July 8, 1905


JAMA. 1905;XLV(2):110. doi:10.1001/jama.1905.02510020032008

The Fourth of July has come and gone, half a hundred persons are dead and thousands injured and the count is not completed.1 As usual, the accidents are in two classes, the immediate and the remote—in other words, the direct injuries from the explosives and the tetanus that develops later. The former are usually large wounds, the latter small and comparatively insignificant. On the other hand, the deaths caused by the former variety are few compared with those caused by the complications of tetanus in the latter. The physician's responsibility is also very different in the two classes. In the first—aside from the prompt and thorough care that the nearest medical man is expected to give in any accidental injury regardless of its relation to the Fourth—the physician's responsibility is that of any citizen in securing restrictive laws and their enforcement, and that of any other parent, adult or

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