silver, large (Type 1, 1774-1837), engraved (Soc Reg Human Heny Edwd Harper Esq Surgeon Vitas Ob Servatas Dono Dedit 1831). Small edge bruise, otherwise good very fine. (1)
On April 30th, 1830, I was called in to attend the infant child of Mrs Knipe, of Greenwich, who had fallen into a large wash-tub of water, in which it was discovered with its feet uppermost, apparently dead. I hastened to the house, where the child lay without the least visible sign of animation; the surface and extremities quite cold; the lips of a livid hue, the eyes appeared glassy, and the pupils slightly dilated; there was no perceptible action to the heart, or of the pulse at the wrist, and the mouth was slightly distorted. I directly immersed the child in a hot salt-and-water bath, and injected stimulants with sal-volatile, brandy, etc. When sufficient warmth was diffused over the body, I let three ounces of blood from the arm, inflated the lungs, and kept up an artificial respiration; in the meantime, constantly applying friction to the whole surface, the head particularly, and not till about thirty-five minutes of unremitting application of the above means, could any symptom of returning animation be discovered. The arms and legs then became convulsed; in fifteen minutes it spontaneously sighed; the pulse at the wrist could be just felt, which encouraged me to perservere in my exertions. These symptoms of recovery, however, fluctuated for about two hours; the result was doubtful, and four hours elapsed from the commencement of my attendance before I could say that the child would recover. It was then placed in a warmed bed, and stimulants applied every five minutes. The child continued insensible for six hours. I administered a dose of castor-oil in the evening, and continued giving stimulants for two days, during which time it remained in a very precarious state. Its recovery was gradual, and it is now tolerably well. From the mother's statement, I suppose the child could not have been in the water less than seven or eight minutes; the vessel into which it fell was sunk in the ground, and contained about four large pails of water.
Sold with research and copy of the above statement.