Drowning--Shafer Method
Categories:
Xii Accidents
Secure a doctor if possible, but do not wait for him. Do not _wait_ for
anything; what you do, do _instantly_.
As soon as the rescued person is out of the water begin treatment to
restore respiration, that is, to make her _breathe_. If you can do this
her life will probably be saved. Not until the patient breathes
naturally must you work to bring warmth and circulation to the body. To
promote circulation
before_ the patient _breathes naturally_ may
endanger her life.
First quickly loosen the clothes at waist and neck; then turn the
patient face downward on the ground with face either downward or turned
to one side, arms extended above the head, and with chest raised
slightly from the ground and resting upon your folded skirt. Also place
something beneath her forehead to raise her nose and mouth from the
ground. This will allow the tongue to fall forward. If it does not,
grasp it with handkerchief and pull forward; this will permit the water
to run out and will provide room for breathing.
As in cases of fainting, so with drowning patient, she must have all the
air possible, for she is being suffocated with water, so do not allow a
crowd to form around her. Keep every one back except those assisting in
the actual work of restoration.
With the patient in the position described, kneel by her side or, better
still, astride of her, and let your hands fall into the spaces between
the short ribs. With your fingers turned outward and your weight falling
upon the palms of your hands, press steadily downward and forward to
expel the air from the lungs. Hold this position a fraction of a second,
count four, then gradually release the pressure to allow the air to
enter again through the throat. Count four, and again press down.
Continue this treatment for a while, then, using another method, slip
your hands under the patient at the waist-line and lift her up
sufficiently to allow her head to hang down as in illustration.
Lower her gently and lift again. Do this several times. You will find
that the movement will force the water from the lungs out of the mouth
and help to produce artificial respiration.
Return to the first method and continue the treatment until the breath
comes naturally. It may be an hour or two before there are any signs of
life such as a gasp or slight movement, then the breath must be
carefully aided by more gentle pressure until it comes easily without
help.
Do not give up hope, and _do not stop working_. The work may be
continued many hours if done in relays, that is, several girls taking
part, each one in her turn. Remember, however, the treatment must be
continuous and no time be allowed to elapse when the change is being
made.