3 2O Appendix. 



hour ; apply mustard poultices over region of heart and 

 along the spine, and keep the patient moving about to com- 

 bat the drowsiness. 



Scorpion Stings. Apply to the part a paste made of 

 ipecacuanha powder and liquor ammonia or sal volatile, or a 

 saturated solution of iodide of potassium in liquor potassa. 

 The bruised leaves of the jack-tree, made into a poultice, or 

 the juice of a fresh onion or garlic applied to the part, often 

 proves successful. 



DROWNING 



Remove all superfluous clothing. Place the patient on his 

 face on the ground, turn him gently on his side, then briskly 

 on his face, making uniform pressure with the open hands on 

 the back between the shoulder-blades and on each side of the 

 chest, removing the pressure immediately before turning the 

 body again on its side. Repeat this process about fifteen 

 times in the minute, and while it is being carried out let one 

 person attend solely to the movements of the head and of the 

 arms placed beneath it ; should these measures not prove 

 successful in the course of three or four minutes, commence 

 the following. Place the patient on his back, with head and 

 shoulders raised and supported on a cushion, and draw the 

 . tongue out ; then standing at his head, grasp the arms just 

 above the elbows, draw them steadily and gently upwards 

 above the head, keeping them stretched upwards for two 

 seconds, then turn down the arms and press them gently 

 and firmly for two seconds against the sides of the chest. 

 Repeat these measures alternately, deliberately and perse- 

 veringly about fifteen times in a minute, for some hours, if 

 necessary, until a spontaneous effort to respire is perceived, 

 when the body should be well rubbed with hot towels so as 

 to induce circulation and warmth. 



Cautions. On no account hold the body up by the feet. 



Do not place the patient in a warm bath till respiration is 

 established. 



Avoid rough usage, and do not allow the body to remain 



