New Britain herald., 1928-01-24
By DIR. MORRIS FfSHBEIN I1dit0F Journal of the American
 Medical Associatioa and of

!. Hygeia, the Health Magazine. Thousands of lives have undoubt- cdly been saved by the immediate and continuous application of arti- ticial resuscitation measures as soon after drowning. .asphyxiation by gas or eiectricution as Is possible. Artificial respiration may be &C., complished either by manipulations carried on by persons trained in the art or by the use of artificial de- vices. Most important. however. is the immediate application of such manipulations and 1t is obvious that the machines are not constantly available. whereas persons trained in first aid are now available in practically every great industry. How It's Done
 The United States Public Health Service has issued . brief outline as ' to the proper methods of resuscita- tion. In brief. the directions follow: Hay the patient face down. one arm extended directly overhead. the other arm bent at the elbow and with the face turned outward and , resting on hand or forearm 70 that the nose and mouth are free for breathing.
 c-Kneel straddling over the patients thighs. Place the palms Of the hands on the small of the back with fingers resting on the ribs. the little fingers just touching the lowest 1 rib, with the thumb and fingers In a natural position, and the tips or the fingers just out of eight. 3-With arms held straight, swing forward slowly 50 that the weight or your body is gradually brought to bear upon the patient. The shoulder should be directly over the heel Of the hand at tho end of the forward swing. Do not bend your elbows. This operation should take about two seconds.
 <-Now immediately swing>back- ward 50 as completely to remove the pressure.
 5-After two seconds, swing for ward again. Thus repeat deliber- ate)y from IF to IS times a minute the double movement of compression and release, a complete respiration in four or five seconds.
 Still Hope in Four Hours
 Continue artificial respiration without interruption until natural breathing Is restored. If necessary. four hours or longer. or until a physician declares the patient IS dead.
 As soon as artificial respiration has been started and while it Is being continued. an assistant should loosen any tight clothing about the patients neck, chest or waist. Keep the patient warm. Do not give any liquids whatever by mouth until the patient is fully conscious.
 To avoid strain on the heart when the patient revives. he should be kept lying down and not allowed to stand or sit up. If the doctor has not arrived by the time the patient has revived. he should be given some stimulant, such as ono teaspoonful of aromatic spirits of ammonia in a small glass of water or hot drink of coffee or tea The patient should be kept warm.
 Do Not Move Patient
 Resuscitation should be carried on at the place where the patient re- ceived his injuriex He should not be moved until he is breathing nor mally of hts own volition and then carried only in a lying position. Should it be necessary. owing to ex- treme weather conditions, to move the patient before he is breathing normally, resuscitation should be carried on during tho time he is being moved.
 A brief return of natural respira- ton is not a certain indication for stopping the resuscitation. Not in- frequently the patient. after . tenn pcrary recovery of respiration. stops breathing again. The patient must be watched. and If natural breathing stops, artificial respiration should be resumed at once.
 In carrying out resuscitation 1t may be necessary to change the op- orator. This change must be r'ade without losing the rhythm of respira- ton. By this procedure no confu- sion results at tho time Of change