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February 11, 1974

Disseminated Intravascular Coagulation (DIC)

Author Affiliations

William Beaumont Army Medical Center El Paso, Tex

JAMA. 1974;227(6):657. doi:10.1001/jama.1974.03230190049015

To the Editor.—  The first two sentences in The Year Book of Surgery, 1973 state: "Disseminated intravascular coagulation remains a concern in a variety of disorders of interest to surgeons. It is now appreciated that heparin is no longer to be regarded as primary therapy and correction of the initiating disorder should be emphasized."1 On page 21 of the same book, it is stated: "The major champion of the use of heparin, Dr. Hardaway, has recently tempered his enthusiasm." On page 51, a study reports that coagulation changes were not seen in hemorrhagic shock in baboons. Again, on page 59, a study reports that while coagulation changes do not occur in hemorrhagic shock in baboons, they do occur in baboons as a result of bacteremia.While it is gratifying to hear that disseminated intravascular coagulation (DIC) is now recognized as "a concern in a variety of disorders of interest