7. The men on shore will then pull the hawser taut, and by means of the whip line will haul off to the ship a sling life-buoy fitted with petticoat breeches. The person to be hauled ashore is to get into this sling, thrusting his legs through the breeches, and resting his armpits on the lifebuoy. When he is in and secure, one of the crew must be separated from the rest, and again signal to the shore as directed in Article I above. The people on shore will then haul the person in the sling to the shore, and when he has landed will haul back the empty sling to the ship for others. This operation will be repeated to and fro until all persons are hauled ashore from the wrecked vessel.

8. It may sometimes happen that the state of the weather and the condition of the ship will not admit of the hawser being set up, in which case the sling will be hauled off instead, and the persons to be rescued will be hauled in it through the surf instead of along the hawser.

Masters and crews of wrecked vessels should bear in mind that the success in landing them may in a great measure depend upon their coolness and attention to the rules here laid down; and that by attending to them many lives are annually saved by the Mortar and Rocket Apparatus on the coasts of the United Kingdom.

The system of signalling must be strictly adhered to; and all women, children, passengers, and helpless persons should be landed before the crew of the ship.—Board of Trade, 22nd December 1859.

Back

2

It is of immense importance that every man in the kingdom should possess some degree of knowledge on the subject of the restoration of persons apparently drowned, for no one can tell at what moment he may be called upon, in the absence of medical aid, to act in a case of this nature. We therefore make no apology for here giving in full the rules which have been adopted by the National Lifeboat Institution. They run as follows:

I. Send immediately for medical assistance, blankets, and dry clothing, but proceed to treat the patient instantly on the spot, in the open air, with the face downwards, whether on shore or afloat; exposing the face, neck, and chest to the wind, except in severe weather, and removing all tight clothing from the neck and chest, especially the braces.

The points to be aimed at are—first and immediately, the restoration of breathing; and secondly, after breathing is restored, the promotion of warmth and circulation.

The efforts to restore breathing must be commenced immediately and energetically, and persevered in for one or two hours, or until a medical man has pronounced that life is extinct. Efforts to promote warmth and circulation beyond removing the wet clothes and drying the skin must not be made until the first appearance of natural breathing. For if circulation of the blood be induced before breathing has recommenced, the restoration to life will be endangered.

II. To Restore Breathing.

To Clear The Throat .—Place the patient on the floor or ground with the face downwards, and one of the arms under the forehead, in which position all fluids will more readily escape by the mouth, and the tongue itself will fall forward, leaving the entrance into the windpipe free. Assist this operation by wiping and cleansing the mouth.

If satisfactory breathing commences, use the treatment described below to promote warmth. If there be only slight breathing, or no breathing, or if the breathing fail, then:—

To Excite Breathing —Turn the patient well and instantly on the side, supporting the head, and excite the nostrils with snuff, hartshorn, and smelling salts or tickle the throat with a feather, etcetera, if they are at hand. Rub the chest and face warm, and dash cold water, or cold and hot water alternately, on them.

If there be no success, lose not a moment, but instantly:—

To Imitate Breathing —Replace the patient on the face, raising and supporting the chest well on a folded coat or other article of dress.

Turn the body very gently on the side and a little beyond, and then briskly on the face, back again; repeating these measures cautiously, efficiently, and perseveringly about fifteen times in the minute, or once every four or five seconds, occasionally varying the side.

(By placing the patient on the chest the weight of the body forces the air out; when turned on the side this pressure is removed, and air enters the chest.)

On each occasion that the body is replaced on the face make uniform but efficient pressure with brisk movement, on the back between and below the shoulder-blades or bones on each side, removing the pressure immediately before turning the body on the side. During the whole of the operations let one person attend solely to the movements of the head, and of the arm placed under it.

(The first measure increases the expiration, the second commences inspiration.)

The result is respiration or natural breathing, and, if not too late, life.

Whilst the above operations are being proceeded with, dry the hands and feet; and as soon as dry clothing or blankets can be procured, strip the body and cover, or gradually re-clothe it, but taking care not to interfere with the efforts to restore breathing.

III. Should these efforts not prove successful in the course of from two to five minutes, proceed to imitate breathing by Dr Silvester’s method, as follows:—

Place the patient on the back on a flat surface, inclined a little upwards from the feet; raise and support the head and shoulders on a small firm cushion or folded article of dress placed under the shoulder-blades.

Draw forward the patient’s tongue, and keep it projecting beyond the lips; an elastic band over the tongue and under the chin will answer this purpose, or a piece of string or tape may be tied round them, or by raising the lower jaw the teeth may be made to retain the tongue in that position. Remove all tight clothing from about the neck and chest, especially the braces.

To Imitate the Movements of Breathing .—Standing at the patient’s head, grasp the arms just above the elbows, and draw the arms gently and steadily upwards above the head, and keep them stretched upwards for two seconds. (By this means air is drawn into the lungs.) Then turn down the patient’s arms, and press them gently and firmly for two seconds against the sides of the chest. (By this means air is pressed out of the lungs.)

Repeat these measures alternately, deliberately, and perseveringly about fifteen times in a minute, until a spontaneous effort to respire is perceived, immediately upon which cease to imitate the movements of breathing, and proceed to Induce Circulation and Warmth.

IV. Treatment after Natural Breathing has been Restored—to Promote Warmth and Circulation.

Commence rubbing the limbs upwards, with firm grasping pressure and energy, using handkerchiefs, flannels, etcetera: (by this measure the blood is propelled along the veins towards the heart.)

The friction must be continued under the blanket or over the dry clothing.

Страница 72 из 73

Назад 1…71 72 73 Далее