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October 7, 1893

SOME MEDICO-LEGAL EXPERIENCES IN RAILWAY CASES.Read before the Section of Neurology and Medical Jurisprudence, at the Forty fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(15):520-525. doi:10.1001/jama.1893.02420670010001b

Railroad injuries, from a surgical point of view, possess many features of interest; not the least of which is the medico-legal question concerning the gravity or reality of alleged injuries for which pecuniary compensation is demanded.

At a time when he least expects it, in these days of rapid transit and frequent travel, any individual may be obliged to witness, participate in or be the victim of a railroad accident attended by loss of life or by various degrees of traumatism—maiming, contusion or concussion, and every surgeon is liable to be called upon to render assistance to those injured or claiming to have been injured by such an occurrence. Experience, however, has taught us to exercise special caution and to express a very guarded opinion as to the prognosis or gravity of a traumatism occurring under such circumstances. Suits for damages are so common that the surgeon or physician almost