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December 16, 1961

Closed-Chest Cardiac Massage

Author Affiliations

Morrison-Knudsen International, 120 Montgomery, San Francisco

JAMA. 1961;178(11):1118. doi:10.1001/jama.1961.03040500060016

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To the Editor:—  I would like to inform your readers of a most fortuitous occurrence, i.e., the seemingly successful application of a new principle and technique immediately after studying about it. I had just finished my lunch hour reading the article "Ventilation and Circulation with Closed-Chest Cardiac Massage in Man" (Safar et al., JAMA176:574 [May 20] 1961) when there was a banging on the dispensary door, and I was presented with a drowned 20-month-old Iranian boy (weight 8.95 kg.), the second such case this past month. The circumstances surrounding his drowning are common here in Muslim Iran. Drowning is probably the commonest cause of accidental death in childhood, due to a plethora of pools in the courtyards, 3 hand spans deep (approximately 70 cm.), as according to the Koran, water is then considered pure and suitable for ablutions. His mother estimates it was 7 minutes from the time

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