On the Excretion of Urea

Charles Stover
1897 Journal of the American Medical Association (JAMA)  
minutes we prepared him hastily and opened the median basilic vein at the elbow flexure. Between two and three pints of very dark blood, which coagulated almost immedi¬ ately, was taken. Before the blood ceased flowing the cyanosis had given place to a bright red color, the pulse was improved and respiration much easier. Digitalis and atropin were given hypodermically. He continued to improve for forty five min¬ utes, then again failed rapidly. Respiration 60, pulse 160 to 175 per minute-at
more » ... s uncountable. We gave up then, but I remained to see the end. At 8 :30 a. m. he seemed about to take his last breath, but rallied slightly and at 9 o'clock I decided to renew the fight. I sent for oxygen gas and at 10 a. m. gave the first inhalation, hav¬ ing meanwhile continued stimulation and administered a nutri¬ ent enema. At first the oxygen was given every ten minutes. At 11 a. m. I left him, still unconscious, but much improved. At 1 p. m. I returned and he greeted me with "Hello, Doctor !" Respiration at this time 60, but not labored ; pulse 160 ; axil¬ lary temperature at 3 :30 p. m., 105. June 12-Temperature 101.5 to 103 ; pulse 132 to 150; res¬ piration 38 to 50. Recovery was slow but complete. I have not the least doubt that the blood-letting was the primary means of saving this patient's life, though without the oxygen he would probably have died in spite of the bleeding.
doi:10.1001/jama.1897.02440390048020 fatcat:qf4k4xsruvbdjeisfnpfb5sqh4