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34 35 It should be borne in mind that, if the vapor of bromine comes in cule of the virus, and this is to be effected by means of the pipette contact with the vapor of water, hydro-bromic acid is formed; there- syringe, the pointed stick, the scissors, and the solution, for local appli- fore, when there is much of the vapor of water disengaged in the apart- cations; and by its pungent and volatile vapors in wards and other in- ment, the quantity of the vapor of bromine must be correspondingly fected places. This disinfectant certainly promises to be a great boon to increased. our military hospitals. 2. Topical Application of the Vapor.- piece of dry lint is to be placed over the diseased part; over this is to be placed another piece of Permanganate of Potassa.-A special order from the Medical Bureau lint, moistened with the solution of bromine over this, a third piece spread at Washington Circular, No. 12], calls the attention of medical officers with simple cerate; the whole to be covered with oiled silk and bandage, so arranged as to retain the vapor in contact with the diseased surface to " the virtues of permanganate of potassa as a disinfectant and deodo- as long as possible. The solution is to be removed as often as it becomes rizer.' This is a soluble substance peculiarly convenient of application exhausted by evaporation. and remarkably certain and efficient in its effects as a disinfectant. Its 3. The Solution, in Substance, as a direct Application, in Hospital Gan- employment as a deodorizer and prophylactic is limited mainly to topical grene, Diphtheria, Gangrene of the Tongue, and other diseases of this applications, to gangrenous parts or putrescent materials, and to general nature: -The parts are first to be dried by the application of charpie; effect opon the atmosphere of contaminated apartments, by means of then the sloughs, if thick, should be trimmed out with forceps and scis- sors as much as possible, for the thinner the slough the more effective evaporating cloths saturated with a strong solution of the permanganate. is the remedy. The parts having again been dried, the solution is ap- The oxidizing and antiseptic effects of the permanganate of potassa upon plied by means of a mop, or a pointed stick of wood, in quantity sufficient organic and putrescent matter are remarkable. It is the most sensitive to saturate the sloughs. If the sloughs undermine the skin, or dip down test for the presence of organic matter, which it oxidizes with won- into intermuscular spaces, the solution must be made to follow, with the derful facility. [See remarks upon this subject in Hammond's Hygiene.] pointed stick, or by means of a glass syringe. If the application has been effectual, all odor from the diseased surface As this is an expensive and delicate substance, it is to be employed ceases, and the sloughs become somewhat hardened. The remedy should economically, upon saturated cloths or in dilute solutions upon plates. be re-applied every second hour, as long as any odor of putrefaction is For purifying offensive water for purposes of beverage, etc., a standard present, or as long as the sloughs appear to be diffluent. It is not always solution should be dropped into the vessel of water, until the tinge of the necessary, especially when the sloughs are diffluent and thin, to use the solution in its full strength; it may be weakened by the addition of water, permanganate begins to appear. The rapid and effectual oxidation of as the disease subsides. the organic (putrid) elements of impure water and other substances, The points to be especially attended to, in the use of the solution of even of the atmosphere itself, when brought in contact with solutions of bromine, are two: 1. The solution should be applied in strength and this salt, and the consequent and almost instant deodorization of such frequency sufficient for the impregnation of the whole of the sloughs ; 2. To secure this end, the application should be made by the surgeon him- impurities, render this disinfectant of priceless value for practical pur- self, and never be trusted to a nurse. If the sloughs are thick and cannot poses. And as all preparations of manganese are therapeutically tonic, well be trimmed, the bromine may be introduced into the thickness of probably the minute quantities of this salt that would be taken in drink- the slough by means of a hypodermic syringe. ing the water purified as above described, would only act beneficially. After the topical application of the solution, the parts, when so situated as to render it practicable, should be subjected to the influence of the " Condy's Disinfectant," Darby's Fluid," and all the vaunted prepara- vapor. (See par. 1.) tions of Ozonized water,' etc., are but solutions of permanganates. Surgeons will do well to bear in mind that bromine is a new remedy The salts are cheaper and more reliable than such nostrums, and are for the purposes indicated above. The directions for its use, given here, now supplied by all medical purveyors in the army. are those followed in the military hospitals of is city : it may be found advisable to modify them as experience with the remedy accumulates. Coal-tar Compounds-Carbolates.- carbolate of lime has been It is, therefore, earnestly recommended that the subject be studied dili- gently, that the effects of the remedy be carefully watched, and that the employed to some extent in our camps and hospitals. McDougall's application be varied as new facts are developed in its use. powder consists of carbolate of lime, sulphite of lime, quick-lime, etc. The Ridgewood disinfectant consists of carbolic acid, proto-chloride of The investigation of the evidences respecting the antiseptic and prophy- iron, etc., combined with fullers' earth. Either of these, which are fur- lactic powers of this new disinfectant has reasonably confirmed the nished by the medical purveyors, appear to be quite as valuable as the opinion of its great utility. But to secure its beneficial effects, its ap- more expensive article of M. M. Corné and Demeaux's, which is used at plication should be made with proper care and thoroughness. It claims the Imperial Camp at Châlons, and was found highly serviceable by Bar- to arrest the destructive progress of gangrene, erysipelas, etc., and utter- ron Larrey, after the great battles of the late Italian campaign. Coal tar, ly to destroy the personal and the diffused virus of such maladies. To in almost any form, is available for disinfecting sewers, etc., and in the accomplish this effectually, the bromine must be applied to every mole-

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This item is an essay that provides advice regarding the control and prevention of infectious diseases in camps, transports, and hospitals. Diseases referred to include smallpox, measles, typhus fever, cholera, and yellow fever.

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    "ocrText": "34\n35\nIt should be borne in mind that, if the vapor of bromine comes in\ncule of the virus, and this is to be effected by means of the pipette\ncontact with the vapor of water, hydro-bromic acid is formed; there-\nsyringe, the pointed stick, the scissors, and the solution, for local appli-\nfore, when there is much of the vapor of water disengaged in the apart-\ncations; and by its pungent and volatile vapors in wards and other in-\nment, the quantity of the vapor of bromine must be correspondingly\nfected places. This disinfectant certainly promises to be a great boon to\nincreased.\nour military hospitals.\n2. Topical Application of the Vapor.- piece of dry lint is to be\nplaced over the diseased part; over this is to be placed another piece of\nPermanganate of Potassa.-A special order from the Medical Bureau\nlint, moistened with the solution of bromine over this, a third piece spread\nat Washington Circular, No. 12], calls the attention of medical officers\nwith simple cerate; the whole to be covered with oiled silk and bandage,\nso arranged as to retain the vapor in contact with the diseased surface\nto \" the virtues of permanganate of potassa as a disinfectant and deodo-\nas long as possible. The solution is to be removed as often as it becomes\nrizer.' This is a soluble substance peculiarly convenient of application\nexhausted by evaporation.\nand remarkably certain and efficient in its effects as a disinfectant. Its\n3. The Solution, in Substance, as a direct Application, in Hospital Gan-\nemployment as a deodorizer and prophylactic is limited mainly to topical\ngrene, Diphtheria, Gangrene of the Tongue, and other diseases of this\napplications, to gangrenous parts or putrescent materials, and to general\nnature: -The parts are first to be dried by the application of charpie;\neffect opon the atmosphere of contaminated apartments, by means of\nthen the sloughs, if thick, should be trimmed out with forceps and scis-\nsors as much as possible, for the thinner the slough the more effective\nevaporating cloths saturated with a strong solution of the permanganate.\nis the remedy. The parts having again been dried, the solution is ap-\nThe oxidizing and antiseptic effects of the permanganate of potassa upon\nplied by means of a mop, or a pointed stick of wood, in quantity sufficient\norganic and putrescent matter are remarkable. It is the most sensitive\nto saturate the sloughs. If the sloughs undermine the skin, or dip down\ntest for the presence of organic matter, which it oxidizes with won-\ninto intermuscular spaces, the solution must be made to follow, with the\nderful facility. [See remarks upon this subject in Hammond's Hygiene.]\npointed stick, or by means of a glass syringe.\nIf the application has been effectual, all odor from the diseased surface\nAs this is an expensive and delicate substance, it is to be employed\nceases, and the sloughs become somewhat hardened. The remedy should\neconomically, upon saturated cloths or in dilute solutions upon plates.\nbe re-applied every second hour, as long as any odor of putrefaction is\nFor purifying offensive water for purposes of beverage, etc., a standard\npresent, or as long as the sloughs appear to be diffluent. It is not always\nsolution should be dropped into the vessel of water, until the tinge of the\nnecessary, especially when the sloughs are diffluent and thin, to use the\nsolution in its full strength; it may be weakened by the addition of water,\npermanganate begins to appear. The rapid and effectual oxidation of\nas the disease subsides.\nthe organic (putrid) elements of impure water and other substances,\nThe points to be especially attended to, in the use of the solution of\neven of the atmosphere itself, when brought in contact with solutions of\nbromine, are two: 1. The solution should be applied in strength and\nthis salt, and the consequent and almost instant deodorization of such\nfrequency sufficient for the impregnation of the whole of the sloughs ;\n2. To secure this end, the application should be made by the surgeon him-\nimpurities, render this disinfectant of priceless value for practical pur-\nself, and never be trusted to a nurse. If the sloughs are thick and cannot\nposes. And as all preparations of manganese are therapeutically tonic,\nwell be trimmed, the bromine may be introduced into the thickness of\nprobably the minute quantities of this salt that would be taken in drink-\nthe slough by means of a hypodermic syringe.\ning the water purified as above described, would only act beneficially.\nAfter the topical application of the solution, the parts, when so situated\nas to render it practicable, should be subjected to the influence of the\n\" Condy's Disinfectant,\" Darby's Fluid,\" and all the vaunted prepara-\nvapor. (See par. 1.)\ntions of Ozonized water,' etc., are but solutions of permanganates.\nSurgeons will do well to bear in mind that bromine is a new remedy\nThe salts are cheaper and more reliable than such nostrums, and are\nfor the purposes indicated above. The directions for its use, given here,\nnow supplied by all medical purveyors in the army.\nare those followed in the military hospitals of is city : it may be found\nadvisable to modify them as experience with the remedy accumulates.\nCoal-tar Compounds-Carbolates.- carbolate of lime has been\nIt is, therefore, earnestly recommended that the subject be studied dili-\ngently, that the effects of the remedy be carefully watched, and that the\nemployed to some extent in our camps and hospitals. McDougall's\napplication be varied as new facts are developed in its use.\npowder consists of carbolate of lime, sulphite of lime, quick-lime, etc.\nThe Ridgewood disinfectant consists of carbolic acid, proto-chloride of\nThe investigation of the evidences respecting the antiseptic and prophy-\niron, etc., combined with fullers' earth. Either of these, which are fur-\nlactic powers of this new disinfectant has reasonably confirmed the\nnished by the medical purveyors, appear to be quite as valuable as the\nopinion of its great utility. But to secure its beneficial effects, its ap-\nmore expensive article of M. M. Corné and Demeaux's, which is used at\nplication should be made with proper care and thoroughness. It claims\nthe Imperial Camp at Châlons, and was found highly serviceable by Bar-\nto arrest the destructive progress of gangrene, erysipelas, etc., and utter-\nron Larrey, after the great battles of the late Italian campaign. Coal tar,\nly to destroy the personal and the diffused virus of such maladies. To\nin almost any form, is available for disinfecting sewers, etc., and in the\naccomplish this effectually, the bromine must be applied to every mole-"
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