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I. THE RATE OF FLUID SHIFT AND ITS RELATION TO THE ONSET OF SHOCK IN SEVERE BURNS

HENRY N. HARKINS, M.D.

Arch Surg. 1935;31(1):71-85.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

There is still much diversity of opinion as to the mechanism of production of the clinical picture in the early stages of heat burns. Wilson¹ divided the effects of severe burns into four stages: (1) primary shock, (2) secondary shock, (3) septic toxemia and (4) healing. There is considerable difference in the way various authors define primary shock; some separate it from secondary shock by the time factor and others by the difference in the causative mechanism.

Using a time definition, Blalock² stated:

Primary shock, or collapse, refers to the condition in which a decline in the blood pressure and the appearance of the symptoms of shock are noted immediately following the injury. In secondary shock, the time interval separating the injury and the appearance of symptoms is usually an hour or more. In some instances primary shock may progress into the secondary type.

Wilson stated:

Initial shock . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Douglas Smith Foundation, and the service of Dr. Edmund Andrews, Department of Surgery, University of Chicago.

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