4

Provincial Secretary\'s Office, Nelson,
January 25, 1864.

HIS Honor the Superintendent
directs it to be notified that the Order
of the Justices, dated at Nelson the 22nd
day of December, 1863, for the alteration of
certain Roads under the provisions of "Alter-
ation of Roads Act, 1854," and which alter-
ations are fully described in the Notices of
the Chief Surveyor and Provincial Engineer,
published in the Nelson Government Gazette
No. 35, of the 24th October, 1863, has been
confirmed by the Superintendent and Execu-
tive Council.

J. C. RICHMOND,
Provincial Secretary.

Provincial Secretary\'s Office, Nelson,
January 25, 1864.

HIS Honor the Superintendent
directs the publication of the following
Instructions for Restoring the Apparently
Dead, issued by the Royal Humane Society.

J. C. RICHMOND,
Provincial Secretary.

ROYAL HUMANE SOCIETY\'S
INSTRUCTIONS.

DIRECTIONS FOR RESTORING THE
APPARENTLY DEAD.

I.—If from Drowning or other Suffoca-
tion, or Narcotic Poisoning.—Send imme-
diately for medical assistance, blankets, and
dry clothing; but proceed to treat the patient
instantly, securing as much fresh air as pos-
sible.

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 life must be per-
severed in until the arrival of medical assis-
tance, or until the pulse and breathing have
ceased for at least an hour.

TREATMENT TO RESTORE
NATURAL BREATHING.

RULE 1.—To Maintain a free Entrance
of Air into the Windpipe.—Cleanse the
month and nostrils; open the mouth; draw
forward the patient\'s tongue, and keep it
forward: an elastic band over the tongue
under the chin will answer this purpose.
Remove all tight clothing from about the
neck and chest.

RULE 2.—To Adjust the Patient\'s Posi-
tion.—Place the patient on his back on a
flat surface, inclined a little from the feet
upwards; raise and support the head and
shoulders on a small firm cushion or folded
article of dress placed under the shoulder-
blades.

RULE 3.—To Imitate the Movements of
Breathing.—Grasp the patient\'s arms just
above the elbows, and draw the arms gently
and steadily upwards until they meet above
the head (this is for the purpose of drawing
air into the lungs) and keep the arms in that
position for two seconds. Then turn down
the patient\'s arms, and press them gently
and firmly for two seconds against the sides
of the chest (this is for the object of pressing
air out of the lungs). Pressure on the breast-
bone will aid this).

Repeat these measures alternately, de-
liberately, and perseveringly, fifteen
times a minute, until a spontaneous
effort to respire is perceived, imme-
diately upon which cease to imitate
the movements of breathing, and pro-
ceed to induce circulation and warmth
(as below).

Should a warm bath be procurable, the
body may be placed in it up to the
neck, continuing to imitate the move-
ment of breathing. Raise the body
in twenty seconds in a sitting posi-
tion, and dash cold water against the
chest and face, and pass ammonia
under the nose. The patient should
not be kept in the warm bath longer
than five or six minutes.

RULE 4.—To Excite Inspiration.—During
the employment of the above method, excite
the nostrils with snuff or smelling salts, or
tickle the throat with a feather. Rub the
chest and face briskly, and dash cold and hot
water alternately on them.

• • • The above directions are chiefly Dr.
      H. R. SILVESTER\'S method of restoring the
      apparently dead or drowned, and have been
      approved by the Royal Medical and Chirur-
      gical Society.

TREATMENT AFTER NATURAL
BREATHING HAS BEEN RESTORED.

RULE 5.—To Induce Circulation and
Warmth.—Wrap the patient in dry blankets
and commence rubbing the limbs upwards,
firmly and energetically. The friction must
be continued under the blankets or over dry
clothing.