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Paluel J. Flagg, M.D.
JAMA. 1942;119(3):287. doi:10.1001/jama.1942.02830200055022.
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To the Editor:—  I noted with interest the article entitled "Resuscitation in Advanced Asphyxia" by Drs. George L. Birnbaum and Samuel A. Thompson and Mr. Eugene Ostrow, which appeared in The Journal on April 18. I approached this with an open mind and with the hope that I might find new information. However, having read the text carefully, I feel obliged to challenge its subject matter and what would appear to be its implications.As to the subject matter, I refer the reader to page 1364, line 7, "either a specially fitted face mask and pharyngeal airway or a special tracheal catheter with rubber inflation cuff to prevent leakage." This casual reference to the basic approach to the technic advocated is not scientific. Any one at all familiar with the mechanical operation of a suck and blow apparatus is fully aware that it can operate only in an airway of


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