July 31, 1915


Author Affiliations

Fellow of the American College of Surgeons; Associate Professor of Experimental Surgery, University of Minnesota Medical School MINNEAPOLIS

JAMA. 1915;LXV(5):380-383. doi:10.1001/jama.1915.02580050008003

The term "shock" usually brings to our minds a certain clinical syndrome consisting of mental apathy, reduced sensibility, vasomotor disturbance, weakness, pallor, subnormal temperature, rapid and thready pulse, and irregular respiration. Such a picture may be present in the severely burned individual, in the victim of a perforating ulcer, in the mangled railroad man, or in sepsis. Aside from these specific instances, we rarely see every symptom of the syndrome so exaggerated. In a broader sense we may still have shock, although some, or all, of the symptoms are mitigated or almost abated. For instance, during laparotomy the intestines in early shock lose their normal tone before blood pressure begins to fall. Persistent trauma may bring out the picture. It may be going too far to say that we may have shock without any symptoms, but it is very difficult often to tell when we get our first symptoms. To

First Page Preview View Large
First page PDF preview
First page PDF preview