The evolution of saline solutions Robert Lewins Lancet 26th May 1832
{"Image DocumentName": "The evolution of saline solutions Robert Lewins Lancet 26th May 1832", "Image ImageDescription": "Less than 7 weeks following O\u2019Shaughnessy\u2019s recommendations the first cases of cholera were treated with intravenous saline solutions. Robert Lewins, a physician in Leith, Edinburgh, reported the results of this new treatment to the Central Board of Health in London and published them in the Lancet of 26th May He describes witnessing this treatment in three of six patients treated by Thomas Latta to whom he ascribes the \u2018\u2018merit of first having recourse to this practice\u2019\u2019. Lewins described the immediate effects of injection as \u2018\u2018restoring the natural current in the veins and arteries, of improving the colour of the blood, and recovering the functions of the lungs\u2019\u2019 as \u2018\u2018the most wonderful and satisfactory effect\u2019\u2019 and recommended repeated injections of large quantities of solution guided by the patient\u2019s pulse and symptoms, thereby showing a remarkably modern understanding of the need for continuous treatment guided by physiological monitoring. The solution used by Latta, according to Lewins, consisted of \u2018\u2018two drachms of muriate, and two scruples of carbonate, of soda, to sixty ounces of water\u2019\u2019, a different composition to that reported by Latta in his detailed letter to the Central Board of Health a week later, in which he outlined his rationale for using salt solutions and the results of treatment. Latta, having read O\u2019Shaughnessy\u2019s analyses, attempted to \u2018\u2018restore the blood to its natural state\u2019\u2019 by administration of oral saline solutions only to find that this aggravated the symptoms of vomiting and purging. Robert Lewins Lancet 26th May 1832: \u0395\u03af\u03b4\u03b5 \u03bc\u03b5 \u03c4\u03b1 \u03bc\u03ac\u03c4\u03b9\u03b1 \u03c4\u03bf\u03c5 \u03c4\u03bf\u03bd Thomas Latta !! \u039f Latta \u03c4\u03bf \u03ad\u03b4\u03c9\u03c3\u03b5 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c3\u03c4\u03cc\u03bc\u03b1 \u03ba\u03b1\u03b9\u2026\u2026", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}