"COOLING IN SHOCK"

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To the Editor:— Congratulations on your excellent editorial entitled "Cooling in Shock" in the February 6 issue. Not only have I found the deliberate maintenance of temperatures around 90 F., rectal, in cases of severe trauma most beneficial from the standpoint of shock but apparently consciousness can be returned on a lower level of oxygen compensation, whereas in hyperthermic states there is not sufficient to maintain cerebral function. After all these years "refrigeration" appears to be coming into a wider appreciation, and some day I hope to see recognition as to what "refrigeration" will do for burns. It controls pain, prevents infection, diminishes shock and decreases loss of serum. In addition, the scar formed is pliable and soft rather than hard and firm. I would appreciate your sending me the references for the statement "the safe range of body temperature deviates far more below than above normal; temperatures down to

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