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History of cardiopulmonary resuscitation

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diffusion and spread of the ideas, rather than the impossibility of carrying them out. However, the story of resuscitation does not stop in the early 1970s. Major advances have continued. In 1980 the first program to train EMTs to perform defibrillation began in King County, Washington, and similar programs spread throughout the United States. This training required 10 hours, and in the first demonstration project, survival from ventricular fibrillation increased from 7% to 26%. In 1984 the first program with fire fighter EMTs using automated external defibrillators (AEDs) also began in King County, Washington. The use of AEDs simplified the training of EMTs and thus allowed the procedure to spread more rapidly throughout communities. Automated external defibrillators require considerably less training time compared to manual defibrillators since the EMT does not have to interpret the cardiac rhythm.
74: 952:; their findings on 312 patients covered a 15-month period. Half the patients had myocardial infarction and there were no deaths during transportation. Of ground-breaking importance was the information on 10 patients who had cardiac arrest. All had ventricular fibrillation; six arrests occurred after the arrival of the MCCU, and four occurred shortly before arrival of the ambulance. All 10 patients were resuscitated and admitted to the hospital. Five were subsequently discharged alive. The article has historical importance because it served to stimulate pre-hospital emergency cardiac care programs throughout the world. 514:(1924 – 2003) — also an anesthesiologist — and persuaded him to join the effort to convince the world that ventilating the lungs with expired air was effective as part of a resuscitative technique. Safar performed further experiments on human volunteers, comparing Silvester's method with the Holger Nielsen method and the mouth-to-mouth method of artificial ventilation. By 1957, the experiments of Elam and Safar had conclusively demonstrated that the mouth-to-mouth method was superior to these older methods of artificial ventilation. 846:(1921 – 2021). Lown devised a defibrillator that utilized direct current instead of alternating current. A capacitor stored the energy until it was released in one massive jolt to the chest wall. The availability of new, small capacitors considerably reduced the size and weight of external defibrillators, which could now be easily brought to victims in a wide range of environments. By 1963, hospitals were beginning to design mobile resuscitation carts equipped with these portable external defibrillators. 416: 321: 465:, it seems to have fallen out of favor in the late 19th century with the widespread adoption of Silvester's method (the chest-pressure and arm-lift technique). Silvester's method remained the most widespread method of resuscitation from its description in 1858 until the first decade of the 20th century, when some other innovative approaches to the problem of sudden death gained some recognition. For example, certain 193: 884: 635: 790: 427: 217:, Scotland who had been apparently dead for 30 to 45 minutes. The patient recovered and returned to work a few days later. This case — which was witnessed by a crowd of nearly 400 people — is considered to be the first modern documented account of successful CPR in an adult. Tossach published an account of this case in 1744. English physician 968:
This then allows them to be transported to specialist centres where the cause of their cardiac arrest (a blocked coronary artery for example) can be addressed. So called 'ECMO-CPR' may yet further revolutionize the way in which CPR is delivered. Trials of pre-hospital ECMO-CPR in France and Australia have been promising.
295:). Following the successes of these organizations, similar organizations soon sprang up in many large cities in Europe and the United States, all with the goal of successfully resuscitating victims of sudden death or cardiac arrest. These rescue societies of the 18th century were the precursors of today's 232:(SRDP). The SRDP recommended a range of resuscitation techniques, including mouth-to-mouth ventilation, warming the victim, removing water from the lungs by positioning the victim's head at a lower position than the feet and applying manual pressure to the abdomen, stimulating the victim by means such as 830:
in 1956, in which his external defibrillator was employed to successfully stop ventricular fibrillation eleven times in four different patients. Since direct current batteries and capacitor technology both powerful enough to do the job and portable enough for practical use did not exist at that time,
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panel comprising many eminent authorities on methods of artificial respiration was convened on March 8, 1957. After carefully considering the evidence available at that time, the opinion of the panel was unanimous that — for infants and small children — the mouth-to-mouth method was preferable to the
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The first person successfully resuscitated using this technique was recalled by Jude: "She was rather an obese female who … went into cardiac arrest as a result of flurothane anesthetic. This woman had no blood pressure, no pulse, and ordinarily, we would have opened up her chest. Instead, since we
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thereby completely restored to life and health". Curry performed experimental work on external defibrillation in small animals, and even described two successful cases of human resuscitation by this means. He used two electrodes — one above the right clavicle and the other over the lower left chest.
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In 1981 a program to provide telephone instructions in CPR began in King County, Washington. This program used the emergency dispatchers to give instant directions while the fire department EMT personnel were in route to the scene. This demonstration project increased the rate of bystander-provided
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and deliver either a defibrillatory current or a pacing pulse, as indicated by the internal logic circuit. The device was produced by the Cardiac Resuscitator Corporation and marketed as the "Heart-Aid". It was designed for temporary use by laypeople in emergency situations before professional care
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By 1966, CPR was being taught to laypeople as well as professionals, but with disappointing results. Fewer than 50% of people were able to pass a CPR performance evaluation three months after receiving standardized training in CPR, and the results of cardiac resuscitation attempts initiated outside
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In 1792, English physician James Curry (1763 – 1819) noted that the important difference between absolute death and apparent death was that in the former, "the vital principle is completely extinguished", while in the latter "it only lies dormant, and may again be roused into action, and the person
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conference on CPR in 1966. Over 30 national organizations were represented at this conference. The 1966 conference resulted in the formulation of the first national guidelines for the implementation of CPR. Safar's mnemonic was trimmed back to "A-B-C-D", with "D" representing "Definitive therapy".
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The use of mouth-to-mouth ventilation (rescue breathing) had been taught to laypeople as early as 1958, but many physicians felt that closed-chest cardiac resuscitation (chest compressions) should only be taught to physicians, dentists, nurses and emergency rescue squads. In 1962, CPR was formally
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CPR as it is practiced today (the combination of mouth-to-mouth ventilation with chest compressions) made its debut in September 1960, when the two teams of researchers (Kouwenhoven/Jude/Knickerbocker, and Safar/Elam/Escarraga) presented their findings at the annual meeting of the Maryland Medical
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In 1775, Danish physician Peter Christian Abildgaard conducted experiments on electrical shock on animals. He found that applying an electric shock to the head of a hen rendered it apparently lifeless, but that it could be revived by applying another shock to the chest. He repeated this experiment
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Further advanced technologies to supplement CPR are being tested. These include the use of drones to deliver defibrillators to patients undergoing CPR outside hospital, as well as placing patients in whom CPR is ongoing but cardiac rhythm cannot be restored onto heart-lung bypass (ECMO) machines.
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By the early 1970s CPR, defibrillation, and a rapid means to provide prehospital care were all in place. The structure to resuscitate sudden death victims had been built and was proving successful. That most of the world did not have this structure in place in the 1970s was largely due to lack of
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described the use of sternal compression at a rate of twelve times a minute to successfully resuscitate three patients who had no carotid pulse and no audible heart sounds. In these three cases, the chest compressions appear to have served primarily as a means for the inhalation of ammonia from a
376:, and their arms are raised above their head to aid inhalation and then pressed against their chest to aid exhalation, with this sequence repeated several times per minute. Silvester's method received a great deal of attention, and was advocated by many prominent physicians of that era, including 663:, American Red Cross, and the Industrial Medical Association, but with the caveat that it should be applied only by carefully trained personnel, and training should not at that time be extended to the general public. In 1965, these organizations issued a revised statement reaffirming this view. 577:
While the cessation of respiration is an obvious sign of sudden death, the cessation of circulation — and particularly the rhythm of the heart — is not as easy to detect. For this reason, the appreciation of artificial circulation as a key factor in resuscitation lagged considerably behind the
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Other recommendations that emerged from this conference encouraged practice with training mannequins, but continued to discourage the teaching of CPR to laypeople. Of interest, both Silvester's and Holger Nielsen's methods were still recommended as alternatives to mouth-to-mouth ventilation.
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The American Heart Association uses a metaphor of four links in a chain to describe the elements of successful resuscitation. These links are early access (recognizing cardiac arrest and calling 911), early CPR, early defibrillation, and early advanced care (such as medications, endotracheal
2931:"A reappraisal of mouth-to-mouth ventilation during bystander-initiated cardiopulmonary resuscitation. A statement for healthcare professionals from the Ventilation Working Group of the Basic Life Support and Pediatric Life Support Subcommittees, American Heart Association" 944:
had to be solved outside the hospital, not in the emergency room or the coronary care unit. Pantridge's solution was to develop the world's first mobile coronary care unit, or MCCU. He staffed it with an ambulance driver, a physician, and a nurse.
407:— was the first to describe the successful resuscitation of a patient using external cardiac massage. Maass became the first proponent of external chest compression as an effective means of assisting circulation, rather than ventilation alone. 831:
the earliest external defibrillators utilized alternating current and were run from line voltage. These AC defibrillators were very large and heavy, primarily because they contained a transformer to step up the line voltage from
622:. The duration of chest compressions varied from less than 1 minute to 65 minutes. Fourteen of the 20 patients (70%) survived and were discharged from the hospital. The authors concluded that chest compression can be useful as a 605:
weren’t in the operating room, we applied external cardiac massage. Her blood pressure and pulse came back at once. We didn’t have to open her chest. They went ahead and did the operation on her, and she recovered completely."
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The Kouwenhoven/Jude/Knickerbocker team however believed that not only rescue breathing but also closed-chest cardiac resuscitation could and should be taught to laypeople. They produced an 11-minute training film called
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could be administered. The Heart-Aid utilized a plastic airway with an embedded electrode. An electrical current was transmitted from the capacitor, through the plastic airway device, to an electrode placed over the
1607: 862:. There was also a breath detector, which was a safeguard to prevent shocking people who were breathing. It included printed instructions and diagrams for the rescuer to properly apply the electrodes, as well as a 553:, which was distributed throughout the United States. Organizations such as the American Red Cross began to provide training at local chapters in the proper administration of artificial respiration. The familiar " 264:. In Hamburg, an ordinance was passed in 1769 which allowed notices to be read in churches describing how to use these methods to rescue people who were drowned, strangled, frozen, or overcome by noxious gases. 184:. He determined that "the motion of the lungs without fresh air" contributed nothing to the life of the animal, but rather it was the continuous supply of fresh air that was necessary to preserve life. 484:(1866 – 1955). The Shafer method and the Holger Nielsen technique were both manual methods, similar to Silvester's method except that the victim was laid in the prone instead of the supine position. 655:
Society in Ocean City, Maryland. They presented convincing data to show that chest compression alone did not provide effective ventilation; it was necessary to include mouth-to-mouth ventilation.
445: 1336: 901: 763: 687:, which represented the sequence of steps in CPR: Airway, Breathing, and Circulation. These films were used in CPR classes and viewed by millions of students, many of whom were laypeople. 523: 960:
CPR by 50%. Dispatcher-assisted CPR is now standard care for dispatcher centers throughout the United States and in other countries such as Israel, Great Britain, Sweden, and Norway.
601:. Further experimentation on dogs addressed such questions as the ideal location, rate, and force of chest compressions. Armed with this information, the group began human trials. 2243: 46:
method and the Holger Nielsen technique. The technique of mouth-to-mouth ventilation would not come back into favor until the late 1950s, after its "accidental rediscovery" by
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has been used for centuries as an element of CPR, but it fell out of favor in the late 19th century with the widespread adoption of manual resuscitative techniques such as the
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obvious need for artificial respiration. Although closed chest massage had been described in 1892 by Friedrich Maass, its benefit was not widely recognized until the 1960s.
824:(1911 – 1999) of the external defibrillator — a device that could externally defibrillate the heart through the closed chest. Zoll published a report of his experience in 964:
intubation) The early paramedic programs were all designed to provide CPR, defibrillation, and advanced care quickly enough to resuscitate patients in cardiac arrest.
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rocking method, back-pressure arm-lift, and other manual methods. Based on this recommendation, the mouth-to-mouth ventilation technique was endorsed that year by the
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was first advanced in the 1970s by Archibald Diack (1907 – 1993), a surgeon in Portland, Oregon. Diack and his team developed a portable unit that could diagnose an
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The mostly forgotten technique of mouth-to-mouth ventilation finally came back into favor in the mid-20th century, beginning with its "accidental rediscovery" by
614:, the Johns Hopkins team reported their findings on 20 cases of in-hospital cardiac arrest. Many of these patients had experienced cardiac arrest as a result of 240:. Within four years of its founding, the SRDP claimed to have saved over 150 patients by using these methods. By 1773, similar organizations had been formed in 73: 123: 671:
in 1961, in which they demonstrated the new technique of CPR in various settings and stressed the importance of "Air and Circulation". The following year,
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Ad Hoc Committee on Cardiopulmonary Resuscitation of the Division of Medical Sciences, National Academy of Sciences—National Research Council (1966).
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in 1767. Impressed by the accomplishments of these organizations, he returned to London where in 1774 he and a group of prominent citizens (including
139: 176:’s hypothesis that death would ensue if the lungs ceased to expand and contract. His test subject was a dog in which he made cuts in the chest wall, 1868:"Artificial respiration by mouth-to-mask method, a study of the respiratory gas exchange of paralyzed patients ventilated by operator's expired air" 3148: 3092: 480:(1850 – 1935) in 1904. That in turn was replaced by the Holger Nielsen technique, first described in 1932 by Danish triple Olympic medallist 284: 3087:(scientific documentary film comparing Silvester's method with Holger Nielsen method and mouth-to-mouth method of artificial ventilation by 762:
of hospitals were dismal. In response to requests from the American Red Cross for the establishment of better training methods for CPR, the
2068: 165:(cardiac and respiratory insufficiency), which involved moving the victim's arms and expanding and compressing the left side of the chest. 507:
human volunteers to demonstrate that this technique could effectively maintain adequate levels of oxygen and carbon dioxide in the blood.
213:. For example, in 1732, Scottish surgeon William A. Tossach used mouth-to-mouth resuscitation to resuscitate James Blair, a coal miner in 1944: 1872: 826: 210: 2834:
Diack, AW; Welborn, WS; Rullman, RG; Walter, CW (1979). "An automatic cardiac resuscitator for emergency treatment of cardiac arrest".
2716: 2011: 1939: 1867: 1216: 923: 1940:"A comparison of the mouth-to-mouth and mouth-to-airway methods of artificial respiration with the chest-pressure arm-lift methods" 940:
turned his attention to this vexing problem of heart attacks and sudden cardiac death. He believed the problem of death from acute
357:(1828 – 1908) soon noted several important shortcomings inherent in Hall's technique. Chief among these were 1) that the resulting 2929:
Becker, L. B.; Berg, R. A.; Pepe, P. E.; Idris, A. H.; Aufderheide, T. P.; Barnes, T. A.; Stratton, S. J.; Chandra, N. C. (1997).
1539: 345:(1790 – 1857) described a new method of providing artificial ventilation of the lungs, which involved rolling the victim from the 308:
several times on the same test subject, successfully resuscitating it each time. The hen even laid an egg a couple of days later.
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were quite small, 2) that repeatedly rolling a lifeless body from prone to lateral was likely to cause significant injury to the
813:(1894 – 1971) reported the first successful internal defibrillation of the human heart. To accomplish this, the chest had to be 745: 643: 1426: 905: 597:— noticed that by forcefully applying the paddles to the chest of the canine test subject, they could achieve a pulse in the 1395: 2389: 1564: 1115: 477: 43: 29: 3153: 1590: 1064: 767: 535: 440: 342: 135: 39: 35: 1311:"An account of an experiment made by Mr. Hook, of preserving animals alive by blowing through their lungs with bellows" 2270: 1669: 1332: 1096:
The true physiological method of restoring persons apparently drowned or dead, and of resuscitating stillborn children
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Although the use of mouth-to-mouth ventilation as a resuscitative technique dates back virtually to the beginning of
2214: 660: 527: 404: 296: 111: 62: 3071:(demonstration of manual and mouth-to-mouth methods of artificial ventilation, and internal cardiac massage, 1945) 894: 2592: 562: 454: 280: 499:— resorted to mouth-to-mouth ventilation on many occasions to successfully rescue paralyzed patients when their 619: 582: 503:
failed. Based on this experience, Elam and his team performed a series of experiments in the early 1950s using
557:" training mannequin was introduced in Norway and the United States in 1961. Designed by Norwegian doll maker 1516: 1494: 1472: 130:. This is the first instance of resurrection of the dead recorded in the Bible. In the second Book of Kings, 2866: 2304: 1608:"Observations on some of the dangers of chloroform in surgical practice, and a successful mode of treatment" 866:
chip to give verbal instructions to the rescuer. By the late 1980s, the small company had been purchased by
585:(who were unaware of Maass' experience and publication) made an accidental discovery while studying cardiac 354: 2672: 1427:"The Remarkable Dr. Abildgaard and Countershock: The Bicentennial of His Electrical Experiments on Animals" 1068: 870:, and other manufacturers soon entered the field. Current models use electrode pads attached to the chest. 415: 3120: 3104: 2903: 2758: 2628: 2546: 2385: 2296: 2163: 2091: 2028: 1991: 1979: 1935: 1863: 1196: 1184: 590: 488: 400:
reported the use of external cardiac massage to resuscitate cats after chloroform-induced cardiac arrest.
47: 1786: 1586: 1120:"Description of a simple and efficient method of performing artificial respiration in the human subject" 941: 377: 329: 154: 2351: 1565:"A new method of resuscitating stillborn children and of restoring persons apparently dead or drowned" 372:
In 1858, Silvester proposed a new method of artificial ventilation in which the victim is laid in the
1403: 366: 292: 200:, consisting of a smoking pipe attached to a pig's bladder, with a cone for insertion into the rectum 92: 25: 839:. They were mounted on wheels and pushed down the hallway from one part of the hospital to another. 3132: 1848: 672: 615: 397: 389: 233: 197: 2167: 320: 3040: 2609: 2523: 2474: 2195: 1983: 1725: 1697: 1650: 1454: 1188: 716: 531: 450: 362: 177: 2930: 1810: 1266: 2590:(1966). "Teaching and testing lay and paramedical personnel in cardiopulmonary resuscitation". 224:
The first organized effort to respond to sudden death was in 1767, when a group of citizens in
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followed suit in 1958. That year, Elam served as a medical adviser on the instructional film
3022: 2985: 2977: 2942: 2880: 2803: 2728: 2717:"Termination of ventricular fibrillation in man by externally applied electric countershock" 2686: 2642: 2601: 2505: 2464: 2424: 2318: 2179: 2105: 2042: 1999: 1953: 1881: 1824: 1766: 1758: 1709: 1642: 1438: 1310: 1278: 1204: 1131: 1011: 1003: 863: 749: 720: 647: 462: 28:(c. 2686 – c. 2181 BC). However, it was not until the 18th century that credible reports of 1337:"Observations on the recovery of a man dead in appearance by distending the lungs with air" 3163: 3158: 1476: 1364:
An account of some societies at Amsterdam and Hamburgh for the recovery of drowned persons
937: 373: 2759:"New method for terminating cardiac arrhythmias. Use of synchronized capacitor discharge" 1520: 1498: 1242: 221:(1712 - 1780) discussed Tossach’s experience in a paper he published the following year. 1379: 1231: 2990: 2965: 2808: 2791: 2429: 2412: 1771: 1744: 1136: 1119: 1016: 991: 784: 724: 684: 639: 623: 598: 586: 546: 545:
In 1959, Elam (together with Danish anaesthetist Henning Ruben, the co-inventor of the
496: 481: 346: 272: 158: 115: 114:, God breathed life into the nostrils of the first man. Later - according to the first 58: 54: 3027: 3010: 2690: 2109: 1828: 948:
The team reported the initial results of their program in the August 5, 1967 issue of
3142: 3063:(instructional film demonstrating the Schafer method of artificial ventilation, 1927) 2884: 2646: 2605: 2478: 2322: 2199: 2046: 867: 81: 3044: 2613: 2527: 1729: 1654: 1458: 2754: 1306: 1050:. Vol. 5, Part 2. London and Edinburgh: T.W. and T. Ruddimans. pp. 605–8. 843: 802: 554: 358: 268: 237: 192: 169: 2003: 1208: 1094: 3088: 3011:"Cardiopulmonary resuscitation: history, current practice, and future direction" 2732: 2668: 2587: 2566: 2453:"The closed chest method of cardiopulmonary resuscitation: benefits and hazards" 2347: 1987: 1957: 1931: 1885: 1192: 883: 814: 810: 794: 634: 511: 430:
Illustration of the Holger Nielsen method of resuscitation. Denmark, circa 1955.
181: 96: 2183: 1442: 1283: 3126: 3116: 3110: 3098: 3082: 3074: 3066: 3058: 2550: 2542: 2381: 2300: 2135: 1984:"From Back-Pressure Arm-Lift to Mouth-to-Mouth, Control of Airway, and Beyond" 1912:(Motion picture). Washington, DC: Walter Reed Army Institute of Research. 1957 1907: 1844:"The triple Olympic medallist who invented handball and the forerunner to CPR" 1815: 1544: 1007: 949: 854: 712: 594: 324:
Illustration of Silvester's method of performing artificial respiration. From
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Pulse of life: the story of artificial respiration and artificial circulation
2494:"The closed chest method of cardiopulmonary resuscitation: revised statement" 2191: 2092:"Mouth-to-mouth versus manual artificial respiration for children and adults" 1762: 57:
include CPR (consisting of ventilation of the lungs and chest compressions),
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As early as the 1930s, it was known that small electric shocks could induce
500: 225: 3036: 2999: 2919: 2892: 2817: 2776: 2740: 2698: 2519: 2438: 2367: 2330: 2117: 2054: 1965: 1893: 1713: 1292: 1145: 789: 2981: 2954: 2654: 1721: 1450: 1025: 809:, and that more powerful shocks could reverse this fibrillation. In 1947, 2847: 2575:(Motion picture). Santa Monica, California: Pyramid Film Producers. 1962. 820:
Beck's groundbreaking work was eclipsed in 1955, with the development by
680: 103: 1595:. London: Sampson Low, Marston, Searle & Rivington. pp. 116–18. 1592:
The surgeon's handbook on the treatment of wounded in war: a prize essay
2673:"Ventricular fibrillation of long duration abolished by electric shock" 2492:
Foley GE; Lazarus H; Farber S; Uzman BG; Boone BA; McCarthy RE (1965).
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G—Gauge (evaluate and treat the underlying cause of the cardiac arrest)
558: 466: 426: 241: 127: 1670:"Die Methode der Wiederbelebung bei Herzten nach Chloroformeinathmung" 1525:
Popular Observations on Apparent Death from Drowning, Suffocation etc
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Popular Observations on Apparent Death from Drowning, Suffocation etc
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Popular Observations on Apparent Death from Drowning, Suffocation etc
473:) were being used with some degree of success in Japan at that time. 257: 245: 209:
Significant advances in resuscitation were made in Europe during the
143: 131: 119: 1630: 542:, which demonstrated and publicized this new life-saving technique. 2090:
Gordon, AS; Frye CW; Gittelson L; Sadove MS; Beattie EJ Jr (1958).
2029:"Symposium on mouth-to-mouth resuscitation (expired air inflation)" 1265:
Dadmehr, M; Bahrami, M; Eftekhar, B; Ashraf, H; Ahangar, H (2018).
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was recommended within 30 minutes for victims that show signs of
2871: 2763: 2677: 2633: 2309: 2096: 2033: 610: 561:, "Resusci Anne" featured a lifelike face that was based on the 2069:"Artificial Respiration Technic for Infants and Small Children" 1843: 1499:"Apparent death from blows, falls, and the stroke of lightning" 1044:"Man dead in appearance recovered by distending lungs with air" 369:
of gastric contents was unacceptably high using Hall's method.
1189:"Rediscovery of expired air methods for emergency ventilation" 877: 679:. For the film, Gordon and Adams devised the easy-to-remember 65:(the means to bring these techniques to the patient quickly). 690:
By 1964, Safar had expanded the "A-B-C" mnemonic to include:
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until an external defibrillator can be brought to the scene.
353:(expiratory) position at a rate of sixteen times per minute. 1527:. Northampton: W. Birdsall & T. Burnham. pp. 56–58. 1505:. Northampton: W. Birdsall & T. Burnham. pp. 79–84. 817:
and the defibrillator paddles placed directly on the heart.
3079:(instructional film produced by the Danish Red Cross, 1952) 2966:"Modern cardiopulmonary resuscitation—not so new after all" 476:
The Shafer method became popular after it was described by
1998:(1 ed.). New York: Springer-Verlag. pp. 266–75. 1483:. Northampton: W. Birdsall & T. Burnham. pp. 1–5. 675:
and David Adams produced a 26-minute training film called
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Illustration of the Schäfer method of resuscitation, from
2220:. Wexford, Pennsylvania: Sudden Cardiac Arrest Foundation 1341:
Philosophical Transactions of the Royal Society of London
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Philosophical Transactions of the Royal Society of London
1203:(1 ed.). New York: Springer-Verlag. pp. 263–5. 326:
The surgeon's handbook on the treatment of wounded in war
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at that time, having just earned his medical degree from
99:(her slain brother and husband) with the breath of life. 1540:"The Marshall Hall method in the treatment of asphyxia" 1477:"On the difference between absolute and apparent death" 730:
E—EKG (administer external defibrillation if necessary)
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Archiv für Experimentelle Pathologie und Pharmakologie
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Society for the Recovery of Persons Apparently Drowned
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The combined use of ventilation and chest compressions
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In 1892, Friedrich Maass — a surgical resident at the
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Society for the Recovery of Persons Apparently Drowned
1698:"Dr. Friedrich Maass: 100th Anniversary of "New" CPR" 1631:"Ueber wiederbelebung nach vergiftungen und asphyxie" 755:
I—Intensive Care Unit (administer chest compressions)
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F—Fluids (administer intravenous fluids as necessary)
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Cooper, J. A.; Cooper, J. D.; Cooper, J. M. (2006).
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Elijah Resuscitating the Son of the Widow of Sarepta
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Artificial respiration by the Holger Nielsen method
2250:. Baltimore, Maryland: The Johns Hopkins University 2244:"A Dying Dog, a Slow Elevator, and 50 Years of CPR" 1811:"Artificial respiration: the Holger Nielsen method" 1267:"Chest compression for syncope in medieval Persia" 393:sponge held close to the nostrils of the patient. 122:(the disciple and protégé of Elijah) resuscitated 748:within 30 minutes for victims that show signs of 2413:"Cardiac resuscitation through the intact chest" 2144:(Motion picture). Chicago: Chicago Film Archives 2134:Lewis and Marguerite Herman (directors) (1958). 992:"Artificial respiration: the history of an idea" 53:The modern elements of resuscitation for sudden 2872:The Journal of the American Medical Association 2764:The Journal of the American Medical Association 2678:The Journal of the American Medical Association 2634:The Journal of the American Medical Association 2310:The Journal of the American Medical Association 2097:The Journal of the American Medical Association 2034:The Journal of the American Medical Association 1088: 1086: 611:The Journal of the American Medical Association 449:Demonstration of mouth-to-mouth ventilation by 271:(1736 – 1818) was living and practicing in the 87:The earliest references to CPR can be found in 2352:"Community-wide cardiopulmonary resuscitation" 1425:Driscol, TE; Ratnoff, OD; Nygaard, OF (1975). 1356: 1354: 618:, and three patients were documented to be in 1805: 1803: 1157: 1155: 1110: 1108: 1106: 1037: 1035: 703:C—Circulation (administer chest compressions) 161:, described his approach to the treatment of 8: 2829: 2827: 2342: 2340: 2237: 2235: 1073:The American Journal of the Medical Sciences 2790:Israel, JS; McCulla, K; Dobkin, AB (1963). 2390:"Cardiac resuscitation without thoracotomy" 2129: 2127: 985: 983: 981: 230:Society for the Recovery of Drowned Persons 32:began to appear in the medical literature. 2792:"A Cart for Cardiopulmonary Resuscitation" 1691: 1689: 1687: 1179: 1177: 1162:Nielsen, H (1932). "En oplivningsmetode". 1059: 1057: 549:) wrote an instructional booklet entitled 365:and face, and finally 3) that the risk of 3026: 2989: 2807: 2509: 2468: 2428: 2172:American Association of Industrial Nurses 1996:Advances in Cardiopulmonary Resuscitation 1770: 1282: 1201:Advances in Cardiopulmonary Resuscitation 1135: 1099:. London: John Churchill. pp. 17–18. 1015: 924:Learn how and when to remove this message 2970:Journal of the Royal Society of Medicine 1069:"Asphyxia, its rationale and its remedy" 18:history of cardiopulmonary resuscitation 2271:"1957: CPR and the First Defibrillator" 977: 20:(CPR) can be traced as far back as the 3093:Walter Reed Army Institute of Research 2904:"Rescue breathing and cardiac massage" 842:The portability problem was solved by 700:B—Breathing (provide rescue breathing) 2865:GORDON AS; FAINER DC; IVY AC (1950). 2757:; Amarasingham, R; Neuman, J (1962). 642:of CPR. Note that even at that time, 196:A device for the administration of a 172:performed an experiment that refuted 7: 3084:Respiratory resuscitation techniques 2796:Canadian Medical Association Journal 1909:Respiratory Resuscitation Techniques 1745:"Jiu-Jitsu Methods of Resuscitation" 906:adding citations to reliable sources 234:rectal fumigation with tobacco smoke 2721:The New England Journal of Medicine 2715:; Linenthal, AJ; Gibson, W (1956). 2356:Journal of the Iowa Medical Society 1945:The New England Journal of Medicine 1873:The New England Journal of Medicine 827:The New England Journal of Medicine 589:in dogs. The team — which included 3107:served as a medical adviser, 1958) 2908:New York State Journal of Medicine 2671:; Pritchard, WH; Feil, HS (1947). 581:In 1958, a team of researchers at 359:inspiratory and expiratory volumes 14: 3135:served as medical director, 1975) 3123:, Guy Knickerbocker, et al, 1961) 3028:10.1161/CIRCULATIONAHA.106.610907 2691:10.1001/jama.1947.62890150005007a 2541:NE Meltzer, D Benson, SC Franco, 2215:"A death mask to help save lives" 2110:10.1001/jama.1958.72990200011008a 2073:U.S. Armed Forces Medical Journal 1612:British Journal of Dental Science 495:epidemic in Minnesota, Elam — an 491:(1918 - 1995). In 1946, during a 2885:10.1001/jama.1950.62920170009009 2647:10.1001/jama.1966.03110170084023 2606:10.1213/00000539-196607000-00017 2411:Rivkin, LM; Gardner, RE (1962). 2323:10.1001/jama.1960.03020280004002 2047:10.1001/jama.1958.72990200008008 1674:Berliner Klinische Wochenschrift 882: 851:automated external defibrillator 110:. For example, according to the 102:Other early references from the 42:method, Silvester's method, the 2629:"Cardiopulmonary resuscitation" 1866:; Brown, ES; Elder, JD (1954). 1124:Medico-Chirurgical Transactions 1048:Medical Essays and Observations 893:needs additional citations for 3115:(instructional film on CPR by 3068:Respiratory and cardiac arrest 2394:Maryland State Medical Journal 2305:"Closed-chest cardiac massage" 1400:About the Royal Humane Society 608:In a 1960 landmark article in 396:In 1877, Rudolph Boehm at the 157:, a physician in 15th century 142:, this time in the village of 1: 3149:Cardiopulmonary resuscitation 3131:(instructional film in which 3103:(instructional film in which 1829:10.1016/S0140-6736(00)94687-7 478:Edward Albert Sharpey-Schafer 421:Encyclopædia Britannica, 1911 388:In 1868, John D. Hill of the 140:another apparently dead child 30:cardiopulmonary resuscitation 2388:; Knickerbocker, GG (1960). 2303:; Knickerbocker, GG (1960). 2275:Digital Library and Archives 2004:10.1007/978-1-4612-6338-8_41 1209:10.1007/978-1-4612-6338-8_40 768:National Academy of Sciences 536:American Medical Association 441:Mouth-to-mouth resuscitation 136:mouth-to-mouth resuscitation 2733:10.1056/NEJM195604192541601 1958:10.1056/NEJM195804032581401 1886:10.1056/NEJM195405062501801 1431:Annals of Internal Medicine 563:death mask of a French girl 505:pharmacologically paralyzed 469:techniques (referred to as 341:In 1856, English physician 89:ancient Egyptian literature 3180: 2593:Anesthesia & Analgesia 2184:10.1177/216507995900701005 1842:Hamilton, B (2019-01-27). 1443:10.7326/0003-4819-83-6-878 874:Recent developments in CPR 782: 697:A—Airway (open the airway) 661:American Heart Association 528:United States Armed Forces 438: 297:emergency medical services 112:Genesis creation narrative 63:emergency medical services 36:Mouth-to-mouth ventilation 2248:Hopkins Medicine magazine 1008:10.1017/s0025727300016896 868:Emerson Radio Corporation 764:National Research Council 638:1964 illustration of the 593:, Guy Knickerbocker, and 569:River in the late 1880s. 524:National Research Council 455:11th World Scout Jamboree 2947:10.1161/01.cir.96.6.2102 1763:10.1136/bmj.2.3893.318-a 1284:10.1093/eurheartj/ehy374 620:ventricular fibrillation 583:Johns Hopkins University 291:(which later became the 3128:Pulse of life (revised) 2836:Medical Instrumentation 2511:10.1161/01.CIR.31.5.641 2470:10.1161/01.CIR.26.3.324 2242:Flynn, R (2011-02-18). 1796:. New York. 1910-09-04. 1750:British Medical Journal 1384:. London. pp. 4–5. 807:ventricles of the heart 746:therapeutic hypothermia 644:therapeutic hypothermia 405:University of Göttingen 134:successfully performed 97:Isis resurrected Osiris 3060:Artificial respiration 1787:"Revived by jiu-jitsu" 1714:10.1002/clc.4960141211 1563:Silvester, HR (1858). 1538:Silvester, HR (1858). 1271:European Heart Journal 1093:Silvester, HR (1858). 798: 793:Defibrillator used by 651: 501:mechanical ventilators 458: 435:Artificial ventilation 431: 423: 355:Henry Robert Silvester 337:Artificial ventilation 333: 205:Artificial ventilation 201: 84: 2982:10.1258/jrsm.98.7.327 2641:(4): 138–45, 372–79. 2277:. National EMS Museum 2142:JoAnn Elam Collection 1823:(5843): 437–8. 1935. 1743:Cornwall, JW (1935). 942:myocardial infarction 855:abnormal heart rhythm 792: 744:H—Hypothermia (begin 637: 448: 429: 418: 378:Friedrich von Esmarch 349:(inspiratory) to the 330:Friedrich von Esmarch 323: 195: 155:Burhan-ud-din Kermani 76: 69:Earliest descriptions 2545:, GG Knickerbocker, 1404:Royal Humane Society 1367:. London. p. 4. 902:improve this article 711:D—Drugs (administer 398:University of Dorpat 367:pulmonary aspiration 293:Royal Humane Society 211:Age of Enlightenment 106:can be found in the 93:Old Kingdom of Egypt 3154:History of medicine 3121:William Kouwenhoven 2573:Wellcome Collection 2417:California Medicine 2166:; Ruben, H (1959). 1849:The Copenhagen Post 1702:Clinical Cardiology 1361:Johnson, A (1773). 1164:Ugeskrift for Læger 1042:Tossach, W (1744). 591:William Kouwenhoven 565:who drowned in the 390:Royal Free Hospital 198:tobacco smoke enema 80:, 1819 painting by 3112:Life in your hands 3091:, produced by the 2902:Saland, G (1963). 2552:Life in Your hands 2168:"Rescue Breathing" 1794:The New York Times 1647:10.1007/BF01831354 990:Baker, AB (1971). 799: 717:sodium bicarbonate 669:Life in Your Hands 652: 616:general anesthesia 573:Chest compressions 532:American Red Cross 510:In 1956, Elam met 459: 432: 424: 384:Chest compressions 334: 267:English physician 202: 85: 2079:(6): 851–4. 1957. 2027:Dill, DB (1958). 1934:; Escarraga, LA; 1668:Maass, F (1892). 1629:Boehm, R (1877). 1606:Hill, JD (1868). 1378:Rich, JB (1774). 934: 933: 926: 815:surgically opened 770:convened another 677:The Pulse of Life 559:Asmund S. Laerdal 277:Leiden University 3171: 3100:Rescue breathing 3048: 3030: 3003: 2993: 2964:Hurt, R (2005). 2958: 2923: 2896: 2852: 2851: 2831: 2822: 2821: 2811: 2787: 2781: 2780: 2751: 2745: 2744: 2709: 2703: 2702: 2665: 2659: 2658: 2624: 2618: 2617: 2583: 2577: 2576: 2563: 2557: 2556: 2538: 2532: 2531: 2513: 2489: 2483: 2482: 2472: 2463:(3): 324. 1962. 2449: 2443: 2442: 2432: 2408: 2402: 2401: 2378: 2372: 2371: 2344: 2335: 2334: 2293: 2287: 2286: 2284: 2282: 2269:Peck, M (2011). 2266: 2260: 2259: 2257: 2255: 2239: 2230: 2229: 2227: 2225: 2219: 2210: 2204: 2203: 2160: 2154: 2153: 2151: 2149: 2137:Rescue Breathing 2131: 2122: 2121: 2087: 2081: 2080: 2065: 2059: 2058: 2024: 2018: 2017: 1976: 1970: 1969: 1928: 1922: 1921: 1919: 1917: 1904: 1898: 1897: 1860: 1854: 1853: 1839: 1833: 1832: 1807: 1798: 1797: 1791: 1783: 1777: 1776: 1774: 1740: 1734: 1733: 1696:Taw, RL (1991). 1693: 1682: 1681: 1665: 1659: 1658: 1626: 1620: 1619: 1603: 1597: 1596: 1583: 1577: 1576: 1560: 1554: 1553: 1535: 1529: 1528: 1513: 1507: 1506: 1491: 1485: 1484: 1469: 1463: 1462: 1422: 1416: 1415: 1413: 1411: 1392: 1386: 1385: 1375: 1369: 1368: 1358: 1349: 1348: 1329: 1323: 1322: 1303: 1297: 1296: 1286: 1262: 1256: 1251: 1245: 1240: 1234: 1229: 1223: 1222: 1181: 1172: 1171: 1159: 1150: 1149: 1139: 1112: 1101: 1100: 1090: 1081: 1080: 1061: 1052: 1051: 1039: 1030: 1029: 1019: 987: 929: 922: 918: 915: 909: 886: 878: 864:speech synthesis 849:The idea for an 838: 834: 750:cerebral hypoxia 721:calcium chloride 659:endorsed by the 648:cerebral hypoxia 551:Rescue Breathing 540:Rescue Breathing 497:anesthesiologist 463:recorded history 451:Dutch Boy Scouts 124:a Phoenician boy 3179: 3178: 3174: 3173: 3172: 3170: 3169: 3168: 3139: 3138: 3055: 3021:(25): 2839–49. 3008: 2963: 2928: 2901: 2879:(17): 1455–64. 2864: 2861: 2859:Further reading 2856: 2855: 2833: 2832: 2825: 2789: 2788: 2784: 2753: 2752: 2748: 2711: 2710: 2706: 2667: 2666: 2662: 2626: 2625: 2621: 2585: 2584: 2580: 2565: 2564: 2560: 2540: 2539: 2535: 2491: 2490: 2486: 2451: 2450: 2446: 2410: 2409: 2405: 2386:Kouwenhoven, WB 2380: 2379: 2375: 2346: 2345: 2338: 2297:Kouwenhoven, WB 2295: 2294: 2290: 2280: 2278: 2268: 2267: 2263: 2253: 2251: 2241: 2240: 2233: 2223: 2221: 2217: 2212: 2211: 2207: 2162: 2161: 2157: 2147: 2145: 2133: 2132: 2125: 2089: 2088: 2084: 2067: 2066: 2062: 2026: 2025: 2021: 2014: 1978: 1977: 1973: 1930: 1929: 1925: 1915: 1913: 1906: 1905: 1901: 1862: 1861: 1857: 1841: 1840: 1836: 1809: 1808: 1801: 1789: 1785: 1784: 1780: 1742: 1741: 1737: 1695: 1694: 1685: 1667: 1666: 1662: 1641:(1–2): 68–101. 1628: 1627: 1623: 1605: 1604: 1600: 1585: 1584: 1580: 1562: 1561: 1557: 1537: 1536: 1532: 1515: 1514: 1510: 1493: 1492: 1488: 1471: 1470: 1466: 1424: 1423: 1419: 1409: 1407: 1396:"Notable Dates" 1394: 1393: 1389: 1377: 1376: 1372: 1360: 1359: 1352: 1331: 1330: 1326: 1305: 1304: 1300: 1264: 1263: 1259: 1254:2 Kings 4:32–35 1252: 1248: 1241: 1237: 1230: 1226: 1219: 1183: 1182: 1175: 1161: 1160: 1153: 1114: 1113: 1104: 1092: 1091: 1084: 1063: 1062: 1055: 1041: 1040: 1033: 996:Medical History 989: 988: 979: 974: 938:Frank Pantridge 930: 919: 913: 910: 899: 887: 876: 836: 832: 787: 781: 632: 575: 443: 437: 413: 386: 374:supine position 339: 318: 305: 219:John Fothergill 207: 190: 152: 126:in the city of 71: 12: 11: 5: 3177: 3175: 3167: 3166: 3161: 3156: 3151: 3141: 3140: 3137: 3136: 3124: 3108: 3096: 3080: 3072: 3064: 3054: 3053:External links 3051: 3050: 3049: 3005: 3004: 2960: 2959: 2941:(6): 2102–12. 2925: 2924: 2914:(24): 3521–3. 2898: 2897: 2860: 2857: 2854: 2853: 2823: 2802:(25): 1284–9. 2782: 2746: 2727:(16): 727–32. 2704: 2660: 2619: 2586:Winchell, SW; 2578: 2558: 2547:WB Kouwenhoven 2533: 2484: 2444: 2403: 2373: 2336: 2317:(10): 1064–7. 2288: 2261: 2231: 2205: 2155: 2123: 2082: 2060: 2019: 2013:978-1461263401 2012: 1971: 1923: 1899: 1880:(18): 749–54. 1855: 1834: 1799: 1778: 1735: 1708:(12): 1000–2. 1683: 1660: 1621: 1598: 1578: 1555: 1530: 1508: 1486: 1464: 1417: 1387: 1370: 1350: 1324: 1298: 1277:(29): 2700–1. 1257: 1246: 1235: 1224: 1218:978-1461263401 1217: 1173: 1151: 1102: 1082: 1053: 1031: 976: 975: 973: 970: 932: 931: 890: 888: 881: 875: 872: 785:Defibrillation 783:Main article: 780: 779:Defibrillation 777: 759: 758: 757: 756: 753: 742: 736: 735: 734: 731: 728: 725:norepinephrine 706: 705: 704: 701: 698: 631: 628: 624:bridge therapy 599:femoral artery 587:defibrillation 574: 571: 482:Holger Nielsen 439:Main article: 436: 433: 412: 409: 385: 382: 363:cervical spine 338: 335: 317: 314: 304: 303:Defibrillation 301: 287:) founded the 285:Frederick Bull 273:Dutch Republic 206: 203: 189: 186: 151: 148: 118:- the prophet 70: 67: 59:defibrillation 55:cardiac arrest 22:literary works 13: 10: 9: 6: 4: 3: 2: 3176: 3165: 3162: 3160: 3157: 3155: 3152: 3150: 3147: 3146: 3144: 3134: 3133:Archer Gordon 3130: 3129: 3125: 3122: 3118: 3114: 3113: 3109: 3106: 3102: 3101: 3097: 3094: 3090: 3086: 3085: 3081: 3078: 3077: 3073: 3070: 3069: 3065: 3062: 3061: 3057: 3056: 3052: 3046: 3042: 3038: 3034: 3029: 3024: 3020: 3016: 3012: 3007: 3006: 3001: 2997: 2992: 2987: 2983: 2979: 2976:(7): 327–31. 2975: 2971: 2967: 2962: 2961: 2956: 2952: 2948: 2944: 2940: 2936: 2932: 2927: 2926: 2921: 2917: 2913: 2909: 2905: 2900: 2899: 2894: 2890: 2886: 2882: 2878: 2874: 2873: 2868: 2863: 2862: 2858: 2849: 2845: 2841: 2837: 2830: 2828: 2824: 2819: 2815: 2810: 2805: 2801: 2797: 2793: 2786: 2783: 2778: 2774: 2770: 2766: 2765: 2760: 2756: 2750: 2747: 2742: 2738: 2734: 2730: 2726: 2722: 2718: 2714: 2708: 2705: 2700: 2696: 2692: 2688: 2685:(15): 985–6. 2684: 2680: 2679: 2674: 2670: 2664: 2661: 2656: 2652: 2648: 2644: 2640: 2636: 2635: 2630: 2623: 2620: 2615: 2611: 2607: 2603: 2599: 2595: 2594: 2589: 2582: 2579: 2574: 2570: 2569: 2562: 2559: 2554: 2553: 2548: 2544: 2537: 2534: 2529: 2525: 2521: 2517: 2512: 2507: 2503: 2499: 2495: 2488: 2485: 2480: 2476: 2471: 2466: 2462: 2458: 2454: 2448: 2445: 2440: 2436: 2431: 2426: 2422: 2418: 2414: 2407: 2404: 2400:(10): 712–13. 2399: 2395: 2391: 2387: 2383: 2377: 2374: 2369: 2365: 2361: 2357: 2353: 2349: 2343: 2341: 2337: 2332: 2328: 2324: 2320: 2316: 2312: 2311: 2306: 2302: 2298: 2292: 2289: 2276: 2272: 2265: 2262: 2249: 2245: 2238: 2236: 2232: 2216: 2209: 2206: 2201: 2197: 2193: 2189: 2185: 2181: 2178:(10): 20–26. 2177: 2173: 2169: 2165: 2159: 2156: 2143: 2139: 2138: 2130: 2128: 2124: 2119: 2115: 2111: 2107: 2103: 2099: 2098: 2093: 2086: 2083: 2078: 2074: 2070: 2064: 2061: 2056: 2052: 2048: 2044: 2041:(3): 317–19. 2040: 2036: 2035: 2030: 2023: 2020: 2015: 2009: 2005: 2001: 1997: 1993: 1989: 1985: 1981: 1975: 1972: 1967: 1963: 1959: 1955: 1952:(14): 671–7. 1951: 1947: 1946: 1941: 1937: 1933: 1927: 1924: 1911: 1910: 1903: 1900: 1895: 1891: 1887: 1883: 1879: 1875: 1874: 1869: 1865: 1859: 1856: 1852:. 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Index

literary works
ancient Egypt
cardiopulmonary resuscitation
Mouth-to-mouth ventilation
Marshall Hall
Shafer
James Elam
cardiac arrest
defibrillation
emergency medical services

Louis Hersent
ancient Egyptian literature
Old Kingdom of Egypt
Isis resurrected Osiris
Iron Age
Bible
Genesis creation narrative
Book of Kings
Elijah
a Phoenician boy
Zarephath
Elisha
mouth-to-mouth resuscitation
another apparently dead child
Shunem
Burhan-ud-din Kermani
Persia
Robert Hooke
Galen

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