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July 16, 1949, Vol 140, No. 11 >
ARTICLE | July 16, 1949

ACUTE ARTERIAL INJURIES

Frederick M. Allen, M.D.
JAMA. 1949;140(11):974. doi:10.1001/jama.1949.02900460044021.
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ABSTRACT

To the Editor:—  Although the lateness of the hour barred my attempted discussion of Dr. Freeman's paper on "Acute Arterial Injuries" (The Journal, April 23, p. 1125), the alleged injury of tissues by refrigeration and especially Dr. de Takats' assertion that refrigerated tissues cannot survive should still be compared with the following facts: (1) the survival of animals' legs after fifty-four hours (my original experiments) and of rats' tails after ninety-six hours (Brooks and Duncan) of refrigeration without circulation; (2) the healing of stumps after the usual refrigeration with a tourniquet for several hours, extended in one instance to forty-eight hours (Crossman); (3) the successful reconstruction of a mangled hand after packing in ice for two weeks (Nachlas); (4) severed fingers, hanging only by a shred of skin, saved with refrigeration for several days when they could not be saved otherwise (Crossman, Kanaar and others); (5) reduced temperatures for orthopedic

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