A spring cot, mattress, pillow, blankets, a good medicine cabinet, alcohol stove for boiling water, cooking food, and sterilizing instruments; pans, white enameled slop jar, pitcher, cup, pail; a table, a folding camp reclining chair (Gold Medal Camp Furniture Company), and a combination camp cot and litter (Gold Medal Brand) will make up the equipment of the tent.
The information and suggestions given in this chapter are the accumulation of many years' experience in boys' camps. The technical information is vouched for by competent physicians who have examined the manuscript.[1]
[Transcriber's Footnote 1: This chapter was written in 1911. Many observations and suggestions are obsolete, if not dangerous or illegal.]
Pulse Rate
Every man in charge of a boys' camp should have a knowledge of certain physiological facts, so as to be able to make a fair diagnosis of pain and disease. The pulse, taken at the wrist, is a fair index of the condition of the body. In taking the pulse-beat, do so with the fingers, and not with the thumb, as the beating of the artery in the thumb may confuse. Pulse rate is modified with age, rest, exercise, position, excitements, and elevation. High elevation produces a more rapid pulse. The normal rate of boys in their teens is about 80 to 84 beats per minute. An increase not accounted for by one of the above reasons usually means fever, a rise of 6 beats in pulse usually being equivalent to a rise of 1 degree. Often more important than the rate, however, is the quality of the pulse. Roughly, the feebler the pulse, the more serious the condition of the individual. Irregularity in the rate may be a serious sign, and when it is noticed a doctor should be immediately called. Failure to find the artery should not necessarily cause uneasiness, as by trying on himself, the director may see that the taking of the pulse is often a difficult undertaking.
The Tongue
The tongue is a very misleading guide to the patient's condition, and no definite rule about its appearance can be laid down. Other signs, such as temperature, general conditions, localization of pain, etc., are more accurate, and to the total result of such observations the appearance of the tongue adds little.
Thermometer
The normal temperature of the human body by mouth is about 98.4 degrees. Variations between 98 degrees and 99 degrees are not necessarily significant of disease. A reliable clinical thermometer should be used. Temperature is generally taken in the mouth. Insert the bulb of the thermometer well under the boy's tongue. Tell him to close his lips, not his teeth, and to breathe through his nose. Leave it in the mouth about three or four minutes. Remove, and, after noting temperature, rinse it in cold water, dry it with a clean, towel, and shake the mercury down to 95 degrees. It will then be ready for use next time. Never return a thermometer to its case unwashed.
Pain