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Article
May 10, 1924

THE USE OF INSULIN IN A CASE OF ACIDOSIS FOLLOWING TRAUMA

Author Affiliations

Hoboken, N. J. Assistant Attending Physician, St. Mary's Hospital

JAMA. 1924;82(19):1517. doi:10.1001/jama.1924.26520450001012a

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Abstract

T. M., a schoolboy, aged 11, with negative family and past history, admitted to the surgical service of Dr. Joseph Londrigan at St. Mary's Hospital, Hoboken, N. J., Nov. 7, 1923, at 7 p. m., had been struck by a truck, and had a fracture of the left tibia and fibula in the lower third, and contusions of the chest and abdomen. The boy was well nourished, and weighed about 70 pounds (32 kg.); the skin was pale and the mouth dry; he had a very anxious expression, and was breathing rapidly. The temperature was 99 F.; the pulse, 120; the respiration, 32. Excepting for evidence of fracture of the left leg, the examination was negative

On the morning of the next day the patient vomited frequently. He was very restless, tossing about the bed and moaning. He also complained of pains in the chest and difficulty in breathing. The

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