134 
fell into disuse, but where the congestion is intense, the carotids 
visibly pulsating and the veins engorged, venesection is indicated 
in the robust, and is often the only remedy which will relieve the 
splitting headache. It is of no use in the later stages of the disease. 
Ice-bags. 
tor the cephalalgia, applications of ice are of use, and especially 
when applied in the helmet ice-bag which covers the entire head from 
the forehead to base of the occiput. A Leiter’s coil can be used. An 
ordinary rubber air-cushion or a hot-water bag filled with ice-water 
affords great relief to patients who will not use the ice-bag. For the 
\omiting an ice-bag can be used. An excellent plan is to use a spray 
of ethyl chloride. I his frequently checks the tendency to vomit and 
can be instantly applied. 
Spongings. 
I hese are most excellent and should be used according to the 
degree of fever and the reaction exhibited by the patient. Spongings 
should be given every two hours if the temperature exceeds 101°F. 
(38 3 C.) ; if over 103° F. (39*4° C.) every hour. The temperature of 
I 16 water should be from 75° to 6o° F. (24 0 to 15-5° C.) or even lower. 
Baths. 
Cold baths are valuable if the temperature is over I04°F. (40 °0 
t arc only advised if they entail no undue exertion on the part of the 
pa rent. A sufficient supply of water, the necessary full length bath, 
r ass ’ s tance, etc., are usually wanting. Hence spongings are more 
Cold packs. 
Are useful, if assistance is limited. 
n , °^. ^ lese a Pphcations are grateful to the patient, 
piopeHy given are of great help during the fever period. It is 
form^T«. ° r mC t0 . tdI y ° U that F° u wil1 have to initiate all 
reaction . reatrnent * n or der that you may determine if a si 
s • ^ Cin§ ’ obtamed > and to teach the nurses. 
patient"? ° r “T Iender g0 ° d Service in keeping the skin 
p at,ent clean, and help to lessen the formation of boils. 
