Trials of war criminals before the Nuernberg military tribunals under control council law no. 10, volume IVarious
Philosophy
Trials of war criminals before the Nuernberg military tribunals under control council law no. 10, volume I
Various
Nuremberg Trial of Major German War Criminals, Nuremberg, Germany, 1945-1946; War crime trials -- Germany -- Nuremberg
In experiments with fatal outcome, the stopping of the heart occurred
either in the water or after an interval of not more than 14 minutes
after removal from the water. With such a rapid course of events it is
unlikely that one can favorably influence the heart action by
intravenous injections of strophanthin, especially because the
circulation is at a very low ebb before the heart-death. For this
reason, in a case whose condition was already very dangerous,
_strophanthin was given intracardially_ in a dose of 0.25 mg. Thereupon
the heart condition grew still worse and after 5 minutes the heart
stopped. One had the impression that the heart action was made worse by
the intracardial injection of strophanthin. This is, however, the only
case which left the possibility of damage by strophanthin in doubt. No
such damage could ever be established in the intravenous injection of
strophanthin. On the other hand no therapeutic effect, even with maximal
doses of 0.5 mg., could be detected. Figure 11 [not reproduced], last
section, shows the total duration in 10 cases of the irregularity
observed without strophanthin dosage. This varies between 25 and 200
minutes. On the other hand in Figure 13 in the last section, first five
cross-rows there are corresponding time values of 175 to 360 minutes. At
various experimental time points during these experiments 0.25 to 0.5 of
strophanthin were given. Accordingly, a shortening of the duration of
the irregularity cannot be established. Furthermore no improvement of
the pulse or general condition was ever noted. Obviously these
experiments are too few to rule out a possible favorable effect in all
cases. Several hundred experiments would be necessary to obtain
statistically reliable data on this point. And so, since contrary to
animal experimentation, we could not unquestionably establish damage
following intravenous strophanthin dosage, we may leave it to the
treating physician whether or not he may still want to make an
_experiment with strophanthin_. To be sure, such an employment of it
must be advised against in case of a very much decelerated form of
irregularity. This will be observed when there is the greatest danger;
under such circumstances time should never be lost by experimenting with
drugs, but every effort should be made in the direction of intensive
heat therapy.
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