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
Sick (_Centralblatt f. Chirurgie_, Sept. 5, 1903, p. 981) reports a
very remarkable case. A boy of 15 years of age died upon the operating
table. _Three quarters of an hour_ after the heart had ceased to beat
it was laid bare. The flaps did not bleed, the pericardium was
bloodless, the heart was motionless, relaxed, and cold. After a
quarter of an hour, during which the heart was compressed, and
artificial respiration was kept up, that is, one hour after what any
physician would call death, the heart was beating and respiration was
restored. Two hours later the boy became conscious and complained of
great thirst and dyspnoea. He remained in this condition for
twenty-seven hours, and during that time his speech was indistinct but
intelligible. He then died.
Dr. George W. Crile, of Cleveland, Ohio, reports the case of a woman
whose heart movement and respiration had ceased for six minutes. She
was restored completely, even without exposing the heart. Dr. Crile
uses an inflated rubber suit on the patient to raise the blood
pressure by peripheral resistance--he does not expose the heart. He
had another case, a man 38 years of age, who "died during operation,
was resuscitated, and died again two hours later."
Two Hungarian labourers, whose skulls had been crushed in the same
accident, were brought into Dr. Crile's clinic in a dying condition.
The heart of one of these men ceased beating as he was brought into
the operating room. After nine minutes the surgeons began to work upon
him to resuscitate him. They succeeded, but he lived for only 28
minutes.
They then examined the other man and found him dead. Just 45 minutes
after this second patient had been brought into the operating room the
effort to resuscitate him began. As he had not been observed while the
physicians had been engaged with the first man, they do not know when
his heart {167} had ceased to beat, but he certainly was dead in the
opinion of skilled observers. They resuscitated him so well that he
moved his head away from the operator who was relieving the depression
of the skull, but he died again in 34 minutes.
These cases are not what is commonly called conditions of suspended
animation. All the patients would have been pronounced dead by any
physician, and if they had been left untouched, they surely never
would have been revived.
Public-domain text, read in full here on John Shaqi.
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