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To Saul, Luca and Marco
The Publishers would like to thank Nicholas Fellows and David Ferriby for their contribution to the Study Guide.
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© David G. Williamson
Fourth edition © David G. Williamson 2015
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Contents
Chapter 1 International relations 1879–1945: an introduction
1 The ideological background
2 The Great Powers 1890–1945
Study guide
Glossary of terms
Further reading
Index
Dedication
Keith Randell (1943–2002)
The Access to History series was conceived and developed by Keith, who created a series to ‘cater for students as
they are, not as we might wish them to be’. He leaves a living legacy of a series that for over 20 years has provided a
trusted, stimulating and well-loved accompaniment to post-16 study. Our aim with these new editions is to continue
to offer students the best possible support for their studies.
CHAPTER 1
Key dates
1879 Austro-German Alliance
1894 Franco-Russian Alliance
1904 Anglo-French entente
1914 Aug. Outbreak of First World War
1917 USA declared war on Germany
Oct. Bolshevik revolution in Russia
1918 Defeat of the Central Powers
1919 Treaty of Versailles
1929–33 Great Depression
1933 Hitler appointed chancellor of Germany
1939 Sept. 3 Britain and France declared war on Germany
1941 June 22 Germany attacked USSR
Dec. 7–8 Japan attacked Pearl Harbor
1945 May 9 Unconditional surrender of Germany
Aug. 15 Unconditional surrender of Japan
Imperialism
European imperialism and the expansion of European power into Africa and Asia in the final two decades of the
nineteenth century were caused by several factors. Businessmen and industrialists put pressure on their governments
to annex areas where they had important economic interests. Strategy also played a key role. Britain, for instance,
occupied Egypt in order to safeguard the Suez Canal and the route to India. Increasingly, the governments of the
Great Powers, urged on by public opinion, began to believe that they could only remain powerful as long as they had
colonial empires which could provide trade, access to raw materials and opportunities for settlement.
Statesmen and political thinkers became affected by social Darwinism and were convinced that international life
was a struggle for survival where only the strongest nations would survive. The French economist Paul Leroy-
Beaulieu (1843–1916), for example, stressed that it was ‘a matter for life and death’ for France to become a ‘great
African nation or in a century or two she will be no more than a secondary European power, and will count in the
world as much as Greece or Romania’.
SOURCE A
Study Source A. Is this photograph evidence of German militarism or just love of tradition?
Kaiser Wilhelm at a German army review in Berlin in 1912. Wilhelm (in the centre on horseback) is
surrounded by imperial footguards whose uniforms hark back to King Frederick of Prussia (1740–86).
Nationalism
Imperialism went hand in hand with nationalism. Earlier in the nineteenth century nationalism in Italy and Germany
had been essentially a liberal ideology aimed at achieving national unification and establishing a constitutional
government. The main aim of nationalists was to unite their countries. Once this was achieved, the emphasis of
nationalism gradually shifted to asserting the power of a nation on the global stage. To unify their countries and
overcome class or regional differences, governments frequently exploited nationalism by pursuing a policy that later
historians have called social imperialism.
Militarism
The nationalist and imperialist rivalries of the Great Powers inevitably encouraged militarism. The armed forces
were the key instruments, not only in defence, but also in carving out empires and projecting national strength. In
Germany, particularly, the army enjoyed huge prestige and was independent of parliamentary control, while in
Britain public opinion played a key role in forcing the government to accelerate the construction of modern
battleships, the Dreadnoughts, in 1908 (see page 38). In Germany and Britain, pressure groups were formed to
force the government to accelerate the build-up of the armed forces. In both countries, for example, Navy Leagues
played a key role in the development of large navies. The acceptance of military values by large sections of people
in all the great European states undoubtedly contributed to the mood which made war possible and to the enthusiasm
with which the outbreak of war in 1914 was greeted in every belligerent state.
Fascism and National Socialism
Extreme nationalism, imperialism and militarism were all important components of Fascism and National
Socialism, which became major movements after the end of the First World War. However, even before 1914 in
Italy and France extreme nationalist groups were already attempting to fuse nationalism with socialism to create a
more socially united and therefore stronger national state. One French nationalist, Charles Maurras (1868–1952),
wrote in 1899 that there existed ‘a form of socialism which when stripped of its democratic and cosmopolitan
accretions [additions] would fit with nationalism just as a well-made glove fits a beautiful hand’. This was initially
the driving force behind both Fascism and National Socialism. For Hitler, however, anti-Semitism and the desire to
make Germany a ‘racially pure state’ rapidly became the dominant factor in National Socialism.
It was the impact and consequences of the First World War that enabled Fascism and Nazism to become mass
movements. In Italy, economic crises, a sense of being cheated at the Paris Peace Conference in 1919 of its just
rewards as a member of the victorious coalition (see page 103), and above all the fear of a Bolshevik revolution,
created the context in which Benito Mussolini, the leader of the Italian Fascist Party, gained power in 1922 (see page
134). In Germany it took another ten years and the impact of the Great Depression (see page 144) before Hitler (see
page 149) and German National Socialism could come to power.
SOURCE B
Study Source B. In what way did the construction of Dreadnoughts revolutionise battleship construction?
HMS Colossus, one of the new Dreadnought-class of battleships was launched in 1910, and in August 1914
eventually became the flagship of the Royal Navy’s First Battle Squadron.
Germany
Germany’s economy was the strongest in Europe, its population growth was outstripping Britain and France and it
had the most formidable army, which had defeated France in 1870–1. Yet, looking at the British and French
Empires, it perceived itself to be excluded from global power and feared that ultimately it might be strangled by the
great imperial powers. In short, it considered itself a ‘have-not nation’. Consequently, one of the main themes of
German foreign policy from 1890 to 1914 was Weltpolitik, which aimed at acquiring colonies, particularly in Africa.
When faced with superior British sea power in the First World War and the loss of its few possessions in Africa and
Asia, Germany sought compensation in Europe and particularly Russia by creating a German-dominated
Mitteleuropa b, which would compensate for its lack of a colonial empire. By November 1918, German troops
controlled almost as much of western Russia as Hitler did in the summer of 1942.
This prize was snatched away by defeat on the Western Front in 1918. The Treaty of Versailles stripped Germany of
all its wartime gains, global investments and colonies, and in the eyes of the German people confirmed its status as a
‘have-not nation’, even though its potential strength remained unimpaired. The collapse of Austria-Hungary, the
creation of a weak Polish state and Russia’s loss of the western Ukraine left Germany in a potentially strong
position.
The key question was, how would Germany exploit its latent strength? Would Germany use it, as its foreign minister
Gustav Stresemann (see page 117) did between 1924 and 1929, to co-operate with Britain and France in the peaceful
reconstruction of a Europe which Germany through its natural strength would come to dominate, or would it use
force? Once Hitler was swept into power by the Great Depression, it became increasingly clear which option
Germany was going to take. Hitler was determined to colonise western Russia and thereby create Lebensraum for
the German people and finally free Germany from its dependence on the Western powers. Germany’s defeat in 1945
put an end to these plans and resulted in 1945–9 in the division of the German Reich into two separate states, which
were only reunified in 1990.
Italy
Italy had been unified in the same decade as Germany, and liked to see itself as a Great Power in the traditions of
Ancient Rome. In reality, Italy was one of the weakest of the European powers both economically and militarily. In
1896 its attempt to annex Abyssinia ended with a humiliating defeat at Adowa.
Italian foreign policy right up to 1943 was essentially opportunistic and aimed at securing influence and territory in
the Mediterranean. Italy could gain most when Europe was divided into rival alliances, which attempted to outbid
each other for its favours. Thus, in May 1915 Italy was bribed by the Treaty of London with promises of territory in
north Africa and along the Dalmatian coast to join Britain and France rather than the Central Powers.
Although Italy emerged from the war strengthened by the collapse of Austria-Hungary, the failure of the Allies to
honour the promises made at the Treaty of London (see page 64) left it embittered, and even more determined to
assert its power in the Mediterranean and northern Africa. Indeed, what was called the mutilated victory of 1918
was one of the causes of Fascism’s growing popularity and Mussolini’s coming to power in 1922.
In the 1930s Mussolini initially hoped to benefit from Hitler’s seizure of power to extract concessions from Britain
and France, but their failure to agree to the Italian occupation of Abyssinia gave Mussolini little option but to
gravitate towards Nazi Germany. In May 1939 he signed the Pact of Steel with Germany, but did not declare war on
Britain and France until June 1940, when he was convinced that with the fall of France Hitler had already won the
war. Mussolini was overthrown by the Italians themselves in 1943. The new government then negotiated an
armistice with Britain and France, but the Germans occupied much of Italy until their defeat in 1945.
France
France had been defeated by Prussia in 1871, and both economically and in terms of population size it had been
overtaken by Germany and Britain. France’s industrial base was small and its coal deposits were a fraction of those
of Britain and Germany. France had nevertheless managed to rebuild and re-equip its army and compensate for the
relative smallness of population by building up a large north African empire, which would provide men in time of
war.
The key to France’s survival as an independent power, however, lay in its ability to forge a strong alliance system to
contain Germany. The crucial move in this direction was the alliance with Russia in 1894. Worried about the
ultimate effectiveness of the Russian Alliance, the French tried to underpin it by bringing years of Anglo-French
friction and rivalry to an end through the negotiation of the 1904 colonial agreement and entente with London.
Germany’s and Austria’s isolation in Europe by 1914 is striking evidence of the success of French policy in
breaking out of the isolation in which Bismarck had initially so successfully confined it for almost 20 years after its
defeat.
With British and later US help, France was able to defeat the Central Powers in 1918, but it was a pyrrhic victory.
France emerged in 1919 as an exhausted power. It had failed to weaken Germany permanently through the Treaty of
Versailles, and largely, as a result of the Depression, its attempts to integrate Germany peacefully into Europe also
came to nothing. With the Nazi seizure of power and Italy’s realignment with Germany after 1936, France
increasingly became dependent on Britain, and in September 1939 went to war with Germany as Britain’s junior
partner. France was defeated by Germany in a brief campaign in June 1940. It was liberated in 1944 and played a
relatively minor role in the invasion of Germany in 1945.
Great Britain
A Chinese statesman observed to the British prime minister, Lord Salisbury (1830–1903), in the 1890s that Britain
and China ‘were two empires on the decline’. Although Britain was enormously wealthy in 1914, the foundations of
its power were being eroded. Britain had built up its wealth on the basis of domination of the world’s trade,
underpinned by control of the seas. By 1900 this had been dangerously weakened. France, Russia, Germany and
even Italy were all capable of playing a global role and moving into areas such as China, where previously Britain
had enjoyed a virtual trade monopoly.
Economically, Britain was being overtaken by Germany and the USA and its absolute control of the seas was
threatened by the construction of the German fleet. Through its sheer size, the British Empire became an unwieldy
and vulnerable giant. Consequently, Britain attempted to defuse challenges to its position by a policy of compromise
and appeasement, which enabled the successful negotiations of the Anglo-French and Anglo-Russian colonial
agreements of 1904 and 1907. Britain was ready to appease Germany, too, but only at the cost of Germany
abandoning its naval challenge. It was primarily this challenge that led to Britain entering the war in 1914.
Superficially, Britain emerged from the war in 1919 as a clear winner. All its war aims had been fulfilled, but the
war had also gravely weakened the British Empire financially and encouraged the growth of nationalism in India,
Ireland and Egypt. Britain’s decline was masked by US isolationism and the weakness of the USSR and France. As
before 1914, Britain tried to safeguard its position through avoiding entanglements and appeasing potential enemies.
Only when it became clear that a settlement with Nazi Germany was impossible did Britain take the radical step of
guaranteeing Poland. Ultimately, Britain went to war in 1939, as in 1914, to stop the German domination of Europe.
By the autumn of 1940, Britain had escaped immediate defeat by Nazi Germany, but to continue fighting, it had
increasingly to become financially and militarily dependent on US aid. It also benefited from the USSR’s
destruction of the bulk of the Nazi army in western Russia during 1942–4. In 1945 Britain was one of the victorious
powers, but greatly overshadowed by both the USSR and USA.
Russia
By 1914 Russia had a population that was double the size of Germany’s and an economy that was developing
rapidly. Nevertheless, the effective deployment of this massive strength was always threatened by domestic
instability, which had already boiled over into open revolt in 1905. By 1914, foreign observers were unanimous that
Russia was sitting on ‘the edge of a volcano’.
In 1917 that volcano erupted. After three years of total war, Russia was engulfed by revolution. With the victory of
the Red Army in the Russian Civil War in 1920, the European powers were confronted with Bolshevism in power
in Russia. Briefly, with the Soviet invasion of Poland in 1920, it seemed as if the Red Army would drive deep into
Europe, but it was defeated outside Warsaw and forced to retreat. The creation of a Polish state embracing much of
the western Ukraine ensured that the USSR was physically cut off from central Europe until the partition of Poland
with Nazi Germany in September 1939 (see page 182).
With the coming to power of the Nazis in 1933, however, the USSR joined the League of Nations, and in 1935
signed a pact with France. At this point it seemed as if the pre-1914 Franco-Russian Alliance had been restored, but
Britain’s and France’s appeasement of Nazi Germany in 1938 during the Sudeten crisis (see pages 176–8) and their
deep distrust of Bolshevism ultimately persuaded Stalin to sign the Nazi–Soviet Pact with Hitler in August 1939. In
the short term this agreement gave the USSR greater security and kept it out of the war. Stalin assumed that Britain,
France and Germany would exhaust themselves fighting in western Europe. Instead, France was defeated in June
1940 and the British were expelled from the Continent. In June 1941 Hitler invaded the USSR. His ultimate defeat
in 1945 opened the way up to the USSR becoming a superpower and controlling eastern and central Europe until
1989.
Austria-Hungary
In 1867, after its defeat by Prussia, Austria became two virtually independent states – Austria and Hungary – which
shared a common crown and operated a joint foreign policy. (Officially Austria was now known as Austria-
Hungary, but the former name of Austria was still commonly used.)
The Hungarians strengthened the anti-Russian tendency of Austrian foreign policy as they feared the impact of
Russia’s sympathy for the Balkan Slavs on their own large Slav population. Austria-Hungary contained within its
frontiers some eleven different nationalities which were to present the peacemakers of 1919 with insuperable
problems when they came to draw up the frontiers of the new small states that replaced the empire.
Austria-Hungary’s fate was perceived by contemporaries to be linked with the Ottoman Empire. Vienna feared that
the Balkan states, which had virtually driven the Turks out of the Balkans by 1912, would eventually also destroy
the Austrian Empire. Above all, the Empire felt itself threatened by the emergence of a strong independent Serbia,
which it was convinced enjoyed the backing of Russia and was aiming to liberate the Serbs in the Austrian province
of Bosnia. The Empire’s main defence against Russia remained the Austro-German Alliance of 1879. Through this
alliance the German problem became linked with the Balkan, or eastern, question, with potentially lethal
consequences for the peace of Europe, as Berlin’s support for Austria began to be regarded by France and Russia as
a camouflage for German expansion into south-eastern Europe (see the map on page 14). It was the perceived threat
from Serbia and Russia to Austria-Hungary that led to the German declaration of war on Russia that triggered the
First World War. Defeat led to the break-up of Austria-Hungary. In 1938, the small state of Austria was annexed by
Nazi Germany, but in 1945 it was occupied by the victorious powers and only regained its independence in 1955.
Japan
In 1914, Japan was a formidable regional power with a population of some 46 million. Japan had initially, in 1858,
been compelled to grant Western nations considerable economic privileges and rights when it opened up its ports to
trade with the West, but thanks to a policy of rapid modernisation, Japan had managed to avoid becoming dependent
on any one European power. By 1899 Japan had not only regained its economic freedom, but also embarked on a
period of territorial expansion that ended with defeat in 1945 (see page 35).
Lacking the strength to operate in isolation and foreseeing confrontation with Russia in Manchuria, Japan negotiated
an alliance with Britain in 1902 which enabled it to defeat Russia in 1905 and strengthen its position in Korea and
southern Manchuria (see page 35). Driven on by the intense nationalism of its army officers and the various patriotic
societies, both of which were to exercise a powerful influence on foreign policy up to 1945, the Japanese
government attempted to exploit the mounting chaos in China caused by the overthrow in 1912 of the Chinese
imperial government by internal revolution. For the next 30 years the main aim of Japanese foreign policy was
directed towards exploiting the ever-deepening chaos in China in order to build up its own economically self-
sufficient empire, the Greater Asia Co-Prosperity Sphere. In 1941 this was to bring Japan into direct conflict with
the USA, leading to its defeat in 1945.
Chapter summary
By 1890 the most popular ideologies in Europe were imperialism, nationalism and militarism. The emergence of
the new popular press spread these ideas and ensured that public opinion increasingly influenced the formulation
of foreign policy. The popularity of these ideologies helped to produce an atmosphere of mutual suspicion
between the Great Powers and encouraged a race for colonies and accelerating armaments programmes, which
were major causes of the First World War. They were, too, components of Fascism and Nazism, which were to
plunge Europe into war again in 1939. In 1890 Europe was dominated by six Great Powers: Germany, Austria,
Russia, France, Britain and Italy. Outside Europe only the USA and Japan were in a position to compete with
them. Over the next 55 years two world wars would dramatically alter the global balance of power and ensure that
only the USA and the USSR emerged as superpowers.
Refresher questions
Use these questions to remind yourself of the key material covered in this chapter.
1 Why was imperialism such an influential ideology before 1914?
2 What was militarism?
3 Why did Fascism and National Socialism develop into major political movements after the First World War?
4 With what justification did German nationalists and imperialists consider Germany to be a ‘have-not nation’?
5 Why was Italian policy essentially opportunist?
6 Did Japan remain purely a regional power throughout the period 1900–41?
7 To what extent was Britain ‘a giant with feet of clay’ during the period 1871–1941?
8 What prevented Russia from effectively deploying its potential strength in Europe from 1905 to 1941?
9 What role did the USA play in world politics from 1900 to 1941?
10 Why did Austria fear the nationalism of the Balkan states?
11 To what extent was the Turkish Empire in decline?
CHAPTER 2
Key dates
1871 Treaty of Frankfurt: war ended between France and Germany
1873 League of the Three Emperors created
1878 Congress of Berlin
1879 Austro-German Alliance
1881 Three Emperors’ Alliance
1882 Triple Alliance
British forces landed in Egypt
1884–5 Foundations of the German colonial empire laid
1887 Reinsurance Treaty
1890 Bismarck dismissed
To what extent does this map show how the newly united Germany changed the balance of power in central and
eastern Europe?
Otto von Bismarck
1815 Born in Schönhausen
CHAPTER 3
Key dates
1894 Franco-Russian Alliance signed
1898 Fashoda crisis
1902 Anglo-Japanese Treaty
1904 Anglo-French Entente
1906 First Moroccan crisis
1907 Anglo-Russian Agreement
1908 Bosnia and Herzegovina annexed by Austria
1911 Second Moroccan crisis
1912–13 First and Second Balkan Wars
1914 June 28 Sarajevo incident
July 28 Austria declared war on Serbia
Aug. 1 Germany declared war on Russia
Aug. 3 Germany declared war on France
Aug. 4 German troops invaded Belgium
Britain declared war on Germany
WARM BATHS.
ACCIDENTS.
To make a Lotion. The eye to be bathed, by means of a soft piece of linen rag,
with this lotion frequently; and, between times, let a piece of linen rag, wetted
in the lotion, be applied to the eye, and be fastened in its place by means of a
bandage.
The white lily leaf, soaked in brandy, is another excellent remedy
for the bruises of a child. Gather the white lily blossoms when in full
bloom, and pot them in a wide-mouthed bottle of brandy, cork the
bottle, and it will then always be ready for use. Apply a leaf to the
part affected, and bind it on either with a bandage or with a
handkerchief. The white lily root sliced is another valuable external
application for bruises.
280. If a child fall upon his head and be stunned, what ought to be
done?
If he fall upon his head and be stunned, he will look deadly pale,
very much as if he had fainted. He will in a few minutes, in all
probability, regain his consciousness. Sickness frequently
supervenes, which makes the case more serious, it being a proof that
injury, more or less severe, has been done to the brain; send,
therefore, instantly, for a medical man.
In the mean time, loosen both his collar and neckerchief, lay him
flat on his back, sprinkle cold water upon his face, open the windows
so as to admit plenty of fresh air, and do not let people crowd around
him, nor shout at him, as some do, to make him speak.
While he is in an unconscious state, do not on any account
whatever allow a drop of blood to be taken from him, either by
leeches or by bleeding; if you do, he will probably never rally, but will
most likely sleep “the sleep that knows no waking.”
281. A nurse sometimes drops an infant and injures his back;
what ought to be done?
Instantly send for a surgeon; omitting to have proper advice in
such a case has frequently made a child a cripple for life. A nurse
frequently, when she has dropped her little charge, is afraid to tell
her mistress; the consequences might then be deplorable. If ever a
child scream violently without any assignable cause, and the mother
is not able for some time to pacify him, the safer plan is that she send
for a doctor, in order that he might strip and carefully examine him;
much after-misery might often be averted if this plan were more
frequently followed.
282. Have you any remarks to make and directions to give on
accidental poisoning by lotions, by liniments, etc.?
It is a culpable practice of either a mother or nurse to leave
external applications within the reach of a child. It is also highly
improper to put a mixture and an external application (such as a
lotion or a liniment) on the same tray or on the same mantle-piece.
Many liniments contain large quantities of opium, a teaspoonful of
which would be likely to cause the death of a child. “Hartshorn and
oil,” too, has frequently been swallowed by children, and in several
instances has caused death. Many lotions contain sugar of lead,
which is also poisonous. There is not, fortunately, generally sufficient
lead in the lotion to cause death; but if there be not enough to cause
death, there may be more than enough to make the child very poorly.
All these accidents occur from disgraceful carelessness.
A mother or a nurse ought always, before administering a dose of
medicine to a child, to read the label on the bottle; by adopting this
simple plan many serious accidents and much after-misery might be
averted. Again, I say let every lotion, every liniment, and indeed
everything for external use, be either locked up or be put out of the
way, and far away from all medicine that is given by the mouth. This
advice admits of no exception.
If your child has swallowed a portion of a liniment containing
opium, instantly send for a medical man. In the mean time, force a
strong mustard emetic (composed of two teaspoonfuls of flour of
mustard, mixed in half a teacupful of warm water) down his throat.
Encourage the vomiting by afterward forcing him to swallow warm
water. Tickle the throat either with your finger or with a feather.
Souse him alternately in a hot and then in a cold bath. Dash cold
water on his head and face. Throw open the windows. Walk him
about in the open air. Rouse him by slapping him, by pinching him,
and by shouting to him; rouse him, indeed, by every means in your
power, for if you allow him to go to sleep, it will, in all probability, be
the sleep that knows no waking!
If a child has swallowed “hartshorn and oil,” force him to drink
vinegar and water, lemon-juice and water, barley-water, and thin
gruel.
If he have swallowed a lead lotion, give him a mustard emetic, and
then vinegar and water, sweetened either with honey or with sugar,
to drink.
283. Are not Lucifer Matches poisonous?
Certainly, they are very poisonous; it is therefore desirable that
they should be put out of the reach of children. A mother ought to be
very strict with servants on this head. Moreover, lucifer matches are
not only poisonous but dangerous, as a child might set himself on
fire with them. A case bearing on the subject has just come under my
own observation. A little boy, three years old, was left alone for two
or three minutes, during which time he obtained possession of a
lucifer match, and struck a light by striking the match against the
wall. Instantly there was a blaze. Fortunately for him, in his fright, he
threw the match on the floor. His mother, at this moment, entered
the room. If his clothes had taken fire, which they might have done,
had he not thrown the match away, or if his mother had not been so
near at hand, he would, in all probability, have either been severely
burned, or have been burned to death.
284. If a child’s clothes take fire, what ought to be done to
extinguish them?
Lay him on the floor, then roll him either in the rug or in the
carpet, or in the door-mat, or in any thick article of dress you may
either have on, or have at hand—if it be woolen, so much the better;
or throw him down, and roll him over and over on the floor, as by
excluding the atmospheric air, the flame will go out: hence, the
importance of a mother cultivating presence of mind. If parents were
better prepared for such emergencies, such horrid disfigurations and
frightful deaths would be less frequent.
You ought to have a proper fire-guard before the nursery grate,
and should be strict in not allowing your child to play with fire. If he
still persevere in playing with it when he has been repeatedly
cautioned not to do so, he should be punished for his temerity. If
anything would justify corporal chastisement, it would surely be such
an act of disobedience. There are only two acts of disobedience that I
would flog a child for—namely, the playing with fire and the telling of
a lie! If after various warnings and wholesome corrections he still
persists, it would be well to let him slightly taste the pain of his doing
so, either by holding his hand for a moment very near the fire, or by
allowing him to slightly touch either the hot bar of the grate or the
flame of the candle. Take my word for it, the above plan will
effectually cure him—he will never do it again! It would be well for
the children of the poor to have pinafores made either of woolen or
of stuff materials. The dreadful deaths from burning, which so often
occur in winter, too frequently arise from cotton pinafores first
taking fire.[268]
If all dresses, after being washed, and just before being dried,
were, for a short time, soaked in a solution of tungstate of soda, such
clothes, when dried, would be perfectly fire-proof.
Tungstate of soda may be used either with or without starch; but
full directions for the using of it will, at the time of purchase, be
given by the chemist.
285. Is a burn more dangerous than a scald?
A burn is generally more serious than a scald. Burns and scalds are
more dangerous on the body, especially on the chest, than either on
the face or on the extremities. The younger the child, of course, the
greater is the danger.
Scalds, both of the mouth and of the throat, from a child drinking
boiling water from the spout of a tea-kettle, are most dangerous. A
poor person’s child is, from the unavoidable absence of the mother,
sometimes shut up in the kitchen by himself, and being very thirsty,
and no other water being at hand, he is tempted in his ignorance to
drink from the tea-kettle: if the water be unfortunately boiling, it will
most likely prove to him to be a fatal draught!
286. What are the best immediate applications to a scald or to a
burn?
There is nothing more efficacious than flour. It ought to be thickly
applied, over the part affected, and should be kept in its place either
with a rag and a bandage, or with strips of old linen. If this be done,
almost instantaneous relief will be experienced, and the burn or the
scald, if superficial, will soon be well. The advantage of flour as a
remedy is this, that it is always at hand. I have seen some extensive
burns and scalds cured by the above simple plan. Another excellent
remedy is cotton wool. The burn or the scald ought to be enveloped
in it; layer after layer should be applied until it be several inches
thick. The cotton wool must not be removed for several days.[269]
These two remedies, flour and cotton wool, may be used in
conjunction; that is to say, the flour may be thickly applied to the
scald or to the burn, and the cotton wool over all.
Prepared lard—that is to say, lard without salt[270]—is an admirable
remedy for burns and for scalds. The advantages of lard are: (1) It is
almost always at hand; (2) It is very cooling, soothing, and
unirritating to the part, and it gives almost immediate freedom from
pain; (3) It effectually protects and sheathes the burn or the scald
from the air; (4) It is readily and easily applied: all that has to be
done is to spread the lard either on pieces of old linen rag, or on lint,
and then to apply them smoothly to the parts affected, keeping them
in their places by means of bandages—which bandages may be
readily made from either old linen or calico shirts. Dr. John Packard,
of Philadelphia, was the first to bring this remedy for burns and
scalds before the public—he having tried it in numerous instances,
and with the happiest results. I myself have, for many years, been in
the habit of prescribing lard as a dressing for blisters, and with the
best effects. I generally advise equal parts of prepared lard and of
spermaceti cerate to be blended together to make an ointment. The
spermaceti cerate gives a little more consistence to the lard, which, in
warm weather, especially, is a great advantage.
Another valuable remedy for burns is, “carron oil;” which is made
by mixing equal parts of linseed oil and lime-water together in a
bottle, and shaking it up before using it.
Cold applications, such as cold water, cold vinegar and water, and
cold lotions, are most injurious, and, in many cases, even dangerous.
Scraped potatoes, sliced cucumber, salt, and spirits of turpentine,
have all been recommended; but, in my practice, nothing has been so
efficacious as the remedies above enumerated.
Do not wash the wound, and do not dress it more frequently than
every other day. If there be much discharge, let it be gently sopped
up with soft old linen rag; but do not, on any account, let the burn be
rubbed or roughly handled. I am convinced that, in the majority of
cases, wounds are too frequently dressed, and that the washing of
wounds prevents the healing of them. “It is a great mistake,” said
Ambrose Paré, “to dress ulcers too often, and to wipe their surfaces
clean, for thereby we not only remove the useless excrement, which
is the mud or sanies of ulcers, but also the matter which forms the
flesh. Consequently, for these reasons, ulcers should not be dressed
too often.”
The burn or the scald may, after the first two days, if severe,
require different dressings; but, if it be severe, the child ought of
course to be immediately placed under the care of a surgeon.
If the scald be either on the leg or on the foot, a common practice
is to take the shoe and the stocking off; in this operation, the skin is
also at the same time very apt to be removed. Now, both the shoe and
the stocking ought to be slit up, and thus be taken off, so that neither
unnecessary pain nor mischief may be caused.
287. If a bit of quicklime should accidentally enter the eye of my
child, what ought to be done?
Instantly, but tenderly remove, either by means of a camel’s-hair
brush or by a small spill of paper, any bit of lime that may adhere to
the ball of the eye, or that may be within the eye or on the eyelashes;
then well bathe the eye (allowing a portion to enter it) with vinegar
and water—one part of vinegar to three parts of water, that is to say,
a quarter fill a clean half-pint medicine bottle with vinegar and then
fill it up with spring water, and it will be ready for use. Let the eye be
bathed for at least a quarter of an hour with it. The vinegar will
neutralize the lime, and will rob it of its burning properties.
Having bathed the eye with the vinegar and water for a quarter of
an hour, bathe it for another quarter of an hour simply with a little
warm water; after which, drop into the eye two or three drops of the
best sweet oil, put on an eye-shade made of three thicknesses of linen
rag, covered with green silk, and then do nothing more until the
doctor arrives.
If the above rules be not promptly and properly followed out, the
child may irreparably lose his eyesight; hence the necessity of a
popular work of this kind, to tell a mother, provided immediate
assistance cannot be obtained, what ought instantly to be done; for
moments, in such a case, are precious.
While doing all that I have just recommended, let a surgeon be
sent for, as a smart attack of inflammation of the eye is very apt to
follow the burn of lime; but which inflammation will, provided the
previous directions have been promptly and efficiently followed out,
with appropriate treatment, soon subside.
The above accident is apt to occur to a child who is standing near a
building when the slacking of quicklime is going on, and where
portions of lime, in the form of powder, are flying about the air. It
would be well not to allow a child to stand about such places, as
prevention is always better than cure. Quicklime is sometimes called
caustic lime: it well deserves its name, for it is a burning lime, and if
proper means be not promptly used, will soon burn away the sight.
288. “What is to be done in the case of Choking?”
Instantly put your finger into the throat and feel if the substance
be within reach; if it be food, force it down, and thus liberate the
breathing; should it be a hard substance, endeavor to hook it out; if
you cannot reach it, give a good smart blow or two with the flat of the
hand on the back; or, as recommended by a contributor to the
Lancet, on the chest, taking care to “seize the little patient, and place
him between your knees side ways, and in this or some other manner
to compress the abdomen [the belly], otherwise the power of the
blow will be lost by the yielding of the abdominal parietes [walls of
the belly], and the respiratory effort will not be produced.” If that
does not have the desired effect, tickle the throat with your finger, so
as to insure immediate vomiting, and the consequent ejection of the
offending substance.[271]
289. Should my child be bitten by a dog supposed to be mad, what
ought to be done?
Instantly well rub for the space of five of ten seconds—seconds, not
minutes—a stick of nitrate of silver (lunar caustic) into the wound.
The stick of lunar caustic should be pointed, like a cedar-pencil for
writing, in order the more thoroughly to enter the wound.[272] This, if
properly done directly after the bite, will effectually prevent
hydrophobia. The nitrate of silver acts not only as a caustic to the
part, but it appears effectually to neutralize the poison, and thus by
making the virus perfectly innocuous is a complete antidote. If it be
either the lip, or the parts near the eye, or the wrist, that have been
bitten, it is far preferable to apply the caustic than to cut the part out;
as the former is neither so formidable, nor so dangerous, nor so
disfiguring as the latter, and yet it is equally as efficacious. I am
indebted to the late Mr. Youatt, the celebrated veterinary surgeon,
for this valuable antidote or remedy for the prevention of the most
horrible, heart-rending, and incurable disease known. Mr. Youatt
had an immense practice among dogs as well as among horses. He
was a keen observer of disease, and a dear lover of his profession,
and he had paid great attention to rabies—dog madness. He and his
assistants had been repeatedly bitten by rabid dogs; but knowing
that he was in possession of an infallible preventive remedy, he never
dreaded the wounds inflicted either upon himself or upon his
assistants. Mr. Youatt never knew lunar caustic, if properly and
immediately applied, to fail. It is, of course, only a preventive. If
hydrophobia be once developed in the human system, no antidote
has ever yet, for this fell and intractable disease, been found.
While walking the London Hospitals, upwards of thirty-five years
ago, I received an invitation from Mr. Youatt to attend a lecture on
rabies—dog madness. He had, during the lecture, a dog present
laboring under incipient madness. In a day or two after the lecture,
he requested me and other students to call at his infirmary and see
the dog, as the disease was at that time fully developed. We did so,
and found the poor animal raving mad—frothing at the mouth, and
snapping at the iron bars of his prison. I was particularly struck with
a peculiar brilliancy and wildness of the dog’s eyes. He seemed as
though, with affright and consternation, he beheld objects unseen by
all around. It was pitiful to witness his frightened and anxious
countenance. Death soon closed the scene!
I have thought it my duty to bring the value of lunar caustic as a
preventive of hydrophobia prominently before your notice, and to
pay a tribute of respect to the memory of Mr. Youatt—a man of talent
and genius.
Never kill a dog supposed to be mad who has bitten either a child,
or any one else, until it has, past all doubt, been ascertained whether
he be really mad or not. He ought, of course, to be tied up, and be
carefully watched, and be prevented the while from biting any one
else. The dog, by all means, should be allowed to live at least for
some weeks, as the fact of his remaining will be the best guarantee
that there is no fear of the bitten child having caught hydrophobia.
There is a foolish prejudice abroad, that a dog, be he mad or not,
who has bitten a person ought to be immediately destroyed; that
although the dog be not at the time mad, but should at a future
period become so, the person who had been bitten when the dog was
not mad, would, when the dog became mad, have hydrophobia! It
seems almost absurd to bring the subject forward; but the opinion is
so very general and deep rooted, that I think it well to declare that
there is not the slightest foundation of truth in it, but that it is a
ridiculous fallacy!
A cat sometimes goes mad, and its bite may cause hydrophobia;
indeed, the bite of a mad cat is more dangerous than the bite of a
mad dog. A bite from a mad cat ought to be treated precisely in the
same manner—namely, with the lunar caustic—as for a mad dog.
A bite either from a dog or from a cat who is not mad, from a cat
especially, is often venomous and difficult to heal. The best
application is immediately to apply a large hot white-bread poultice
to the part, and to renew it every four hours; and, if there be much
pain in the wound, to well foment the part, every time before
applying the poultice, with a hot chamomile and poppy-head
fomentation.
Scratches of a cat are best treated by smearing, and that freely and
continuously for an hour, and then afterward at longer intervals,
fresh butter on the part affected. If fresh butter be not at hand, fresh
lard—that is to say, lard without salt—will answer the purpose. If the
pain of the scratch be very intense, foment the part affected with hot
water, and then apply a hot white-bread poultice, which should be
frequently renewed.
290. What is the best application in case of a sting either from a
bee or from a wasp?
Extract the sting, if it have been left behind, either by means of a
pair of dressing forceps, or by the pressure of the hollow of a small
key—a watch-key will answer the purpose; then, a little blue (which
is used in washing) moistened with water, should be immediately
applied to the part; or, apply a few drops of solution of potash,[273] or
“apply moist snuff or tobacco, rubbing it well in,”[274] and renew from
time to time either of them: if either of these be not at hand, either
honey, or treacle, or fresh butter, will answer the purpose. Should
there be much swelling or inflammation, apply a hot white-bread
poultice, and renew it frequently. In eating apricots, or peaches, or
other fruit, they ought to, beforehand, be carefully examined, in
order to ascertain that no wasp is lurking in them; otherwise, it may
sting the throat, and serious consequences will ensue.
291. If a child receive a fall, causing the skin to be grazed, can you
tell me of a good application?
You will find gummed paper an excellent remedy; the way of
preparing it is as follows: Apply evenly, by means of a small brush,
thick mucilage of gum arabic to cap paper; hang it up to dry, and
keep it ready for use. When wanted, cut a portion as large as may be
requisite, then moisten it with your tongue, in the same manner you
would a postage stamp, and apply it to the grazed part. It may be
removed when necessary by simply wetting it with water. The part in
two or three days will be well. There is usually a margin of gummed
paper sold with postage stamps; this will answer the purpose equally
well. If the gummed paper be not at hand, then frequently, for the
space of an hour or two, smear the part affected with fresh butter.
292. In case of a child swallowing by mistake either laudanum, or
paregoric, or Godfrey’s Cordial, or any other preparation of opium,
what ought to be done?
Give, as quickly as possible, a strong mustard emetic; that is to
say, mix two teaspoonfuls of flour of mustard in half a teacupful of
water, and force it down his throat. If free vomiting be not induced,
tickle the upper part of the swallow with a feather; drench the little
patient’s stomach with large quantities of warm water. As soon as it
can be obtained from a druggist, give him the following emetic
draught:
Take of—Sulphate of Zinc, one scruple;
Simple Syrup, one drachm;
Distilled Water, seven drachms:
To make a Draught.
Smack his buttocks and his back; walk him, or lead him, or carry
him about in the fresh air; shake him by the shoulders; pull his hair;
tickle his nostrils; shout and holla in his ears; plunge him into a
warm bath and then into a cold bath alternately; well sponge his
head and face with cold water; dash cold water on his head, face, and
neck; and do not, on any account, until the effects of the opiate are
gone off, allow him to go to sleep; if you do, he will never wake again!
While doing all these things, of course, you ought to lose no time in
sending for a medical man.
293. Have you any observations to make on parents allowing the
Deadly Nightshade—the Atropa Belladonna—to grow in their
gardens?
I wish to caution you not on any account to allow the Belladonna—
the Deadly Nightshade—to grow in your garden. The whole plant—
root, leaves, and berries—is poisonous; and the berries, being
attractive to the eye, are very alluring to children.
294. What is the treatment of poisoning by Belladonna?
Instantly send for a medical man; but, in the mean time, give an
emetic—a mustard emetic;—mix two teaspoonfuls of flour of
mustard in half a teacupful of warm water, and force it down the
child’s throat; then drench him with warm water, and tickle the
upper part of his swallow either with a feather or with the finger, to
make him sick; as the grand remedy is an emetic to bring up the
offending cause. If the emetic have not acted sufficiently, the medical
man when he arrives may deem it necessary to use the stomach-
pump; but remember not a moment must be lost, for moments are
precious in a case of belladonna poisoning, in giving a mustard
emetic, and repeating it again and again until the enemy be
dislodged. Dash cold water upon his head and face; the best way of
doing which is by means of a large sponge, holding his head and his
face over a wash-hand basin, half filled with cold water, and filling
the sponge from the basin, and squeezing it over his head and face,
allowing the water to continuously stream over them for an hour or
two, or until the effects of the poison have passed away. This
sponging of the head and face is very useful in poisoning by opium,
as well as in poisoning by belladonna; indeed, the treatment of
poisoning by the one is very similar to the treatment of poisoning by
the other. I, therefore, for the further treatment of poisoning by
belladonna, beg to refer you to a previous Conversation on the
treatment of poisoning by opium.
295. Should a child put either a pea or a bead, or any other
foreign substance, up the nose, what ought to be done?
Do not attempt to extract it yourself, or you might push it farther
in, but send instantly for a surgeon, who will readily remove it, either
with a pair of forceps, or by means of a bent probe, or with a director.
If it be a pea, and it be allowed for any length of time to remain in, it
will swell, and will thus become difficult to extract, and may produce