Holger Nielsen, Revised Method/Action
- Check the casualty s breathing and dear his airway. Do not use this technique if
the victim has serious arm or chest injuries. If not, turn him face down.
Arrange the arms, with elbows flexed and pointing outwards, slightly above
shoulder level. Rest the hands side by side. Turn the head to one side with the
neck extended. Kneel in a comfortable position at the casualty's head. Put your
hands just below the casualty's shoulder-blades, with your thumbs together and
your fingers in a 'butterfly'. Rock forward on your hands until your shoulders,
arms and wrists are in a straight vertical line, and exert firm pressure.
- Once your arms are straight, remove your hands from the casualty's back and
slide them to a point just above each elbow. Start to rock back, grasping and
lifting the casualty's arms.
- Keep lifting the casualty's arms as you rock back, until you can feel the
resistance from the shoulder muscles. Then, still grasping the arms lower them
slowly to the ground.
- Slide your hands down to below the shoulder-blades, back to the 'butterfly'
position. Then restart the cycle. Repeat the procedure 12 times a minute until
- Check the casualty s breathing and dear her airway. Then arrange her on her
back. Tilt the head to one side and dear the mouth of obstructions with your
finger. Then position the head so that the chin is raised with the neck fully
extended and the crown is resting on the ground. as in the mouth-to-nose and
mouth-to-mouth methods. A cushion or folded coat under the shoulders helps to
ensure the neck is stretched. Kneel at the casualty's head and cross her arms at
the, wrists on the lower part of the chest. Grasp the crossed wrists with your
- Rock your body forwards, pressing the casualty's arms and wrists firmly into her
chest. Continue until your shoulders, arms and wrists are in a vertical straight
- Release the pressure and rock your body back, still holding the wrists, to draw
the casualty's arms up and outwards as jar as they will go, using a sweeping
movement of your arms.
- At the full extent of the movement, the casualty's arms should be almost
touching the ground. Refold the arms on the chest and repeat the cycle 12 times
a minute until the casualty recovers.
- If the casualty vomits during resuscitation, turn the head to one side to clear
the mouth with your finger. Return the head to the Silvester position and resume