lmost instantly the
pain, which is often intense and severe, is very much lessened. The
hot-water bath is very hot, and the joint should be very red on taking
it out. Immediately following the bath the injured joint is wrapped in
a very cold wet compress, which is next completely covered by silk,
gutta-percha, mackintosh, or many thicknesses of newspaper--anything
that will hold all the heat in--as the cold compress is quickly heated
up. Lastly, a bandage of heavy flannel completely covers the
whole--compress, impervious covering, etc.
The joint is now elevated for three hours, when it is again immersed
in a very hot bath and then again the cold compress is applied. This
is continued every three hours, except during sleep, for two days,
after which it may be done morning and evening. Massage is now
administered every three hours, first four inches below the injury
then four inches above it, while in a day or so the joint itself may
be gently rubbed with well-oiled hands. By the end of one week the
patient begins to use the injured member.
In the case of a sprained ankle a properly applied adhesive strap
bandage will give no end of relief and support. Various liniments may
be applied, but usually the good obtained is from the thorough rubbing
which always accompanies their use according to directions.
Sprains treated as above directed will often liberate the child in
one-third the usual time generally allotted for its healing.
FROST BITES AND CHILBLAINS
Keep the child who has frozen some part of his body in a cool room,
and rub the frost-bitten part with snow or ice water, or wrap it up in
cold water compresses.
The return to heat must be slow indeed, else much pain may be
experienced; blisters followed by discoloration, and even
mortification, may set in. You may be surprised some morning on
awakening to find your child's hand twice its normal size and very
red, because it was out from under the cover a good share of the night
exposed to Jack Frost. Do not bring it to heat quickly but immerse it
in cold water, gradually and slowly raising the temperature of the
bath until it is warm and comfortable.
The intense itching and burning of a chilblain may often be relieved
by painting with iodine or triple chloride of iron (Monsel's
solution). Soap liniment has also been suggested, as well as alternate
applications of hot and cold water. Chilblains are troublesome,
painful, and their yearly recurrence is oft
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