A manual of instruction in the principles of prompt aid to the injured : including a chapter on hygiene and disinfection, designed for civil and military use / by Alvah H. Doty.

  • Doty, Alvah H. (Alvah Hunt), 1854-1934.
Date:
1913
Catalogue details

Licence: Public Domain Mark

Credit: A manual of instruction in the principles of prompt aid to the injured : including a chapter on hygiene and disinfection, designed for civil and military use / by Alvah H. Doty. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    peated two or three times at intervals of two or three sec- onds. The mouth in the mean time should be kept open by a cork or piece of wood, or a knot tied in a handker- chief, etc., in order that the passage of air to the lungs should not be interfered with. Smelling-salts, ammonia, or two or three drops of nitrite of aniyl, may be admin- istered by inhalation, or the nose may be tickled with a feather or straw. When breathing commences and con- sciousness returns, the patient should be carefully divested of all wet clothing (if necessary, the clothing should be cut to avoid delay), well rubbed, and wrapped in warm covering, and stimulants given in the manner already de- scribed. (Shock.) If the simple measures just enumerated are productive of no good result after a short trial, artificial respiration should be at once resorted to. Three methods of artificial respiration are accepted as being particularly efficient, viz., Sylvester s, Howard's, and Hall's. The first (Sylvester's) is generally regarded as being the best. The methods of Sylvester and Howard may be performed by one person. Before artificial respiration is begun, the patient should be stripped to the waist, and the clothing around the latter part should be loosened so that the necessary manipula- tions of the chest may not be interfered with. Further- more, it should be remembered in artificial respiration not to exceed the normal respiratory rhythm of about eighteen respirations per minute. This is often overlooked. Sylvester's Method.—The water and mucus are sup- posed to have been removed from the interior of the body by the means above described. The patient is to be placed on his back, with a roll made of a coat or a shawl under the shoulders; the tongue should then be drawn forward and retained by a handkerchief which is placed across the ex- tended organ and carried under the chin, then crossed and tied at the back of the neck. An elastic band or small rubber tube or a suspender may be substituted for the same purpose. If no other means can be made avail-