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sO,.c to ,he American >hrwcck Society. by VALENTINE
''7 MoTr. NJ. u. Surgeon General To the Society.


Tas instant body Is removed from the water.
,,c luncs ought 10 be inflated.


Nothing can compensate for the neglect of
tbs.


and backward, Will Cause more or less air to rush
a,o the lungs, by the elasticity Of the ribs in.
stan,lv restoring the natural size of the chest
This is 10 be continued so as to initiate natural
bsaihing, until a pair of common bellows can be
nocured


As soon as these arc had, the nozzle is to he
Introduced upon the tongue, and pocket hand
sgch!ef thrown atoand 1t in order more cffectu-
,ly to close the mouth and thereby to prevent
he escape Of air.


Before the bellows arc used, an assistant should
less firmly upon the most projecting part of the
pnt OF the neck, (calcd Adams APPLE by
shch the passage leading into the stomach will
X closed


The action OF the bellows is now 10 be used,
md the lungs distended as suddenly as possible.
To aid in the removal of this air from the lungs,
N assistant should press suddenly as before d.
ncted upon the chest.
In this way an attempt to initiate natural res
aration can best be made.
Hereafter the Society will have at the differ
Il, stations, with lis various apparatus, pair
bellows of better construction than those in
ammon use.


To aid in the great object Of rcsuscitating life,
nv kind of ardent spirits may be thrown upon
he suface of bowl or pail Of hot water, placed
orer lamp or several candles, Or as last resort,
be spirits may be set on fire, below the under
art of the bellows


In this way spirituous vapor will readily be in
Dduced into the lungs.
This will greatly aid US in rousing the action
4 the heart


In the Asphyxia of new born infants, have
ever seen any thing equal the good effects of
istending the lungs with spirlluous vapor, 10
ucte the heart into action.


As soon as the lungs are brought artifcially
MO action, the right side of the heart is more or
tss unloaded of its black venous blood, which in
nv opinion is the immediate cause of death.
The over. distcnded state Of the two cavities Of
lie right side of the heart, will enfeeble and IN
ICED destroy its action altogether.


Added to the over -dstenson, we are also to
AXE into account, the quality of the black venous
:ood, which is surcharged with carbon, and
shich is supposed of itself TO be sufficient to
Sralyze the heart.


If the primary and all important principle be
initiate the lungs, and thereby unload the right
ide of the heart, it follows of course, that we are
10 continue the artificial respiration for some
lime, certainly from half an hour to an hour.


While this is being done the warmth of the
body is to be cherished and increased if possible,
,y warm blankets, bottles of hot water, hot bricks,
,hot BATH placing it near fire, in bed between
two healthy persons, &c.


During The time the initiation of the lungs is
going on, the head may as well have little ele
Yation not that we deem it important, except for
appearances.


Until natural respiration begins to be estab
Lshed, we would not advise frictions to the ex-
uemiues or any part of the body. If they have
any effect it must be bad one, as the venous
blood may be urged on more or less to the heart,
md keep up, and increase the over-dlstension OF
! e cavities of the right side.
| Soon after natural breathing has begun, fric
tons may be proper to promote the flow OF venous
Mood 70 the heart, to aid in continuing its action


Eem vet the action OF the heart and arteries is
feeble, and to certain extent inadequate to ei.
isasuficiently the circulation of the blood in the
veins. Frictions may also now augment the
animal heat


Al this time warm toddy Of any kind, warm


irsr and water, with fifteen or twenty drops oI
.ae aromatic spirits of ammonia, or common
aqua ammonia (hartshorn) may be INJECTED into
.he stomach bv means Of the tube and stomach
pump.


To aid in rousing the action Of the lungs and
heart, while the artificial respiration is persc-
T.red in, shocks OF electricity or the galvanlc
current may be made to pass directly through
the heart and lungs, and directed through the
course of the Pneuno.g gastric and Phrenic nerves
IN the neck.


Taking few table spoonsful Of blood from the
lnierlo, part OF the external jugular vein, with


view, II possible, to diminish the distention Of


the night euIicle, is in perfect unison with the


view we entertain of the pro1imate cause of


ueata: But where we have tried it, no benefit


naf followed We however would not hesitate to


repeat the practice


Pabtshed BY order Of the Society.


JAS. DEPYSrER OGDEN. President


EENsI MEICs. Secretary