
iii 
Treatment to Give When the Patient Has a Pulse 
Beating but Has Ceased to Breathe 
* Performing mouth-to-mouth artificial respiration (see Figure 1). 
(1) Bend the patient's face backward until it is directed to look back. (A pillow may be placed 
under the neck.) 
(2) Pull up the lower jaw to open up the airway. (To spread the airway.) 
(3) Pinching the patient's nose, breathe deeply and blow your breath into the patient's mouth 
strongly, with care to close it completely. Then, move your mouth away and take a deep 
breath, and blow into his or her mouth. Repeat blowing at 10 to 15 times a minute (always 
with the patient's nostrils closed). 
(4) Continue artificial respiration until natural respiration is restored. 
(5) If the patient's mouth won't open easily, insert a pipe, such as one made of rubber or vinyl, 
into either nostril. Then, take a deep breath and blow into the nostril through the pipe, with 
the other nostril and the mouth completely closed. 
(6) The patient may stand up abruptly upon recovering consciousness. Keep the patient lying 
calmly, giving him or her coffee, tea or any other hot drink (but not alcoholic drink) to keep 
him or her warm. 
Mouth-to-mouth artificial respiration with the patient's head lifted: 
[1] 
 
(1) Lift the back part of the patient's head. 
Support the forehead with one of your 
hand and the neck with the other hand. 
→[1] 
Many patients will have their airways 
opened by lifting their head in this way 
to ease mouth-to-mouth artificial 
respiration. 
[2] 
 
(2) Closing the patient's mouth with your 
mouth, press your cheek against the 
patient's nose. 
→[2] 
Alternatively, hold the patient's nose 
with your finger to prevent air leak 
→[3] 
[3] 
(3) Blowing air into the patient's lungs. 
Blow air into the patient's lungs until 
chest is seen to rise. The first 10 
breaths must be blown as fast as 
possible. 
Figure 1 Mouth-to-mouth artificial respiration