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Article
February 27, 1943

MEDICINE AND THE WAR

JAMA. 1943;121(9):682-686. doi:10.1001/jama.1943.02840090052019

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Abstract

ARMY 

THE TREATMENT OF BURNS  Circular Letter No. 15 of the Office of the Surgeon General is concerned with the treatment of burns. It was issued on January 11 to all medical officers of the United States Army. The suggestions which follow are therefore recommended as routine in the army medical service:

  1. General.—Burns, as discussed in this paragraph, include all cases with damage of the skin and underlying tissues due to heat, chemicals or electricity.

  2. Fundamentals of Treatment.—(a) The prevention and control of shock is the primary consideration in the management of every burn.

    (b) Proper prophylactic measures against pyogenic infection, tetanus and gas gangrene should be taken. Satisfactory end results, that is, minimal scar formation, largely depend on the avoidance of pyogenic infection; the moist surfaces of burns provide ideal conditions for bacterial growth, and it is therefore of paramount importance to employ, if possible, strict

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