Fatal Heart Attack and Successful Defibrillation

Beck, Claude S.; Weckesser, Elden C.; Barry, Frank M.

doi:10.1001/jama.1956.62970050001008

Cited by 105 publications

(10 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Beck appreciated the limitations of this and believed that this procedure needed to be easily performed in other locations. He eventually reported what he suggested was the first successful defibrillation outside of an operating theatre (Beck, Weckesser and Barry, 1956). This was performed in an emergency department on a 65-year-old man who had collapsed whilst leaving hospital.…”

Section: Ventricular Fibrillation and Defibrillationmentioning

confidence: 99%

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

2006

View full text Add to dashboard Cite

This thesis draws upon data gathered during research undertaken with a grant from the Resuscitation Council (UK). It explores the use of Automatic External Defibrillators (AEDs) by laypeople, which is known as Public Access Defibrillation (PAD). Whilst an abundance of research has been undertaken about this phenomenon, it has predominately been conducted using quantitative methods; however the data I am using was collected using a qualitative approach. During the research, fifty-three semi-structured interviews were carried out. Most of these were with laypeople who had been trained to use AEDs, and nine involved those who delivered the training. These interviews were conducted at sites typical of those where these devices have been introduced, such as railway stations and airports. The geographical area of these locations covered the East and West Midlands, South and West Yorkshire, Lincolnshire and Essex. The aims of the research were quite broad and included exploring how to make training more realistic, how debriefing and support for those who had used an AED should be organised and how the interviewees perceived the technology inherent in the AED.This thesis reanalyses the data that was collected during that research and focuses on two themes. Firstly, some of the theories of technologies in transition are used to illustrate how AEDs were developed in a laboratory and progressed from that setting to become commonplace in public locations. The actor-network theory is adopted to argue that these technological devices exert an influence on the human actors in the networks that exist within society. Specifically, my analysis is informed by the work of Timmermans (1998; 1999; 1997) whose theories about external chest compressions I have developed and applied to AEDs. They suggest that these devices achieved universality, in part, through the influence of debates and medical protocols.One significant factor was that AEDs allowed for defibrillation to be redefined from a medical, to a first aid procedure. Eventually, using these devices was included in the protocols for first aid and this legitimised their use by laypeople. These theories are observable in the data through the interviewees" accounts of how they came to accept being trained to use AEDs. The experiences of those who had used an AED during a resuscitation attempt are provided and suggest that these are distressing and unpleasant events.Consequently, a key component of this thesis is a discussion of the necessity to provide psychological debriefing for those who have been involved in these incidents.The findings of this thesis suggest that laypeople who have used an AED usually have questions about the actions they took during the attempted resuscitation and need to address these with someone soon afterwards.

show abstract

Section: Ventricular Fibrillation and Defibrillationmentioning

confidence: 99%

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

2006

View full text Add to dashboard Cite

show abstract

“…[12][13][14] In 1947, 10 years after he had successfully defibrillated the heart of a dog, Beck successfully defibrillated a human heart, which had stopped beating during a heart operation using open chest cardiac stimulation. 15 After this successful defibrillation, Beck began to formally train medical personnel in cardiac resuscitation in 1950, teaching both mouth-to-mouth ventilation of the lungs and open chest cardiac massage and defibrillation. [16][17][18] In this way, he trained thousands of doctors and nurses in courses for cardiac resuscitation.…”

Section: Curriculum Vitae Highlightsmentioning

confidence: 99%

“…He has been no less than a pioneer in his study of acute and chronic compression of the heart, contusion of the heart, cardiac resuscitation, and alterations of the blood supply to the heart. He was the first to successfully remove tumors from the heart, 19 to reverse a fatal heart attack, to defibrillate a human heart, 15 and to perform operations for the surgical treatment of coronary artery disease. 20 Although the medical community did not always understand or embrace Beck's advances in the new and complex field of cardiovascular surgery, Beck remained confidant in the future application of his studies and methods.…”

Section: Accomplishments and Contributions To The Field Of Cardiothormentioning

confidence: 99%

Historical perspectives of The American Association for Thoracic Surgery: Claude S. Beck (1894-1971)

Theruvath

Ikonomidis

2015

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

“…Coronary care units were established as a logical sequel to the successful abolition of ventricular fibrillation in a patient using electrical current (Beck et al, 1947), but almost a decade elapsed before Beck et al (1956) and Reagan et al (1956) reported the successful defibrillation of a patient who had suffered ventricular fibrillation after acute myocardial infarction. The parallel development and refinement of closed chest massage and cardiac resuscitation (Kouwenhoven et al, 1960) also served to spur medical thinking towards coronary care.…”

Section: History Of Coronary Carementioning

confidence: 99%

The intermediate coronary care unit. A stage in continued coronary care.

Resnekov¹

1977

Heart

View full text Add to dashboard Cite

The concept of continued and progressive coronary care rather than intermediate coronary care is proposed.At each clinical stage the patient may be at risk and his management needs tv b3 planned appropriatelyprevention of the development of coronary disease, prehospital care, acute coronary care, subacute coronary care, and late hospital stay. Meticulous continued care once the patient leaves the hospital and returns home may be neededfor a long time.Although the benefit of an intermediate coronary care unit has not yet been proved, significant patient risk continues beyond 12 days of hospital admission. High risk patient subsets are emerging requiring careful continued monitoring and the ability to undertake emergency measures as needed, and this is particularly so in patients suffering large anterior infarction, in those with infarction associated with cardiac failure, when infarction is associated with fascicular block and other types of conduction disturbances, and in patients who continue with rhythm disturbances after their admission to the hospital. Electrocardiograph leads III and Vl displayed simultaneously should be routinely monitored in patients with fascicular blocks and acute anterior infarction as a guide to instituting prophylactic transvenous pacemaking.The continuation of intensive patient care and monitoring beyond the usual 2 to 5 days in a coronary care unit allows early mobilisation ofpatients in safety, thus speeding their ultimate rehabilitation.There is, as yet, no satisfactory study documenting the need for intermediate coronary care units, but much presumptive evidence is available to indicate that this is so. A carefully controlled randomised study z uld be invaluable.'Keep your enthusiasm, but let strict verification be its constant companion'-Pasteur. Despite some contrary views (Mather et al., 1971) most agree that coronary care units (CCU) reduce the mortality of acute myocardial infarction provided that the patient survives long enough to be admitted (Meltzer, 1968;Pantridge, 1970;Hofvendahl, 1971;MacMillan and Brown, 1971). In our own CCU an analysis of more than 500 proven cases of acute myocardial infarction has shown a progressive decline of mortality in the acute phases of myocardial infarction from more than 28 per cent

show abstract

Fatal Heart Attack and Successful Defibrillation

Cited by 105 publications

References 0 publications

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Training lay-people to use automatic external defibrillators: Are all of their needs being met?

Historical perspectives of The American Association for Thoracic Surgery: Claude S. Beck (1894-1971)

The intermediate coronary care unit. A stage in continued coronary care.

Contact Info

Product

Resources

About