hook him as roughly as was safe in his depressed condition, but
elicited no resistance or responsive movement. As it seemed very
doubtful whether he was capable of swallowing, I dared not take the risk
of pouring the liquid into his mouth for fear of suffocating him. A
stomach-tube would have solved the difficulty, but, of course, I had not
one with me. I had, however, a mouth-speculum which also acted as a gag,
and, having propped the patient's mouth open with this, I hastily
slipped off one of the rubber tubes from my stethoscope and inserted
into one end of it a vulcanite ear-speculum to serve as a funnel. Then,
introducing the other end of the tube into the gullet as far as its
length would permit, I cautiously poured a small quantity of the
permanganate solution into the extemporized funnel. To my great relief a
movement of the throat showed that the swallowing reflex still existed,
and, thus encouraged, I poured down the tube as much of the fluid as I
thought it wise to administer at one time.
The dose of permanganate that I had given was enough to neutralize any
reasonable quantity of the poison that might yet remain in the stomach.
I had next to deal with that portion of the drug which had already been
absorbed and was exercising its poisonous effects. Taking my hypodermic
case from my bag, I prepared in the syringe a full dose of atropine
sulphate, which I injected forthwith into the unconscious man's arm. And
that was all that I could do, so far as remedies were concerned, until
the coffee arrived.
I cleaned and put away the syringe, washed the tube, and then, returning
to the bedside, endeavoured to rouse the patient from his profound
lethargy. But great care was necessary. A little injudicious roughness
of handling, and that thready, flickering pulse might stop for ever; and
yet it was almost certain that if he were not speedily aroused, his
stupor would gradually deepen until it shaded off imperceptibly into
death. I went to work very cautiously, moving his limbs about, flicking
his face and chest with the corner of a wet towel, tickling the soles
of his feet, and otherwise applying stimuli that were strong without
being violent.
So occupied was I with my efforts to resuscitate my mysterious patient
that I did not notice the opening of the door, and it was with something
of a start that, happening to glance round, I perceived at the farther
end of the room the shadowy figure of a man relieved by two sp
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