0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
CLINICAL NOTES |

Pulmonary Bone Marrow Emboli in Patients Receiving External Cardiac Massage

Julius W. Garvey, MD; Frederick G. Zak, MD
JAMA. 1964;187(1):59-60. doi:10.1001/jama.1964.03060140065023.
Text Size: A A A
Published online

FAT EMBOLISM involves either the pulmonary or the systemic circulation. The most frequent cause is skeletal fractures.1-3 Other causes of fat emboli include jarring of the skeleton,4 soft tissue injury,5 liver rupture," burns,7 poisons,8 clostridial infection,9 and diabetes.10

In 1960, Kouwenhoven and colleagues11 described a method of external cardiac massage and established it as a therapeutic measure for cardiac arrest. Since that time it has achieved widespread usage but the following complications have been noted: fractured ribs and sternum, subcapsular hematoma and rupture of the liver, pulmonary lacerations with hemothorax and pneumothorax, and pulmonary marrow emboli.12,13

The present study deals with bone marrow emboli subsequent to external cardiac massage.

Methods and Materials  During the past year, pulmonary marrow emboli in the absence of previous trauma was observed in increased incidence in routine autopsy material. External cardiac massage was thought to be

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();