436 IDEAL HOME LIFE
Clearing the Throat.—Clear the air passages of water. To do this, lay patient, face downward, over a barrel or log, or else clasp your hands under his belly and raise him. Follow with artificial respiration.
First try tickling the throat with a straw or feather. If tickling the throat fails, perform artificial respiration. While you work send for blankets, bottles or jugs filled with hot water. When blankets arrive wrap around patient from armpits down and put the hot water bottles about him.
Artificial Respiration.—Turn patient on his back with coat rolled up under shoulders. Let head drop backward. Remove tight clothing.
Pull out his tongue, and keep it out by tying it to lower jaw. This may be done with a handkerchief crossed under chin and tied back of neck; or else thrust a long pin through the tongue, being sure it is long enough to rest against the teeth and keep the tongue out.
Kneel at his head, grasp his arms just below the elbows, draw hi-s arms outward then upward to sides of head and hold in this position about two seconds. This expands the chest and produces inspiration. Bring his arms down along his sides in front of chest, and press elbows inward firmly on lower ribs and side. This drives air out of lungs.
Alternate these movements slowly about fifteen times per minute. Continue for at least one hour in the attempt to restore breathing. Apply ammonia or smelling salts to the nostrils at intervals.
After patient commences to breathe naturally—but not before—his limbs should be well rubbed toward the heart under the covers.
Do not be easily discouraged. Life has sometimes been restored after several hours' work.
Give stimulants, cautiously. Give warm fluid nourishment.
In most cases of poisoning, the real important step is to empty the stomach. The readily available means of producing vomiting, here given, may be employed while waiting the physician's arrival.
Do not hesitate to thrust the forefinger down into the throat immediately; follow with a glass or two of warm water. Repeat this process several times.
Give a tumbler of warm water with a teaspoonful of ground dry mustard stirred into it. If not successful in producing vomiting, follow this with a second tumblerful of the mixture, then push the forefinger as far down the throat as possible and keep it there until the patient vomits. The forefinger is one of the best means of inducing vomiting, especially in narcotic poisoning.
Stir a teaspoonful of salt into glass of warm water and make the patient drink it.
Give wine of ipecac or syrup of ipecac every few minutes—a teaspoonful to a child, a tablespoonful to an adult—following each dose with a glass of warm water and then the forefinger.
It is often very difficult to make a person vomit who has taken opium, as the sensibility of the stomach is deadened. In every case of poisoning, never cease your efforts until free vomiting has taken place. Use all the methods mentioned, or any one of them at hand.
Stimulants may be given, particularly in narcotic poisons. If the patient can swallow he should take them by the mouth, providing the poisoning is not due to corrosives; otherwise by the rectum (lower