October 3, 1986

Cardiopulmonary Resuscitation

Author Affiliations

The University of Georgia College of Veterinary Medicine Athens

JAMA. 1986;256(13):1725. doi:10.1001/jama.1986.03380130053018

To the Editor.—  In reading the "Standards and Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC),"1 I have found two points that were particularly disturbing and would like to bring them to your attention.In the guidelines it discusses cough CPR and states that "self-induced CPR is possible; however, its applications are limited to clinical situations in which the patient has a cardiac monitor." I feel this statement seriously limits the lifesaving potential of this technique. As the quality assurance director of the Northeast Georgia Medical Services Council and instructor in our training programs for advanced emergency medical technicians (EMTs), I am aware of several instances wherein cough CPR was effective in maintaining consciousness in arrested patients in their homes while EMTs were responding to the call. None had cardiac monitoring being performed at the time. In these instances the EMT answering the call for help (where