Artificial respiration by the H. N. method. (1940?)

[Music] artificial respiration must be employed immediately in cases of asphyxiation caused by drowning excessive coal household gas drugs electricity accident [Music] exhaust gas hanging the zero line of this picture indicates the resting position of the sorex natural inspirations start from this position and are shown as downstrokes expirations as upstrokes the title volume is 5 to 600 CCS the next figure shows how the Schaffer method by applying pressure to the chest can produce a small exploration inspiration will be caused by the elastic recoil of the thorax the Hagen Newton method is a double-acting method it produces exploration in the same way as the Schaffer method but also causes an inspiratory movement by relieving some of the pressure acting on the victims chest the tidal volume is on an average 500 CCS start immediately turn the patient to the prone position with her forehead resting on her hands give her two to three slaps on the back to make her tongue fall forward the riskier now goes down on one knee played six to ten inches from the top of the patients head and places the other foot near one of her elbows her hands are placed on the patient's back at shoulder blade level in order to produce exploration the riskier lets her body swing forward on straight arms until they are vertical then the rescuer lets her hands slide back and grasp the patient's upper arms near the elbows whereupon she swings backwards lifting patience arms keeping her own arms straight this arm lift will cause an inspiration now the rescuer places the patients elbows on the ground and continues with a new pressure movement and so on the motion must be rhythmic gentle and steady one two three four five six seven eight one two three four five six seven eight one two three J five six this rhythm will give a rate better a rate of nine to ten per minute the rescuer has placed herself in a line with the patient's body with the thumbs touching and parallel to the spine this gives an equal distribution of weight one two three four five six seven eight one two three chains five six seven change in this method two movements are applied here we see the first movement the application of pressure on the back note that at the start the rescuers arms are in an oblique position and that the body swings forward until the arms are vertical during the whole movement the rescuer keeps our own arms straight smooth rhythm no jerks one two three the rescuers hands are placed on the patient's back the thumbs along the spine and the palms on the back and the fingers pointing towards the patient's feet the second movement is the arm lift the rescuer performs a steady lifting and pulling motion almost like a rowing movement note that our arms are straight throughout smooth rhythm five six seven five six seven for this movement the rescuer takes hold of the patient's arms just above the elbows one two three four five six seven eight one two three four five six seven eight one two three four five six seven eight one two three four five six seven eight one two three chain five six seven chains one two three chains five six seven chain the artificial respiration must be continued without a break if the rescuers me become so it is easy for her to change to the other without stopping and without breaking the rhythm if the movements are carried out smoothly it is not difficult to go on for four hours or even longer without undue fatigue one two three chains five six seven chains if one operator has to be relieved by another the new operator places one foot near the patient's free elbow count in the same rhythm as the first and on a given sign he slides in starting with the pressure movement without breaking the rhythm 1 2 3 4 5 6 7 8 1 2 3 chain 5 6 7 J 1 2 3 chain 5 6 7 chain 1 2 two three chains five six seven chains Colonel Hulka Nielsen who invented this method in 1932 was present himself during the production of the film he was born in 1866 as a swimming instructor he introduced the Shafer method to Denmark in 1907 and from this he developed his own system here we see the method applied to children over four years of age the pressure is produced by the fingers only and the rate is now twelve to the minute if the child is under four years of age it is placed with its arms by its side the pressure movement is performed by the thumbs while the inspiratory movement is just a shoulder lift the rates being about 15 to the minute this shoulder lift might also be applied in children and adults in cases where the arms are injured in Denmark this method is used by the Red Cross the Life Saving Society the Armed Forces the Fire Brigades the Scout Movement and it is taught to the medical student of the University and in the schools too the children are instructed in the Danish called the Newton method of artificial respiration [Music]