Sleeplessness.—Insomnia rapidly lowers the vital forces. It is due to several causes, including mental worry, indigestion, physical overexercise, and functional or organic diseases. Insomnia may be considered a natural warning of coming ailment. The cause should be located, and a good physician should be consulted. Sleep is encouraged by exercise in the open air and by taking hot drinks just before retiring. Hot malted milk is excellent; but solid food should not be taken just before retiring. Mild gymnastic exercise may be taken before an open window, but drugs should never be administered without the advice of a physician.
Snake Bite.—Do not waste valuable time to kill the snake. If the bite is venomous, rip open the clothing so that the wound will be exposed. Tie a handkerchief or rope around the arm or leg, above the bite. It should be drawn so tight that the circulation will be stopped or retarded. The use of a stick or pencil will assist in giving pressure. With a knife, open the holes made by the snake's fangs and cut around the wound liberally, being careful not to sever an artery. Let the blood run freely. Poison is sometimes removed by sucking a wound, but one should not do this if his lips are chapped or bleeding. The wound should be washed with soda solution and large doses of whisky or brandy should be administered. Call a surgeon immediately.
Sore Throat.—Sore throat may be merely local or be a forerunner of diphtheria. Better consult a physician.
Sprains.—Most sprains are serious, and a doctor should be called at once, but before he arrives the following simple treatment may be applied. Sprains twist and tear the ligaments and may rupture the small blood vessels. The flow of blood may be checked by application of cold or heat or by pressure. If the ankle or foot is sprained, wrap a folded towel tightly around the part sprained and then apply moist heat and elevate the leg. Immerse the foot in water as hot as can be borne and keep on adding hot water for about 20 minutes, so that the temperature may not be lowered; then apply a bandage, but continue the bathing treatment. Cold applications may be used instead of hot water, and should be applied by dipping cloths in ice water frequently, and wrapping them about the parts injured.
Stings of Poisonous Insects or of scorpions, centipedes, etc., should be treated with hartshorn, ammonia, after which cold water or cracked ice should be applied. Do not fail to call a surgeon or doctor. If the sting remains in the wound, remove it either by pressure on the skin or with a knife. The stings of common insects, such as mosquitoes, ants, etc., should be treated with a weak solution of ammonia, salt water, or a cloth wet with water in which a teaspoonful of baking soda to a pint of water is dissolved, may be bound on it.
Suffocation.—Always summon a physician. Place the patient in the air, remove all tight clothing about the neck and chest, and apply artificial respiration. Apply hot water in bottles to the body. Put mustard plasters above the heart, on the soles of his feet, and on his wrists. When the patient shows signs of recovering, give mild stimulants. If the patient is in a close room, open the windows and all of the doors. In rescue work do not open windows, but smash out all of the glass. In entering a room full of smoke, cover the mouth with a handkerchief wet with water or vinegar and water. Crawl on the floor, as the smoke is less dense near the floor. The rescuer should attach a rope to himself, so he can be pulled from his dangerous position.
Sunstroke.—Indications of sunstroke or heat prostration are a slow but full pulse, very labored breathing, and the skin is hot and dry, the face usually red, and the person affected is unconscious. Remove the sufferer to a shady place, and be sure to loosen his collar and clothing, if tight. Raise the head and shoulders. The head, face, and chest should be drenched with cold water, and if it is very hot use cracked ice. In ordinary cases of heat prostration, the patient is not unconscious, the skin is pale and clammy, and the breathing is not normal. Force the patient to lie on his back with his head level with his body, and loosen all tight clothing. Apply heat to the extremities, and cold to head. The patient should not be allowed to drink too much water. Give him hot drinks, and apply heat to the spine and feet. Under no circumstances administer alcoholic stimulants. Always send for a physician.
Temperature of the Body.—The normal body temperature is 98.4 degrees Fahrenheit. When it is higher, the patient is supposed to have a fever. Temperature usually rises in the afternoon, being one degree higher than in the first part of the night or in the early morning. It gradually falls from midnight to six or seven o'clock in the morning. The temperature of a child frequently rises two degrees from slight causes. Every family should carry a clinical thermometer. Bodily temperature should be taken by holding it in the mouth under the tongue for two minutes. Temperature under 101° indicates a slight fever; under 103° a moderate fever; under 105° a high fever. When the temperature rises two or three degrees above normal, send for a doctor at once.
Temperature of the Sick-Room.—Sixty-eight degrees Fahrenheit is a good average temperature for the sick-room. In certain diseases the average temperature may be lower, and for throat or chest affections it should be higher. When the patient is being washed or dressed, the temperature should be kept at about 70°.