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November 13, 1943


JAMA. 1943;123(11):721. doi:10.1001/jama.1943.02840460055024

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To the Editor:—  This communication is prompted by a quotation printed on page 815 of the July 17 issue of The Journal. The quotation is taken from a pamphlet entitled "Treatment of Burns and Prevention of Wound Infections," published by the Medical Division of the Office of Civilian Defense. In a discussion of the technic of administering plasma we are told that "it must never be administered by any other than the intravenous route."The published reports on infusions via the bone marrow of Tocantins and O'Neill (The Journal, Oct. 11, 1941) and of Doud (ibid., Dec. 12, 1942) testify to the feasibility of the bone marrow route for infusions of blood, plasma, dextrose or saline solution. This point bears emphasis because it is in just such cases of severe burns that superficial veins are apt to be either completely collapsed or involved in the burned area. Sternal bone marrow

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