112 CHOKING. 
paw and stamp; the hind legs crouch and dance; perspiration breaks 
forth; every movement expresses agony: wherefore, if relief be not 
quickly afforded, the horse falls and dies of suffocation. 
THE HIGH CHOKE. 
The veterinary surgeon should attend such a case, prepared to perform 
tracheotomy, which sometimes is absolutely necessary, before anything 
intended to remove the obstruction can be attempted. The operation, 
in this case, is designed to be no more than temporary; therefore, the 
use of Mr. Gowing’s tracheotomy tube is here decidedly in its proper 
place. It can be inserted; a few moments after it can be removed, and 
leave behind no loss of substance to be supplied or to retard recovery. 
The balling-iron, after tracheotomy is accomplished, should be fixed 
in the mouth and the hand then introduced. Sometimes the impacted 
substance can be felt, but cannot be grasped. In this last case, a rough 
AN EXTEMPORIZED HOOK TO RELIEVE HIGH CHOKING. 
hook is to be extemporized out of any wire which may be at hand. It 
should be of the shape indicated in the preceding engraving, and of suf- 
ficient length to reach behind the obstruction. The hook is to be gently 
worked into its situation, and, with a sudden jerk, the foreign body is to 
be removed from the esophagus. 
Occasionally, the substance is so firmly embraced as not to permit any 
instrument to pass beside it. Sulphuric ether must then be inhaled, in 
the hope of thus overcoming the spasm. The ether, however, does not 
