I lost no time in applying the remedies that I had to hand. Shaking out into the tumbler a few crystals of potassium permanganate, I filled it up with water and approached the patient. His stupor was profound. I shook him as roughly as was safe in his depressed condition, but elicited no resistance or responsive movement. As it seemed very doubtful whether he was capable of swallowing, I dared not take the risk of pouring the liquid into his mouth for fear of suffocating him. A stomach-tube would have solved the difficulty, but, of course, I had not one with me. I had, however, a mouth-speculum which also acted as a gag, and, having propped the patient’s mouth open with this, I hastily slipped off one of the rubber tubes from my stethoscope and inserted into one end of it a vulcanite ear-speculum to serve as a funnel. Then, introducing the other end of the tube into the gullet as far as its length would permit, I cautiously poured a small quantity of the permanganate solution into the extemporized funnel. To my great relief a movement of the throat showed that the swallowing reflex still existed, and, thus encouraged, I poured down the tube as much of the fluid as I thought it wise to administer at one time.
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