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May 28, 1960


Author Affiliations

University of Buffalo School of Medicine Buffalo 3.

JAMA. 1960;173(4):375. doi:10.1001/jama.1960.03020220049011

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All physicians have the responsibility to be prepared to carry out emergency measures for cardiac standstill or ventricular fibrillation. There is no time to send for help. If the patient is to survive, ventilation and circulation must be started in the first few minutes. Drastic measures may be indicated in the treatment of this drastic emergency.

If emergency thoracotomy is indicated, this procedure should be accompanied by restoration of pulmonary ventilation. While one physician opens the chest, another physician or trained aide must insure effective pulmonary ventilation. In the operating room and recovery ward, the anesthesiologist and his emergency equipment may be available and he should be summoned at once. Until he arrives, however, pulmonary ventilation can be adequately maintained without any equipment by the use of expired air, blowing one's own air into the nose or mouth of a victim.

Any artificial respiration, to be effective, depends on an

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