Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and WarNightingale, Florence
History
Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and War
Nightingale, Florence
Military hospitals -- Great Britain; Nurses -- Great Britain
14. VENTILATION.--The amount of fresh air required for ventilation has
been hitherto very much underrated, because it has been assumed that
the quantity of carbonic acid produced during respiration was the chief
noxious gas to be carried off. The total amount of this gas produced by
an adult in 24 hours is about 40,000 cubic inches, which in a Barrack
room of 16 men would give 370 cubic feet per diem. Allowing 8 hours
for the night occupation of such a room, when the doors and windows
may be supposed to be shut, the product of carbonic acid would be 123
cubic feet, or about 15½ cubic feet per hour. This large quantity if
not speedily carried away would undoubtedly be injurious to health; but
there are other gaseous poisons produced with the carbonic acid which
have still greater power to injure. Every adult exhales by the lungs
and skin 48 ounces or 3 pints of water in 24 hours. Sixteen men in a
Barrack-room would therefore exhale in 8 hours 16 pints of water and
15½ cubic feet of carbonic acid in the atmosphere of the room. With the
watery vapour there is also exhaled a large quantity of organic matter
ready to enter into the putrefactive condition. This is especially the
case during the hours of sleep. And as it is a law that all excretions
are injurious to health if reintroduced into the system it is easy to
understand how the breathing of damp foul air of this kind, and the
consequent reintroduction of excrementitious matter into the blood
through the functions of respiration will tend to produce disease.
This will be still more the case in sick wards overcrowded with sick,
the exhalations from whom are always highly morbid and dangerous, as
they are nature’s method of eliminating noxious matter from the body,
in order that it may recover health.
A much larger mass of air is required to dilute and carry away these
emanations than is generally supposed. And the whole art of ventilation
resolves itself into applying in any specific case the best method
of renewing the air sufficiently, without producing draughts or
occasioning great varieties in temperature.
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