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Article
July 1959

The Internist and Cardiac Arrest

AMA Arch Intern Med. 1959;104(1):37-42. doi:10.1001/archinte.1959.00270070039005
Abstract

The principles of cardiac resuscitation have been formulated by Claude Beck.1 The step by step procedure in the management of cardiac arrest is described in detail by Hosler in his excellent manual.2 The roles of the surgeon and anesthesiologist in cardiac resuscitation are well known. The part of the internist has not been defined so clearly. It is the purpose of this paper to delineate the functions of the internist in the prevention and treatment of cardiac arrest.

Procedure and Results  Over 150 cases of cardiac arrest occurring in the Los Angeles area were collected in the two-year period, 1952-1954; of these, 132 were sufficiently documented for study.3 Cardiac arrest was considered to be present when the heart beat was no longer strong enough to be of hemodynamic significance. In over 70% of the cases, the heart was in ventricular standstill. In 15% there was fluctuation between

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