After tying up a limb for a poisonous bite, there will be great pain if
the ligatures have been applied tightly; the parts will swell, become
very dusky, and if the ligatures are left on too long, the blood supply
will be cut off, and the parts will die. Therefore, when the ligatures
begin to cause much pain, loosen the one next the injured part for ten
seconds, then tie again at or near the same place, and loosen the other
one for a similar period, and then re-tie; repeat this about every
fifteen minutes. In the course of two hours, both tapes may be taken off.
The object of tying up is to prevent much of the poison getting into the
system at once.
_The first thing is to tie up tightly; next cut freely, and suck or
squeeze out as much blood as possible, then treat with drugs._
(It is usually safe to suck a poisoned wound unless there are any
abrasions or cracks in the mouth, tongue, gums, or lips, taking care
to spit out the poison at once; but the mouth should be washed out
immediately afterwards with a light purple solution of permanganate of
potash.)
If the wounds are on the face, neck, or other spot which cannot be tied
up, then it is best to cut out the part at once and wipe the wound well
with the strong solution of permanganate.
In the treatment of snake-bite, pure carbolic acid, ordinary caustic, a
red-hot wire, or even a burning stick may be applied to the wounds when
permanganate of potash cannot be obtained. In some cases, where no other
treatment is available, it is advisable to explode a pinch of gun-powder
over the place of injury, or even to blow the parts away with one’s gun.
If a finger or toe is bitten by a snake which is certainly poisonous, and
neither drugs nor fire are at hand, it would be best to amputate at once.
Wounds inflicted by poisoned arrows or other weapons, mad dogs, jackals,
etc., should be treated in a similar manner to those caused by poisonous
snakes.
_Drowning._
Death from drowning usually occurs in from two to three minutes after
submersion, although people have been revived after a period of five or
six minutes under water.
In treating cases of apparent death from drowning, the points to be aimed
at are:—
First and immediately, the restoration of the breathing.
Secondly, and _after breathing is restored_, the promotion of warmth and
circulation.
1. _To restore the breathing._
Roll the patient on to his face for a few seconds, placing one of his
arms under the forehead; wipe away all weeds, mud, etc., from the mouth.
(In this position water will more easily escape from the mouth, whilst at
the same time the tongue will fall forward, and leave the entrance to the
windpipe clear.)
Turn the patient on his back, on a flat surface, with the head a little
higher than the feet.
Place a small hard pillow (or a rolled-up coat) _under the
shoulder-blades_.
Draw the patient’s tongue forward, and keep it projecting beyond the lips.
Public-domain text, read in full here on John Shaqi.
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