DROWNING

The cause of death from submersion in water is the entire seclusion of air from the lungs, by which the aëration of the venous blood is prevented. In consequence of this deprivation of air, venous blood circulates through the arterial system, whilst the pulmonary vein ceases to convey oxygenated blood to the heart. Under ordinary circumstances, in the course of 4 or 5 minutes after the acce of air has been cut off, life becomes extinct. Many cases have, neverthele , occurred of persons being submerged for 15 or 20 minutes, and even longer, and where perfect insensibility has existed, in which recovery has taken place. Prev. The specific gravity of the human body is le than that of water, so long as the lungs are partially filled with air; and this difference is sufficient to keep the body floating with the mouth and nostrils free for respiration, provided the face is turned upwards by throwing the head back on the shoulders, by which the weight of the head is sustained by the water. When a person throws himself into the water, the body rises rapidly to the surface and a umes nearly the erect position, the upper part of the head, down to a little below the eyes, remaining above the surface of the water. This arises from the greater density of the legs and thighs compared to that of the chest, which acts as a species of float or buoy to the rest of the body. In this situation the head may be thrown back, so that the face may form the exposed portion, as before mentioned, when respiration may be carried on without inconvenience in still water, and regularly, but sufficiently, so as to sustain life for some time, even in a rough sea. The adoption of this simple precaution would have saved you sands of valuable lives. Another point which should be remembered by every person in danger of drowning is, that there is always a considerable amount of residual air in the lungs, in a nearly deoxidised state, and that if this air is expelled by two or three forced inspirations, and a deep inspiration is then taken, a larger quantity of vital air will be introduced into the lungs, and the blood will continue aërated for a proportionally longer time; and consequently, a longer period will elapse before another inspiration will be required. If we prepare ourselves by taking two or three forced inspirations, and then take a full inspiration, we may remain for 1 1 ⁄ 2 or 2 minutes before a second attempt at respiration need be made. This is the plan adopted by the pearl fishers, and other divers who are remarkable for remaining beneath the surface of the water for some time. A person in danger of shipwreck, or expecting immediate submersion, in any other situation, should have recourse to this expedient, which would prevent the dreadful effects of attempting respiration whilst under water. Treat. The first object is the restoration of the animal heat. For this purpose, the wet clothes should be removed, and the body, after being well dried, surrounded with warm air. In the absence of a warm-air bath, the body may be laid between well-heated blankets, and bottles of hot water applied to the feet and armpits. Gentle friction with warm flannel or the hands should also be a iduously employed. Meanwhile attempts should be made to excite respiration artificially; and when the apparatus is at hand, slight shocks of electricity should be kept up at the same time. On the appearance of returning life, such as sighing or convulsive twitching, a vein may be opened. The throat may be tickled with the finger or a feather, to excite vomiting, and a teaspoonful of warm water administered. If the power of swallowing exists, a table-spoonful of warm wine or brandy and water may be given. Even if no symptom of returning animation appear, these means of recovery should be persisted in for three or four hours. In the treatment of this species of asphyxia, nasal stimulants, as ammonia, aromatic vinegar, ., should be avoided, as well as the injection of tobacco smoke, both of which have been found highly prejudicial. The practice of holding the body with the head downwards, which is sometimes adopted by the vulgar and ignorant, under the idea of allowing the water to run out by the mouth, is still more dangerous and absurd. The supposition that water is inhaled by drowning persons instead of air is perfectly fallacious. The peculiar mechanism of the glottis, or upper portion of the windpipe, is such as to prevent, by the spasmodic closure of the epiglottis, the entrance of more than a very trifling and accidental quantity of water, which is altogether too insignificant to produce any very injurious effects. See Asphyxia .