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“A form Grave Location Blank says he was buried 1 July 1918 in grave number 191 in Brest. In another document, sent 8 July 1918 to the quartermaster general in Washington, it speaks of ‘traumatism, May 23rd, crushing, Herbert L. Sylvester.

I have the records of a number of cases occurring during an epidemic of puerperal fever in which patients were either attacked with fever previous to parturition, or in whose cases the unusual length of labor, the frequency of post-partum hemorrhage, and the imperfect contraction of the uterus immediately after confinement were signs of some abnormal influence exercised upon the economy at an early period of labor previous to the existence of traumatism.

Efforts should be made to protect the face lesions from the traumatism of picking and scratching, with a view to prevent pitting.

Opinions like these, held by such prominent members of the profession and sustained by many observations, should certainly induce physicians to prevent, so far as possible, any exposure of their surgical patients, especially if they have any sores or wounds, whether by traumatism or the scalpel, to the scarlatinal poison.

Inflammatory complications are usually due to undue traumatism at the time of the inoculation, to injury of the pock, or to the previous existence of a cutaneous disease or of some dyscrasia.