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Juliet, Juliet, Are You OK?

Alan Jay Schwartz, MD; Carol M. Schwartz, RN
JAMA. 1979;241(3):239. doi:10.1001/jama.1979.03290290013007.
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To the Editor.—  Overwhelming is the tragedy that is based on mistaken impression. The unnecessary deaths of Romeo and Juliet emphasize the importance of this principle—a principle applicable to emergency medical care as well as literature's unfulfilled love story.Romeo was puzzled and said to the apparently dead Juliet:"Ah, dear Juliet, Why art thou yet so fair? shall I believe That unsubstantial death is amorous."1Unfortunately for both of them, Romeo accepted, without question, the lifeless nature of Juliet. Never did he attempt to learn if indeed Juliet was alive.Ponder the circumstances had Romeo been trained in modern-day cardiopulmonary resuscitation (CPR)2 (227[suppl]:833, 1974). Unsure of Juliet's unconscious state, Romeo could have acted to confirm or deny his suspicion."Ah, dear Juliet, Why art thou yet so fair? shall I believe That unsubstantial death is amorous."1[Romeo embraces Juliet's shoulders, shaking her.]Juliet, Juliet are you

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