Part 9 (1/2)

Begin treatment in the open air as soon as you have brought the unfortunate ash.o.r.e. Meanwhile send for medical a.s.sistance, blankets and dry clothing. Expose the patient's throat and chest to the wind, except in very severe weather. Remove all tight clothing from neck and chest.

Take off suspenders.

The points to be aimed at are: First and immediately the restoration of breathing, and, secondly, after breathing is restored, the promotion of warmth and circulation. The efforts to restore breathing must be commenced immediately and energetically, and persevered in for one or two hours, or until a medical man has p.r.o.nounced that life is extinct.

Efforts to promote warmth and circulation beyond removing the wet clothes and drying the skin must not be made until the first appearance of natural breathing, for if circulation of the blood be induced before breathing has recommenced the restoration of life will be endangered.

HALL'S METHOD IN RESUSCITATION

To clear the throat, place the patient on the floor or the ground with the face downward and one of the arms under the forehead, in which position all fluids will more readily escape by the mouth, and the tongue itself will fall forward, leaving the entrance into the windpipe free. a.s.sist this operation by wiping and cleansing the mouth.

If satisfactory breathing begins, use the treatment described below to promote warmth. If there be only slight breathing, or no breathing, or if the breathing fail, then, to excite breathing, turn the patient well and instantly on the side, supporting the head, and excite the nostrils with snuff, hartshorn, and smelling-salts, or tickle the throat with a feather, etc., if they are at hand. Rub the chest and face warm, and dash cold water, or cold and hot water alternately, on them.

If there be no success, lose not a moment, but instantly, to imitate breathing, replace the patient on the face, raising and supporting the chest well on a folded coat or other article of dress. Turn the patient very gently on the side and a little beyond, and then briskly on the face, back again; repeating these measures cautiously, efficiently and perseveringly about fifteen times in the minute, or once every four or five seconds, occasionally varying the side. (By placing the patient on the chest, the weight of the body forces the air out; when turned on the side this pressure is removed, and air enters the chest.)

On each occasion that the body is replaced on the face make uniform but efficient pressure, with brisk movement, on the back between and below the shoulder-blades or bones on each side, removing the pressure immediately before turning the body on the side. During the whole of the operations let one person attend solely to the movements of the head, and of the arm placed under it.

The result is respiration, or natural breathing, and, if not too late, life.

While the above operations are being proceeded with, dry the hands and feet, and as soon as dry clothing or blankets can be procured, strip the body and cover, or gradually reclothe it, but take care not to interfere with the efforts to restore breathing.

SYLVESTER'S METHOD

Rule 1. _To Adjust the Patient's Position._--Place the patient on his back on a flat surface, inclined a little from the feet upward; raise and support the head and shoulders on a small, firm cus.h.i.+on or folded article of dress, placed under the shoulder-blades. Remove all tight clothing from about the neck and chest.

[Ill.u.s.tration: SYLVESTER'S METHOD--FIGURE 1]