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The first indication is to exclude bacteria by purifying the damaged part and its surroundings, and applying dry, non-irritating dressings. When these measures are successful, dry gangrene ensues. The raw surface left after the separation of the dead skin may be allowed to heal by granulation, or may be covered by skin-grafts.
Until a doctor can be secured, coat it over with some non-irritating powder or oil, as for lighter burns, or hold it in warm water to exclude the air. Do not try to clean a burn. You only increase the pain of it and probably add to the risk of infection. If your clothing ever catches fire, wrap yourself up at once in a blanket or rug to smother the flame.
The elimination of the toxins is promoted by securing free action of the emunctories. A saline purge, such as half an ounce of sulphate of magnesium in a small quantity of water, ensures a free evacuation of the bowels. The kidneys are flushed by such diluent drinks as equal parts of milk and lime water, or milk with a dram of liquor calcis saccharatus added to each tumblerful. Barley-water and "Imperial drink," which consists of a dram and a half of cream of tartar added to a pint of boiling water and sweetened with sugar after cooling, are also useful and non-irritating diuretics. The skin may be stimulated by Dover's powder (10
It is sometimes advisable to protect the granulating surface against irritation by dusting it over with a non-irritating antiseptic powder, or applying a mixture of carbolic acid one part and glycerine twelve parts. After the wound shows healthy granulations longer intervals should lapse between treatments.
Andron, manufactured by Andron Hygienic Co., 120, W. 32nd St., New York City. Sanitube, manufactured by the Sanitube Co., Newport, R.I., U.S.A. Excellent printed directions and pamphlets accompany these tubes. Whatever is used must be non-irritating, odourless, stainless, and yet strongly antiseptic.
This should be treated by irrigating the parts with a warm water solution of a disinfectant that is non-irritating. This treatment should be repeated daily for a period of from two to four weeks. We must be very careful not to irritate the parts. A one-half per cent water solution of liquor cresolis compound may be used. Animals that abort should not be bred until they have completely recovered.
Only really suitable suppositories, guaranteed to be made in accordance with accredited medical formulæ, should be used. These suppositories should be composed of specially selected and tested fats, should be soothing and cleansing, as well as protective; should be stainless, odourless, and quite non-irritating.
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