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Author Affiliations: Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland (Dr Weisfeldt); and Department of Emergency Medicine, Virginia Commonwealth University, Richmond, Virginia (Dr Ornato).
Cardiac resuscitation after cardiac arrest or ventricular fibrillation has been limited by the need for open thoracotomy and direct cardiac massage. As a result of exhaustive animal experimentation a method of external transthoracic cardiac massage has been developed. Immediate resuscitative measures can now be initiated to give not only mouth-to-nose artificial respiration but also adequate cardiac massage without thoracotomy. The use of this technique on 20 patients has given an over-all permanent survival rate of 70%. Anyone, anywhere, can now initiate cardiac resuscitative procedures. All that is needed are two hands.
See PDF for full text of the original JAMA article.
Weisfeldt ML, Ornato JP. Closed-Chest Cardiac Massage: Progress Measured by the Exceptions. JAMA. 2008;300(13):1582–1584. doi:10.1001/jama.300.13.1582
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