In the case of sunstroke the face is flushed, the skin is dry and very hot, and the pulse is full and strong. In this case place the patient in a cool spot, remove the clothing, and make every effort to lessen the heat in the body by cold applications to the head and surface generally. Do not, under any circumstances, give any stimulants or hot drinks.
FREEZING AND FROSTBITE.
The part frozen, which looks white or bluish white, and is cold, should be very slowly raised in temperature by brisk but careful rubbing in a cool place, and never near a fire. Stimulants are to be given cautiously when the patient can swallow, and followed by small amounts of warm liquid nourishment. The object is to restore the circulation of the blood and the natural warmth gradually and not violently. Care and patience are necessary to do this.
RESUSCITATION OF THE APPARENTLY DROWNED.
In the instruction of the Army in First Aid the method of resuscitation of the apparently drowned, as described by "Schaefer," will be taught instead of the "Sylvester Method," heretofore used. The Schaefer method of artificial respiration is also applicable in cases of electric shock, asphyxiation by gas, and of the failure of respiration following concussion of the brain.
Being under water for four or five minutes is generally fatal, but an effort to revive the apparently drowned should always be made, unless it is known that the body has been under water for a very long time. The attempt to revive the patient should not be delayed for the purpose of removing his clothes or placing him in the ambulance. Begin the procedure as soon as he is out of the water, on the shore or in the boat. The first and most important thing is to start artificial respiration without delay.
The Schaefer method is preferred because it can be carried out by one person without assistance, and because its procedure is not exhausting to the operator, thus permitting him, if required, to continue it for one or two hours. When it is known that a person has been under water for but a few minutes continue the artificial respiration for at least one and a half to two hours before considering the case hopeless. Once the patient has begun to breathe watch carefully to see that he does not stop again. Should the breathing be very faint, or should he stop breathing, assist him again with artificial respiration. After he starts breathing do not lift him nor permit him to stand until the breathing has become full and regular.
SCHAEFER METHOD.
As soon as the patient is removed from the water, turn him face to the ground, clasp your hands under his waist, and raise the body so any water may drain out of the air passages while the head remains low. (Figure [9].)