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August 29, 1936


JAMA. 1936;107(9):732. doi:10.1001/jama.1936.02770350100027

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To the Editor:—  We do not sponsor any particular type of fever-producing machine. We have stated repeatedly that the skill of the physician and nursing personnel is far more important than the method employed. Terrifying states of delirium and dyspnea were frequently experienced with our patients when the entire skin surface was raised to the same high level of temperature as the internal organs, averaging 42 C. (107.6 F.). By the entire skin surface we mean the scalp, face and neck. Moreover, it should be noted that the patient at the same time breathed hot air at a temperature ranging between 54.4 C. (130 F.) and 71.1 C. (160 F.). These are facts and not theories.It is interesting to note that the investigators at the Grace Hospital in Detroit have experienced 15 per cent of mild deliriums. In our experience with penetrating heat we have rarely observed the occurrence

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