Illustrating the Treatment when Breathing Suspended

position, patients, operator, patient and command

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Continue.— On the command ' continue,' the motions `one' two ' and `three' will be continued in regular time.

Halt.—On the com mand halt,' the movement in progress must be corn pleted, and after 'three,' c; the arms will be quietly – replaced at the patient's side, and the operator will resume his first kneeling position.

Note. —During the pro gress of the foregoing motions, No. 3 will, after command one,' put his hand to the patient's mouth to ascertain that the tongue is well forward.

Promote Circulation and Warmth.—On the command promote circu lation and warmth,' Nos.

and 3 will immediately commence rubbing the patient, using handker At the same patient's legs c.hiefs, flannels, or any stuffs that may be handy. time No. 4 will place a rug or towels over the and commence rubbing underneath.

Note. — The rubbing should be towards the heart.

Halt—Re-form.--On the word 're-form,' all spring to their feet, Nos. 3 and 4 assist ing No. 2 to rise. No. I will remove the pillow or roll to Its original position.

Squad.---On the word all will resume their original position in line, facing the front.

Stand at Ease.

Note.— The instructor may here criticise the work done, or give explanations.

Attention.

Change Flank.—On the word 'flank,' No. i will step back one pace with his left foot, turn correctly to the left, march to the other end of the squad, and take up his posi tion in line with the others. As No. i steps back, the remainder will close to the right one pace. (Thus the former patient becomes the operator, and so on.) Note.—The squad will now be re-numbered, and the drill will be repeated from the command ' Positions.' This should be done until each member of the squad has had his turn at all the duties.

dicmissinv the squads should be moved back into their original position in line, when the commands will be Right In the Marshall Hall method of resuscitation the patient is turned over face downward, with one of the arms under the forehead, care being taken that none of the limbs are twisted or handled in such a manner as to cause injury. Fluids will then more readily escape from the mouth, and the tongue will fall forward. The mouth and nostrils are cleansed with a handkerchief, and any frothy mucus cleared away. Then, assuming that no sign of life is apparent, the patient is turned on his back again, and a roll of clothing or some similar article placed under the shoulder-blades. The operator takes his place at the patient's left side, and turns him face downward. The assistant at the head sees that the patient's arms are not twisted or lain upon, that the tongue is not allowed to drop back, and that the roll of clothing is kept in a proper position under the chest. The operator then makes firm pressure with the hand upon the back, between and on the shoulder-blades, and pulls the body slowly upon its side and a little beyond, until it is in the position shown in diagram (fig. 16). The body is at once pushed back briskly on to the face, the left hand of the operator carried forward and pressed between the shoulders firmly, removing the pres sure immediately before turning the body on its side. These movements should be persevered in at the rate of about fifteen times a minute. The preliminary drill as to clearing the throat before starting the Marshall Hall method is the same as that adopted in the Silvester.

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