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December 23, 1933


JAMA. 1933;101(26):2053-2054. doi:10.1001/jama.1933.02740510045015

The management of acute epidemic poliomyelitis presents many serious difficulties calling for a variety of clinical experience and technical skill in their successful solution. After the epidemic character of the disease became clearly recognized in this country, the pressing problem seemed to be the treatment of the resulting paralysis. This is probably what might be expected because of the conspicuous nature of this symptom and its distressing effects on the patient. It was presently learned that damage may sometimes be done to the paralyzed patients by the institution of measures that are too energetic. Draper1 has said that it is far better to err on the side of inaction than to begin massage and passive motion too soon. Fortunately, great progress has been made in the treatment of the paralyzed parts.

Of late the threatening symptoms of the respiratory embarrassment due to poliomyelitis have come into prominence. The introduction