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March 5, 1982

On Closed-Chest Cardiac Resuscitation-Reply

JAMA. 1982;247(9):1276-1277. doi:10.1001/jama.1982.03320340034021

In Reply.—  We appreciate Dr Warshauer's generally favorable remarks and share with him the desire to study the efficacy of various CPR methods. However, we do not share his pessimistic view of conventional CPR. It is beneficial and life-saving to many in cardiac arrest. Most impressive are the studies demonstrating efficacy of lay-administered CPR in man by Thompson et al.1 Furthermore, a good amount of information concerning the complications of conventional CPR has been obtained by Nagel et al.2Whether new approaches that we and others have proposed for performing CPR have clinical use remains at question. With regard to abdominal binding, our article concluded: "This study provides justification for further detailed clinical studies to evaluate the long-term beneficial and side-effects of this technique."The major point of the study was to demonstrate that blood pressure (BP) rose consistently with abdominal binding during CPR in man. Some investigators