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Article
June 19, 1954

PREVENTION OF GANGRENE IN ISCHEMIA OF THE FOOT BY A PROTECTIVE COATING

Author Affiliations

Philadelphia

From the Vascular Section of the Robinette Foundation, Hospital of the University of Pennsylvania, and the Vascular Clinics of the Woman's Medical College of Pennsylvania and the Einstein Medical Center, Southern Division.

JAMA. 1954;155(8):746-747. doi:10.1001/jama.1954.73690260010008g

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Abstract

The chief problem in managing patients with severe ischemia of the foot is the prevention of gangrene and amputation. Because of the constant presence of the problem of the ischemic extremity with fragile skin that is on the verge of cracking or breaking down, the need for a substance that would protect the skin is evident. The lack of an adequate method of protecting the skin of a patient with ischemia has been a major defect in the program of prevention of gangrene and amputation.

PREPARATION USED AND METHOD  A search was made for a coating that would be simple to apply and protect the ischemic skin. Of a variety of substances tested the most useful proved to be the old preparation, compound tincture of benzoin. Compound tincture of benzoin was available in all hospitals and in almost all offices and was simple to apply. It dried quickly so that

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