Illustrating the Treatment when Breathing Is Suspended

ILLUSTRATING THE TREATMENT WHEN BREATHING IS SUSPENDED Fall In—Attention—Right Dress--Eyes Front--Number by Squads—Tell of the Squads.—All the foregoing movements are the same as in the Silvester drill.

Duties.—Note.--The squads being formed and numbered, the instructor will here explain the objects of the drill and duties of each man. No. t of each squad will take charge of the patient's head, look after the tongue, assist in raising, supporting, and turning the patient ; No. 2 will act as patient ; No. 3 will act as operator, and see to the sect placing of the piLow undzr the patient's shoulder blades ; No. 4 will take charge of the feet and legs, and assist in turning the patient backward and for ward.

Positions.—On the word positions,' No. 2 steps out one pace to the front, turns to the left, walks to the left flank of the squad, and lies quietly down on his back, feet to the left, and head to the right flanks. Nos. 1, 3 and 4 will then take up the follow ing positions : No. t at the patient's head, facing to the left ; No. 3 at his left side, facing to the front ; and No. 4 at his feet, facing to the right.

Ready.—On the word 'ready,' Nos. t and 4 will drop down on both knees, and No. 3 on his left knee.

Clear the Throat—Attend to Tongue.—The instructions for the foregoing commands are the same as in the Sil vester drilL Imitate Breathing—Marshall Hall Method–zOn the word ' method,' No. 3 will spring to his feet, step over the patient, pick up the pillow or roll, step back to his place, and while No. I raises the patient, will fix the pillow or roll under the patient's shoulder-blades from the left side.

Ready.—On the word No. 3 will lean forward and take hold of the patient's left shoulder with his right hand, and the left hip with his left hand, and assisted by Nos. i and 4 will turn the patient (as fox clearing the throat) over On his right side until he lying (lies) face downwards with his chest supported on the pillow or roll, and the head resting upon his right arm (fig. 15).

One.—On the word one,' No. 3, assisted by Nos. t and 4, will turn the patient gently on to his right side by pulling the patient up towards himself by the left shoulder. and hip (fig. x6).

Two.—On the word two,' No. 3 will push the patient back until he is again lying face down wards.

Three.

On the word while the patient's body is resting on the pillow, and the head upon his right arm, No. 3 with his left hand will press firmly upon the back, between and on the shoulder blades (fig. 17).

Continue..

On the command continue,' the motions 'one' two ' and will be continued in regular time, at the rate of about fifteen times a minute.

Hal.

On the com mand ' halt,' after com pleting motion 'three,' the patient will be re placed upon his back, face unwards, and his arms laid quietly at his side, and all will resume the 'ready' kneeling position.

Promote Circulation and Warmth. — On the word warmth,' No. I takes charge of the patient's face, neck, and right arm ; No. 3 the left arm and body ; No. 4 the feet and legs ; the rubbing must be always towards the heart, the limbs being rubbed chiefly on the inside.

Halt.

On the word 'halt,' the patient's arms are gently placed by his sides and the legs closed. Then Nos. 1, 3, and 4 resume the 'ready' kneel ing position.

Re-form.—On the command re-form,' all spring to their feet, Nos. 3 and 4 assisting No. 2 to rise. Nu. will remove the pillow or roll to its original position.

Squad—Stand at Ease—Attention—Change Flank—Dismiss. All the foregoing as in the Silvester drill.

The Howard method

is an American system, formulated by Dr. Howard, of the Life-saving Benevolent Association of New York. It can be more easily put into practice than the Silvester or Marshall Hall method, as there are only two move ments; but there is a danger of injuring the patient by too forcible pressure. In this method the roll of clothing is placed further down the back, so as to elevate the stomach. The arms are carried beyond the head, and the Wrists crossed. If there be an assistant, it is his duty to hold the arms in position, clean the mouth, and attend to the tongue. In the absence of an assistant, the operator has to do the preliminary work himself, and then kneel down over the patient, grasp the lower ribs, the fingers being spread well apart over the chest, and the thumbs pressing inward. Great care should be taken so that the thumbs do not press into the pit of the stomach. He then leans forward, and pushes upward until his face is nearly level with the patient. By this method the ribs are pushed upward, and the operator then springs back to a kneeling position, lifting his hands off the patient. The movements are continued at the rate of fifteen times a minute. If it be considered neces sary to teach this method, the following drill will be found useful.