Climate and Health in Hot Countries and the Outlines of Tropical Climatology: A Popular Treatise on Personal Hygiene in the Hotter Parts of the World, and on the Climates That Will Be Met Within Them.Giles, George Michael James
Science
Climate and Health in Hot Countries and the Outlines of Tropical Climatology: A Popular Treatise on Personal Hygiene in the Hotter Parts of the World, and on the Climates That Will Be Met Within Them.
Giles, George Michael James
Hygiene -- Popular works; Medical climatology; Tropical medicine
It is a curious fact that sunstroke is practically unknown on the high
seas, and in certain countries, notably in South Africa, where the
fierceness of the sun would naturally lead one to expect to commonly
meet with it; and this circumstance, and the fact that something like
epidemics of the disease are occasionally met with, lend a certain
amount of probability to the idea held by certain authorities, that, in
one form at least, the malady belongs to the category of germ-caused
diseases.
The symptoms of the disease are insensibility, combined with a greater
or less elevation of temperature, and a large proportion of the cases
that one hears of are merely instances of fainting, due to fatigue and
exhaustion from heat. Such cases are specially common where large bodies
of men are massed together, and have to undergo great exertion under
unsuitable atmospheric conditions, and where, besides being hot, the air
is foul with dust and the emanations of the closely packed animals and
men, whose sufferings are often aggravated by thirst and the restricted
possibility of evaporation from the surface of the skin that is
inseparable from an inadequate supply of water; while the free play of
the lungs and heart are too often impeded by the unsuitable and
fantastic garments and equipments so dear to the infantile genius of
militarism.
Fainting is due to a sudden weakening in the action of the heart, and in
a certain number of cases of “sunstroke” of this sort, the mischief goes
beyond enfeeblement, the heart stops, and the man is dead. Most of the
cases of sudden death from “sunstroke” that occur on hot “field-days,”
as well as in military operations undertaken in earnest, are probably of
this character; and even when the heart has not absolutely stopped, its
action may be so feeble and fluttering that the insensibility is
prolonged and serious. The temperature of the body is, however, only
moderately raised, and when, under proper treatment, the patient has
regained consciousness, he soon recovers if permitted to rest, and in a
day or two may be little the worse for his adventure. In cases of this
sort all clothing and equipment should at once be loosened or removed,
and the patient should be given the full benefit of what “air” there is
to get. Hence, it is of the first importance to prevent sympathetic
onlookers from crowding round him in a ring. The chest and face should
be freely soused with water, and when the patient is able to swallow, a
little stimulant may be administered.
Some kind of shade should be improvised, at any rate over the head, but
no attempt should be made to move the patient till the pulse can again
be plainly felt, after which he should be placed on some sort of
stretcher and removed as quickly as possible to shade and comfort, where
he will probably speedily recover, for though “sunstroke” of this sort
is a highly dangerous condition while it lasts, it is rare for it to be
followed by any serious after-effects.
Public-domain text, read in full here on John Shaqi.
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