The woman was quickly cut down, and the medical officers summoned. In the interval cold affusion was resorted to by the attendant in charge, but the patient was to all appearances dead. The junior assistant medical officer, Mr. J. Reynolds Salter, M.B. Lond., arrived after about three minutes, and at once resorted to artificial respiration by the Silvester method. A minute or so later the medical superintendent and myself joined him. At this time the condition of the patient was as follows: The face presented the appearance known as facies hippocratica: the eyeballs were prominent, the corneæ glassy, the pupils widely dilated, not acting to light, and there was no reflex action of the conjunctivæ; the lips were livid, the tongue tumefied, but pallid, the skin ashy pale, the cutaneous tissues apparently devoid of elasticity. There was an oblique depressed mark on the neck, more evident on the left side; the small veins and capillaries of the surface of the body were turgid with coagulating blood the surface temperature was extremely low. She was pulseless at the wrists and temples. There was no definite beat of the heart recognizable by the stethoscope. There was absolute cessation of all natural respiratory efforts, complete unconsciousness, total abolition of reflex action and motion, and galvanism with the ordinary magneto-electric machine failed to induce muscular contractions. The urine and fæces had been passed involuntarily during or immediately subsequent to the act of suspension. As the stethoscope revealed that but a small amount of air entered the lungs with each artificial inspiration, the tongue was at once drawn well forward, and retained in that position by an assistant, with the result that air then penetrated to the smaller bronchi. Inspiration and expiration were artificially imitated about ten times to the minute. In performing expiration the chest was thoroughly compressed. The lower extremities were raised, and manual centripetal frictions freely applied. In the intervals of these applications warmth to the extremities was resorted to. About ten minutes from the commencement of artificial respiration we noticed a single weak spasmodic contraction of the diaphragm, the feeblest possible effort at natural respiration. Simultaneously, very distant weak reduplicated cardiac pulsations, numbering about 150 to the minute, became evident to the stethoscope. The reduplication implied that the two sides of the heart were not acting synchronously, owing to obstruction to the pulmonary circulation induced by the asphyxiated state. Artificial respiration was steadily maintained, and during the next half hour spasmodic contractions of the diaphragm occurred at gradually diminishing intervals, from once in three minutes to three or four times a minute.