To the Editor:—
Pursuant to the series of articles in The Journal, Jan. 26, with reference to traumatic injuries, one of the things that, in my opinion, was conspicuous by its absence was a discussion of the influence of crash injuries on the heart. These injuries may occur in many ways and have been described previously in the literature. In a recent group, which we studied at the Los Angeles County Harbor General Hospital, we found an incidence of at least 27% of cardiac involvement in major bodily trauma. Other investigators have described higher figures than this.I wish to call the attention of physicians to the high frequency of complications of this type of crash injury so that they may be aware of its occurrence. Adequate therapeutic measures in some of these cases are indicated and may indeed in some instances be lifesaving.