Page 469 |
Previous | 513 of 716 | Next |
|
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
Loading content ...
PEDIATRICS 469 dollars available for combatting the epidemic as soon as it started. In North Carolina we had not one cent, and so the burden of the fight lay on the State Board of Health. It was their duty to let the people know just where they stood. It did create hysteria, and excitement, but it saved a whole lot of sickness and probably a good many lives. Dr. London: I have nothing further. Chairman: Dr. McBryde, of Durham, will now come forward and give us his paper on "Fever Therapy in Children." Dr. McBryde. FEVER THERAPY IN CHILDREN By Angus McBryde, M.D. Department of Pediatrics, Duke Hospital, Durham, N. C. During recent years various methods of producing therapeutic fever have been used. The more commonly used ones are inoculation with malarial organisms, the use of intravenous typhoid-paratyphoid vaccines and mechanically induced fever by means of radiothermy, diathermy, the inductotherm, air conditioned cabinets and radiant energy. We have used radiant energy as it seems to us to have the advantages of absolutely accurate control of the temperature, constant production of temperature and simplicity. We have used a cabinet similar to the type used by Dr. Stafford L. Warren of the University of Rochester Medical School. The patient is placed in this cabinet with the head outside and his temperature is raised by means of the heat produced by carbon filament bulbs. The cabinet is made in three parts; the base fits over the mattress of the bed and rests on the springs. The middle section is hinged on the base, and the upper section contains seven 120-watt carbon filament lamps which are 18 inches from the body of the patient and are protected by a wire screen. A series of switches allows any number of lights to burn at a time. The temperature is taken by means of an electrical thermometer kept constantly in the rectum, but rectal temperatures taken at intervals of ten minutes with the usual thermometer are satisfactory. The patient receives an enema and a liquid breakfast, and then is placed in the cabinet which previously has been warmed to 104°F. The body is covered with a light blanket to prevent burns and an ice-bag is placed on the head. The breeze from an electric fan blowing on the head makes the patient more comfortable. Liquids consisting of water, normal saline, broth milk and fruit juices are given to total two to five thousand cc. during the treatment. Certain reactions occur during the course of therapeutic fever. Abdominal distension occurs in about one-half the treatments and may be accompanied by abdominal pain. Vomiting also occurs frequently, and infrequently it may be prolonged and severe, necessitating termination of the treatment. The giving of sodium chloride for 24 hours before the treatment as well as during the treatment (10-15 grams) decreases the ten-
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1936 |
Identifier | NCHH-16-083 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 83 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-083.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-083 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Revision History | keep |
Description
Fixed Title * | Page 469 |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1936 |
Identifier | NCHH-16-083-0517 |
Form General | Periodicals |
Page Type | all; article; article title |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactions831936medi_0517.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 83 |
Page Number | 469 |
Health Discipline | Medicine |
Full Text | PEDIATRICS 469 dollars available for combatting the epidemic as soon as it started. In North Carolina we had not one cent, and so the burden of the fight lay on the State Board of Health. It was their duty to let the people know just where they stood. It did create hysteria, and excitement, but it saved a whole lot of sickness and probably a good many lives. Dr. London: I have nothing further. Chairman: Dr. McBryde, of Durham, will now come forward and give us his paper on "Fever Therapy in Children." Dr. McBryde. FEVER THERAPY IN CHILDREN By Angus McBryde, M.D. Department of Pediatrics, Duke Hospital, Durham, N. C. During recent years various methods of producing therapeutic fever have been used. The more commonly used ones are inoculation with malarial organisms, the use of intravenous typhoid-paratyphoid vaccines and mechanically induced fever by means of radiothermy, diathermy, the inductotherm, air conditioned cabinets and radiant energy. We have used radiant energy as it seems to us to have the advantages of absolutely accurate control of the temperature, constant production of temperature and simplicity. We have used a cabinet similar to the type used by Dr. Stafford L. Warren of the University of Rochester Medical School. The patient is placed in this cabinet with the head outside and his temperature is raised by means of the heat produced by carbon filament bulbs. The cabinet is made in three parts; the base fits over the mattress of the bed and rests on the springs. The middle section is hinged on the base, and the upper section contains seven 120-watt carbon filament lamps which are 18 inches from the body of the patient and are protected by a wire screen. A series of switches allows any number of lights to burn at a time. The temperature is taken by means of an electrical thermometer kept constantly in the rectum, but rectal temperatures taken at intervals of ten minutes with the usual thermometer are satisfactory. The patient receives an enema and a liquid breakfast, and then is placed in the cabinet which previously has been warmed to 104°F. The body is covered with a light blanket to prevent burns and an ice-bag is placed on the head. The breeze from an electric fan blowing on the head makes the patient more comfortable. Liquids consisting of water, normal saline, broth milk and fruit juices are given to total two to five thousand cc. during the treatment. Certain reactions occur during the course of therapeutic fever. Abdominal distension occurs in about one-half the treatments and may be accompanied by abdominal pain. Vomiting also occurs frequently, and infrequently it may be prolonged and severe, necessitating termination of the treatment. The giving of sodium chloride for 24 hours before the treatment as well as during the treatment (10-15 grams) decreases the ten- |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-083.pdf |
Document Sort | all; group-d; nchh-16 |
Article Title | Fever Therapy In Children |
Article Author | Angus Mcbryde |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-083 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Tags
Comments
Post a Comment for Page 469