3
BMJ Dr. Snow on Chloroform Author(s): John Snow Source: London Journal of Medicine, Vol. 4, No. 43 (Jul., 1852), pp. 695-696 Published by: BMJ Stable URL: http://www.jstor.org/stable/25494236 . Accessed: 15/06/2014 03:42 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp . JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact [email protected]. . BMJ is collaborating with JSTOR to digitize, preserve and extend access to London Journal of Medicine. http://www.jstor.org This content downloaded from 188.72.126.41 on Sun, 15 Jun 2014 03:42:10 AM All use subject to JSTOR Terms and Conditions

Dr. Snow on Chloroform

Embed Size (px)

Citation preview

Page 1: Dr. Snow on Chloroform

BMJ

Dr. Snow on ChloroformAuthor(s): John SnowSource: London Journal of Medicine, Vol. 4, No. 43 (Jul., 1852), pp. 695-696Published by: BMJStable URL: http://www.jstor.org/stable/25494236 .

Accessed: 15/06/2014 03:42

Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at .http://www.jstor.org/page/info/about/policies/terms.jsp

.JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range ofcontent in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new formsof scholarship. For more information about JSTOR, please contact [email protected].

.

BMJ is collaborating with JSTOR to digitize, preserve and extend access to London Journal of Medicine.

http://www.jstor.org

This content downloaded from 188.72.126.41 on Sun, 15 Jun 2014 03:42:10 AMAll use subject to JSTOR Terms and Conditions

Page 2: Dr. Snow on Chloroform

COBBESFONDENCE. 695

subscribed. Upon that occasion, Lord Carlisle, the Chairman, in an eloquent speech coupled the health of Mr. Newnham with the toast of the evening.

EXTBA-UEBEM LICENTIATES, AND THE HEW CHARTER OF THE COL LEGE OF PHYSICIANS. The following letter has been received by Dr.

Laycock, in acknowledgment of the memorial of the Associated Extra-urbem Licentiates:? "

College of Physicians, London, June 22, 1852. "

Sib,?I beg to inform you that your memorial, addressed to the President of the Royal College of Physicians, has been laid before a Committee of the

College, and has been received by them with the attention due to it. I am

directed, however, to state, that no further means can be taken at present towards obtaining a new Charter for the College, on account of the impossi bility of procuring an Act from the present Parliament. And I am to assure

you, that, before any settlement is come to between the College and the

Government, the arguments contained in your memorial shall receive the fullest consideration. I am, Sir, your obedient servant, " Fbancis Hawkins, M.D. Registrar."

BOARD OF EXAMINEES IN MIDWIFERY AT THE COLLEGE OF SURGEONS. This new Board is to be immediately formed. It will consist of one of the Vice-Presidents of the College, and three obstetric practitioners, who may either belong to the College of Surgeons or the College of Physicians. As

usual, the number of candidates is overwhelming. We have heard that about a hundred and fifty have applied, which is fifty candidates for each

place. The emoluments are to be derived from part of the fees; and it is calculated that the annual earnings of each examiner will not exceed ?30 or ,?40!?most inadequate remuneration. The establishment of this Board is a step in the right direction; and we hope soon to see the whole system of the examination at the College of Surgeons raised in character, and

brought up to the standard which was advocated by us at some length in a former volume.

BRITISH ASSOCIATION FOB THE ADVANCEMENT OF SCIENCE. The meeting of this Association is to commence on the 1st September, at Belfast, all the different sections assembling under one roof, in the new Queen's College, which, as well as all the public buildings in the town likely to be useful in this great gathering of science, has been placed at the disposal of the Managing Committee. The influential inhabitants of Belfast are making

great pieparations for the accommodation and comfort of their visitors.

CORRESPONDENCE DB. SNOW ON CHLOBOFOBM. TO THE EDITOB.

Sir,?Dr. William D. Moore, of Dublin, has been kind enough to write to me, to point out an error in the latter part of my paper on the

" Cause and Prevention

of Death from Chloroform." At p. 568 of the June Number, I have stated that there was no report of an autopsy in the case of death from chloroform which

occurred at Stockholm. This was an oversight, as Professor Santesson has given a very precise and detailed account of the inspection after death, in the article1 from which the account of the case given in an earlier part of my paper was taken.

Dr. Moore has been so good as to translate the report of the autopsy for me; and the following is such an abstract of it as would have been introduced in my paper, if the mistake had not occurred.

" Brain softer than in the normal state, slightly edematous. Its vessels some

what distended. There were some opaque spots under the arachnoid, and long

deposit in the dura mater, the result of disease at some former period. Heart of normal size, flaccid; the vessels on its surface distended with blood; the left

1 Ett Fall of Dod efter Chloroform, etc., af. Prof. Carl Santesson. Published in the "

Hygiea", October 1850.

This content downloaded from 188.72.126.41 on Sun, 15 Jun 2014 03:42:10 AMAll use subject to JSTOR Terms and Conditions

Page 3: Dr. Snow on Chloroform

696 OBITUARY.

cavities were empty, whilst those in the right side were filled, as were the great veins. Lungs highly congested posteriorly, exhibiting here and there small infil trations of blood. Pulmonary tissue otherwise sound. Mucous membrane of

larynx and bronchial tubes congested. Blood everywhere thin and fluid, resem bling blackberry juice. A little loose fibrinous coagulum was, however, met with in the right ventricle of the heart Tt is stated that the odour of chloroform was

perceived in the brain, and less distinctly in the lungs.*' I am desirous that you should give insertion to this note, not only to supply

an omission in my paper, but because the statement that no inspection was made after death, in so important a case, would be an injustice, both to Professor Santesson and the Seraphim Hospital.

I remain, Sir, your obedient Servant, 18 Sackville-street, June 23,1852. John Snow.

OBITUABY.

Bernard, Henry J., Esq., for many years in large medical practice in the city of Wells, on 8th May, aged 72.

Boisraoan, Henry Charles, M.D., late of Cheltenham, at Bideford, North Devon, on 26th May.

Booth, Francis, Esq., M.R.C.S.Eng., late of Preston, Lancashire, at Ventnor, Isle

of Wight, on the 10th May, of disease of the heart.

Butler, Thomas S.,Esq., Assistant Surgeon H.E.I.C.S. (Bombay), at his father's

residence, Brentwood, on 5th May, aged 32.

Daws, ?, M.D., formerly of Wisbeach, Cambridgeshire, at Washington, U.S., on

the 10th March, aged 73. Dr. Daws emigrated in 1819. The Washington Intelligencer says that

" he always maintained a distinguished position in the ranks of his pro fession" in that city, and that " in the diagnosis of diseases he was pre eminent'*. He is equally praised as a good citizen, and head of a family.

Evans, Charles, Esq., Surgeon, aged 38, late of Margate, at Cairo, on 6th April, from the effects of a sun-stroke four days previous.

Exham, Thomas B., Esq., at his residence, Cheltenham, on the 6th May, aged 32.

Febrier, John, Esq., Surgeon of H.M. ship Impregnable, in the Royal Naval

Hospital, on the 3rd February. FiTZPATBiCK, Mrs. Elizabeth, from decay of nature, at Brooklyn, New York, on

1st April, aged 145. This venerable lady was a native of Scotland, and had been led from the

altar by no less than eight husbands. Four of the matches took place in

Scotland, and four in America. Thirty children (?) survive her.

Hughes, John, Esq., M RC.S.Eng., at Liverpool, on the 26th April, aged 44.

Hotchesson, Francis Pery, Esq., M.DAber., late Surgeon Royal Artillery, at

Guernsey, on 0th April, aged 68.

Manby, Edward, Esq., ("in practice prior to 1815"), formerly of East Rudham, Norfolk, at Lynn, on 8th May, aged 69.

Moore, Matthew Scott, M.D., formerly Superintending Surgeon of the Madras

Establishment, at Maddox Street, on the 26th April. Newtngton, Charles, Esq., M.R.C.S.Eng., (1802), at Highlands, Ticehurst,

Sussex, on 27th April, aged 71.

Osborne, Frederick W., M.D., at Sheffield, on the 7th January, aged 37.

Porter, George, Esq., L.S.A., late of Peterborough, at Maddox Street, Regent Street, London, on the 26th April.

Smith, John, Esq., Surgeon at Watford, Herts, on 1st June, aged 39.

Thackeray, Frederick, M.D., Consulting Physician to Addenbrooke's Hospital, Cambridge, at his residence, St Andrew's Street, Cambridge, on 18th June, aged 79.

In the Medical Directory, Dr. T.'s qualification is " in practice prior to 1815": and, from the same work, it appears that for twenty years he was

Surgeon to Addenbrooke's Hospital, and for a like period Physician to the same institution.

White, B. M., Esq., in St John Street, Fitzroy Square, on 10th October, 1851, aged 51.

Mr. White was born at Portsmouth, on the 15th April 1800. He was

the author of Doubts of Hydrophobia; the Metrical Lordts Prayer (1826);

This content downloaded from 188.72.126.41 on Sun, 15 Jun 2014 03:42:10 AMAll use subject to JSTOR Terms and Conditions