by Barkham Burroughs
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but in case this induced violent suffocative paroxysms it must not be repeated. If the substance, whatever it maybe, has entered the windpipe, and the coughing and inverting the body fails to dislodge it, it is probable that nothing but cutting open the windpipe will be of any avail; and for this the services of a surgeon should always be procured. If food has stuck in the throat or gullet, the forefinger should be immediately introduced; and if lodged at the entrance of the gullet, the substance may be reached and extracted, possibly, with the forefinger alone, or may be seized with a pair of pincers, if at hand, or a curling tongs, or anything of the kind. This procedure may be facilitated by directing the person to put the tongue well out, in which position it may be retained by the individual himself, or a bystander by grasping it, covered with a handkerchief or towel. Should this fail, an effort should be made to excite retching or vomiting by passing the finger to the root of the tongue, in hopes that the offending substance may in this way be dislodged; or it may possibly be effected by suddenly and unexpectedly dashing in the face a basin of cold water, the shock suddenly relaxing the muscular spasm present, and the involuntary gasp at the same time may move it up or down. If this cannot be done, as each instant's delay is of vital importance to a choking man, seize a fork, a spoon, a penholder, pencil, quill, or anything suitable at hand, and endeavor to push the article down the throat. If it be low down the gullet, and other means fail, its dislodgment may sometimes be effected by dashing cold water on the spine, or vomiting may be induced by an emetic of sulphate of zinc (twenty grains in a couple of tablespoonfuls of warm water), or of common salt and mustard in like manner, or it may be pushed into the stomach by extemporizing a probang, by fastening a small sponge to the end of a stiff strip of whalebone. If this cannot he done, a surgical operation will be necessary. Fish bones or other sharp substances, when they cannot be removed by the finger or forceps, may sometimes be dislodged by swallowing some pulpy mass, as masticated bread, etc. Irregularly shaped substances, a plate with artificial teeth for instance, can ordinarily be removed only by surgical interference.
COLIC.--Use a hot fomentation over the abdomen, and a small quantity of ginger, pepermint or common tea. If not relieved in a few minutes, then give an injection of a quart of warm water with twenty or thirty drops of laudanum, and repeat it if necessary. A half teaspoonful of chloroform, in a tablespoonful of sweetened water, with or without a few drops of spirits of lavender or essence of peppermint, will often give prompt relief.
CONVULSIONS.--In small children convulsions frequently happen from teething, sometimes from worms or from some irritating substance within the stomach or bowels, and sometimes from some affection of the brain.
When a child has convulsions, place it immediately in a warm or hot bath, and sponge its head with cold water. Then apply a hot mustard plaster to the wrists, ankles and soles of the feet, or, in case a plaster cannot be obtained, apply a cloth wrung out of hot mustard water. Allow these to remain until the skin reddens, and use care that the same do not blister. After the fit has subsided, use great care against its return by attention to the cause which gave rise to it.
Convulsions in adults must be treated in accordance with the manner which gave rise to them. During the attack great care should be taken that the party does not injure himself, and the best preventive is a cork or a soft piece of wood, or other suitable substance, placed between the teeth to prevent biting the tongue and cheeks: tight clothing must be removed or loosened; mustard poultices should be applied to the extremities and over the abdomen; abundance of fresh air should be secured by opening windows and doors, and preventing unnecessary crowding of persons around; cold water may be dashed on the face and chest; and if there be plethora, with full bounding pulse, with evidence of cerebral or other internal congestion, the abstraction of a few ounces of blood may be beneficial.
