lustration: FIG. 3.

TO PRODUCE BREATHING.

Second Position: Forcing patient to breathe out; note rescuer with
thumbs on pit of stomach, pressing against front of chest over lower
ribs; also, assistant drawing down arms to body.]

At the instant of his letting go, the man at the patient's head will
again draw the arms steadily upward to the sides of the patient's head
as before (the assistant holding the tongue again changing hands to
let the arms pass if necessary), holding them there while he slowly
counts one, two, three, four (about five seconds).

Repeat these movements deliberately and perseveringly twelve to
fifteen times in every minute--thus imitating the natural motions of
breathing.

If natural breathing be not restored after a trial of the bellows
movement for the space of about four minutes, then turn the patient a
second time on the stomach, as directed in Rule II, rolling the body
in the opposite direction from that in which it was first turned, for
the purpose of freeing the air passage from any remaining water.
Continue the artificial respiration from one to four hours, or until
the patient breathes, according to Rule III; and for a while, after
the appearance of returning life, carefully aid the first short gasps
until deepened into full breaths. Continue the drying and rubbing,
which should have been unceasingly practiced from the beginning by
assistants, taking care not to interfere with the means employed to
produce breathing. Thus the limbs of the patient should be rubbed,
always in an upward direction toward the body, with firm-grasping
pressure and energy, using the bare hands, dry flannels, or
handkerchiefs, and continuing the friction under the blankets, or over
the dry clothing. The warmth of the body can also be promoted by the
application of hot flannels to the stomach and armpits, bottles or
bladders of hot water, heated bricks, etc., to the limbs and soles of
the feet.

RULE IV. _After Treatment. Externally._--As soon as breathing is
established let the patient be stripped of all wet clothing, wrapped
in blankets only, put to bed comfortably warm, but with a free
circulation of fresh air, and left to perfect rest. _Internally:_ Give
whisky or brandy and hot water in doses of a teaspoonful to a
tablespoonful, according to the weight of the patient, or other
stimulant at hand, every ten or fifteen minutes for the first hour,
and as often thereafter as may seem expedient. _Later Manif