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December 20, 1902


JAMA. 1902;XXXIX(25):1600. doi:10.1001/jama.1902.02480510040009

Massage of the heart, in case of its stoppage, to revive its movements has been recommended and experimentally demonstrated, but the first successful case of its use in man was reported by Dr. E. A. Starling1 at a recent meeting of the British Society of Anesthetists. In an operation for appendicitis on a man aged 65 under nitrous oxid and other anesthesia, both pulse and respiration ceased together, and artificial respiration and traction on the tongue failed to revive them. Then the surgeon, Mr. W. Arbuthnot Lane, pushed his hand up through the abdominal wound and grasped the motionless heart through the diaphragm. He squeezed it and felt it start pulsating, though no radial pulse could be felt. Artificial respiration and other restoratives were continued, and in about twelve minutes natural respiration reappeared and the pulse became perceptible at the wrist. The operation was then completed without the use