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November 30, 1935


Author Affiliations

John Rhea Barton Professor of Surgery, University of Pennsylvania School of Medicine PHILADELPHIA

JAMA. 1935;105(22):1731-1734. doi:10.1001/jama.1935.02760480001001

The subject of traumatic shock is perennial; like our poor relations it is always with us. It has provided a veritable storehouse of controversy. Theories as to the causation of shock as advanced even today and championed so vigorously are such that many of the papers on this subject have the tenor of a debating society about them. And yet the condition we know as shock was known to the ancients although not designated by this term until 1795, when James Latta1 so termed it. In dealing with a subject on which so much thought and experimentation have been expended, it is of particular interest to look back a few years to find out what was known of the subject a generation ago. Fifty years ago that peer of surgeons D. Hayes Agnew2 discussed shock, and many of his observations appear quite modern. The symptoms associated with shock