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July 23, 1938


Author Affiliations

Gatlinburg, Tenn.

JAMA. 1938;111(4):338. doi:10.1001/jama.1938.02790300048020

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To the Editor:—  I was called to a local hotel to treat a matron aged 28, who was working as a waitress. She had collapsed about 1 o'clock while serving lunch and complained of a severe headache in the occipital region with the pain referred down the back of her neck. She was taken to her room and when I arrived about twenty minutes after her collapse I found a semiconscious woman, pulseless, slightly cyanotic, and breathing about six or eight times per minute. I gave her, hypodermically, 2 cc. of 71/2 grains of caffeine with sodium benzoate. Almost immediately her pulse could be detected and her respirations increased. I remained with her for about one hour and left her after she was able to recognize her fellow workers and had normal respirations and a pulse of about 88. I could get no history of any recent head injury or

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