Pediatrics. . llowing method which is both practical and serviceableand in my hands has enabled me, I believe, to save many lives : First, grasp the baby as in Fig. 1, when you take it up fromthe bed (allowing the-right hand to encircle the neck, with theshoulders resting upon the palm of the hand; the left hand the legs. If there is obstruction in the air passages turn thehead down (Fig. 2) (face down), and if the baby is vigorousenough give an up and down churning motion; this to aidgravity in clearing the throat. This may be supplemented by alateral (side to side) shaking motion
Pediatrics. . llowing method which is both practical and serviceableand in my hands has enabled me, I believe, to save many lives : First, grasp the baby as in Fig. 1, when you take it up fromthe bed (allowing the-right hand to encircle the neck, with theshoulders resting upon the palm of the hand; the left hand the legs. If there is obstruction in the air passages turn thehead down (Fig. 2) (face down), and if the baby is vigorousenough give an up and down churning motion; this to aidgravity in clearing the throat. This may be supplemented by alateral (side to side) shaking motion of the head, with the righthand which gives further aid in clearing the mouth. Then putthe baby in position, as in Fig. 3, this will cause the liver, stomachand other* abdominal contents to pull down the diaphragm, thuspermitting and causing air to enter the lungs. Now reverse thisposition (Fig. 4), the weight of the same organs will push thediaphragm up and expel the air drawn in by the position. 3M ABSTRACTS. ABSTRACTS 315 In placing the infant in these positions much emphasis can begiven by a downward throwing motion, letting the buttocks strikeagainst the left hand (Fig. 3), and then the shoulders strike righthand (Fig. 4). Repeat these motions from ten to twenty times a minute, paus-ing occasionally in position of Fig. 4, to allow the brain to get thebenefit of the increased flow of blood to it, and also to observethe hearts action. The fainter the spark of life present, the moredelicate must be the manipulations, and here it is comes in theadvantage of this method over all others in the ease with whichthe vigor of the manipulations may be controlled. Another ad-vantage is that you can begin these manipulations before the cordis cut. (I have used it successfully before tying the cord.) It iswell to have a basin of water as hot as can be borne by the hands,near at hand, so that the infant can be dipped in it, in order tokeep up the natural heat. Again a little cold water sp
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