direction as your fingers, place your spread hands so that your
little finger curls over the lowest rib. _Be sure to get the hands
well away from the back bone_,--the nearer the ends of the ribs the
hands are placed without sliding off, the better it is.

Then with your arms _held straight_, press down SLOWLY AND STEADILY on
the ribs, bringing the weight of your body straight from your
shoulders. _Do not bend your elbows and shove in from the side._

Release the pressure suddenly, removing the hands from the body
entirely, and thus allowing the chest to fill with air.

Wait a couple of seconds, so as to give the air time to get into the
blood. This is most important.

Repeat the pressure and continue doing so, slowly and steadily,
pressing down at the rate of ordinary breathing. That is to say,
_pressure and release of pressure (one complete respiration)_ should
occupy about five seconds. Guide yourself by your own deep, regular
breathing, or by counting.

Keep up for at least one hour the effort to revive the patient; and
much longer if there is any sign of revival by way of speaking,
breathing, coughing, sneezing or gurgling sounds.

Do not stop working at the first signs of life, but keep it up until
the patient is breathing well and is conscious. If you stop too soon
he may stop breathing and die.

Persons have been revived after two hours of steady work, but most
cases revive within about thirty minutes.

If you are a heavy man, be careful not to bring too much force on the
ribs, as you might break one of them.

In the case of women or thin persons place a roll of clothing under
them at the waist line before beginning the pressure.

If you happen to be of light build and the patient is a large, heavy
person, you will be able to apply the pressure better by raising your
knees from the ground, and supporting yourself entirely on your toes
and the heels of your hands, properly placed on the floating ribs of
the patient.

Do not attempt to give liquids of any kind to the patient while he is
unconscious, for he cannot swallow them. They will merely run into his
windpipe and choke him, and furthermore, it will take up valuable
time.

However, after the patient has regained consciousness you may give him
hot coffee or hot whiskey, punch or aromatic spirits of ammonia (a
teaspoonful in water).

Then wrap up the patient warmly in hot blankets with hot water
bottles, and take him to the nearest hospital or p