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February 17, 1945

Foreign Letters

JAMA. 1945;127(7):415-416. doi:10.1001/jama.1945.02860070047019

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LONDON  (From Our Regular Correspondent)Jan. 20, 1945.

The Treatment of Wound Shock  In 1940 the Medical Research Council issued a memorandum for the guidance of medical officers on the treatment of wound shock. The experience of four years of war and research has made necessary a new edition, which differs extensively from the first edition. The original recommendations have in the main stood the test of time well, but points of emphasis have changed and new modifications of treatment have become important. In the war of 1914-1918 emphasis was laid on the circulatory effects of injury, especially those resulting from decreased blood volume. It is now appreciated that the remote effects of injury also comprise such diverse effects as renal failure in crushing injuries, systemic effects in burns, fat embolism and severe complicating bacterial infections. Two or more of these conditions may be present, producing a complicated clinical picture.

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