0
ARTICLE |

CLOSED-CHEST CARDIAC MASSAGE FREE

W. B. Kouwenhoven, Dr. Ing.; James R. Jude, M.D.; G. Guy Knickerbocker, M.S.E.
[+] Author Affiliations

Baltimore

Lecturer in Surgery (Dr. Kouwenhoven), Resident Surgeon (Dr. Jude), and Assistant in Surgery (Mr. Knickerbocker), Johns Hopkins University School of Medicine.


JAMA. 1960;173(10):1064-1067. doi:10.1001/jama.1960.03020280004002
Text Size: A A A
Published online

Cardiac resuscitation after cardiac arrest or ventricular fibrillation has been limited by the need for open thoracotomy and direct cardiac massage. As a result of exhaustive animal experimentation a method of external transthoracic cardiac massage has been developed. Immediate resuscitative measures can now be initiated to give not only mouth-to-nose artificial respiration but also adequate cardiac massage without thoracotomy. The use of this technique on 20 patients has given an over-all permanent survival rate of 70%. Anyone, anywhere, can now initiate cardiac resuscitative procedures. All that is needed are two hands.

REFERENCES

Kouwenhoven, W. B.; Milnor, W. R.; Knickerbocker, G. G.; and Chestnut, W. R.:  Closed Chest Defibrillation of Heart , Surgery 42:550-561 ( (Sept.) ) 1957;.
Boehm, R.:  V. Arbeiten aus dem pharmakologischen Institute der Universität Dorpat: 13. Ueber Wiederbelebung nach Vergiftungen und Asphyxie , Arch. exper. Path. u. Pharmakol. 8:68-101, 1878;.
Tournade, A.; Rocchisani, L.; and Mely, G.:  Etude expérimentale des effets circulatoires qu'entrainent la respiration artificielle et la compression saccadée du thorax chez le chien Compt. rend. Soc. de biol. 117:1123-1126, 1934;.
Killick, E. M., and Eve, F. C.:  Physiological Investigation of Rocking Method of Artificial Respiration , Lancet 2:740-742 ( (Sept. 30) ) 1933;.
Eve, F. C.:  Artificial Circulation Produced by Rocking: Its Use in Drowning and Anaesthetic Emergencies , Brit. M. J. 2:295-296 ( (Aug. 23) ) 1947;.
Gurvich, H. L., and Yuniev, G. S.:  Restoration of Heart Rhythm During Fibrillation by Condenser Discharge , Am. Rev. Soviet Med. 4:252-256 ( (Feb.) ) 1947;.
Rainer, E. H., and Bullough, J.:  Respiratory and Cardiac Arrest During Anesthesia in Children , Brit. M. J. 2: 1024-1028 ( (Nov. 2) ) 1957;.
Stout, H. A.:  Cardiac Arrest: Massage Without Incision , J. Oklahoma M. Assoc. 3:112-114 ( (March) ) 1957;.

First Page Preview

First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Kouwenhoven, W. B.; Milnor, W. R.; Knickerbocker, G. G.; and Chestnut, W. R.:  Closed Chest Defibrillation of Heart , Surgery 42:550-561 ( (Sept.) ) 1957;.
Boehm, R.:  V. Arbeiten aus dem pharmakologischen Institute der Universität Dorpat: 13. Ueber Wiederbelebung nach Vergiftungen und Asphyxie , Arch. exper. Path. u. Pharmakol. 8:68-101, 1878;.
Tournade, A.; Rocchisani, L.; and Mely, G.:  Etude expérimentale des effets circulatoires qu'entrainent la respiration artificielle et la compression saccadée du thorax chez le chien Compt. rend. Soc. de biol. 117:1123-1126, 1934;.
Killick, E. M., and Eve, F. C.:  Physiological Investigation of Rocking Method of Artificial Respiration , Lancet 2:740-742 ( (Sept. 30) ) 1933;.
Eve, F. C.:  Artificial Circulation Produced by Rocking: Its Use in Drowning and Anaesthetic Emergencies , Brit. M. J. 2:295-296 ( (Aug. 23) ) 1947;.
Gurvich, H. L., and Yuniev, G. S.:  Restoration of Heart Rhythm During Fibrillation by Condenser Discharge , Am. Rev. Soviet Med. 4:252-256 ( (Feb.) ) 1947;.
Rainer, E. H., and Bullough, J.:  Respiratory and Cardiac Arrest During Anesthesia in Children , Brit. M. J. 2: 1024-1028 ( (Nov. 2) ) 1957;.
Stout, H. A.:  Cardiac Arrest: Massage Without Incision , J. Oklahoma M. Assoc. 3:112-114 ( (March) ) 1957;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information 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.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.