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of women and children, has been the unnecessary cause of many horrible deaths, either from ignorance of the proper means of extinguishing the flames, or from lack of presence of mind to apply them. A person whose clothing is blazing should (1) immediately be made to lie down—be thrown if necessary. The tendency of flames is upward, and when the patient is lying down, they have not only less to feed upon, but the danger of their reaching the face, with the possibility of choking and of ultimate deformity is greatly diminished. (2) The person should then be quickly wrapped up in a coat, shawl, rug, blanket or any similar article, preferably woolen, and never cotton, and the fire completely smothered by pressing and patting upon the burning points from the outside of the envelope.

The flames having been controlled in this way, when the wrap is removed, great care should be taken to have the slightest sign of a blaze immediately and completely stifled. This is best done by pinching it but water may be used. Any burns and any prostration by shock should be treated in the manner prescribed for them.

1487. Bruises. The best treatment for a bruise is heat.

A hot brick or a bottle of hot water wrapped in cloth, towels wrung out of hot water, or even an electric light bulb, will give much relief.

However, always remember this: Never put the hot object on the bare skin—always wrap the source of heat in a thick cloth to hold the heat in and at the same time protect the skin. If not practicable to do this wrap the source of heat, then spread a towel over the skin before applying the hot object.

If you use an electric bulb, watch it closely, as it will char and possibly set things on fire.

The above treatment is also excellent for lumbago, stiff neck, and stiff muscles.

A tub bath as hot as you can stand it is fine for refreshing tired, stiff muscles. It is also good for lumbago.

1488. Chiggers. Apply kerosene oil. Bacon is also excellent, and so is butter or lard with salt.

1489. Choking. Foreign body in the throat. The common practice of slapping the back often helps the act of coughing to dislodge foreign bodies in the windpipe.

If this does not succeed, have the patient lie over a chair with his head down low or hold him as in the first step to revive a drowning person and have him cough. When in either of these positions have some one slap him on the back so as to induce coughing.

The above failing, give him a large amount of warm water with a little salt, mustard or baking soda in it, and then have him put his finger in his throat so as to induce vomiting which will often bring up the obstruction.

In children, and even in adults, the expulsion of the body may be facilitated by lifting a patient up by the heels and slapping his back in this position.

If none of the methods above described are successful, summon a physician, taking care to send him information as to the character of the accident, so that he may bring with him the instruments needed for removing the obstruction.

1490. Cuts. Small cuts should be treated with tincture of iodine or washed with alcohol (bay rum or listerine will do) and bandage up. Large wounds may be similarly cleaned and then closed by adhesive plaster.

1491. Diarrhoea. Apply warm bandages to the belly. Some woodsmen recommend the following: Fire brown a little flour to which two teaspoonfuls of vinegar and one teaspoonful of salt are added; mix and drink. They claim this is a cure nine cases out of ten. A tablespoonful of warm vinegar and teaspoonful of salt will cure most severe cases. Also, hot ginger ale or hot water containing a teaspoonful of witch hazel is good. Repeat any of the above drinks about every hour.

Take a purgative, which will usually expel the offending cause, generally too much undigested food.

1492. Dislocations. The place where two bones come together is called a joint.

When two bones forming a joint are knocked apart, it is called a dislocation, and the bones are said to be out of joint.

The first sign of a dislocation is the accident.

The second sign is immediate interference with the motion of the joint and awkwardness in using the limb.

The third sign is deformity of the joint,—it looks queer when compared with the same joint on the other side.

If you are unsuccessful after trying several times to replace a dislocation, get a doctor.

If no doctor is available, make the man sick by having him drink some warm salt water and then put his finger in his throat.

When he vomits the muscles and ligaments (tissue connecting the joints) will relax and you may be able to get the bone back in place.

After replacing the bones put the joint at rest with a large compress and bandage.

When uncertain as to whether you have to deal with a broken bone or a dislocated joint, give treatment for a broken bone, because rest and quiet for the injured part are good in either case.

The following diagrams show the usual methods of replacing dislocations:

To put the arm bone back into the shoulder socket Fig. 12 1st move
Rest your weight at elbow, pulling downward, until the muscles at the shoulder are tired and will stretch.
Fig. 12 2nd move
Swing the elbow across, close to the chest, and place the hand on other shoulder.
Fig. 12 3rd move
Keep the elbow close to the chest and bring the hand forward as if held out for a penny.
This should twist the bone into the socket.

 

Relocating the jaw Relocating thumb Fig. 12 When the jaw bone is out of place, the man cannot shut his mouth.
Put both thumbs (protected by a handkerchief) on the lower teeth and with the forefingers at the angles of the lower jaw push down in the back of the jaw.
Fig. 12 When the thumb bone is dislocated it must be PUSHED into place—not pulled. Relocating finger Fig. 12 Pull the finger bone back into place. Fig. 12

1493. Drowning. Rescuing. Approach the drowning man from behind, seizing him by the coat collar, or a woman by the back hair, and tow at arms length to boat or shore. Do not let him cling around your neck or arms to endanger you. Duck him until unconscious if necessary to break a dangerous hold upon you; but do not strike to stun him.

A drowning person does not come to the top three times before giving up.

Reviving. When a person is apparently drowned he is unconscious and not breathing because his lungs are full of water and his skin is blue and cold because no air is getting into his blood to redden it and warm it; remember the heart does not stop until some time after the breathing stops. If we can get air into the blood and start breathing again before the heart stops we can save the patient's life. If we cannot get the breath started in time the heart stops and the patient is then dead.

Our problem then is this:

1. To get the water out of the lungs.

2. To get the air into the lungs and start the man breathing before the heart stops.

Emptying the lungs is precisely similar to emptying a bottle.

The lungs are the bottle, the windpipe is the neck of the bottle and the cork of the bottle may be the tongue turned back in the throat or mud and leaves from bottom of the pool and bloody froth in the nostrils. We therefore—

1.   Pull out the cork.   Remove mud, mucus, etc., and pull the tongue forward.
Fig. 13 Fig. 13
Pulling out the cork

 

2.   Turn the bottle neck down to pour out the contents.   Place the patient's head lower than his chest so the water will run out.
Fig. 14 Fig. 14

Then lay the patient on a blanket, if possible, and on his stomach, arms extended from his body beyond his head, face turned to one side so that the mouth and nose do not touch the ground. This position causes the tongue to fall forward of its own weight and so prevents it from falling back into the air passages. Turning the head to one side prevents the face coming into contact with mud or water during the operation.

Kneel and straddle the patient's hips, facing his head.

Fig. 15 Fig. 15

Roll up or rip off the clothing so as to get at the bare back.

Locate the lowest rib, and with your thumbs extending in about the same direction as your fingers, place your spread hands so that your little finger curls over the lowest rib. Be sure to get the hands well away from the back bone,—the nearer the ends of the ribs the hands are placed without sliding off, the better it is.

Then with your arms held straight, press down SLOWLY AND STEADILY on the ribs, bringing the weight of your body straight from your shoulders. Do not bend your elbows and shove in from the side.

Release the pressure suddenly, removing the hands from the body entirely, and thus allowing the chest to fill with air.

Wait a couple of seconds, so as to give the air time to get into the blood. This is most important.

Repeat the pressure and continue doing so, slowly and steadily, pressing down at the rate of ordinary breathing. That is to say, pressure and release of pressure (one complete respiration) should occupy about five seconds. Guide yourself by your own deep, regular breathing, or by counting.

Keep up for at least one hour the effort to revive the patient; and much longer if there is any sign of revival by way of speaking, breathing, coughing, sneezing or gurgling sounds.

Do not stop working at the first signs of life, but keep it up until the patient is breathing well and is conscious. If you stop too soon he may stop breathing and die.

Persons have been revived after two hours of steady work, but most cases revive within about thirty minutes.

If you are a heavy man, be careful not to bring too much force on the ribs, as you might break one of them.

In the case of women or thin persons place a roll of clothing under them at the waist line before beginning the pressure.

If you happen to be of light build and the patient is a large, heavy person, you will be able to apply the pressure better by raising your knees from the ground, and supporting yourself entirely on your toes and the heels of your hands, properly placed on the floating ribs of the patient.

Do not attempt to give liquids of any kind to the patient while he is unconscious, for he cannot swallow them. They will merely run into his windpipe and choke him, and furthermore, it will take up valuable time.

However, after the patient has regained consciousness you may give him hot coffee or hot whiskey, punch or aromatic spirits of ammonia (a teaspoonful in water).

Then wrap up the patient warmly in hot blankets with hot water bottles, and take him to the nearest hospital or put him to bed and send for a doctor. Why? Because the dirty water in the lungs has damaged the lining and the patient is in danger of lung fever and needs care and nursing.

Aromatic spirits of ammonia may be poured on a handkerchief and held continuously within about three inches

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