. Annals of surgery . of normal saline s 11 h r 11 t :i n » mi e t i^- ?? •—Photograph taken during the fourth week post- sanne, SUOCUtaneously. operative. To illustrate type of incision used. Although he was in considerable shock, he was placed flat in bed. It was deemed inadvisable to elevate the footof the bed because of the added strain which that position might place upon theright heart. He was given a retention enema of a pint of hot tap water as soonas placed in bed, and this was repeated in 30 minutes. Thereafter he receivedeight ounces of water in this way every 4 hours for the first


. Annals of surgery . of normal saline s 11 h r 11 t :i n » mi e t i^- ?? •—Photograph taken during the fourth week post- sanne, SUOCUtaneously. operative. To illustrate type of incision used. Although he was in considerable shock, he was placed flat in bed. It was deemed inadvisable to elevate the footof the bed because of the added strain which that position might place upon theright heart. He was given a retention enema of a pint of hot tap water as soonas placed in bed, and this was repeated in 30 minutes. Thereafter he receivedeight ounces of water in this way every 4 hours for the first 24 hours. All ofthis he retained and absorbed readily, and at no time did he suffer from thirst. During the next two days, a number of his friends were matched as pro-spective donors for transfusion. His condition seemed very favorable, so it wasdeemed advisable to delay traii>fu>ion until reports on the donors Wasscriranntests were received. CJn his thir<l flay post-operative, he was eiven 300 cubic. WILLIAM KAXnoLPH SMITH


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885