Scientific American Supplement, No. 841, February 13, 1892Various
Science
Scientific American Supplement, No. 841, February 13, 1892
Various
Science -- Periodicals
The feeling is almost universal among the people of Wyoming that a
fair strike from a rattlesnake is certain death, and that the free use
of stimulants simply postpones the end. I do not for a moment deny
that a strong, lusty man may be struck fairly by a rattlesnake and if
the wound is at once opened and cauterized, and the heart judiciously
supported, he may yet recover; still the fact remains that the great
majority of these cases perish at a longer or shorter interval
following the infliction of the wound. Hence any treatment that will
save even the majority of such cases is a distinct gain, and one which
has saved every one of nine cases to which it has been applied needs
no further commendation.
The first case of rattlesnake wound to which I was called occurred in
1885. A cow boy was bitten on the foot, the fang penetrating through
the boot. He was brought forty miles to Fort Fetterman, where I was
then stationed. I saw him about twenty-four hours after he was struck.
There was an enormous swelling, extending up to the knee. The whole
limb was bronzed in appearance. There was no special discoloration
about the wound; in fact, the swelling disguised this to such an
extent that it was impossible to determine exactly where the fangs had
entered. The pulse was scarcely perceptible at the wrist; the heart
was beating with excessive rapidity. The patient was suffering great
pain. His mind was clear, but he was oppressed with a dreadful
anxiety. Up to the time I saw him he had received absolutely no
treatment, excepting the application of a cactus poultice to the leg,
since there was no whisky at the ranch where he was wounded. I at once
made free incisions, five or six in number, from one to two inches in
depth, and about three inches in length. These cuts gave him very
little pain, nor was there much bleeding, though there was an enormous
amount of serous oozing. Into these wounds was poured a fifteen per
cent. solution of permanganate of potassium, and fully half an hour
was devoted to kneading this drug into the tissues. In addition I made
many hypodermic injections into all portions of the swollen tissue,
but particularly about the wound. Since there was no very distinct
line of demarkation between the swollen and healthy tissue, I did not,
as in other cases, endeavor to prevent the extension of the cellular
involvement by a complete circle of hypodermic injections. I employed,
in all, about forty grains of the permanganate. In addition to the
local treatment I pushed stimulation, employing carbonate of ammonium
and whisky. By means of diuretics and laxatives the kidneys and bowels
were encouraged to eliminate as much of the poison as possible.
Public-domain text, read in full here on John Shaqi.
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