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August 9, 1919, Vol 73, No. 6 >
ARTICLE | August 9, 1919

THE PRODUCTION OF SHOCK

S. J. Meltzer, M.D.
JAMA. 1919;73(6):439. doi:10.1001/jama.1919.02610320063023.
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ABSTRACT

To the Editor:  —In The Journal, July 19, 1919, p. 178, Cannon makes the statement in a footnote that "Meltzer (Penn. M. J. 22:129 [Dec.] 1918) has stated that I became 'converted to the theory that the most essential factor in the production of shock is acidosis.' I have never published the idea that there was in the acidosis of shock a primary cause for the low pressure." This is literally true. Cannon has nowhere stated in clear words that he is of the opinion that, in shock, acidosis is the primary cause for the low pressure. But one comes to such a conclusion from various statements which Cannon made in his article on "Acidosis in Cases of Shock, Hemorrhage and Gas Infection" (The Journal, Feb. 23, 1918, p. 531). On page 532 there is the statement: "From the evidence presented above, the conclusion is warranted... that as a

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