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Am J Dis Child. 1923;25(2):163-167. doi:10.1001/archpedi.1923.01920020080008.
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The very high mortality in cases of severe superficial burns and scalds in children has always occasioned grave concern. Against the mortality due to primary shock (which is comparable to primary traumatic shock) our resources are limited, and the nature of the injury is such that a much lower death rate from this cause is hardly to be expected.

An even higher mortality is encountered from toxic shock, and this condition we believe is more amenable to treatment than primary shock. However, under ordinary methods of treatment, there has been little reduction in the mortality due to toxemia, chiefly because attention

has been directed more to the problems of local treatment than to relief of the early toxemia which frequently results in death. Despite advances made in improving local applications for burned surfaces, the death rate is still distressingly high. We can only come to the conclusion that within certain


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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