Principles of Surgery

Cover Principles of Surgery
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The mind is clear; delirium does not occur; the indi- vidual seems to be stunned and is incapable of quick mental ac- tivity.
Operation During Shock. — In cases which have been sub- jected to violence and are in shock the rule is very definite that it is better, nay, imperative, not to operate until recovery from the shock is complete, provided that the operation is not necessary for immediate removal of factors which progressively increase the shock; for example, shock is no contra-indication
...to operation in case the injury is associated ^\^th an uncontrollable hemorrhage, and in those pathologic conditions likely to be attended by shock it is necessary to operate at the earliest moment. The longer one postpones the operation for intestinal perforation, strangulated hernia, and acute general peritonitis, the greater the shock, in- tensified evidently by absorption of toxins, and the smaller the chance of recovery. However, when these conditions are asso- ciated with shock, only the judgment that comes of wide expe- rience can guide the surgeon from interference in hopeless cases.

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