
 
iii 
 
 
Treatment to Give When the Patient Has a 
Pulse Beating but Has Ceased to Breathe 
 
 Performing mouth-to-mouth artificial respiration 
(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.o [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 noseo [2]. 
Alternatively, hold the patient's 
nose with your finger to prevent air 
leak  
o [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.  
Fig. 1  Mouth-to-mouth artificial respiration