Essays In Pastoral MedicineWalsh, James J. (James Joseph)
Religion
Essays In Pastoral Medicine
Walsh, James J. (James Joseph)
First aid in illness and injury; Medicine
Professor W. W. Keen of Philadelphia has collected the records of the
chief cases of resuscitation after apparent death (see _The
Therapeutic Gazette_, April, 1904), and some of these are the
following: Dr. Christian Igelstrud of Tromsö, Norway, in 1901, was
operating upon a woman, 43 years of age, for cancer. During the
operation, which was a coeliotomy, she collapsed and her heart ceased
beating. After the usual means for resuscitation had been
ineffectively tried, her heart was laid bare. Igelstrud took hold of
the heart with his hand and made rhythmic pressure upon it. In about
one minute the heart began to pulsate. The patient was discharged from
the hospital five weeks afterward.
Tuffier (_Bull, et mém. soc. de chir._, 1898, p. 937) in 1898 had a
patient whose heart stopped after an operation for appendicitis. The
surgeon had left the operating room, but he returned, laid bare the
heart, pressed it rhythmically, and after two minutes it began to move
again. The patient breathed regularly, his eyes opened, the dilated
pupils contracted, and he turned his head. After the opening over the
heart had been closed, however, he died.
Prus (_Wiener klin. Woch._, no. 21, 1900, p. 486) by the same method
started contractions of the heart after 15 minutes in a man that had
hanged himself. The effort at resuscitation was made two hours after
the suicide had been discovered, but the recovery did not go beyond
imperfect movements of the heart, which gradually ceased.
Maag (_Centralbl. f. Chir._, 1901, p. 20) reports the case of a man
who under chloroform anaesthesia ceased breathing and whose heart
stopped. After 10 minutes the patient was pulseless, without
respiration, cyanotic, and cold. The heart was exposed and compressed
rhythmically; it was restored to action, and he began to breathe. He
remained alive for 12 hours, seemingly asleep; then he died.
{166}
Starling and Lane (_Lancet_, Nov. 22, 1902, p. 1397) were operating
upon a man 65 years of age. The heart and respiration ceased. Lane put
his hand into the abdominal incision and squeezed the heart through
the diaphragm. After twelve minutes of artificial respiration the
lungs and heart began to act. The patient afterward was discharged
from the hospital cured.
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