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November 18, 1899, Vol XXXIII, No. 21 >
ARTICLE | November 18, 1899

INTERNAL BLEEDING.

JAMA. 1899;XXXIII(21):1297-1298. doi:10.1001/jama.1899.02450730053007.
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It is usually with a feeling akin to helplessness that the physician looks on at a case of internal bleeding which is taking place in the brain or viscera. His text-books have recommended ergot and a host of other drugs, but their practical utility has not been demonstrated. In order to be able to control internal bleeding by other than surgical means, which in the present discussion are not applicable, at least three factors should be borne in mind. If one could increase the internal coagulability of the blood to any marked extent some good might come of this procedure. A second means which deservedly has met with little favor consists in the injection, in situ, of local astringents. The third method employs pharmacologic agents which can modify the circulatory apparatus. The amount of blood which could flow from a vessel is determined by the diameter of the vessel, the

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