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Commentary by Myron L. Weisfeldt, MD; Joseph P. Ornato, MD

JAMA. 2008;300(13):1582-1584.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

SUMMARY OF THE ORIGINAL ARTICLE

Closed-Chest Cardiac Massage

W.B. Kouwenhoven, Dr Ing; James R. Jude, MD; G. Guy Knickerbocker, MSE

JAMA. 1960;173(10):1064-1067

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.

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Author Affiliations: Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland (Dr Weisfeldt); and Department of Emergency Medicine, Virginia Commonwealth University, Richmond, Virginia (Dr Ornato).

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