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James L. Ghaphery, MD
Richmond, Va

JAMA. 1981;245(8):821.

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

To the Editor.—

March and Matthews should be congratulated on their efforts to improve in-water resuscitation, as evidenced by their article published in Undersea Biomedical Research (1980;7:141-148) and a similar article published in THE JOURNAL (1980;244-1229-1232).

There are, however, several areas in the technique that are bothersome. The victim, as depicted, is not wearing any scuba gear, and I would think it difficult to compress the victim's chest effectively while he is wearing a scuba tank and an inflated buoyancy compensator. If the victim's equipment is to be removed as part of the procedure, the rescuer may find himself below the surface of the water while towing the victim and in need of his own regulator.

Second, the peak inspiratory pressure of the regulator is 40 mm Hg. I am aware that the "Standards and Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care" (1974;227[suppl]:833-868) and the more recent guidelines (1980; . . . [Full Text PDF of this Article]

Footnotes
Edited by John D. Archer, MD, Senior Editor.

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