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July 27, 1918


Author Affiliations

(Chicago) Major, M. R. C., U. S. Army FRANCE

JAMA. 1918;71(4):271-274. doi:10.1001/jama.1918.26020300009009c

There is little interest in the tabulated report of amputations that I have made for this study, and therefore it is omitted. It has seemed, however, that an analysis of the correlation between the indication and the mortality resulting from a sizable list of these operations might prove profitable. For military reasons I am unable to state the relationship between the number and mortality of these patients and the total of admissions to the hospital with the average total mortality during the same period.

Base hospital amputations may be roughly divided into two classes: first, those that are indicated on the arrival of the wounded from the clearing stations, and second, those required much later. In the first class we may include the early gas infections, fulminating sepsis of large joints and bone injuries, and those wounds which have been passed through clearing stations in rush periods without receiving surgical