The main rule is never to divert towards a vital organ of the body, such as the lungs or heart; thus, in case of inflammation of the head, diversion must be attempted, not to the breast, but to the arms and legs.
ABDOMINAL PACK (24)
The abdominal pack should be applied on infants and children whenever they show signs of illness in any way, and naturally, in cases of summer complaints, measles, scarlet fever, diphtheria, whooping cough, pneumonia, typhoid fever, in which cases a pack should be applied during the entire course of the illness with slight intermissions only.
As in acute diseases, it is also applied in chronic ones. (See descriptions to follow). Its early application will often serve to prevent serious sickness.
The abdominal pack reaches from the level of the base of the breast bone to the hips. It is made from a piece of linen crash about 12 inches in width which must cover the space from 6 inches below the arm-pits to the hips, while its length must be such that it can encircle the body, overlap upon the abdomen and be secured with tapes at the left side. A further piece of soft linen is needed to pass between the legs, to be fastened to the former, back and front, with safety-pins. The next requirement is a piece of woollen cloth, or blanket, folded double or treble as required, in breadth, about 6 inches wider than the linen crash and of equal length, with a shorter woollen strip for between the thighs, attached like the linen, back and front. For children a linen towel etc. with the accompanying woollen coverings, will be found, as a rule, sufficient; for infants, a properly folded piece of old linen. The linen as well as the woollen material must be properly folded before the pack is made, and measured, so that the patient need not be kept waiting while the pack is being placed on the body.
The above cut shows how to apply the abdominal pack on an adult patient.
The linen is saturated in two parts of water with one part of vinegar, at 64 to 75 degrees Fahrenheit, well wrung out, and is placed on the woollen material in such a way that the latter extend about 2 to 3 inches on the upper and lower edge. The pack is now placed around the back of the patient, who sits in bed or is held in position by another. The patient's shirt is lifted and he is laid down on the moist linen, which is then quickly raised on both sides and folded over the abdomen. The same is done with the woollen material, which is then fastened tightly in the middle, the upper and lower corners with three safety pins. Then the shirt is pulled down and the patient is warmly covered.
In individual cases it is advisable sometimes to divide the pack into a back and front compress of greater proportions.
In such cases the woollen cloth, which is used for the abdominal pack is placed underneath the patient as before. A towel is folded 6 to 8 times, so that it will grow warm slowly and thus may remain on the body for a longer time. This is placed under the back of the patient. Then two properly folded towels, which are not wrung out very thoroughly, are put on the abdomen, and tucked down a little on both sides. The woollen cloth is thereupon fastened so as to keep the compresses in place, the arrangement being otherwise exactly as before. In such cases the back compress only needs to be changed every 2 to 3 hours, even in case of severe fever. The front towels may be changed several times in the meantime.