Symptoms

Face livid, pupils dilated, dizziness, weak ness, nausea, vomiting, convulsions, coma.

If death, in a few hours to several days.

Treatment

Keep up the body temperature with dry heat applications. Employ artificial respiration, and if possible, give oxygen inhalations. Counteract the depression with strychnine hypodermatically. Should there be insufficient response to this, give one c. c. of adrenalin or suprarenalin solution (1 to 1,000) intramuscularly, and follow with atropine hypodermatically. If stimulation must be kept up use a saturated solution of camphor in olive oil, one c. c., intramuscularly pro re nata until such time as strychnine may be repeated with safety. If the pulse is very weak physiologic saline solution should be infused in every unconscious case. If the pulse is strong enough to warrant it, from 400 c. c. to 600 c. c. of blood should be withdrawn prior to transfusion.

Sequelae

Mental weakness, dullness, confusion, loss of memory, weakness, and even temporary paralysis of the extremities, bronchitis, broncho-pneumonia, lobar pneumonia. Occasionally symptoms develop which are referable to lesions in the brain and cord.