Dr. Jobert,§ of the Hospital St. Louis, Paris, treats burns by the application of bladders filled with ice, and placed on the injured surface. The results he states to be most satisfactory, the gangrenous reaction being speedily limited, and the suppuration very much diminished. The patients are much relieved by the application; and when the burns are very ex. tensive, cold baths are also used. By these means he states tha visceral inflammations are prevented.
3158. In Cholera, ice has been the remedy the most trusted to in the hospitals of Vienna and Berlin, and it is stated to prove highly efficacious. On reference to the table in sect. 1414, it appears that the mortality, when ice alone was employed, was 30 per cent., a very low rate compared with cases in which stimulants and opiates were employed. It relieves, in a remarkable manner, the burning heat at the pit of the stomach and the intolerable thirst, arrests the vomiting, and contributes greatly to excite reaction. It is a remedy of the highest promise, and should be employed whenever practicable, stimulants and opiates being, at the same time, strictly prohibited. It appears, from the foregoing table, that when stimulants were conjoined with ice, the mortality rose from 30 to 50 per cent.*
* Op. cit.
Elements of Surgery, p. 77.
Pract. Surgery, p. 217.
§ Med. Times, vol. xvii. p. 259.
3159. In Internal HAemorrhage, ice may be given with great advantage; it seems to act in the threefold character of refrigerant, sedative, and astringent. In HAematemesis, it proves particularly useful, as it comes in immediate contact with, and tends to constringe, the bleeding vessels. In HAemorrhage from the Mouth, Throat, or Nostrils, ice, applied in a solid form to the bleeding vessel or surface, proves an efficient styptic.
Prout states, that in protracted cases of suffering, he has occasionally known the greatest relief obtained by the application of pounded ice to the region of the kidney. It is chiefly applicable when the calculus is composed of the Oxalate of Lime, or the phosphates, and should not be employed in plethoric, gouty individuals, labouring under lithic acid calculi. M. Bricheteau found, that if applied to the epigastrium, it afforded great relief in the passage of Gall Stones, when other remedies had failed.
3161. In Aneurism of the Aorta, ice has been applied with a view of contracting all the tissues, and promoting the coagulation of blood within the sac. The pain which it occasions often renders a continuance of its use inadmissible. (Dr. Hope.§)
Dr. Mackall,|| of Maryland (U.S.), states that he has, for many years, employed ice, and that in no single case has he been disappointed in its action, or witnessed the slightest ill effects from its administration. The cases in which he found it the most useful are, 1, in protracted Labours proceeding from Atony of the Uterus; 2, in retention of the Placenta from the same cause; 3, in alarming HAemorrhage after delivery; and 4, in Abortion. In the last case he considers it invaluable. In short, whenever the firm contraction of the uterus is desirable, that object, he states, will be effected by ice, pounded and swallowed freely, in considerable quantities.
3163. In Strangulated Hernia, the application of cold or ice to the tumour was first proposed by Wilmer, and has been highly spoken of by B. Bell and others. It occasionally proves effectual, but more frequently fails. Care must be taken that it be not so applied as to freeze the scrotum, and bring on sloughing. In large, old herniAe, the application of ice is often attended with remarkable efficacy; and in other cases, as Sir A. Cooper has explained, if it does not completely succeed, it arrests the progress of the symptoms. (Mr. S. Cooper.*)
* See Mr. Ross's Lectures on Cho-lera, Med. Times, vol. xix. p. 107.
On Stomach and Renal Diseases, p. 212.
Mem. de la Soc. Med., vol. ix. p. 194. § Diseases of the Heart, 3rd Ed || Monthly Retrospect, April 1847. I I I