The patient is covered with one blanket which is tucked between her legs and around her body with her arms out, so that no two surfaces of the skin come in contact. The blanket on which she lies is brought up about her; another blanket should be laid over this and tucked in well about the neck, shoulders and entire body, while the fourth blanket is next wrapped around her from below. One long or two short hot water bottles should be placed on each side of the patient and one at her feet, _all being placed outside the four blankets_. The second rubber sheet, or quilt, is thrown over the whole and the ice cap, or cold compresses (changed every four or five minutes) placed on her forehead. (Fig. 48.) A patient may usually be left in such a pack as this from half an hour to an hour, but since any sweat bath is more or less depressing, she must be watched constantly for evidence of exhaustion, such as a weak, rapid, irregular pulse and increased weakness, or the sudden relaxation of an active eclamptic patient. In some instances the hot-water bags may be inadvisable, because of supplying more heat than the condition of the patient warrants; but if they are used, the nurse must remember how easily an unconscious or ill person is burned. She must watch the bags, move them frequently and take care that one of them does not slip under the patient. And while the pack is in progress, an even greater effort than ever should be made to force the fluids. If the blankets are wrapped snugly about the patient, alternately from below and above as described, they will frequently provide all of the restraint that is necessary should she have a convulsion while in the pack. The importance of protecting her against exposure and chilling while in the pack cannot be too insistently stressed. If I have seemed to dwell at surprising length upon rudimentary nursing details, in this connection, it is because the patient’s life literally depends upon the nurse’s conscientious and painstaking attention to these same details. The doctor may study the case ever so earnestly and order the treatment ever so wisely, but if every detail of that treatment is not thoughtfully and skilfully carried out, it may do the patient more harm than good. And on the other hand, I can think of no circumstance that gives the nurse deeper gratification than the almost miraculous improvement in an eclamptic patient, sometimes only overnight, after she has taxed to the utmost all of her ingenuity to make her ministrations effective.