Place the patient on the back on a flat surface, inclined a little upwards from the feet; raise and support the head and shoulders on a small firm cushion or folded article of dress placed under the shoulder-blades.
Draw forward the patient’s tongue, and keep it projecting beyond the lips; an elastic band over the tongue and under the chin will answer this purpose, or a piece of string or tape may be tied round them, or by raising the lower jaw the teeth may be made to retain the tongue in that position. Remove all tight clothing from about the neck and chest, especially the braces.
To Imitate the Movements of Breathing.—Standing at the patient’s head, grasp the arms just above the elbows, and draw the arms gently and steadily upwards above the head, and keep them stretched upwards for two seconds. (By this means air is drawn into the lungs.) Then turn down the patient’s arms, and press them gently and firmly for two seconds against the sides of the chest. (By this means air is pressed out of the lungs.)
Repeat these measures alternately, deliberately, and perseveringly about fifteen times in a minute, until a spontaneous effort to respire is perceived, immediately upon which cease to imitate the movements of breathing, and proceed to Induce Circulation and Warmth.
IV. Treatment after Natural Breathing has been Restored—to Promote Warmth and Circulation.
Commence rubbing the limbs upwards, with firm grasping pressure and energy, using handkerchiefs, flannels, etcetera: (by this measure the blood is propelled along the veins towards the heart.)
The friction must be continued under the blanket or over the dry clothing.
Promote the warmth of the body by the application of hot flannels, bottles or bladders of hot water, heated bricks, etcetera, to the pit of the stomach, the arm-pits, between the thighs, and to the soles of the feet.
If the patient has been carried to a house after respiration has been restored, be careful to let the air play freely about the room.
On the restoration of life a teaspoonful of water warm should be given; and then, if the power of swallowing have returned, small quantities of wine, warm brandy and water, or coffee, should be administered. The patient should be kept in bed, and a disposition to sleep encouraged.