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
Also in the experiments with _cardiazol_, _coramin_ and _lobeline_ we
restricted ourselves primarily to determining whether injurious effects
occurred in the case of relatively large doses. Four cc. of 10 percent
coramin as well as 2 cc. of 1 percent lobeline were injected
intravenously at various stages of recovery without any marked objective
and subjective deterioration of the state of the heart, the breathing,
and the general condition. But just as with strophanthin, it is
impossible to rule out a possible therapeutically favorable effect
because of the small number of experiments. We never observed such an
effect. Especially the marked deepening of breathing and of the
irritability of the trigeminal nerve which usually sets in very suddenly
after coramin (for example, sneezing immediately after the injection)
were always missing. Contrary to strophanthin, in the case of which we
cannot advise against experimentation by intravenous injection under
certain conditions, we believe on theoretical grounds that such
experiments with _peripheral circulatory drugs_ which may heighten the
vessel tonus are not indicated because of the following considerations:
The damage to the heart is to be attributed, among other things, to an
overloading, which is caused by a blocking of enlarged vessel areas,
aside from an increase in viscosity. If the vessel tonus is further
increased in the areas which have remained unimpeded, the conditions for
the heart are thereby made worse.
The sceptical attitude toward the effect of drugs is strengthened above
all by the observation that in the majority of the experiments in which
no drugs were given, even the most severe disturbances of the peripheral
circulation were reduced remarkably rapidly under intensive heat
treatment. In this connection it must be emphasized that besides the
recovery of body temperature through heat therapy an unloading of the
heart takes place because the blocked areas open up. Contrary to earlier
concepts, according to which there was danger of hemorrhage into the
periphery during rapid rewarming, and according to which one sought to
avoid this hemorrhage by wrapping up the extremities as well as by very
slow warming, the “venalous bleeding into the periphery” may be
life-saving under some circumstances. An exception, namely, loval
pyperacmia after considerable rise in temperature and corresponding
reestablishment of circulation has already been described in the
reference to the danger in some cases of very prolonged treatment in the
light cradle.
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