RC First Aid Practice for Factory Dispensaries 4 1 PP 1 1 w— H {It First Aid Practice For Factory Dispensaries With Some Health Hints for Industrial Workers Prepared by W.' A.Haldy, M. U. for the General Service Department of the National Lamp Works of the General Electric Company 1914 Copyright. 1914. by Niitii)nal Lamp Works of General Electric Conipan\ Cleveland. (). >CI,A3T1730 IF one could go from bed to bed, and simply be the technical engineer of human ma- chines, it would be easy; but these machines have mothers and wives and notions. One has to listen and prescribe for anxiety, and splint broken hopes." This statement by Doctor S. Weir Mitchell is applicable to the physician and nurse alike. The work of the physician as well as that of the nurse is * "a business which requires ideal patience, perfect sweetness of character, and sympathetic insight." In our Hospitals and Dispensaries the busy physician and nurse often lose sight of the fact that they can do much toward relieving physi- cal suffering by inspiring in the patient a feeling of confidence in his medical attendants and an assurance that all the agencies are being brought to bear that will contribute to the speedy relief of his physical disabilities. The physician who takes into account the racial characteristics of his patient, his home environment, the possibilities of trade neuroses and the special nervous phenomena incident to that particular patient's sex and age has the best foundation upon which to base his diagnosis, treatment and prognosis. * S. Weir Mitchell. rr^HIS First Aid Manual has been prepared ^ expressly for the use of the various branches constituting the National Quality Lamp Divi- sion of the General Electric Company. As a large proportion of the employees of these manufactories is women, we have laid special stress on suggestions that will make for better health among this important group of workers. In bringing these facts together we can claim no originality. We have only attempted to more fully meet the needs of a specific group of workers. The suggestions for First Aid presuppose the existence of a well -equipped Dispensary in connection with each of our Branches and the services of a competent trained nurse. We wish to acknowledge our great indebt- edness to Dr. G. W. Crile for his valuable criticisms and suggestions, to Dr. H. A. Becker, who has gone over the whole work and given us much assistance in its preparation, to Dr. C. C. Stuart for his careful review of the section on the Care of the Eyes, to Dr. R. H. Bishop for his authoritative contribution to the sub- ject of Tuberculosis, and to Dr. Fannie C. Hutchins, who has helped us with suggestions that have proved of value to her in her medical practice among working women. We desire to mention our obligation to Dr. H. A. Kelly, through whose courtesy we are permitted to quote at some length from his unique work on Medical Gynecology. We are also indebted to the National Electric Light Association for permission to quote extensively from the leaflet prepared by the Association, which deals with the treat- ment of patients suffering from electric shock. First Aid Practice for Factory Dispensaries INDEX Page Antiseptics 5'2, 53 Bichloride of Mercury 52 Tincture of lodin 5'2 Carbolic Acid 52 Alcohol 53 Boracic (Boric) Acid ; 53 Apoplexy 13 Bandaging — Triangular and Roller 17 Triangular Bandage 17 Broad Sling for Arm 19 Fo r H e ad 21 For Hand, Foot and Eye 25-29 Roller Bandage : 31 Spiral Bandage 3+ Figure of 8 34 Figure of 8 for Hand 34 Recurrent Bandage for P^inger 35-37 Roller Bandage for Eye 38-41 Bleeding 49 Bleeding of Nose 51 Broken Bones (Fractures) 42 Simple Fracture 42 Compound Fracture 42 General Treatment 42 Upper Arm 45 Forearm 45 Thigh and Leg 47 Burns — General 56 Burns from Acids and Alkalies 56 Compression of tlic Brairi 1,'! Concussion of the liraiii 14 Collapse 10 Cramps . 7(1 I )isi nfectants 79 Dislocations 48 Shoulder .... 48 Finger 48 Jaw : 48 First Aid Practice for Factory Dispensaries Page 60 55 ... _ 14 Eye— Foreign Body in 67-69 Fire — Precautions 55 Headache 75 Heat Exhaustion i-i Hemorrhage 49 Moderate 49 Severe 50 15 53 Lice (of Head) Menstruation— Painful Nail in Foot 70 Carbolic Acid 54 Respiration, Artificial Shock : 63-66 10 76 43 70 Sprains 49 Stimulants 10 Sunstroke Toothache 70 Tuberculosis Cause. Remedy, precautions, etc EQUIPMENT 57 81 Furniture and Instruments 83-85 86 87 89-93 First Aid Practice for Factory Dispensaries SHOCK OR COLLAPSE May follow extensive burns, severe hemor- rhage, fractures, dislocations or other injuries. Symptoms In shock we find the face pale, the body cold and clammy, the pulse rapid and weak, breath- ing shallow and feeble. When reaction takes place, that is, a change for the better, the patient usually vomits, the ])ody becomes warmer and the breathing im- proves in character. Treatment Lower the head, apply heat to the extrem- ities, being careful to wrap the hot water bag in towels to prevent burning the patient, especially if he is unconscious. Place one hot water bag over the heart. Cover the patient with warm blankets, rubbing the arms and legs toward the heart. STIMULANTS While stimulants are almost universally used in case of a fracture, dislocation or other accident, their real value, outside of the mental First Aid Practice for Factory Dispensaries effect, is being questioned. When a stimulant is indicated, one-half teaspoonful of aromatic spirits of ammonia may be given in two or three tablespoonfuls of water, preferably hot water. Be sure that the patient is able to swallow before attempting to give him any- thing to drink. FAINTING Is the result of the blood being suddenly withdrawn from the brain to the interior of the body. Placing the patient in a recumbent position, with the head lowered, favors the return of blood to the head. Symptoms The face is pale, the breathing shallow, the pulse weak and slow. Treatment See that the patient has fresh air, loosen the clothing about the neck and abdomen, sprinkle cold water on the face and chest. Rub the arms and legs toward the heart. A mild epileptic seizure may simulate an attack of fainting. First Aid Practice for Factory Dispensaries HEAT EXHAUSTION May be due to excessive heat, either outdoors or in the house. Symptoms Are those of shock or coUapse. The skin is cold and chimmy, the pulse rapid and weak, the breathing shallow and feeble. The patient is usually conscious. Treatment Remove the patient to a cool i:»lace, lower the head, cover the body with warm blankets, apply heat to the extremities, rubl)ing the arms and legs toward the heart. SUN STROKE Symptoms The skin is hot and dry, tlie breathing rapid and noisy, and the patient usually unconscious. Treatment Remove the patient to a cool place, apply an ice bag to the head, and reduce the high tem])erature l)y sponging with cold water. First Aid Practice for Factory Dispensaries keeping up constant friction to bring the over- heated blood to the surface. No medication is needed. APOPLEXY Is caused by the bursting of a blood vessel in the brain. Symptoms The patient is usually unconscious, his face is flushed and his breathing noisy. There is partial or complete paralysis of one side of the body. If the leg or arm of the affected side is lifted, it falls perfectly limp. Treatment Turn the patient on the paralyzed side. Elevate the head slightly. Keep the patient as quiet as possible, apply an ice bag to the head. Give no medicine. COMPRESSION OF THE BRAIN Is usually the result of an injury to the head, which causes a depressed or broken fragment of the skull or a blood clot from a ruptured artery, to press on the brain. First Aid Practice for Factory Dispensaries Symptoms Are similar to those of apoplexy. Treatment If there is an open wound, l)andage with sterile dressings. Apply an ice bag to the head, which should be slightly elevated. Dis- turb the patient as little as possible. CONCUSSION OF THE BRAIN Is a jarring or shaking of the brain substance and may be caused by a blow or a fall upon the head. The patient is merely stunned or may be in a condition of shock. Treatment Place the patient on his back. Raise the head slightly, apply cold to the head and heat to the feet. EPILEPSY Is sometimes called Falling Sickness. Symptoms The patient gives a short cry and falls unconscious. There are mild or severe con- vulsive movements of a ])art or the whole of the l)odv, lasting for a few nionuMits. First Aid Practice for Factory Dispensaries The frothy saHva may be blood-tinged, due to the biting of the tongue. Following an attack the patient is often much confused and ma}^ l)e dangerous to himself or others. At other times he falls into a sound sleep. Treatment There is very little to be done at the time of the convulsion, except to loosen all bands about the neck and waist and prevent the patient from biting his tongue, by inserting a stick or handle of a knife between the back teeth. No medication is required. HYSTERIA Symptoms An attack usually begins with causeless sobbing, screaming or laughing. It may simulate epilepsy. If the patient falls, it is usually in a com- fortable place. The tongue is rarely bitten. Treatment When assured that the attack is hysterical, the patient should be made comfortable and left entirelv alone. Firnt Aid Practice for Factory Dispensaries ^ mm Triangular Bandaiie as Slinji for Broken Arm or Dislocated Shoulder First Aid Practice for Factory Dispensaries BANDAGES Are Used To hold dressings and splints in place. As slings. To make pressure. The triangular and roller ban those most generally used. dages are Triangular Bandage Fold a piece of muslin, thirty-six or thirty- eight inches square, diagonally and cut along the fold, thus dividing it into two triangular pieces. Each bandage has one long and two short borders. The corner at the junction of the two short borders is called the point and the other two are called the ends. The tri- angular bandage may be applied 1. Unfolded. 2. Folded. In the unfolded form the bandage is applied, just as it is, to the part. A good First Aid Practice for Factory Dispensaries f^ A ^/ / Triangular Bandage for Broken Arm First Aid Practice for Factory Dispensaries example of its use is the arm sling, for which see pages 16 and 18. By folding this bandage longitudinally upon itself three times a narrow bandage or cravat is obtained. The point of the triangle is brought to the middle of the long border for the first fold and then folded twice more lengthwise upon itself. This can be used in bandaging the eye (see pages 28 and 29) or as a sling to support the wrist in an injury of the upper arm. Only a few of the many uses to which the triangular bandage may be adapted will be mentioned. Broad Sling for Arm With the forearm of the injured member resting across the chest, the point of the trian- gular bandage is applied under and below the elbow. One end being brought over the shoulder of the well side, the other is brought over the forearm and shoulder of the injured side and the ends tied at the back of the neck. The point is then brought forward over the arm and pinned in place. First Aid Practice for Factory Dispensaries «-. ^4 Triangular Bandage of Head, First Operation First Aid Practice for Factory Dispensaries Head Bandage (See pages 20, ii and 23) Turn up the long border of the triangular bandage about an inch and a half, placing this border above the eyebrows, having the point hang over the back of the head. Crossing the ends under the most prominent part of the head behind, bring them forward and tie over the forehead. The point at the back is brought up and pinned over the top of the head. The triangular bandage may be used as a combination head and eye bandage, by placing the long border obliquely over the eye, the technique otherwise being the same as for a simple head bandage. First Aid Practice for Factory Dispensaries m^^'i I >/ Triangular Bandage of Head, Second Operation First Aid Practice for Factory Dispensaries f Triangular Bandage of Head. Complete First Aid Practice for Factory Dispensaries W J m^ Triangular Bandage of Hand, First Operation Fir.if. Aid Practice for Factory Dispensaries Triangular Bandage of Hand, Second Operation Hand Bandage (See pages H, 'iS and 26) The hand is placed palm down, in the center of the triangular bandage, with the fingers toward the point. The point of the bandage is brought over the back of the hand. First Aid Practice for Factory Dispensaries Triangular Bandage of Hand. Complete the ends of the bandage are crossed over the l)()int and tied around the wrist. Foot Bandage The foot liandage is practically a du})licate of the hand bandage. First Aid Practice for Factory Dispensaries Triangular Bandage of Foot, Complete First Aid Practice for Factory Dispensaries Folded Triangular Bandage for the Eye Cravat) First Operation First Aid Practice for Factory Dispensaries Folded Triangular Bandage for the Eye (Cravat), Complete Eye Bandage, Folded (See pages 28 and 29) Make a cravat of the triangular bandage, by folding it over lengthwise three times. Place the bandage obliquely over the eye, crossing it under the most prominent part of the head behind. Then bring the ends around and fasten in front. First Aid Practice for Factory Dispensaries ROLLER BANDAGES The best roller bandages are made of gauze or cheese cloth. Bandages one or two inches wide are most commonly used. One-inch bandages are suit- able for fingers. Bandages two inches wide are most often used for the head and extremities. The roller bandage may be fastened by a pin or a strip of adhesive plaster. If the bandage covers a part of small circumference, as the wrist or ankle, the end may be slit lengthwise for several inches and the divided ends, having been tied once, are brought around the part and knotted. When applying a bandage to an extremity, see that the limb is placed in the position it is to occupy when the dressing is completed. Bandages applied by the inexperienced are often drawn too tight. A moist bandage will shrink when dry. It must be borne in mind that an injured limb will probably swell more or less after the first bandage has been applied. Great care should be taken to see that there is not too great pressure from a tightly-drawn bandage. When bandaging the extremities the tips of the fingers and toes should be left exposed, if possible. If they become blue and cold, the Fir.st Aid Practice for Factory Dlapensaries Roller Bandage for Hand, Second Operation bandage should be loosened at onee. Wiien bandaging an arm or leg, begin at the ])art furthest from the bcidv. First Aid Practice for Factory Dispensaries ^ 4 r i ., i Roller Bandage for Hand, Complete Fir.s-t Aid Practice for Factory Dispensaries Spiral Bandage The spiral bandage is used where there is a fairly uniform circumference, as on the finger, the arm or the wrist. Apply the bandage over the dressing, having each new turn of the binder overlap the preceding turn by one- half or one-third of the width of the bandage. Figure of 8 Bandage Tliis form of bandage may be used about joints. It consists of a series of oblique turns which cross at the joint, i. e., the middle of the figure 8 is at the joint. Each turn overlaps the preceding one by one-half or two-thirds its width and alternately ascends and descends. Figure of 8 Bandage for Hand (See pages 30, 3-2 and 33) Fix the bandage by two turns around the wrist, then go directly across the back of the hand, across the palm of the hand and again ()\'er the back of the hand inside of the thumb, crossing the first ol)liciue turn and passing around the wrist. Continue as before, each turn slightly overlapping the preceding one l)v about one-lialf the width of the liandaue. First Aid Practice for Factory Dispensaries Finger Bandage, First Operation Recurrent Bandage for Finger (See pages 35, 36 and 37) Use a one-inch bandage. Cover l)ack and front of the finger longitndinally, passing First Aid Practice for Factory Dispensaries f Finger Bandage, Second Operation bandage back and forth over tip of finger two or three times. Then start at the extremity- of the finger, change direction and wind around tlie finger, working toward the base, making a First Aid P^ractice for Factory Dispen.taries i % ^^^^^. / Ni>-^^ v^;;«. Finger Bandage, Complete figure of 8 bandage or a simple spiral. After bandaging the finger, carry a figure of 8 turn around the wrist to hold the bandage on the finger, ending with one turn around the wrist. First Aid Practice for Factory Dispensaries m .A n Roller Bandage for Head or Eye, First Operation Roller Bandage for Eye (See pages 3S, :i!), 40 and H) Begin at the temple over injured eye, mak- ing two turns completely around the head First Aid Practice for Factory Dispensaries Roller Bandage for Head or Eye Second Operation First Aid Practire for Fartorij Di.spenf Roller Bandage for Head or Ey< Third Operation 40 First Aid Practice for Factory Dispensaries Roller Bandage for Head or Eye, Complete to fix the bandage. Bring the bandage under prominence at the back of the head, then under the ear on the side afTected and obhquely over the injured eye to the forehead. Hold the bandage with the forefinger and reverse it again, going below prominence at back of head, below the ear and over the eye as before. A complete turn around the head is made at the end, to hold the reversed turns firmly in place. Firbt Aid Practice for Factory Di.spensarics FRACTURES Simple Fracture In a simple i'ractiire the broken bone does not communicate with the air, the skin being intact. Compound Fracture The fractured l)one communicates with the air. There is a laceration of the soft parts covering the injured bone. In the handling of a simple fracture, the sharp ends of the broken bone may pierce the nniscles and skin and ponvert a simple into a compound fracture. This greatly complicates matters on account of the danger of infection through the open woimd. Symptoms of Fracture Pairi and tenderness at site of injury. Los-s of power to use injured member. Deformiti) is sometimes noticeable at once. Swelling of injured parts. Graihuj may be felt or heard when the ends of the broken bone are rubbed together. This sign should not be sought by the inex- perienced. Treatment of Fracture Care should be taken not to convert a simple into a compound fracture by careless First Aid Practice for Factory Dispensaries handling of the injured member. Do not move the patient until the broken bone is properly protected. Make the patient as comfortable as pos- sible. In moving the injured limb elevate it as a whole upon the palms of the hands, with one hand on either side of the point of fracture. If the patient must be moved before the arrival of the surgeon and the broken bone is badly out of place, try to set the fracture by gently pulling or drawing the two ends of the bone into position before applying the splints. The wound, in a compound fracture, should be cleansed with liquid antiseptic soap and boiled water, followed by a 1/5000 solution of bichloride of mercury, and sterile dressings applied. ^ , . Splints Are supports to prevent the movement of broken bones. They are made of thin boards which should be slightly wider than the part to which they are applied and should generally extend beyond the joints both above and below the seat of the fracture. The splints should be well covered with sheet wadding or cotton. Splints should be held in position by an assistant while they are fastened into place /'/;•*■/ Aid Practice for Factory Dispensaries Splints for Fracture of Upper Ann First Aid Practice for Factory Dispensaries with adhesive plaster or bandage. Care shoukl be taken not to draw. the bandage too tight, when a sphnt is first put on. In case the proper materials are not at hand, an umbrella, cane or a lath will make a good emergency splint. A piece of blanket, a shawl or other article of clothing may be used as ])adding. For Fracture of Upper Arm (See patre 44) Two shingles, well padded, will make good splints for this purpose. Have one splint reach from the shoulder to the elbow, the other from the armpit to the elbow. The location of the fracture determines whether the splints shall be applied to the inner and outer sides or to the back and front of the arm. If the fracture is at the middle or u])])er third of the bone, apply the splints to the inner and outer sides of the arm, as shown on page 44. If the break is near the elbow, place splints at the back and front of the bone. Support the forearm by a roller or cravat bandage. For Fracture of Forearm Two well-padded splints are applied, one on the outer side of forearm reaching from First Aid Practice for Factory Dispensaries the back of the hand to the elbow, the other on the inner side, reaching from the elbow to the palm of the hand. Secure in place with adhesive strips or bandage. Support the forearm across the chest by a large sling, having the palm of hand turn in and the thumb up. (See pages 16 and 18.) For Fracture of Thigh A well-padded splint should reach from the armpit to the foot and should be bandaged to the chest as well as to the leg. Another shorter splint should be applied to the inner side of the leg, reaching from the crotch to the foot. Where the shorter splint is not available, the uninjured leg may be band- aged to the fractured one, thus serving as an emergency splint. For Fracture of Leg Two well-padded splints should be bandaged loosely, one on the outer and the other on the inner side of the leg. A pillow bandaged or strapped around the injured member provides a good support. If it is reinforced by splints placed outside the pillow on the under, inner and outer sides of the leg, greater protection is afforded. (See page 46.) First Aid Practice for Factory Dispensaries DISLOCATIONS The joint looks different from the corre- sponding joint on the opposite side of the body. There is Hmited motion. Dislocation of Shoulder Is the most common of all dislocations. The shoulder is flattened, the elbow stands out and cannot be brought to the side. Treatment Apply an ice bag or cloths wrung out of hot water to the shoulder, pending arrival of surgeon. Dislocation of Finger One should not attempt to reduce a dis- location of the second joint of the thumb but should wait for the surgeon. Dislocations of the other finger joints are comparatively easy to reduce. Grasp the finger firmly and pull from the hand. iVpply a splint. Dislocation of Jaw Often due to yawning. Symptoms The moutli cannot be closed. First Aid Practice for Factory Dispensaries Treatment The jaw should be firmly grasped by both hands, the thumbs of which, well wrapped with bandage, are placed upon the lower teeth. Pressure is made downward and backward. The thumbs are liable to be caught when the lower jaw snaps into place. Care should be taken to slip them to the inner side of the cheeks before they are caught between the teeth. A bandage may not be necessary. The jaw should be kept at rest for a few days, the patient taking only liquid nourishment. SPRAINS Are caused by an injury to the ligaments of the joint. The ankle is most frequently injured. Elevate the limb on a pillow and apply heat or cold to the joint. HEMORRHAGE When the hemorrhage is from an artery the blood is bright red and spurts; when from a vein it is dark red and flows slowly and steadily. Moderate Hemorrhage Turn the clothing well })ack from the First Aid Practice for Factory Dispensaries wound. If the case is urgent the clothing may be cut or torn away. Press a sterile gauze compress into the wound and bandage firmly into place. This will usually check a moderate hemorrhage. Hot (not scalding) water ai)plied to the wound may stop the bleeding. Severe Hemorrhage The ])atient may be in a condition of shock. The hands and feet are cold, the pulse rapid and feeble, the breathing shallow and sighing, with frecjuent yawning. In injury of the head, elevate the head and shoulders. In hemorrhage from other parts of the body j^lace the patient in a recumbent position, with the head lower than the body. Where possible make firm pressure upon the bleeding artery between the bleeding point and the heart. As soon as possible a rubber band or ])iece of rubber tubing may be tied around the limb between the wound and the heart. As this cuts off the supply of blood from below the ])oint of pressure and would cause gangrene of the extremity, if allowed to remain on too long, the band should be loos- ened (but not removed) at the end of half an hour, to allow the l)lo()(l to circulate ayain. First Aid Practice for Factory Dispensaries A necktie, suspender, towel, belt or hand- kerchief makes a good emergency tourniquet. Apply a pad or roller bandage over the point where pressure is to be made and tie the hand- kerchief loosely around the limb and pad. Insert a stick under the handkerchief and twdst it until the handkerchief is just tight enough to control the hemorrhage. In hemorrhage from a vein, make pressure over the vein on the side of the wound furthest from the heart. The hemorrhage is quickly controlled by plugging the wound with sterile gauze, band- aged firmly in place. Apply hot water bottles to the extremities and cover the patient with warm blankets. NOSE BLEED Apply an ice bag to the back of the neck and ice cold applications to the nose. Elevate the arms above the head. The nostrils may be compressed. If this is not sufficient the nostrils may be plugged with strips of sterile gauze or linen, one-half inch wide and six or eight inches long, leaving a short end hanging out, by which later the plug may be removed. Do not allow patient to blow the nose for some time after the hemorrhage has ceased. First Aid Practice for Factory Dispensaries ANTISEPTICS Bichloride of Mercury (Corrosive Sublimate) Dissolve a 7>2-grain tablet in a i)int of boiled water to make a 1/1000 solution. One 7>^-grain tablet to 5 pints of water makes a 1/5000 solution, etc. Adding four parts of water to one part of 1/1000 solution makes a 1/5000 solution. For ordinary surgical dress- ings a 1/5000 or even 1/10000 solution is of sufficient strength. Solutions of corrosive sublimate corrode metals, therefore they should not be used in tin basins and instruments should not be immersed in them. Tincture of lodin A two per cent alcoholic solution of tincture of iodin makes a good antiseptic for small woiuids or for skin disinfection. Carbolic Acid Is not generally used in the treatment of wounds. It is used to disinfect instruments in the strength of \/'i(). This solution is made bv First Aid Practice for Factory Dispensaries adding 1^4 tablespoonfuls of acid to a pint of boiled water. Alcohol Is a good antiseptic. Boracic (Boric) Acid Is a weak but soothing antiseptic. It may be used for inflamed eyes. A saturated solu- tion is made by adding five teaspoonfuls of boracic acid to a pint of boiled water. INFECTION OF WOUNDS Germs which may cause infections are practically everywhere, on the hands, on furni- ture, or on clothing. We generally regard the air as germ-free. Until the hands have been sterilized, do not touch a wound. If possible handle the sterile dressings only with instru- ments that have been boiled. The exposure of a wound to the air is safer than its protection with an infected dressing. Before dressing a wound the hands of the attendant should be thoroughly scrubbed with green soap and water for several minutes, then soaked for three minutes in a solution of 1/3000 bichloride of mercury. To be absolutely safe, rubber First Aid Practice for Factory Dispensaries gloves should be worn, which have been boiled for two or three minutes. If haste is required the hands may be thoroughly washed with cotton soaked in alcohol. POISONS Neutralize the poison with milk, raw eggs or flour and water. An emetic is generally required, except when a strong acid or alkali has been swallowed. Aromatic spirits of ammonia may be indicated. CARBOLIC ACID POISONING Symptoms The mouth and lips are burned white. The odor of carbolic acid is noticed about the patient. Treatment Give one hea])ing tablespoonful of Epsom salts dissolved in a glass and a half of water, followed in five minutes by the whites of two eggs beaten up in a glass of milk. No emetic is reciuired. A])i)ly i)ure alcohol to the burns about the mouth. First Aid Practice for Factory Dispensaries EMETICS One teaspoonful of mustard or salt to a glass of warm water will often cause vomiting. Tickling the back of the throat with a pencil or feather will hasten matters. One to two tablespoonfuls of syrup of ipecac may be used. FIRE Chief Wallace of the Cleveland Fire Depart- ment says: "The Fire Department is usually called too late. If you smell smoke and suspect fire, do not waste time in trying to find it. Call the Fire Department at once. Do not try to put out the fire before calling in aid. If the fire is out before the Fire Department arrives, so much the better." Where Fire Exists Close doors and windows to prevent a draft. The air nearest the floor is compara- tively free from smoke. To prevent inhaling the smoke, tie a wet cloth over the mouth and nose. If the clothing is afire, do not allow the sufferer to move or walk about. Throw him First Aid Fracfice for Factory Diapen.mries on the floor and roll him in a blanket, rug, or coat. BURNS Apply sterile gauze saturated in a 3% solution of carbolic acid in glycerine. Cover the gauze with cotton and retain in place with a bandage. Vaseline or boracic acid ointment spread on lint or muslin may be used on the burns, if the glycerine and carbolic acid solution is not available. A solution of baking soda in water, one teaspoonful to the pint, is soothing; gauze maybe soaked in the solution and applied. Do not open the blisters. ACID AND ALKALI BURNS Acid Burns Wash off as quickly as possible with water. Then neutralize with lime water or a solution of baking soda in water or with soap suds. Apply boracic acid ointment. Alkali Burns Wash off with water. Neutralize the alkali with some weak acid, as vinegar or lemon juice. Api)ly boracic acid ointment. First Aid Practice for Factory Dispensaries ^TUBERCULOSIS Its Cause Tuberculosis, or Consumption, is caused by a very small organism, known as the Tubercle Bacillus, which is present in the consumptive's spit. The spit dries and the germs, scattered in the dust, are inhaled into healthy lungs and there reproduce the disease. How to Keep from Getting Consumption Yourself Keep as well as possible, for the healthier your body, the harder for tuberculosis germs to grow therein. To keep healthy, observe the following rules: Avoid living, studying or sleeping in rooms where there is no fresh air. Fresh air and sun- light, nature's best disinfectants, kill tubercle bacilli and other germs causing disease; so have as much in your room as possible. Do not live in dusty air; keep the rooms clean, but do not sweep or dust with dry brooms or cloths. Get rid of dust by cleaning with damp cloths and mops. Obtain fresh air by keeping one window in your bedroom partly open all night long, and air the room two or three times a day. *R. H. Bishop, M. D. First Aid Practice for Factory Dispensaries Always wash your hands before eating. Take a warm bath with soap at least once a week. Do not neglect a cold or a cough, but go to a doctor or a tuberculosis dispensary. THERE IS DANGER IN DELAY. How to Get Well If You Have Consumption If yon or anyone in yoiu' family have tuberculosis, you should obey the following- rules if you wish to get well: Money spent on patent medicines or adver- tised consumption cures, is wasted. Go to a doctor or dispensary. If you go in time, you can be cured; if you wait, it may be too late. Do not drink wdiiskey or alcohol in any form except on a doctor's prescription. Do not sleep in the same bed with anyone else and, if possible, not in the same room. Good food, fresh air and rest are the best medicines for consumption. So keep out in the fresh air and in the sunlight as much as possible. Your windows should be kept open winter and summer, day and night. If properly covered up you will not catch cold, and the cold air actually stops the cough. First Aid Practice for Factory Dispensaries If you can be admitted to a sanatorium, accept the offer at once, before it is too late. How to Avoid Giving Consumption to Others Many grown people and children have pulmonary tuberculosis, or consumption, with- out knowing it and can give it to others. Therefore every person, even if healthy, should observe the following rules: Do not spit on the sidewalks, playgrounds, or on the floor or hallways of your home or factory. It spreads disease, and is dangerous, indecent and against the law. Always spit into a paper cup or into paper napkins or old cloths. These should not be used a second time, but should be, at once, put into a paper bag, which should later be burned with its contents. If you have no cup or napkin, spit in the gutter. At home use a spittoon half filled with water. Do not cough or sneeze without holding a handkerchief or your hand over your mouth or nose. A person who has pulmonary tuberculosis, or consumption, is least dangerous to those with whome he lives and works, if he sleeps alone and is careful and clean. First Aid Practice for Factory Dispensaries *ELECTRICITY Treatment for Electric Shock An electric shock usually does not kill at once, but may only stun the victim and for a while stop his breathing. The shock is not likely to be immediately fatal, because: (a) The conductors may make only a })rief and imperfect contact with the body. (&) The skin, unless it is wet, offers high resistance to the current. Hope of restoring the victim lies in prompt and continued use of artificial respiration. The reasons for this statement are: (a) The body continuously depends on an exchange of air, as shown by the fact that we must breathe in and out about fifteen times a minute. (b) If the body is not thus repeatedly supplied with air, suffocation occurs. (c) Persons whose breathing has been stopped by electric shock have been restored, in some instances, after artificial respiration has been continued for an hour or more. * The Commission on Resuscitation from Electric Shock. (Copyrifcht, 1!)1'2, National Electric Light Association. 1 First Aid Practice for Factory Dispensaries Instructions for Resuscitation Use These Instructions Even If the Victim Appears Dead I. Break the circuit immediately. 1. With a single quick motion separate the victim from the live conductor. In so doing, avoid receiving a shock yourself. Many have, by their carelessness, received severe shocks in trying to disconnect victims of shock from live conductors. Observe the Following Precautions (a) Use a dry coat, a dry rope, a dry stick or board, or any other drii non-conductor to move either the victim or the wire, so as to break the electrical contact. Beware of using metal or any moist material. The victim's loose clothing, if dry, may be used to pull him away; do not touch the soles or heels of his shoes while he remains in contact — the nails are dangerous. (6) If the body must be touched by your hands, be sure to cover them with rublier gloves, mackintosh, rubber sheeting or dry cloth; or stand on a dry board or on some other dry insulating surface. If possible, use only one hand. First Aid Practice for Factory Dispensaries If the victim is conducting the current to ground, and is convulsively clutching the live conductor, it may be easier to shut off the current by lifting him than by leaving him on the ground and trying to break his grasp. 2. Open the nearest switch, if that is the quickest way to break the circuit. 3. If necessary to cut a live wire, use an ax or a hatchet with a dry wooden handle, or properly insulated pliers. II. Send .someone for the nearest doctor. This should be done without a moment's delay, as soon as the accident occurs, and while the victim is being removed from the conductor. III. Attend instantlji to the vidimus Ijreathing. 1. As soon as the victim is clear of the live conductor, quickly feel with your finger deep in his throat for any foreign body (false teeth, tobacco). Then begin artificial respira- tion at once; every moment of delay is serious. •2. Lay the subject on his belly, with arms extended as straight forward as possible, and with face to one side, so that the nose and mouth are free for breathing (see page 6'2). Let a helper draw forward the subject's tongue. First Aid Practice for Factory Dispensaries If possible, avoid so laying the subject that any burned places are pressed upon. Do not permit bystanders to crowd about and shut off fresh air. 3. Kneel, straddling the subject's hips and facing his head; rest the palms of your hands on the loins (the muscles of the small of the back), with thumbs nearly touching each other, and with fingers spread over the lowest ribs (see page 62). 4. With arms held straight, swing for- ward slowly so that the weight of your body is gradually brought to bear upon the subject's (see page 64). This operation, which should take from tw^o to three seconds, viust not be violent — internal organs may be injured. The lower part of the chest and also the abdomen are thus compressed, and air is forced out of the lungs. Now immediately swing backward so as to remove the pressure, but leave your hands in ])lace, thus returning to the position as shown on page 62. Through their elasticity, the chest walls spring out and the lungs are thus sup- plied with fresh air. 5. After tw^o seconds swing forward again. Thus repeat deliberately the double move- First Aid Practice for Factory Dispensaries ment of compression and release twelve to fifteen times a minute — a complete respiration in four or five seconds. If a watch or a clock is not visible, follow the natural rate of your own deep breathing — swinging forward with each expiration, and backward with each inspiration. While this is being done, a helper should loosen any tight clothing about the neck, chest or waist. 6. Continue artificial respiration (if neces- sary, at least an hour) without interruption, until natural breathing is restored, or until a physician arri^'es. Even after natural breath- ing is restored, carefully watch that it con- tinues. If it stops, start artificial respiration again. During the period of operation, keep the victim warm by applying a proper covering and by laying beside his body bottles or rubber bags filled with water. The attention to keep- ing the patient's body warm should be given by an assistant or assistants. 7. Do not give any licpiids whatever by mouth until the })atient is fully conscious. 8. ^yhere the patient has corsets, these had better be removed when possible before attem])ting artificial resj)iration. First Aid Practice for Factory Dispensaries FOREIGN BODY IN EYE Close the eye for a few seconds and allow the tears to collect. The particle may be washed out with the tears. If the foreign body is on the upper lid. pull it down over the low^er, pushing the lower lid up at the same time. This sometimes dislodges the foreign body. In examining the lower lid, have the patient look up as the lid is drawn down. To examine the uj)per eyelid, stand behind the chair in which the patient is seated, with his head thrown back. Place a match over the eyelid about half an inch from the edge. Pull the lid down by the lashes and fold it over the match, making very slight pressure downward with the match at the same time. (See pages 68 and 69.) Remove the particle with the moistened tip of a handkerchief or with a bit of cotton wound on the end of a wooden toothpick or a match, and then moistened. Bathe the eye with boracic acid water. If it is found that the foreign body in the eye is a piece of glass, a physician should be summoned at once. First Aid Practice for Factory Dispensaries WJjf^j^ Turning Back the Upper Eyelid (First Operation) If the eyes have been exposed to intense lii-ht hy the blowing out of a fuse, there may he much discomfort, and sometimes pain and First Aid Practice for Factory Dispensaries Turning Back the Upper Eyelid (Second Operation) redness. The eyes should be bathed with the boracic acid sohition and hot water and should not be used until the inflammation has subsided. First Aid Practice for Factory Dispensaries SPLINTERS Sterilize the end of ])enknife with 5% sohition carbolic acid, seize splinter between the point of a penknife (inserted beneath splinter) and the thumbnail. It is well to apply tincture of iodin to the puncture after removal of splinter. NAIL IN FOOT Allow the wound to bleed freely. Remove ])ressure from the foot, as pressure tends to hasten the absorption of the septic material. Soak the foot well in a solution of 1/5000 bichloride solution and apply tincture of iodin to the wound. TOOTHACHE Pack the cavity in the tooth with a small ])iece of cotton saturated with oil of cloves. A dentist should look over the teeth at least twice a year. The teeth should be brushed after every meal. CRAMPS Where not caused by some serious trouble of the appendix, gall bladder, or other abdomi- First Aid Practice for Factory Dispensaries nal organ, the following remedies may be found useful. Syrup of Ginger, one-half teaspoonful in a little hot water. Spirits of Peppermint, ten drops in a little hot water. Sip slowly. Baking Soda in small doses, where there is gastric fermentation. A Hot Water Bottle will often bring relief. Where the cramps are severe a physician should be summoned. PAINFUL MENSTRUATION By this we mean more than the average amount of pelvic discomfort, backache, head- ache, general depression, etc., which usually accompany the period. Causes: 1 . General ill health. 2. Displacement or inflammation of womb. 3. Inflammation of tubes and ovaries. First Aid Practice for Factory Dispensaries *Treatinent Attention to General Health. In all cases of dysmenorrhea (painful menstruation) the closest attention to general health is indicated. In a large proportion of cases the patient will show more or less evidence of malnutrition of some kind or other, and this should be the object of persistent attention. A proper quantity of nutritious food is essential, and if, as often happens, the appetite is so impaired as to make it impossible to consume this at ordinary meals, the deficiency should be made up by feeding the patient in small amounts at frequent intervals. A glass of milk, a cup of beef tea, a sandwich, some malted milk, or any light nutritious food taken between meals and just before going to bed will generally be sufficient, and as the general condition im- l)roves, the appetite will increase. Sleep. A case of the kind under considera- tion should always have fully eight hours' sleep and more, if possible. In young girls who have not attained maturitj^ or in cases where the patient is markedly anemic, there must always be more, either at night or in the davtime. All late hours and excitement Medical Gynecology, by Howard A. K. First Aid Practice for Factory Dispensaries should be avoided, and the greatest care should be exercised to prevent over-exertion. Fre.'ih Air and Exercise . A considerable amount of time spent in the open air is of vital importance. The conditions of a woman's life in this respect are greatly improved upon what they were a generation ago, and a variety of outdoor amusements are now open to her. Walking, bicycling, or some form of active game, such as tennis, golf, or basket ball, are very desirable; and some hours spent out of doors, in all but inclement weather, should form part of the routine of each day. Rest. More benefit is derived from rest in the treatment of dysmenorrhea than from any one other remedy. Absolute rest in bed during the periods is essential. Every patient suffer- ing from established dysmenorrhea should remain in bed for two or three days at each menstruation, and whenever it is possible, the rest should begin before the appearance of the flow. Careful observance of this rule in con- junction with other remedies will, in many cases, completely relieve the dysmenorrhea, and the patient will be able, after some months, to resume ordinary habits during menstruation. In other cases it will be necessarv to continue First Aid Practice for Factory Dispensaries the practice of rest in bed for at least the first twenty-four hours each time, if the relief from suffering is to be permanent. Regulation of ihe Bowels. Dysmenorrhea is frequently associated with constipation, so frequently, indeed, that keeping the bowels open, and even a little relaxed at the time of the menstrual period, is often most effectual in giving relief. I have known one case in which perfect relief for several periods was obtained by taking a heaping teaspoonful of Husband's magnesia every morning for three or four days before menstruation. In young girls who suffer from dysmenorrhea, it will often be discovered on close questioning that there is no regular evacuation of the bowels, and that the patient is (juite unaware of the importance of the habit to either her general health or her menstruation. In such cases it is well to focus attention upon this ])oint until the constipa- tion is overcome, and this will often result in entire relief of the menstrual suffering. When the pain is very severe at the men- strual period, one teaspoonful of Compound Elixir Viburnum Opulus (National Formu- larv) niav be given. First Aid Practice for Factory Dispensaries It soiiietinies prevents suffering, if a tea- spoonful of the Elixir is given in hot water, twice daily (before meals), for a day or two preceding period. When menstruation has begun, the dose may be increased to one tea- spoonful before each meal and the medicine con- tinued as long as the patient is uncomfortable. In dispensary practice, the Syrup of Ginger in half teaspoonful doses, may be given in a little hot water. If this does not bring relief, the Elixir of Ginger may be prescribed. Alcohol in any form or patent medicines are not to be prescribed for a patient suffering with painful menstrua- tion. There is no surer way of contracting a drug habit than for a young girl to become dependent on some patent medicine or alcoholic drink for the relief of the pains of the men- strual period. HEADACHE Is one of Nature's danger signals. Something is out of order. The trouble may be with the eyes, nose, stomach, kidneys, or other organ. Very often some eyestrain will be discovered. For temporary relief, heat or cold may be ap])lied to the head. A hot mustard foot bath First Aid Practice for Factory Dispensaries (one tablespoonful of ground mustard to a gallon of hot water) may be useful. Apply a mustard plaster over the upper part of the spine. A laxative of one-half teaspoonful of Effer- vescent Sodium Phosphate dissolved in one- half glass of cold water relieves congestion. In so-called nervous headache, 15 to 20 drops of Aromatic Spirits of Ammonia in two table- spoonfuls of hot water may be sipped slowly. SORE THROAT A patient with a sore throat should be carefully examined. Depress the tongue with a wooden tongue depressor, which should be thrown away after it is used. If white patches are seen on the tonsils or pillars of the throat the patient should be sent home at once and a physician called. Gargle A good gargle for a sore throat is made by adding a pinch of salt or two teaspoonfuls of alcohol to four tablespoonfuls of hot water. First Aid Practice for Factory Dispensaries as hot as can be comfortably used without burning the mouth. Gargle every half hour. The cup should be boiled after it has been used. A Mouth and Nose Wash Is made by dissolving one Seller's tablet in half a cup of water. "SUMMER DIARRHOEA" Is generally caused by indiscretion in diet. One or two tablespoonfuls of castor oil will remove the irritating matter from the stomach and bowels. No attempt should be made to check the diarrhoea until the bowels have been cleared out. HEAD LICE Moisten the hair with vinegar, thus making it easier to remove the nits with a fine tooth comb. Before retiring tie a towel saturated with kerosene oil around the head and leave on till morning. First Aid Practice for Factory Dispensaries FUMIGATOR Disinfecting Instruments First Aid Practice for Factory Dispensaries DISINFECTANTS Sunlight The value of sunlight as a disinfectant is not fully appreciated. It is our greatest ally in the war against the germs of disease. Formaldehyde Gas Is the best general disinfectant. It is dispensed in the form of Liquor Formaldehyde which is a 40 per cent solution of the gas in water. Disinfection with Formaldehyde Render the room air-tight by filling the cracks and crevises about the doors and win- dows with strips of cloth. See that every register is tightly closed. Move furniture away from the walls. See that bureaus and desks are open and the shades of the windows drawn down. Books maybe suspended on cords. Colored fabrics or metals will not be injured by the gas. When the room is ready, place a Depree formaldehyde fumigator (see page 78) in the center of the room, and light the wick. This causes the evaporation of formaldehyde gas in the little dish above the lamp. The gas is very irritating to the eyes and respiratory passages, and no attempt should First Aid Practice for Factory Dispensaries be made to enter the room while it is being- fumigated. Several fumigators will be needed for a good-sized room. Keep the room closed for six hours. At the end of that time thoroughly air the apartment by opening the doors and windows. Mattresses, heavy clothing and rugs should be sent to be steam-cleaned, after they have been fumigated. The walls should now be gone over with a wall paper cleaner. The floors and woodwork must be washed with hot water and soap, followed by a 1/1000 solution of bichloride. Chlorinated lime, a cupful to the pail of water, makes an excellent and cheap disin- fectant for floors and toilets. In using these solutions, the hands should be protected with rubber gloves. Where it is not possible to use the Depree fumigator, follow the use of the soap and water by a spray of 40 per cent formaldehyde, using a spray such as is shown on page 78. Where a person has been exposed to a contagious disease and must at once mingle with, others, remove the outer clothing and spray it thoroughly. The shoes, etc., may also be sprayed. Equipment of First Aid Dispensaries First Aid Practice for Factory Dispensaries Dispensary and Rest Room Furniture Lists Standard Service Department | For 300 Employes A Dispensary Furniture B Linens C Instruments D Dressings E F Medicines (Internal) " Medicines (External) G " Accessories Total Dispensary __$464.64 A Rest Room Furniture B Rest Room Linens Total Rest Room __$217.10 Total Rest Room and Dispensary Equipment .^$681.74 Square Feet Fl. )or Space Dispensary _ 243 Fl< T., )or Space Service Storage tal Dispensary and Circum- _ 42 adjacent Area . 285 Fl( or Space Rest Room _ 240 Fk or Space Service Corridor _ 175 To tal Rest Room and Circum- adjacent Area _ 415 Square Cost per To tal Dis])cnsary, Rest Room Feet Sq. Ft. ci nd Circumadjacent Area^_ 700 $0.97 Cost per Capita (Total Employes) .^$2.80 First Aid Practice for Factory Dispensaries Dispensary Equipment — Furniture A 1 Instrument and Dressing Cabinet (white enamel) 1 Steel Cabinet (white enamel) 1 Instrument and Dressing Table (porcelain enamel, 24" x 36") 1 Table (porcelain enamel, 16" x 20") 1 Nurse's Desk (porcelain enamel, .'36" x 20") 1 Army and Navy Stretcher 1 Linen Can 3 Steel Chairs (white enamel) 1 Waste Receptacle 1 Hat and Coat Rack 1 Mirror with Drawer, Shelf and Towel Rack 1 Sterilizer (Combination) 1 Portable Lamp (brush brass finish) 1 Angle Shade, No. 75 Total Forwarded $309.96 First Aid Practice for Factory Dispensaries Dispensary Equipment — Furniture (Continued) Toilet Room Brought Forward- 1 Linen Can 1 Hat and Coat Rack 1 Mirror 1 Six-gallon Justrite Pail Total A .$309.96 .$331.04 Dispensary Linens B 3 dozen Soft Dressing Towels marked "DISPENSARY" 6 " Individual Linen Towels marked "DISPENSARY" 1 " Turkish Wash Cloths marked "DISPENSARY" " Markings "DISPENSARY" Total B $17.-20 First Aid Practice for Factory Dis'pensaries INSTRUMENTS c 2 Scalpels, Blade 1 and l^i" 1 Graefe Cataract Knife 1 pair Bandage Scissors, 7" 1 pair Gauze Scissors 1 pair straight Scissors (Surgical) 1 Combination Eye Spud and Needle yi dozen Kelly's Haemostats 1 pair Splinter Forceps 1 Thumb Forceps, 5" 1 Thumb Forceps, 10" 1 Tissue Forceps, 5" 1 Mathiew's Needle Holder, 634" 1 Silver Probe 3 tubes Catgut No. 1, plain with needle 6 tubes silkworm Gut, fine and medium with needle 3 tubes Silk, No. 1 with needle 3 tubes Silk, No. 2 with needle Total C $19.25 First Aid Practice for Factory Dispensaries DRESSINGS D 5 lbs. Sterile Cotton Two 1-lb. cartons Four M-lb. cartons Four 3 4 -lb. cartons 1 carton, S.a-yard Sterile Gauze 1*2 cartons, 1-yard Sterile Gauze .5 lbs. Gauze Bandages (assorted 1", 2", 3") 1 roll 36" Bandage 1 roll 1" Zinc Oxide Adhesive Plaster 1 roll 2" Zinc Oxide Adhesive Plaster ^ lb. Flexible Collodion 12 Sheets Wadding 5 yards Unbleached Muslin (for slings) 1 dozen Yucca-wood Splints Total D $11.02 First Aid Practice for Factory Dispen mries MEDICINES For Internal Use E lib. Epsom Salts 2 lbs. Effervescent Sodium Phosphate 500 Calomel 1 10 gr. and Sodium Bicarbonate 1 gr. 4 oz. Sodium Bicarbonate -t oz. Jamaica Ginger -toz. Aromatic Spirits of Ammonia Iqt. Elixir Viburnum Opulus Compoimd 1 box Amyl Nitrate Pearls 4 4-ounce Bottle Chloroform 1 lb. Up Johns Phenolax Wafers 2 oz. Tincture Benzoin Compound 8 oz. Castor Oil (deodorized) Hypodermic Tablets 1 tube Morphine Sulphate, 's gr. 1 tube Strychnine Sulphate, ..\t gi"- 1 tube Atropine Sulphate, 1 150 gr. TotalE _$7.57 V ^, Pf i . ii*" ■ 1 1 - r a First Aid Practice for Factory Dispensaries MEDICINES For External Use ¥ 1 qt. Formaldehyde 1 qt. Alcohol (best 95% grain) 1 qt. Glycerine and Carbolic Acid, 39c 1 11). Bichloride Tablets (Corrosive Sublimate) 1 11). Carbolic Acid Crystals 1 11). Boric Acid Powder 2 lbs. Seller's Tablets K lb. Boric Acid Ointment. 10% 1 lb. Vaseline 4 oz. Tincture lodin '•2 oz. Solution Silver Nitrate (10% strength) 1 oz. Adrenalin Chloride 'i sticks Silver Nitrate (in holders) 1 tube Cocaine Hydrochlorate (2'/4 gr.) 1 tube Ethylchloride 1 drams Oil of Cloves Total F _$9.53 ri ^4^4 First Aid Practice for Factory Dispensaries ACCESSORIES ^2 dozen Medicine Droppers dozen Eye Baths (glass) Steel Tape, 6' Collins Tongue Forceps Yankauer's Mask Tycos Clinical Thermometers Kock Razor Hypodermic Syringe (all metal case) Magnifying Glass box Applicators (wooden) box Tongue Depressors (wooden) Mouth Gag (wooden) Liquid Soap Container and >^ gal. Soap pint Liquid Antiseptic Soap 2 2^-quart Pitchers (white enamel) 2 6-inch Basins, deep style (white enamel) 2 12-inch Basins, shallow style (white enamel) 1 5-inch Funnel (white enamel) 1 9^-inch Pus Basin (white enamel) 1 8-inch Pus Basin (white enamel) 89 First Aid Practice for Factory Di. pensaries ACCESSORIES— Conti nued G- 2 1 Knife Tray (white enamel) 1 Shaker (nickel) complete with strainer yi doz Tumblers (No. 632) % doz Cups and Saucers (C. & S.) W . C. Derby y^ doz Teaspoons (Windsor 1881) i Tablespoons (Windsor 1881) 1 8-ounce Glass Graduate Medicine Glasses 'i prs. Rubber Gloves (medium) Xo. 7K 2 Ice Bags y doz 2-quart Hot Water Bottles 1 Electric Heating Pad, Xo. 40,800 ] Morrison Pad, 20" 1 2-quart Glass Jar 2 3- quart Glass Jars 1 roll Paraffin Paper >4 doz Hand Brushes, plain, unvarnis led backs 1 Long Pen Tray (glass) 1 Square Ink Well (all glass) 1 Practical Desk Calender First Aid Practice for Factory Dispensaries ACCESSORIES— Continued 1 yd. P. G. Tubing, H" 1 yd. Rubber Sheeting 1 doz. Rubber Finger Cots 2 Surgeons' Aprons 1 doz. Dupree Formaldehyde Fumigators 1 Formaldehyde Spraying Machine 4 1 -gallon bottles labeled as follows: Bichloride 1/1000 Carbolic 1 20 Sat. Boric Sterile Water 10 2-ounce Amber Tincture Bottles and stand. Seven of these bottles with Glas- sine labels as follows: Silver Nitrate 10% Silver Nitrate 2% Cocaine 4% Cocaine 2% Tr. lodin Tr. lodin 2% Adrenaline 1/1000 ^ t \ ] J- S P First Aid Practice for Factory Dispensaries ACCESSORIES— Continued 1 Amber Droj) Bottle with Glassine label: Chloroform 1 Crystal Drop Bottle with Glassine label: Ether ■4 (loz. 8-oimce Ointment Jars (opal) Two of the above Ointment Jars with Glassine labels as follows: Vaseline Boric Acid 1 1-ounce Bottle with Glassine label as follows : Oil of Cloves Wide-mouthed glass-stoppered bottles First Aid Practice for Factory Dispensaries ACCESSORIES— Concluded G-4 4 4-ouiice bottles with Glassine labels as follows : Calomel (1 10 gr.) Sod. Bicarb. (1 gr.) Seller's Tablets Sod. Bicarb. Bichloride (7)4 gr.) 3 8-ounce bottles with Glassine labels as follows : Epsom Salts Sod. Phos. Effervesc. Boric .\cid 4 1-quart narrow-mouthed, glass-stoppered Tincture Bottles, with Glassine labels as follows: Alcohol Formaldehyde Liquid Soap Carbolic Acid, 3% Glycerine 4 4-ounce narrow-mouthed, glass-stoppered Tincture Bottles, with Glassine labels as follows: Jamaica Ginger Syr. Ipecac Eliz. Viburnum Op. Comp. Spts. Ammon. Arom. Total G $69.03 I ^ ;ff / 94 First Aid Practice for Factory Dispensaries REST ROOM FURNITURE A -t "National" Hospital Cots (white enamel frame) 4 Hair Mattresses for Cots 8 No. 2 Pillows for Cots 4 Screens (complete with panels) 4 Steel Chairs (white enamel) 4 Hat and Coat Racks 1 Mirror Total A $155.60 REST ROOM LINENS B 4 Sets Screen Panels 2 doz. Pillow Slips, 45" x 36" | marked "DISPENSARY" 2 doz. Pequot Sheets, 54" x 90" | marked "DISPENSARY" 8( nly Double Blankets— Buffalo 10-4 (gray) 1 doz. Allendale Spreads 4 doz. Markings "DISPENSARY" Total B $61.50 SHK LIBRARY OF CONGRESS msm ■■ 1IIIIII1IIIII1IIIIII11II111III1II1III1II1IIII1IIII1III»P 022 216 414 A!