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Routine Cardiac Monitoring During Surgery and a Cardiac-Arrest Team in a General Hospital

Routine Cardiac Monitoring During Surgery and a Cardiac-Arrest Team in a General Hospital Abstract The problem of cardiac arrest plagues hospitals throughout the country. It has been estimated that there are 10,000 cases a year in the United States.1 Efforts are being made in many hospitals to reduce the incidence and to increase the survival rate by stressing methods of prevention and therapy; nevertheless, the mortality rate of cardiac arrest remains about 70%.2 Survival depends on whether the heart can be restarted and whether death from cerebral anoxia can be avoided. The two prime factors in survival, therefore, are speedy diagnosis and skillful treatment. It is interesting to speculate what the survival rate might be if therapy were perfectly handled. It has been shown that hearts of dead animals and humans can be restarted as long as six hours after death.3 Since approximately 50% of cases of cardiac arrest occur in persons with "normal" hearts, it would seem, therefore, that these References 1. Dr. B. B. Bergman, Dr. L. Gilbert, Dr. V. Parsonnet, and Dr. D. Wiener. 2. We use an Electrodyne PM-65 with electrocardioscope, and seven of the Electrodyne CardiacAlarm #54 model (Electrodyne Co., Inc., Norwood, Mass.). 3. Mozen, H. E., and Beck, C. S.: Are You Ready to Treat Cardiac Arrest? Mod. Hosp. 89:51-56 ( (Nov.) ) 1957. 4. Stephenson, H. E., Jr.: Personal communication to the authors. 5. Kountz, W. B.: Revival of Human Hearts , Ann. Int. Med. 10:330-336 ( (Sept.) ) 1936.Crossref 6. Unpublished data. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Routine Cardiac Monitoring During Surgery and a Cardiac-Arrest Team in a General Hospital

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320030037007
Publisher site
See Article on Publisher Site

Abstract

Abstract The problem of cardiac arrest plagues hospitals throughout the country. It has been estimated that there are 10,000 cases a year in the United States.1 Efforts are being made in many hospitals to reduce the incidence and to increase the survival rate by stressing methods of prevention and therapy; nevertheless, the mortality rate of cardiac arrest remains about 70%.2 Survival depends on whether the heart can be restarted and whether death from cerebral anoxia can be avoided. The two prime factors in survival, therefore, are speedy diagnosis and skillful treatment. It is interesting to speculate what the survival rate might be if therapy were perfectly handled. It has been shown that hearts of dead animals and humans can be restarted as long as six hours after death.3 Since approximately 50% of cases of cardiac arrest occur in persons with "normal" hearts, it would seem, therefore, that these References 1. Dr. B. B. Bergman, Dr. L. Gilbert, Dr. V. Parsonnet, and Dr. D. Wiener. 2. We use an Electrodyne PM-65 with electrocardioscope, and seven of the Electrodyne CardiacAlarm #54 model (Electrodyne Co., Inc., Norwood, Mass.). 3. Mozen, H. E., and Beck, C. S.: Are You Ready to Treat Cardiac Arrest? Mod. Hosp. 89:51-56 ( (Nov.) ) 1957. 4. Stephenson, H. E., Jr.: Personal communication to the authors. 5. Kountz, W. B.: Revival of Human Hearts , Ann. Int. Med. 10:330-336 ( (Sept.) ) 1936.Crossref 6. Unpublished data.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Mar 1, 1959

References