The Lifeboat Part 22

5. When the hawser is got on board, the crew should at once make it fast to the same part of the ship as the tailed block is made fast to, only about 18 inches _higher_, taking care that there are no turns of the whip line round the hawser.

6. When the hawser has been made fast on board, the signal directed by Article 1 above is to be repeated.

7. The men on sh.o.r.e will then pull the hawser taut, and by means of the whip line will haul off to the ship a sling life-buoy fitted with petticoat breeches. The person to be hauled ash.o.r.e is to get into this sling, thrusting his legs through the breeches, and resting his armpits on the lifebuoy. When he is in and secure, one of the crew must be separated from the rest, and again signal to the sh.o.r.e as directed in Article I above. The people on sh.o.r.e will then haul the person in the sling to the sh.o.r.e, and when he has landed will haul back the empty sling to the ship for others. This operation will be repeated to and fro until all persons are hauled ash.o.r.e from the wrecked vessel.

8. It may sometimes happen that the state of the weather and the condition of the ship will not admit of the hawser being set up, in which case the sling will be hauled off instead, and the persons to be rescued will be hauled in it through the surf instead of along the hawser.

Masters and crews of wrecked vessels should bear in mind that the success in landing them may in a great measure DEPEND UPON THEIR COOLNESS AND ATTENTION TO THE RULES HERE LAID DOWN; and that by attending to them many lives are annually saved by the Mortar and Rocket Apparatus on the coasts of the United Kingdom.

The system of signalling must be strictly adhered to; and all women, children, pa.s.sengers, and helpless persons should be landed before the crew of the ship.--BOARD OF TRADE, 22nd _December_ 1859.

Note 2. It is of immense importance that every man in the kingdom should possess some degree of knowledge on the subject of the restoration of persons apparently drowned, for no one can tell at what moment he may be called upon, in the absence of medical aid, to act in a case of this nature. We therefore make no apology for here giving in full the rules which have been adopted by the National Lifeboat Inst.i.tution. They run as follows:

I. Send immediately for medical a.s.sistance, blankets, and dry clothing, but proceed to treat the patient _instantly_ on the spot, in the open air, with the _face downwards_, whether on sh.o.r.e or afloat; exposing the face, neck, and chest to the wind, except in severe weather, and removing all tight clothing from the neck and chest, especially the braces.

The points to be aimed at are--first and _immediately_, the RESTORATION OF BREATHING; and secondly, _after_ breathing is restored, the PROMOTION OF WARMTH AND CIRCULATION.

The efforts to _restore breathing_ must be commenced immediately and energetically, and persevered in for one or two hours, or until a medical man has p.r.o.nounced that life is extinct. Efforts to promote _warmth_ and _circulation_ beyond removing the wet clothes and drying the skin must _not_ be made _until_ the first appearance of natural breathing. For if circulation of the blood be induced before breathing has recommenced, the restoration to life will be endangered.

II. TO RESTORE BREATHING.

TO CLEAR THE THROAT.--Place the patient on the floor or ground with the face _downwards_, and one of the arms under the forehead, in which position all fluids will more readily escape by the mouth, and the tongue itself will fall forward, leaving the entrance into the windpipe free. a.s.sist this operation by wiping and cleansing the mouth.

If satisfactory breathing commences, use the treatment described below to promote warmth. If there be only slight breathing, or no breathing, or if the breathing fail, then:--

TO EXCITE BREATHING--Turn the patient well and instantly on the side, supporting the head, and excite the nostrils with snuff, hartshorn, and smelling salts or tickle the throat with a feather, etcetera, if they are at hand. Rub the chest and face warm, and dash cold water, or cold and hot water alternately, on them.

If there be no success, lose not a moment, but instantly:--

TO IMITATE BREATHING--Replace the patient on the face, raising and supporting the chest well on a folded coat or other article of dress.

Turn the body very gently on the side and a little beyond, and then briskly on the face, back again; repeating these measures cautiously, efficiently, and perseveringly about fifteen times in the minute, or once every four or five seconds, occasionally varying the side.

[_By placing the patient on the chest the weight of the body forces the air out; when turned on the side this pressure is removed, and air enters the chest_.]

On each occasion that the body is replaced on the face make uniform but efficient pressure with brisk movement, on the back between and below the shoulder-blades or bones on each side, removing the pressure immediately before turning the body on the side. During the whole of the operations let one person attend solely to the movements of the head, and of the arm placed under it.

[_The first measure increases the expiration, the second commences inspiration_.]

The result is _respiration_ or _natural breathing_, and, if not too late, _life_.

Whilst the above operations are being proceeded with, dry the hands and feet; and as soon as dry clothing or blankets can be procured, strip the body and cover, or gradually re-clothe it, but taking care not to interfere with the efforts to restore breathing.

III. Should these efforts not prove successful in the course of from two to five minutes, proceed to imitate breathing by Dr Silvester's method, as follows:--

Place the patient on the _back_ on a flat surface, inclined a little upwards from the feet; raise and support the head and shoulders on a small firm cushion or folded article of dress placed under the shoulder-blades.

Draw forward the patient's tongue, and keep it projecting beyond the lips; an elastic band over the tongue and under the chin will answer this purpose, or a piece of string or tape may be tied round them, or by raising the lower jaw the teeth may be made to retain the tongue in that position. Remove all tight clothing from about the neck and chest, especially the braces.

TO IMITATE THE MOVEMENTS OF BREATHING.--Standing at the patient's head, grasp the arms just above the elbows, and draw the arms gently and steadily upwards above the head, and _keep them stretched_ upwards for two seconds. (_By this means air is drawn into the lungs_.) Then turn down the patient's arms, and press them gently and firmly for two seconds against the sides of the chest. (_By this means air is pressed out of the lungs_.)

Repeat these measures alternately, deliberately, and perseveringly about fifteen times in a minute, _until a spontaneous effort to respire is perceived_, immediately upon which cease to imitate the movements of breathing, and proceed to INDUCE CIRCULATION AND WARMTH.

IV. TREATMENT AFTER NATURAL BREATHING HAS BEEN RESTORED--TO PROMOTE WARMTH AND CIRCULATION.

Commence rubbing the limbs upwards, with firm grasping pressure and energy, using handkerchiefs, flannels, etcetera: [_by this measure the blood is propelled along the veins towards the heart_.]

The friction must be continued under the blanket or over the dry clothing.

Promote the warmth of the body by the application of hot flannels, bottles or bladders of hot water, heated bricks, etcetera, to the pit of the stomach, the arm-pits, between the thighs, and to the soles of the feet.

If the patient has been carried to a house after respiration has been restored, be careful to let the air play freely about the room.

On the restoration of life a teaspoonful of water warm should be given; and then, if the power of swallowing have returned, small quant.i.ties of wine, warm brandy and water, or coffee, should be administered. The patient should be kept in bed, and a disposition to sleep encouraged.

GENERAL OBSERVATIONS.

The above treatment should be persevered in for some hours, as it is an erroneous opinion that persons are irrecoverable because life does not soon make its appearance, persons having been restored after persevering for many hours.

APPEARANCES WHICH GENERALLY ACCOMPANY DEATH.--Breathing and the heart's action cease entirely, the eyelids are generally half-closed, the pupils dilated, the jaws clenched, the fingers semi-contracted; the tongue approaches to the under edges of the lips, and these, as well as the nostrils, are covered with a frothy mucus. Coldness and pallor of surface increase.

CAUTIONS.--Prevent unnecessary crowding of persons round the body, especially if in an apartment.

Avoid rough usage, and do not allow the body to remain on the back unless the tongue is secured.

_Under no circ.u.mstances_ hold the body up by the feet.

_On no account_ place the body in a warm bath, unless under medical direction, and even then it should only be employed as a momentary excitement.

CHAPTER FOURTEEN.

THE MORNING AFTER THE STORM.

On the fifth morning that succeeded the breaking of the storm, described in the last chapter, the sun rose in gorgeous splendour and shone upon a sea that was clear and burnished like a sheet of gla.s.s. The wind had ceased suddenly, and a perfect calm prevailed; but although no breath of air ruffled the surface of the deep, the long swell rose and fell as if the breast of ocean were still throbbing from its recent agitation.

All along the east coast of England this swell met the sh.o.r.e in a succession of slow-rolling waves, which curled majestically over, and appeared almost to pause for a moment ere they fell, with deep solemn roar, in a magnificent burst of foam.

Everywhere the effects of the storm were painfully evident. Wrecks could be counted by the dozen from some of the bold headlands that commanded an extensive view of the sh.o.r.e. The work of destruction was not yet over. The services of our lifeboats could not yet be dispensed with although the fury of the winds had ceased.

It is a mistake to suppose that when a gale has ceased, all danger to man and destruction to his property is over. We are apt to attribute too much influence to the winds. Undoubtedly they are the origin of the evil that befalls us in storms, but they are not the _immediate_ cause of the wholesale destruction that takes place annually among the shipping of the kingdom. It is the mighty hydraulic force of the sea,-- the tremendous lifting power of the waves, that does it all.

Although the storm was over and the wind had gone down, the swell of the ocean had not yet ceased to act. On many a headland, and in many a rocky bay, brigs, schooners, barques, and ships of large size and stout frame, were that day lifted and battered, rent, torn, riven, and split by the sea as if they had been toys; their great timbers snapped like pipe-stems, and their iron bars and copper bolts twisted and gnarled as if they had been made of wire.

The hardy men of Deal were still out in those powerful boats, that seem to be capable of bidding defiance to most storms, saving property to the nation, and earning--hardly earning--salvage for themselves. The lifeboats, too, were out,--in some cases saving life, in others, saving property when there were no lives in danger.