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June 19, 1943

War Injuries of the Chest

JAMA. 1943;122(8):569. doi:10.1001/jama.1943.02840250093029

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The nine contributors to this small volume are members of a chest surgical unit in Britain. In chapter 1 are discussed anatomic and physiologic features necessary for clinical work on the chest. Chapter 3, though short, is exceedingly appropriate, since it discusses general considerations, encouraging the physician to survey the injury analytically, so that proper evaluation of the injury and therapy may be attained as rapidly as possible.

A serious error is found on page 41, where the authors advise warming a patient in shock with "blankets, hot water bottles and a shock cradle." For the past year or two the profession has realized the danger of heat in shock. However, it is gratifying to note that oxygen therapy is strongly advocated.

The need for immediate treatment of patients with sucking wounds, tension pneumothorax, hemorrhage and "stove-in" chest is adequately emphasized. The fact that a patient can easily bleed to

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