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Ronald W. Yakaitis, MD
Kino Community Hospital Tucson, Ariz

JAMA. 1981;246(2):123.

	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.—

Davison and his colleagues have performed a muchneeded service in reporting their experience with ICIs during resuscitation. Nevertheless, I still have difficulty accepting ICI as a customary route of drug administration, and I fear that their article may be construed as a blanket recommendation of ICI as an arbitrary option to IV drug administration. In an effort to counter this possibility, there are several points concerning ICI and this report that should be discussed.

First, the authors observed hemopericardium to be a relatively common but clinically insignificant complication of ICI. I submit that it would be difficult, in the heat of initial resuscitative attempts, to assess whether tamponade is either present or exerting any appreciable detrimental effect. Moreover, figures derived from living subjects regarding the relationship between tamponade and the rate of pericardial sac fluid accumulation may bear little, if any, resemblance to the hemodynamic situation in . . . [Full Text PDF of this Article]

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