DROWNING. 141 



a piece of dry cloth, hold the tip of the tongue out of 

 one corner of the mouth (this prevents the tongue 

 from falling back and choking the entrance to the 

 windpipe), and with the other hand grasp both wrists 

 and keep the arms forcibly stretched back above the 

 head, thereby increasing the prominence of the ribs, 

 which tends to enlarge the chest. The two last-named 

 positions are not, however, essential to success. Kneel 

 beside or astride the patient's hips, and with the balls 

 of the thumbs resting on either side of the pit of the 

 stomach, let the fingers fall into the grooves between 

 the short ribs, so as to afford the best grasp of the 

 waist. Now, using your knees as a pivot, throw all 

 your weight forward on your hands, and at the same 

 time squeeze the waist between them, as if you wished 

 to force everything in the chest upward out of the 

 mouth. Deepen the pressure while you can count 

 slowly one, two, three, then suddenly let go with a 

 final push, which springs you back to your first kneel- 

 ing position. Kemain erect on your knees while you 

 can count one, two, three; then repeat the same mo- 

 tions as before at a rate gradually increased, from four 

 or five to fifteen times in a minute, and continue thus 

 this bellows movement, with the same regularity that 

 is observable in the natural motions of breathing which 

 you are imitating. If natural breathing be not restored 

 after a trial of the bellow\s movement for the space of 

 three or four minutes, then, without interrupting the 

 artificial respiration, turn the patient a second time on 

 the stomach, as directed in Rule II., rolling the body 

 in the opposite direction from that in which it was 

 first turned, for the purpose of freeing the air passages 



