September 12, 1891


JAMA. 1891;XVII(11):420. doi:10.1001/jama.1891.02410890038011

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Dr. Fenwick, of the London Hospital, has given to the Lancet an analysis of 1,000 cases of pneumonia seen in that institution during the last ten years. Cases admitted shortly before death took place or twenty-four hours before a critical turn in the disease, are omitted from this report. In the sthenic cases, which numbered 500, the treatment was generally along the three general courses described as follows:

First. Treatment by means of hot applications to the chest, in conjunction with remedies having tonic and expectorant properties. The mortality in this class of cases exceeded 20 per cent. Second. Cases in which the only treatment was by quinine in large doses. The mortality here exceeded 20 per cent. Third, Cases where the treatment was by various antipyretic measures. In twenty-six of these, cold applications to the chest were employed, with a mortality of 15 per cent. The cold pack was

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