Frank Pantridge
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James Francis Pantridge, (3 October 1916 – 26 December 2004) was a Northern Irish physician,
cardiologist Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular ...
, and professor who transformed emergency medicine and
paramedic A paramedic is a registered healthcare professional who works autonomously across a range of health and care settings and may specialise in clinical practice, as well as in education, leadership, and research. Not all ambulance personnel are p ...
services with the invention of the portable
defibrillator Defibrillation is a treatment for life-threatening cardiac arrhythmias, specifically ventricular fibrillation (V-Fib) and non-perfusing ventricular tachycardia (V-Tach). A defibrillator delivers a dose of electric current (often called a ''coun ...
.


Early life

Pantridge was born in Hillsborough, County Down (now Royal Hillsborough),
Ireland Ireland ( ; ga, Éire ; Ulster Scots dialect, Ulster-Scots: ) is an island in the Atlantic Ocean, North Atlantic Ocean, in Northwestern Europe, north-western Europe. It is separated from Great Britain to its east by the North Channel (Grea ...
, on 3 October 1916. He was educated at Friends' School Lisburn and Queen's University of Belfast, graduating in medicine in 1939.


Military service

During
World War II World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposing ...
he served in the
British Army The British Army is the principal land warfare force of the United Kingdom, a part of the British Armed Forces along with the Royal Navy and the Royal Air Force. , the British Army comprises 79,380 regular full-time personnel, 4,090 Gurk ...
. He was commissioned into the Royal Army Medical Corps as a
lieutenant A lieutenant ( , ; abbreviated Lt., Lt, LT, Lieut and similar) is a commissioned officer rank in the armed forces of many nations. The meaning of lieutenant differs in different militaries (see comparative military ranks), but it is often ...
on 12 April 1940. He was given the
service number A service number is an identification code used to identify a person within a large group. Service numbers are most often associated with the military; however, they may be used in civilian organizations as well. National identification numbers may ...
128673. He was awarded the
Military Cross The Military Cross (MC) is the third-level (second-level pre-1993) military decoration awarded to officers and (since 1993) other ranks of the British Armed Forces, and formerly awarded to officers of other Commonwealth countries. The MC ...
during the Fall of Singapore, when he became a POW. He served much of his captivity as a slave labourer on the
Burma Railway The Burma Railway, also known as the Siam–Burma Railway, Thai–Burma Railway and similar names, or as the Death Railway, is a railway between Ban Pong, Thailand and Thanbyuzayat, Burma (now called Myanmar). It was built from 1940 to 1943 ...
. When he was freed at the war's end, Pantridge was emaciated and had contracted cardiac
beriberi Thiamine deficiency is a medical condition of low levels of thiamine (Vitamin B1). A severe and chronic form is known as beriberi. The two main types in adults are wet beriberi and dry beriberi. Wet beriberi affects the cardiovascular system, ...
; he suffered from ill-health related to the disease for the rest of his life.


Medical career

After Pantridge's liberation he worked as a lecturer in the pathology department at Queen's University, and then won a scholarship to the
University of Michigan , mottoeng = "Arts, Knowledge, Truth" , former_names = Catholepistemiad, or University of Michigania (1817–1821) , budget = $10.3 billion (2021) , endowment = $17 billion (2021)As o ...
, where he studied under Dr. F.N. Wilson, a cardiologist and authority on electrocardiography. He returned to Northern Ireland in 1950, and was appointed as cardiac consultant to the Royal Victoria Hospital, Belfast and professor at Queen's University, where he remained until his retirement in 1982. There he established a specialist cardiology unit whose work became known around the world. By 1957 Pantridge and his colleague, Dr John Geddes, had introduced the modern system of
cardiopulmonary resuscitation Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spon ...
(CPR) for the early treatment of cardiac arrest. Further study led Frank Pantridge to the realization that many deaths resulted from
ventricular fibrillation Ventricular fibrillation (V-fib or VF) is an abnormal heart rhythm in which the ventricles of the heart quiver. It is due to disorganized electrical activity. Ventricular fibrillation results in cardiac arrest with loss of consciousness and n ...
which needed to be treated before the patient was admitted to hospital. This led to his introduction of the mobile coronary care unit (MCCU), an ambulance with specialist equipment and staff to provide pre-hospital care. During his time living in the hills beyond Poleglass to extend the usefulness of early treatment, Pantridge went on to develop the portable defibrillator, and in 1965 installed his first version in a Belfast ambulance. It weighed 70 kg and operated from car batteries, but by 1968 he had designed an instrument weighing only 3 kg, incorporating a miniature capacitor manufactured for
NASA The National Aeronautics and Space Administration (NASA ) is an independent agencies of the United States government, independent agency of the US federal government responsible for the civil List of government space agencies, space program ...
. Much of Pantridge's research was conducted alongside colleague John Anderson, the head of Biomedical Engineering at Royal Victoria Hospital, Belfast, who went on to co-found Heartsine. His work was backed up by clinical investigations and epidemiological studies in scientific papers, including an influential 1967 ''
The Lancet ''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, ...
'' article. With these developments, the Belfast treatment system, often known as the "Pantridge Plan", became adopted throughout the world by emergency medical services. The portable defibrillator became recognised as a key tool in first aid, and Pantridge's refinement of the automated external defibrillator (AED) allowed it to be used safely by members of the public. Although he was known worldwide as the "Father of Emergency Medicine", Frank Pantridge was less acclaimed in his own country, and was saddened that it took until 1990 for all front-line ambulances in the UK to be fitted with defibrillators.


Honours and decorations

Pantridge was awarded the
Military Cross The Military Cross (MC) is the third-level (second-level pre-1993) military decoration awarded to officers and (since 1993) other ranks of the British Armed Forces, and formerly awarded to officers of other Commonwealth countries. The MC ...
"in recognition of gallant and distinguished services in Malaya in 1942". The citation read: In June 1969, he was appointed Officer of the Order of St. John (OStJ). He was appointed
Commander of the Order of the British Empire The Most Excellent Order of the British Empire is a British order of chivalry, rewarding contributions to the arts and sciences, work with charitable and welfare organisations, and public service outside the civil service. It was established ...
(CBE) in the 1979
New Year Honours The New Year Honours is a part of the British honours system, with New Year's Day, 1 January, being marked by naming new members of orders of chivalry and recipients of other official honours. A number of other Commonwealth realms also mark this ...
. The city of Lisburn commissioned a statue of Pantridge, which stands outside the council's offices at the
Lagan Valley Island Lagan Valley Island is a conference and events centre located on a small Island in Lisburn City in Northern Ireland. The building was opened for business in March 2001 and was officially opened in November 2001 by Her Majesty the Queen. Lagan V ...
centre. A Blue Plaque to Pantridge was erected by the entrance to the Royal Victoria Hospital in Belfast in 2021.


Death

Pantridge died aged 88 on Boxing Day 2004. He was unmarried.Professor Frank Pantridge
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References

{{DEFAULTSORT:Pantridge, Frank 1916 births 2004 deaths Alumni of Queen's University Belfast People from Hillsborough, County Down Inventors from Northern Ireland Cardiologists from Northern Ireland Commanders of the Order of the British Empire Recipients of the Military Cross Royal Army Medical Corps officers British Army personnel of World War II World War II prisoners of war held by Japan British World War II prisoners of war People educated at Friends' School, Lisburn University of Michigan Medical School alumni Burma Railway prisoners