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Category Archives: Medicine


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Birth of Professor James Francis “Frank” Pantridge

frank-pantridge

Professor James Francis “Frank” Pantridge, physician and cardiologist from Northern Ireland, is born in Hillsborough, County Down, on October 3, 1916. Pantridge transforms emergency medicine and paramedic services with the invention of the portable defibrillator.

Pantridge is educated at Friends’ School Lisburn and Queen’s University Belfast, graduating in medicine in 1939. During World War II he serves in the British Army and is commissioned into the Royal Army Medical Corps as a lieutenant on April 12, 1940. He is awarded the Military Cross during the Fall of Singapore, when he becomes a POW. He serves much of his captivity as a slave labourer on the Burma Railway. When he is freed at the end of the war, Pantridge is emaciated and has contracted cardiac beriberi. He suffers from ill-health related to the disease for the remainder of his life.

After Pantridge’s liberation he works as a lecturer in the pathology department at Queen’s University, and then wins a scholarship to the University of Michigan, where he studies under Dr. F.N. Wilson, a cardiologist and authority on electrocardiography.

Pantridge returns to Northern Ireland in 1950 and is appointed as cardiac consultant to the Royal Victoria Hospital, Belfast and professor at Queen’s University, where he remains until his retirement in 1982. There he establishes a specialist cardiology unit whose work becomes well known.

By 1957, Pantridge and his colleague, Dr. John Geddes, introduce the modern system of cardiopulmonary resuscitation (CPR) for the early treatment of cardiac arrest. Further study leads Pantridge to the realization that many deaths result from ventricular fibrillation which needs to be treated before the patient is admitted to hospital. This leads to his introduction of the mobile coronary care unit (MCCU), an ambulance with specialist equipment and staff to provide pre-hospital care.

To extend the usefulness of early treatment, Pantridge goes on to develop the portable defibrillator, and in 1965 installs his first version in a Belfast ambulance. It weighs 70 kg and operates from car batteries. By 1968 he has designed an instrument weighing only 3 kg, incorporating a miniature capacitor manufactured for NASA.

His work is backed up by clinical investigations and epidemiological studies in scientific papers, including an influential 1967 The Lancet article. With these developments, the Belfast treatment system, often known as the “Pantridge Plan”, becomes adopted throughout the world by emergency medical services. The portable defibrillator becomes recognised as a key tool in first aid, and Pantridge’s refinement of the automated external defibrillator (AED) allows it to be used safely by members of the public.

Although he is known worldwide as the “Father of Emergency Medicine,” Frank Pantridge is less acclaimed in his own country, and is saddened that it takes until 1990 for all front-line ambulances in the United Kingdom to be fitted with defibrillators.

He died in Hillsborough at the age of 88 on Boxing Day, December 26, 2004. He never married.


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Death of John Moore Neligan, Physician & Medical Teacher

atlas-of-cutaneous-diseases

John Moore Neligan, one of the foremost physicians and medical teachers of his day, dies on July 24, 1863. Neligan, son of a medical practitioner, is born at Clonmel, County Tipperary, in 1815. He graduates M.D. at Edinburgh in 1836, and begins practice in his birthplace. He later moves to Cork, where he lectures on materia medica and medical botany in a private school of anatomy, medicine, and surgery in Warren’s Place.

In 1840 he takes a house in Dublin, and in 1841 is appointed physician to the Jervis Street Hospital. He also gives lectures on materia medica from 1841 to 1846, and on medicine from 1846 to 1857, in the Dublin school of Peter Street. He publishes in 1844 Medicines, their Uses and Mode of Administration, which gives an account of all the drugs mentioned in the London, Scottish, and Irish pharmacopœias, and of some others. Their sources, medicinal actions, doses, and most useful compounds are clearly stated. The compilation, though containing no original matter, is useful to medical practitioners, and goes through many editions.

Neligan enjoys the friendship of Robert James Graves, the famous lecturer on medicine, and in 1848 edits the second edition of his Clinical Lectures on the Practice of Medicine. In the same year he publishes The Diagnosis and Treatment of Eruptive Diseases of the Scalp, which is printed at the Dublin University Press. He describes as inflammatory diseases herpes, eczema, impetigo, and pityriasis, and as non-inflammatory porrigo, and gives a lucid statement of their characteristics in tabular form. He is unaware, however, of the parasitic nature of herpes capitis, as he calls ringworm, and seems not to have noticed the frequent relation between eczema of the occiput and animal parasites.

From 1849 to 1861 he edits the Dublin Quarterly Journal of Medical Science, and publishes many medical papers of his own in it. In 1852 he publishes A Practical Treatise on Diseases of the Skin, and, like most men who attain notoriety as dermatologists, issues in 1855 a coloured Atlas of Skin Diseases. His treatise is a compilation from standard authors, with a very small addition from his own experience. The subject is well arranged, and so set forth as to be useful to practitioners. It is much read, and leads to his treating many patients with cutaneous affections.

Neligan suffers from kidney disease in his final years. On July 17, he begins to feel unwell and returns to his country residence, Clonmel House, and goes to bed, from which he never rises again. Over the next few days his kidneys ceased to function altogether and he slips into a coma. John Moore Neligan dies on July 24, 1863.