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October 20, 1906


Author Affiliations


From the Department of Physiology, Northwestern University Medical School.

JAMA. 1906;XLVII(16):1277-1279. doi:10.1001/jama.1906.25210160041001m

The need of a means of detecting abdominal hemorrhage promptly, surely and safely has long been felt, and the inadequacy of present methods is so generally recognized that no discussion of that phase of the subject is necessary at this time.

Serious abdominal injuries are comparatively common, and it is well known that a large percentage of them are fatal. In those cases of abdominal injury in which severe hemorrhage results the majority of the patients die within an hour, while in other cases, in which the injury may have been just as severe, the hemorrhage may be insignificant and yet sepsis may follow. The signs of sepsis do not appear at once, but are delayed, so that by the time a positive diagnosis can be made in the majority of cases operation is useless.

To complicate the problem of diagnosis, the majority of cases of abdominal injury are found

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