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Updated: May 10, 2025
In croup, have always ready a plentiful supply of hot water, in case a warm bath might he required. In child-crowing, have always in the sick-room a supply of cold water, ready at a moment's notice to dash upon the face. In fever, do not let the little patient lie on the lap; he will rest more comfortably on a horse-hair mattress in his crib or cot.
In a favourable case, after either a few seconds, or even, in some instances, a minute, and a frightful straggle to breathe, he regains his breath, and is, until another paroxysm occurs, perfectly well. Many children, who are said, to have died of fits, hare really died of child-crowing. Child-crowing is very apt to cause convulsions, which complication, of course, adds very much to the danger.
The symptoms in a paroxysm of child-crowing are as follows The child suddenly loses and fights for his breath, and in doing so, makes a noise very much like that of crowing, hence the name child-crowing. The face during the paroxysm becomes bluish or livid.
For, too frequently, before a medical man has had time to arrive, the child has breathed his last, the parent himself being perfectly ignorant of the necessary treatment; hence the vital importance of the subject, and the paramount necessity of imparting such information, in a popular style, in conversations of this kind. What treatment, then, during a paroxysm of Child-crowing should you advise?
Child-crowing, or spasm of the glottis, or spurious croup, as it is sometimes called, is occasionally mistaken for genuine croup. It is a more frequent disorder than the latter, and requires a different plan of treatment Child crowing is a disease that invariably occurs only during dentition, and is most perilous, indeed, painful dentition is the cause the only cause of child crowing.
Put his foot and legs in hot salt, mustard, and water; and, if necessary, place him up to his neck in a hot bath, still dashing water upon his face and head. If he does not quickly come round, sharply smack his back and buttocks. In every severe paroxysm of child-crowing, put your fore-finger down the throat of the child, and pull his tongue forward.
Cases in which this occurs are known in popular language as child-crowing, or spasmodic croup, from the peculiar catch or crow which accompanies the entrance of air through the spasmodically contracted opening of the windpipe; a spasm which if severe and sufficiently continued closes the opening altogether, so that after fruitless efforts to get its breath the child dies suffocated.
Mr Roberton, who, at my request, has kindly given me the benefit of his extensive experience in child-crowing, considers that there is no remedy, in this complaint, equal to fresh air to dry cold winds that the little patient ought, in fact, nearly to live, during the day, out of doors, whether the wind be in the east or in the north-east, whether it be biting cold or otherwise, provided it be dry and bracing, for "if the air be dry, the colder the better," taking care, of course, that he be well wrapped up.
But, if a child labouring under it can fortunately escape suffocation until he have cut the whole of his first set of teeth twenty he is then safe. Child-crowing comes on in paroxysms.
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