bone is dislocated it must be PUSHED into place--not
pulled._
_Relocating finger_
_Pull the finger bone back into place._]
=1493. Drowning.= _Rescuing._ Approach the drowning man from behind,
seizing him by the coat collar, or a woman by the back hair, and tow
at arms length to boat or shore. Do not let him cling around your neck
or arms to endanger you. Duck him until unconscious if necessary to
break a dangerous hold upon you; but do not strike to stun him.
A drowning person _does not_ come to the top three times before giving
up.
_Reviving._ When a person is apparently drowned he is unconscious and
not breathing because his lungs are full of water and his skin is blue
and cold because no air is getting into his blood to redden it and
warm it; _remember_ the heart does not stop until some time after the
breathing stops. If we can get air into the blood and start breathing
again before the heart stops we can save the patient's life. If we
cannot get the breath started in time the heart stops and the patient
is then dead.
Our problem then is this:
1. To get the water out of the lungs.
2. To get the air into the lungs and start the man breathing before
the heart stops.
Emptying the lungs is precisely similar to emptying a bottle.
The lungs are the bottle, the windpipe is the neck of the bottle and
the cork of the bottle may be the tongue turned back in the throat or
mud and leaves from bottom of the pool and bloody froth in the
nostrils. We therefore--
1. { Pull out the cork.
{ =Remove mud, mucus, etc., and pull the tongue forward.=
[Illustration: Fig. 13
_Pulling out the cork_]
2. { Turn the bottle neck down to pour out the contents.
{ =Place the patient's head lower than his chest so the water
{ will run out.=
[Illustration: Fig. 14]
Then lay the patient on a blanket, if possible, and on his stomach,
arms extended from his body beyond his head, face turned to one side
so that the mouth and nose do not touch the ground. This position
causes the tongue to fall forward of its own weight and so prevents it
from falling back into the air passages. Turning the head to one side
prevents the face coming into contact with mud or water during the
operation.
Kneel and straddle the patient's hips, facing his head.
[Illustration: Fig. 15]
Roll up or rip off the clothing so as to get at the bare back.
Locate the lowest rib, and with your thumbs extending in about the
same
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