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 pronounced 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. Assist 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
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