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November 30, 1940

THE TEN COMMANDMENTS FOR THE TREATMENT OF COMPOUND FRACTURES

JAMA. 1940;115(22):1855-1860. doi:10.1001/jama.1940.02810480019005
Abstract

Increasing interest in this important subject is evidenced by the recent frequent contributions to medical literature. What was learned from the last World War, plus the increasing number of casualties from modern transportation, farm and industrial accidents, has made possible a clear conception of what is demanded in the way of treatment for compound fractures. The fact that perhaps more than 95 per cent of compound fractures are given first aid by laymen and surgical attention by general practitioners rather than by orthopedic and fracture surgeons presents an important challenge to these specialists to maintain constant refreshing interest essential to insure the general application of the basic principles of treatment, not only among physicians but among first aiders as well. Too often first aid and initial medical treatment is inadequate and responsible for unnecessary secondary trauma to an extremity. In other words, it is the man who attends the case

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