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Article
July 30, 1887

SOME CASES OF COMPOUND FRACTURE; WITH REMARKS ON TREATMENT.

JAMA. 1887;IX(5):141-144. doi:10.1001/jama.1887.02400040013002b
Abstract

Case 1.—About noon on June 19, 1886, H. M., æt. 32, married, railroad conductor by occupation, was thrown from his train immediately in front of a flat car which was backing up at a rather high rate of speed, both wheels of the rear truck passing over patient's legs below the knee. I saw the injured man about forty minutes after the accident. He was suffering somewhat from shock, from which, however, he soon rallied under mild stimulation. He was placed in a large room on the first floor at his boarding house. A bed having a hard mattress was used, and all furniture removed from the room except a table and chairs. Preceding the anæsthetic I gave a hypodermic injection of ⅙ gr. morphia. Anæsthesia was then begun with pure chloroform (Squibb's). In fifteen minutes the patient was thoroughly under the influence of the anæsthetic. An examination of the

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