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February 24, 1940

"BURN SHOCK"

JAMA. 1940;114(8):678. doi:10.1001/jama.1940.02810080050022

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Abstract

To the Editor:—  In their article "Burn Shock," published in the Dec. 16, 1939, issue of The Journal, Trusler, Egbert and Williams state that they frequently observed low blood sugar values in dogs in which various degrees of burns had been produced experimentally. They further state that they are unable to explain these low values but feel that this point should be considered in the treatment of burn shock.In an article entitled "Pathogenesis of Death from Burns" (Greenwald, H. M., and Eliasberg, Helene: Am. J. M. Sc.171:682 [May] 1926) we reported two cases in which children aged 2 and 3 years respectively died of burns. One child was observed to have an entire absence of sugar in the blood and the other child had 30 mg. per hundred cubic centimeters. This was striking in view of the fact that Underhill had just described a series of cases

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