Abstract

Experience shows that unrecognized or neglected acute inflammatory stenosis of the larynx which both the profession and the laity commonly call membranous croup, causes the death of many children.1This is not astonishing, since the average practitioner sees few of these cases during his entire life, and hence he is unfamiliar with their symptomatology and course. He is so accustomed to seeing his patients struggling along for days with the dyspnea of asthma that he feels that even severe air hunger will not kill. He has also seen children, apparently in desperate straits as a result of spasmodic croup, who are playing the next morning, none the worse for the experience. Therefore it is not surprising that he fails to recognize danger in his first case of membranous croup; and that the intubationist, when he arrives, finds a grief stricken family, crushed and prostrated, gathered around the body of

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