142 THE ISLAND OF NANTUCKET. 



from any remaining water. Continue the artificial res- 

 piration from one to four hours, or until the patient 

 breathes; and for a while after the appearance of re- 

 turning life, carefully aid the first short gasps until 

 deepened into full breaths. Continue the drying and 

 rubbing, which should have been unceasingly practised 

 from the beginning, taking care not to interfere with 

 the means employed to produce breathing. Thus the 

 limbs of the patient should be rubbed, always in an 

 upward direction towards the body, with firm, grasp- 

 ing pressure and energy, using the bare hands, dry 

 flannels, or handkerchiefs, and continuing the friction 

 under the blankets or over the dry clothing. The 

 warmth of the body can also be promoted by the ap- 

 plication of hot flannels to the stomach and armpits; 

 bottles or bladders of hot water, heated bricks, etc., to 

 the limbs and soles of the feet. 



Kule IV. After Treatment. — Externally. — As 

 soon as breathing is established, let the patient be 

 stripped of all wet clothing, wrapped in blankets only, 

 put to bed comfortably warm, but with a free circulation 

 of fresh air, and left to perfect rest. 



Internally. — Give a little brandy and hot water, or 

 other stimulant at hand, every ten or fifteen, minutes 

 for the first hour, and as often thereafter as may seem 

 expedient. 



Later Manifestations. — After reaction is fully estab- 

 lished, there is great danger of congestion of the lungs, 

 k dnd if perfect rest is not maintained for at least forty- 

 eight hours, it sometimes occurs that the patient is 

 seized with great difficulty of breathing, and death is 

 liable to follow unless immediate relief is afforded. In 



