Shock At the Front

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The bombardments in this war were of a new and strange intensity. It might be that certain men were sensitized by this highly abnormal environment. In that case a wound not historically grave might bring on shock. If the low blood- pressure and other symptoms of shock ap- peared immediately after the wound, a preexisting sensitization was probable. Remedies should then be employed before the wound was dressed. If, on the con- 44 Shock at the Front trary, there was a significant interval be- twe...en the wound and the onset of shock, sensitization was not the explanation, and shock must be the result of forces set free by the wound itself. On the length of this interval would depend the character of the treatment and the moment at which it could be most profitably applied. On the length of this interval rested the seri- ous practical question whether treatment must be given in the dressing-station or in the nearest field hospital.
It was therefore my first duty to meas- ure the blood-pressure immediately after the wound.


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