The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to SeamenFalck, N. D. (Nikolai Detlef)
Science
The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to Seamen
Falck, N. D. (Nikolai Detlef)
First aid in illness and injury -- Early works to 1800; Medicine, Popular -- Early works to 1800
To understand this properly, we must first observe, that a continual
supply of fresh air is requisite for the circulation of the blood;
partly and principally for its motion, and partly from the nourishment
the blood actually receives from the air. In the next place, we must
also consider, that the lungs, appropriated barely for respiration, are
so very delicate in the irritability throughout the larynx, aspera,
bronchea, and vesicles themselves, that the least heterogeneous particle
stimulates them to a convulsive expulsion, of what seems obnoxious to
them, and thence excites a cough. But, when the parts are too
irritating, the lungs are excited to a universal constriction, and
occasions strangling. This we find is the case when in drinking or
swallowing our aliment, that the least morsel happens by mischance
coming the wrong way (as it is called) that is, into the larynx,
occasions a heavy cough, or even a suffocation; to obviate which, nature
has formed the epiglottis in the larynx, like a flap, that opens in
respiration, but is always shut in the act of deglutition, except by
some mischance or other, that it becomes lame, and unable to do its
office.
These circumstances considered, we shall not only be able to account for
the act of drowning, but discover the principles that furnishes us with
probabilities of restoring life again.
I have mentioned three kinds of drowning that at present occurs to my
memory; and unless that some blood vessels, either in the lungs or in
the brains, or in some other principal viscera are burst; or, that the
lungs are so much filled with water, as to be unable to recover their
respirative functions again, (which is seldom the case) or, that the
whole nervous system has received a universal paralytic shock by the
chill of the Water in the stomach, so as to be robbed of its
irritability, either way of drowning is recoverable. For the whole
mystery consists, in setting the animal automaton or clock-work in
motion, again; to stimulate the nerves to their sensation; to set the
heart a pumping; and the lungs, in order to push forward the fluids, in
respiration. I could say much on the subject; but philosophy aside, let
us endeavour to recover the man to life again.
_The Method to recover a drowned Person._
Three things are to be the intention to restore life in a person taken
up for drowned.
1. To liquify the fluids. For the moment the circulation of the fluids
is stopt, the blood and lymph congeals; and after this, putrefaction
gradually commences.
2. To stimulate the nerves. For on the irritability of the nerves life
itself depends; and which sets every thing in the animal fabric in
motion.
3. To restore respiration. For without this, neither can the blood
circulate nor the nerves have sensibility.
Public-domain text, read in full here on John Shaqi.
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