RESPIRATORS
and

  CARDIO - PULMONARY
RESUSCITATION
 

 1937 iron lung


 

 

 


CARDIO - PULMONARY RESUSCITATION (CPR)
 

 

 

 

 

 


MOUTH-to-MOUTH RESUSCITATION
 

 

HIST:  http://www.lifesaving.com/issues/articles/10evolution.html

Ancient methods of resuscitation included:
(1) the application of heat, excrement or ashes;
(2) flagellation

More recent methods include:

16th century: blowing hot air and smoke into the victim's lungs with a bellows

18th century:
(1) instilling smoke into the rectum;
(2) “inversion” (hanging drowning victims upside-down);
(3) rolling victims over a barrel.
(3) placing victim on trotting horse.

19th century:
(1) rolling victims 16 times per minute from side-to-back,
         applying pressure to the back while prone;
(2) stretching the tongue

Modern CPR developed in the late 1950s and early 1960s. Dr. James O. Elam (1954) demonstrated the superiority of expired air ventilation without equipment over manual chest pressure; his work was confirmed during the next four years by Dr. Peter Safar. The American Red Cross mounted a campaign to teach mouth-to-mouth resuscitation for drowning victims.

 

 


CHEST COMPRESSIONS
 

 

FROM 1950-1960 direct cardiac compression by squeezing the heart by hand through a hole cut in the left side of the victim's chest.  The success rate was very low.

internal cardiac massage External Chest Compression

In early 1960 Drs. Kouwenhoven, Knickerbocker, and Jude discovered the benefit of chest compression to achieve a small amount of artifical circulation. Later in 1960, mouth-to-mouth and chest compression were combined to create CPR as it is practiced today.

Locate and avoid the Xyphoid Process

 

 

 

 

RESPIRATORS
 

 

 

IN 1928, Philip Drinker and Louis Shaw at Harvard Medical School introduced the iron lung to help individuals suffering from acute poliomyelitis.

Polio impaired patients' ability to breathe by paralyzing the diaphragm and intercostal muscles; the iron lung provided relief in the form of artificial respiration.

1955 Infant “iron lung Child in “iron lung  Modern Respirator

IT  consisted of a sealed chamber in which air pressure is alternately reduced and increased. The patient was placed in the chamber with his/her head emerging from a port at one end. Each cycle of vacuum within the chamber allowed their lungs to be filled with atmospheric air; subsequent increase of pressure forced exhalation of air from the lungs.

MODERN respirators provide “positive-pressure breathing” through a tube placed down the trachea

or inserted through a hole in the next leading into the trachea.

 


This Webpage was created for a workshop held at Saint Andrew's Abbey, Valyermo, California in 1990....x....   “”.