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To the Editor:—
The paper of Pillsbury and Artz (J. A. M. A.162:956-958 [Nov. 3] 1956) gives the impression that their treatment of over 1,000 burn cases has never wandered so far from routine methods as to include any experience with refrigeration. Ice or ice-making machinery is so abundant that it is one of the easiest requisites to provide before or after setting up the suggested "burn center." Speed is important, and general instructions to immerse the affected parts immediately will at least make a considerable reduction below body temperature. The relief of pain is prompt. Not only may facilities for débridement be unavailable but the procedure may be contraindicated. With petrolatum gauze or any kind of greased cloth within crushed ice, the changes of dressings are painless and bring away separated dirt or debris, with saving of living tissue.
Crossman LW. HYPOTHERMIA AND BURNS. JAMA. 1957;163(6):489. doi:10.1001/jama.1957.02970410079025
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