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2 Medico-Legal & Criminological Rev. 1 (1934)

handle is hein.journals/medlgjr2 and id is 1 raw text is: THE MEDICOLEGAL AND CRIMINOLOGICAL REVIEW VOL. II. PART I. JANUARY, 1934 PRESIDENTIAL ADDRESS SOME MEDICO-LEGAL ASPECTS OF SHOCK* By SIR BERNARD SPILSBURY, M.B., F.R.C.P. I HAVE selected this subject because shock may occur in forms which present to the medical man most difficult problems for elucidation. In these forms the sudden onset, and, it may be, sudden death, offer little opportunity of observing the bodily changes as they occur, and seldom give any indication of the mechanism by which death or the symptoms were brought about. Shock I regard as one of the most overworked terms in the medico-legal vocabulary, as many deaths said to be due to shock should really be ascribed to such conditions as loss of blood, exhaustion, injury to a vital organ, concussion of the brain, and so forth. Cases in which persons can justly be said to owe their death to shock are comparatively rare. It is an elusive term to define. Shock may develop gradually, appearing many hours after the injury which has caused it; its most striking manifestation is a progressive fall of blood pressure to a level far lower than is found in health, and this may continue to a fatal issue. On the other hand, the fall may be arrested and recovery ensue. Of this variety of delayed shock * A presidential address given at the opening of the session of the Medico-Legal Society at in, Chandos Street, London, W. I, on October 26, 1933.

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