RECENT improvements in therapy for traumatic shock have enabled many seriously injured patients with complicated wounds to survive the immediate injury. Treatment of shock has become generally accepted, and the physiological requirements of each patient are better understood and supplied. The recent writings of Beecher, Snyder, and others have spread this information.
Although it is now possible to survive the shock state, yet many seriously injured patients are seen late with neglected open contaminated wounds, a large number of which are infected. It is inconsistent to properly care for the shock state of these patients and subsequently ignore other factors equally necessary for their complete and successful recovery.
A too common example of neglected open infected wounds has been those of the burned patient. The usual story has been survival from the burn shock, followed by a prolonged period of waiting and of hoping for spontaneous closure of the whole-thickness
ALLEN HS. MANAGEMENT OF LARGE CONTAMINATED WOUNDS. AMA Arch Surg. 1952;65(1):161-168. doi:10.1001/archsurg.1952.01260020173016