How often does a hungry little child, if not carefully watched, fill his mouth so full, and swallow lumps of food in such hot haste, as to choke himself—
"With eager feeding, food doth choke the feeder"
Shakespeare.
Treatment.-Instantly put your finger into the throat and feel if the substance be within reach; if it be food, force it down, and thus liberate the breathing; should it be a hard substance, endeavour to hook it out; if you cannot reach it, give a good smart blow or two with the flat of the hand on the back; or, as recommended by contributor to the Lancet, on the chest, taking care to "seize the little patient, and place him between your knees side ways, and in this or some other manner to compress the abdomen [the belly], otherwise the power of the blow will be lost by the yielding of the abdominal parieties [walls of the belly], and the respiratory effort will not be produced." If that does not have the desired effect, tickle the throat with your finger, so as to ensure immediate vomiting, and the subsequent ejection of the offending substance.
296. Should my child be bitten by a dog supposed to be mad, what ought to be done?
Instantly well rub for the space of five or ten seconds—seconds, not minutes—a stick of nitrate of silver (lunar-caustic) into the wound. The stick of lunar-caustic should be pointed, like a cedar pencil for writing, in order the more thoroughly to enter the wound. [Footnote: A stick of pointed nitrate of silver, in a case, ready for use, may be procured of any respectable chemist.] This, if properly done directly after the bite, will effectually prevent hydrophobia. The nitrate of silver acts not only as a caustic to the part, but it appears effectually to neutralise the poison, and thus, by making the virus perfectly innocuous, is a complete antidote. If it be either the lip, or the parts near the eye, or the wrist, that have been bitten, it is far preferable to apply the caustic than to cut the part out; as the former is neither so formidable, nor so dangerous, nor so disfiguring as the latter, and yet it is equally as efficacious. I am indebted to the late Mr Youatt, the celebrated veterinary surgeon, for this valuable antidote or remedy for the prevention of the most horrible, heart-rending, and incurable disease known. Mr Youatt had an immense practice among, dogs as well as among horses. He was a keen observer of disease, and a dear lover of his profession, and he had paid great attention to rabies— dog-madness. He and his assistants had been repeatedly bitten by rabid dogs; but knowing that he was in possession of an infallible preventive remedy, he never dreaded the wounds inflicted either upon himself or upon his assistants. Mr Youatt never knew lunar-caustic, if properly and immediately applied, to fail. It is, of course, only a preventive. If hydrophobia be once developed in the human system, no antidote has ever yet, for this fell and intractable disease, been found.
While walking the London Hospitals, upwards of forty years ago, I received an invitation from Mr Youatt to attend a lecture on rabies—dog-madness. He had, during the lecture, a dog present labouring under incipient madness. In a day or two after the lecture, he requested me and other students to call at his infirmary and see the dog, as the disease was at that time fully developed. We did so, and found the poor animal raving mad—frothing at the mouth, and snapping at the iron bars of his prison. I was particularly struck with a peculiar brilliancy and wildness of the dog's eyes. He seemed as though, with affright and consternation, he beheld objects unseen by all around. It was pitiful to witness his frightened and anxious countenance. Death soon closed the scene!
I have thought it my duty to bring the value of lunar-caustic as a preventive of hydrophobia prominently before your notice, and to pay a tribute of respect to the memory of Mr Youatt—a man of talent and of genius.
Never kill a dog supposed to be mad who has bitten either a child, or any one else, until it has, past all doubt, been ascertained whether he be really mad or not. He ought, of course, to be tied up; and be carefully watched, and be prevented the while from biting any one else. The dog by all means should be allowed to live at least for some weeks, as the fact of his remaining well will be the best guarantee that there is no fear of the bitten child having caught hydrophobia.
There is a foolish prejudice abroad, that a dog, be he mad or not, who has bitten a person ought to be immediately destroyed; that although the dog be not at the time mad, but should at a future period become so, the person who had been bitten when the dog was not mad, would, when the dog became mad, have hydrophobia! It seems almost absurd to bring the subject forward; but the opinion is so very general and deep-rooted, that I think it well to declare that there is not the slightest foundation of truth in it, but that it is a ridiculous fallacy!