180 IMMEDIATE AND REMOTE 



into the heart by a long hypodermic needle.* Its 

 value in overcoming chloroform inhibition has 

 been abundantly proved by Dixon and others in 

 dogs, and though its use in such cases in man is 

 but recent, successes are already recorded. That 

 there have been failures is admitted, but there is 

 good reason to hope for recovery with immediate 

 injection into the heart itself. There is ground for 

 hoping, also, that a preliminary injection of scopola- 

 mine, now becoming popular for employment before 

 the administration of a general anaesthetic, may 

 help to eliminate these terribly sad occurrences. 



Several patients apparently passed beyond the 

 shadowy Rubicon which separates the living from 

 the dead have been brought back to life by rapidly 

 opening the upper abdomen and rhythmically 

 squeezing the heart against the chest wall through 

 the diaphragm. 



THE FATAL ADRENALIN-CHLOROFORM 

 COMBINATION. 



In Bristol, it has been well recognized for seven 

 or eight years that the combination of chloroform 

 anaesthesia with injections of adrenalin, as for 

 instance into the mucous membrane of the nose to 

 check haemorrhage in a nose operation, is a peculiarly 

 deadly association of remedies. There have been 

 several fatalities, and a number of narrow escapes. 

 Levy has done most valuable service in working out 



* Atropine solutions are apt to grow a mould which is very 

 poisonous. If such a growth is observed, the solution must no 

 be used. 



