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Edward H. Hatton, M.D.
JAMA. 1918;70(3):155. doi:10.1001/jama.1918.26010030002009c.
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Death as the result of either external or internal hemorrhage is a rather common accident. Occasionally these accidents are associated with unusual features which justify reporting.

Case 1.  —A section hand employed driving spikes with a large steel hammer was struck on the left side of the neck by a steel fragment from the hammer he was using. There was some hemorrhage from the external wound, but more blood was coughed up, apparently from the air passages. The man was put into an ambulance and hurried to the nearest hospital, but died before it was reached, twenty minutes after the accident occurred.At the necropsy there was found a shallow incised wound just over the lower border of the mandible on the left side, five-eighths inch long, and a smaller wound five-eighths inch to the left of the midline and one-half inch below the prominence of the thyroid cartilage. The


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