Evening star. [volume] (Washington, D.C.) 1854-1972, 1902-07-26
Figure III.

to be instantly exposed to the air and in
the direction of the wind, if there be any
The mouth and nostrils must be wiped dry
the clothing must be slipped from the chest
and waist and the first action is to give
three or four quick, smarting slaps on the
chest with the open hand. If that does not
produce indications of life the more strn-
gent regulations are to begin at once.
Separate the jaws of the patient and keep
them apart by placing between the teeth
cork or small piece of wood. Quickly turn
the patient on his face and, if possible TO
do so, place under his stomach large
bundle of tightly rolled clothing. Then
press heavily on the back over this bundle
of clothing for half q minute or long
fluids flow from the mouth. This is rule =.
The Bellows Movement.
Rule 8 provides for the restoration of the
breathing. Clear the mouth and throat of
mucous by introducing into the throat the
corner of a handkerchief wrapped closely
around the forefinger. Turn the patient on
the back, the roll of clothing being so
placed as to raise the pit of the stomach
above the level of the rest of the body.
Let an assistant with a handkerchief or
dry piece of cloth draw the tip or the
tongue out of one corner of the mouth,
preventing the tongue from falling back
and choking the entrance to the windpipe,
and keep it projecting little beyond the
lips. Another assistant, II possible, should
grasp the arms just below the elbows and
draw them steadily upward by the side of
the patients head to the ground, the hands
nearly meeting at the back of the head.
This enlarges the capacity of the chest and
induces inspiration. While this is being
done a third assistant should take position
astride the patients hips, with his elbows
resting upon his own knees, his hands eX-
tended ready for action. Next the assist
ant standing at the head turns down the
patients arms to the side of the body, the
assistant holding the tongue changing
hands, If necessary, to let the arms pass.
Just before the patients hands reach tne
ground the man astride the body VIII
grasp the body with his hands, the balls
of the thumbs resting on either SIDE OF the
Dit of the stomach, the fingers falling into
the grooves between the short ribs. Using
his knees as pivot he will, at the moment
the patients arms touch the ground, throw,
but not too suddenly, all his weight FORWARD
on his hands, and at the same time squeeze
the waist between them as II he wished 10
force anything in the chest upward out OF
the mouth; he will deepen the pressure as
he slowly counts one, two, three four; then
suddenly let so with final push, which
will spring him back to his first position.
This completes expiration.
At the instant of his letting go, the man
at the patients head will again draw the
arms steadily upward to the side of the
head as before, holding them there while
he slowly counts five.
These movements are to be deliberately
and perseveringly repeated twelve or fifteen
times in every minute, thereby initiating
the natural actions of breathing.
A Last Resort.
If natural breathing is not restored after
a trial of what is called the bellows move
ment for the space of about four minutes.
then turn the patient second time on the
stomach, roll the body in the opposite
direction from that which 1t was first turned
fer the purpose of freeing the air passages
from any remaining water. Continue arti
fetal breathing from one TO four hours, or
until the patient breathes. For while
after the appearances of returning life
carefully aid the first weak gasp until Ii is
deepened into fun breath. Cont'3ue the
drying and rubbing. which should have
been increasingly practiced from The begin