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January 22, 1910

Alcohol Dangerous in Emergency Cases

JAMA. 1910;LIV(4):305. doi:10.1001/jama.1910.02550300057012

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To the Editor:  —An incident which occurred in a prominent city in New York state has become the subject of some controversy, and has been referred to me for an opinion. The facts being of more than local interest, a reply through The Journal seems most practical.A man of some prominence fainted in the street, and was taken to the office of a physician, who gave him brandy in large quantities to keep up the action of the heart. The patient died in the course of a few hours, the post-mortem revealing hemorrhage, and rupture of several cerebral arteries. It was contended by his friends that the brandy hastened his death by increasing the rupture of the arteries and perhaps flooding the brain with more blood than would have naturally passed through the fractures.A case was cited, for comparison, of a middle-aged man who fainted and was found

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