During the past few years much has been written on the subject of cardiac massage in collapse, referring especially to desperate cases of chloroform anesthesia. Keen' has detailed two routes for reaching the heart: By resection of the chestwall directly over the heart, and by manipulation of the heart through the abdomen, either with or without an opening in the diaphragm. König-Maas has reported favorably on massage of the heart over the chest-wall. He places the ball of the thumb of the right hand between the apex-beat and the sternum, and makes quick, sudden compressions of the thoracic wall at the rate of from thirty to one hundred times a minute.
The following case suggests the value of this latter method of cardiac massage:
E. G., a man aged 42, suffered with mitral regurgitation with moderate enlargement of the heart. The disease was of about two years' duration when he
Bram I. SUSPENDED HEART ACTION IN ACUTE DILATATION; CARDIAC MASSAGE; RECOVERY. JAMA. 1912;LIX(7):540. doi:10.1001/jama.1912.04270080222018
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