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GLEANINGS— PHARMACEUTICAL,  ETC. 
whether  from  drowning  or  other  causes,  has  been  so  generally 
approved  by  the  medical  press  that  we  introduce  it  here  for  the 
improvement  of  our  readers  :— 
Dr.  Marshall  Hall's  Instructions. — 1.  Treat  the  patient 
INSTANTLY,  ON  THE  SPOT,  IN  THE  OPEN  AIR,  EXPOSING  the  face 
and  chest  to  the  breeze  (except  in  severe  weather). 
I.  TO  CLEAR  THE  THROAT. 
2.  Place  the  patient  gently  on  the  face  with  one  wrist  under 
the  forehead ;  [all  fluids  and  the  tongue  itself  then  fall  forwards, 
leaving  the  entrance  into  the  wind-pipe  free.]  If  there  be 
breathing  wait  and  watch  ;  if  not,  or  if  it  fail, — 
II.  to  excite  respiration. 
3.  Turn  the  patient  well  and  instantly  on  his  side,  and — 
4.  Excite  the  nostrils  with  snuff,  or  the  throat  with  a  feather, 
&c,  and  dash  cold  water  on  the  face  previously  rubbed  warm. 
If  there  be  no  success,  lose  not  a  moment,  but  instantly — 
III.   TO  IMITATE  RESPIRATION. 
5.  Replace  the  patient  on  his  face,  raising  and  supporting 
the  chest  well,  on  a  folded  coat  or  other  article  of  dress. 
6.  Turn  the  body  very  gently  on  the  side  and  a  little 
beyond,  and  then  briskly  on  the  face,  alternately ;  repeating 
these  measures  deliberately,  efficiently,  and  perseveringly  fif- 
teen times  in  a  minute,  occasionally  varying  the  side  ;  [when 
the  patient  reposes  on  the  chest,  this  cavity  is  compressed  by  the 
weight  of  the  body,  and  expiration  takes  place  •  when  he  is 
turned  on  the  side,  this  pressure  is  removed  and  inspiration 
occurs]. 
7.  When  the  prone  position  is  resumed,  make  equable  but 
efficient  pressure  with  brisk  movement  along  the  back  of  the 
chest,  removing  it  immediately  before  rotation  on  the  side; 
[the  first  measure  augments  the  expiration,  the  second  commences 
inspiration]. 
*^*  The  result  is — Respiration ; — and,  if  not  too  late,— 
life! 
iv.  to  induce  circulation  and  warmth. 
8.  Meantime,  rub  the  limbs  upwards,  with  firm  grasping 
pressure,  and  with  energy,  using  handkerchiefs,  &c.  [By  this 
means  the  blood  is  propelled  along  the  veins  towards  the  heart] 
