A therapeutic protocol utilizing debridement, antibiotics, tetanus toxoid and antitoxin, early tracheostomy, positive pressure respiration, frequent suctioning, and large doses of diazepam is outlined. Diazepam proved adequate to interrupt the violent muscular spasms and recurring convulsions in this disease. Eight of 11 patients suffering from severe tetanus recovered to resume fully active lives after receiving treatment according to the protocol. It is emphasized that this treatment protocol is within the physical capabilities of most hospitals.