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The Coronary Care Unit

Roland W. Smith, MD; Louisa LaFontan, RN
JAMA. 1967;202(3):248. doi:10.1001/jama.1967.03130160122045.
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To the Editor:—  Having recently evaluated a community hospital intensive care unit (ICU), we found the articles by Langhorne (201:662, 1967) and Parker and Hodge (201:702, 1967) of special interest. We would heartily agree with the opinion of Dr. Langhorne that good results can be expected from community hospital coronary care units with a staff of motivated physicians and nurses. An earlier report by Dolbee and LeFevre2 showed that such units could be successful even in 35- and 177-bed community hospitals. Sharon Hospital has 98 beds; the ICU experience over the past 12 months includes four discharged patients who received counter-shock for ventricular fibrillation—one was defibrillated over 40 times and was also treated by transvenous electrode for ventricular asystole ( antiarrhythmic drugs have been used in accordance with current concepts of coronary care).3Although most reports deal only with the coronary care unit (CCU) we feel that


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