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June 3, 1905


JAMA. 1905;XLIV(22):1737-1738. doi:10.1001/jama.1905.92500490013001f

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It may be of interest to report a line of treatment of lobar pneumonia that I have carried out for a number of years with no deaths.

The treatment may be outlined as follows: As soon as a diagnosis of lobar pneumonia is made, the patient is given a full warm bath, for cleansing purposes, put to bed and given a laxative dose of calomel and soda. A systematic, routine examination and recording of the general condition of the patient is followed by a careful examination to outline the chest area of the lung tissue involved. This being noted, one or more, as the case may demand, specially constructed ice bags are moderately, but evenly filled with crushed ice and applied so as to accurately cover the chest surface of the parts inflamed. Each bag is wrapped in a thin layer of gauze, and is kept in place by a

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