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are strongly raised above the head, thus stretching the pectoral muscles and causing hereby an active inspiration. The expiration is accomplished pas- sively by returning the arms to the side of the sub- ject. This method was recommended by the viagra prescription india first Committee on Resuscitation appointed by The Royal Humane Society in 1861, and it is still largely in use in many parts of the world. In Germany it was adopted with a modification by Frosch: instead of returning the arms to the side of the patient, they are pressed on the cartilaginous part of the thoracic ribs, causing hereby some degree of active expira- tion. I wish to add that the last-mentioned pro- cedure may possibly have the further advantage that it is capable of producing some stinndation of the heart. By the antagonists of the Sylvester method, it is accused that in some instances it has caused fracture of the ribs and even rupture of the liver. About 1871, Howard, a police surgeon of New York, suggested another method, namely, to place the subject in the supine posture, supported by a pillow, to apply the palms of the hands on the prominent parts under the subcostal margins, viagra prescription india and to force the abdominal contents upward; thus pro- July 7, 1917J MEDICAL RECORD. during active expiration. The inspiration is pro- duced passively by the recoil of the ribs and the return of the abdominal contents to their original place. The method did not find favor, and it even has been alleged that rupture of the liver is apt to follow a too vigorous use of the Howard method. In 1899 the Royal Medical and Chirurgical bo- ciety instituted its fourth committee. "Professor E. A. Schafer was a member, but ultimately became the committee, and his report, read in 1903, is one of viagra prescription india the most jelly viagra sale important contributions ever made to the literature of resuscitation" (.Keith). The method which he recommended is now known by his name or as the "prone method." The subject is placed face downwards, the chest resting directly on the floor. The operator kneels astride the prone subject and places his hands over the lower ribs and the lumbar parts on each jelly viagra sale side of the spine. To produce the expiratory movement the operator, keep- ing his arms outstretched, brings the weight jelly viagra sale of his body on the lower dorsal region of the patient; the abdominal viagra prescription india viscera are hereby powerfully compressed and forced against the diaphragm and lungs, which are thus brought into a position of ultra expiration. The recoil which occurs when the operator's weight is withdrawn causes an inspiration. In principle Schafer's method is identical with that of Howard, except that it is easier to perform and has viagra prescription india the im- portant advantage that, the subject being in viagra prescription india a prone position, the tongue falls forward viagra prescription india and thus does not interfere with the entrance of air into the larynx." Some eight years ago a committee appointed by The Royal Society of Medicine recommended Schafer's method in preference to that of Marshall Hall or Sylvester. Nevertheless, The Royal Society and other life-saving associations still give, I be- lieve, preference to the Sylvester method. In the United States two commissionsf investi- gated the methods of resuscitation. Both came to the conclusion that Schafer's method is preferable to that of Sylvester. Before mentioning other methods of artificial respiration employed in the last two or three de- cades in resuscitation, I wish to refer here to La- borde's method of traction of the tongue, although it can hardly be considered as a method of artificial respiration. There is no doubt that in some in- stances, especially in accidents from anesthesia, a few tractions of the tongue may reestablish respira- tion. It is evident that in most of these cases the aid is rendered jelly viagra sale by lifting the epiglottis away from *Several years ago in a conversation which we had in London, Professor Schafer remarked that "if he were now confrnoted with the task of resuscitation he would kneel astride viagra prescription india over the subject and perform the simple motions of horseback riding without employing his hands and arms at all." t On the first commission Drs. Cannon, Crile, Yan- dell Henderson, and Meltzer represented the American Medical Association; Dr. Spitzka jelly viagra sale and Mr. Elgin repre- sented the National Electric Light Association, and Drs. Kennelly and Elihu Thomson represented the Gen- eral Electric Company. Dr. Cannon was elected chair- man and Mr. W. D. Weaver, then editor of the Elec- trical World, was elected secretary of the commission. Mr. Elgin, past president of the National Electric Light Association, deserves special credit for the creation and success of this committee. The second commission was appointed by the Bureau of Mines of the Department of the Interior and consisted of Drs. Cannon, Crile, Erlanger, Henderson, and Meltzer; the report of this commission is known as "Technical Paper No. 77." the entrance into the larynx. However, it is not this effect which Laborde had in mind. He states that he succeeded by his method in resuscitating from drowning even after there was jelly viagra sale no respiration for one hour. Laborde believes that the favorable effect is due to reflex action through the glosso- pharyngeal and other nerves. Soon after Laborde's communication -there were some favorable reports jelly viagra sale from the use of this method, especially in France. However, in recent years I have not come across any mention of this method in the medical literature. Besides the previously mentioned manual methods in the last three decades a goodly number of pro- cedures were proposed, and partly came into use,