. Accidents and emergencies; a manual of the treatment of surgical and medical emergencies in the absence of a physician. e Coroner. This was amistake; any one who thinks there is a chance of re-suscitation should remove from the water a personpresumed to have been drowned, and at once setabout the work. A recent observation has reminded the authorthat there are, among persons of reasonable intelli-gence, those who think there is utility in what is calledrolling on a barrel! This procedure is, however,worse than useless; it is absolutely dangerous, andshould never be practised. Treatment.—If n


. Accidents and emergencies; a manual of the treatment of surgical and medical emergencies in the absence of a physician. e Coroner. This was amistake; any one who thinks there is a chance of re-suscitation should remove from the water a personpresumed to have been drowned, and at once setabout the work. A recent observation has reminded the authorthat there are, among persons of reasonable intelli-gence, those who think there is utility in what is calledrolling on a barrel! This procedure is, however,worse than useless; it is absolutely dangerous, andshould never be practised. Treatment.—If natural breathing has ceased, thefirst thing to be done is to free the body from anyclothing that binds the neck, chest or waist, andto thrust a finger into the mouth and, sweeping it OBSTRUCTIONS TO RESPIRATION. 5 round, to bring away anything that may have got inor accumulated there. The body should then beturned over on the face, and one standing at the headshould lean over and clasp his hands under the pit ofthe stomach, and raise the body, so as to compressthe belly, and drain the water as much as possible out. Fig. I.—First step in artificial respiration. of the lungs and stomach. An attempt must nextbe made to restore the breathing, if it is suspended orvery weak. The best mode of producing artificialrespiration is a modification of that known as Syl-vesters method. This is conducted as follows: Thebody is laid flat on the back,* and the tongue is drawn * The advice to put something under the shoulders given informer editions of this book I no longer approve. 6 ACCIDENTS AND EMERGENCIES. well out of the mouth and held by an assistant, if thereis one present. In doing this the tongue must notbe dragged over the lower teeth so violently as tolacerate it. A very good way to get the base of thetongue clear of the windpipe is to press the angles ofthe jaw strongly forward with both thumbs, appliedto them just in front of the lobes of the ears.


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