PRESENTED BY The Mutual Life Insurance Company O V NEW YORK. .Richard A,Me Curdy President MARGARET WINDSOR THE UNIVERSITY OF ILLINOIS LIBRARY (o lb M38e Digitized by the Internet Archive in 2017 with funding from University of Illinois Urbana-Champaign Alternates https://archive.org/details/emergenciesmanua00mutu_0 EMERGENCIES A MANUAL FOR REFERENCE ISSUED BY The Mutual Life Insurance Company of New York RICHARD A. McCURDY, President TP i r T ■ , 9* AUG 2 4 j'i UNIVERSITY Or 1903 PUBLISHED BY THE COMPANY ILLINOIS Copyright, 1903, by The Mutual I^ife Insurance Company of New York fo/t ■ VMS C*P. 2-^ The Mutual Life Insurance Company of New York BOARD OF TRUSTEES RICHARD A. McCURDY President of the Company, N. Y. City JAMES C. HOLDEN President National Safe Deposit Co., N. Y. City HERMANN C. VON POST Oelrichs & Co., Agents North German I^loyd S. S. C N. Y. City ROBERT OLYPHANT Ward & Olyphant, Miners and Shippers of Coal, N. Y. City GEORGE F. BAKER President First National Bank, N. Y. City DUDLEY OLCOTT President Mechanics’ and Farmers’ Bank, Albany, N. Y. FREDERIC CROMWELL Treasurer of the Company, N. Y. City JULIEN T. DAVIES Counselor-at-I*aw. Davies, Stone & Auerbach, N. Y. City CHARLES R. HENDERSON Banker. Henderson & Co., N. Y. City RUFUS W. PECKHAM Justice U. S. Supreme Court, Washington, D. C. WILLIAM P. DIXON Counselor-at-Law. Dixon & Holmes, N. Y. City ROBERT A. GRANNISS Vice-President of the Company, N. Y. City HENRY H. ROGERS President National Transit Co., Standard Oil Co., N. Y. City JOHN W. AUCHINCLOSS Merchant—Retired. N. Y. City THEODORE MORFORD President Sussex National Bank, Newton, N. J. WILLIAM BABCOCK Commission Merchant. Parrott & Co., San Francisco, Cal. STUYVESANT FISH President Illinois Central R. R. Co., N. Y. City and Chicago AUGUSTUS D. JUILLIARD Dry Goods Commission. A. D. Juilliard & Co., N. Y. City 872628 BOARD OF TRUSTEES—Continued CHARLES E. MILLER Counselor-at-Daw. N. Y. City WALTER R. GILLETTE, M.D. Vice-President of the Company, N. Y. City GEORGE G. HAVEN President and Director Worcester, Nashua & Rochester R. R. Co, GEORGE S. BOWDOIN Banker—Retired. Eate J. P. Morgan & Co., N. Y. City ADRIAN ISELIN, Jr. Vice-President Guaranty Trust Company of N. Y. Banker. Adrian Iselin & Co., N. Y. City WILLIAM C. WHITNEY Ex-Secretary of the Navy N. Y. City WILLIAM ROCKEFELLER Standard Oil Co., N. Y. City JAMES N. JARVIE Arbuckle Bros., Coffee, N. Y. City CHARLES D. DICKEY Banker. Brown Bros. & Co., N. Y. City ELBRIDGE T. GERRY Counselor-at-Eaw. 261 Broadway, N. Y. City JAMES SPEYER Banker. Speyer & Co., N. Y. City CHARLES LANIER Banker. Winslow, Eanier & Co., N. Y. City HAMILTON McK. TWOMBLY Capitalist. N. Y. City WILLIAM H. TRUESDALE President Delaware, Eacka wanna and Western R. R. Co. DUMONT CLARKE President American Exchange National Bank, N. Y. City CORNELIUS VANDERBILT New York EFFINGHAM B. MORRIS President Girard Trust Co., Philadelphia ROBERT H. McCURDY General Manager of the Company. EMERGENCIES As a preparation for emergencies, there can be nothing better than a policy in The Mutual Life Insurance Company of New York. No. 2 in the series of Medical Handbooks now being 1 revised and issued by The Mutual L.ife Insurance Company of New York. Others in course of preparation. CONTENTS BLEEDING FROM THE NOSE ... ... ... 14 CHILBLAIN. 21 CHOLERA, EPIDEMIC (Asiatic Cholera) . 28 CHOLERA MORBUS . 27 CONVULSIONS . 22 CONVULSIONS IN CHILDREN . 9 CROUP 8 DIARRHOEA 25 DYSENTERY. 27 EARACHE . 7 EYE, FOREIGN BODIES IN. 10 FACEACHE . 8 FOREIGN BODIES IN NOSTRILS AND EAR ... 12 FROSTBITE . 19 MALARIA . 29 POISON-VINE ERUPTION . 14 SPITTING OF BLOOD. 14 SUNSTROKE . ... 15 TOOTHACHE . 8 VOMITING . 28 EARACHE. 7 EARACHE. Evaporate the alcohol from a teaspoonful of laudanum (page 11); add half as many drops as you started with of glycerine or sweet oil; make this milk-warm, and pour into the ear, taking hold of the upper tip and pulling toward the crown of the head (page 13); or, wet a scrap of linen in a teaspoonful of laudanum, dry before a fire, cut into bits, place in the bowl of a tobacco-pipe, light it, cover with a coarse handkerchief, insert end of the stem _ Earache (mouthpiece), suitably protected so as not to hurt, into the ear of the child. Then apply the lips to the bowl and blow the smoke from the burning opium of the laudanum into the ear. Tobacco alone can be used in the same way. Either of these methods will afford instant relief in most cases. Frequent syringing with decidedly warm, almost hot water is also highly recom¬ mended by eminent aurists. Tenderness, redness, or swelling of the tissues immediately behind the ear are danger signals, and should be promptly heeded, as they indicate serious mischief in the underlying bony structure. Make cold applications (small compresses kept on ice serve the purpose) and summon a physician. If the pain continues, consult a doctor without delay. It may be the beginning of severe inflammation of the ear, which sometimes proves fatal. Any chronic discharge from the ear should be treated chronic di 9 - until it is entirely well. It may occasion very little charge from inconvenience, but, on the other hand, it may cause a the ear. severe inflammation of the brain, which is usually fatal. (£27”insure in The Mutual Life Insurance Company of New York) 8 TOOTHACHE—FACEACHE—CROUP. Toothache. Faceache. Croup, varieties. Symptoms. TOOTHACHE. This is sometimes neuralgic, and sometimes due to decay. Heat applied to the face outside, and a heated half of a fig held inside, often relieve the former kind, and sometimes afford temporary relief in the latter kind. If the cavity can be cleansed out with a broom-splint and filled with cotton steeped in evaporated laudanum much comfort will be found. FACEACHE. This usually is neuralgic, and the application of heat is always grateful. A small hop-pillow heated and held to the face is useful; or the face may be bathed with laudanum, tincture of arnica or any soothing substance. Mustard plasters should not be used, as they leave a conspicuous mark, and may blister. Ordinary Cayenne pepper mixed into a stiff paste with an equal bulk of Indian meal and honey is quite as active and useful, and does not blister the skin. CROUP. Croup may be either membranous or spasmodic. The former is really a variety of diphtheria, and should be treated as such. The latter is by far the more common, however, and is often produced by the presence of undigested or indigestible food. Some young children seem peculiarly prone to this trouble. The well-known hoarseness of the voice and the rough, brazen cough which come on toward night always suggest the possibility of an attack of croup. These symptoms, showing increased difficulty of breathing, rapidly grow worse, and all that is to be done must be done quickly. Of course, a physician should be sent for. The first thing is to get the child to vomit, by giving ({Sjflnsure m Thb Mutual Lifb Insurance Company of New York) CROUP—CONVULSIONS. 9 it every few minutes a teaspoonful of syrup of ipecac, followed by draughts of warm water. As soon as vomiting commences a warm bath should be given, the skin well dried with a warm soft towel, and the child put to bed. A properly made and carefully applied warm poultice, or flannels wrung out of hot water, may be placed on the upper and front part of the chest, care being taken on removing it to substitute a warm, dry flannel. In doing these things do not expose the skin to the slightest draught. A mustard paste—one part mustard to fifteen or twenty parts of flour—is also useful, especially if there is any accompanying bron¬ chial inflammation. Small doses of paregoric or sweet spirits or nitre—ten drops of either in water, repeated every two hours—may be given if the cough is troublesome. After the child vomits, or should it seem weak, five drops of aromatic spirits of ammonia in a teaspoonful of water may be given every ten minutes until four or five doses shall have been taken. This is for a child about two years of age. The stomach of a child susceptible to croup cannot be too carefully guarded, especially if it is suffering from what is popularly known as a “ cold.” CONVULSIONS IN CHILDREN. These, sometimes called “fits,” often result from undigested food in the stomach or bowels. The first thing to be done is to put the child in a bath of warm water. In the course of a few minutes—which seems much longer to the mother and friends—the spasm relaxes enough to permit an emetic to be given to dislodge whatever may be in the stomach. The syrup of ipecac, Insure j n The Mutual Life Insurance Company of New York) Treatment Convulsions in children. 10 FOREIGN BODIES IN THE EYE. as directed under “ Croup,” is as good as anything for the purpose. Sometimes these convulsions are one of the early symptoms of scarlet fever, measles, or other diseases peculiar to childhood. FOREIGN BODIES IN THE EYE. Methods of removal. Particles of cinder, dust or fragments of metal often get into the eye, and cause a great deal of trouble. Generally they are dislodged and washed out by the extra secretion of tears due to the irritation, but some¬ times it is necessary to resort to some process of extrac¬ tion. A popular and often successful plan is to take hold of the lashes of the upper lid and separate it from the eyeball, so that the lashes of the lower lid will slip up into the space, acting as a brush to the inner surface of the upper eyelid. This cannot, as a rule, remove any¬ thing from the eyeball. A better way is to hold a knitting needle or a match over the upper lid, close to and just under the edge of the orbit, firmly, but without much pressure. Then seize the lashes of that lid with the fingers of the disengaged hand, and gently turn the lid (82F“Tnsure In The Mutual Life Insurance Company of New York) FOREIGN BODIES IN THE EYE. 11 upward and backward over the needle, or the substitute used. Movement of the eyeball by the sufferer, in a strong light, usually reveals the presence of the intruding body, so that by means of a corner of a silk or cambric handkerchief it can be detached and removed. Should the foreign body be imbedded in the mucous membrane covering the eyeball or the eyelid (conjunc¬ tiva), a steady hand and a rigid instrument will usually lift it out. A very useful spud for such a purpose is the butt of a clean pen. A drop or two of cocaine solution, 5 or 10 per cent, will deaden the sensibility of the eye, and materially facilitate the removal of the foreign body. This solution dilates the pupil, but’ the effect passes off in a few hours. The foreign body often cannot be seen, but the person assures us that he feels it. Usually he does not really feel the presence of the body so much as the roughness (really a wound) left by it. In such a case, even if the body has been removed, a soothing application to the injury is as useful as a similar remedy applied to a wound of the hand. Take a spoon or cup, heat it, and pour in a few drops of laudanum. This will soon become dense and jelly-like. A few drops of water added will dissolve thir gummy material, and the liquid thus formed may be applied by the finger to the “ inside of the eye,” as they say. Laudanum is opium dissolved in alcohol. The alcohol is somewhat irritating, but is easily evaporated by the gentle heat, leaving an extract of opium, which is dissolved in the water afterward added. A still better application for this sense of irritation is made by dissolving a teaspoonful of boric acid, either powdered or crystalline, in a teacupful of warm water. A few drops of this can be dropped in the eye every half hour or so. This is also an excellent thing for that IJ3gT“Insure in The Mutual Life Insurance Company of New York) Removal, it imbedded. Treatment of the after- irritation. 12 FOREIGN BODIES IN NOSTRILS AND EAR. Pink-eye, or conjuncti¬ vitis. Lime in the eye. condition of the eye known as pink-eye, or acute con¬ junctivitis. If the inflammation is at all marked, it is well to combine cold applications with the drops by keeping cloths wet with ice-water constantly on the eye. It should be remembered that pink-eye can easily be transferred to the sound eye, or to another person, and precautions should be taken to prevent this. Do not use any of the popular “ eye-waters ” or “ salves.” A not uncommon accident is the lodgment of a frag¬ ment of lime in the eye. The delicacy of the organ and the activity of this powerful alkali require that the remedy be applied immediately. Do not waste time by attempting to pick the lime out, but neutralize the alkali with a few drops of vinegar (which is dilute acetic acid) in a little water. A few drops of lemon juice, in a little water, will answer just as well. Even when this is done rapidly, the ulceration caused by the alkali will be some days in disappearing. In all cases where lime has entered the eye no time should be lost in consulting a surgeon. FOREIGN BODIES IN NOSTRILS AND EAR. The curious disposition of children to insert foreign bodies—as grains of coffee, corn, peas, pebbles, etc.—up the nostrils and into the ear is too well known to need more than a mere allusion. If the body is soft, it absorbs moisture from adjacent parts, and becomes swollen and more difficult to remove. If the body is hard, the irrita¬ tion and inflammation soon caused by it in contiguous parts materially increase the difficulties of removal. Hence the sooner these substances are removed the more easily will their removal be accomplished. If the foreign body is up the nostril, the child should be made to take a full inspiration (“a full breath”); (23§T“Insure in The Mutual LIFE INSURANCE COMPANY OF NEW YORK) FOREIGN BODIES IN NOSTRUMS AND EAR. 13 then if the other nostril be closed with the finger, and the mouth closed with the hand, the air from the lungs, escaping through the nostril closed by the foreign body, assisted by a sharp blow on the back with the palm of the hand, will often expel the substance. if it will not escape in this way, and it is near the opening of the nostril, compression by the fingers, just above, will prevent it getting further up, and it can be hooked out with the bent end of a wire or a bodkin. Should these measures not remove the foreign body, the child must at once be taken to a surgeon. Foreign bodies in the ear are more troublesome to deal with. No effort to remove them with a probe, or anything of the kind, should be made by anyone except a professional man, for fear of permanent injury to the ear. The head of the child, face downward, should be firmly held between the knees, and with a Mattson or Davidson syringe a stream of tepid water should be injected into the ear. The nozzle of the syringe should not be introduced into the cavity, as its presence may prevent the dropping out of the body after the water has been forced past and beyond it. Should this means not succeed, consult a surgeon without delay. Insects sometimes get into the ear. The best way to get them out is to hold the head of the person with the disabled ear upward, and fill the cavity with sweet oil or glycerine. This drowns the animal, by closing its breathing pores, and in a short time it floats to the surface of the fluid used. The tube of the ear is slightly curved, and when straightened somewhat by taking hold of the upper tip, and gently pulling it upward toward the crown of the head, the liquid flows in more readily. (£-£r“lnsure in Thr Mutual Life Insurance Company op New York) Treatment of foreign bodies in the nostril. Treatment of foreign bodies in the ear. Insects in the ear. 14 BREEDING FROM NOSE AND THROAT. Bleeding from the nose. Spitting of blood. Poison-vine eruption. BLEEDING FROM THE NOSE. Bleeding from the nose is sometimes troublesome, but not often fatal. In severe and prolonged cases profes¬ sional assistance can usually be obtained. The rem¬ edies and appliances to be used cannot be properly described here. The most important thing is not to disturb the clot closing the little ruptured vessels by blowing the nose. The person should be kept flat on his back, the collar loosened and cold applied to the back of the neck. Do not forget that a small amount of blood will stain quite deeply a large amount of water. One common practice should be carefully avoided—that of holding the head over a vessel and letting the blood drip into it from the end of the nose. This attitude simply congests the head and prolongs the bleeding. SPITTING OF BLOOD. If the blood comes from the lungs, it is suggestive of trouble there, but not always so in young people, especially in young women. The amount of blood lost is in itself rarely fatal. As salt is usually given in such cases, it has acquired a popular confidence for arresting the loss of blood. Salt and fragments of ice may be given, and the patient made to lie quietly on his back. Of course, a doctor should be sent for at once. POISON-VINE ERUPTION. Several varieties of the Rhus, popularly known as the swamp-sumach or poison-sumach, poison-vine, and poison- oak, when brought in contact with the skin of many per¬ sons, produce itching, redness, a sense of burning, tumefaction, and even blistering. Sometimes the swelling is so great as to disguise the features. Some persons ({3gr*lnsure in The Mutual Life Insurance Company of New York) POISON-VINE ERUPTION—SUNSTROKE. 15 experience the same symptoms if they come within the in¬ fluence of merely the emanations from the different species of the Rhus. The poisonous effects are usually observed shortly after exposure, and begin to decline within a week. Weak alkaline solutions—say a teaspoonful of common baking soda to a quart of water, or even lime-water— kept to the part by dipping pieces of linen in them, are useful in allaying the inflammation. The addition of laudanum relieves the pain. Weakened lead-water is also recommended. Cream from milk is perhaps as use¬ ful as anything. SUNSTROKE. Ordinary exhaustion from overwork in a heated atmos¬ phere is about the only disorder likely to be confounded with sunstroke. The distinction between the two will not be attempted here, as there is no essential difference in the treatment. Contrary to what is generally supposed, exposure of the head to the direct rays of the sun is not essential to cause sunstroke, as statistics show that it may occur in the shade, under shelter, and even at night; sometimes even in persons who have not been exposed to the sun for days before. Intense heat, either solar or artificial, is necessary to cause sunstroke. Workmen in sugar refineries, laundries, and engine and boiler rooms are not infrequently subject to it. Sunstroke appears to be decidedly favored by intem¬ perance and lack of acclimatization, and the debility which has been brought on by fatigue in a heated atmos¬ phere also favors it. Occupants of badly ventilated sleep¬ ing apartments appear to be oftener attacked than those who sleep in purer air. Symptoms.—It is generally thought by the non-pro- Insure In Thb Mutual Lifb Insurance Company of New York > Sunstroke, Causes, 16 SUNSTROKE. Warning symptoms. Symptoms cf the attack. fessional that the symptoms of sunstroke come on without, any warning whatever. Most cases, however, are preceded by pain in the head, wandering of the thoughts, or an inability to think, disturbed vision, irri¬ tability of temper, sense of pain or weight at the pit of the stomach, and inability to breathe with the usual ease and satisfaction. These symptoms become more marked until insensibility is reached, and sometimes are preceded by delirium. The skin is very hot, usually dry, but when not dry is covered with profuse perspiration. The face is dusky, or, as the saying is, “blue,” and the breathing rapid and short, or low and sighing. The action of the heart, per¬ ceived by placing the hand over it, is weak, rapid and tremulous, often compared to the “ fluttering of a bird.” In many instances, from what is popularly termed the commencement of the attack until it ends in death, the patient does not move a limb, nor even an eyelid. The breathing gradually fails, and the blood therefore is not purified in the lungs, as is indicated by the livid, purplish appearance of the surface. We are led by these symptoms to conclude that death takes place by asphyxia, as described under the heads “Drowning,” “Suffoca¬ tion,” etc. While we know that certain things favor the disorder, that a high temperature is necessary to produce it, and advise certain measures of precaution and relief found by experience useful in such cases, but little is really known of the nature of the malady. It would seem that the great heat of the body induces some change in the character of the blood, unfitting it for its proper functions. Owing to this peculiar condition of the blood, the portions of the brain or nervous system controlling the action of the muscles of the chest and heart lose their ability to super- (g^-^nsure in The Mutual Life Insurance Company of New York) SUNSTROKE. 17 intend properly the movements of breathing and circula¬ tion, and, as said before, the person dies from asphyxia. Treatment.—The person attacked should be carried at once to some shady spot. If a house in the neighborhood has a bathtub large enough to hold the entire body, he should be taken there. The tub should be filled with cold water. If it cannot be obtained cold enough, ice should be added. The entire body should then be immersed, with the exception of the head, over which an ice-cap should be placed. This can easily be made by putting a large fragment of ice in a towel and striking it a few times against the wall, thereby breaking the ice into small pieces. The patient should be kept in the bath for ten or fifteen minutes and then placed in a bed between blankets, without being dried. If at the end of fifteen minutes he shows no signs, or very feeble ones, of returning consciousness, he should be replaced in the bath and treated as before. This can be repeated at intervals of fifteen minutes, until consciousness is quite well estab¬ lished and the body remains cool. After being quite comfortable for some time, it occasionally happens that the patient becomes stupid and his body gets hot again. If this occurs, repeat the bath as before. If no bathtub is available, the person should be placed in a shady place, as a large room, or the shade of a building or of a tree. His clothing should be stripped off and his body and head thoroughly sponged with ice-water for twenty minutes, using it very liberally. This should be repeated in fifteen minutes, as in the case of the bath. In fact, there is no difference in the two methods, except that by means of a tub we can apply cold water much more thoroughly. Artificial respiration may be resorted to, if necessary, until the natural breathing returns, as soon as the heated CONVULSIONS—DIARRHOEA. 2o randum in some pocket containing a suggestion as to the duration of the attack, and to some remedy which assists restoration, would often materially add to the comfort and advantage of the afflicted person. Other convulsions are apoplectic. These are compar¬ atively uncommon. As a rule, little can be done by bystanders further than loosening everything about the neck. This should be done in all convulsions. The convulsions known as hysterical are usually found in young women who are not very strong. Until assist¬ ance comes, act as directed in epileptic convulsions. The distinction between them cannot be expressed to non-professional persons. DIARRHOEA. This very common summer complaint may be due to several causes. It may be caused by simple excess of food, especially fruits and vegetables; or by improper food, such as these same things when unripe; or by food that has begun to decompose, even though so slightly as not to be detected by the senses; or by changes in the weather, the so-called catching cold, although this latter is more of a predisposing cause than an immediate one; or by changes in the drinking water. The symptoms vary much in severity, cases ranging from two or three movements a day to thirty or forty. The movements may be accompanied by prostration, by no pain or by considerable. The cases range from the harmless attacks, to which no one pays much attention, up to the border line of dysentery. In all cases the condition exists that some indigestible food is present in the intestines, that the latter are trying to get rid of it, and are already irritated by it. We have then two things to do : First, to remove this offensive '^“Insure in Thr Mutual J.ifk Insurance Company of New York> Apoplectic convulsions, Hysterical convulsions, Diarrhoea, causes. Symptoms. 26 DIARRHOEA. Treatment. matter. Second, to allay the irritation caused by it. For the first there is nothing better than castor oil, a table¬ spoonful or two of which should be taken at once by an adult. A little less may be given to children, but they stand it very well. If this cannot be had, a few grains of calomel or a few teaspoonfuls of Epsom or Glauber’s salts in water can be given; but these are not as good as castor oil. To allay the irritation present in the intestines, apply hot cloths to the abdomen, and these are made more efficient by adding a few drops of turpentine to the hot water in which they are dipped. A large mustard plaster is also good. This should be quite weak—one part mustard to ten parts of flour—and should be made with cold water. These local applications can be made as soon as one of the purgatives above mentioned has been given. In three or four hours give some medicine which will soothe the intestines. A simple but ef¬ fective remedy is blackberry brandy with bismuth subnitrate. A tablespoonful of the former and an even teaspoonful of the latter can be given every two or three hours. If much pain is present, add five drops of laudanum to each dose. Care should be taken that the diet is very simple for a few days, consisting mainly of milk, eggs and toast. If blackberry brandy cannot be had, any other mild astringent can be used. Even Pond’s Extract will be of service. The bismuth will make the movements black, but that should not alarm anyone. In very mild cases the castor oil alone may be enough to cure the trouble. If the movements are at all frequent, it is better for the patient to remain in bed. Insure in The Mutual Life Insurance Company of New Yorkj DYSENTERY—CHOLERA. 27 DYSENTERY. When the movements are quite frequent, containing blood or mucus, and are accompanied and followed by griping pain, the condition known as dysentery is present. This is much more serious than diarrhoea, and every means should be taken to obtain the advice of a physician. If this cannot be had, the measures indicated under 14 Diarrhoea should be carried out, and will oftentimes be effective. They must be attended to thoroughly, and if the attack lasts longer than two days it will be necessary to give the castor oil every second day. If blackberry brandy is not used, it will be necessary to give some other stimulant—a tablespoonful of brandy or whiskey in water or milk every four or five hours. CHOLERA MORBUS. This disease is due in most, if not all, cases to the eating of some poisonous food. This may be poisonous naturally, as in the case of some mushrooms, or it may be the result of the beginning of decomposition. Decom¬ position causes in many foods, even before it can be detected by the senses, the formation of certain active principles called ptomaines, and these are often very irri¬ tating to the stomach and intestines. The symptoms are frequent retching and vomiting, profuse diarrhoea and marked prostration and weakness. These symptoms last only a few hours, as a rule, but they are sometimes fatal. A physician is nearly always required, as usually the medicines have to be given hypodermically, owing to the vomiting. Nothing should be given by mouth at first— not even water or ice. Hot cloths or a mustard plaster may be applied to the abdomen, and the extremities can be rubbed to relieve the cramps which are often present. Insure in The Mutual Life Insurance Company of New York) Dysentery* Cholera morbus, causes. Symptoms. Treatment. 28 CHOICER A—VOMITING. Epidemic cholera. Treatment. Treatment of vomiting. If no doctor can be had, five drops of laudanum, without any water, can be placed on the tongue, and repeated every fifteen minutes until five or six doses have been taken. Some will doubtless be vomited, but enough may be absorbed to have some effect. After the vom¬ iting has ceased for two hours, teaspoonful doses of brandy may be given every fifteen or twenty minutes. If any diarrhoea is present the next day, it should be treated. The diet should be very simple for a few days. EPIDEMIC CHOLERA. This is a very severe and fatal disease, spreading over the world in epidemics, which regularly begin in Asia. From this circumstance it is often called Asiatic cholera. It is caused by certain germs, which are usually taken in with the drinking water, and then develop in the intestines. The symptoms are very much like cholera morbus, but much more fatal, one or two out of every three attacked dying. Little can be done during the attack except by a doctor. If a physician cannot be obtained, follow out the same treatment laid down for cholera morbus. During an epidemic of cholera, every diarrhoea, no matter how trifling, should be treated promptly and thoroughly. As a preventive measure during an epidemic, all the drink¬ ing water, and the water used in preparing the food and washing the dishes, should be well boiled. None of the ordinary filters are of any use. TO CHECK VOMITING. If due to mere irritability of the stomach or nervous system, aromatic spirits of ammonia, in twenty-drop doses in ice-water, every few minutes, iced mineral (£2f“Insure in Thb Mutual Life Insurance Company of New York) VOMITING—MALARIA. 29 water, iced champagne, thirty-drop doses of brandy, a mustard plaster, Cayenne pepper plaster, broken ice in a bladder to the stomach, or opposite, over the spine, are all useful. This last often succeeds where other things fail. Sometimes the vomiting is a proper effort to get some¬ thing out of the stomach that ought not to be there. If this is known to be the case, assist it with a solution of salt and water, or pulverized ipecacuanha. MALARIA. This disease is now known to be due to a living germ called the plasmodium malarise. The plasmodium obtains entrance to the blood from the drinking water, or possibly is injected through the skin by mosquitoes. There are several species of this organism, and each gives rise to a distinct type of the disease. The symptoms of the disease are so well known and usually so easily recognized that we will not describe them. The most common variety in this country is inter¬ mittent fever, also called “ chills and fever ” and “ fever and ague.” In this there is a distinct interval between the chills during which the patient feels comparatively well. The chills and fever usually occur every other day, and then we speak of it as the tertian type; or every day, being then called quotidian; or every third day, then being called quartan. Or the symptoms, in¬ cluding the fever, may persist without intermission, and then we speak of it as continuous or remittent malarial fever. Or the disease may pass into a chronic state, without chill or fever, which is commonly known as “dumb ague.” There is also the very severe form known as pernicious fever. This usually begins as (^^“Insure in The Mutual Life Insurance Company of New York) Malaria cause of. Varieties. 30 MALARIA. Treatment. ordinary chills and fever, but after one or two attacks the symptoms become very much worse, and the patient becomes delirious, then stupid and unconscious, and dies in a few hours. Besides these varieties there are other rare forms, too numerous to mention. The treatment can be summed up in one word— quinine. This is best used in the form of bisulphate, which is more soluble and less irritating than the common sulphate. It is well to precede the administration of this by a dose of calomel, five or ten grains, to relieve the congestion of the liver, which is often present. Then take quinine, ten grains three times a day, until three days after the last chill. The dose can now be reduced to five grains three times daily until the seventh day after the last chill. Malaria has a distinct tendency to reappear on the seventh day, and for this reason it is a good plan to increase the dose on that day to ten grains three times. If this point is safely passed, quinine should still be taken for a week, one dose of five grains daily. In some cases quinine seems to lose its efficacy. In these Warburg’s Tincture, which is a mixture of quinine with aloes and aromatics, is of great service. A table¬ spoonful should be taken each morning, fasting. In other cases Clark’s Powder will prove of value. This consists of quinine, ten grains; capsicum, three grains, and powdered opium, one grain. One dose should be taken about four hours before the expected chill, and small doses of quinine during the intervals. If quinine causes much headache or ringing in the ears, this can be largely overcome by taking bromide of sodium or potassium, grain for grain, with each dose of quinine. To prevent the development of malaria certain pre¬ cautions can be taken, which are of value. One should not go out after sunset, nor near freshly plowed land. Insure in Thb Mutual Life Insurance Company of New Yorki MALARIA. 31 The home should not be in a hollow and the bedroom should be on the second floor, or higher. A cup of strong coffee before getting up is also of service. The most efficient preventive, however, is a small dose of quinine, say two grains, every morning on arising. This can be kept up for a long time with benefit and without harm. Preventive measures. (C3P“Insure In The Mutual Life insurance Company of New York) The History of Life Insurance in America is the history of The Mutual Life Insurance Company OF NEW YORK RICHARD A. McCURDY, President The Oldest Active Company in the United States The Largest in the World— ...= Its Assets, larger than those of any other life insurance company in existence, are over $ 382 , 000,000 It has paid Policy-holders over : - — i-- $ 598 , 000,000 which is more than any other life insurance company m the world has disbursed . . How the largest accumulation of trust funds in the world is invested is told in li A Banker’s Will,” sent on request ---— The Mutual Life Insurance Company OF NEW YORK. Nassau, Cedar, William and Liberty Streets, New York City From The Evansville Courier , Thursday, March 19, 1903. Here is a Banker Who Received Thirty-six Per Cent, on His Money. INDIANA NATIONAL BANK, Capital and Surplus $1,300,000. INDIANAPOLIS, Ind., # February 18, 1903. Mr. Robert N. Merritt, Manager The Mutual Life Insurance Company of New York: Dear Sir—In acknowledging receipt of the notice of dividend at the end of the fifteen-year period on Policy No. 310,333, insured by The Mutual Life Insurance Company of New York, on my life, I wish to express my appreciation of the amount of the dividend and of the management which can produce such satisfactory results. If allowed to add to my insurance, I find it would reduce the cost at this time, something over fifty-one per cent., while if I avail myself of the cash option on same, it gives me, in addition to the protection I have had during the fifteen years, an average annual dividend of thirty-six per cent, on the premiums paid. I can assure you this result is very gratifying. I can heartily recom¬ mend the Company and its management to those who are looking for insurance at the lowest possible cost. Yours truly, V. T. MALOTT, President. WEDNESDAY, NOVEMBER 12, 1902. A REMARKABLE INVESTMENT. MOUNT VERNON MAN’S WIDOW GETS A M.CA0 , ANNUITY-ONLY $2,095 20 HAD BEEN PAID FOR IT* be story of one of the most unusual and sue cessful investments of recent years has just coma to light. The late John C. Tichenor. of MoVnt Ver* non. by paying out a total sum of $2,095 20 secured to his widow an annual income of $1,000 for all the days of her life Mr Tichenor was president of the Globe Publishing Company, at No. Ill Flfth-ave.. New-York City, and began his business career v i» Terre Haute, Ind ~ I It was in the early part of 1899 that, then thirty* nine years old. he decided to take out a life in« surance policy He investigated thoroughly the old line companies with their policies, payable In o lump sum to the beneficiary on the death of the i"party of the first part." He looked Into the claims of the secret societies with their benefit proposals. And finally It was called to his attention that the Mutual Life Insurance Company, of New-York, was offering a newly devised style of policy, which combined the orthodox advantages of oidtime ln« surance methods with * certain modern emenda tions. But their policy.' while attractive; was ye! distinctly a business proposition, on a sound basis, with no possibility of risk or loss. On August 7, 1899. Mr Tichenor Signed the application and paid his first quarterly premium of $174 60. For th$ three succeeding years he continued to pay hi3 pre* miums at the rate of $698 40 a year. In Septe% ber of this year he cjied. The Mutual Life Insurance Company at onee bp* gan payment of t.ne policy at the rate of $1,000 $ year. His widow, who lives at No. 130 Washington? st.. Mount Vfcinon, will continue to receive thal amount yearly until her death if that occurs wltfy in twenty years her heirs will receive the diffeyenoe between $20,000 and what has already been paid tft her at the rate of $1,000 a year, the original policy having been written for $20.(M). 6E0.H.DANIEL8 AS A PROPHET. General Passenger Agent of the New York Central Gave Advice to a Mechanic, Enabling Him to Go Into Business and Become A Rich Man. (,Special Telegram.) New York, N. Y., March n, 1902. George H. Daniels, General Passenger Agent of the New York Central and Hud¬ son River Railroad, President of the Sphinx Club, and one of the best-known railroad men in New York City, says that one of the happiest recollections of his life is the story of an endowment policy which he induced a mechanic in the Mallory Iron Works, of Elgin, Ill., to take out in 1865. “I was then an agent of The Mutual Life Insurance Company of New York,” he says, 44 and, having won the confidence of this young man, I induced him to take out an endowment policy, payable in twenty years, telling him that the money might come in handy if he ever had a chance to buy into the business. It happened that just when the policy fell due Mr. Mallory wanted to retire from business, and with the money received from his Mutual Life policy, my young friend was able to make a cash payment on the purchase, bought the business, and is to-day a rich man. “ I know of many similar cases in Kane County, Ill., where those who took out policies in The Mutual realized handsomely on their investment during their life time. 44 1 have myself held a policy in The Mutual for over forty years. ” From Boston Herald . From Portland {Ore.) Telegram , April 27,1903. GOOD INVESTMENT. Mutual Life Insurance Policies Give Excellent Returns. QUINCY, Ill., March 17, 1903. F. E. HITCHCOX, Manager, The Mutual Life Insurance Company of New York. Springfield, Ill. DEAR SIR—In October of 1902, I received at the hands of your District Manager, Mr. Gaylord Davidson, a check for $1,149.40, issued by The Mutual Life Insurance Company of New York, in payment of the first ten-year distribution on my policy No. 519,133. This dividend represents six per cent, interest on the investment, and I considered it a very liberal settlement. On the 8th of May, 1902, I cashed a $10,000 Fifteen-Year Endowment Policy, No. 300.236, in The Mutual Life Insurance Company of New York, which also showed fine results. The best recommendation I can give the Company aside from this statement which you are at liberty to use, is to take additional insurance in it, which I have done through Mr. Davidson. Of my other policies, I hold in The Mutual Life, one is a $10,000 Fifteen-Year Endowment, which will mature in 1904. It is hardly necessary for me to add that I consider The Mutual Life Insurance Company of New York, in every way worthy of public confidence. Respectfully, CHAUNCEY H. CASTLE. President of the Comstock Castle Stove Company. ©jcrttri^r^g^wruaL published Daily, Sunday and Semi* Weekly. \©ffice Cor. Fourth Ave. and Greeu Sts LOUISVILLE. KY THURSDAY..^ JUSTE 19. 1902 Lord Pauncefote’s Insurance. New York. June 18. — Lord Paunce^ r fote. the Ambassador of the British Government to the United States, was quite heavily insured in the Mutual Life Ihsurance Company of New Yoik. and the claim was. of course, immedi¬ ately paid upon bis death. He was not Insured in any other American com¬ pany, but held policies issued by the best-known English institutions. Stosr ton ©mnsoapt WEDNESDAY, JULY 23. 1902 Its List Warmly Commended One of the most notable tributes ever paid to a great business corporation was that of the late Frederick D. Tappen of New York to The Mutual Life Insurance Company of New York. It was, in the words of the Hon. Levi P. Morton, •‘par¬ ticularly impressive in that It is the expres¬ sion of a judgment ripened by half a cen¬ tury’s study of investment securities. 0 Frederick D. Tappen, president of the Gal¬ latin National Bank of New York and for the last fifty years a conspicuous figure in the banking world, died last February. In the last clause of his will Mr. Tappen pro¬ vides for certain trusts, and instructs his executors and trustees to invest the pro¬ ceeds of his estate only in securities “in¬ cluded in the list of investments made by The Mutual Life Insurance Colnpany of New York, not limiting my said executors and trustees or their successors or succes¬ sor to such investments only as trustees are by law authorized to make." The peculiar import of this provision will be understood by those familiar w,ith Mr. Tap- pen’s career and the conservative policy under which the investments of The Mutual Life Insurance Company of New York are made. This provision in Mr. Tappen's will is certainly a glowing tribute to fifty-nine years’ conservative administration of the largest accumulation of trust funds in the world. Mr. Elbridge T. Gerry, a director of the company, in writing of . It, said; “Compliments fr f om the living are often in¬ sincere—those from the dead, never" ft Is of interest to note that Mr. Tappen had no connection with The* Mutual. Life Insur¬ ance Company except a policy-holder. The Rec ord Nos. 917 and 919 Chestnut Street. Philadelphia, November 13, 1902. SNUG LEGACY FOR A WIDOW. Mr, Waterhouse Made Good Invest* ment In Insurance, Thc^ late Archibald N. Waterhouse, of Philadelphia, who died suddenly last Friday, held policies amounting to $80,* €00 in the Mutual Life* Insurance Com¬ pany, of New York. The forms of insur¬ ance under which these policies were Issued were ?o selected that his widow will receive at once $20,000 in cash and an annual income of $3000 for twenty years, and if she is living at the end of that period she will receive $00,000 In cash, making the total amount re¬ ceived under these policies $140,000, on which tne premiums paid by Mr. Water- house amounted to only $27,492.20. Of the total amount of this insurance $50,000 was taken under a form of policy devised and introduced by tbe Mutual Life Insurance Company of New York, and Jtnown as the 5 Per Cent. Debenture Policy. These policies will pay his widow $2500 a year for twenty years, and at the end of twenty years $50,000 in cash if she is then living. Should she die before the expiration of that time $50,000 will be paid her estate. On these policies ten premiums of $1955 each had been paid. Another policy held by Mr* Water- house was a 5 Per Cent, Twenty-Year Gold Bond Policy of $10,000, on which he had paid six annual payments of $448.70 each. This form of policy was also devised and introduced by tbe Mutual Life Insurance Company of New York, "and in settlement of this policy the com- E any will issue ten one-thousand dollar Per Cent. Twenty-Year Gold Bonds, the income from which will be $500 a year for twenty-years. The face of the policy, $10,000, will be paid at the end of twenty years. Mr. Waterhouse held another policy of $20,000, on which h'- had paid only seven annual payments cf $750 each. Under this policy $20,000 in cash will be paid his widow at once. ■ INDEX BLEEDING FROM THE NOSE . 14 Method of treating. CHILBLAIN .21-22 Symptoms and treatment. CHOLERA, EPIDEMIC (Asiatic Cholera) ... 28 General directions for treating. CHOLERA MORBUS .27-28 Causes, symptoms and treatment. CONVULSIONS ... ... ... 22-25 Apoplectic and hysterical convulsions. Epileptic convulsions, symptoms and treatment. Epileptics should always carry name and address. Treatment after the convulsion. CONVULSIONS IN CHILDREN . Cause and treatment. CROUP . Varieties of croup, symptoms and treatment. DIARRHOEA . Causes, symptoms and treatment. DYSENTERY . Physician is necessary; general directions. EARACHE . Chronic discharge from the ear. Treatment of earache. 9-10 8-9 25-26 27 7 INDEX— (Continued .) EYE, FOREIGN BODIES IN. 10-12 Methods of removal and treatment. Pink-eye, or conjunctivitis. Removal of lime from the eye and treatment. Removal of bodies imbedded in the eye. Treatment of the after-irritation. FACEACHE . 8 Generally neuralgic, treatment. FOREIGN BODIES IN NOSTRILS AND EAR 12-13 Insects in the ear ; way to remove them. Treatment of foreign bodies in nostrils and ear. FROSTBITE. 19-21 Frostbite, where located, symptoms and treatment. Symptoms of general freezing and treatment MALARIA . 29-31 Cause of, varieties and treatment. Preventive measures. POISON-VINE ERUPTION . 14-15 Varieties of, and their treatment. SPITTING OF BLOOD . 14 Salt useful in treating. SUNSTROKE .• . 15-19 Causes, symptoms and treatment. Preventive measures. Warning symptoms. TOOTHACHE . 8 Heat is useful in affording temporary relief. , u - ' J ' VOMITJitSG ... . £t . ... 28 How to check ; directions for treatment.