June 1966

Mobile Emergency Life Support and Resuscitation System

Author Affiliations

From the Division of Surgery, Pennsylvania Hospital, Philadelphia.

Arch Surg. 1966;92(6):879-885. doi:10.1001/archsurg.1966.01320240067014

CARDIOPULMONARY resuscitation is often a chaotic, desperately applied effort. This is true even in hospitals with relatively well-organized programs. There are many reasons for the confusion which accompanies hurried attempts to postpone death and recover a viable human being. These include inefficient organization and delegation of responsibility, lack of an effective and continuing training program, difficulty in rapid communication, and delay in transport of equipment and personnel to the area of the emergency.1,2 Large gaps in our basic knowledge of the dying state as well as disagreement regarding appropriate drug therapy and inadequate criteria for selecting proper candidates for resuscitation add to the problem.

When an institution does have a reasonable organization and training program, another major defect becomes apparent. Resuscitation equipment systems available at the present time are inherently inefficient. The conventional cart containing drugs and equipment which is wheeled to the patient's bedside is highly inadequate in

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