Should these efforts not prove successful, m the course of from two to five minutes, proceed to imitate breathing by Dr. Silvester's method, recommended by the Royal Humane So- ciety, as follows: Place the patient on the back on a flat sur- face, inclined a little upwards from the feet; raise and support the head and shoulders on a small, firm cushion or folding arti- cle 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 above the neck and chest, especially the braces. To imi-. tate the movement 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 persever- ingly, about fifteen times a minute until a spontaneous effor: to respire is perceived, immediately upon which cease to imitate the movements of breathing, and proceed to induce circulation and warmth. • Treatment after Natural Breathing has been Re- stored.— Commence rubbing the limbs upward, with firm, grasping pressure and energy, using handkerchiefs, flannels, etc (By this measure the blood is propelled along the veins towards the heart.) The friction must be continued under the body by the application of hot flannels, bottles, or bladders of hot water, heated bricks, etc., to the pit of the stomach, the armpits, 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 warm water should be given; and then, if the power of swallowing have returned, small quantities of wine, warm brandy and water, or coflee, should be administered. The patient should be kept in bed, and a disposition to sleep encouraged. Appearances which Generally Accompany Death.— Breathing and heart's action cease entirely; the eyelids are generally half closed, the pupils dilated, the jaws clinched, the fingers semi-contracted, the tongue approaches to the under edges of the lipa^ and these, as well as the nostrils, are covered wiUi a frothf mucus. Coldness and pallor of surface in- B36 kfiDicii^At. Cautions.— ^Prevent unnecessary crowding of persons ' round the body, especially if in an apartment. Avoid rough ^> usage, and do not allow the body to remain on the back, unless the tongue is secured. Under no circumstances hold the body '^p by the feet. On no account place the body in a warm bath « !«nless under medical direction, and even then it should only be employed as a momentary excitant.

AI-modernized reading of the original text

Should these efforts not prove successful, m the course of from two to five minutes, proceed to imitate breathing by Dr. Silvester's method, recommended by the Royal Humane Society, as follows: 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 folding 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 above the neck and chest, especially the braces. To imi-. tate the movement 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 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. • Treatment after Natural Breathing has been Restored.— Commence rubbing the limbs upward, with firm, grasping pressure and energy, using handkerchiefs, flannels, etc (By this measure the blood is propelled along the veins towards the heart.) The friction must be continued under the body by the application of hot flannels, bottles, or bladders of hot water, heated bricks, etc., to the pit of the stomach, the armpits, 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 warm water should be given; and then, if the power of swallowing have returned, small quantities of wine, warm brandy and water, or coflee, should be administered. The patient should be kept in bed, and a disposition to sleep encouraged. Appearances which Generally Accompany Death.— Breathing and heart's action cease entirely; the eyelids are generally half closed, the pupils dilated, the jaws clinched, the fingers semi-contracted, the tongue approaches to the under edges of the lips, and these, as well as the nostrils, are covered with a frothf mucus. Coldness and pallor of surface in- B36 MEDICINAL. Cautions.— ^Prevent unnecessary crowding of persons ' round the body, especially if in an apartment. Avoid rough ^> usage, and do not allow the body to remain on the back, unless the tongue is secured. Under no circumstances hold the body '^p by the feet. On no account place the body in a warm bath « !«nless under medical direction, and even then it should only be employed as a momentary excitant.

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