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John E. Keet, M.D.; George O. Halsted, M.D.; Vincent J. Collins, M.D.; Louis M. Rousselot, M.D.
JAMA. 1952;149(5):418-420. doi:10.1001/jama.1952.02930220008003.
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Halsted1 was the first in this country to use the arterial route for blood replacement when, in 1883, he bled patients suffering from carbon monoxide poisoning via the radial artery and, after whipping the blood in air, replaced it through the same artery. Little further use of this route was made until 1939, when Colonel Sam Seeley suggested the technique to Kohlstaedt and Page.2 Since then many excellent reports have appeared attesting to its effectiveness in shock therapy.3 Many different techniques have been described, all either complicated or requiring expensive apparatus.4 There has been a high incidence of circulatory disturbances of the arm and hand among the reported cases, and some authors feel that it is only justified as a life-saving measure.4b

It is the purpose of this paper to present a simplified technique that has been found extremely effective and free of circulatory complications


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