Friction upward was also applied
to the lower extremities, and the surface became warm about half an
hour after the beginning of treatment.
About twenty minutes after ten, two hypodermic syringefuls of brandy
were administered, but I did not repeat this, since I think alcohol is
likely to increase rather than diminish asphyxia, if given in any
considerable quantity. A thermometer, with the mercury shaken down
below the scale, at this time did not rise. At 11.8 the pulse was 82;
respiration, 27; temperature, 97.
After a natural respiration had commenced, the wet clothing was
removed, and the patient was placed in blankets. Ammonia was
occasionally applied to the nostrils, since, although respiration had
returned, there was no sign of consciousness; the natural respiration
was at first attended by the expulsion of frothy fluid from the lips,
which gradually diminished, and auscultation revealed the presence of
a few pulmonary rales, which also passed away. There were efforts at
vomiting, and pallor succeeded cyanosis; there were also clonic
contractions of the flexors of the forearm. The pupils dilated
slightly at about one hour after beginning treatment. Unconsciousness
was still profound, and loud shouting into the ear elicited no
response.
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