Inflation and deflation are effected by an injector driven by compressed
oxygen; this alternately drives fresh air enriched with oxygen into the
lungs and then by suction empties them again. While with the mechanical
appliances of resuscitation belonging to older systems the hand of the
helper regulated the rate of breathing, in the case of the Pulmotor
the lungs, according to their size, automatically fix the rate of
breathing; as soon as the lungs are filled the apparatus of its own
accord marks the moment for ‘deflation,’ and as soon as they are emptied
of ‘inflation.’ This automatic reversal is effected by a little bellows
which is connected with the air tubes. During inflation the same pressure
is exerted in the bellows as in the lungs. As soon as the lungs are
filled, the pressure in the bellows increases and it expands, its forward
movement causing the reversal to deflation. When the lungs are emptied
the bellows contracts, and through this contraction results the reversal
to inflation.
If, in an exceptional case, the breathing for some reason does not act
automatically, the hand of the helper can manipulate it by means of a
backward and forward movement of a lever. According to choice, either a
nose-mask or a mask covering both mouth and nose can be worn.
Combined with the regular apparatus for resuscitation is an ordinary
apparatus for the inhalation of oxygen; by the simple altering of a
lever, either the one or the other can be employed.
II. INDUSTRIAL POISONING IN PARTICULAR INDUSTRIES
After the foregoing general remarks we may now consider various points of
view in regard to classification of industrial poisonings into groups:
(1) Toxicological, based on the action of the poisons.
(2) Chemical, based on the chemical composition of the poisons.
(3) Physical, based on the varying density of the poisons.
(Division into solid (in form of dust), gaseous, and liquid
poisons.)
To which may be added:
(4) Classification according to the source of the poisoning and
therefore according to industry, upon which Part I is mainly
based.
In this section (Part II) a system is adopted which takes into
consideration as far as possible all the principles of division mentioned
above, in order to classify industrial poisonous substances in such a
manner that general practical conclusions can be clearly drawn, and
supervision rendered easy.
_GROUP: MINERAL ACIDS, HALOGENS, INORGANIC HALOGEN COMPOUNDS, ALKALIS_
Common to this group is a strong corrosive and irritant effect, varying
however in degree; as gases this group corrode or inflame the mucous
membrane of the respiratory passages, and in liquid form or in solution,
the skin.
Besides this superficial effect single members of this group, especially
those containing nitrogen, produce a remote effect upon the blood.
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