CONDITIONS OF THE SYSTEM,
which will increase the danger of contagion:
Fear.—Almost in every case, if a person is brought in sudden contact with the remains of one who has died of either cholera, small pox, yellow fever, or any of those terrible epidemic and contagious diseases which will in a few weeks decimate a populous city, the feeling will be one of repulsive horror; in some this feeling will amount to absolute fear, which will show itself in the dilated pupil, the bleached countenance, and the momentous forebodings which assail the mind and predispose the system to the attacks of the disease. In this case, the mind influences the body to such an extent that the disease has already fastened itself upon the system, before the first symptoms are felt.
Another and potent cause of danger is that which proceeds from a debilitated condition of the system, the causes of which are numerous: over-exertion of either the body or the mind; labor carried on incessantly without due regard to relaxation; imperfect nutrition, or long fast, are all causes which will tend to render the system more vulnerable to the aggressions of sickness.
But the most pernicious and fatal of all mistakes, is that of using stimulants to ward off the effects of contagion. How many of our professionals and their assistants have given way to the use of ardent spirits, under the delusion that it was absolutely necessary, to avoid the noxious effects of infectious diseases. It is a well authenticated fact, and one worthy of notice, that persons who generally indulge in the use of spirituous liquors, even in a moderate quantity, are those who are first attacked by epidemic or contagious diseases, and who almost always fall victims to it. Take, for instance, the case of a surgeon about to perform a dangerous operation. His first inquiry will be about the habits of the patient; he knows well enough that a man addicted to drink will not bear up under the trial.
The only means we have to protect ourselves from the dangers of infection from dead bodies are, first, a perfect ventilation of the room where the remains lie, so as to obviate the bad tendency which the air of the death-chamber might have upon the system. Attention must also be paid to the diet; the food eaten should be generous and nutritious, and it is proper to take a small quantity of wine at a time when the body and mind are debilitated by long and exhaustive manipulation of the dead, but avoid all excess of fluids or solids. Temperance is strictly necessary.
Wounds received while handling a corpse should not be neglected; if a simple abrasion, it should be covered; if pricked, the liquid muriate of ammonia or caustic potass are recommended to be applied as cauteries. These are the early measures to be pursued; but after absorption has taken place, a different course must be practised, and a good physician consulted without delay. The garments ordinarily worn should never be brought into direct contact with the remains of a person tainted with some infectious disease.
But it is to the hands we must pay particular attention. Gangrenous or syphilitic sores may be found on a subject, in which case extreme caution must be exerted; the hands should be first well rubbed with lard or sweet oil mixed with carbolate of camphor, and thoroughly washed after the handling of the body is over; then the hands should be well soaked in chlorinated soda (Labarraque solution), as the disinfecting properties of chlorine will be found here particularly useful.
If the above suggestions are faithfully followed, they will be found to greatly diminish the dangers attending the handling of the dead—dangers which can never be entirely avoided.
MANAGEMENT AND DISCIPLINE
OF AN UNDERTAKING ESTABLISHMENT.
Much of the success of an undertaking establishment will be dependent, not only upon the head of the firm himself, but also upon the discipline maintained among those to whom the details of the business are entrusted; and the difficulties surrounding proper management will increase as it extends and involves the employment of more numerous operatives, unless the general duties of all are specifically laid down, and the particular duties of each well defined and insisted upon.
The rules which follow were prepared by a gentleman of considerable experience and unusual success in business; they were designed for a store employing three assistants.
Although, of course, they require modifications to suit the circumstances of different establishments, their general tenor is adapted to all, and the high tone of professional and moral aptitude they require renders them worthy the acceptance of every assistant who would deserve the approval of his employer, and of every employer who desires the best interests of his assistants.