and the possible benefits of
jugular venous compression were all debated hotly. These
were simply variations on cardiac CPR recommendations but,
nonetheless, were beginning to be orientedmuchmore toward
brain resuscitation.’’ Such early discussions were clearly
motivated to improve brain perfusion and outcomes. In the
1990’s, Sydney Starkman and Eelco Wijdicks directed a
seminar for theAmericanAcademy ofNeurology titled,Acute
Neurologic Catastrophies: the first 60 min. However, there
was still low penetrance to the clinicians that performed the
majority of care to patients during their early hospital course.