February 14, 1966


Author Affiliations

Los Angeles

Wickenburg, Ariz

JAMA. 1966;195(7):596-597. doi:10.1001/jama.1966.03100070140058

To the Editor:—  The recommendations of Lockhart on cryotherapy in the treatment of snake venom poisoning (193:336, 1965) are interesting and reasonable. Unfortunately, there are a number of conjectures on which we feel he has led his readers somewhat afield. Dr. Lockhart presents four cases of rattlesnake-venom poisoning, in one of which the patient died in spite of cryotherapy and other measures and two in which permanent disability presented as sequelae. (In one of these latter cases cryotherapy was used for four days.) We do not feel that this record is a very impressive recommendation for cryotherapy, or indeed for any therapeutic measure for snake-venom poisoning. Contrary to the opinion, "we have" not "come to accept some permanent disability" as a consequence of rattlesnake-venom poisoning.In our series of 112 cases of snake venom poisoning, most following rattlesnake bites, we have had no deaths, one case in which a

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