In almost twenty years of observation, but more especially as attending surgeon to a large general hospital, which experience has been supplemented by a considerable experience in railroad injuries also, the writer has been particularly impressed with the urgent need of a better knowledge and comprehension, by the general profession, the general surgeon, and even the railroad surgeon, of the character of severe crush injuries of the extremities, the prerequisite to the proper insight to treatment. It has been a too frequent experience to witness the loss of limbs, and even loss of lives, from surgical treatment so much worse than useless as to be pernicious, and which displayed an amount of ignorance on the part of the practitioner which might be considered criminal, were the efforts not clothed with good intentions. It has been a too frequent observation that surgeons seemed to lack a proper knowledge of the surgical
LORD JP. SOME POINTS IN TREATMENT OF SEVERE CRUSH INJURIES OF THE EXTREMITIES. JAMA. 1900;XXXIV(11):662–664. doi:10.1001/jama.1900.24610110022001h
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