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Life in the Balance: Emergency Medicine and the Quest to Reverse Sudden Death [Hardcover]

Mickey Eisenberg M.D. (Author)
4.3 out of 5 stars  See all reviews (3 customer reviews)


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Book Description

July 17, 1997 0195101790 978-0195101799 1
Sudden deaths are perhaps the hardest to accept. The heart attack that strikes without warning; the accident that takes away a loved one in the prime of life. But now, for the first time in human history, we have the ability to reverse sudden death. In communities and emergency rooms around the country, men, women, and children who almost certainly would have died 100 or even 50 years ago today survive thanks to the miracle of cardiac resuscitation. But while television shows such as ER. or Rescue 911 have made even the direst medical emergencies seem all too familiar--the wailing sirens, the arrival of paramedics, the initiation of CPR--few of us know of the decades and centuries of effort behind every successful resuscitation.
Life in the Balance is the riveting story of the ongoing quest to reverse sudden death. Written by Mickey S. Eisenberg, M.D., Director of Emergency Medicine Service at the University of Washington Medical Center, it is infused with a dedicated doctors passion for saving lives. Eschewing medical jargon, Eisenberg takes us on a fascinating journey of discovery that ranges from biblical times to a real life, minute-by-minute resuscitation in suburban King County, Washington. The journey begins with a grief-stricken mother who brings her lifeless child before the prophet Elijah, and continues with, among others, a physician to gladiators, a Danish masseur, a Baltimore fire chief, smooth-talking medical quacks, and a crusty cardiologist. This wildly improbable but true tale includes magnets, bellows, rectal tobacco smoke, frog legs, executed criminals, bells attached to coffins, reanimation chairs, a long car ride from Kansas City to Baltimore, a serendipitous dog experiment, and a one-story hospital in Belfast. Eisenberg recreates the thrilling breakthroughs in our understanding of respiration, circulation, defibrillation, and the need for mobile emergency medical services, and confronts the limits of modern medicine. He reveals that just as critical as the ability to resuscitate is the will to resuscitate--inconceivable before the Enlightenment, when reversing sudden death would have been viewed as tampering with divine will, and still a source of painful dilemmas today in cases of brain damage or serious illness.
A first-class medical detective story, Life in the Balance is supplemented with a straightforward, easy-to-use guide to emergency CPR, a handy glossary of relevant medical terms, and a potentially life-saving Community Survival Checklist. It is must reading not only for health care and emergency medicine practitioners, but for everyone whose life has been touched by the modern-day miracle of cardio-pulmonary resuscitation.

Editorial Reviews

Amazon.com Review

Today, many people take for granted the idea that a stopped heart can be restarted, that a person who appears dead isn't really dead until all life-saving techniques have been attempted. But just a few centuries ago, dead was dead. The Amsterdam Rescue Society, formed in 1767, was the first dedicated to the idea that someone who appeared dead--drowning victims, in this case--could and should be revived. Life in the Balance looks at the colorful history of resuscitation from biblical times to the present, and shows just how recent today's life-saving techniques, and the will to save lives at all, really are.

From Booklist

Eisenberg tells the fascinating, many-faceted story of the fight against sudden cardiac death. The first report in English on mouth-to-mouth resuscitation (administered to a Scottish miner overcome by fumes) appeared in 1744, and the method has been in and out of favor ever since. Of course, such artificial respiration will not do the job by itself. The circulation must be restored, and the heart returned to its regular rhythm. Chest compression helps with the circulation, but the electrical activity of the heart makes things much more complicated. Here, Eisenberg turns to the use of electricity in medicine and in quackery. Electricity furnishes the only means for stopping ventricular fibrillation, the wild pulsing that soon makes the heart useless. Eisenberg tells how electric medical pioneers worked with alternating and direct currents and how they invented and modified portable emergency devices. Moreover, his description of these developments in cardiac emergency medicine and the people involved in them makes us, too, feel involved. William Beatty

Product Details

  • Hardcover: 320 pages
  • Publisher: Oxford University Press, USA; 1 edition (July 17, 1997)
  • Language: English
  • ISBN-10: 0195101790
  • ISBN-13: 978-0195101799
  • Product Dimensions: 9.5 x 6.5 x 1 inches
  • Shipping Weight: 1.4 pounds
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (3 customer reviews)
  • Amazon Best Sellers Rank: #1,708,070 in Books (See Top 100 in Books)

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Average Customer Review
4.3 out of 5 stars (3 customer reviews)
 
 
 
 
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Most Helpful Customer Reviews

3 of 3 people found the following review helpful:
5.0 out of 5 stars Elegant and fascinating history, March 17, 1999
By A Customer
This review is from: Life in the Balance: Emergency Medicine and the Quest to Reverse Sudden Death (Hardcover)
This is an extremely interesting and well-written book. I picked it up because I love medical case histories, doctor or nurse biographies, or anything of that nature. This book is a lively overview of resuscitation through the ages. Who knew that artificial respiration used to involve fireplace bellows, with the modern method not making an appearance until the 1960's? Ties together the contributions of many far-flung individuals as well as the historical contexts which shaped them. I love a great find like this!
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1 of 1 people found the following review helpful:
4.0 out of 5 stars An excellent history of resuscitation, August 3, 2003
By 
P. J. Geraghty (Chandler, AZ USA) - See all my reviews
(REAL NAME)   
This review is from: Life in the Balance: Emergency Medicine and the Quest to Reverse Sudden Death (Hardcover)
This book is an excellent resource for those interested in resuscitation. It's a must-read for ACLS or BCLS practitioners. Eisenberg, himself a nationally-known expert in the field of prehospital care and layperson CPR, takes us on a tour of efforts of resusucation over history, some of them useful, some of them bizarre, but all of them by people who helped us learn what we know of the science of resuscitation today.
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3 of 8 people found the following review helpful:
4.0 out of 5 stars jousting at windmills, December 5, 1999
This review is from: Life in the Balance: Emergency Medicine and the Quest to Reverse Sudden Death (Hardcover)
The case for reversing sudden death is anything but secure and proven. Recent works such as that of Stefan Timmermanns cast aspersions on CPR and ACLS on logistical and clinical grounds. The Eisenberg book is the essential first step one undergoes when entering into a very real controversy. It is a standard one uses to measure growing evidence from Delaware and Ontario not to mention rural Kansas that much of our time honored dogmas are no longer sacrosanct. The quest goes on for now, but maybe not forever.
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