ! brok5 ends ( ! bone rubb+ toge!r71 & ! fact t 9 a fracture ! toes are g5]ally turn$ out4 ,a fri5d ( m9e once r$uc$ 8 own hip-jo9t dislocation 9 a mann] t may prove in/ructive4 ,he 0 com+ d[n ! /eep side ( a m\nta9 9 w9t] on skees4 ,halfway d[n ! hill1 :ile he 0 travel+ at a great rate ( spe$1 he ran into a depression1 break+ 8 skee & dislocat+ 8 hip4 ,x 0 _m miles to ! ne>e/ cab91 night 0 com+ on1 & x 0 bitt]ly cold4 ,dea? />$ him 9 ! face4 ,x 0 a "t = ! ex]cise ( judgm5t if ev] 9 8 life4 ,he crept d[n to a grove ( small p9es1 select$ two t 7 j a little f>!r ap>t ?an ! l5g? ( 8 body1 la%$ ! foot ( ! injur$ limb to "o ) 8 pack /rap1 lay at full l5g? on ! sn[1 & clasp$ ! o!r ) 8 arms4 ,pull+ ) all 8 might1 he _h ! satisfaction ( he>+ ! bone jolt back into its socket4 ,! idea sugge/$ w enable ! read] to modify ! me?od to suit ea* individual case4 ,9 dislocations ( ! %\ld] ! old me?od /ill 9 vogue among "s m$ical m5 is q easy ( accompli%m5t4 ,lay ! pati5t on 8 back & seat y\rself at 8 side1 fir/ hav+ remov$ ! %oe f y\r foot next to 8 body4 ,grasp 8 injur$ arm & turn x outw>d f ! body4 ,place y\r b>e foot well up into 8 armpit4 ,:ile an assi/ant /eadies 8 %\ld]1 pull d[nw>d ^u 8 arm1 at ! same "t mov+ x t[>d ! pati5t's body4 ,make y\r pull /eady1 & :5 y h begun d n relax until y feel ! bone jolt into its position4 ,9 ! case ( muscul> p]sons ! pull mu/ be kept up = a long] p]iod1 or until ! contraction ( ! muscles has be5 ov]come4 ,dislocations ( ! elb[ are usually ^? 9 :i* ! two l[] bones slip backw>d & ! upp] bone =w>d4 ,!y may be r$uc$ by grasp+ ! injur$ arm j above ! elb[ ) y\r left h&1 ! f+]s j beh9d ! prom95ce ( ! dislocation2 ) ! o!r h& b5d ! injur$ arm well =w>d1 at ! same "t slipp+ y\r left h& d[nw>d4 ,:5 ! injur$ arm is fully b5t1 grasp tightly ) y\r left h& at ! elb[ jo9t & ) y\r "r =cibly /raight5 x4 ,! f+]s ( y\r left h& =m a fulcrum = ! bone t is out ( place to act ^u & ?us =ce x back into position4 ,?is maneuv] is some:at difficult to describe b q easy to accompli%4 ,"o w be surpris$ ) :at ease ! bone slips back into position4 ,dislocations ( ! knee are r$uc$ simil>ly1 except t x requires two to d ! "w4 ,!n1 too1 ! knee (t5 becomes dislocat$ lat]ally & ! pressure mu/ be made 9 a lat]al direction4 ,a v di/ress+ little accid5t is ! dislocation ( ! l[] jaw4 ,i once _h a pati5t :o rode a long di/ance ) 8 m\? wide op51 suff]+ a great deal ( inconv5i5ce & no little pa91 :5 "o ( 8 fri5ds c\ld h reliev$ him 9 an in/ant4 ,wrap bo? y\r ?umbs 9 sev]al lay]s ( clo?1 /& beh9d ! pati5t1 :o %\ld be seat$1 & place y\r ?umbs ?us protect$1 on 8 back tee?1 grasp 8 jaws on ei!r side ) y\r f+]s1 press d[n ) y\r ?umbs1 up ) y\r f+]s1 at ! same "t draw+ ! jaw =w>d4 ,! bones w g back ) a snap & ! victim w spasmodically close 8 m\? h>d en\gh to draw blood unless y\r ?umbs are well %ield$4 ,dislocations ( ! jo9ts ( ! f+]s may be r$uc$ by tak+ a d\ble half-hit* ar\nd ! f+] bel[ ! dislocation ) a h&k]*ief1 plac+ y\r left ?umb back ( ! head ( ! dislocat$ bone1 & z y pull on ! h&k]*ief ) y\r "r h& pu% =w>d & d[nw>d ) y\r left4 ,! bone w readily slip into place4 ,dislocations %\ld be kept at re/ = sev]al days & any t5d5cy t[>d inflammation kept d[n by ! application ( wat]4 ,sev]e dislocations1 z ^? ( ! hip1 %\ld be treat$ simil>ly to fractures4 ,spra9s & bruises1 :ile n s]i\s1 are (t5 v annoy+4 ,:5 ! accid5t fir/ occurs imm]se ! limb 9 cold spr+ wat]4 ,?is has a t5d5cy to contract ! small blood vessels & keep d[n inflammation4 ,if1 h[ev]1 swell+ has already set 91 hot wat] %\ld give place to cold1 z hot z c be borne4 ,a consi/5t application ( hot wat] to a spra9 or bruise w ord9>ily cure x 9 a few days4 ,x may be necess>y1 "u c]ta9 conditions1 to b&age ! limb1 especially if "o has to make a j\rney4 ,by apply+ a roll] b&age snugly ab\t a spra9$ ankle1 = in/ance1 "o may travel 9 comp>ative com=t = sev]al miles4 ,( c\rse1 he w pay ! p5alty aft]w>ds1 b ,i am speak+ n[ ( cases :]e x is imp]ative t a man travel4 ,9 apply+ any b&age be sure t x has no wr9kles 9 x4 ,x mu/ be laid p]fectly smoo? & drawn reasonably tight4 ,a loose b&age or "o t is plac$ unev5ly is worse ?an useless4 ,,c>+ ,,= ,,burns1 ,,cuts1 ,,dr[n+1 ,,& ,,m9or ,,accid5ts ,,*apt] ,,ii ,,c>+ ,,= ,,burns1 ,,cuts1 ,,dr[n+1 ,,& ,,m9or ,,accid5ts ,9 speak+ ( fractures & dislocations ,i did n dream x necess>y to sugge/ any?+ 9 ! way ( a surgical kit4 ,! elem5t ( in/rum5ts o!r ?an b&ages does n ent] l>gely into ! treatm5t ( ?is class ( injuries1 & ! b&ages may be improvis$ f mat]ials at h&4 ,9 ! treatm5t ( su* w\nds z we %all n[ take up1 h[ev]1 x w be necess>y to c>ry a few ?+s ) :i* to "w4 ,?is outfit w be limit$ 9 its scope1 economy ( space be+ imp]ative4 ,a conv5i5t in/rum5t roll may be made f a /rip ( canvas1 ) a pocket at ! bottom & loops = hold+ in/rum5ts4 ,?is c be roll$ into compact %ape :5 fill$ & ti$ ) tape4 ,9 ! pocket place a c>d ( assort$ silk ligature1 rang+ 9 size f "o to six1 half a doz5 egg-ey$ ne$les rang+ f full to half curve1 "o y>d ( oil$ silk or an equal am\nt ( gutta-p]*a tissue1 "o bottle bi*loride ( m]cury tablets m5tion$ be=e1 half ounce ,squibb's surgical p[d] 9 %ak]-top c1 f\r ounces absorb5t cotton 9 c>ton1 two y>ds /]iliz$ cotton gauze seal$1 a pap] ( safety p9s & ano!r ( common p9s1 "o s(t rubb] ca!t]1 numb] #i1 "o roll adhesive tape two in*es wide4 ,9 ! loops place "o ne$le-hold] 7,emmet's71 "o hypod]mic syr+e 7all metal71 "o pair /raight %e>s ab\t six in*es1 two hemo/atic =ceps 7,kelly's71 "o curv$ bi/\ry 7small71 & "o spl9t] =cep4 ,! metal case = ! hypod]mic has comp>tm5ts = small tubes conta9+ ! hypod]mic tablets4 ,take "o tube ea* ( ! foll[+3 hydro*lorate coca9e gr4 #a_/d1 morph9e sulphate gr4 #a_/d1 /ry*n9e sulphate gr4 #a_/fj4 ,) ! =ego+ r limit$ equipm5t y w be able to r5d] assi/ance to a p]son injur$ 9 any ( ! accid5ts likely to occur 9 ! woods4 ,!re are a few surgical pr9ciples t %\ld be impress$ ^u y\r m9d be=e ! subject ( treatm5t is tak5 up4 ,! fir/ & mo/ important ( ^! is t x requires a great deal m loss ( blood ?an is popul>ly suppos$ to endang] life4 ,!re is no dang] f hemorrhage f a ve9 & b little f any ( ! small] art]ies4 ,! free fl[ ( blood f a w\nd in/ead ( be+ al>m+ is ! mo/ b5eficial ?+ t c happ54 ,! cleans+ p[] ( fl[+ blood _c be ov]e/imat$ & x is cleans+ t all w\nds require4 ,t br+s up a second ?\ght4 ,all s]i\s consequ5ces aris+ f incis$ or punctur$ w\nds come f ! invasion ( bact]ia1 & all y\r ef=ts %\ld be direct$ aga9/ ^! en]getic little g5tlem51 ei!r ^? t h already ent]$ ! w\nd or ^? t are /riv+ to ga9 +ress4 ,a simple cut w1 if p]mitt$ to seal itself up 9 its own blood1 g5]ally heal )\t any fur!r int]f]5ce4 ,! man :o puts tobacco1 fl\r1 soap1 or any o!r ( ! popul> mon/rosities on a w\nd is little %ort ( a crim9al4 ,:ile1 !oretically1 _m p "k t blood fl[+ 9 a /eady /ream is com+ f a ve9 & t fl[+ 9 jets or spurts is com+ f an art]y1 few "k h[ to take advantage ( t k4 ,! g5]al rule to make pressure betwe5 ! he>t & ! w\nd 9 case ( a jet & betwe5 ! w\nd & ! extremity 9 case ( a /ream is only good z a g5]al rule2 !re are exceptions & x is exceptions t make ! rule dang]\s4 ,!re are times :5 x becomes necess>y to rev]se ! process4 ,! prop] way is to make compression ) y\r f+]s until y h locat$ ! region ! blood comes f2 !n apply y\r /eady compression 9 t locality4 ,!re are a few great art]ial trunks t lie ne> ! surface & may become injur$1 ! injury caus+ dea? f hemorrhage4 ,! mann] ( locat+ ! compression po9t = ^! art]ies w be giv54 ,! fir/ ( ^! is ! great art]y t runs d[n ! inside ( ! leg1 call$ ! femoral4 ,ble$+ f ?is vessel w result 9 dea? 9 a v few m9utes1 & x has be5 kn[n to be sev]$ by a man fall+ on 8 %ea? knife4 ,! ble$+ may be controll$ by grasp+ ! leg ) ! f+]s ne> ! body4 ,ab\t half way d[n ! inn] surface ( ! leg ! f+]s w fall into a slight depression1 at ! bottom ( :i* lies ! femoral art]y4 ,any ( ! vessels ( ! l[] limb may be controll$ by compress+ j beh9d ! knee betwe5 ! two prom95t t5dons t w be f\nd !re :5 ! leg is d\bl$ up4 ,art]ies ( ! =e>m & h& c be /opp$ by press+ ) ! ?umb at ! elb[ jo9t j to ! inn] side ( ! t5don ( ! biceps :i* y may feel l a cord :5 ! arm is ext5d$4 ,if ! ble$+ is f ! upp] arm /ret* ! :ole arm by rais+ x above ! head4 ,feel 9 ! armpit & y w locate a prom95t ridge on ! inn] side2 press ) y\r f+]s j beh9d t ridge & y w %ut (f ! blood supply f ! :ole arm4 ,^! are ! m prom95t vessels t lie ne> ! sk94 ,c]ta9 ( ^! l>g] art]ies require ligation4 ,! ligation ( an art]y calls = a c]ta9 am\nt ( surgical skill1 b if x is necess>y to save life y c d x4 ,surgeons n[ use /]iliz$ catgut = ! purpose1 b silk c be us$ z well1 tak+ c>e to leave suffici5t end hang+ out ( ! w\nd to remove x by4 ,aft] hav+ made compression & controll$ ! hemorrhage1 clean out ! w\nd & loos5 y\r t\rniquet until ! blood spurts4 ,locat+ ! art]y1 grasp x 9 ! bite ( ! hemo/atic =ceps4 ,cut (f a %ort piece ( silk & tie x loosely ar\nd ! =ceps4 ,h "s "o pull up on ! =ceps & at ! same "t ) y\r =ef+]s slip ! knot d[n ov] ! end ( ! cut vessel4 ,tie tight & remove y\r =ceps4 ,?is proc$ure w be necess>y only 9 case ( injury to l>ge vessels4 ,small] art]ies c be controll$ by ! means h]eaft] describ$1 or by plac+ a heavy pad ( gauze ov] !m & mak+ compression ) a tight b&age4 ,! blood w become entangl$ 9 ! me%es ( ! clo? & =m a clot4 ,incis$ w\nds inflict$ ) %>p in/rum5ts w be f\nd to comprise practically all ! injuries occurr+ 9 ! woods4 ,! me?od ( treat+ "o w illu/rate t ( deal+ ) all4 ,let u suppose t 9 cutt+ firewood ! camp] has _h ! mis=tune to drive a %>p ax into 8 in/ep 7a q common accid5t74 ,! blood sp\ts at once 9 a v al>m+ mann]4 ,he hobbles to ! camp & removes 8 %oes4 ,an ugly gap+ w\nd appe>s1 f ! bottom ( :i* blood is jett+1 indicat+ t an art]y has be5 sev]$4 ,! fir/ ?+ necess>y is to /op ! blood4 ,take a h&k]*ief or o!r clo? & tie x ab\t ! ankle r loosely1 place a small /ick or a table =k b5ea? x & twi/4 ,9 a few turns y w note t ! blood is fl[+ ) less =ce & %ortly w cease altoge!r4 ,:5 ! ble$+ has be5 entirely controll$ get out y\r surgical kit & ?r[ a pair ( ! hemo/atic =ceps into ! boil+ wat]4 ,aft] !y are /]iliz$ wa% ! w\nd free f blood ) pure wat]4 ,i w add 9 ?is connection t spr+ wat] 9 ! m\nta9s is practically /]ile & c be us$ = wa%+ w\nds )\t any dang] ( infection4 ,aft] ! w\nd is clean h "s "o slightly loos5 ! t\rniquet4 ,z he does ?is wat* %>ply = ! jet ( blood t w locate ! cut art]y4 ,z soon z y see x grasp x ) ! =ceps1 lock !m1 & leave !m 9 place4 ,! compression ( ! =ceps :ile y are gett+ ready y\r o!r in/rum5ts w seal up ! vessel s t :5 y remove !m x w n ble$ any m4 ,take two ( y\r full curv$ ne$les1 at lea/ two in*es long1 & ?read !m ) q co>se silk1 cut (f a piece ( y\r gauze & run ! ne$les ?r\gh x4 ,place ! ne$les ?us prep>$1 ! ne$le hold]1 %e>s1 & ! o!r pair ( hemo/ats 9 a vessel & boil4 ,9 ! meantime make up a solution ( ! bi*loride1 us+ ! antiseptic tablets = t purpose4 ,wa% y\r h&s well & r9se !m 9 ! bi*loride solution4 ,clean out ! w\nd1 tak+ great c>e to remove all clots4 ,) "o ( ! ?read$ ne$les 9 ! grasp ( ! ne$le hold] beg9 at ! upp] angle ( ! w\nd1 ab\t half an in* f ! end4 ,pass ! ne$le d[n ?r\gh ! fle% "o-f\r? ( an in* f ! edge1 c>ry+ x well t[>d ! bottom & mak+ x ent] ! w\nd ne> ! bottom & re-ent] ! fle% on ! opposite side1 pass up ?r\gh & out an equal di/ance f ! edge4 ,cut ! ?read (f & lay ! two ends out ( y\r way1 leav+1 ( c\rse1 suffici5t to tie ) :5 ! "t comes4 ,place y\r r[ ( /it*es half an in* ap>t all d[n ! w\nd4 ,:5 all ! /it*es are 9 place y may beg9 to tie4 ,take ! two ends ( ! fir/ /it* 9 y\r h&s & lift up on !m2 ?is w br+ ! edges ( ! w\nd toge!r4 ,tie ! ?read1 turn+ ! fir/ knot "u twice to prev5t its slipp+4 ,aft] all ! /it*es h be5 ti$ take ! h&le ( y\r scalpel or ! =ceps & raise ! edges ( ! sk91 :i* w h roll$ 91 until !y meet ea* o!r4 ,?is is necess>y1 z :]e ! sk9 is roll$ 9 x w n heal readily & leaves an op5+ = ! entrance ( bact]ia4 ,sponge (f all ! free blood & du/ well ) surgical p[d]4 ,place a pad ( gauze t has be5 soak$ 9 ! bi*loride solution ov] ! w\nd1 cov] t ) a wad ( cotton & ! cotton ) a piece ( oil$ silk1 b&age ov] all1 & d n mole/ = at lea/ ?ree days4 ,aft] five days y may remove y\r /it*es 9 ?is mann]3 ,cut ! /it* ne> ! sk9 on "o side1 grasp ! knot 9 ! bite ( ! =ceps & pull x out4 ,be c>eful n to try to pull ! knot ?r\gh ! fle%1 & d n leave any end on ! "p y d pull ?r\gh ! fle%1 z x may c>ry infection d[n into ! w\nd4 ,x is a fact n g5]ally kn[n to ! laity t a solution ( common salt & wat] w take ! place ( blood :5 introduc$ into ! sy/em4 ,surgeons resort to ?is practice 9 p]=m+ all v bloody op]ations4 ,_! me?od ( hypod]moclysis c\ld n be c>ri$ out 9 ! camp1 ( c\rse1 b a v good sub/itute = x c be us$4 ,! l[] b[el is v receptive ( ?is solution1 :i* by ! way1 is made by dissolv+ a teaspoonful ( clean common salt 9 a p9t ( wat]4 ,! solution1 ma9ta9$ at blood heat1 is introduc$ into ! l[] b[el ) a f\nta9 syr+e4 ,p]sons :o h lo/ a great deal ( blood1 s mu* 9 fact t _! pulse c h>dly be felt at ! wri/1 w receive great b5efit f ?is proc$ure4 ,use at lea/ a gallon ( ! solution & d n p]mit x to fl[ too rapidly into ! b[el4 ,c]ta9 cuts may be dress$ )\t /it*es4 ,proce$ z be=e up to ! po9t ( putt+ 9 ! /it*es1 !n roll up two pieces ( gauze z long z ! cut & ab\t ! size ( a lead p5cil4 ,lay ^! on ei!r side ( ! w\nd q close to x4 ,) adhesive tape half an in* wide & f\r in*es long beg9 two in*es on ei!r side ( ! w\nd & c>ry across1 br++ ! edges ( ! w\nd toge!r4 ,place ^! /rips half an in* ap>t until ! w\nd is br\ght into l9e4 ,dress z be=e1 except t y w h to omit ! moi/ gauze1 dress+ ) ! p[d] entirely4 ,i want to add "h t %\ld y run out ( /]iliz$ gauze at any "t y c make x f any s(t clo? by boil+ x = t5 m9utes 9 ! bi*loride solution & hang+ 9 ! air to dry4 ,! pa9 att5dant ^u any surgical manipulation c be prev5t$ by ! hypod]mic injection ( a solution ( coca9e4 ,:5 y get y\r hypod]mic h ! in/rum5t man %[ y h[ x works4 ,he c %[ y mu* bett] ?an ,i c tell x4 ,ins]t ! ne$le half an in* f ! w\nd & inject a few drops ( ! solution into ! sk94 ,proce$ ?us entirely ar\nd ! w\nd & by ! "t y are ?r\gh ! w\nd w be p]fectly pa9less4 ,be=e replac+ ! in/rum5t 9 its case always dry x out & replace ! small brass wire t y w f9d 9 ! ne$le4 ,x is some:at difficult to approa* ! subject ( punctur$ w\nds1 :i* also include ^? result+ f gun %ots & p[d] explosions4 ,! rule among surgeons is to m$dle ) ^! injuries z little z possible1 provid$ !y d n p5etrate ! abdom54 ,9 ! case ( p5etrat+ w\nds caus$ by fall+ on a %>p /ick or o!r %>p po9t$ in/rum5t1 x is well to clean out ! w\nd1 remov+ all =eign sub/ance t may be pres5t1 se>*+ dilig5tly = pieces ( clo?1 ru/1 *>coal1 b>k1 or o!r =eign matt]4 ,^! ?+s 9 c]ta9 localities conta9 ! g]m ( lock-jaw1 & _m conta9 x any:]e4 ,?is is p>ticul>ly true ( felt wads f %otgun %ells4 ,all dilig5ce %\ld be ex]cis$ to clean out a w\nd result+ f su* a cause4 ,%otgun wads are manufactur$ f ! mo/ fil?y k9ds ( old hair1 (t5 reek+ ) ! bacillus ( tetanus4 ,if ! w\nd 0 caus$ by a sliv] ( wood & ! sliv] /ill rema9s 9 ! w\nd remove x by mak+ an incision ) y\r bi/\ry4 ,d n be afraid to cut4 ,a little cut is worse ?an none2 g deep en\gh to lib]ate ! sliv] s t x may be remov$ ) ! spl9t] =ceps4 ,!n wa% ! w\nd f ! bottom ) hot wat] & dress z be=e1 us+ ! bi*loride4 ,exp]i5ce has prov$ t ! less "o attempts to d ) gun%ot w\nds ! bett]4 ,nature has a t5d5cy to wall (f =eign bodies t are 9 ! ma9 /]ile & w ord9>ily d s ) a bullet if giv5 a *ance4 ,keep ! pati5t quiet1 prev5t infection f ent]+ ! w\nd1 & tru/ to ,nature to d ! re/4 ,an incid5t w illu/rate :at takes place :5 ,nature is giv5 an opportunity to ?r[ out h] pla/ic wall mat]ial ar\nd a =eign body4 ,"s ye>s ago a p>ty ( ,ea/]n p 7 camp+ 9 ! he>t ( ! ,bitt] ,roots4 ,among ! p>ty 7 two boys ( ! age :5 boys are prone to try exp]im5ts4 ,!y bor$ a small hole 9 a spruce tree & drove into x a high p[] #cj-cj c>tridge4 ,!n !y /ood (f "s fifte5 feet & fir$ at ! c>tridge ) a small rifle4 ,"o ( !m hit x4 ,! #cj-cj %ell came back & p5etrat$ ! abdom5 ( ! juv5ile m>ksman1 bury+ itself & driv+ pieces ( clo?+ into ! abdom9al cavity4 ,! mess5g] :o came = me 0 ?irty-six h\rs on ! trail & ,i 0 an equal l5g? ( "t rea*+ ! camp4 ,! p _h _h s5se en\gh to keep ! pati5t quiet & ,i f\nd him re/+ fairly easy4 ,s deeply _h ! missile p5etrat$ t x requir$ a consid]able incision to remove x4 ,:5 ,i rea*$ ! bottom ( ! w\nd ,i f\nd t ,nature _h ?r[n ab\t ! w\nd$ area a wall ( protective lymph & all ! pus t _h accumulat$ 0 9 a pocket4 ,i laid ! pocket well op51 evacuat$ its cont5ts1 & remov$ ! bits ( clo? t ,i f\nd1 dress$ ! w\nd1 & _h ! satisfaction ( see+ ! y\ng/] recov]4 ,burns are classifi$ accord+ to degree ( injury4 ,^? ( ! fir/ degree are :]e ! sk9 is r$d5$1 b no bli/] =m$4 ,! second degree includes ^? :]e !re has be5 decid$ bli/]+1 & ! ?ird1 :]e ! fle% has be5 *>r$4 ,^? ( ! fir/ & second degrees are ! mo/ common 9 ab\t ! proportion ( #ii to #a4 ,a burn ( ! fir/ degree c be be/ reliev$ by ! application ( cold wat]4 ,?is is contr>y to ! tea*+s ( a few ye>s ago1 b is 9 full accord ) t ( to-day4 ,! wat] %\ld be *ang$ z fa/ z x becomes w>m4 ,burns ( ! second degree require m c>e4 ,9 ! fir/ place1 d n int]f]e ) ! bli/]4 ,! prim>y object 9 treat+ burns is to exclude air & ! sk9 rema9+ intact w d ?is mu* bett] ?an any artificial means4 ,! ,indians ( ! ,nor?we/ prep>e a dress+ = burns by cook+ de] suet ) balm ( gilead buds4 ,?is is ! mo/ effective application = sev]e burns ,i h ev] se54 ,if de] suet is n available1 any fre% tall[ t has be5 cook$ w s]ve z well4 ,?r[ a h&ful ( ! buds into a vessel & cov] !m ) ! suet1 boil = ?irty m9utes1 & /ra94 ,:5 ne>ly cold apply to ! burn & cov] ) a s(t clo?4 ,! pa9 ceases almo/ imm$iately4 ,x seems s+ul> aft] all t has be5 writt5 on ! subject1 b few p "k h[ to re/ore a dr[n$ p]son4 ,! matt] is really q simple1 yet x requires great att5tion to detail4 ,spasmodic ef=ts are useless4 ,! ?+ has to be gone ab\t me?odically & ! me?od p]si/$ 9 = a long "t1 (t5 9 ! face ( seem+ c]ta9 defeat4 ,9 ! fir/ place1 /ati/ics %[ t no p]son :o has be5 subm]g$ 9 ! wat] = a p]iod ( sev5 m9utes 0 ev] resuscitat$4 ,x is extremely d\btful if aft] five m9utes' imm]sion any?+ c be accompli%$1 /ill x is wor? ! ef=t4 ,! fir/ ?+ to d :5 a p]son is rescu$ f ! wat] is to remove all clo?+ f ab\t ! *e/ & neck4 ,d n take ! "t to draw ! g>m5ts (f1 b rip !m (f ) a knife4 ,turn ! body ov] & /& a/ride x4 ,grasp x ab\t ! middle & lift up s t only ! head & feet are t\*+ ! gr\nd4 ,?is is done 9 ord] to free ! lungs & air passages f wat] & mucus4 ,d ?is sev]al times4 ,) a h&k]*ief wipe out ! m\? & z f> d[n ! ?roat z y c rea*4 ,lay ! pati5t on 8 back ) a fold$ coat "u 8 %\ld]s4 ,kneel at 8 head & grasp bo? arms at ! wri/s & pull !m well up ov] 8 head1 hold = an in/ant1 return to ! sides & press !m aga9/ ! ribs1 hold = an in/ant & repeat4 ,d ?is ab\t tw5ty times ea* m9ute4 ,! t5d5cy is to "w too fa/4 ,! movem5t %\ld be ab\t z fa/ z a man brea!s1 ! object be+ to simulate ! ord9>y respiratory movem5ts z ne>ly z may be4 ,:ile ?is is be+ done ano!r p]son may grasp ! tongue & pull x up & out ( ! m\?1 keep+ "t ) ! movem5ts ( ! arms4 ,:5 ! pati5t beg9s to %[ signs ( life wrap him well 9 hot blankets1 place hot /ones at 8 feet1 & adm9i/] hot wat]1 br&y1 or /rong hot c(fee4 ,z be=e sugge/$1 ! ef=ts at re/oration %\ld be p]si/$ 9 = a long "t1 until ei!r success rew>ds y\r ef=ts or ! body becomes q cold & rigid4 ,x may be t !re is a little sp>k ( life left & y may fan x into flame aft] h\rs ( ef=t4 ,!re are _m m9or accid5ts = :i* x is well to be prep>$4 ,= example1 to remove a fi% hook3 ,d n try to pull x back2 pu% x on ?r\gh1 file or break (f ! b>b & x c be remov$ readily4 ,to remove =eign bodies f ! eye3 ,fir/ coca9ize ! eye by dropp+ a few drops ( a solution made by dissolv+ "o ( ! coca9e tablets 9 a half teaspoonful ( wat]1 !n turn ! lid back ov] a mat* tell+ ! p]son to look d[n at ! same "t1 & bru% ! sub/ance (f ) a s(t clo?4 ,if x is "u ! l[] lid place y\r =ef+] on 8 *eek j b5ea? ! eye1 pull d[n1 & tell him to look up4 ,if x adh]es to ! eyeball1 z 9 ! case ( a c9d] or a small piece ( /eel1 aft] coca9iz+ ! eye remove ) a %>p knife by bru%+4 ,insects sometimes crawl into ! e> & make a lot ( commotion4 ,place ! pati5t on 8 side ) t e> upp]mo/ & p\r pl5ty ( w>m wat] into ! e>4 ,by pl5ty ,i mean sev]al qu>ts4 ,! bug w crawl out or be wa%$ out by ! return+ /ream ( wat]4 ,burns well *>act]iz$ too?a*e z ,?\ hell ( a' diseases4 ,if ! too? has a cavity 7z x probably has71 a small cry/al ( coca9e dropp$ dry into ! cavity & cov]$ ) a little pl$get ( cotton w give imm$iate relief4 ,= ble$+ f ! nose1 place a pl$get ( cotton 9 ea* no/ril1 lay ! pati5t on 8 face1 & p\r cold wat] ov] ! back ( ! neck4 ,leave ! cotton !re = sev]al h\rs4 ,! idea is t ! fibr9 9 ! blood becomes entangl$ 9 ! fib] ( ! cotton & sets up a clot t seals ! ble$+ surface1 :ile ! cold wat] closes ! blood supply by its action on ! art]y supply+ ! p>ts4 ,hicc\gh is a di/ress+ & sometimes a dang]\s compla9t4 ,_m times a swall[ ( wat] w /op x4 ,if simple measures fail1 ! foll[+ has be5 f\nd v efficaci\s4 ,! n]ves t produce hicc\gh are ne> ! surface 9 ! neck4 ,!y may be rea*$ & compress$ by plac+ two f+]s "r 9 ! c5t] ( ! top ( ! brea/bone betwe5 ! two cords t run up ei!r side ( ! neck & press+ inw>d1 d[nw>d1 & outw>d4 ,a few m9utes' pressure ( ?is k9d w /op ! mo/ ob/9ate hicc\gh4 ,c]ta9 injuries are att5d$ ) :at is kn[n z %ock4 ,usually ! degree ( %ock is proportionate to ! ext5t ( ! injury1 ?\gh n always s4 ,(t5 seem+ly trivial injuries produce a fatal %ock4 ,! symptoms are cold1 clammy sk91 face v pale & p9*$1 eyes widely dilat$ & />+1 pulse rapid & irregul>1 little or no pa91 ev5 f sev]e injuries4 ,! pati5t reta9s 8 m5tal faculties b loses ! p[] to orig9ate1 answ]+ :5 spok5 to b usually volunte]+ no /atem5ts ( 8 own4 ,! treatm5t consi/s 9 l[]+ ! head & elevat+ ! extremities4 ,wrap ! pati5t 9 hot blankets & place hot wat] bottles ab\t him1 give br&y1 or :at is z good1 hot wat]2 inject #a_/cj gr4 /ry*nia e fifte5 m9utes = ?ree doses4 ,! symptoms f loss ( blood are v mu* ! same z f %ock & luckily respond to ! same treatm5t4 ,9 addition1 if !re *ances to be a f\nta9 syr+e 9 ! camp1 give rectal enemas ( hot normal salt solution1 :i* c be made by dissolv+ a teaspoonful ( common salt 9 a qu>t ( /]ile wat]4 ,9 "s way ?is solution seems to take ! place ( ! blood lo/4 ,a hot application ov] ! he>t is also valuable1 z are mu/>d drafts to ! sp9e4 ,,m$ical ,,treatm5t ,,( ,,camp ,,diseases ,,*apt] ,,iii ,,m$ical ,,treatm5t ,,( ,,camp ,,diseases ,9 ?is day ( compact ph>maceuticals "o c c>ry a complete equipm5t ( m$ic9es 9 a ve/ pocket almo/4 ,! old day ( pond]\s p[d]s & nauseat+ liquids has pass$4 ,! physician n[ :o prescribes = 8 pati5ts imm5se bottles ( %otgun mixtures writes himself d[n a back numb]4 ,?is mann] ( adm9i/]+ drugs c be tak5 advantage ( by ! man :o wi%es to c>ry ) him ^u 8 out+ a supply ( rem$ies = ! relief ( su* ailm5ts z may befall him4 ,oliv] ,w5dell ,holmes once said 9 deliv]+ an address to ! graduat+ m$ical class ( ,h>v>d1 ,"y m51 y h be5 taught "h at lea/ tw5ty rem$ies = e disease2 aft] y h practic$ m$ic9e tw5ty ye>s y w h "o rem$y = tw5ty diseases4 ,! g5ial autocrat 0 ne>ly "r4 ,! long] "o cont9ues 9 ! practice ( m$ic9e1 ! few] rem$ies he le>ns to dep5d ^u4 ,an ,iri% m$ical fri5d ( m9e once put ! ?+ 9 v apt =m :5 he said1 ,if ,i _h to practice m$ic9e on an isl& :]e ,i c\ld h only ?ree rem$ies1 ,i %\ld *oose ca/or oil1 opium1 & /ry*nia4 ,i'd physic !m ) ! ca/or oil1 con/ipate !m ) ! opium1 & /imulate !m ) ! /ry*nia4 ,^! rem>ks are a little beside ! subject1 b ,i am con/ra9$ to quote !m to illu/rate t b few m$ic9es are ne$$1 if ^! be well und]/ood1 & ! indications = _! use c be ma/]$ by anyone 9 a %ort "t4 ,= ! pa/ sev]al ye>s my em]g5cy m$ical case has conta9$ only t5 rem$ies1 & ) ^! ,i h n hesitat$ to make pr(essional trips ( _m miles4 ,! case %\ld be made ( sole lea!r ) a pocket = a small note book & loops = a cl9ical !rmomet]4 ,! bottles %\ld hold half an ounce & h screw caps4 ,h ! glazi] et* ) 8 diamond ! numb]s f #a to #aj on ! sides ( ! bottles4 ,! reason = ?is is t numb]s pa/$ on are liable to rub (f1 & z _m tablets look mu* alike confusion may occur4 ,!n fill !m 9 ?is mann]3 ,no4 #a3 ,calomel1 gr4 #a_/d4 ,make ?is entry 9 ! little note book t is conta9$ 9 ! pocket4 ,no4 #a1 calomel gr4 #a_/d4 ,dose1 "o tablet e ?irty m9utes = f\r h\rs4 ,indications1 bili\sness1 heada*e f disord]$ /oma*1 di>rhea1 colds1 & ! beg9n+ ( all fev]s4 ,no4 #b3 ,dosimetric tr9ity 7,full /r5g?74 ,dose1 "o granule e half h\r until sk9 becomes moi/4 ,indications1 all fev]s1 colds1 ?reat5$ pneumonia1 & ?reat5$ typhoid4 ,no4 #c3 ,*lorodyne4 ,dose1 "o tablet e h\r to relief4 ,indications1 any ga/ric pa91 cramps1 di>rhea 7aft] clean+ out ! b[els71 colic1 acute indige/ion4 ,no4 #d3 ,inte/9al antiseptic4 ,dose1 "o tablet e h\r = f\r h\rs2 !n "o e ?ree h\rs4 ,indications1 aft] b[els h be5 clean$ out to correct any disord] ( ! tract1 z a r\t9e treatm5t ( typhoid2 always valuable 9 di>rhea & o!r inflammatory conditions ( ! b[els4 ,no4 #e3 ,qu99e sulphate1 gr4 #e4 ,dose1 "o tablet e f\r h\rs4 ,indications1 colds & cat>rh1 bili\s fev]s1 specific 9 mal>ia4 ,no4 #f3 ,elat]91 gr4 #a_/af4 ,dose1 "o tablet4 ,indications1 to remove all f]m5t+ food matt]s 9 ! /oma* & b[els1 produces excessive wat]y evacuations4 ,valuable 9 dropsy2 especially applicable :]e y want to get rid ( ! entire cont5ts ( ! b[els4 ,no4 #g3 ,ph5acet9e1 gr4 #e4 ,dose1 "o tablet e ?ree h\rs to pr(use p]spiration4 ,indications1 r$uce fev] :]e pulse is full & b\nd+4 ,relieves heada*e2 tak5 e>ly cures sev]e cold4 ,no4 #h3 ,sun ,*ol]a4 ,dose1 "o e ?ree h\rs4 ,indications1 simil> to ,no4 #c1 only m p[]ful1 valuable 9 sev]e summ] compla9t due to eat+ fre% fruit1 meat1 dr9k+ too mu* wat]4 ,relieves ga/ric pa94 ,no4 #i3 ,apomorphia hydro*lorate1 gr4 #a_/aj4 ,dose1 two tablets foll[$ by swall[ ( hot wat]4 ,indications1 z an emetic 9 poison+4 ,use cauti\sly4 ,no4 #aj3 ,digital91 gr4 #a_/ajj4 ,dose1 "o tablet e h\r to effect4 ,indications1 ! mo/ p[]ful he>t tonic & recon/ructive4 ,mu/ be us$ cauti\sly4 ,valuable 9 loss ( blood1 excessive he>t action f altitude1 & all conditions :]e he>t is n p]=m+ prop]ly4 ,x w be not$ t ,i did n m5tion morph9e1 /ry*nia1 or coca9e1 z !y 7 spok5 ( 9 connection ) ! hypod]mic4 ,9 ! case ,i also place a "o-m9ute cl9ical !rmomet]4 ,all ( ^! in/rum5ts are n[ made self-regi/]+ & mu/ be %ak5 d[n aft] ea* us+4 ,?is %\ld be done1 n by a j>1 b ) a long sweep ( ! arm4 ,too sudd5 a j> w snap ! in/rum5t 9 two4 ,%ake until ! m]cury column /&s bel[ ! m>k4 ,?is m>k indicates ! body heat at normal condition1 t is1 #ih4d ,f4 ,e man %\ld famili>ize himself ) c]ta9 physiological facts1 & ) ^! z guidepo/s he ought to be able to foll[ a tra9 ( indications to a reasonably fair diagnosis4 ,! pulse rate1 tak5 at ! wri/1 is g5]ally a fair index ( ! condition ( ! body4 ,! normal man has a pulse rate ( ab\t sev5ty-two beats p] m9ute1 wom5 some:at m rapid2 high elevations also produce a m rapid pulse4 ,if !re is an increase ( he>t beat above eighty p] m9ute1 accompani$ by o!r subjective symptoms1 x is an indication t some?+ is wrong4 ,9 ! abs5ce ( a cl9ical !rmomet]1 "o c arrive at a pretty fair k ( ! body heat by c\nt+ ! pulse4 ,x is e/imat$ t !re w be an elevation ( "o degree ,f4 = e t5 beats above ! normal4 ,?is rule v>ies1 b is a fair av]age4 ,! appe>ance ( ! tongue is a valuable signpo/1 b "o t is difficult ( ma/]y4 ,a few prom95t indications w be not$4 ,a ?91 :ite1 ev5 furr+ ( ! tongue is indicative ( ga/ric di/urbances & mild fev] /ates4 ,a flabby1 swoll51 ind5t$ tongue cov]$ ) a uni=m yell[1 pa/y fur is indicative ( pr(\nd ga/ric /ates & ga/ro-duod5itis2 x may also be produc$ by a cont9u$ mod]ate fev]4 ,a n>r[ tongue1 ) deep m$ian fissure on ea* side ( :i* is a ?ick r\gh fur1 ! tip & edges be+ r$ & d5ud$1 is *>act]i/ic ( typhoid /ates :e!r aris+ f typhoid or n4 ,! same condition w be f\nd 9 pr(\nd intoxication f septic poisons4 ,if ! tongue becomes dry & br[n1 tremul\s :5 protrud$1 & ! pati5t returns x sl[ly :5 reque/$ to d s1 he has typhoid beyond "q4 ,a br[n fur on ! root ( ! tongue1 especially 9 ! morn+1 indicates a sluggi% condition ( ! liv]4 ,9 jaundice ! tongue is yell[4 ,x is e/imat$ t ! normal man 9 a /ate ( re/ w brea! sixte5 times p] m9ute4 ,any radical dep>ture f ! rate w indicate disease4 ,an increase ( two respirations p] m9ute is suppos$ to indicate a rise ( "o degree ,f4 9 ! body temp]ature1 ?\gh ?is rule is subject to v>iations4 ,inspection ( ! b>e *e/ tells ! tra9$ physician mu* reg>d+ ! condition ( 8 pati5t & ev5 ! layman c glean mu* k f t s\rce4 ,if ! pati5t is brea?+ f tw5ty-five to ?irty-five times p] m9ute1 ! respiration be+ conf9$ to "o lung z indicat$ by ! lack ( expansion 9 ! o!r1 & if he lies s z to take ! /ra9 (f ! lung t does n exp&1 x is almo/ sure t ! pati5t has pneumonia4 ,9 case ! lung is fix$ rigidly by ! muscles & ! opposite lung =c$ to d all ! "w1 !n ! pati5t has pleurisy4 ,9 pr(\nd typhoid /ates ! brea?+ is v mu* sl[$ & irregul>1 at la/ pres5t+ :at is kn[n z ! ,*eyne-,/okes respiration1 9 :i* ! pati5t w brea! sev]al %ort %all[ respirations1 pause = a "t1 heave a deep sigh & !n repeat ! rapid brea?+4 ,?is type ( brea?+ is look$ ^u z a v grave symptom 9 all conditions *>act]iz$ by lack ( physical /r5g?4 ,x w be readily appreciat$ t only en\gh discussion ( symptoms has be5 giv5 above to aid some:at 9 arriv+ at a diagnosis4 ,to g deeply into physical indications ( diseases w\ld be manife/ly out ( place 9 an article ( ?is "*4 ,we w n[ proce$ to ! consid]ation ( ! diseases t w be mo/ frequ5tly enc\nt]$ 9 ! camp4 ,( ^! ! inte/9al tr\bles /& pre-em95t4 ,*ange ( wat]1 food1 me?ods ( life1 & p]sonal habits acc\nt = ! fact t ne>ly e p]son :o seeks ! outdoors at "s "t dur+ 8 /ay is afflict$ ) "s "o ( ! di>rheas4 ,)\t attempt+ to g deeply into ! v>i\s classifications ( ! ent]ic compla9ts1 a brief rsum ( ! guid+ symptoms common to all w be giv54 ,x matt]s v little s f> z ! treatm5t is conc]n$ :e!r x be an ileo-colitis1 an ileitis1 or simply colitis4 ,! same treatm5t w\ld obta9 9 ea* case1 & ! same g5]al tr5d ( symptoms w\ld be pres5t4 ,! pati5t feels a g5]al indisposition1 loss ( appetite1 heada*e1 & sleeplessness1 :i* is foll[$ by pa9 & grip+ 9 ! b[els2 !n comes ! di>rhea1 :i* may be pr(use & wat]y or scanty & accompani$ by mu* pa94 ,! evacuations become exce$+ly frequ5t1 sometimes z _m z fifty or sixty p] day4 ,! pati5t vomits frequ5tly & is q ill1 8 face becomes p9*$ & dusky1 ) an anxi\s look 9 ! eyes4 ,!re is "s fev] & ?ir/1 ?\gh ! wat] drunk is g5]ally vomit$4 ,9 ! above has be5 pictur$ an extreme case ( summ] di>rhea4 ,!re w be all gradations bel[ ?is1 f a m]e sor5ess ( ! abdom5 & loos5ess ( ! b[els up to pr(\nd pro/ration f con/ant dra9 on ! sy/em induc$ by ! evacuations4 ,by a sort ( /range m$ical p>adox1 9 ord] to /op ! evacuations x becomes necess>y to increase !m4 ,we mu/ sweep out ! ne/ ( tr\blesome bact]ia t are caus+ ! di/urbance4 ,an ord9>y ca?>tic w n accompli% ?is4 ,x is necess>y to adm9i/] some?+ t w produce a pr(use wat]y dis*>ge f ! b[els4 ,no?+ accompli%es ?is bett] ?an a heap+ tablespoonful ( ,epsom salts 9 hot wat]1 b z we h n provid$ = su* bulky m$ic9es 9 our case we w give our pati5t "o tablet ( elat]9 :i* w accompli% ! same purpose4 ,!n1 too1 ! pati5t is n ne>ly s liable to vomit ! elat]94 ,if he does1 h[ev]1 ! vomit+ c be controll$ by ! adm9i/ration ( coca9e by ! m\?1 ?\gh ?is latt] drug mu/ be us$ v cauti\sly4 ,a tablet ( #a_/d gr4 coca9e hydro*lorate giv5 9 a swall[ ( hot wat] w /op vomit+ until ! o!r rem$ies c produce _! effect4 ,be=e giv+ any o!r m$ic9es await ! free action ( ! ca?>tic4 ,! pati5t %\ld h at lea/ ?ree v copi\s dis*>ges2 !n beg9 to combat ! inflammatory condition t exi/s 9 ! b[els4 ,! *lorodyne tablet w 9 all ord9>y cases1 d ?is be/ ( all y\r rem$ies4 ,!re w be "s few in/ances :]e x w be necess>y to resort to m p[]ful rem$ies2 9 t case ! ,sun ,*ol]a tablet giv5 accord+ to directions is ! be/4 ,z an aft] treatm5t 9 ^! cases ! inte/9al antiseptic gives ! be/ results4 ,a tablet e f\r h\rs = two days w annihilate e ve/ige ( bact]ial invasion t may rema94 ,bron*ial & pulmon>y diseases supply a l>ge p]c5tage ( ! camp ailm5ts 9 ! fall & e>ly w9t] dur+ ! de] hunt+ season4 ,an attack ( pneumonia foll[+ a sev]e dr5*+ f be+ out all day 9 a ra91 or accid5tally tumbl+ into ! creek1 is n a pleasant ?+ to contemplate4 ,x usually comes 9 ! night4 ,! pati5t wakes out ( a s\nd sleep ) a *ill4 ,!re is a %>p /ick+ pa9 z ?\gh a knife 7 be+ ?ru/ betwe5 ! ribs1 at "s po9t on ! *e/ wall4 ,! brea? comes 9 %ort gasps & ! pati5t in/9ctively turns t[>d ! affect$ side 9 ord] to ease ! pa94 ,! *ill may or may n be foll[$ by vomit+1 & ! fev] lights up imm$iately1 ris+ to #ajb-d ,f4 ,a di/ress+ %ort c\gh comes along to add to ! discom=t z ea* act ( c\gh+ increases ! pa9 9 ! *e/4 ,9 less ?an tw5ty-f\r h\rs ! pati5t beg9s to expectorate :at we call prune-juice mucus1 t is1 mucus /reak$ ) blood until x resembles ! juice ( cook$ prunes4 ,:5 y see ?is prune-juice y ne$ h no d\bt z to ! diagnosis4 ,y %\ld1 h[ev]1 h be5 busy long be=e ?is4 ,!re is no d\bt n[ among educat$ physicians t pneumonia1 tak5 9 "t1 c be abort$4 ,:5 ! pa9 fir/ manife/s itself set somebody to bak+ hot cakes made f fl\r /irr$ ) wat]4 ,:ile ^! are /ill z hot z c be borne lay !m ov] ! pa9ful spot on ! lung1 r5ew+ z fa/ z !y become cool4 ,to accompli% mu* good ?is treatm5t mu/ be kept up until ! p]iod ( expectoration & ev5 aft]1 at lea/ tw5ty-f\r h\rs4 ,at ! same "t beg9 by adm9i/]+ calomel 9 #a_/d gr4 doses e ?irty m9utes until at lea/ ?ree gra9s h be5 giv54 ,two h\rs aft] ! la/ tablet ( calomel has be5 giv51 give a tablet ( elat]94 ,:5 ! latt] has work$1 />t 9 ) ! dosimetric tr9ity tablets & pu% !m until ! sk9 becomes moi/ & ! fev] falls bel[ #ajj ,f4 ,d n give any ( ! coal t> products 9 pneumonia1 t is1 d n give ph5acet9e or acetanilide4 ,:5 ! pati5t is recov]+ x is well to keep up ! he>t by /ry*nia or digital94 ,!re is su* a ?+ z giv+ too mu* ( ^! he>t /imulants ?\gh1 & y %\ld wat* ! pulse closely4 ,/imulat+ ! he>t too greatly is liable to cause conge/ion ( ! small blood vessels 9 ! lungs & defeat ! v purpose y set out to accompli%4 ,tak+ cold is a v popul> camp me?od ( feel+ bad4 ,! man :o does n at lea/ once1 :ile 9 camp1 /uff himself full ( a good old-fa%ion$ cold feels t he has be5 *eat$ out ( a "p ( ! enjoym5t ( 8 out+4 ,= ! b5efit ( ^? ( 8 companions :o d n appreciate 8 b>k+ 9 season & out1 ! foll[+ rules are sugge/$3 ,fir/1 take a ba?2 x may be pa9ful b necess>y4 ,second1 assi/ ov]work$ elim9ants to remove ! debris t has accumulat$ by reason ( ! failure ( ! ord9>y processes ( wa/e removal4 ,?is c be done v nicely ) a h]oic dose ( calomel2 by h]oic ab\t ?ree gra9s is meant4 ,foll[ up ! calomel ) sev]al five-gra9 doses ( ph5acet9e1 or until ! pati5t is 9 a pr(use p]spiration1 roll him 9 w>m blankets1 & await developm5ts4 ,a c>eful obs]vance ( ! =ego+ w annihilate any able-bodi$ cold on e>?4 ,! man :o contracts rheumatism 9 camp has my s9c]e sympa?y4 ,x requires no special skill to tell :5 "o has x1 b x does require special p[]s ( div9ation to tell :5 he w get rid ( x4 ,m$ical sci5ce has discov]$ only "o drug t w affect ! progress ( ! disease 9 ! lea/1 & t only aft] an ext5d$ c\rse4 ,salicylic acid 9 "o or ano!r ( its v>i\s comb9ations furni%es ! %eet an*or 9 ! treatm5t ( rheumatism4 ,i purposely omitt$ x f our pocket case ( drugs because ( ! fact t ! comb9ation t w\ld suit "o man's /oma* w\ld n ano!r4 ,9 practice we h to take _m ?+s into consid]ation 9 ! adm9i/ration ( ! salicylates4 ,! man ) rheumatism 9 camp c seek only to relieve ! pa9 & assi/ ,nature to elim9ate ! wa/e4 ,a ?or\gh flu%+ ( ! b[els %\ld be ! fir/ ?+1 foll[$ by aconit9e1 gr4 #a_/acd1 "o tablet e h\r = f\r h\rs2 !n "o e ?ree h\rs4 ,at ! same "t keep dry4 ,if x be a limb t is affect$ wrap x 9 blankets & cook x 9 front ( ! fire4 ,cases ( poison+ aris+ 9 camp w usually be conf9$ to two causes--! eat+ ( poison$ foods & eat+ poison\s mu%rooms4 ,9 ^! days ( t9n$ meats & vegetables x is n unusual to he> ( p]sons becom+ s]i\sly & ev5 fatally poison$ by eat+ c]ta9 cann$ goods4 ,cann$ fi% & beef are ! wor/ (f5d]s 9 ?is reg>d4 ,! symptoms ( ptoma9e poison+ are *>act]i/ic & g5]ally easily trac$ to ! mat]ial produc+ !m4 ,!re is a dryness & metallic ta/e 9 ! m\? %ortly aft] eat+ suspect$ food4 ,?is is foll[$ by sev]e cramps1 vomit+1 viol5t purg+1 rapid loss ( /r5g?1 great depression & coldness ( ! surface ( ! body4 ,! h&s & face break out 9 clammy sweat & ! temp]ature falls bel[ normal4 ,! picture is v *>act]i/ic & :5 once se5 is readily recogniz$4 ,! treatm5t consi/s 9 gett+ rid ( ! (f5d+ sub/ance z quickly z possible4 ,no?+ accompli%es ?is m readily ?an a quick emetic4 ,apomorphia hydro*lorate furni%es u ) ! mo/ conv5i5t emetic1 ?\gh mu/>d wat] or hot salt wat] w d4 ,take a tablet ( #a_/aj gr4 apomorphia hypod]mically1 or two tablets ( ! same size by ! m\?1 foll[$ by a swall[ ( hot wat]4 ,hypod]mically ! emetic acts 9 a v %ort "t2 by ! m\? x requires some:at long]1 say t5 m9utes4 ,purge ! b[els ) elat]91 "o tablet1 !n keep up ! vital =ces by adm9i/]+ /ry*nia1 #a_/fj gr4 e h\r or two1 wat*+ ! circulation mean:ile4 ,9 sev]e cases1 9 addition to ! /ry*nia1 x may become necess>y to resort to ext]nal heat1 hot wat] bottles1 hot /ones1 etc4 ,! pati5t is mu* debilitat$ = sev]al days & requires c>eful diet4 ,mu%rooms %\ld nev] be eat5 unless ! p]son ga!r+ !m is kn[n to be ?or\ghly conv]sant ) ! diff]5t v>ieties4 ,c]ta9 poison\s v>ieties resemble ! edible s closely t only an exp]t c tell ! diff]5ce4 ,! k1 h[ev]1 is "o t e hunt] & camp] %\ld famili>ize himself ) z mu%rooms are usually pl5ty 9 ! hills & furni% an agreeable addition to ! m5u4 ,phall9e1 ! toxic pr9ciple ( ! phalloid gr\p ( mu%rooms1 is a toxalbum9 ( extreme viol5ce & resembles v mu* ! toxic album9ose ( rattlesnake virus2 9 fact1 x seems to act ^u ! dige/ion v mu* z crotal9 does ^u ! circulation4 ,!re is ano!r toxic pr9ciple pres5t 9 c]ta9 o!r v>ieties ( fungi call$ musc>9e2 bo? ^! poisons act v simil>ly4 ,! symptoms are a feel+ ( gidd9ess com+ on f "o h\r to fifte5 h\rs aft] eat+ ! fungus4 ,?is is foll[$ by pr(use salivation1 ! wat] runn+ out ( ! pati5t's m\? 9 a /ream4 ,bl9dness ensues1 & vomit+ & di>rhea come 9 _! tra94 ,! he>t is weak5$ & ! pati5t brea!s ) difficulty4 ,at ! la/ he lies 9 a /upor4 ,! treatm5t is simil> to t ( ptoma9e poison+4 ,remove ! (f5d+ mat]ial at once by ! same process4 ,= a purgative oleag9\s ag5ts are ! be/ if available1 ca/or oil be+ pref]able2 fail+ 9 t any active ca?>tic w d4 ,! he>t !n mu/ be /imulat$ by ! digital92 /ry*nia also plays a prom95t role "h4 ,x _h n be5 my int5tion to m5tion typhoid1 b ^u reflection ,i h decid$ to include x4 ,typhoid fev] is little liable to attack p liv+ "u su* conditions z exi/ 9 ! m\nta9s :]e ! air is pure1 ! wat] comes f et]nal spr+s1 & flies are few4 ,summ] camps along lake %ores & ! l>g]1 sl[-mov+ /reams are liable to x1 & x is j z well to recognize x :5 x arrives4 ,! p]son ab\t to come d[n ) typhoid g5]ally feels extremely tir$ = sev]al days1 ! head & back a*e1 ! nose frequ5tly ble$s slightly1 a rumbl+ is pres5t 9 ! "r side j bel[ ! ribs1 & ! e>s r+s z ?\gh "o _h tak5 an ov]dose ( qu99e4 ,! tongue is *>act]i/ic ( ! disease1 s mu* s1 9 fact1 t we speak ( a p>ticul> condition z ! typhoid tongue4 ,aft] a few days ! pati5t beg9s to feel fev]i%4 ,all ! symptoms increase until he is q ill & takes to 8 b$4 ,ab\t ?is "t t9y r$ spots call$ rose spots appe> on ! abdom51 p]haps only a few1 aga9 !y are q frequ5t4 ,! m9d becomes dull & ! he>+ imp]fect4 ,typhoid is said to be a self-limit+ disease1 t is1 x _c be cut %ort or abort$ 9 any way4 ,t1 h[ev]1 is h>dly ! case4 ,by vigor\s treatm5t1 at ! outset1 x is n[ ?\ght by a great _m t ! disease c be limit$ to a few days4 ,if ! treatm5t is n begun e>ly & c>ri$ out1 ! disease w run a c\rse ( "s tw5ty-"o days4 ,! treatm5t consi/s 9 eradicat+ ! ne/ ( typhoid bacillus t is sett+ up ! di/urbance4 ,"h1 aga91 we resort to calomel4 ,f\r gra9s giv5 9 qu>t]-gra9 doses e half h\r w usually produce suffici5tly free passages4 ,aft] ?is adm9i/] ! inte/9al antiseptic religi\sly1 ) aconit9e = ! fev]4 ,give pl5ty ( wat] to dr9k & re/rict ! diet4 ,if ! disease gets beyond control1 ! r\t9e treatm5t is ! inte/9al antiseptic4 ,cold packs = ! fev]1 9 ! lat] /ages ( ! disease1 w be f\nd pref]able to any m$ic9es4 ,all ! "t ! diet %\ld be wat*$4 ,no solid foods %\ld be all[$4 ,milk1 light bro?s1 fruit juices1 & rice wat] supply suffici5t n\ri%m5t & d n irritate ! t5d] gl&s ( ,pey] & ,brunn] t are ! seat ( ! disease4 ,^! gl&s become v friable 9 typhoid1 & any viol5t action ( ! walls ( ! inte/9es1 z 9 dige/+ food1 w cause !m to break ?r\gh & p]mit ! b[el cont5ts to ent] ! g5]al p]itoneal cavity1 :5 ! pati5t w die f inflammation ( ! b[els4 ,,s]p5t ,,w\nds ,,& ,,_! ,,treatm5t ,,*apt] ,,iv ,,s]p5t ,,w\nds ,,& ,,_! ,,treatm5t ,e summ] outdoor ,am]ica leaves ! heat & du/ & turmoil ( ! city = ! peace & quiet ( ! wild4 ,d\btless _m p]sons p5etrate1 9 _! out+1 regions :]e v5om\s s]p5ts ab\nd4 ,^! w c>ry z a "p ( _! equipm5t rem$ies int5d$ = ! relief ( w\nds inflict$ by ^!4 ,_m ( ^! rem$ies w be absolutely valueless = ! purpose int5d$1 & _m m w fail f lack ( intellig5t application4 ,a brief discussion ( s]p5ts & ! approv$ me?ods ( treat+ _! w\nds may prove ( int]e/ at ?is "t4 ,p]mit me to /ate at ! outset t su* in=mation z may be conta9$ 9 ?is *apt] is n ! result ( conjecture & guesswork1 b is d]iv$ f ov] tw5ty-five ye>s /udy ( reptilian zology1 _m ye>s inve/igation 9 ! laboratory1 dur+ :i* "t an ext5d$ s]ies ( exp]im5ts 7 c>ri$ out1 & twelve ye>s' actual practice1 9 :i* all ( ! me?ods t h sugge/$ f "t to "t h be5 ?or\ghly te/$4 ,!re are1 r\ghly speak+1 some?+ l tw5ty-eight v>ieties ( v5om\s reptiles 9 ! ,unit$ ,/ates4 ,^! figures include ! "o liz>d t is kn[n to be poison\s & ! sev]al scorpions4 ,( ?is numb] ! rattlesnakes comprise at lea/ eighte54 ,9 fact1 s important are !y t all o!rs may be includ$ 9 a discussion ( ! crotalid2 m p>ticul>ly s z all s]p5t v5oms act *emically 9 ! same mann]4 ,man is unreason+ly afraid ( snakes4 ,x is r>e1 inde$1 t a p]son conc]ns himself ) ! classification ( ! s]p5t t *ances to cross 8 pa?4 ,he imm$iately possesses himself ( a /\t club & proce$s to maul ! un(f5d+ reptile into ! e>? )\t tr\bl+ 8 m9d to f9d out if ! snake is h>mless or o!rwise4 ,?is is wrong1 = :5 "o comes to "k !m s]p5ts are q int]e/+4 ,x is wrong1 too1 = ) a little /udy ! ord9>y man c famili>ize himself ) ! *>act]i/ic m>k+s ( ! v5om\s s]p5ts & diff]5tiate !m f ^? t are non-v5om\s4 ,all ! deadly snakes1 ) ! exception ( ! little h>lequ9 snake ( ! extreme ,s\?1 are simil>ly m>k$ & all belong to ! class ( pit vip]s1 *>act]iz$ by a depression or pit back ( ! no/ril4 ,! head is triangul>1 ) massive muscul> developm5t ( ! jaw2 ! neck sl5d] 9 proportion to ! size ( ! head & body4 ,! body itself is q ?ick1 ! sk9 r\gh4 ,! pupil ( ! eye is elliptical in/ead ( be+ r\nd z 9 ! non-v5om\s snakes4 ,! h>mless v>ieties1 on ! o!r h&1 are long & sl5d]1 ! sk9 smoo? & %9+1 ! head oval or r\nd4 ,if 9 d\bt aft] ! above1 ! inve/igator c p9 8 subject to ! gr\nd ) a =k$ /ick plac$ j back ( ! head & exam9e ! tee?4 ,if he f9ds1 hang+ f ! upp] jaw1 or incl9$ =w>d f x1 two fangs1 long & %>p z ne$les1 he c be pretty safe 9 assum+ t 8 subject is poison\s4 ,! non-v5om\s snakes h a d5tition v mu* ! same z "s ( ! small] rod5ts1 ! mice = in/ance4 ,! habitat frequ5tly furni%es a key to ! "* ( ! snake4 ,! v5om\s v>ieties *oose by pref]5ce ! rocky upl&s1 ei!r op5 or sp>sely wood$4 ,! h>mless snakes live almo/ exclusively 9 l[ swampy l&s or along wat] c\rses4 ,v5om\s snakes are purely t]re/rial4 ,"o 0 nev] kn[n to asc5d a tree4 ,9 fact x is impossible = "o to d s4 ,:ile rattlesnakes are dang]\s1 _! bite is n ne>ly s fatal z is popul>ly suppos$4 ,?is fact has at lea/ two important reasons1 viz41 season & ! habits ( life ( ! snake4 ,9 ! extreme ,s\? & 9 midsumm] ! v5om atta9s its highe/ /ate ( virul5ce4 ,!n ! p]son fairly /ruck by a l>ge rattl] is 9 extreme dang]1 provid$ ! second factor 9 ! equation does n intrude1 t is1 ! habits ( life4 ,all v5om\s snakes1 & m especially rattlesnakes1 are sluggi%4 ,!y d n move rapidly or ov] great di/ances4 ,_! le?al p[] is giv5 !m z a means ( procur+ food & :5 once ! snake /rikes he exp5ds practically all ! ammunition 9 8 ars5al4 ,x requires h\rs & p]haps days to r5ew ! supply1 dur+ :i* "t ! s]p5t is def5seless4 ,%\ld ! human victim happ5 along at su* "t & be bitt5 x is q probable t he w\ld n receive a fatal dose ( ! poison4 ,! mann] 9 :i* ! rattlesnake inflicts 8 w\nd is wor?y ( "s /udy4 ,9 ! fir/ place1 x may be assum$ z axiomatic t ! snake _c /rike f>!r ?an 8 own l5g? & seldom ev5 t4 ,/ories ( rattlesnakes lift+ !mselves f ! gr\nd bodily & hurl+ !mselves ?r\gh ! air are purely imag9ative4 ,nor c ! snake /rike unless coil$4 ,x does n foll[ t he mu/ be 9 complete coil1 b he mu/ h at lea/ a few k9ks 9 8 sp9e be=e he c deliv] a bl[2 !n he c only /rike ! l5g? ( ! k9ks4 ,if p]mitt$ he w assume full coil be=e /rik+ & :5 undi/urb$ he lies 9 t position4 ,! maneuv] ( assum+ full coil takes long] ?an is g5]ally ?\ght4 ,writ]s :o ass]t t ! snake c ?r[ himself into full coil in/antly are f> f ! tru?4 ,9 fact x takes1 on an av]age1 some?+ l five seconds = him to get 8 l5g? 9 position to deliv] 8 mo/ p[]ful bl[4 ,my exp]im5ts h develop$ ano!r int]e/+ fact1 t ! snake _c /rike an object held directly ov] 8 head4 ,x mu/ be held at an angle4 ,h[ deep w ! ne$le-%>p fangs p5etrate4 ,t dep5ds1 too1 ^u conditions4 ,a l>ge snake1 /rik+ f full coil1 w naturally drive 8 fangs mu* deep] ?an ano!r small]1 /rik+ f a less advantage\s position4 ,^u ! b>e fle% ! snake w s9k 8 fangs to _! full ext5t4 ,8 bl[1 h[ev]1 is (t5 deliv]$ ) a rak+ motion & ! w\nd inflict$ resembles ! scrat* ( a bri>4 ,c]ta9 articles ( dress are less p]meable ?an o!rs4 ,rubb]1 ev5 ?9 rubb]1 is wellnigh imp5etrable4 ,s(t1 closely wov5 clo? is also resi/5t4 ,9 exp]im5ts ,i h plac$ blott+ pap] beh9d two ?icknesses ( heavy flannel & only 9 r>e in/ances h ,i f\nd ! virus /a9+ ! pap]4 ,?is fact w s]ve to in=m ! read] t ! ord9>y protection ( ! l[] limbs w be adequate to %ield ! we>] 9 a rattlesnake c\ntry4 ,! *ances ( be+ bitt51 ev5 9 a c\ntry ab\nd+ 9 snakes1 are really q insignificant4 ,! rattl] is ! mo/ in(f5sive g5tleman ( my s]p5t9e acqua9tance4 ,he is p]fectly will+1 if y w p]mit him1 to lie all day bask+ 9 ! sun ^u "s conv5i5t rock & nev] mole/ ! pass] 9 ! lea/4 ,if he has suffici5t w>n+ he w slip quietly out ( y\r pa? & give y ! "r ( way4 ,he only /rikes :5 9 8 reptilian m9d he deems himself insult$ or 9 dang]4 ,an ext5d$ discussion ( ! *emi/ry ( s]p5t v5oms w\ld be manife/ly out ( place at ?is "t4 ,we owe practically all our k ^u ! subject to ! pa9/ak+ ef=ts ( two m51 ,s4 ,weir ,mit*ell & ,pr(4 ,rei*]t4 ,^! g5tlem5 gave to ! _w almo/ simultane\sly ! result ( _! labors4 ,! le?al pr9ciple ( all s]p5t v5oms consi/s ( two elem5ts1 a v5om peptone & a v5om globul94 ,^! elem5ts are album9oid 9 "*1 & x is int]e/+ to note t !y act no diff]5tly f ! pure album9oses ( dige/ion4 ,"o elem5t has ! p[] to de/roy ! fibr9 f]m5t 9 ! blood1 ! o!r acts z a p>alyzant ^u motor & s5sory n]ve trunks4 ,"t has no effect app>5tly ^u ! poison\s quality ( ^! v5oms4 ,aft] tw5ty ye>s' pres]vation 9 glyc]9e ,dr4 ,mit*ell f\nd ! virus z active z ev]1 & x is kn[n t arr[s /eep$ 9 rattlesnake v5om reta9 _! p[] = _m ye>s4 ,heat 9 v>y+ degrees1 or a sudd5 viol5t application ( x1 w de/roy ! poison\s prop]ty1 z w also absolute alcohol4 ,! action ( ! virus on ! animal economy is int]e/+ & wor?y ( /udy4 ,:5 tak5 into ! circulation ! symptoms are q *>act]i/ic & n easily mi/ak51 ev5 by ! man ( no sci5tific tra9+4 ,?is is well1 z ! w\nd itself is insignificant & might be ov]look$4 ,9 fact1 ,i h kn[n _m p]sons to be bitt5 & n "k x until ! symptoms appris$ !m ( ! fact4 ,a /++1 burn+ pa9 radiates f ! w\nd & ! w\nd itself becomes inflam$ & angry4 ,swell+ comes on1 ! he>t action is imm$iately accel]at$1 & ! respiration hurri$4 ,9 a %ort "t1 z ! virus p5etrates deep] into ! sy/emic circulation1 ! heat & respiratory symptoms *ange1 ! he>t sl[s d[n1 ! respiration decreases1 ! face becomes dusky & anxi\s1 cov]$ ) pr(use p]spiration1 & ! m9d gr[s dull4 ,bl9dness1 due to ! effect ^u ! optic n]ve1 takes place4 ,! pati5t /agg]s z he walks1 & soon1 unless relief comes1 he w become totally p>alyz$4 ,spots ( blood appe> j b5ea? ! sk9 & especially ^u ! limb bitt54 ,if ! am\nt ( ! virus is suffici5t to produce dea?1 all ! above symptoms are soon foll[$ by tetanic convulsions & lockjaw4 ,if1 h[ev]1 ! dose is n suffici5t to produce dea?1 !y gradually subside1 leav+ ! pati5t mu* debilitat$ & subject to poison$ blood /ates t manife/ !mselves 9 ! =m ( sk9 eruptions & ulc]s4 ,! read] w appreciate t 9 ! above has be5 pictur$ an extreme case4 ,no?+ l ne>ly all cases bitt5 pres5t ev5 half ! symptoms describ$4 ,/ati/ics reveal t only some?+ l #ab p] c5t4 ( all p]sons bitt5 by ! ,new ,_w v5om\s s]p5ts die f _! w\nds4 ,be=e pass+ to a consid]ation ( ! means = combat+ a poison let u pause = a "t & glance at ! probabilities ( be+ /ruck ev5 9 a c\ntry :]e v5om\s s]p5ts ab\nd4 ,! rim rock ( ! ,columbia ,riv] 9 ,wa%+ton & ,oregon is an ideal place = rattlesnakes & !y ab\nd !re 9 pr(usion4 ,*ildr5 run b>efoot all summ] among ! basaltic rocks1 & b few ( !m are bitt54 ,haymak]s =k !m up ) ! haycocks1 h>ve/]s f9d !m b5ea? ! bundles ( b\nd gra91 /ill x is r>e to he> ( an accid5t4 ,among ! brakes ( ! ,cle>wat] 9 ,idaho ! great timb] rattl] dwells4 ,! ,indians nev] mole/ him1 yet dur+ my n9e ye>s' soj\rn among !m only sev5 cases appe>$1 & two ( ^! 7 v "y *ildr54 ,/ill1 p are bitt51 & ! location ( ! w\nd has mu* to d ) ! *ances ( recov]y4 ,ab\t #fj p] c5t4 ( all p]sons w\nd$ are /ruck on ! l[] limbs1 ?irty-five on ! h& or arm1 & five on ! trunk & face4 ,( ^!1 w\nds on ! l[] limbs are ! lea/ dang]\s & ^? on ! trunk or face1 be+ ne> l>ge n]ve & art]ial vessels1 mo/ s4 ,! m remote f ! g5]al circulation1 ! less dang] f ! w\nd4 ,! treatm5t ( a rattlesnake w\nd resolves itself into ! application ( a few v simple rules4 ,9 ! fir/ place a p]son w\nd$ by a snake usually does ! v ?+ he %\ld n d--t is1 goes te>+ (f at top spe$ = ! ne>e/ human habitation1 !reby increas+ ! circulation & dissem9at+ ! virus ?r\gh ! sy/em m rapidly4 ,! man %\ld sit calmly d[n & b9d 8 h&k]*ief ar\nd ! limb 7if x is a limb71 break (f a /\t twig & ins]t b5ea? ! h&k]*ief1 produc+ a rude t\rniquet1 & twi/ until ! circulation is effectually %ut (f4 ,) a %>p knife make an ,x incision ov] ! w\nd1 tak+ c>e to p5etrate deep] ?an ! fangs h done4 ,if he has good tee? & no cank] 9 8 m\?1 he may n[ suck vigor\sly ^u ! w\nd4 ,x does no good to suck ! orig9al w\nd4 ,x is q difficult to get any virus back ?r\gh an op5+ n great] 9 calib] ?an a f9e ne$le4 ,if all ?is is done )\t delay1 ! *ances are t ! pati5t w suff] no great inconv5i5ce f 8 exp]i5ce4 ,if he *ances to h h&y a /ick ( silv] nitrate he c caut]ize ! w\nd ?or\ghly4 ,fail+ t1 a br& f ! fire w s]ve4 ,aft] a "t he may release 8 t\rniquet some:at & p]mit a portion ( ! reta9$ blood to ent] ! circulation2 ! sy/em is capable ( tak+ c>e ( a great deal ( poison if x is all[$ to fl[ into ! blood gradually4 ,if1 h[ev]1 ! virus has be5 p]mitt$ to ent] ! circulation at once ! case is "o call+ = radical measures4 ,9 ?is connection x is well to /ate t alcoholics defeat ! end requir$4 ,! "t-honor$ belief 9 ! efficacy ( :iskey 9 ! treatm5t ( rattlesnake bites is p]nici\s 9 ! extreme4 ,alcohol1 l s]p5t v5om1 has two effects1 ! lat] or depressant effect be+ exactly ! same z ! depressant effect ( ! v5om itself4 ,!re=e ! man :o recov]s f a rattlesnake w\nd aft] dr9k+ a l>ge quantity ( :iskey does s 9 spite ( 8 rem$y1 n ) its aid4 ,! "o sov]eign rem$y 9 ^! cases is /ry*nia1 & no man %\ld p5etrate a snake c\ntry )\t hav+ ?is valuable adjunct ) him4 ,! adm9i/ration ( /ry*nia is n s difficult b t any man ( ord9>y intellig5ce c in=m himself ab\t x 9 a %ort "t4 ,x is a p[]ful alkaloid1 ( c\rse1 & mu/ be appli$ ) intellig5ce to accompli% ! end desir$4 ,h[ mu* to adm9i/] w dep5d ^u ! p]son & ! "* ( ! w\nd4 ,x mu/ be tak5 into consid]ation t ! sy/em already poison$ by ! v5om w tol]ate a l>g] quantity ?an "o 9 a normal condition4 ,! av]age dose ( /ry*nia hypod]mically appli$ is #a_/cj ( a gra94 ,?is may be increas$ to say #a_/ae gra9 )\t any s]i\s dang]4 ,a p]son suff]+ f rattlesnake v5om w be> )\t dang] p]haps #a_/b gra9 or ev5 m4 ,x w be und]/ood t ?is am\nt is n to be ?r[n into ! blood all at "o dose1 b spread out ov] an int]val ( ?irty m9utes4 ,/ry*nia has its mo/ important field 9 ! treatm5t ( ^! cases aft] ! depressant effect ( ! v5om has tak5 place4 ,! rule !n %\ld be to adm9i/] until ! he>t approximates ! normal4 ,! pati5t c take too mu*1 !n aga9 he c take too little4 ,*emical antidotes direct$ aga9/ ! v5om ( s]p5ts are extremely problematical4 ,x is que/ionable if !re is at pres5t any *emical t w ex]t m ?an an antiseptic effect ^u ! virus4 ,p]manganate ( potassium may possess ! prop]ty ( sett+ up a *emical reaction1 b if s x is s prone to det]iorate :5 9 solution & requires s mu* "t to place 9 solution t x is ne>ly valueless4 ,ammonia appli$ to c]ta9 ( ! less dang]\s v5oms is efficaci\s4 ,appli$ to crotalus poison x is ( no use4 ,9 fact1 :5 ! matt] is r$uc$ to its l[e/ t]ms1 ! :ole process ( combat+ ! effect ( s]p5t v5oms is compris$ 9 :at has be5 /at$ above4 ,re/rict ! circulation1 de/roy ! virus by heat ei!r *emically or by fire1 & keep up ! vital =ces4 ,v few ,indian tribes h any sugge/ion ( a rem$y = rattlesnake poison4 ,! ,moquis probably h1 ?\gh if s no :ite man has ev] be5 able to extract ! secret f !m4 ,x is kn[n t dur+ ! ,moqui ,snake ,dance _m ,indians are bitt5 & none ( !m die4 ,x might be inf]r$ !n t !y d possess an effective antidote4 ,9 conclusion p]mit me to sugge/ an equipm5t = ! treatm5t ( rattlesnake w\nds & briefly outl9e its uses4 ,procure a rubb] ribbon ab\t f\r feet long1 te*nically kn[n z an ,esm>* t\rniquet--?is ribbon c be roll$ into a compact =m & is v ela/ic--2 a %>p surgeon's knife kn[n z a bi/\ry :i* %\ld be securely wrapp$ 9 absorb5t cotton2 a blue bottle1 or "o ab\t :i* sev]al ?icknesses ( blue pap] h be5 wrapp$1 conta9+ a /ick ( silv] nitrate2 ano!r bottle conta9+ "o hundr$ tablets ( /ry*nia sulphate gr4 #a_/cj2 an all-metal hypod]mic syr+e = adm9i/]+ ! same4 ,all ^! %\ld be plac$ 9 an oil$ silk bag & kept 9 a conv5i5t pocket4 ,! bag %\ld be *ang$ :5 ! clo?+ is *ang$ j ! same z ! wat* or compass4 ,n[ = _! use3 ,let u suppose t y h enc\nt]$ a rattl] & are n too sc>$ to "k :at y are do+4 ,y quietly sit d[n1 expose ! limb1 locate ! w\nd1 get out y\r ,esm>* & beg9n+ at "o end wrap x securely ab\t ! limb above ! w\nd1 gradually increas+ ! t5sion until ! rubb] s9ks into ! sk94 ,?is done1 take y\r knife & make a deep ,x ov] ! w\nd1 us+ ! cotton 9 :i* ! knife 0 wrapp$ to sponge away ! blood4 ,enc\rage free ble$+4 ,if y are ne> a /ream ba! ! w\nd freely1 ei!r squeez+ or suck+ x4 ,y ne$ n fe> to swall[ ! poison4 ,x w d no h>m 9 ! /oma*4 ,aft] ! w\nd has bl$ freely1 take ! /ick ( silv] nitrate & burn x out q to ! bottom4 ,all ( ?is w hurt1 ( c\rse1 b x is necess>y4 ,! adm9i/ration ( ! /ry*nia w foll[ next 9 ord] only if ! depressant symptoms ( ! v5om indicate its ne$4 ,%\ld ! pati5t feel ! approa* ( ! dizz9ess t is ! beg9n+ ( ! /age ( p>alysis1 he %\ld !n ?9k ab\t 8 /ry*nia4 ,dissolve "o ( ! tablets 9 w>m wat] & fill ! b>rel ( ! syr+e2 screw on ! ne$le1 fir/ remov+ ! f9e wire t runs ?r\gh x4 ,plunge ! ne$le into ! fle%y "p ( ! arm at an angle ( ab\t t5 degrees f ! horizontal & pu% home ! plung]4 ,repeat ?is e fifte5 m9utes until ! he>t ,has return$ to ! normal4 ,^! directions closely foll[$ w save e case ( rattlesnake bite1 & 9 _m in/ances ! pati5t w n require ! /ry*nia at all4 ,! w\nd made by ! knife w require ! same g5]al treatm5t z any o!r simple w\nd4 ,,! ,,camp]',s ,,m$ic9e ,,*e/ ,,! ,,camp]',s ,,m$ic9e ,,*e/ ,surgical ,supplies ,"o in/rum5t roll1 #hj c5ts4 ,"o pap] m$ium size safety p9s1 #aj c5ts4 ,"o pap] m$ium size common p9s1 #e c5ts4 ,"o-half doz5 assort$ gauze b&age1 size "o-to ?ree-in*2 #aj c5ts ea*4 ,two y>ds /]iliz$ pla9 gauze 9 c>ton1 #bj c5ts y>d4 ,f\r ounces /]iliz$ absorb5t cotton 9 c>ton1 #bj c5ts4 ,"o roll ?ree-in* adhesive pla/]1 #a4 ,"o-f\r? doz5 silk ligature braid$1 9 glass tube fitt$ ) half curv$ ne$les1 #cj c5ts a tube4 ,"o c>d braid$ silk ligature1 assort$ on "o c>d 7:ite71 ab\t #cj c5ts4 ,"o-half doz5 assort$ egg-ey$ surgeon's ne$les1 half to full curve1 #ej c5ts4 ,"o ounce ,squibb's surgical p[d]1 #ej c5ts oz42 or a l am\nt ( camphoph5ique p[d]1 #a4 ,"o hundr$ ,b]nay's antiseptic tablets 7blue71 #be c5ts4 ,two five-in* hemo/atic =ceps 7,kelly's71 ab\t #a ea*4 ,"o pair /raight1 %>p-po9t$ surgeon's %e>s1 ab\t #a4be4 ,"o ne$le hold] 7,emmet's71 #b4ej4 ,"o spl9t] =cep1 may be us$ also = dress+ =cep4 ,?is =cep %\ld nei!r h m\se too? jaws nor s]rat$ jaws1 & %\ld run to a f9e po9t2 #ej c5ts4 ,"o hypod]mic syr+e1 all metal1 9 metal case1 #a4ej4 ,"o "o-m9ute cl9ical !rmomet] 9 metal case2 w co/ ab\t #a4be1 accord+ to reliability4 ,! be/ regi/]$ in/rum5t is *eape/4 ,"o numb] #i s(t rubb] ca!t]1 #be c5ts4 ,"o cake surgical soap1 9 metal box1 #ge c5ts4 ,! above w comprise practically ev]y?+ t may be f\nd absolutely necess>y4 ,) !m ! +5i\s man c p]=m practically e m9or surgical op]ation t he w\ld c>e to und]take4 ,if he c>es = a m elaborate outfit he may add ! foll[+3 ,"o y>d oil$ silk1 9 tube1 #ge c5ts4 ,"o pure rubb] f\nta9 syr+e1 #a4ge4 ,f\r ounces creol91 9 metal screw-cap bottle1 #be c5ts oz4 ,"o or m fir/ aid packages at #ej c5ts p] package4 ,"o em]g5cy t\rniquet1 #a4be4 ,eight ounces c>ron oil = burns1 #be c5ts oz4 ,! size ( ! surgical outfit w dep5d1 ( c\rse1 ^u ! size ( ! p>ty4 ,! dress+s & ?+s t w be de/roy$ w necess>ily h to be increas$ 9 proportion to ! numb] ( ! p>ty4 ,m$ical ,/ores ,! sugge/ions "h w be bas$ ^u a p>ty ( f\r /ay+ "o mon?4 ,9 ! case ) ! hypod]mic place "o tube /ry*nia sulphate1 gr4 #a_/cj1 price #bj c5ts4 ,use z a p[]ful /imulant hypod]mically "o tablet e f\r h\rs1 if ne$$1 wat*+ ! action ( ! he>t c>efully4 ,"o tube coca9e muriate1 gr4 #a_/d1 price #ej c5ts4 ,use z a local ane/hetic z sugge/$ 9 *apt] on surg]y & = too?a*e4 ,c be us$ to control vomit+--"o tablet foll[$ by swall[ ( hot wat] e f\r h\rs1 if ne$$4 ,solution ( "o tablet 9 spoonful ( hot wat] dropp$ 9 eye to dead5 s z to remove =eign bodies4 ,"o tube morph9e sulphate1 gr4 #a_/d1 & atrop9e sulphate1 gr4 #a_/ajj1 comb9$1 price #be c5ts4 ,use z a s$ative = pa91 "o tablet hypod]mically repeat$ e two h\rs to effect2 digital91 gr4 #a_/ajj1 price #be c5ts4 ,use z he>t /imulant :]e action ( he>t is d]ang$1 "o tablet n (t5] ?an ?rice daily4 ,"o tube apomorphia hydro*lorate1 gr4 #a_/aj1 price #ej c5ts4 ,use to induce vomit+ 9 cases ( poison+1 "o tablet hypod]mically only4 ,"o tube glono91 gr4 #a_/ajj1 price #ae c5ts4 ,use z he>t /imulant 9 %ock & great depression due to c]ebral anemia2 n 9 loss ( blood1 h[ev]4 ,"o sole lea!r m$ic9e case ) screw-cap glass bottles1 numb]s et*$ on bottles1 price f #a to #c1 accord+ to /yle & f9i%4 ,book to slip 9 pocket = keep+ li/ ( rem$ies & _! !rapeutic application1 co/ #be c5ts4 ,! bottles fill$ z foll[s3 ,! numb]+ ne$ n adh]e /rictly to t "h giv53 ,no4 #a4 ,aconit9e gr4 #a_/acd4 #bjj at #be c5ts p] ,c4 ,use 9 cases ( high fev] :]e he>t is full & b\nd+ & !re is great conge/ion z %[n by heada*e1 backa*e1 etc4 ,use 9 beg9n+ ( all colds4 ,take 9 all cases "o tablet e fifte5 m9utes = an h\r !n "o tablet e two h\rs1 or bett] /ill take e half h\r until pulse becomes s(t & surface ( sk9 is moi/4 ,no4 #b4 ,dosimetric ,tr9ity ,no4 #a4 #bjj at #ej c5ts p] ,c4 ,"o tablet e half h\r to effect4 ,! effect w be to r$uce all fev]s mu* ! same z above except t x may be cont9u$ ov] a long] "t & becomes a r\t9e treatm5t 9 typhoid1 pneumonia1 grippe1 bron*itis1 rheumatic fev]1 & 9 all cases ( fev] :]e ! he>t seems to ne$ a slight /imulation4 ,no4 #c4 ,inte/9al antiseptic4 #ejj at #ej c5ts p] ,c4 ,"o tablet e ?ree h\rs z r\t9e treatm5t 9 typhoid1 di>rhea1 colic1 dys5t]y1 & all disord]$ f]m5tative conditions ( ! inte/9al tract4 ,no4 #d4 ,qu99e sulphate1 gr4 #e1 ei!r 9 tablet or capsule =m1 co/ ab\t #aj c5ts a doz52 take #ajj4 ,use 9 mal>ia1 "o tablet e f\r h\rs dur+ attack & n less ?an fifte5 gra9s daily z a prev5tative4 ,9 decid$ly mal>ial c\ntries ?is am\nt w h to be tak5 daily1 consequ5tly ! am\nt c>ri$ %\ld be mat]ially increas$4 ,is some:at valuable 9 colds1 bron*itis1 etc4 ,no4 #e4 ,sun ,*ol]a4 #ajj at #ej c5ts p] ,c4 ,"o tablet e f\r h\rs 9 cases ( wat]y di>rhea1 aft] b[els h be5 clean$ out by purgative4 ,( use also 9 colic1 flatul5ce1 inte/9al pa94 ,no4 #f4 ,*lorodyne4 #ajj at #a4jj p] ,c4 ,take "o tablet e two or ?ree h\rs 9 extreme pa91 vomit+ f f]m5tative processes1 summ] di>rhea1 etc4 ,no4 #g4 ,calomel1 gr4 #a_/d4 #bjj at #aj c5ts p] ,c4 ,use "o tablet e ?irty m9utes or e h\r = eight doses1 9 all cases :]e b[els ne$ ?or\gh clean+ out4 ,z beg9n+ treatm5t 9 all cases ( fev]1 vomit+1 di>rhea1 9 fact ab\t ev]y?+ t happ5s4 ,no4 #h4 ,ph5acet9e1 gr4 #e4 #ajj at #ej c5ts p] ,c4 ,"o tablet e f\r h\rs to r$uce fev] z 9 colds1 "s =ms ( dys5t]y1 & 9 sev]e heada*e4 ,to be disc>d$ :5 case bids fair to become prolong$4 ,no4 #i4 ,elat]91 gr4 #a_/af4 #be at "o c5t ea*4 ,use "o tablet only :]e x is necess>y to secure an imm$iate wat]y passage f ! b[els 9 ord] to sweep out (f5d+ masses4 ,no4 #aj4 ,dov]'s p[d]1 gr4 #e4 #ajj at #ej c5ts p] ,c4 ,use "o tablet e f\r h\rs 9 sudd5 acute colds4 ,its mo/ valuable field is 9 ! colds & bron*itis ( *ildr54 ,cont9ue until p]spiration ensues4 ,9 case ! m$ic9e case holds m ?an t5 bottles ! additional bottles may be fill$ ) br[n mixture1 #ajj at #be c5ts p] ,c4 ,"o tablet e f\r h\rs to "o ?ree times a day 9 cases ( indige/ion1 flatul5ce1 s\r /oma*1 etc4 ,heada*e tablet consi/+ ( acetanilid1 sodium salicylate1 ammonium bromide4 ,a *oice tablet to be giv5 e f\r h\rs :]e p]sons are subject to conge/ive heada*es4 ,! lea/ objectionable ( all ! coal t> tablets4 ,^! may be _h at ab\t #be c5ts p] doz51 & ! case %\ld conta9 at lea/ #ajj ( !m4 ,tonsilitis tablet consi/+ ( m5?ol1 ?ymol1 ph5ol1 pota%1 *lorate1 & sodium *loride4 ,take #bjj at ab\t #be c5ts p] #ajj4 ,use z a g>gle 9 tonsilitis1 sore ?roat1 & ph>yngitis4 ,dissolve tablet 9 half p9t hot wat] & g>gle sev]al times a day4 ,x w be not$ t 9 ! above unnumb]$ li/ aconit9e & ,dov]'s p[d] h be5 sub/itut$ = apomorphia hydro*lorate & digital9 recomm5d$ 9 ,*apt] ,,iii4 ,ei!r li/ is good1 & w be f\nd compreh5sive = all ord9>y em]g5cies4 ,,! ,,end 99 99 99 99 99 ,transcrib]'s note3 ,italics is repres5t$ ) und]scores & small caps ) ,,all ,,caps4 ,ambigu\s hyph5s at ! ends ( l9es 7 reta9$4 ,! foll[+ corrections h be5 made3 p4 #ae x is unnecs>y - unnecs>y *ang$ to unnecess>y p4 #df cavity z x probably has7 - add$ op5+ bracket 7z x probably has7 p4 #ii sodium salycilate - salycilate *ang$ to salicylate ,ev]y?+ else 7includ+ inconsi/5t hyph5ation & ar*aic spell+7 has be5 reta9$ z pr9t$4