Supplements to Member Lectures

GA 246 — 15 August 1914, Dornach

68. Samaritan First Aid Course II

1. Gunshot wounds to the collarbone: gauze, absorbent cotton, broad bandage. First over the shoulder, where the wound is, and under the other arm, then around the body (not too deep). During bandaging, the artery there (at the first upper rib, in the collarbone as it were) must be continuously held closed by another person.

You can also first press a piece of absorbent cotton onto the artery and tie it in the same way as described above (but a little higher up, not around the body). This should be done if only one person is present. In general, it is best to ligate the artery first and then bandage the wound.

1. rib fracture: place a large piece of absorbent cotton, very wide bandage, around the mid-body. Then a kind of strap over the shoulders, fastened to the bandage with safety pins at the front and back (one pin at the back, two at the front) so that the bandage cannot move.

11 Broken collarbone: You can recognize the fracture by comparing it with the other collarbone. A narrow bandage is tied around the right shoulder close to the neck (if it is the right collarbone) and pulled through under the left arm. Place absorbent cotton in between! A triangular cloth is placed on the right shoulder, with one tip under the bandage, pulled through at the neck; the other two tips are tied together on the arm.

1. abdominal injury: If the intestines are protruding, do not touch them, just cover them. Otherwise the injured person is laid on the floor and a tight, very wide bandage is placed around the abdomen. When lifting up, the legs must be held together crosswise; they must not be held apart at all.

13 Artificial respiration: The patient is laid down, the mouth opened and the tongue pulled out of the mouth by hand. Move arms up and down. The arms are grasped just below the elbow, pressed against the chest and then extended above the head. If a second person is present, they should press on the stomach while exhaling, i.e. immediately before the elbows touch the body again. The tongue should be held in the meantime; as there is a risk of biting, this should be done with a cloth, or a cork should be placed between the teeth (at least two people would be needed in the first case). Speed: Four to five seconds for a single back and forth movement, i.e. quite slowly. Do not place a pillow under the head, but under the upper body so that the head hangs over the back.

1. treatment of fainting: Do not pour anything into the mouth or the like. Put your legs up over an upright board under your knees or something similar and put your feet on a chair. Open all clothes. Either make the movements just described or rub the stomach and under the calves with a cloth. In an emergency, smell something, ammonia and so on, otherwise wait and see! 15. sunstroke: Lay the patient in the shade, open the clothes, give some salt water or about half a spoonful of salt if it at least melts in the mouth. Reverse the position of the body as in the previous case: head high, feet low (this is also recommended for epileptic seizures). The salt water can also be applied to the body, namely the head. The head can also be rubbed with lemon juice.