JAMA 100 Years Ago Section Editor: Jennifer
Reiling, Editorial Assistant.
BY EVAN O'NEILL KANE, M.D.SURGEON, P. & E. AND P. & W.
All who have tried to administer an intravenous infusion must be aware
how difficult a procedure it is under adverse circumstances. It is practicable
and safe with suitable aseptic surroundings, a fairly aseptic skin and moderately
well-filled vessels. The case is quite different as generally seen by the
railroad surgeon when his patient is in shock, in a caboose, freight car,
shanty or crowded boarding-house, amid the fumes of tobacco, foul exhalations
and dust, with an unwashed skin begrimed with cinders and grease, and with
the veins collapsed from hemorrhage. Any one who has made the attempt knows
the difficulties. It is for this reason that hypodermoclysis commends itself
in emergency work.
SIMPLE DEVICE FOR RAPID HYPODERMOCLYSIS IN COMBATING SHOCK.*. JAMA. 2000;283(9):1115. doi:10.1001/jama.283.9.1115