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Often the patient recovers consciousness before the doctor arrives; give
cold water to drink; never stimulants.
(b) _Freezing_--This is a much more serious condition than frostbite,
which you have studied, but only because more of the body is frozen and
the tissues are frozen deeper. Much more care must therefore be taken to
prevent bad effects after the thawing-out process.
_Symptoms of Freezing_--1. The patient may or may not be unconscious.
2. The frozen parts are an intense white and are without any feeling or
motion.
_Treatment_--Send for the doctor at once.
1. Take the patient into a cold room.
2. Remove the clothing.
3. Rub the body with rough cloths wet in cold water.
4. Very gradually increase the warmth of the water used for rubbing.
5. Increase the temperature of the room gradually.
6. When the patient can swallow, give him stimulants.
7. When the skin becomes more normal in color and the tissues are soft,
showing that the blood is once more circulating properly through the
frozen flesh, cover the patient warmly with hot bottles or bricks
outside of the bed clothing, or wraps, and give hot drinks. In using hot
water be sure it is not too hot.
Dog Bite[3]
In the case of the dog bite we have a more or less extensive break in
the skin and sometimes a deep wound in the flesh, through which the
poison of hydrophobia, which is a living virus or animal poison, may be
introduced, to be taken up slowly by the nerves themselves, reaching the
central nervous system in about forty days. The slowness and method of
this absorption renders the use of a ligature useless and unsafe. The
treatment for dog bite is therefore as follows:
_Immediate._ Send for a physician, telling him the reason. While
waiting, treat as any similar wound from any cause. If the skin is not
penetrated, but scratched only, apply iodine and a sterile or wet
dressing. If the skin is penetrated, the treatment should be the same as
for a wound made by a dirty nail: that is, a small stick, such as a
match, whittled to a point, with a little cotton twisted on the point,
should be dipped into tincture of iodine, and twisted down into the full
depth of the wound, and then done a second time.
_Subsequent._ A physician should be consulted immediately, and if there
is any suspicion of the dog being sick it should be kept under
observation. The body of a dog that has been killed under suspicion of
rabies or hydrophobia, should be sent as soon as possible to the proper
authorities.
One of the greatest discoveries in medical science is the Pasteur
treatment for the prevention of hydrophobia after mad dog bite, and
fortunately, provision for this treatment is so widespread that
practically every one in civilized regions needing it, can have it, as
is well known to all physicians. The fact that the period of
development of the disease is so long makes the possibility of
prevention greater.
Public-domain text, read in full here on John Shaqi.
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