Volume 6

Sajous's analytic cyclopedia of practical medicine / by Charles E. de M. Sajous ... assisted by Louis T. de M. Sajous ... with the active co-operation of over one hundred associate editors.

  • Charles E. de M. Sajous
Date:
1922-
Catalogue details

Licence: Public Domain Mark

Credit: Sajous's analytic cyclopedia of practical medicine / by Charles E. de M. Sajous ... assisted by Louis T. de M. Sajous ... with the active co-operation of over one hundred associate editors. Source: Wellcome Collection.

    883/890 (page 841)
    this feature is left to the resiliency of the thorax. The chances of recovery may be greater, therefore, when the Sylves- ter-Howard method is employed. More¬ over, the latter facilitates the use of a valuable auxiliary measure: the Laborde tongue-traction method, which consists in seizing the tip of the tongue with the napkin-covered fingers, and fully drawing out the organ, rhythmically, 16 times a minute. This procedure in itself, through excitation of the respiratory centers, is capable of restoring the breathing process in some cases, and thus constitutes a valu¬ able adjunct to artificial respiration. The intravenous use of warm saline solution (105° F.) with 20 minims of 1: 1000 adren¬ alin chloride solution added drop by drop to the saline solution (by sticking the needle of the hypodermic syringe into the rubber tube conveying the latter) is an¬ other potent aid—owing to its stimulating action on the cardiovascular mechanism. At the meeting of the Resuscitation Commission held in New York on May 17, 1918, Professor Schafer in a communi¬ cation informed the members (Med. Rec¬ ord, Dec. 28, 1918) that “the prone [or Schafer] method has been adopted exclu¬ sively for about 12 years by the Royal Life Saving Society, the only important organi¬ zation in the British Empire whose object is the resuscitation of the apparently drowned. It has also been adopted for several years by the London and other police forces, by the Board of Trade, by the Army and the Navy. The most im¬ portant thing is in cases of drowning to have something ready which any man can use; which will effect respiratory exchange —whether exactly as much as normal mat¬ ters very little.” In the discussion following the presen¬ tation of methods and evidence to the commission the following facts were em¬ phasized: (1) That in most accident cases no resuscitation apparatus was at hand for immediate use. (2) That reliance upon the use of special apparatus diminished greatly the tendency to train persons in the manual methods and discouraged the prompt and persevering use of such methods. (3) That police officers or physicians often interfered with the proper execution of manual methods, in that they directed that the patient be removed in an ambulance to some hospital, thus inter¬ rupting the continuance of artificial re¬ spiration. (4) That in many hospitals the members of the staff were not all ac¬ quainted with the methods of artificial respiration. (5) That in medical schools instruction was not properly provided for students in the manual methods of arti¬ ficial respiration. In 2 patients an injection of 1 c.c. (16 minims) of adrenalin and 0.5 c.c. (8 minims) of pituitrin into the left ventricle a few minutes after the heart had stopped beating started the heart beat again, but both died within an hour. In a case of bullet wound of the heart a similar injection revived the heart and the patient seemed to be doing well until pericarditis proved fatal on the second day. The fourth patient had a severe contusion of the chest and upper abdomen. The heart stopped beating during an exploratory laparotomy and could not be revived by massage; 1.5 c.c. (24 minims) of a 1:1000 adrenalin solution were in¬ jected in the pericardium through the fourth interspace, inside the nipple line, to a depth of about 2 cm. The heart then began to beat again, and an in¬ travenous injection of 700 c.c. (1% pints) salt solution with 10 drops of adrenalin and 0.5 c.c. (8 minims) of pituitrin was made at once. This patient recovered. K. Henschen (Schweizer. med. Woch. Apr. 1, 1920). S. LIBRARY v 'P rx x/'Vj