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Bull, Thomas, M.D.

"The Maternal Management of Children, in Health and Disease."


A very useful and indeed powerful remedy prescribed in this disease,
is sometimes rendered utterly useless from a want of a persevering and
also proper mode of applying it, viz. cold applications to the head.
It is to be effected either by means of cloths kept constantly wet with
cold water, or evaporating lotions; or by means of a bladder containing
pounded ice mixed with water. If the two former are employed they
require frequent renewal, or they become dry, hot, and more injurious
than useful; and whichever is used, it must be kept in constant contact
with the forehead, temples, and upper part of the head. Here is another
error; they are seldom used large enough, and only partially cover
these parts. With the further view of keeping the head cool, and
preventing the accumulation of heat, a flat horse-hair pillow should be
employed, and the head and shoulders somewhat raised.
Perseverance in the measures prescribed, even when the case appears
beyond all hope, must ever be the rule of conduct. Recovery, even in
the most advanced periods of the disease, in cases apparently
desperate, occasionally takes place. There is great reason to fear that
many a child has been lost from a want of proper energy and
perseverance on the part of the attendants in the sick room.


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