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Updated: June 20, 2025
Death has been attributed in these cases to respiratory arrest or sudden cessation of the heart's action. The best treatment is artificial respiration, but the inhalation of nitrite of amyl may prove useful. Rescuers must be careful that they, also, do not receive a shock. The patient should be handled with india-rubber gloves or through a blanket thrown over him.
Her face was contorted with agony before ever her eyes fell upon me or upon him beside me. But I dare say Bagshawe may have been the determining influence in her suicide. Leonora says that she had that flask, apparently of nitrate of amyl, but actually of prussic acid, for many years and that she was determined to use it if ever I discovered the nature of her relationship with that fellow Jimmy.
Then I wanted to go for help, but he begged me not to leave him alone. So I could only shout and wave my handkerchief. The pains came back and back and every time he grew weaker. Oh, it was angina. I have seen it before twice. If I had only had some nitrite of amyl! But there was nothing nothing I could do." He paused, and then added timidly, "I am a Catholic; I said some of our prayers."
"There were people ahead of me. They took forever. Has Mr. Jones told you? Mr. Lennox did not do it." Breaking a tube in a handkerchief, she was administering the amyl and Jones wondered whether she could then suspect. But her face was turned from him, he could not read it, and realising that, in any event, she must be spared the next act, he cast about for an excuse to get her away.
One of the most important indications for the use of the drug is threatening paralysis of the heart from insufficient compensation. In such cases it is necessary to gain time until digitalis and alcoholics can unfold their action, and here nitrite of amyl stands pre-eminent. A single case in point will suffice to illustrate this.
Therefore the perfunctory use of such drugs as nitrite of amyl and the other nitrites may not be in the least indicated when, for example, the venous pressure depends upon inability of the right heart to perform its functions, and the drug needed may, for example, be digitalis.
Cassy hurried to the mantel where, in provision of these attacks, were glass tubes with amyl in them. She took and broke one and had him inhale it. Then, though presently the spasm passed, the wolf remained. But the beast had no terrors for Cassy. Buoyant, as youth ever is, his fangs amused her. They might close on her, but they would not hurt, at any rate very much, or, in any case, very long.
If amyl nitrite is not at hand, or has been found previously to cause considerable disturbance of the head or a feeling of prolonged faintness, nitroglycerin is the next most rapidly acting drug. It may be given hypodermically, or a tablet may be dissolved on the tongue.
I had obtained good results in such cases by the inhalation of nitrite of amyl, and the present seemed an admirable opportunity of testing its virtues. The bottle was downstairs in my laboratory, so leaving my patient seated in his chair, I ran down to get it. There was some little delay in finding it five minutes, let us say and then I returned.
They had sent for Sidney; but the little house had no telephone, and the message was slow in getting off. At six o'clock Dr. Ed came panting up the stairs and into the room. K. stood back. "Well, this is sad, Harriet," said Dr. Ed. "Why in the name of Heaven, when I wasn't around, didn't you get another doctor. If she had had some amyl-nitrate " "I gave her some nitrate of amyl," said K. quietly.
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