one hand and both feet free for swimming. Or if
for any reason it is necessary to swim on the back, it leaves both feet
free to use as propellers.
ARTIFICIAL RESPIRATION
If the apparently drowned person is to be saved, no time must be lost
in the rescue from the water or in getting the water out of him, and
breathing re-established after he is brought to land.
[Illustration]
If there is a messenger handy send for a doctor at once, but in the
meantime lose no time in attempting restoration.
The best method for getting the water out of the lungs and breathing
re-established is the _Schaefer Method_, because it is the simplest,
requiring only one operator and no equipment. It can be kept up alone
for a long time.
1. Every moment is precious. Immediately lay the patient face downwards,
with the arms extended above the head and the face to one side. In this
position the water will run out and the tongue will fall forward by its
own weight, and not give trouble by falling back and closing the
entrance to the windpipe. Be sure there is nothing in the mouth, such as
false teeth, gum, tobacco, etc. Do not put anything under the chest. Be
sure there is no tight collar around the neck.
2. Kneel astride of the patient facing toward his head.
3. Place your hands on the small of the patient's back, with thumbs
nearly touching and the hands on the spaces between the short ribs.
4. Bend slightly forward with arms rigid so that the weight of your body
falls on the wrists, and makes a firm steady pressure downward on the
patient while you count one, two, three, thus forcing any water and air
out of the lungs.
5. Then relax the pressure very quickly, snatching the hand away, and
counting one-two--the chest cavity enlarges and fresh air is drawn into
the lungs.
6. Continue the alternate pressing and relaxing about twelve to fifteen
times a minute, which empties and fills the lungs with fresh air
approximately as often as he would do it naturally.
It may be necessary to work for an hour or two before a gasp shows the
return of natural breathing. Even then the rescuer's work is not over,
as it will be necessary to fill in any gaps with artificial breathing.
When natural breathing is established, aid circulation by rubbing and by
wrapping him in hot blankets and putting hot bottles around him, being
careful that they are protected to prevent burning the patient.
If at any time it is necessary to pull the tongue
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