Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
would prefer a charge of insincerity against their authors, or attempt
to withhold any portion of that public patronage and consideration, to
which their zeal and philanthropy so justly entitle them.
The agents which are employed in cases of suspended animation, are far
too indiscriminately recommended; some of them, without doubt, offer
valuable resources to the physician, and only require a judicious
application to ensure their success; while others are entirely useless
and frivolous, and ought to be dismissed from our service, since the
retaining them only embarrasses the practitioner, and that too at a
period which of all others requires the utmost decision in the selection
of a plan of treatment, and the greatest promptness in its execution.
The following may be considered as the principal resources upon which
the _Humane Society_ rely for restoration of persons apparently dead
from sudden accidents, viz.
1. _Inflation of the lungs._
2. _Application of heat._
3. _Internal Exhibition of stimulants._
4. _Friction._
5. _Electricity._
6. _Exposure of the surface of the body to cool air._
7. _Blood-letting._
We shall offer a few observations upon the methods of applying these
agents.
_On the manner of producing artificial respiration._
We are indebted to _Mr. Brodie_ for the valuable directions that are to
guide the execution of this important operation. (_Manuscript Notes._) A
common pair of bellows will be found as manageable and efficient an
apparatus for the inflation of the lungs, as any instrument that could
be contrived; those manufactured for the service of the Humane Society
are not of a size sufficient to inflate the lungs of even a large dog,
much less those of man; nor is it necessary to employ double bellows on
this occasion, for the air will escape from the lungs without being
withdrawn by suction; besides which, it is stated that the forcible
exhaustion of the lungs is liable to occasion pulmonic hemorrhage. It
has been proposed to insert the tube of the bellows into the trachea, by
means of a wound in that structure, but there are great objections to
such a proceeding; the hemorrhage which is likely to occur,[68] may
inundate the windpipe; besides which, the operation occasions delay,
which, however trifling, will be important in cases where the action of
the heart has become much enfeebled; and moreover the wound itself is an
evil which ought to be avoided, if artificial respiration can be
established without it; and were these objections even overruled, there
still remains another; experience has shewn that the air thus introduced
issues by the opening of the larynx, without having dilated the lungs.
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