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February 8, 1919


JAMA. 1919;72(6):407-410. doi:10.1001/jama.1919.02610060021007

The literature on the subject of gas gangrene is already so voluminous and so comprehensive that any one attempting to contribute further to it must have a very good reason for doing so. With our present methods of treatment, however, the early clinical recognition of this condition is of such outstanding importance to the good of the wounded men that it has seemed that undue emphasis cannot be placed on it.

Conditions of war surgery are such that the men who operate on the patients are seldom able to make the dressings. The first dressings are often made in different hospitals from those in which the patient was operated on. When the patient is first brought up for operation, gas gangrene may already be present, or it may develop after the operation. In the latter case, the responsibility for the early recognition of gas bacillus infection rests practically entirely on

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