Peter Safar
Encyclopedia
Peter Safar was an Austria
Austria
Austria , officially the Republic of Austria , is a landlocked country of roughly 8.4 million people in Central Europe. It is bordered by the Czech Republic and Germany to the north, Slovakia and Hungary to the east, Slovenia and Italy to the south, and Switzerland and Liechtenstein to the...

n physician of Czech
Czech people
Czechs, or Czech people are a western Slavic people of Central Europe, living predominantly in the Czech Republic. Small populations of Czechs also live in Slovakia, Austria, the United States, the United Kingdom, Chile, Argentina, Canada, Germany, Russia and other countries...

 descent. He is credited with pioneering cardiopulmonary resuscitation
Cardiopulmonary resuscitation
Cardiopulmonary resuscitation is an emergency procedure which is performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person in cardiac arrest. It is indicated in those who are unresponsive...

.

Early life

Safar was born in Vienna
Vienna
Vienna is the capital and largest city of the Republic of Austria and one of the nine states of Austria. Vienna is Austria's primary city, with a population of about 1.723 million , and is by far the largest city in Austria, as well as its cultural, economic, and political centre...

, and graduated from the University of Vienna
University of Vienna
The University of Vienna is a public university located in Vienna, Austria. It was founded by Duke Rudolph IV in 1365 and is the oldest university in the German-speaking world...

 in 1948. He married Eva Kyzivat and moved from Vienna to Hartford
Hartford, Connecticut
Hartford is the capital of the U.S. state of Connecticut. The seat of Hartford County until Connecticut disbanded county government in 1960, it is the second most populous city on New England's largest river, the Connecticut River. As of the 2010 Census, Hartford's population was 124,775, making...

, Connecticut
Connecticut
Connecticut is a state in the New England region of the northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, and the state of New York to the west and the south .Connecticut is named for the Connecticut River, the major U.S. river that approximately...

 in 1949 for surgical training at Yale University
Yale University
Yale University is a private, Ivy League university located in New Haven, Connecticut, United States. Founded in 1701 in the Colony of Connecticut, the university is the third-oldest institution of higher education in the United States...

. He completed training in anesthesiology at the University of Pennsylvania
University of Pennsylvania
The University of Pennsylvania is a private, Ivy League university located in Philadelphia, Pennsylvania, United States. Penn is the fourth-oldest institution of higher education in the United States,Penn is the fourth-oldest using the founding dates claimed by each institution...

 in 1952. That same year, he worked in Lima, Peru
Peru
Peru , officially the Republic of Peru , is a country in western South America. It is bordered on the north by Ecuador and Colombia, on the east by Brazil, on the southeast by Bolivia, on the south by Chile, and on the west by the Pacific Ocean....

 and founded that country's first academic anesthesiology department. In 1954, he became Chief of Anesthesiology at Baltimore City Hospital
Johns Hopkins Bayview Medical Center
Johns Hopkins Bayview Medical Center, formerly known as Francis Scott Key Medical Center, is a hospital and medical office center in East Baltimore.It is located along Eastern Avenue near Bayview Boulevard...

.

CPR

Together with James Elam
James Elam
James Otis Elam, was a U.S. M.D. and respiratory researcher.Based on his research at the Buffalo's Roswell Park Memorial Institute for understanding carbon dioxide absorption, he developed a prototype ventilator device that efficiently could absorb carbon dioxide during surgery, dubbed the Roswell...

, he rediscovered the airway, head tilt, chin lift (Step A) and the mouth-to-mouth breathing (Step B) components of CPR and influenced Norwegian
Norway
Norway , officially the Kingdom of Norway, is a Nordic unitary constitutional monarchy whose territory comprises the western portion of the Scandinavian Peninsula, Jan Mayen, and the Arctic archipelago of Svalbard and Bouvet Island. Norway has a total area of and a population of about 4.9 million...

 doll maker Asmund Laerdal of Laerdal
Laerdal
Laerdal is a major manufacturer of medical equipment and medical training products based in Stavanger, Norway. Established in 1940 as a print shop, it soon began manufacturing popular rubber toys under the name Tomte Laerdal. Parallel to this was the manufacture of medical training models and...

 company to design and manufacture mannequin
Mannequin
A mannequin is an often articulated doll used by artists, tailors, dressmakers, and others especially to display or fit clothing...

s for CPR training called Resusci Anne
Resusci Anne
Resusci Anne, also known as Rescue Anne, Resusci Annie or CPR Annie, is a training mannequin used for teaching cardiopulmonary resuscitation to both emergency workers and members of the general public. Resusci Anne was developed by Norwegian toy maker Åsmund Laerdal, based on the research of...

. Safar, who began to work on cardiopulmonary resuscitation (CPR) in 1956 at City Hospital, demonstrated in a series of experiments on paralyzed human volunteers that rescuer exhaled air mouth-to-mouth breathing could maintain satisfactory oxygen levels in the non-breathing victim, and showed that even lay people could effectively perform mouth-to-mouth breathing to save lives. He combined the A (Airway) and the B (Breathing) of CPR with the C (chest compressions), and wrote the book ABC of Resuscitation in 1957, which established the basis for mass training of CPR. This A-B-C system for CPR training of the public was later adopted by the American Heart Association
American Heart Association
The American Heart Association is a non-profit organization in the United States that fosters appropriate cardiac care in an effort to reduce disability and deaths caused by cardiovascular disease and stroke. It is headquartered in Dallas, Texas...

, which promulgated standards for CPR in 1973.

Other Achievements

Other achievements included the establishment of the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

' first intensive care unit
Intensive Care Unit
thumb|220px|ICU roomAn intensive-care unit , critical-care unit , intensive-therapy unit/intensive-treatment unit is a specialized department in a hospital that provides intensive-care medicine...

 in 1958. In 1961, he went to the University of Pittsburgh
University of Pittsburgh
The University of Pittsburgh, commonly referred to as Pitt, is a state-related research university located in Pittsburgh, Pennsylvania, United States. Founded as Pittsburgh Academy in 1787 on what was then the American frontier, Pitt is one of the oldest continuously chartered institutions of...

, where he established its notable academic anesthesiology department and the world's first intensive care medicine training program. In 1966, he was deeply moved by the death of his daughter, Elizabeth, at the age of 12 from an acute asthma
Asthma
Asthma is the common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Symptoms include wheezing, coughing, chest tightness, and shortness of breath...

tic crisis. He initiated the Freedom House Enterprise Ambulance Service, one of the first prehospital emergency medical services in the United States in 1967 and developed standards for emergency medical technician
Emergency medical technician
Emergency Medical Technician or Ambulance Technician are terms used in some countries to denote a healthcare provider of emergency medical services...

 (EMT) education and training, as well as standards for mobile intensive care ambulance design and equipment. He co-founded the World Association for Disaster and Emergency Medicine in 1976, which is dedicated to saving lives in major disasters. He stepped down from the chairmanship of anesthesiology at the University of Pittsburgh and founded the International Resuscitation Research Center (now the University of Pittsburgh Safar Center for Resuscitation Research) in 1979. He practiced and taught clinical anesthesiology at Presbyterian University Hospital in Pittsburgh until the age of 65, but continued his research activities until his death. His lifelong goal was to "save the hearts and brains of those too young to die."

He was nominated three times for the Nobel prize in medicine
Nobel Prize in Physiology or Medicine
The Nobel Prize in Physiology or Medicine administered by the Nobel Foundation, is awarded once a year for outstanding discoveries in the field of life science and medicine. It is one of five Nobel Prizes established in 1895 by Swedish chemist Alfred Nobel, the inventor of dynamite, in his will...

.

Safar died on 3 August 2003 in Mount Lebanon, Pennsylvania
Pennsylvania
The Commonwealth of Pennsylvania is a U.S. state that is located in the Northeastern and Mid-Atlantic regions of the United States. The state borders Delaware and Maryland to the south, West Virginia to the southwest, Ohio to the west, New York and Ontario, Canada, to the north, and New Jersey to...

 from cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

.

External links

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