To the Editor:—
I read with interest the letters from Drs. Rosenthal and Tabor in The Journal (144:413 [Sept. 30] 1950) and Dr. Hurley (144:1502 [Dec. 23] 1950) which were elicited by an article by Dr. Evans. (The Burn Problem in Atomic Warfare, J. A. M. A.143:1143 [July 29] 1950). It is gratifying to find that interest in the use of isotonic sodium chloride solution in the prevention of shock is receiving so much attention. Miss Friedberg, Mr. Asher and I reported in the American Journal of Physiology (140:65 [Oct.] 1943) that isotonic sodium chloride was useful in preventing the shock following venous occlusion in the dog over and above its value in replacing blood volume lost. We were concerned at that time about the possible benefits of the sodium chloride itself, since it corroborated some previous work by Dr. S. T. Killian, Mr. R.