Remarks on the climate and the principal diseases occurring in Belgium / by James Milman Coley.

  • Coley, James Milman.
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on the climate and the principal diseases occurring in Belgium / by James Milman Coley. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ])earance only when the skin retains its tempera- ture and the arteries at the wrists remain full hut unable to contract as usual, at the same time afford- ing to the finger the perception of a current more or less obstructed. The cases of real danger are those, ill which the surface of the body presents a death-like coldness, the face is contracted and the arteries at the wrist feel like empty tubes, inani- mate and wdth little or no obvious pulsation. In cases like the latter, death sometimes occurs in a few hours. Treatment. The organs principally suffering con- gestion in the cases of apparent danger first descri- bed being either the heart or brain, bleeding from the arm must be immediately adopted. The other variety is produced by a congestion in some part of the abdominal viscera and a consequent positive collapse of the heart and arteries, which arc depen- dant for their vitality on the heallhy function of the abdominal, ganglionic, nervous centres. In this variety bleeding must he carefully avoided. The patient should he placed in a warm bath and take frequently a small dose of sesiiuicarbonate of ammonia in an ounce of cold Avater. Brandy and water may also be giA'cn. After the use of the bath, friction of the body and extremities should be had recourse to and hot flannel should be repeatedly applied to the j)it of the stomach. By these active means we arc often able to rescue the patient from impending death. After this congestive stage has