Abstract
1 reached a stage of great efficiency, some of our larger institutions are extremely lax in their methods of treating emergencies. What a pity that so many of those men who were fortunate enough to work in the front line hospitals during the Great War have relegated their experiences to the past. Their conclusions and findings should be taught in all medical schools before the students arc called upon to witness some unusual operation. It is the common practice of a great many institutions to have one of the youngest of the house staff care for emergencies and every one of us has seen cases of malpractice, due not to carelessness or neglect but to lack of proper training. The general surgeon should know the value of early treatment in trauma as he does in an acutely surgical abdomen. Most of us have been more interested in the patient's local disorder than in the patient as a whole, and we can readily see the fallacy of this. Time is very valuable in treating traumatic emergencies for they areusually accompanied by shock and hemorrhage. In traumatic surgery the question that needs prompt decision is: what to do and when to do it, especially important in the patient termed a bad risk. ESSENTIAL IMMEDIATE TREATrv1ENT OF TRAUMA*
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