FreeFactFinder - Accidents and Injuries

As accidents are constantly liable to occur, the importance of knowing how best to meet the various emergencies that may arise can hardly be over-estimated. In all cases, and under all circumstances, the best help to assist a party in this trying moment is presence of mind.

Harvest Bug-Bites.—The best remedy is the use of benzine, which immediately kills the insect. A small drop of tincture of iodine has the same effect.

Bites and Stings of Insects.—Such as bees, wasps, hornets, etc., although generally painful, and ofttimes causing much disturbance, yet are rarely attended with fatal results. The pain and swelling may generally be promptly arrested by bathing freely with a strong solution of equal parts of common salt and baking soda, in warm water; or by the application of spirits of hartshorn; or of volatile liniment (one part of spirits of hartshorn and two of olive oil). In the absence of the other articles, warm oil may be used; or, if this is not at hand, apply a paste made from fresh clay-earth. If the sting of the insect is left in the wound, as is frequently the case, it should always be extracted. If there is faintness, give some stimulant; as, a tablespoonful or two of brandy and water, or brandy and ammonia.

Mad Dog Bites.—1. Take immediately warm vinegar or tepid water; wash the wound clean therewith and then dry it; pour upon the wound, then, ten or twelve drops of muriatic acid. Mineral acids destroy the poison of the saliva, by which means the evil effects of the latter are neutralized. 2. Many think that the only sure preventive of evil following the bite of a rabid dog is to suck the wound immediately, before the poison has had time to circulate with the blood. If the person bit cannot get to the wound to suck it, he must persuade or pay another to do it for him. There is no fear of any harm following this, for the poison entering by the stomach cannot hurt a person. A spoonful of the poison might be swallowed with impunity, but the person who sucks the place should have no wound on the lip or tongue, or it might be dangerous. The precaution alluded to is a most important one, and should never be omitted prior to an excision and the application of lunar caustic in every part, especially the interior and deep-seated portions. No injury need be anticipated if this treatment is adopted promptly and effectively. The poison of hydrophobia remains latent on an average six weeks; the part heals over, but there is a pimple or wound, more or less irritable; it then becomes painful; and the germ, whatever it is, ripe for dissemination into the system, and then all hope is gone. Nevertheless, between the time of the bite and the activity of the wound previous to dissemination, the caustic of nitrate of silver is a sure preventive; after that it is as useless as all the other means. The best mode of application of the nitrate of silver is by introducing it solidly into the wound.

Serpents Bites.—The poison inserted by the stings and bites of many venomous reptiles is so rapidly absorbed, and of so fatal a description, as frequently to occasion death before any remedy or antidote can be applied; and they are rendered yet more dangerous from the fact that these wounds are inflicted in parts of the country and world where precautionary measures are seldom thought of, and generally at times when people are least prepared to meet them. 1. In absence of any remedies, the first best plan to adopt on being bitten by any of the poisonous snakes is to do as recommended above in Mad Dog Bites—viz., to wash off the place immediately; if possible get the mouth to the spot, and forcibly suck out all the poison, first applying a ligature above the wound as tightly as can be borne. 2. A remedy promulgated by the Smithsonian Institute is 30 grs. iodide potassium, 30 grs. iodine, 1 oz. water, to be applied externally to the wound by saturating lint or batting—the same to be kept moist with the antidote until the cure be effected, which will be in one hour, and sometimes instantly. 3. An Australian physician has tried and recommends carbolic acid, diluted and administered internally every few minutes until recovery is certain. 4. Another Australian physician, Professor Halford, of Melbourne University, has discovered that if a proper amount of dilute ammonia be injected into the circulation of a patient suffering from snake-bite, the curative effect is usually sudden and startling, so that, in many cases, men have thus been brought back, as it were, by magic, from the very shadow of death.

Bleeding at the Nose.—1. Roll up a piece of paper, and press it under the upper lip. 2. In obstinate cases blow a little gum Arabic up the nostrils through a quill, which will immediately stop the discharge; powdered alum is also good. 3. Pressure by the finger over the small artery near the ala (wing) of the nose, on the side where the blood is flowing, is said to arrest the hemorrhage immediately.

Bleeding from the Lungs.—A New York physician has related a case in which inhalation of very dry persulphate of iron, reduced to a palpable powder, entirely arrested bleeding from the lungs, after all the usual remedies, lead, opium, etc., had failed. A small quantity was administered by drawing into the lungs every hour during part of the night and following day.

Bleeding from the Bowels.—The most common cause of this, when not a complication of some disease, is hemorrhoids or piles. Should serious hemorrhage occur, rest and quiet, and cold water poured slowly over the lower portion of the belly, or cloths wet with cold water, or better, with ice water applied over the belly and thighs, and to the lower end of the bowels, will ordinarily arrest it. In some cases it may be necessary to use injections of cold water, or even put small pieces of ice in the rectum.

Bleeding from the Mouth.—This is generally caused by some injury to the cheeks, gums or tongue, but it sometimes occurs without any direct cause of this kind, and no small alarm may be caused by mistaking it for bleeding from the lungs. Except when an artery of some size is injured, bleeding from the mouth can generally be controlled by gargling and washing the mouth with cold water, salt and water, or alum and water, or some persulphate of iron may be applied to the bleeding surface. Sometimes obstinate or even alarming bleeding may follow the pulling of a tooth. The best remedy for this is to plug the cavity with lint or cotton wet with the solution of persulphate of iron, and apply a compress which may be kept in place by closing the teeth on it.

Bleeding from the Stomach.—Vomiting blood.—Hemorrhage from the stomach is seldom so serious as to endanger life; but as it may be a symptom of some dangerous affection, it is always best to consult a physician concerning it. In the meantime, as in all other varieties of hemorrhage, perfect quiet should be preserved. A little salt, or vinegar, or lemon juice, should be taken at intervals, in a small glass of fresh cool water, or ice-water, as ice may be swallowed in small pieces, and cloths wet with ice-water, or pounded ice applied over the stomach.

Bleeding from Varicose Veins.—Serious and even fatal hemorrhage may occur from the bursting of a large varicose or "broken" vein. Should such an accident occur, the bleeding may be best controlled, until proper medical aid can be procured, by a tight bandage; or a "stick tourniquet," remembering that the blood comes toward the heart in the veins, and from it in the arteries. The best thing to prevent the rupture of varicose or broken veins is to support the limb by wearing elastic stockings, or a carefully applied bandage.

Burns and Scalds.—There is no class of accidents that cause such an amount of agony, and none which are followed with more disastrous results.

1. By putting the burned part under cold water, milk, or other bland fluid, instantaneous and perfect relief from all pain will be experienced. On withdrawal, the burn should be perfectly covered with half an inch or more of common wheaten flour, put on with a dredging-box, or in any other way, and allowed to remain until a cure is effected, when the dry, caked flour will fall off, or can be softened with water, disclosing a beautiful, new and healthy skin, in all cases where the burns have been superficial. 2. Dissolve white lead in flaxseed oil to the consistency of milk, and apply over the entire burn or scald every five minutes. It can be applied with a soft feather. This is said to give relief sooner, and to be more permanent in its effects, than any other application. 3. Make a saturated solution of alum (four ounces to a quart of hot water). Dip a cotton cloth in this solution and apply immediately on the burn. As soon as it becomes hot or dry, replace it by another, and continue doing so as often as the cloth dries, which at first will be every few minutes. The pain will immediately cease, and after twenty-four hours of this treatment the burn will be healed; especially if commenced before blisters are formed. The astringent and drying qualities of the alum will entirely prevent their formation. 4. Glycerine, five ounces; white of egg, four ounces; tincture of arnica, three ounces. Mix the glycerine and white of egg thoroughly in a mortar, and gradually add the arnica. Apply freely on linen rags night, and morning, washing previously with warm castile soap-suds. 5. Take one drachm of finely powdered alum, and mix thoroughly with the white of two eggs and one teacup of fresh lard; spread on a cloth, and apply to the parts burnt. It gives almost instant relief from pain, and, by excluding the air, prevents excessive inflammatory action. The application should be changed at least once a day. 6. M. Joel, of the Children's Hospital, Lausanne, finds that a tepid bath, containing a couple of pinches of sulphate of iron, gives immediate relief to young children who have been extensively burned. In a case of a child four years old, a bath repeated twice a day—twenty minutes each bath—the suppuration decreased, lost its odor, and the little sufferer was soon convalescent. 7. For severe scalding, carbolic acid has recently been used with marked benefit. It is to be mixed with thirty parts of the ordinary oil of lime water to one part of the acid. Linen rags satured in the carbolic emulsion are to be spread on the scalded parts, and kept moist by frequently smearing with the feather dipped in the liquid. Two advantages of this mode of treatment are, the exclusion of air, and the rapid healing by a natural restorative action without the formation of pus, thus preserving unmarred and personal appearance of the patient—a matter of no small importance to some people.

Choking.—In case of Choking, a violent slap with the open hand between the shoulders of the sufferer will often effect a dislodgment. In case the accident occurs with a child, and the slapping process does not afford instant relief, it should be grasped by the feet, and placed head downwards, and the slapping between the shoulders renewed; but in case this induced violent suffocative paroxysms it must not be repeated. If the substance, whatever it maybe, has entered the windpipe, and the coughing and inverting the body fails to dislodge it, it is probable that nothing but cutting open the windpipe will be of any and for this the services of a surgeon should always be procured. If food has stuck in the throat or gullet, the forefinger should be immediately introduced; and if lodged at the entrance of the gullet, the substance may be reached and extracted, possibly, with the forefinger alone, or may be seized with a pair of pincers, if at hand, or a curling tongs, or anything of the kind. This procedure may be facilitated by directing the person to put the tongue well out, in which position it may be retained by the individual himself, or a bystander by grasping it, covered with a handkerchief or towel. Should this fail, an effort should be made to excite retching or vomiting by passing the finger to the root of the tongue, in hopes that the offending substance may in this way be dislodged; or it may possibly be effected by suddenly and unexpectedly dashing in the face a basin of cold water, the shock suddenly relaxing the muscular spasm present, and the involuntary gasp at the same time may move it up or down. If this cannot be done, as each instant's delay is of vital importance to a choking man, seize a fork, a spoon, a penholder, pencil, quill, or anything suitable at hand, and endeavor to push the article down the throat. If it be low down the gullet, and other means fail, its dislodgment may sometimes be effected by dashing cold water on the spine, or vomiting may be induced by an emetic of sulphate of zinc (twenty grains in a couple of tablespoonfuls of warm water), or of common salt and mustard in like manner, or it may be pushed into the stomach by extemporizing a probang, by fastening a small sponge to the end of a stiff strip of whalebone. If this cannot he done, a surgical operation will be necessary. Fish bones or other sharp substances, when they cannot be removed by the finger or forceps, may sometimes be dislodged by swallowing some pulpy mass, as masticated bread, etc. Irregularly shaped substances, a plate with artificial teeth for instance, can ordinarily be removed only by surgical interference.

Colic.—Use a hot fomentation over the abdomen, and a small quantity of ginger, pepermint or common tea. If not relieved in a few minutes, then give an injection of a quart of warm water with twenty or thirty drops of laudanum, and repeat it if necessary. A half teaspoonful of chloroform, in a tablespoonful of sweetened water, with or without a few drops of spirits of lavender or essence of peppermint, will often give prompt relief.

Convulsions.—In small children convulsions frequently happen from teething, sometimes from worms or from some irritating substance within the stomach or bowels, and sometimes from some affection of the brain.

When a child has convulsions, place it immediately in a warm or hot bath, and sponge its head with cold water. Then apply a hot mustard plaster to the wrists, ankles and soles of the feet, or, in case a plaster cannot be obtained, apply a cloth wrung out of hot mustard water. Allow these to remain until the skin reddens, and use care that the same do not blister. After the fit has subsided, use great care against its return by attention to the cause which gave rise to it.

Convulsions in adults must be treated in accordance with the manner which gave rise to them. During the attack great care should be taken that the party does not injure himself, and the best preventive is a cork or a soft piece of wood, or other suitable substance, placed between the teeth to prevent biting the tongue and cheeks: tight clothing must be removed or loosened; mustard poultices should be applied to the extremities and over the abdomen; abundance of fresh air should be secured by opening windows and doors, and preventing unnecessary crowding of persons around; cold water may be dashed on the face and chest; and if there be plethora, with full bounding pulse, with evidence of cerebral or other internal congestion, the abstraction of a few ounces of blood may be beneficial.

Cramp.—Spasmodic or involuntary contractions of the muscles generally of the extremities, accompanied with great pain. The muscles of the legs and feet are the most commonly affected with cramp, especially after great exertion. The best treatment is immediately to stand upright, and to well rub the part with the hand. The application of strong stimulants, as spirits of ammonia, or of anodines, as opiate liniments, has been recommended. When cramp occurs in the stomach, a teaspoonful of sal volatile in water, or a dram glassful of good brandy, should be swallowed immediately. When cramp comes on during cold bathing, the limb should be thrown out as suddenly and violently as possible, which will generally remove it, care being also taken not to become flurried nor frightened, as presence of mind is very essential to personal safety on such an occasion. A common cause of cramp is indigestion, and the use of acescent liquors; these should be avoided.

Cuts.—In case the flow of blood is trifling, stop the bleeding by bringing the edges of the wound together, If the flow of blood is great, of a bright vermillion color, and flows in spurts or with a jerk, an artery is severed, and at once should pressure be made on the parts by the finger (between the cut and the heart), until a compress is arranged by a tight ligature above the wounded part. Then the finger may be taken off, and if the blood still flows, tighten the handkerchief or other article that forms the ligature, until it ceases. If at this point the attendance of a physician or surgeon cannot be secured, take strong silk thread, or wax together three or four threads and cut them into lengths of about a foot long. Wash the parts with warm water, and then with a sharp hook or small pair of pincers in your hand, fix your eye steadfastly upon the wound, and directing the ligature to be slightly released, you will see the mouth of the artery from which the blood springs. At once seize it, draw it out a little while an assistant passes a ligature round it, and ties it up tight with a double knot. In this way take up in succession every bleeding vessel you can see or get hold of. If the wound is too high up in a limb to apply the ligature do not lose your presence of mind. If it is the thigh, press firmly on the groin; if in the arm, with the band-end or ring of a common door-key make pressure above the collar bone, and about its middle, against its first rib, which lies under it. The pressure should be continued until assistance is procured and the vessel tied up. If the wound is on the face, or other place where pressure cannot effectually be made, place a piece of ice directly over the wound allowing it to remain there until the blood coagulates, when it may be removed, and a compress and bandage be applied.

After the bleeding is arrested the surrounding blood should be cleared away, as well as any extraneous matter then bring the sides of the wound into contact throughout the whole depth, in order that they may grow together as quickly as possible, retaining them in their position by strips of adhesive plaster. If the wound be deep and extensive, the wound itself and the adjacent parts must be supported by proper bandages. The position of the patient should be such as will relax the skin and muscles of the wounded part. Rest, low and unstimulating diet, will complete the requirements necessary to a speedy recovery.

How to Distinguish Death.—As many instances occur of parties being buried alive, they being to all appearance dead, the great importance of knowing how to distinguish real from imaginary death need not be explained. The appearances which mostly accompany death, are an entire of breathing, of the heart's action; the eyelids are partly closed, the eyes glassy, and the pupils usually dilated; the jaws are clenched, the fingers partially contracted, and the lips and nostrils more or less covered with frothy mucus, with increasing pallor and coldness of surface, and the muscles soon become rigid and the limbs fixed in their position. But as these same conditions may also exist in certain other cases of suspended animation, great care should be observed, whenever there is the least doubt concerning it, to prevent the unnecessary crowding of the room in which the corpse is, or of parties crowding around the body; nor should the body be allowed to remain lying on the back without the tongue being so secured as to prevent the glottis or orifice of the windpipe being closed by it; nor should the face be closely covered; nor rough usage of any kind be allowed. In case there is great doubt, the body should not be allowed to be inclosed in the coffin, and under no circumstances should burial be allowed until there are unmistakable signs of decomposition.

Of the numerous methods proposed as signs for real death, we select the following: 1. So long as breathing continues, the surface of a mirror held to the mouth and nostrils will become dimmed with moisture. 2. If a strong thread or small cord be tied tightly round the finger of a living person, the portion beyond the cord or thread will become red and swollen—if dead, no change is produced. 3. If the hand of a living person is held before a strong light a portion of the margin or edges of the fingers is translucent—if dead, every part of it is opaque. 4. A coal of fire, a piece of hot iron, or the flame of a candle, applied to the skin, if life remains, will blister—if dead it will merely sear. 5. A bright steel needle introduced and allowed to remain for half an hour in living flesh will be still bright—if dead, it will be tarnished by oxydation. 6. A few drops of a solution of atropia (two grains to one-half ounce of water) introduced into the eye, if the person is alive, will cause the pupils to dilate—if dead, no effect will be produced. 7. If the pupil is already dilated, and the person is alive, a few drops of tincture of the calabar bean will cause it to contract—if dead, no effect will be produced.

Dislocations.—These injuries can mostly be easily recognized; 1. By the deformity that the dislocation gives rise to by comparing the alteration in shape with the other side of the body. 2. Loss of some of the regular movements of the joints. 3. In case of dislocation, surgical aid should be procured at once. While waiting the arrival of a physician, the injured portion should be placed in the position most comfortable to the patient, and frequent cold bathing or cloths wrung out of cold water, applied to the parts affected, so as to relieve suffering and prevent inflammation.

Foreign Bodies in Ears.—Great care should be taken in removing foreign bodies from the ear, as serious injury may be inflicted. Most foreign bodies, especially those of small size, can be easily removed by the use of a syringe with warm water, and in most cases no other means should be used. Should the first efforts fail, repeat the operation. A syringe throwing a moderately small and continuous stream is the best adapted for the purpose, and the removal may generally be facilitated by inclining the ear downward while using the syringe. Severe inflammation may be excited, and serious injury done, by rash attempts to seize a foreign body in the ear, with a forceps or tweezers, or trying to pick it out with a pin or needle, or with an ear scoop. Should it be necessary from any cause to use instruments, great care should be observed, and but very little force exerted. It has lately been recommended, when foreign bodies cannot be removed by syringing the ear, to introduce a small brush or swab of frayed linen or muslin cloth, or a bit of sponge, moistened with a solution of glue, and keep it in contact with the foreign body until the glue adheres, when the body may be easily removed.

Insects in the Ear.—Insects in the ear may be easily killed by pouring oil in the ear, after which remove by syringing. (See foreign bodies in ear.)

To Remove Hardened Ear Wax.—Hardened car wax may be softened by dropping into the ear some oil or glycerine, and then syringing. (See foreign bodies in ear.)

Foreign Bodies in Eye.—To remove small particles from the eye, unless they have penetrated the globe, or become fixed in the conjunctiva, do as follows:

Grasp the upper lid between the thumb and forefinger, lift it from the eyeball, and having drawn it down as far as possible outside the lower lid, let it slide slowly back to its place, resting upon the lower lid as it goes back; and then wipe the edges of the lids with a soft handkerchief to remove the foreign substance. This may be repeated a number of times, if necessary, without injury. Should this means fail, evert the lids and remove the foreign substance, by touching it lightly with the fold of a handkerchief, or with the point of a roll of paper made like a candle-lighter; or, if necessary, with a small pair of forceps. A drop of sweet oil instilled in the eye, while perfectly harmless, provokes a flow of tears that will frequently wash away any light substance.

Bits of metal, sharp pieces of sand, etc. sometimes penetrate the globe of the eye, and, unless removed, may excite so much inflammation as to destroy the eye. They should he removed by a competent surgeon.

Fainting.—Lay the person who has fainted in a current of air, or in such a position that the air from an open window or door will have full play upon the face. Do not allow parties to crowd closely around, but give the sufferer plenty of room. Recovery will take place in a few minutes. The clothes also may be opened, and cold water sprinkled upon the face, hands and chest; and some pungent substance, as smelling salts, camphor, aromatic vinegar, etc., may be applied to the nostrils; and as soon as able to swallow, a little fresh water, or spirits and water, may be given. Persons who faint easily should avoid crowded rooms and places where the air is close.

Clothing on Fire.—If a woman's clothes catch on fire, let her instantly roll herself over and over on the ground. In case any one be present, let them throw her down and do the like, and then wrap her up in a table-cloth, rug, coat, or the first woolen article that can be found.

Fractures.—As we can only give general rules for treating the various fractures, we would advise any one suffering from such to immediately apply to the nearest surgeon, and not rely upon an inexperienced party.

Frost-Bite.—Place the party suffering in a room without fire, and rub the frozen or frosted parts with snow, or pour ice-water over them until sensation begins to return. As soon as a stinging pain is felt, and a change of color appears, then cease the rubbing, and apply clothes wet with ice-water, and subsequently, if active inflammation follow and suppuration results, a solution of carbolic acid in water, one part to thirty, should be applied. If mortification set in, amputation is generally necessary. Where persons suffer from the constitutional effects of cold, hot stimulants should be given internally, and the body rubbed briskly with the hands and warm flannel.

Poisons, Their Symptoms and Antidotes.—When a person has taken poison, the first thing to do is to compel the patient to vomit, and for that purpose give any emetic that can be most readily and quickly obtained, and which is prompt and energetic, but safe in its action.

For this purpose there is, perhaps, nothing better than a large teaspoonful of ground mustard in a tumblerful of warm water, and it has the advantage of being almost always at hand. If the dry mustard is not to be had, use mixed mustard from the mustard pot. Its operation may generally be facilitated by the addition of a like quantity of common table salt. If the mustard is not at hand, give two or three teaspoonfuls of powdered alum in syrup or molasses, and give freely of warm water to drink; or give ten to twenty grains of sulphate of zinc (white vitriol), or twenty to thirty grains of ipecac, with one or two grains of tartar emetic, in a large cup of warm water, and repeat every ten minutes until three or four doses are given, unless free vomiting is sooner produced. After vomiting has taken place, large draughts of warm water should be given the patient, so that the vomiting will continue until the poisonous substances have been thoroughly evacuated, and then suitable antidotes should be given. If vomiting cannot be produced, the stomach-pump should be used. When it is known what particular kind of poison has been swallowed, then the proper antidote for that poison should be given, but when this cannot be ascertained, as is often the case, give freely of equal parts of calcined magnesia, pulverized charcoal, and sesquioxide of iron, in sufficient quantity of water. This is a very harmless mixture, and is likely to be of great benefit, as the ingredients, though very simple, are antidotes for the most common and active poisons. In case this mixture cannot be obtained, the stomach should be soothed and protected by the free administration of demulcent, mucilaginous or oleaginous drinks, such as the whites of eggs, milk, mucilage of gum arabic, or slippery elm bark, flaxseed tea, starch, wheat, flour, or arrow-root mixed in water, linseed or olive oil, or melted butter or lard. Subsequently the bowels should be moved by some gentle laxative, as a tablespoonful or two of castor oil, or a teaspoonful of calcined magnesia; and pain or other evidence of inflammation must be relieved by the administration of a few drops of laudanum, and the repeated application of hot poultices, fomentations and mustard plasters. The following are the names of the articles that may give rise to poisoning, most commonly used, and their antidote:

Mineral Acids—Sulphuric Acid (Oil of Vitriol), Nitric Acid (Aqua Fortis), Muriatic Acid (Spirits of Salts).—Symptoms: Acid, burning taste in the mouth, acute pain in the throat, stomach and bowels; frequent vomiting, generally bloody, mouth and lips excoriated, shriveled, white or yellow; hiccough, copious stools, more or less bloody, with great tenderness in the abdomen; difficult breathing, irregular pulse, excessive thirst, while drink increases the pain and rarely remains in the stomach; frequent but vain efforts to urinate; cold sweats, altered countenance; convulsions generally preceding death; nitric acid causes yellow stains; sulphuric acid, black ones. Treatment: Mix calcined magnesia in milk or water to the consistence of cream, and give freely to drink a glassful every couple of minutes, if it can be swallowed. Common soap (hard or soft), chalk, whiting, or even mortar from the wall mixed in water, may be given, until magnesia can be obtained. Promote vomiting by tickling the throat, if necessary, and when the poison is got rid of, flaxseed or elm tea, gruel, or other mild drinks. The inflammation which always follows wants good treatment to save the patient's life.

Vegetable Acids—Acetic, Citric, Oxalic, Tartaric.—Symptoms: Intense burning pain of mouth, throat and stomach; vomiting blood which is highly acid, violent purging, collapse, stupor, death.

Oxalic Acid is frequently taken in mistake for Epsom salts, to which in shops it often bears a strong resemblance. Treatment: Give chalk or magnesia in a large quantity of water, or large draughts of lime water. If these are not at hand, scrape the wall or ceiling, and give the scrapings, mixed with water.

Prussic or Hydrocyanic Acid—Laurel Water, Cyanide of Potassium, Bitter Almond Oil, etc.—Symptoms: In large doses almost invariably instantaneously fatal, when not immediately fatal, sudden loss of sense and control of the voluntary muscles; the odor of the poison generally susceptible on the breath. Treatment: Chlorine, in the form of chlorine water, in doses of from one to four fluid drachms, diluted. Weak solution of chloride lime of soda; water of ammonia (spirits of hartshorn) largely diluted may be given, and the vapor of it cautiously inhaled. Cold affusion, and chloroform in half to teaspoonful doses in glycerine or mucilage, repeated every few minutes, until the symptoms are ameliorated. Artificial respiration.

Aconite—Monkshood, Wolfsbane.—Symptoms: Numbness and tingling in the mouth and throat, and afterwards in other portions of the body, with sore throat, pain over the stomach, and vomiting; dimness of vision, dizziness, great prostration, loss of sensibility and delirium. Treatment: An emetic and then brandy in tablespoonful doses, in ice-water, every half hour; spirits of ammonia in half teaspoonful doses in like manner; the cold douche over the head and chest, warmth to the extremities, etc.

Alkalies and their Salts—Concentrated Lye, Woodash Lye, Caustic Potash, Ammonia, Hartshorn.—Symptoms: Caustic, acrid taste, excessive heat in the throat, stomach and intestines; vomiting of bloody matter, cold sweats, hiccough, purging of bloody stools.—Treatment: The common vegetable acids. Common vinegar being always at hand, is most frequently used. The fixed oils, as castor, flaxseed, almond and olive oils form soaps with the alkalies and thus also destroy their caustic effect. They should be given in large quantity.

Alcohol, Brandy, and other Spirituous Liquors.—Symptoms: Confusion of thought, inability to walk or stand, dizziness, stupor, highly flushed or pale face, noisy breathing.—Treatment: After emptying the stomach, pour cold water on the head and back of the neck, rub or slap the wrists and palms, and the ankles and soles of the feet, and give strong, hot coffee, or aromatic spirits of hartshorn, in teaspoonful doses in water. The warmth of the body must be sustained.

Antimony, and its Preparations. Tartar Emetic, Antimonial Wine, Kerme's Mineral.—Symptoms: Faintness and nausea, soon followed by painful and continued vomiting, severe diarrhoea, constriction and burning sensation in the throat, cramps, or spasmodic twitchings, with symptoms of nervous derangement, and great prostration of strength, often terminating in death.—Treatment: If vomiting has not been produced, it should be effected by tickling the fauces, and administering copious draughts of warm water. Astringment infusions, such as of gall, oak bark, Peruvian bark, act as antidotes, and should be given promptly. Powdered yellow bark may be used until the infusion is prepared, or very strong green tea should be given. To stop the vomiting, should it continue, blister over the stomach by applying a cloth wet with strong spirits of hartshorn, and then sprinkle on the one-eighth to one-fourth of a grain of morphia.

Arsenic and its Preparations—Ratsbane, Fowler's Solution, etc.—Symptoms: Generally within an hour pain and heat are felt in the stomach, soon followed vomiting, with a burning dryness of the throat and great thirst; the matters vomited are generally colored, either green yellow, or brownish, and sometimes bloody. Diarrhoea or dysentery ensues, while the pulse becomes small and rapid, yet irregular. Breathing much oppressed; difficulty in vomiting may occur, while cramps, convulsions, or even paralysis often precede death, which sometimes takes place within five or six hours after arsenic has been taken.—Treatment: Give a prompt emetic, and then hydrate of peroxide of iron (recently prepared) in tablespoonful doses every ten or fifteen minutes until the urgent symptoms are relieved. In the absence of this, or while it is being prepared, give large draughts of new milk and raw eggs, limewater and oil, melted butter, magnesia in a large quantity of water, or even if nothing else is at hand, flour and water, always, however, giving an emetic the first thing, or causing vomiting by tickling the throat with a feather, etc. The inflammation of the stomach which follows must be treated by blisters, hot fomentations, mucilaginous drinks, etc., etc.

Belladonna or Deadly Night Shade.—Symptoms: Dryness of the mouth and throat, great thirst, difficulty of swallowing, nausea, dimness, confusion or loss of vision, great enlargement of the pupils, dizziness, delirium and coma.—Treatment: There is no known antidote. Give a prompt emetic and then reliance must be placed on continual stimulation with brandy, whisky, etc., and to necessary artificial respiration. Opium and its preparations, as morphia, laudanum, etc., are thought by some to counteract the effect of belladonna, and may be given in small and repeated doses, as also strong black coffee and green tea.

Cantharides (Spanish or Blistering Fly) and Modern Potato Bug.—Symptoms: Sickening odor of the breath, sour taste, with burning heat in the throat, stomach, and bowels; frequent vomiting, often bloody; copious bloody stools, great pain in the stomach, with burning sensation in the bladder and difficulty to urinate, followed with terrible convulsions, delirium and death.—Treatment excite vomiting by drinking plentifully of sweet oil or other wholesome oils, sugar and water, milk. or slippery elm tea; give injections of castor oil and starch, or warm milk. The inflammatory symptoms which generally follow must, be treated by a medical man. Camphorated oil or camphorated spirits should be rubbed over the bowels, stomach and thighs.

Cobalt, or Fly-Powder.—Symptoms: Heat and pain in the. throat and stomach, violent retching and vomiting, cold and clammy skin, small and feeble pulse, hurried and difficult breathing, diarrhoea, etc.—Treatment: An emetic, followed by the free administration of milk, eggs, wheat flour and water, and mucilaginous drinks.

Copper—Blue Vitriol, Verdigris or Pickles or Food Cooked in Soul Copper Vessels.—Symptoms: General inflammation of the alimentary canal, suppression of urine; hiccough, a disagreeable metallic taste, vomiting, violent colic, excessive thirst, sense of tightness of the throat, anxiety; faintness, giddiness, and cramps and convulsions generally precede death.—Treatment: Large doses of simple syrup as warm as can be swallowed, until the stomach rejects the amount it contains. The whites of eggs and large quantities of milk. Hydrated peroxide of iron.

Creosote.—Carbolic Acid.—Symptoms: Burning pain. acrid, pungent taste, thirst, vomiting, purging, etc.—Treatment: An emetic, and the free administration of albumen, as the whites of eggs, or in the absence of these, milk, or flour and water.

Fox-Glove, or Digitalis.—Symptoms: Loss of strength, feeble, fluttering pulse, faintness, nausea, and vomiting and stupor; cold perspiration, dilated pupils, sighing, irregular breathing, and sometimes convulsions.—Treatment: After vomiting, give brandy and ammonia in frequently repeated doses, apply warmth to the extremities, and if necessary resort to artificial respiration.

Gases—Carbonic Acid, Chlorine, Cyanogen, Hydrosulphuric Acid, etc.—Symptoms: Great drowsiness, difficult respiration, features swollen, face blue as in strangulation.—Treatment: Artificial respirations, cold douche, frictions with stimulating substances to the surface of the body. Inhalation of steam containing preparations of ammonia. Cupping from nape of neck. Internal use of chloroform.

Hellebore, or Indian Poke.—Symptoms: Violent vomiting and purging, bloody stools, great anxiety, tremors, vertigo, fainting, sinking of the pulse, cold sweets and convulsions.—Treatment: Excite speedy vomiting by large draughts of warm water, molasses and water, tickling the throat with the finger or a feather, and emetics; give oily and mucilaginous drinks, oily purgatives, and clysters, acids, strong coffee, camphor and opium.

Hemlock (Conium).—Symptoms: Dryness of the throat, tremors, dizziness, difficulty of swallowing, prostration and faintness, limbs powerless or paralyzed, pupils dilated, pulse rapid and feeble; insensibility and convulsions sometimes precede death.—Treatment: Empty the stomach and give brandy in tablespoonful doses, with half teaspoonful of spirits of Ammonia, frequently repeated, and if much pain and vomiting, give bromide of ammonium in five-grain doses every half hour. Artificial respiration may be required.

Henbane or Hyoscyamus.—Symptoms: Muscular twitching, inability to articulate plainly, dimness of vision and stupor; later, vomiting and purging, small, intermittent pulse, convulsive movement of the extremities and coma. Treatment: Similar to Opium Poisoning, which see.

Iodine.—Symptoms: Burning pain in throat, lacerating pain in the stomach, fruitless effort to vomit, excessive tenderness of the epigastrium. Treatment: Free emesis, prompt administration of starch, wheat flour, or arrowroot, beat up in water.

Lead.—Acetate of Lead, Sugar of Lead, Dry White Lead, Red Lead, Litharge, or Pickles, Wine, or Vinegar, Sweetened by Lead.—Symptoms: When taken in large doses, a sweet but astringent metallic taste exists, with constriction in the throat, pain in the region of the stomach, painful, obstinate, and frequently bloody vomitings, hiccough, convulsions or spasms, and death. When taken in small but long-continued doses, it produces colic, called painter's colic; great pain, obstinate constipation, and in extreme cases paralytic, symptoms, especially wrist-drop, with a blue line along the edge of the gums. Treatment: To counteract the poison, give alum in water, one and a half ounce to a quart; or, better still, Epsom salts or Glauber salts, an ounce of either in a quart of water; or dilute sulphuric acid, a teaspoonful in a quart of water. If a large quantity of sugar of lead has been recently taken, empty the stomach by an emetic of sulphate of zinc (one drachm in a quart of water), giving one-fourth to commence, and repeating smaller doses until free vomiting is produced; castor oil should be given to clear the bowels, and injections of oil and starch freely administered. If the body is cold, use the warm bath.

Lobelia.—Indian Poke.—Symptoms: Excessive vomiting and purging, pains in the bowels, contraction of the pupils, delirium, coma, and convulsions. Treatment: Mustard over the stomach, and brandy and ammonia.

Mercury.—Corrosive Sublimate (bug poisons frequently contain this poison), Red Precipitate, Chinese or English Vermillion.—Symptoms: Acrid, metallic taste in the mouth, immediate constriction and burning in the throat, with anxiety and tearing pains in both stomach and bowels, sickness, and vomiting of various colored fluids, and sometimes bloody and profuse diarrhoea, with difficulty and pain in urinating; pulse quick, small and hard; faint sensations, great debility, difficult breathing, cramps, cold sweats, syncope and convulsions. Treatment: If vomiting does not already exist, emetics must be given immediately—albumen of eggs in continuous large doses, and infusion of catechu afterwards, sweet milk, mixtures of flour and water in successive cupfuls, and to check excessive salivation put a half ounce of chlorate of potash in a tumbler of water, and use freely as a gargle, and swallow a tablespoonful every hour or two.

Nitrate of Silver (Lunar Caustic.)—Symptoms: Intense pain and vomiting and purging of blood; mucus and shreds of mucus membranes; and if these stand they become dark. Treatment: Give freely of a solution of common salt in water, which decomposes the poison, and afterwards flax-seed or elm bark tea, and after a while a dose of castor oil.

Opium and all its Preparations—Morphine, Laudanum, Paregoric, etc.—Symptoms: Giddiness, drowsiness, increasing to stupor, and insensibility; pulse usually, at first, quirk and irregular, and breathing hurried, and afterwards pulse slow and feeble, and respiration slow and noisy; the pupils are contracted and the eyes and face congested, and later, as death approaches, the extremities become cold, the surface is covered with cold, clammy perspiration, and the sphincters relax. The effects of opium and its preparations, in poisonous doses, appear in from a half to two hours from its administration. Treatment: Empty the stomach immediately with an emetic or with the stomach pump. Then give very strong coffee without milk; put mustard plasters on the wrist and ankles; use the cold douche to the head and chest, and if the patient is cold and sinking give brandy, or whisky and ammonia. Belladonna is thought by many to counteract the poisonous effects of opium, and may be given in doses of half to a teaspoonful of the tincture, or two grains of the extract, every twenty minutes, until some effect is observed in causing the pupils to expand. Use warmth and friction, and if possible prevent sleep for some hours, for which purpose the patient should be walked about between two persons, and if necessary a bunch of switches may be freely used. Finally, as a last resort, use artificial respiration, and a persistance in it will sometimes be rewarded with success in apparently hopeless cases. Galvanism should also be tried.

Phosphorus—Found in Lucifer Matches and some Rat Poisons.—Symptoms: Symptoms of irritant poisoning; pain in the stomach and bowels; vomiting; diarrhoea; tenderness and tension of the abdomen. Treatment: An emetic is to be promptly given; copious draughts containing magnesia in suspension: mucilaginous drinks. General treatment for inflammatory symptoms.

Poisonous Fish.—Symptoms: In an hour or two—often in much shorter time—after the fish has been eaten, a weight at the stomach comes on, with slight vertigo and headache; sense of heat about the head and eyes; considerable thirst, and often an eruption of the skin. Treatment: After full vomiting, an active purgative should be given to remove any of the noxious matter from the intestines. Vinegar and water may be drunk after the above remedies have operated, and the body may be sponged with the same. Water made very sweet with sugar, with aromatic spirits of ammonia added, may be drunk freely as a corrective. A solution of cholorate of potash, or of alkali, the latter weak, may be given to obviate the effect of the poison. If spasms ensue after evacuation, laudanum in considerable doses it necessary. If inflammation should occur, combat in the usual way.

Poisonous Mushrooms.—- Symptoms: Nausea, heat and pains in the stomach and bowels; vomiting and purging, thirst, convulsions and faintings, pulse small and frequent, dilated pupil and stupor, cold sweats and death.

Treatment: The stomach and bowels are to be cleared by an emetic of ground mustard or sulphate of zinc, followed by frequent doses of Glauber of Epsom salts, and large stimulating clysters. After the poison is evacuated, either may be given with small quantities of brandy and water. But if inflammatory symptoms manifest themselves, such stimuli should be avoided, and these symptoms appropriately treated.

Poison Ivy.—Symptoms. Contact with, and with many persons the near approach to the vine, gives rise to violent erysipelatous inflammation, especially of the face and hands, attended with itching, redness, burning and swelling, with watery blisters.

Treatment: Give saline laxatives, and apply weak lead and laudanum, or limewater and sweet oil, or bathe the parts freely with spirits of nitre. Anointing with oil will prevent poisoning from it.

Saltpetre, Nitrate of Potash.—Symptoms. Only poisonous in large quantities, and then causes nausea, painful vomiting, purging, convulsions, faintness, feeble pulse, cold feet and hands, with tearing pains in stomach and bowels.

Treatment: Treat just as is directed for arsenic, for there is no antidote known, and emptying the stomach and bowels with mild drinks must be relied on.

Savine.—Symptoms: Sharp pains in the bowels, hot skin, rapid pulse, violent vomiting and sometimes purging, with great prostration. Treatment: Mustard and hot fomentations over the stomach and bowels, and ice only allowed in the stomach until the inflammation ceases. If prostration comes on, food and stimulants must be given by injection.

Stramonium, Thorn-apple or Jamestown Weed.—Symptoms: Vertigo, headache, perversion of vision, slight delirium, sense of suffocation, disposition to sleep, bowels relaxed and all secretions augmented. Treatment: Same as Belladonna.

Strychnine and Nux Vomica.—Symptoms: Muscular twitching, constriction of the throat, difficult breathing and oppression of the chest; violent muscular spasms then occur, continuous in character like lock-jaw, with the body backwards, sometimes like a bow. Treatment: Give, if obtainable, one ounce or more of bone charcoal mixed with water, and follow with an active emetic; then give chloroform in teaspoonful doses, in flour and water or glycerine, every few minutes while the spasms last, and afterwards brandy and stimulants, and warmth of the extremities if necessary. Recoveries have followed the free and prompt administration of oils or melted butter or lard. In all cases empty the stomach if possible.

Tin—Chloride of Tin, Solution of Tin (Used by Dyers), Oxide of Tin or Putty Powder.—Symptoms: Vomiting, pains in the stomach, anxiety, restlessness, frequent pulse, delirium, etc. Treatment: Empty the stomach, and give whites of eggs in water, milk in large quantities, or flour beaten, up in water, with magnesia or chalk.

Tobacco.—Symptoms: Vertigo, stupor, fainting, nausea, vomiting, sudden nervous debility, cold sweat, tremors, and at times fatal prostration. Treatment: After the stomach is empty apply mustard to the abdomen and to the extremities, and give strong coffee, with brandy and other stimulants, with warmth to the extremities.

Zinc—Oxide of Zinc, Sulphate of Zinc, White Vitriol, Acetate of Zinc.—Symptoms: Violent vomiting, astringent taste, burning pain in the stomach, pale countenance, cold extremities, dull eyes, fluttering pulse. Death seldom ensues, in consequence of the emetic effect. Treatment: The vomiting may be relieved by copious draughts of warm water. Carbonate of soda, administered in solution, will decompose the sulphate of zinc. Milk and albumen will also act as antidotes. General principles to be observed in the subsequent treatment.

Woorara.—Symptoms: When taken into the stomach it is inert; when absorbed through a wound it causes sudden stupor and insensibility, frothing at the mouth and speedy death. Treatment: Suck the wound immediately, or cut it out and tie a cord around the limb between the wound and the heart. Apply iodine, or iodide of potassium, and give it internally, and try artificial respiration.

Sprains.—The portions most frequently implicated are the wrist and ankle; no matter which portion it may be, however, rest and quietness is a very important part of the treatment, and, when possible, in an elevated position. If the wrist is sprained it should be carried in a sling; if the ankle, it should be supported on a couch or stool. Cold lotions (see Bruises) should be freely applied, and irrigation by pouring water from a pitcher or tea-kettle resorted to several times a day to prevent inflammation. Later, frictions with opodeldoc, or with some stimulating liniment, and supporting the parts by pressure made with a flannel roller, or laced stocking when the ankle is involved, will be useful to restore tone; or strips of adhesive plaster properly applied will be useful for the same purpose. Recovery from severe sprains is always tedious. It is an old saying "that a bad sprain is worse than a broken bone."

Suffocation from Noxious Gases, Foul Air, Fire Damp, Etc.—Remove to fresh air and dash cold water over the head, neck and chest; carefully apply hartshorn, or smelling salts to the nostrils, and when the breathing is feeble or has ceased, resort immediately to artificial respiration (see Asphyxia and Drowning). Keep up the warmth of the body, and as soon as the patient can swallow give stimulants in small quantities.

Sunstroke.—This is caused by long exposure in great heat, especially when accompanied with great fatigue and exhaustion. Though generally happening from exposure to the sun's rays, yet precisely similar effects may be and are produced from any undue exposure to great and exhaustive heat, such as workmen are exposed to in foundries, gas factories, bakeries, and other similar employments. Its first symptom is pain in the head and dizziness, quickly followed by loss of consciousness, and resulting in complete prostration: sometimes, however, the attack is sudden, as in apoplexy. The head is generally burning hot, the face, dark and swollen, the breathing labored and snoring, and the feet and hands cold. Remove the patient at once to a cool and shady place, and lay him down with his head a little raised; apply ice or iced water to the head and face; loosen all cloths around the neck or waist; bathe the chest with cold water, apply mustard plasters, or cloths wetted with turpentine, to the calves and soles of the feet, and as soon as the patient can swallow, give weak brandy or whisky and water.

There is no easy road to success—I Thank God for it.
A trained man will make his life tall. Without training, you
are left on a sea of luck, where thousands go down, while one
meets with success. JAMES A. GARFIELD."

ACCIDENTS AND INJURIES

And How to Meet Them