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January 24, 1966

Intensive Care Unit Opens for Shock Patients

JAMA. 1966;195(4):43. doi:10.1001/jama.1966.03100040017006

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A single-bed intensive treatment unit for the study and care of patients with refractory shock opened recently at Walter Reed General Hospital.

The unit, which has its own computers for data reduction, is the first in an armed forces or government medical facility, according to Col Robert M. Hardaway, III, MC, USA.

An eight-channel recorder makes continuous displays of the patient's arterial, pulmonary and peripheral blood pressure, cardiac output, skin and rectal temperature, as well as other parameters.

The bed is built on a scale which computes the patient's weight to the gram. Radiolucent straps facilitate fluoroscopy without moving the patient.

The specially constructed image intensifier is another feature of the unit. It may be used at bedside without shielding or darkening of the room for positioning pulmonary artery catheters and other purposes.

From past experience, it is known that an average of one shock patient per week fails to

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