Observations on reflex responses during prolonged periods of human refrigeration.

Fay, Temple & Smith, Gerald W.

Publication Date: 1941

About this Item

Arch. Neurol. Psychiat., 45. - Chicago, American Medical Association, February 1941, gr.8°, 8 pp., 1 Fig., orig. wrappers. Offprint! Read before the Harvey Cushing Society, Kansas City, May 1, 1940. From the Department of Neurology and Neurosurgery , Temple University School of Medicine. "In December 1938 one of us (Fay) demonstrated that rectal temperature in the human being could be reduced to 92 F., or below, for many hours without apparent injury to the patient. Since that time more than 62 patients have been subjected to one to six episodes of refrigeration and observed when rectal temperatures were reduced to various levels below 90 F., as far down as 74 F. Repeated neurologic examinations were made of 42 patients (the service of Dr. Temple Fay) during induced states of refrigeration. These 42 patients were subjected in all to 83 episodes of reduced body temperature, each episode ranging from twenty-four hours to five days in duration. Approximately 400 neurologic examinations were made of the patients in this group. Each neurologic examination consisted of testing for the following reflexes: jaw jerk, radialis, periosteal, ulnar pronator, biceps, triceps, patellar, ankle, palatal, corneal, plantar, abdominal and cremasteric." Fay & Smith Temple Sedgwick Fay (1895-1963) was an American neurologist and neurosurgeon. He is known for experimental use of extreme cold to treat patients with malignant tumors or head injuries. After undergraduate study at the University of Washington, he enrolled in the University of Pennsylvania School of Medicine, where the famous neurologist William Spiller became his mentor. After graduating in 1923, Fay became at the Philadelphia General Hospital a medical intern, an assistant to Spiller, an assistant to the famous neurosurgeon Charles Harrison Frazier, and then an instructor. During the years 1923 to 1929 Fay developed several new techniques and published several important papers. Fay developed the world's first systematic program of hypothermia for traumatic brain injury (TBI). He realized that "decreased intracranial pressure and improved utilization of oxygen by cerebral tissue" would help patients with TBI.

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Bibliographic Details

• Title: Observations on reflex responses during prolonged periods of human refrigeration.
• Publication Date: 1941
• Binding: Soft cover
• Seller catalogs:
  • Chirurgie