with the free passage of air.

2464. While in the bath, the friction along the spine is to be
continued, and if the lungs still remain unexpended, while one person
retains the child in an inclined position in the water, another should
insert the pipe of a small pair of bellows into one nostril, and while
the month is closed and the other nostril compressed on the pipe with
the hand of the assistant, the lungs are to be slowly inflated by steady
puffs of air from the bellows, the hand being removed from the mouth and
nose after each inflation, and placed on the pit of the stomach, and by
a steady pressure expelling it out again by the mouth. This process is
to be continued, steadily inflating and expelling the air from the
lungs, till, with a sort of tremulous leap, Nature takes up the process,
and the infant begins to gasp, and finally to cry, at first low and
faint, but with every gulp of air increasing in length and strength of
volume, when it is to be removed from the water, and instantly wrapped
(all but the face and mouth) in a flannel. Sometimes, however, all these
means will fail in effecting an utterance from the child, which will
lie, with livid lips and a flaccid body, every few minutes opening its
mouth with a short gasping pant, and then subsiding into a state of
pulseless inaction, lingering probably some hours, till the spasmodic
pantings growing further apart, it ceases to exist.

2465. The time that this state of negative vitality will linger in the
frame of an infant is remarkable; and even when all the previous
operations, though long-continued, have proved ineffectual, the child
will often rally from the simplest of means--the application of dry
heat. When removed from the bath, place three or four hot bricks or
tiles on the hearth, and lay the child, loosely folded in a flannel, on
its back along them, taking care that there is but one fold of flannel
between the spine and heated bricks or tiles. When neither of these
articles can be procured, put a few clear pieces of red cinder in a
warming-pan, and extend the child in the same manner along the closed
lid. As the heat gradually diffuses itself over the spinal marrow, the
child that was dying, or seemingly dead, will frequently give a sudden
and energetic cry, succeeded in another minute by a long and vigorous
peal, making up, in volume and force, for the previous delay, and
instantly confirming its existence by every effort in its nature.

2466.