SERVICE, UNITED STATES LIFE-SAVING. 



'65 



presses heavily upon his back over the bundle 

 for half a minute, or as long as fluid flows 

 freely from his mouth. (See cut below.) The 

 mouth and throat are then cleared of mucus 

 by introducing into the throat the end of a 



handkerchief wrapped closely around the fore- 

 finger; the patient is turned upon his back, 

 under which the roll of clothing is placed so as 

 to raise the pit of the stomach above the level 

 of any other part of the body. If an assistant 



THE FIRST STEP TAKEN, BX WHICH THE CHEST IS EMPTIED OF AIK, AND THE EJECTION OF FLUIDS IS ASSISTED. 



is present, he holds the tip of the patient's 

 tongue, with a piece of dry cloth, out of one 

 corner of the mouth, which prevents the tongue 

 from falling back and choking the entrance to 

 the windpipe, and with his other hand grasps 

 the patient's wrists and keeps the arms stretched 



back over the head, which increases the prom- 

 inence of the ribs and tends to enlarge the 

 chest. The operator then kneels astride the 

 patient's hips and presses both hands below 

 the pit of the stomach, with the balls of the 

 thumbs resting on each side of it and the fingers 



THE POSITION AND ACTION OF THE OPERATOR IN PRODUCING ARTIFICIAL RESPIRATION. 



between the short ribs, so as to get a good 

 grasp of the waist. (See cut above.) He then 

 throws his weight forward on his hands, squeez- 

 ing the waist between them with a strong 

 pressure, counts slowly one, two, three, and, 

 with a final push, lets go, which springs him 



back to his first kneeling position. This oper- 

 ation, which converts the chest of the patient 

 into a bellows, is continued at a rate gradually 

 increased from four to fifteen times in a minute, 

 and with the regularity observable in the natu- 

 ral motions of breathing which are thus imi- 



