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June 8, 1946


Author Affiliations

Professor of Obstetrics, Hahnemann Medical College; Attending Gynecologist, St. Luke's and Children's Medical Center; Associate in Obstetrics, Hahnemann Medical College Philadelphia

From the Department of Obstetrics, Hahnemann Medical College.

JAMA. 1946;131(6):500-504. doi:10.1001/jama.1946.02870230006002

During the bombing of England in 1940 and 1941 many crushing injuries resulted. Increased interest was manifested in the characteristic urinary suppression, which became known as the "crush syndrome," that followed these injuries.

James Young1 in 1942 reported similar urinary suppression seen in two types of obstetric condition, retroplacental hemorrhage and the trauma of labor. They caused massive damage to the placenta, uterine muscle and other pelvic tissue. In a careful study he showed that the syndrome included the following: (1) initial tissue damage; (2) shock, severe, moderate or at times absent; (3) urinary suppression leading to anuria or oliguria with urine containing casts and leukocytes, and (4) a rise in blood urea, which reached its height between the fifth and the ninth day and was followed by death or increased urinary output and recovery.

We are reporting 3 cases, 1 of retroplacental hemorrhage, 1 of ruptured uterus and

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