, 1888-09-25
REvIvlNe THE w
The Method Used in New York Harbor.
Explicit Directions.

The following method of DR.. Howard is
used in New York harbor: Rule Upon
the nearest dry spot expose the patient to a
free current of air; rip the clothing away
from the waist and give a singing slap
upon the pit of the stomach. If this fails
to arouse the patient, proceed to force and
drain away the water which has entered
the stomach, according to rule 2.
Rule 2-Turn the patient upon his face,
the pit of the stomach being raised upon
q folded garment, above the level of the
mouth. For a moment or two make
steady pressure upon the back Of the
stomach and chest, and repeat it once or
twice until fluid ceases to flow from the
mouth.
Rule 8-Quickly turn the patient upon
his back, with a bundle of clothing be-
tween 1t so as to raise the lower part of
the breast bone higher han the rest of
the body. Kneel beside or astride of the
patient, and so place your hands upon
either side of the pit of the stomach upon
the front part of the lower ribs, that the
fingers fall naturally in the spaces be-
tween them and point toward the ground.
Now, grasping the waist and using your
knees as a pivot, throw your whole weight
forward as If you wished to force the con-
tents of the chest and stomach out of the
mouth. Steadily increase the pressure
while you count 1-2-3, then suddenly
let go with a final push, which springs
you into an erect kneeling position. Re
main erect upon your knees while you
count Ia, then throw your weight for
ward and proceed again as before. Re-
peat the process at first about five times
a minute, increasing the rate gradually to
about fifteen times a minute, and continue
1t with the regularity of the natural
breathing, which you are initiating. If
apOthar nprSNn ha nraaaDt LOT him with
the left hand hold the tip of the tongue
out of the left side of the mouth, with
the corner of a pocket handkerchief, while
with the right hand he grasps both wrists
and pins them to the ground above the
patients head.
After treatment-When breathing first
returns, dash a little cold water in the
face. AS soon as breathing has been per
fectly restored, strip and dry the patient
rapidly and completely, and wrap him in
blankets only. Give hot brandy and
water, a teaspoonful every five minutes
the first half hour, and a teaspoonful
every fifteen for an hour after that. If the
limbs are dry, apply friction. Allow an
abundance of fresh air. and let the patient
nave perfect rest.
Avoid delay. Promptness is of the first
Importance. A moment lost may be a
life lost. Waste no time in gaining shell
JeT. Nueu BlllGu IL OlIeneE uarInS imam
helps the patient.
Prevent crowding around the patient.
However difficult this may be, it must be
enforced. Friends must not be allowed to
obstruct the circulation Of air, nor en-
gage the patient in conversation when
rallying.
Avoid attempts to give stimulants be-
fore the patient is well able to swallow.
1t helps to obstruct respiration and may
choke the patient.
Avoid hurried, irregular motions. The
excitement of the moment is almost sure
to cause this in inexperienced hands.
Just as a Pickering candle. moved care
lessly, goes out, so the heart, when its
beatings are im~perceptible, needs but
little cross motion to stop it. The move
ments of rule three should therefore be
performed with deliberation and regu-
larity.
Avoid an ovcrheated room, and avoid
giving up the patient too soon to death.
At II time within one or two hours you
may be on the very threshold of success,
though 40 sign be visible. frequently
success has been known to follow half an
hours apparently useless effort. Rest
and watchful nursing should be con-
tinued for a few days after resuscitation,
or various chest troubles may ensue.-
Home Physician.