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CPR: The P Stands for Plumber's Helper

1990; American Medical Association; Volume: 264; Issue: 13 Linguagem: Inglês

10.1001/jama.1990.03450130031020

1538-3598

Keith G. Lurie, Clinton Lindo, Jerome H. Chin,

Palliative Care and End-of-Life Issues

To the Editor.— Through novel methods of cardiac resuscitation exist, the traditional cardiopulmonary resuscitation (CPR) techniques recommended by the American Heart Association have a proven track record. 1 This is not the case, however, in all families. We describe a 65-year-old Iranian man with severe triple-vessel coronary artery disease documented by cardiac catheterization in Iran in 1985. Since his third myocardial infarction he has been limited by severe one-block angina. Unable to afford bypass surgery, his condition was managed with antianginal medications. One recent Saturday evening after dinner, while watching television, the patient collapsed in front of his family. He was unrousable. His son, poorly trained in traditional CPR, attempted to ventilate his father, but the patient did not respond. The son then attempted manual chest compression, but his father reportedly remained pulseless and breathless. The son then remembered that his mother had resuscitated her husband 6 months earlier with