Laws for the Navigation of Life
Peter Josef Safar (1924-2003) had a remarkable life.
His work earned him recognition as the “father of modern resuscitation” and “founder of critical care medicine.” He was the driving force behind mouth-to-mouth ventilation, the development of cardiopulmonary resuscitation (CPR), and the establishment of intensive care units. His career embodied both scientific rigour and humanitarian commitment, spanning anaesthesiology, resuscitation science, emergency medicine, and disaster preparedness.
Beyond CPR, Safar pioneered the first multidisciplinary intensive care units, trained the world’s first paramedics through Pittsburgh’s Freedom House Ambulance Service, and championed therapeutic hypothermia and suspended animation as strategies to protect the brain after cardiac arrest and trauma. He combined clinical innovation with advocacy, producing global guidelines, writing extensively, and inspiring generations of physicians. Through science, teaching, and vision, Safar transformed resuscitation from improvisation into a discipline, saving countless lives worldwide.
In 1994, on the occasion of his 70th birthday he was presented with a framed set of laws by his friends and colleagues. These laws were derived from the sayings of Peter Safar himself. They were titled ‘Peter’s Laws for the Navigation of Life‘ with the instructive subtitle ‘The Creed of the Sociopathic Obsessive Compulsive‘.
Peter’s Laws*
For the Navigation of Life
The Creed of the Sociopathic Obsessive Compulsive
- If anything can go wrong, Fix It!
- When given a choice – Take Both!
- Multiple projects lead to multiple successes.
- Start at the top then work your way up.
- Do it by the book but be the author.
- When forced to compromise, ask for more.
- If you can’t beat them, join them, then beat them.
- If it’s worth doing, it’s worth doing right now.
- If you can’t win, change the rules.
- If you can’t change the rules, then ignore them.
- Perfection is not optional.
- When faced without a challenge, make one.
- “No” simply means begin again at one level higher.
- Don’t walk when you can run.
- Bureaucracy is a challenge to be conquered with a righteous attitude, a tolerance for stupidity, and a bulldozer when necessary.
- When in doubt, think!
- Patience is a virtue, but persistence to the point of success is a blessing.
- The squeaky wheel gets replaced.
- The faster you move, the slower time passes, the longer you live.
- Death is not the enemy, but occasionally needs help with timing.
- When on thin ice, dance.
- It is up to us to save the world.
*A joke – unknown author for “laws #1-19” discovered by Åke Grenvik. Law #20 by James Snyder. Law #21 by Peter Winter. Law #22 by Peter Safar, quoted by Peter Winter at P.S.’s 70th birthday.
Peter’s Laws and the Attribution Debate
“Peter’s Laws” are often cited as belonging either to Peter Safar, the “father of modern resuscitation,” or to Peter H. Diamandis, the space entrepreneur. In truth, both men are associated with lists of aphorisms that overlap in many ways.
In Safar’s autobiography (1994), a list titled Peter’s Laws for the Navigation of Life was presented to Safar as part of his 70th birthday celebration with the subtitle “The Creed of the Sociopathic Obsessive Compulsive.” Laws #1–19 were not his own: they were a compilation “discovered by Åke Grenvik,” with additions by James Snyder (#20) Peter Winter (#21) and Safar (#22) “It is up to us to save the world.”
Diamandis, meanwhile, has explained that his version of Peter’s Laws grew organically in the early 1990s. Annoyed by Murphy’s Law while sharing an office at the International Space University, he countered with: “If anything can go wrong, fix it! (To hell with Murphy!).” Over the following years he added new “laws,” sometimes original, sometimes borrowed or adapted.
A side-by-side comparison shows why the confusion persists. Eleven of Safar’s birthday “laws” are identical to Diamandis’ laws (e.g. If anything can go wrong, Fix it!; Start at the top then work your way up; If you can’t win, change the rules; Multiple projects lead to multiple successes; Do it by the book, but be the author; and When forced to compromise, ask for more…). Safar’s list also contains aphorisms with a more ironic, existential flavour (Death is not the enemy, but occasionally needs help with timing; When on thin ice, dance). Conversely, Diamandis’ emphasize futurism and entrepreneurship (The world’s biggest problems = biggest opportunities; The world’s most precious resource is the persistent and passionate human mind; If it were easy, it would have been done already.).
In summary, Safar’s Peter’s Laws were a tribute, not a manifesto. Diamandis’ Peter’s Laws were a personal creed, built over decades. Their overlap reflects a common pool of “maxims” circulating in academic and entrepreneurial culture in the late 20th century explaining why both lists have been repeatedly conflated.
References
- Safar PJ. Careers In Anesthesiology: An Autobiographical Memoir. 1994 (Volume 5)
- Diamandis PH. The Laws I Live By. 2023
- Diamandis PH. Peter’s Laws: The creed of the persistent and passionate mind. 2023
eponymictionary
the names behind the name
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC
BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, Sir Charles Gairdner Hospital. Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | On Call: Principles and Protocol 4e| Eponyms | Books |