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Article
February 9, 1957

TREATMENT OF SHOCK

JAMA. 1957;163(6):488. doi:10.1001/jama.1957.02970410078023

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Abstract

To the Editor:—  The report on burn shock in a Peruvian study of the National Institutes of Health (J. A. M. A.161:1465-1473 [Aug. 11] 1956) gave evidence of ample facilities used with admirable precision by the team of workers. One criticism pertains merely to the writing of the report. The final conclusion has a statement "that the oral administration of isotonic saline solution would be quite useful in case of mass catastrophes or in areas throughout the world where adequate medical care cannot be obtained or where plasma, blood, colloids, and other intravenous therapy may not be available." Elsewhere there is reference to recommendations of "salt solutions as adjuvant therapy to plasma, blood, and other colloids as essential in the adequate treatment of burn shock." The wording seems designed to spare the sensibilities of the many followers of the plasma or colloid theory of shock treatment, and it

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