However,
cases will now and then occur in which the temperature remains dangerously
high, notwithstanding the thorough application of the above means. What
shall be done?
Several years ago our attention was called to a series of experiments made
by Dr. Winternitz, Professor of Hydropathy in the Medical University of
Vienna, for the purpose of determining the influence upon temperature of
enemas of water of different temperature in cases of fever. The results
claimed by Prof. Winternitz were so striking that we improved the first
opportunity to repeat his experiments, and with such results as have
justified the continued use of this means of lowering temperatures in
fever, in cases in which the ordinary measures were not efficient. The
only objection we have found to the method has been the inconvenience to
the patient occasioned by the frequent use of the bed-pan. In a recent
case in which we found it necessary to resort to this method, the nurse
observed that if the tin can of the fountain syringe used in administering
the enema happened to be lowered below the level of the bed on which the
patient lay, water which had previously been introduced into the rectum
returned readily through the tube into the can. On learning this fact, the
attendants were instructed to employ the enema in this way.
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