250 APPENDIX. 



and after its operation an active purgative should be given. Aftei 

 evacuating as much of the poison as possible, strong coffee or vinegar 

 and water may be given with advantage. 



Poisonous Fish. Conger eel, musseU, crabs, etc. 



ANTIDOTE. Evacuate, as soon as possible, the contents of the stom- 

 ach and bowels by emetics (ground mustard mixed with warm water 

 or powdered alum), and castor oil, drinking freely at the same time 

 of vinegar and water. Ether, with a few drops of laudanum mixed 

 with sugar and water, may afterward be taken freely. 



Poisonous Serpents. ANTIDOTE. A ligature or handkerchief 

 should be applied moderately tight above the bite, and a cupping-glass 

 over the wound. The patient should drink freely of alcoholic stim- 

 ulants containing a small quantity of ammonia. The physician may 

 inject ammonia into the veins. 



Poisonous Insects. Stings of scorpion, hornet, wasp, bee, etc. 



ANTIDOTE. A piece of rag moistened with a solution of carbolic 

 acid may be kept on the affected part until the pain is relieved ; and 

 a few drops of carbolic acid may be given frequently in a little 

 water. The sting may be removed by making strong pressure 

 around it with the barrel of a small watch-key. 



DROWNING. 



MARSHALL HALL'S " READY METHOD" of treatment in asphyxia 

 from drowning, chloroform, coal gas, etc. 



1st. Treat the patient instantly on the spot, in the open air, freely 

 exposing the face, neck, and chest to the breeze, except in severe 

 weather. 



2d. In order to clear ike throat, place the patient gently on the face, 

 with one wrist under the forehead, that all fluid, and the tongue itself, 

 may fall forward, and leave the entrance into the windpipe free. 



3d. To excite respiration, turn the patient slightly on his side, and 

 apply some irritating or stimulating agent to the nostrils, as vera 

 trine^ dilute ammonia, etc. 



4th. Make the face warm by brisk friction ; then dash cold water 

 upon it. 



5th. If not successful, lose no time ; but, to imitate respiration, 

 place the patient on his face, and turn the body gently, but completely 

 on iJieside, and a little beyond; then again on the face, and so on, al- 

 ternately. Repeat these movements, deliberately and perseveringly. 



