Am,  Tour.  Pharm.  j 
February,  19 19.  J 
Current  Literature. 
123 
Dichloramine-T  :  Poixts  in  Use,. — Walter  E.  Lee  (  Annals  of 
Surgery,  1918,  67,  14,  Jan.)  calls  attention  to  certain  points  to  be 
observed  in  handling  dichloramine-T  or  its  solutions.  All  bottles 
should  be  of  dark  amber,  glass-stoppered.  They  should  be  thor- 
oughly cleaned  and  dried  before  any  of  the  materials  are  put  in.  If 
alcohol  is  used  for  drying  the  bottles,  it  should  be  allowed  to  evapo- 
rate completely  before  the  bottles  are  used ;  no  solutions  should  be 
returned  to  the  stock  bottles  from  the  ward  bottles  or  atomizers  at 
any  time;  bottles  in  which  the  solution  has  already  undergone  de- 
composition should  be  carefully  cleaned  with  hot  water,  and  dried 
thoroughly.  If,  in  using  the  20  per  cent,  solution,  medicine  droppers 
or  glass  rods  are  used  to  transfer  the  oil  to  the  wound  surfaces,  the 
droppers  should  be  dry  if  put  into  the  oil  bottles.  The  common 
practice  in  some  places  has  been  to  boil  these  utensils  to  sterilize, 
and  then  use  them  while  still  wet.  This  results  in  the  gradual  ac- 
cumulation of  water  in  the  stock  bottles,  and  a  very  rapid  decom- 
position of  the  dichloramine-T.  The  glass  rods  or  pipettes  or 
syringes  if  left  in  contact  with  the  oil  for  five  or  ten  minutes  are 
entirely  sterilized,  and  do  not  need  boiling.  The  method  the 
authors  have  followed  is  to  pour  the  required  amount  for  the  wound 
into  a  clean  dry  medicine  glass,  and  to  take  the  oil  with  the  pipette 
from  the  second  container.    (The  Prescribe}-,  October,  1918.) 
Trinitrotoluene  Poisoxixg. — A.  W.  Gregorson  and  F.  E. 
Taylor  place  on  record  five  cases  of  "TNT"  poisoning,  two  of 
which  were  fatal.  Gastric  disturbances  and  peripheral  neuritis 
were  the  earliest  symptoms,  headache,  anaemia,  and  jaundice  follow- 
ing in  the  order  named.  The  intensity  of  the  jaundice  varied  from 
week  to  week,  and  it  was  noticed  that  as  the  color  faded  the 
patients  showed  signs  of  improvement.  The  treatment  recom- 
mended is  as  follows :  Absolute  rest  in  bed  and  warmth  are  essen- 
tial. Diet — Milk,  with  5  grains  sod.  bicarb,  to  the  ounce;  6 
ounces  to  be  given  two  hours.  Tea  or  coffee,  ad  lib.  Benger's 
food,  milk  pudding,  virol,  imperial  drink,  barley  water,  albumin 
water,  fish,  rabbit,  vegetables,  but  all  excess  must  be  carefully 
avoided,  and  fatty  and  saccharine  foods  prohibited.  There  must 
be  a  free  exhibition  of  alkaline  beverages  to  counteract  the  tendency 
to  acid  intoxication.  Medicines — Calomel,  2  grains,  followed  by 
saline  eight  hours  later  ;  and  the  bowels  regulated  with  cascara 
sagrada  and  sodium  sulphate.    To  correct  intestinal  acidity  it  is 
