From the 10th to the 12th the symptoms made a slight progress. The constancy of Viterbi never yielded an instant; he dictated his journal, and afterwards approved and signed what had been thus written agreeably to his dictation. During the night of the 12th, the symptoms assumed a more decided character, debility was extreme, pulsation scarcely sensible, his voice extraordinarily feeble, the cold had extended itself all over the body, and the pangs of thirst were more acute than ever. On the 13th the unhappy man thinking himself at the point of death, again seized the jug of water, and drank twice, after which the cold became more severe; and congratulating himself that death was nigh, he stretched his body on the bed, and said to the gendarmes who were guarding him, “Look how well I have laid myself out.” At the expiration of a quarter of an hour, he asked for some brandy; the keeper not having any, he called for some wine, of which he took four spoonsful; when he had swallowed these the cold suddenly ceased, heat returned, and Viterbi enjoyed a sleep of four hours. On awaking (on the morning of the 13th) and finding his powers restored, he fell into a rage with the keeper, protesting that they had deceived him, and then began beating his head violently against the wall of his prison, and would inevitably have killed himself, had he not been prevented by the gendarmes. During the two following days he resisted his inclination to drink, but continued to gargle occasionally with water; during the two nights he suffered a little from exhaustion, but in the morning found himself rather relieved. It was then that he penned some stanzas. On the 16th, at five o’clock in the morning, his powers were almost annihilated, pulsation could hardly be felt, and his voice was almost inaudible; his body was benumbed with cold, and it was thought that he was on the point of expiring. At ten o’clock he began to feel better, pulsation was more sensible, his voice strengthened, and, finally, heat again extended over his frame, and in this state he continued during the whole of the 17th. From the latter day until the 20th, Viterbi only became more inexorable in his resolution to die. During the 19th, the pangs of hunger and thirst appeared more grievous than ever; so insufferable, indeed, were they, that for the first time, Viterbi let a few tears escape him; but his invincible mind instantly spurned this human tribute. For a moment he seemed to have resumed his wonted energy, and said, in the presence of his guards, and the gaoler, “I will persist, whatever may be the consequence; my mind shall be stronger than my body; my strength of mind does not vary, that of my body daily becomes weaker.” A little after this energetic expression, an icy coldness again assailed his body, the shiverings were frequent and dreadful, and his loins, in particular, were seized with a stone-like coldness, which extended itself down his thighs. During the 19th a slight pain at intervals affected his heart, and for the first time, he felt a ringing sensation in his ears; at noon, on this day, his head became heavy; his sight, however, was perfect, and he conversed almost as usual, making some signs with his hands.
On the 20th, Viterbi declared to the gaoler and physician, that he would not again moisten his mouth; and feeling the approach of death he stretched himself, asking, as on a former occasion, whether he was well out, and added, “I am prepared to leave this world.” Death did not this time betray his hopes. On the 21st Viterbi was no more.
In this interesting history, we receive a faithful account of the physical effects of starvation upon a human being, and perceive how greatly a very inconsiderable portion of liquid is capable of producing an invigorating effect upon the body, when in a state of extreme inanition; but the mind of the subject before us was stern and invincible, inflexibly bent upon self destruction; and we therefore do not perceive the developement of those moral effects, which in other cases are the general consequences of starvation. The histories of besieged towns[[65]] would afford us ample evidence upon this subject; and would shew that famine destroys all the most powerful instincts of our nature. We know not, however, a more awful illustration of this fact than that furnished by the account of the wreck of the Méduse,[[66]] and its appalling consequences; it appears that this frigate struck on the bank of Arguin, and as all attempts to save her were fruitless, nothing remained but to concert immediate measures for the escape of the passengers and crew; five boats were accordingly got in readiness, and a raft, destined to carry the greatest number of people, was hastily constructed; biscuit, wine, and fresh water were also apportioned to each; but in the tumult of abandoning the wreck, it so happened that the raft had the least share of the provisions, and in which there was not a single barrel of biscuit. This raft, containing no less than one hundred and fifty souls, was to have been towed by the boats, with which it was connected by ropes; but the adventurers had not proceeded far, when the boats cast off, and cruelly abandoned the raft to the mercy of the ocean; to the scene which ensued it is impossible for any language, however florid, to do adequate justice. Despair, aided by the pangs of hunger, soon excited a mutiny; a dreadful slaughter ensued, and the flesh of their murdered comrades afforded to the survivors a short respite from the immediate sufferings of famine.
THE APPLICATION OF THE PHYSIOLOGICAL FACTS ESTABLISHED IN THE PRECEDING CHAPTERS, TO THE GENERAL TREATMENT OF ASPHYXIA.
Although our researches into the causes and phenomena of asphyxia, or suspended animation, will afford, on many occasions, but very scanty encouragement with regard to the extent and value of the resources of art, yet we apprehend that to the intelligent practitioner they will not on that account be less acceptable; for to him it must be well known, that the detection of error is the first step in the discovery of truth, and although the tendency of the present investigation will be to reject, as useless, many of those plans of treatment which have long enjoyed the confidence of the public and the profession; yet it will suggest the application of some that have not hitherto been duly appreciated, and regulate that of others whose efficiency entirely depends upon the time and manner of their administration. But the fact is not to be concealed, that the medical profession, as well as the public, have long been too sanguine in their estimate of the probabilities of recovery by art, in cases where life is suddenly arrested by the operation of external causes; and upon this occasion, the establishment of the “Royal Humane Society for the recovery of persons apparently dead,” requires some notice, in relation to the possible extent of its successful exertions. Without some explanation it will be impossible to reconcile the reports of that philanthropic institution, with the physiological views which we have attempted to establish in the present work; it therefore becomes a part of our duty to explain the nature of the fallacies into which the witnesses and reporters of cases of suspended animation appear to us to have been unconsciously betrayed, and which have so frequently bestowed upon fable the colour of truth, and given to vague report, the apparent stability of credible testimony. In the first place we would observe, that in those cases in which a long interval is stated to have occurred between the suspension of breathing, from drowning, and the restoration of that function by art, it is probable that the anxiety of by-standers who witnessed the struggles, and the impossibility of justly appreciating the lapse of time in such moments of anxiety[[67]] and distress, have led to the erroneous statements with which the subject is embarrassed. There is, moreover, another fallacy into which the anxious observer is very likely to fall,—the sufferer may have breathed unobserved during the alleged interval of asphyxia; and if this fact be admitted, we at once reduce some of the most incredible of these reports to the rational standard of physiological probability. Nor shall we hesitate in the present chapter to offer our remarks upon the plan of recovery proposed by this society with as much freedom, and as little reserve, as we have ventured to question the literal accuracy of their reports. But while, thus fortified by physiological arguments, we profess to discredit many of the results stated by this society, let it not be supposed that we would prefer a charge of insincerity against their authors, or attempt to withhold any portion of that public patronage and consideration, to which their zeal and philanthropy so justly entitle them.
The agents which are employed in cases of suspended animation, are far too indiscriminately recommended; some of them, without doubt, offer valuable resources to the physician, and only require a judicious application to ensure their success; while others are entirely useless and frivolous, and ought to be dismissed from our service, since the retaining them only embarrasses the practitioner, and that too at a period which of all others requires the utmost decision in the selection of a plan of treatment, and the greatest promptness in its execution.
The following may be considered as the principal resources upon which the Humane Society rely for restoration of persons apparently dead from sudden accidents, viz.
1. Inflation of the lungs.
2. Application of heat.
3. Internal Exhibition of stimulants.