Chloral Hydrate.
The stomach-tube or emetics, especially to-min. injection of Apomorphine Solution, should be used, and these must be followed by injections ol Strychnine gr.) or of Atropine gr.), Caffeine (5 grs.), or free stimulation with Ammonia, Whiskey or Ether, and Sinapisms. Electricity and artificial respiration; inhalation of Amyl Nitrite may be tried. The patient should be roused and prevented from sleeping, and as death may occur from the diminution of the body heat external warmth is essential, and a pint of strong, warm coffee injected into the rectinn. Dougall pointed out that Potash is an antidote to chloral, I dr. completely decomposing 80 grs. of chloral. He recommends drachm doses of 11.P. Liquor Potassw, largely diluted, every hour for several doses.
Chlorine.
When this gas has been inhaled the treatment will consist in inhalation of Ammonia or Sulphuret led Hydrogen. If the poison has been swallowed it should be neutralised by large quantities of Albumin and mucilaginous drinks.
The routine in Chlorine manufactories is resort to very hot drinks of strong tea, coffee, or milk; as a preventive the Ilyposulphite of Soda mask.
Chloroform.
When symptoms of in alarming interference With the breathing or circulation come on (Luring amesthesia, the tongue should he drawn forward, and artificial respiration, cold allusion, free ventilation by a current of air, turning over the patient upon his left side or inversion of the body may be tried. The Konig Maas method of starting respiration is carried out by placing the ball of the thumb of the operator's right open hand upon the patient's chest between the apex-beat region and the sternum and pressing rapidly (12o per minute) the thoracic wall with considerable force, so as to cause direct pressure upon the cardiac muscle.
In Laborde's method the tongue is forcibly pulled forward and rhythmical traction upon it kept up at the rate of r 5 to 20 per minute.
Hypodermically—Whiskey, Ammonia, Strychnine or Digitalis or inhalation of Nitrite of Amyl may be given. Strychnine is unquestionably the best of
these, and may be given hypodermically in one dose of 5 to ro mins. B.P. liquor. Galvanism is doubtful. If the chloroform has been swallowed, use the stomach-tube, or give to mins. of Apomorphine Solution, and proceed as if inhaled.
Chronic Chloroform Poisoning (Acidosis, Acid Intoxication, Acetonmia, Acetonuria) is described under Acidosis.
Cocaine.
After the use of the stomach-tube or emetics fill the stomach with hot strong Coffee and a little Alcohol, and give A gr. Strychnine. If the symptoms continue, Chloroform inhalation may be necessary to quiet convulsions. but the best procedure is to administer Oxygen and keep up artificial respiration. Where Permanganate of Potash or Condy's Fluid is at hand, and the patient is immediately seen after poisoning by the alkaloid, this may be oxidised in the stomach by prompt administration.
Colobicum.
Stomach-tube or emetics, mucilaginous drinks, Albumin or strong Tea or Tannin should be given, and these should be followed by a purgative, after which free stimulation with Alcohol may be required, and symptoms met as they arise,theart failure being relieved by Strychnine (A gr.) hypodermically, and severe.colicky:painbyilMorphine or large doses of Olive Oil.
Conium.
The stomach-tube or emetics, Tannin, and Castor Oil should be used. Stimulate freely by Ammonia. Hypodermics of Strychnine or Atropine may be tried, anclIartificial respiration persevered with assiduously till the poison is eliminated.
Copper Salts.
The stomach-tube or emetics must be resorted to if free vomiting has not occurred; yellow Prussiate of Potassium, egg Albumin and Milk. which form insoluble Copper Salts, are to be given; mucilaginous drinks, and wheaten flour or water in which yolks of eggs are suspended, and the free use of Opium to allay irritation are called for.
Corrosive Sublimate—see Mercury. Creosote.
The same treatment as for Carbolic Acid.