d
the bowels by cathartics. Stimulate if necessary.

HEAT STROKE.--Called also heat exhaustion; thermic fever, coup de Soleil.
A condition produced by exposure to excessive heat.

Heat Exhaustion.--This is caused by continued exposure to high
temperatures, especially while working hard.

Symptoms.--Prostration with cool skin, temperature often below normal,
95-96, pulse is small and frequent, sometimes restlessness and delirium.
The person need not necessarily be exposed to the direct rays of the sun,
but the condition may come on at night, or while at work in close,
confined rooms.

Treatment of indoor heat exhaustion.--Aromatic spirits of ammonia one to
two drams and strychnine; avoid alcohol. If the temperature is below
normal, (98.6) a warm bath can be given. Rest in bed in a well ventilated
room.

SUNSTROKE. Heat Stroke, Thermic (heat) Fever.--This occurs in persons
chiefly who, while working very hard are exposed to the sun. Soldiers who
are marching with their heavy accoutrements are very liable to be
attacked. In large cities the most of the cases are confined to workmen
who are much exposed and at the same time, have been drinking beer and
whisky.

Symptoms.--The patient may be struck down and die very soon with symptoms
of failure of the heart, difficult breathing and coma. This kind is most
frequent in soldiers. In ordinary cases there may be failure to perspire,
premonitory headache, dizziness, sometimes nausea and vomiting, colored or
poor sight (vision); insensibility follows, which may be temporary or
increased deep coma. The face is flushed, the skin is dry and hot, the
pupils are temporarily dilated, then usually greatly contracted, the pulse
is rapid and full, and the temperature ranges from 107 to 110 degrees or
higher. The breathing is deep, labored and snoring (stortorous). Usually
there is complete muscular relaxation, with twitchings, jerkings, or very
rarely convulsions may occur. In fatal cases, coma (deep sleep) deepens,
the pulse becomes more frequent and feeble, the breathing becomes more
hurried, shallow and irregular and death may occur within twenty-four to
thirty-six hours. In others, the consciousness returns, the temperature
falls, the pulse and breathing become normal and recovery may be complete
or leave bad results. The patient may be predisposed to future attacks or
suffer from weakness or headache, and disturbance of the mind when ever
the weather is warm.

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