SECT. I.
Of Falls
The man who falls, is partly bereft of his senses, or his presence of mind, and particularly so the more timorous he is of his own preservation; add to this, because he is unaccustomed to it; for custom makes us familiar in every thing: Thence we perceive the different effect in different persons in their falling; for some will fall with a good deal of judgment, prevent some unlucky blow or other; whilst another shall fall as heavy as a dead log, or like one drunk, without having the least chance of saving himself in any shape. I remember once I fell from the puttock shrowds of the fore-top, but providentially escaped without the least injury, my watch chain having catched some how, which I endeavoured to save. I confess this in a great measure was owing to good fortune; at the same time I was naturally very active, and having acquired a flight of jumping off the main-deck into the hold of a light ship, I thereby had habituated myself to stop my breath, and a presence of mind which principally saved me when I thus fell in good earnest. I only mention this to shew, that the greatest mischief in falling proceeds from timorousness and surprise. I knew a wag, who would play pranks that way to astonishment; he could let himself fall from any part of the rigging, catching as he came down like a cat, make all hands come round to his assistance, and then laugh at their credulous good nature.
A man who falls is apt to lose his breath, particularly if he is not very careful, and has not presence enough to stop it the moment he finds himself fall; and the instant he loses his breath, he loses also his mental faculties; consequently comes motionless and exposed to every fatality. Thence we generally find a man, who has fallen from a considerable height, lays motionless like death on the spot, even though he has not received the least injury otherwise.
The Method.
When I have been called to such an accident, and found my patient motionless; I have untied his neckcloth taken him by the coller of his jacket, and shaken him heartily; which in the space of half a minute has brought him to, with a heavy sigh. Next I have bled him without loss of time, but not too copiously; after which I have examined him, and acted according to circumstances.
A person falling is liable to a number of dangerous consequences, not mentioning immediate death. The consternation, the shock, fright, terror &c. are as alarming and dangerous as the external hurt itself. The brain, and the blood vessels in that part are very delicate, and by the shock, as well as the want of respiration, they often burst; thence an apoplexy is liable to hurry the patient from the stage.
A fever generally attends a fall, which ought to be strictly attended to; after, therefore, the patient is bled, and seems to have recovered his reason, he should have every six hours a dose of the Fever Powders, (L.) and drink some balm tea, in order to get into a gentle perspiration, which will in this respect soon recover his health again, and enable him to do his duty.