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December 10, 1927

Emergencies of a General Practice.

JAMA. 1927;89(24):2063. doi:10.1001/jama.1927.02690240055035

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This edition of an encyclopedic work on the emergencies of general practice has been revised especially in its surgical portions. That so often tragic emergency, coronary obstruction, is not mentioned as such; this condition may be the cause of a syndrome somewhat similar to that described under "acute indigestion." The treatment of diabetic coma advocated is not in accordance with most generally accepted modern methods, as no explicit directions are given for the use of insulin, leaving the general practitioner dependent on alkalis given intravenously, by rectum or by mouth unless he has other literature on the subject at hand. In the treatment of gastric hemorrhage, too much medication by mouth is advocated with no emphasis on the need of complete rest to the stomach. This recommendation differs from that offered in connection with surgical emergencies, in which the physician is constantly warned that as a rule as little as

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