The medical diseases of children . s, andpoultices are of use. Application of oil of gaultheria is of no practicalvalue as it is so very slowly absorbed. In one case tested, the urine,did not give the salicylate until the fifth day of application. ACUTE RHEUMATIC PERICARDITIS 377 The ice-bag introduced for this purpose by Dr. Lees is the mostbeneficial local application, and of its value there is no doubt. Inorder to obtain the best results, attention should be paid to the follow-ing points. The ice-bag should be applied directly to the skin withoutthe intervention of any flannel, ex
The medical diseases of children . s, andpoultices are of use. Application of oil of gaultheria is of no practicalvalue as it is so very slowly absorbed. In one case tested, the urine,did not give the salicylate until the fifth day of application. ACUTE RHEUMATIC PERICARDITIS 377 The ice-bag introduced for this purpose by Dr. Lees is the mostbeneficial local application, and of its value there is no doubt. Inorder to obtain the best results, attention should be paid to the follow-ing points. The ice-bag should be applied directly to the skin withoutthe intervention of any flannel, except possibly for an hour or twowhile the child becomes accustomed to its presence. Some form ofbinder should be arranged to ensure the ice-bag being kept accuratelyin place. As a rule the binder should be secured in position by strapspassing over the shoulders (Fig. 64). Over the bag some cotton-wool should be placed, to absorb the moisture which collects on itscold surface. Small pieces of ice should be used to fill the ice-bag,. Fig. 64.—To show Meihod of Applying an Ice-bag to Heart which will require to be recharged at least every two hours. Asa make-shift, a new mackintosh sponge-bag of the ordinary shapemay be used. While ice is being applied, particular attention mustbe paid to keeping up the warmth of the body by means of hot-waterbottles to the legs and feet. The temperature should be taken inthe axilla at two-hourly intervals, and should it fall below 100°, itis usually wise to remove the ice for a time. When an ice-bag which has been properly applied is taken off, anarea of hyperamic skin should be disclosed, resembling that producedby poulticing. Ice is, then, a counter-irritant, and is in fact thebest means that we have at our disposal for keeping up constant 378 DISEASES OP THE CIRCULATORY SYSTEM counter-irritation. It is probable that the application of cold overthe heart also lias a direct effect on the inflammatory processes in thepericardium. Thus its use
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
