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June 6, 1931


JAMA. 1931;96(23):1976. doi:10.1001/jama.1931.02720490056033

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To the Editor:  —I was much interested in the article by John A. Kolmer which appeared in The Journal, April 25. I am glad indeed that some one has taken this logical route of treatment. My criticism is that Dr. Kolmer has made the treatment too formidable by making it a surgical operation. It is perfectly possible, as has been shown by many workers, including Halloran and myself, to put a needle into the carotid artery from the skin, without any section whatever, and to inject medicinal substances quite safely. We utilized this route years ago and recently for the injection of arsphenamine. The technic is safe, there is no damage to the artery, and the arterial puncture can be done in a few minutes.I believe the carotid artery method opens up a new avenue of great potency for the treatment of meningitis. I hope that Dr. Kolmer and

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