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ARTICLE |

EXPIRED AIR RESUSCITATION DURING CARDIAC EMERGENCIES

David G. Greene, M.D.; James O. Elam, M.D.
JAMA. 1960;173(4):375. doi:10.1001/jama.1960.03020220049011.
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ABSTRACT

All physicians have the responsibility to be prepared to carry out emergency measures for cardiac standstill or ventricular fibrillation. There is no time to send for help. If the patient is to survive, ventilation and circulation must be started in the first few minutes. Drastic measures may be indicated in the treatment of this drastic emergency.

If emergency thoracotomy is indicated, this procedure should be accompanied by restoration of pulmonary ventilation. While one physician opens the chest, another physician or trained aide must insure effective pulmonary ventilation. In the operating room and recovery ward, the anesthesiologist and his emergency equipment may be available and he should be summoned at once. Until he arrives, however, pulmonary ventilation can be adequately maintained without any equipment by the use of expired air, blowing one's own air into the nose or mouth of a victim.

Any artificial respiration, to be effective, depends on an

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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.
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