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November 2, 1912

Caisson Sickness and the Physiology of Work in Compressed Air.

JAMA. 1912;LIX(18):1649. doi:10.1001/jama.1912.04270110063035

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Caisson sickness is a disease created by modern industry, and its symptoms are to a large extent reproducible by experiments. Its study forms the topic out of which the author has made an extremely interesting and instructive book. The first three chapters trace the evolution of diving from the work of the naked diver to the construction of the caisson with provisions for compression and renewal of air and the elaborate construction of locks. The nature of caisson sickness, the physiologic effects of compressed air, nitrogenous metabolism in the caisson, the effects on the blood, etc., are thoroughly discussed. The theory and practice of decompression form the subject of two chapters which are at the same time a treatise on prophylaxis. This is followed by the single chapter on the treatment of the disease, which is essentially recompression.

The book contains some records of valuable experimental work, and is the

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