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January 31, 1920

On Gunshot Injuries to the Blood-Vessels, Founded on Experience Gained in France during the Great War, 1914-1918.

JAMA. 1920;74(5):347. doi:10.1001/jama.1920.02620050055032

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This book presents, first, reports on the primary treatment of wounds by various surgeons working at the casualty clearing stations in the British Army, and, secondly, a series of case reports collected from hospitals on the lines of communication and during a service of five months at a base hospital in London. The author discusses several of the important conditions affecting the frequency of injuries to blood vessels. He states that the existence of a contusion of the arterial wall is not readily determined in the absence of ocular demonstration, as obliteration of the peripheral pulse may equally denote a contused lateral wound, complete severance or, as shown by explorations, no appreciable lesion at all. He recommends Bayliss' 6 per cent, gum arabic solution except in very acute hemorrhage, in which case he advises whole blood to replace the blood lost. Observations are presented which oppose the view that actual

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