Accidents and emergencies; a manual of the treatment of surgical and medical emergencies in the absence of a physician . st the lower ribs, aided somewhat bythe weight of the rescuers body, so as to drive the air out ofthe chest and to effect an act of expiration. (See Fig. 3.) Thisneed occupy but two seconds of time. This procedure, regularly repeated, will make about twelvecomplete acts of respiration in a minute. It should be kept upfor a long time, and not be abandoned until natural respiration isre-established, or a competent person has learned that the hearthas ceased to beat. The cessat


Accidents and emergencies; a manual of the treatment of surgical and medical emergencies in the absence of a physician . st the lower ribs, aided somewhat bythe weight of the rescuers body, so as to drive the air out ofthe chest and to effect an act of expiration. (See Fig. 3.) Thisneed occupy but two seconds of time. This procedure, regularly repeated, will make about twelvecomplete acts of respiration in a minute. It should be kept upfor a long time, and not be abandoned until natural respiration isre-established, or a competent person has learned that the hearthas ceased to beat. The cessation of the pulse at the wrist is nota sure sign of death. Life may be present when only a most acute OBSTRUCTIONS TO RESPIRATION 7 and practised ear can detect the sound of the heart. In a moder-ately thin person, deep pressure with the finger ends just belowthe lower end of the breast bone may sometimes reveal pulsationin the aorta—the main artery of the body—when it can not befelt anywhere else. A simple and effective mode of making artificial respiration,known as the Schaefer Prone Pressure is carried out by. Fig. 3.—-Ttiird step in artificial respiration. placing the patient prone, witli the face down and the arms ex-tended above the head. The helper then places himself along-side the sufferer, kneeling on one side or astride of the patient,while he places his hands over the loins, palms down andfingers extended toward the head of the patient. He thenbends forward, pressing gently but with moderate firmness uponthe loins of the patient, compressing the chest and abdomen,for about three seconds. At the end of this time he swings hisbody gently backward, releasing the pressure of his hands, and ACCIDENTS AND EMERGENCIES allowing the elasticity of the chest and abdomen to expand thelungs and draw in air. This should last for about two seconds.


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