. Minor and operative surgery, including bandaging . blowing intothe catheter. Direct Method of Artificial Respiration (Howards).—This method of artificial respiration is at the presenttime considered the most efficacious, and is the one adoptedby the United States Life-saving Service; and althoughthe rules given are for the resuscitation of cases of ap-parent drowning, the same procedures may be adopted incases of apncea arising from other causes. The rules laid down by Dr. Howard are as follows : Rule I.— To expel water from the stomach and lungs, ARTIFICIAL RESPIRATION. 151 strip the patien
. Minor and operative surgery, including bandaging . blowing intothe catheter. Direct Method of Artificial Respiration (Howards).—This method of artificial respiration is at the presenttime considered the most efficacious, and is the one adoptedby the United States Life-saving Service; and althoughthe rules given are for the resuscitation of cases of ap-parent drowning, the same procedures may be adopted incases of apncea arising from other causes. The rules laid down by Dr. Howard are as follows : Rule I.— To expel water from the stomach and lungs, ARTIFICIAL RESPIRATION. 151 strip the patient to the waist, and if the jaws are clenchedseparate them and keep them apart by placing between theteeth a cork or a small piece of wood. Place the patientface downward, the pit of the stomach being raised abovethe level of the mouth by a roll of clothing placed beneathit (Fig. 132). Throw your weight forcibly two or threetimes upon the patients back over the roll of clothing,so as to press all fluids in the stomach out of the mouth. Fig. First manipulation in Howards method. The first rule applies only to cases of drowning, and inusing Howards method in apncea from other causes it isto be omitted. Rule II.— To perform artificial respiration, quicklyturn the patient upon his back, placing the roll of clothingbeneath it so as to make the breast-bone the highest pointof the body. Kneel beside or astride of the patients the front part of the chest on either side of the pitof the stomach, resting the fingers along the spaces be-tween the short ribs. Brace your elbows against yoursides, and steadily grasping and pressing forward and up-ward throw your whole weight upon the chest, graduallyincreasing the pressure while you count one—tico— suddenly let go with a final push which springs you 152 MINOR SURGERY. back to your first position (Fig. 133). Rest erect uponyour knees while you count one—two ; then make press-ure as before, repeating the e
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