Whenever a child develops a croupy cough his throat should be examined. A physician should be summoned if the throat is red and especially if the redness is associated with rise in temperature.
Cases of diphtheria have been overlooked by neglecting such symptoms.
BLEEDING
In the vast majority of cases, bleeding can be stopped by elevating the injured part and applying pressure over the wound. One should, however, remember that loss of blood is not the only danger presented by an open wound, for pus-producing germs, if they make their entrance, may cause an infection which may be as serious as the bleeding itself. Hence in dealing with open wounds of any sort one should always keep in mind the danger of infection as well as the danger from loss of blood.
Treatment of Slight Wounds.
—Loss of blood from slight wounds is seldom so serious as the danger of infection; therefore small cuts, pin pricks, scratches, etc. should be encouraged to bleed by pressure near the wound in order to expel the germs that may have entered. After the wound has bled a little, tincture of iodine should be applied by means of a cotton swab both to the wound itself and also to the surrounding skin.
After the wound has thus been disinfected it should be covered with a sterile dressing; a sterile or aseptic dressing is material in which all bacterial life has been destroyed. Gauze from a First
Aid dressing or from a packet of sterile gauze should be used for this compress, or gauze may be cut from a sterile bandage. The compress serves two purposes: it protects the wound from infection, and if applied with pressure it checks further bleeding.
The compress should be securely bandaged in place, or its edges may be fastened with adhesive plaster or collodion. Neither of the two latter should cover the wound itself. The outside bandage may be changed when soiled, but the compress itself should not be disturbed until the wound has healed. It is a mistake to dress wounds oftener than necessary, since handling them always increases the chance of introducing germs. Most children, like Tom Sawyer, delight in wounds, but they should be prevented if possible both from inspecting and from exhibiting them.
If heat, swelling, redness, or pain develop in a wound after a day or two, a doctor should be consulted; and not a minute should be lost if the patient has a chill or if red streaks appear extending from the wound in the general direction of the heart. Until the doctor comes the wounded part should be elevated and covered with cold applications wet in alcohol 25%, or in a solution of common salt, a teaspoonful to a pint of water.