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April 2, 1938


JAMA. 1938;110(14):1075-1081. doi:10.1001/jama.1938.02790140007002

The term vascular accident has not been used in relation to the extremities. It implies, however, that a sudden unexpected change takes place in circulation in the form of hemorrhage, embolism or thrombosis. It also means that emergency measures have to be adopted, the promptness of which may save the limb or the life of the patient. In this brief discussion I plan to outline the types of vascular accidents which occur in the arterial and venous system of the extremities, together with their immediate and delayed treatment.

The general practitioner knows of the accident first in the overwhelming percentage of cases; early recognition and early simple measures may be deciding factors in the ultimate outcome of the emergency.

ARTERIAL HEMORRHAGE  A clean division of an artery, as contrasted with a blunt, crushing injury, is more apt to lead to hemorrhage, since arterial contraction is less effective and blood-clotting substances

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