Cardiopulmonary resuscitation—an element of sophistication in the 18th century

Bartecchi, Carl E.

doi:10.1016/0002-8703(80)90675-4

Cited by 7 publications

(2 citation statements)

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“…The prophet Elisha may have performed the first mouth-tomouth ventilation as described in the Bible 192 . The first medical report of successful CPR was the rescue of a miner in 1744 19 . From that time on, several forms of assisted ventilation have been tested until the midtwentieth century when Safar et al demonstrated that mouth-to-mouth ventilation was superior to the manual methods used until that time [193][194][195] .…”

Section: Discussionmentioning

confidence: 99%

“…In spite of the number of potentially transmissible diseases, only reports of isolated incidents have been published. Since the first medical use of mouth-to-mouth ventilation in 1744 19 , only the transmission of tuberculosis, Neisseria meningitidis, Herpes simplex, Helicobacter pylori, Shigella sonnei and Salmonella infantis have been documented. No case of hepatitis or HIV transmission has been described over these 254 years, but due to their emotional impact, they will also be discussed here.…”

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confidence: 99%

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Transmission of infectious diseases through mouth-to-mouth ventilation: evidence-based or emotion-based medicine?

Arend¹

2000

Arq. Bras. Cardiol.

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UpdateCardiopulmonary arrest is the interruption of the heart's mechanical activity confirmed by unconsciousness, apnea, and absence of central pulse 1 . The basic technical knowledge for management of this medical emergency by way of cardiopulmonary resuscitation (CPR) should be part of the training curriculum for health care workers and is highly recommended for the general public. However, concern about the transmission of diseases appears to have created substantial barriers for the use of CPR, both in and out of the hospital setting. The idea that the intention of saving a person's life could result in the death of the rescuer is intimidating and reduces peoples' desire and availability to help cardiopulmonary arrest victims [2][3][4][5] . The outcome of reduced use of CPR is reflected in the increase in the morbidity and mortality of the event 6-8 . Studies carried out by Brenner report that about 50% of physicians would refuse to carry out mouth-to-mouth ventilation in strangers and 7-14% would not perform mouth-to-mouth ventilation on victims with AIDS [9][10][11] . Another study reports that, although 68% of the interviewees would perform chest compressions on an unknown victim of cardiopulmonary arrest, only 15% would perform mouth-to-mouth ventilation 12 . A number of other papers report similar findings [13][14][15][16][17] . In the great majority of cases, the reason for the reluctance to immediately start CPR is the fear of catching transmissible diseases, especially HIV 12,18 . The objective of this article is to review the literature on infectious diseases transmitted through mouth-tomouth ventilation. The search for available scientific evidence for pre-and post-exposure prophylaxis has been made through searching the Medline database of articles published between 1990-1999. In addition to this, all the articles published between 1966-1999 in journals indexed to Index Medicus with the key word mouth to mouth ventilation or mouth-to-mouth ventilation, and cardiopulmonary resuscitation were reviewed. Conclusions were also based on a personal collection of articles, posters and relevant notes collected over the last few years.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%