To the Editor:—
Having recently evaluated a community hospital intensive care unit (ICU), we found the articles by Langhorne (201:662, 1967) and Parker and Hodge (201:702, 1967) of special interest. We would heartily agree with the opinion of Dr. Langhorne that good results can be expected from community hospital coronary care units with a staff of motivated physicians and nurses. An earlier report by Dolbee and LeFevre2 showed that such units could be successful even in 35- and 177-bed community hospitals. Sharon Hospital has 98 beds; the ICU experience over the past 12 months includes four discharged patients who received counter-shock for ventricular fibrillation—one was defibrillated over 40 times and was also treated by transvenous electrode for ventricular asystole ( antiarrhythmic drugs have been used in accordance with current concepts of coronary care).3Although most reports deal only with the coronary care unit (CCU) we feel that
Smith RW, LaFontan L. The Coronary Care Unit. JAMA. 1967;202(3):248. doi:10.1001/jama.1967.03130160122045
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