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262 DENTAL MEDICINE.

the respiratory muscles ; the inhalation of gtt. iij to gtt. iv of
nitrite of amyl ; ammonia to the nostrils ; galvanism (the positive
pole being placed to the nostril, and the negative pole over the
diaphragm, to excite a reflex action between the fifth pair and
the pneumo-gastric, or the poles may be placed directly over both
phrenic nerves, on a line with the fourth cervical vertebra, in
order to stimulate respirations ; or one pole may be placed over
the upper dorsal spinous process, and the other pole over the
apex of the heart, to induce cardiac contraction). Artificial
warmth should be applied, but no cold applications.
The inversion of the body according to Nelaton's method, and
artificial respiration, according to Sylvester's method or Marshall
Hall's ready method, or Howard's method, are safe and are the most
promising expedients. A simple method of producing artificial
respiration is as follows :
" With outspread palms, press the front of the chest forcibly
down, whilst an assistant at the same time presses the abdomen.
Make these movements not oftener than fifteen times in the
minute."
DR. H. R. Sylvester's method of resuscitationt.

" To Adjust the Patient's Position.—Place the patient on his
back, on a flat surface; raise and support the head and shoulders
on a small, firm cushion, or folded article of dress, placed under

















the shoulder-blades ; remove all tight clothing about the neck
and chest.
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