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September 1953

CARDIAC ARREST: Its Prevention and Treatment

Author Affiliations

From the Rush Laboratories of Presbyterian Hospital.

AMA Arch Surg. 1953;67(3):312-316. doi:10.1001/archsurg.1953.01260040319002

THE MEDICAL literature1 gives a good review of the history concerning the problem of cardiac arrest, its causes, recognition, and the various methods of therapy. The importance of various drugs, methods of administration, and differences in opinions concerning the dosages are of interest. Much time is spent on the active therapy in producing an artificial circulation, and the importance of starting this within a minute to three minutes after arrest is usually emphasized. The terminology for this artificial circulation may be cardiac massage or cardiac compression. The latter term, we believe, is preferred because it more clearly describes what is necessary to maintain an artificial circulation. Authors are now emphasizing that the most important factor in the prevention and cure of the catastrophe is an open airway which delivers oxygen and takes away the waste products, this being essential for a good respiration. Furthermore, surgeons and anesthetists are realizing

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