Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease. — John Shaqi
Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease.Wilson, John (Inspector of Naval Hospitals)
History
Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease.
Wilson, John (Inspector of Naval Hospitals)
Cholera
CHOLERA ABILIOSA.
Cases. Cured Dead. Remain, covalescent or improving.
49 26 15 8
CHOLERA BILIOSA.
25 19 0 6
FEBRILE DIARRHŒA.
53 44 0 9
CONVULSIVE COLIC.
11 10 0 1
Further experience has confirmed the opinion that the means specified at
the commencement of this paper constitute fit and remedial treatment in
the formidable division of cholera to which they especially refer; and
established the conviction that when the impression is not overpoweringly
severe at the onset, and when sinking has not made great progress, a
large proportion of patients will pass safely through the disease, under
their use, if perseveringly and unswervingly employed. Latterly the
opiate draught administered on admission has been omitted, the treatment
consisting almost exclusively of calomel, turpentine draughts, and
turpentine enemata, with friction when required. A rubefacient,
consisting of strong mercurial, and cantharides ointment, each one ounce,
with half-an-ounce of oil of turpentine, well mixed, has been used with
effect. The calomel, and turpentine draughts have generally been given
every half hour, at first, in violent cases, and less frequently as the
symptoms subsided, being suspended when tendency to collapse was
overcome, or when bilious vomiting set in.
The practice in bilious cholera, febrile diarrhœa, and convulsive cholic,
was simple, and similar in all, consisting of a bolus containing three
grains of calomel, and one of crude opium, repeated every second, third,
or fourth hour, according to the force of symptoms. Cathartics were
often required in the colicy affections, as was occasionally abstraction
of blood by venesection, or leeches. The remedies were extremely
uniform, and have been uniformly successful.
It may be observed in conclusion that, up to this date, none of the
nurses, medical attendants, or other persons associated with the sick of
cholera have been affected by the disease, although one or more of the
medical officers of the Establishment have been almost constantly in the
ward, and one or other of the juniors has slept in an apartment close to
it; and further that no case of cholera has arisen within the walls of
the Hospital, while it has been frequently brought in, and had continual
existence within them, upwards of ten weeks, amid a population of
patients, servants, including the women who washed the foul linen, and
officers with their families, of nearly 600 souls.
* * * * *
* * * * *
LEGG, PRINTER, GOSPORT.
FOOTNOTES.
{9} See postscript.
Public-domain text, read in full here on John Shaqi.
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