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Have on hand a pint of a one per cent aqueous solution of formaldehyd made under cleanly conditions, even to a clean bottle and cork, and a clean container when ready to use the liquid. Prepare also a bichlorid of mercury solution as follows: Hydrarg. Chlor. Corros. 3IV; Acid Hydrochlor. 3Iss.; Aqua Bulliens, Oij.
Both here and abroad opium-eaters have discovered the fact that, in an inveterate case, where opium fails to act on the brain through the exhausted tissues of the stomach, bichlorid of mercury in combination with the dose behaves like a mordant in the presence of a dye, and, so to speak, precipitates opium upon the calloused surfaces of the mucous and nervous layers.
After-Treatment. Put on a pack saturated with a solution of bichlorid of mercury 1 to 1,000 and let it remain two days. Remove pack, and once daily afterwards wipe off with cotton the secretion which accumulates on the outside, and apply a dry dressing or healing oil composed of phenol, camphor gum and olive oil. When Dangerous to Inject. Never inject a quittor in the acute stage.
The foot is then placed in a bichlorid bath several hours daily, for from two to five days, depending upon whether or not soreness is shown. The bichlorid solution is 1 to 1,000 strength. On removing the horse from the bath a liberal layer of gauze is soaked in 1 to 1,000 bichlorid solution and placed so as to cover the entire foot.
But the nation, made up of such as you, continues its prison nostrum, which slays a million for bichlorid of mercury's one. A tragic farce that is what prisons are. Enclosures of stone and steel are built, and a handful of armed men are given absolute control over several hundred beings like themselves.
About the time when the patient goes to bed the attendant prepares to render such assistance as may be required. First she should scrub her hands thoroughly with soap and water and subsequently soak them in the bichlorid solution for five minutes, or longer if there be no need for haste.
On discontinuing the bath, cover the foot with gauze saturated with a 1 to 1,000 bichlorid solution. This is to be covered with absorbent cotton and a gauze bandage, and over all is placed an oil cloth or silk covering. This pack is kept moist with bichloride solution for forty-eight hours. The foot is then ready for injection. Preparation of the Injection Fluids.
If two sinuses open on the surface, close one with cotton while filling the other so that if there is a connection the solution will come in contact with all tissues involved. Irrigate with the full pint of formaldehyd solution first, then follow with six or eight ounces of the bichlorid solution. Never probe the foot nor allow it to be tampered with except in the manner prescribed.
At the Emergency Hospital in Washington, D.C., there was a boy brought in who had completely severed one of his digits by a sharp bread-cutter. The amputated finger was wrapped up in a piece of brown paper, and, being apparently healthy and the wound absolutely clean, it was fixed in the normal position on the stump, and covered by a bichlorid dressing.
And I would tell myself, once more, that the thing must be an illusion; it was inconceivable that an intelligent nation should tolerate it. If you found that you were taking bichlorid of mercury by mistake for a sleeping draught, would you go on taking it? or would you clamor for an antidote, waylay doctors for help, and disturb the discreet serenity of hospitals for succor?
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