Accidents And Emergencies





What To Do



If an artery is cut, red blood spurts. Compress it above the wound. If a

vein is cut, dark blood flows. Compress it below and above.



If choked, go upon all fours and cough.



For slight burns, dip the part in cold water; if the skin is destroyed,

cover with varnish or linseed oil.



For apoplexy, raise the head and body; for fainting, lay the person

flat.



Send for a physician when a serious accident of any kind occurs, but

treat as directed until he arrives.



Scalds and Burns--The following facts cannot be too firmly impressed on

the mind of the reader, that in either of these accidents the first,

best, and often the only remedies required, are sheets of wadding, fine

wool, or carded cotton, and, in the default of these, violet powder,

flour, magnesia, or chalk. The object for which these several articles

are employed is the same in each instance; namely, to exclude the air

from the injured part; for if the air can be effectually shut out from

the raw surface, and care is taken not to expose the tender part till

the new cuticle is formed, the cure may be safely left to nature. The

moment a person is called to a case of scald or burn, he should cover

the part with a sheet, or a portion of a sheet, of wadding, taking care

not to break any blister that may have formed, or stay to remove any

burnt clothes that may adhere to the surface, but as quickly as possible

envelop every part of the injury from all access of the air, laying one

or two more pieces of wadding on the first, so as effectually to guard

the burn or scald from the irritation of the atmosphere; and if the

article used is wool or cotton, the same precaution, of adding more

material where the surface is thinly covered, must be adopted; a light

bandage finally securing all in their places. Any of the popular

remedies recommended below may be employed when neither wool, cotton,

nor wadding are to be procured, it being always remembered that that

article which will best exclude the air from a burn or scald is the

best, quickest, and least painful mode of treatment. And in this respect

nothing has surpassed cotton loose or attached to paper as in wadding.



If the Skin is Much Injured in burns, spread some linen pretty thickly

with chalk ointment, and lay over the part, and give the patient some

brandy and water if much exhausted; then send for a medical man. If not

much injured, and very painful, use the same ointment, or apply carded

cotton dipped in lime water and linseed oil. If you please, you may lay

cloths dipped in ether over the parts, or cold lotions. Treat scalds in

same manner, or cover with scraped raw potato; but the chalk ointment is

the best. In the absence of all these, cover the injured part with

treacle, and dust over it plenty of flour.



BODY IN FLAMES--Lay the person down on the floor of the room, and throw

the table cloth, rug, or other large cloth over him, and roll him on the

floor.



DIRT IN THE EYE--Place your forefinger upon the cheek-bone, having the

patient before you; then slightly bend the finger, this will draw down

the lower lid of the eye, and you will probably be able to remove the

dirt; but if this will not enable you to get at it, repeat this

operation while you have a knitting-needle or bodkin placed over the

eyelid; this will turn it inside out, and enable you to remove the sand,

or eyelash, etc., with the corner of a fine silk handkerchief. As soon

as the substance is removed, bathe the eye with cold water, and exclude

the light for a day. If the inflammation is severe, let the patient use

a refrigerant lotion.



LIME IN THE EVE--Syringe it well with warm vinegar and water in the

proportion of one ounce of vinegar to eight ounces of water; exclude

light.



IRON OR STEEL SPICULAE IN THE EYE--These occur while turning iron or

steel in a lathe, and are best remedied by doubling back the upper or

lower eyelid according to the situation of the substance, and with the

flat edge of a silver probe, taking up the metallic particle, using a

lotion made by dissolving six grains of sugar of lead and the same of

white vitriol, in six ounces of water, and bathing the eye three times a

day till the inflammation subsides. Another plan is--Drop a solution of

sulphate of copper (from one to three grains of salt to one ounce of

water) into the eye, or keep the eye open in a wineglassful of the

solution. Bathe with cold lotion, and exclude light to keep down

inflammation.



DISLOCATED THUMB--This is frequently produced by a fall. Make a clove

hitch, by passing two loops of cord over the thumb, placing a piece of

rag under the cord to prevent it cutting the thumb; then pull in the

same line as the thumb. Afterwards apply a cold lotion.



CUTS AND WOUNDS--Clean cut wounds whether deep or superficial, and

likely to heal by the first intention, should always be washed or

cleaned, and at once evenly and smoothly closed by bringing both edges

close together and securing them in that position by adhesive plaster.

Cut thin strips of sticking plaster, and bring the parts together; or,

if large and deep, cut two broad pieces, so as to look like the teeth of

a comb, and place one on each side of the wound, which must be cleaned

previously. These pieces must be arranged so that they shall interlace

one another; then, by laying hold of the pieces on the right side with

one hand, and those on the other side with the other hand and pulling

them from one another, the edges of the wounds are brought together

without any difficulty.



Ordinary Cuts are dressed by thin strips, applied by pressing down the

plaster on one side of the wound, and keeping it there, and pulling in

the opposite direction; then suddenly depressing the hand when the edges

of the wound are brought together.



CONTUSIONS are best healed by laying a piece of folded lint, well wetted

with extract of lead or boracic acid, on the part, and, if there is much

pain, placing a hot bran poultice over the dressing, repeating both if

necessary every, two hours. When the injuries are very severe lay a

cloth over the part, and suspend a basin over it filled with cold

lotion. Put a piece of cotton into the basin, so that it shall allow the

lotion to drop on the cloth, and thus keep it always wet.



HEMORRHAGE, when caused by an artery being divided or torn, may be known

by the blood issuing out of the wound in leaps or jerks, and being of a

bright scarlet color. If a vein is injured, the blood is darker and

flows continuously. To arrest the latter apply pressure by means of a

compress and bandage. To arrest arterial bleeding, get a piece of wood

(part of a broom handle will do), and tie a piece of tape to one end of

it. Then tie a piece of tape loosely over the arm, and pass the other

end of the wood under it; twist the stick around and around until the

tape compresses the arm sufficiently to arrest the bleeding, and then

confine the other end by tying the string around the arm. A compress

made by enfolding a penny piece in several folds of lint or linen

should, however, be first placed under the tape and over the artery, If

the bleeding is very obstinate, and it occurs in the arm, place a cork

underneath the string, on the inside of the fleshy part, where the

artery may be felt beating by any one; if in the leg, place a cork in

the direction of a line drawn from the inner part of the knee toward the

outer part of the groin. It is an excellent thing to accustom yourself

to find out the position of these arteries, or, indeed, any that are

superficial, and to explain to every person in your house where they

are, and how to stop bleeding. If a stick cannot be got, take a

handkerchief, make a cord bandage of it, and tie a knot in the middle;

the knot acts as a compress, and should be placed over the artery, while



the two ends are c around the thumb. Observe always to place

the ligature between the wound and the heart. Putting your finger into a

bleeding wound, and making pressure until a surgeon arrives, will

generally stop violent bleeding.



BLEEDING FROM THE NOSE, from whatever cause, may generally be stopped by

putting a plug of lint into the nostrils; if this does not do, apply a

cold lotion to the forehead; raise the head, and place over it both

arms, so that it will rest on the hands; dip the lint plug, slightly

moistened, into some powdered gum arabic, and plug the nostrils again;

or dip the plug into equal parts of powdered gum arabic and alum, and

plug the nose. Or the plug may be dipped in Friar's balsam, or tincture

of kino. Heat should be applied to the feet; and, in obstinate cases,

the sudden shock of a cold key, or cold water poured down the spine,

will often instantly stop the bleeding. If the bowels are confined, take

a purgative. Injections of alum solution from a small syringe into the

nose will often stop hemorrhage.



VIOLENT SHOCKS will sometimes stun a person, and he will remain

unconscious. Untie strings, collars, etc.; loosen anything that is tight

and interferes with the breathing; raise the head; see if there is

bleeding from any part; apply smelling-salts to the nose, and hot

bottles to the feet.



IN CONCUSSION, the surface of the body is cold and pale, and the pulse

weak and small, the breathing slow and gentle, and the pupil of the eye

generally contracted or small. You can get an answer by speaking loud,

so as to arouse the patient. Give a little brandy and water, keep the

place quiet, apply warmth, and do not raise the head too high. If you

tickle the feet, the patient feels it.



IN COMPRESSION OF THE BRAIN from any cause, such as apoplexy, or a piece

of fractured bone pressing on it, there is loss of sensation. If you

tickle the feet of the injured person he does not feel it. You cannot

arouse him so as to get an answer. The pulse is slow and labored; the

breathing deep, labored, and snorting; the pupil enlarged. Raise the

head, loosen strings or tight things, and send for a surgeon. If one

cannot be got at once, apply mustard poultices to the feet and thighs,

leeches to the temples, and hot water to the feet.



CHOKING--When a person has a fish bone in the throat, insert the

forefinger, press upon the root of the tongue, so as to induce vomiting;

if this does not do, let him swallow a large piece of potato or soft

bread; and if these fail, give a mustard emetic,



FAINTING, HYSTERICS, ETC.--Loosen the garments, bathe the temples with

water or eau-de-Cologne; open the window, admit plenty of fresh air,

dash cold water on the face, apply hot bricks to the feet, and avoid

bustle and excessive sympathy.



DROWNING.--Attend to the following essential rules: 1. Lose no time. 2.

Handle the body gently. 3. Carry the body face downward, with the head

gently raised, and never hold it up by the feet. 4. Send for medical

assistance immediately, and in the meantime act as follows: 5. Strip the

body; rub it dry, then wrap it in hot blankets, and place it in a warm

bed in a warm room. 6. Cleanse away the froth and mucus from the nose

and month. 7. Apply warm bricks, bottles, bags of sand, etc. to the

armpits, between the thighs, and to the soles of the feet. 8. Rub the

surface of the body with the hands inclosed in warm, dry worsted socks.

9. If possible, put the body into a warm bath. 10. To restore breathing,

put the pipe of a common bellows into one nostril, carefully closing the

other, and the mouth; at the same time drawing downward, and pushing

gently backward, the upper part of the windpipe to allow a more free

admission of air; blow the bellows gently, in order to inflate the

lungs, till the breast be raised a little; then set the month and

nostrils free, and press gently on the chest; repeat this until signs of

life appear. The body should be covered the moment it is placed on the

table, except the face, and all the rubbing carried on under the sheet

or blanket. When they can be obtained, a number of tiles or bricks

should be made tolerably hot in the fire, laid in a row on the table,

covered with a blanket, and the body placed in such a manner on them

that their heat may enter the spine. When the patient revives, apply

smelling-salts to the nose, give warm wine or brandy and water.

Cautions.--1. Never rub the body with salt or spirits. 2. Never roll the

body on casks. 3. Continue the remedies for twelve hours without

ceasing.



HANGING--Loosen the cord, or whatever it may be by which the person has

been suspended. Open the temporal artery or jugular vein, or bleed from

the arm; employ electricity, if at hand, and proceed as for drowning.



APPARENT DEATH FROM DRUNKENNESS--Raise the head; loosen the clothes,

maintain warmth of surface, and give a mustard emetic as soon as the

person can swallow.



APOPLEXY AND FITS GENERALLY--Raise the head; loosen all tight clothes,

strings, etc.; apply cold lotions to the head, and send for a surgeon.



SUFFOCATION FROM NOXIOUS GASES, ETC.--Remove to the fresh air; dash cold

vinegar and water in the face, neck, and breast; keep up the warmth of

the body; if necessary, apply mustard poultices to the soles of the feet

and to the spine, and try artificial respirations as in drowning, with

electricity.



LIGHTNING AND SUNSTROKE--Treat the same as apoplexy.





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