Medical Jurisprudence And Toxicology

DROWNING

171

method is the best and simplest to perform, and has been recommended by
the authorities of the Humanitarian Society of England.

Fig. 55.—Schafer's Method of Artificial Respiration. Expiration.

Fig. 56.—Schafer's Method of Artificial Respiration. Inspiration.

It is carried out in the following manner : —

Lsa&Jti^upatient, face downwards, on the ground, with one arm stretched
straight forward and the other bent under the head which is turned to one
side. Place p, folded piece of clothing under the lower part of the chest.
Kneel eftEer astride or by the side of the patient about the level of the Hps,
facing his head. Pk.ce the palms of your hands flat over the back on the
lowest ribs, one on each side, and gradually throw the weight of your body
forward, so as to produce firm pressure on the patient's chest. Bvthjs
means, the air and water, if any, are driven out of the patient's jEungs.
Immediately thereafter raise your body slowly so as to remove the pressure,
leaving the palms of the hands in position. Rapeat this forward and back-
ward movement from twelve to fifteen times per minute and continue it for
at least an hour, or until the natural respirations are restored.

After respiration has been established, the patient should be covered
with ^arrcT"blankets, put to bed with hot-water bottles at the sides, and
given a little brandy in warm water or warm milk, if he can swallow it:
The patient should be carefully watched for some time, as, after recovery,
death may occur from exhaustion or pneumonia.

Post-mortem Appearane^r^^b^^^.are the signs of asphyxia imlass
death occurred from shock* syneoge oar concussion supervening i
upon submersion. The appearances are external and internal.