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ARTICLE |

Cardiopulmonary Resuscitation

Robert E. Johnstone, MD
JAMA. 1974;228(8):977-978. doi:10.1001/jama.1974.03230330019009.
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ABSTRACT

To the Editor.—  Recently, The Journal published "Standards for Cardiopulmonary Resuscitation and (CPR) Emergency Cardiac Care (ECC)" (227:833, 1974). Several practical points, often omitted in professional training, need emphasis.Effective CPR requires group organization. Resuscitation teaching usually consists of lectures and of practice in ventilating and compressing a dummy. Seldom is a "cardiac arrest" simulated; trainees must learn organization and performance techniques at real arrests. Efficiently delivered resuscitation, however, is as important as scientific knowledge. Group practices and preorganization are helpful.Since resuscitation of an arrested patient is perhaps the most dramatic scene in medicine, many hospital personnel are attracted to the scene. Most want to help, but after six to ten people arrive, additional people decrease efficiency. Resuscitation team members should include an anesthesiologist, a cardiologist, a pharmacist, and three or four others to bring equipment, compress the chest, start an intravenous infusion, inject drugs, and record events, but

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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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