A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
To illustrate the methods to be pursued and the precautions to be
taken, let us suppose the physician to be called on for directions as
to the management of a case of scarlatina, the object being to prevent
its spread. The first thing to be done is to get the patient in a room
by himself, and to leave nothing in this room which is not necessary.
Remove the carpet, curtains, and all stuffed or upholstered furniture.
Let the nursing be done, as far as possible, by one person only, and
do not allow others, and especially children, to enter the room, no
matter if they have had the disease. The danger of contagion depends
upon particles coming from the skin and mucous membranes. All excreta,
and more especially the sputa or discharges from the mouth or nose,
are to be treated as dangerous. The excreta should be received in
vessels containing a solution of sulphate of iron, one and a half
pounds to the gallon. All clothing, towels, bed-linen, handkerchiefs,
napkins, etc. should be placed in a solution composed of four ounces
of sulphate of zinc and two ounces of common salt to the gallon of
water as soon as they are not needed for further use. Especial care
should be taken that none of these articles are removed from the room
while dry, and while they are in the room, and before they have been
moistened, they should not be shaken or disturbed more than is
absolutely necessary. If for any reason the zinc solution above
referred to is not at hand--which should very rarely be the case--the
clothing, etc. should be placed in a bucket, tub, or boiler containing
enough scalding water to entirely cover them, and be removed {202}
from the room in this vessel. All such articles should be boiled at
least one hour.
No sweeping or dusting in the ordinary way is to be done in the room;
dust and dirt are to be removed by damp cloths, which are to be
treated like the bedding and clothing. The great object is to prevent
as far as possible the production of dust in the atmosphere of the
room. The entire body of the patient, including head, face, and limbs,
should be kept thoroughly anointed with camphorated oil, vaseline, or
some similar substance, and especial care should be taken in this
respect during the period of convalescence so long as any roughness or
desquamation of the skin continues. No toys or books which it is
desired to preserve should be allowed to remain in the room, and under
no circumstances should books or toys be borrowed to amuse the child
if they are to be returned. The best way to disinfect such articles is
to burn them in the room.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account