The Dorset County Express and Agricultural Gazette.
Dorchester, Dorset, England, 1876-08-01 00:00:00

DIRECTIONS FUR RESToRING Till:
APPARENTLY DRoWNEik

At this period of the year, when MIMS of .Ir.araiszue,
fortunately too numerous, the foUlwing 00. ro.itw_ •
tions fur the restoration of the apparently
worthy attention. TI le lesdiu. p inciplesof thus, "re
are tuti ndod on the.. ,k 1 the late i Pr. Marshall list"
with those of Dr. It. It. Silvester, and aro tot res,hd
extensive inquiries which were made by the
Lifeboat Institution atuongst Medical Men,
bodies, and Coroners throughout the Unit4l hin.Asts.
They are in use in lier Majesty.. Flet,tt th, ,ist.,:tugg
tier-we, and at all the Stations of the Itnhall Army at
home and abroad.

Send immsdiately for medical as,btanos, Wankel, and
dry clothing, but proceed to treat the Patient nodantly on
the sPot, in the open air, with the f,e downward, whether
on shore or 'goat ; exposing the I nerk, sot
the wind, except in severe weathtr, and rernoyie,
tight clothing front the neck and chett, erpecially the
braces.
The points to be aimed at are—nrst awl initueileitay.
the restoration of breathing; and secondly, at (Cr lirexthins
is restored, the promotion of warmth and cirulation.
The efforts to restore breathing must le: commenced
immediately and energetically, and perserve.l in lir one
or two hours, Of until a medical mall has pronounced that
life is extinct. Mortal to promote warmth and ilirctdatinn.
beyond removing the wet clothes and drying the skin,
must not be made until the Snit appearance of natur4
breathing; for if circulation of the blood be induced before
breathing has recommenced, the restoration to life will he
endangered.
lI.—To ItlitiTOßX BREATHING.
ToClear lie Throoi.—Place the patient on the Ilisir Of
ground with the face downwards, 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 m"uth.
If satisfactory breathing cut 1111 l ences, use the treatment
described below to promote warmth. If there be only
slight breathing--or no breathing —or if the breathing
lad, then—
.. _

fu Rua, Breathi•ko. —Turn the patient well and instantly
on the side, supporting the head, and excite the nostrils
with snuff, hart...horn, and susullin4 salts, or tick the
threat with a feather, *c., 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 toe no AUCINAN lON
nut aus •ut, but su.twitly-
- . .

T.. Imitate ilrenthi,69.--IrepLieu the toatieut ou the fate,
'loafing awl aupportioa the cheit well on a folded coat or
other article 01
. . .

Turn the body very gently n the side and, a little be-
yond, and then briskly on tho face back again. repeating
these measures Cautiously. Oliciently. and perseveringly,
about hi teen times in the minute, or :owe every four or
five seconds, occasionally varying the side.
[By placing the patient on the elle,t, the %%eight of the
body forces the air out; when turned the 51.1 e, this
pressure is rencuv anl air enter: the eked. l
On each occasion :hat the body I. replaced ou the fare,
make uniform Ind efficient pressure with brisk m,te:neut.
on the back between awl below he .houlder the shudder.
wades or hones on each side, removing the prt,stuw
immediately before turning the hody iin the side.
During the whole fthe operation, let one perom attend
solely to the movements of the head awl of tlic arin Owed
under it.

measure increases the expiration—the second
commences inspirstivn.]
„•. The result is respiration or natural bre:Wink; ; and
it not too late.bk
. .

Whitt the u!vove operation,' are being proceeded with,
dry the hands awl feet, and as soon a.. dry clothing or
blankets can be procured, strip the bwly, au.l cover Of
gradually re-clothe it, hut taking care not to interfere with
the efforts to restore breathing.
. .

Should these efforts not prove suecesiful in the count
of from two to his minutes, proceed to imitate breath
by fir. Silvester's method. as follows :--
Place the patient on the back on a flat -urface, inelmert
a little upwards from the feet ; raise and support tbie headt
and shoulders on a small firm cushion or folded article of
sln,ss placed under the ohoulder-blades,
braw forward the patient** tongue, and keep it projert •
jog beyond the lips: an elastic band over the tongue anti
under the chin will answer this purpose, or a piece of
string or tape may be tied round them. or iv raising tie.
lower jaw, the teeth may be made to retain the tongue
that roosition. Remove all tight clothing from about the
neck and chest, especially the braces.
Tonilare tAr Mores* e ;Oa Ilreathing. standing at the
patient's head, grasP the arms just al..ve the elbow, and
draw the arms gently and steadily upwards above tho
bead, and keep them stretched upwards tor two seemols.
(fly this mean. air is drawn into the lungs.) Then tire,
down the patient's anos, awl 'Teas thely gently as 4
firmly for two seconds against tho side 4 asi the
this means air is pressed out it the lungs.)
Repeat this measures alternately. deliberately, wid
perseveringly, about fifteen times in a butitlit.., willl a
spontimeons effort to respire is perceived, immediately
upon which cease to imitate the 'ementat ef borathing,
and pmeeeil to induce circulation and warmth.
IV. —TREATMENT Aries N IWZN
Minium

T• . I. Ate Ira ne7A T./ 1., we
ruMung the limbs upwards, alit tirm gra,panz prr..ure
and energy, using handkerchiefs. ilanisels..tc. Ifh this
measure the Idmad is propelled slung the trims mamas
the heart]
. . . .

—the fiiAion must tic continued under th, blanket or
over the dry clothing.

Promote the warmth of the body by the apidimnon of
hot Itanneld, bottled, or bladdera of hot tidta, heated
bri ike, de., to the pit of the stomach, the
between the thigho, and to the mtle4 of the
" "

If the patient-haa. been carrie.l to .s km, aft 'l' rows-
tion hau ieen nurtured. be careful to it the erplay (reel;
about the room.

Ihi the restoration of life o teappoonfiii wono e,sfre
should lie given : and then: if the power .4 swor,memg
have returnesl: email quantita., of wine. ear, twonfy.
and•water, or coffee ghoul.' 1.• p.,lient
should Ise kept in heti, and ,k,:p
encouraged.