d may answer questions. The eyes are dull and
listless, the face pale and pinched, and the general expression is
apathetic. The skin is cold and there may be perspiration; the pulse is
feeble and irregular, and the breathing is shallow. The whole attitude
of the victim is one of indifference and apparent inability to
appreciate the seriousness of the situation and a seeming immunity to
pain or discomfort.

When this condition exists it must always be regarded as serious because
the patient may die as a direct result of the condition of shock. The
various symptoms depend upon a temporary paralysis of the blood vessels
which deprives the brain of blood. There is always a certain degree of
shock with all injuries. Mothers should know what to do in these cases
before the physician comes. The general treatment in all cases is to
keep the patient warm and quiet, and to use stimulants carefully.

The patient should be put in bed or on a flat surface with the feet
higher than the head. If raising the feet should cause the face to
become blue it will be advisable to restore the patient to the
horizontal posture. Artificial heat must be applied to the patient's
body and extremities by means of hot water bags, bottles, bricks,
plates, or any other handy device. Blankets should be put around the
patient and every possible means resorted to, to maintain body heat.
Mustard plasters may be put to the heart, spine and shins. Stimulants
are necessary, such as hot black coffee if possible or hot water, in
which a small portion of brandy may be put. If brandy is not obtainable
the patient may take aromatic spirits of ammonia in hot water every
twenty minutes for a number of doses. In every case of shock a physician
should be sent for immediately.

Dog Bites.--When a child is bit by a dog every effort should be made
to get the dog. It should be kept in a safe place for a week so that it
may be definitely known whether it is sick or not. If the dog dies
within a few days after biting anyone it may be assumed that he had
rabies. Its head should be sent to the local health authorities who can
tell after examination if it was mad. If there is any reason to assume
that the dog was infected, the child should receive the Pasteur
treatment. This treatment will, if conducted under favorable
circumstances, absolutely prevent hydrophobia.

The mother should sterilize the wound as thoroughly as possible. This
may be done by using pure hydrogen per