BLEEDING FROM THE NOSE, from whatever cause, may generally be stopped by putting a plug of lint into the nostrils; if this does not do, apply a cold lotion to the forehead; raise the head, and place over it both arms, so that it will rest on the hands; dip the lint plug, slightly moistened, into some powdered Gum Arabic, and plug the nostrils again; or dip the plug into equal parts of powdered Gum Arabic and alum, and plug the nose. Or the plug may be dipped in Friar's balsam, or tincture of Kino. Heat should be applied to the feet; and, in obstinate cases, the sudden shock of a cold key, or cold water poured down the spine, will instantly stop the bleeding. If the bowels are confined take a purgative. Injections of alum solution from a small syringe into the nose will often stop hemorrhage.
VIOLENT SHOCKS will sometimes stun a person, and he will remain unconscious. Untie strings, collars, etc.; loosen anything that is tight, and interferes with the breathing; raise the head; see if there is bleeding from any part; apply smelling salts to the nose, and hot bottles to the feet.
IN CONCUSSION, the surface of the body is cold and pale, and the pulse weak and small, the breathing slow and gentle, and the pupil of the eye generally contracted or small. You can get an answer by speaking loud, so as to rouse the patient. Give a little brandy and water, keep the place quiet, apply warmth, and do not raise the head too high. If you tickle the feet, the patient feels it.
IN COMPRESSION OF THE BRAIN from any cause, such as apoplexy, or a piece of fractured bone pressing on it, there is loss of sensation. If you tickle the feet of the injured person he does not feel it. You cannot arouse him so as to get an answer. The pulse is slow and labored; the breathing deep, labored, and snorting; the pupil enlarged. Raise the head, loosen strings or tight things, and send for a surgeon. If one cannot be got at once, apply mustard poultices to the feet and thighs, leeches to the temples, and hot water to the feet.
CHOKING.—When a person has a fish bone in the throat, insert the forefinger, press upon the root of the tongue, so as to induce vomiting; if this does not do, let him swallow a large piece of potato or soft bread; and if these fail, give a mustard emetic.
FAINTING, HYSTERICS, ETC.—Loosen the garments, bathe the temples with water or eau-de-Cologne; open the window, admit plenty of fresh air, dash cold water on the face, apply hot bricks to the feet, and avoid bustle and excessive sympathy.
DROWNING.—Attend to the following essential rules: 1. Lose no time. 2. Handle the body gently. 3. Carry the body face downwards, with the head gently raised, and never hold it up by the feet. 4. Send for medical assistance immediately, and in the meantime act as follows: 5. Strip the body; rub it dry, then wrap it in hot blankets, and place it in a warm bed in a warm room. 6. Cleanse away the froth and mucous from the nose and mouth. 7. Apply warm bricks, bottles, bags of sand, etc., to the arm pits, between the thighs, and to the soles of the feet. 8. Rub the surface of the body with the hands inclosed in warm, dry worsted socks. 9. If possible, put the body into a warm bath. 10. To restore breathing, put the pipe of a common bellows into one nostril, carefully closing the other, and the mouth; at the same time drawing downwards, and pushing gently backwards, the upper part of the windpipe, to allow a more free admission of air; blow the bellows gently, in order to inflate the lungs, till the breast is raised a little; then set the mouth and nostrils free, and press gently on the chest; repeat this until signs of life appear. The body should be covered from the moment it is placed on the table, except the face, and all the rubbing carried on under the sheet or blanket. When they can be obtained, a number of tiles or bricks should be made tolerably hot in the fire, laid in a row on the table, covered with a blanket, and the body placed in such a manner on them that their heat may enter the spine. When the patient revives, apply smelling-salts to the nose, give warm wine or brandy and water. Cautions.—1. Never rub the body with salt or spirits. 2. Never roll the body on casks. 3. Continue the remedies for twelve hours without ceasing.
HANGING.—Loosen the cord, or whatever it may be by which the person has been suspended. Open the temporal artery or jugular vein, or bleed from the arm; employ electricity, if at hand, and proceed as for drowning, taking the additional precaution to apply eight or ten leeches to the temples.
APPARENT DEATH FROM DRUNKENNESS—Raise the head, loosen the clothes, maintain warmth of surface, and give a mustard emetic as soon as the person can swallow.
APOPLEXY AND FITS GENERALLY.—Raise the head; loosen all tight clothes, strings, etc.; apply cold lotions to the head, which should be shaved; apply leeches to the temples, bleed, and send for a surgeon.