a brief history of resuscitation
The Lifesaving Society's 1910 version of Handbook of Instruction cites
the year 1650 as the date of the first known instances of
resuscitation on a drowning victim. In the late 1760's a Society
was formed in Amsterdam to assist drowning victims and provide
resuscitation.
A similar group was proposed for England in 1773, but did not
initially take off. The need for action on the Thames was taken up
Dr. Hawes. Anyone who spotted a drowning victim in the river was
requested by Hawes to rescue the person from the water. Victims
were to be brought to the shore between the Westminster and London
bridges for resuscitation.
The victim had the pipe of a pair of bellows inserted into one
nostril, the other nostril and mouth were closed. Air was forced
into the lungs through the bellows and forced out by pressure
placed on the chest.
In 1910 candidates were required to use the Schafer Method, or
"prone-pressure" method, of resuscitation, where victims were laid
face down and compression applied to the middle of the back. This
was done to expel air from the lungs, upon release of pressure on
the back the air would return to the lungs. Having the victim
facedown was also done to allow any water, froth or vomit to leave
the victims mouth easily.
In 1952 the Shafer method was replaced by the Holger-Neilson
method, which was similar in purpose and style. The overall goal
was to drive water from the lungs of a drowning victim using
pressure applied to the upper back of a facedown victim.
Just seven years later in 1959 the Direct method, or
"mouth-to-mouth" was adopted by the Society. This is still the
basis of current CPR methods used today.
Resuscitation was taught to Bronze Medallion candidates. Similar
to current instruction candidates were given background and
theoretical information. Diagrams of chest cavity and heart were
used as well as general descriptions of anatomy and physiology
behind circulation and respiration.
Click here to see pages from the 1910 Handbook of
Instruction.
Practice drills were used to prepare candidates to use the
resuscitation method of the day if need be. Click here to see practice drills.
Throughout the years many methods of resuscitation have been
used. Through research, debate and practice these methods have been
adapted to create the modern method of CPR we use today.
An Overview of resuscitation methods
Marshall-Hall (developed in 1856)
- Rescuer positioned at the top of the head, leaning over the
victim
- Victim placed facedown and rolled from side to side, pressure
applied between the shoulder blades
- Victim rolled 15 times per minute
Silvester (introduced in 1857)
- Rescuer kneeling above the head of the victim
- Victim positioned face-up with both arms above the head (to
inflate the lungs)
- Arms folded and pressed against the sides of the chest (to
deflate the lungs)
- The sequence continues
- Howard (presented in 1869)
- Victim laid on the back
- Lower ribs pressed with rescuers hands to expel air from the
lungs
- Upon release of pressure lungs fill with air
Howard (presented in 1869)
- Victim laid on the back
- Lower ribs pressed with rescuers hands to expel air from the
lungs
- Upon release of pressure lungs fill with air
Schafer (adopted in 1903)
- "Prone-pressure method"
- Rescuer knelt beside a facedown victim
- Pressure applied with two hands to the upper back, the heel of
each hand pressing on one of the victims shoulder blades
- Researched and compared existing methods to form the Schafer
method
- Adopted by the Society because of simplicity and focus on
drowning victims
- Holger-Neilson (developed in 1952)
- Pressure applied to the upper back of a face-down victim
- Designed to force water out of the lungs
Holger-Neilson (developed in 1952)
- Pressure applied to the upper back of a face-down victim
- Designed to force water out of the lungs
Direct method (adopted in 1959)
- "Mouth-to-mouth" was chosen as the Society's preferred method
of resuscitation
- Face-up victim, unlike many previous methods
- Tight seal around the mouth provides more oxygen to victim
- Current CPR and resuscitation techniques are based on this
method
Click here to for information and diagrams from
our 1959 Annual Report regarding Artificial Respiration.
Today the Society's resuscitation methods are based on
recommendations from the International Liaison Committee on
Resuscitation (ILCOR). Every two years ILCOR recommends
research-based changes to improve resuscitation. The Society's
instructors are re-trained in the new methods and all relevant
Society literature is revised on a five-year basis. Our most recent
changes were in 2010 - compare our current resuscitation method with methods from
the past.