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  Vol. 75 No. 5, November 1957 TABLE OF CONTENTS
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  SURGERY IN ACUTE TRAUMA
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Wound Shock and Débridement

CAPT. KERMIT Q. VANDENBOS, MC

AMA Arch Surg. 1957;75(5):707-708.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Wound shock is the response of the body to the incurrence of a wound and the blood lost. In addition, the wound is attended by pain and fear and, under battle conditions, by the rigors of exposure, transport, and other exhausting stimuli. The total effect of the wound is a sum of these many components acting in the direction of deterioration of the patient. The management of wound shock or resuscitation includes, in addition to replacement therapy for the deficient blood volume, specific surgical care to arrest the train of pathologic events that occurs after wounding. Wound surgery is the definitive resuscitative act that halts the progressive deterioration of wound shock. Debridement of wounds is an integral part of wound surgery. It was uniformly demonstrated in World War II that the severity of wound shock paralleled the degree of reduction in the circulating blood volume. The average person will have . . . [Full Text PDF of this Article]


Author Affiliations

U. S. A. F.


Footnotes

Submitted for publication May 23, 1957.

Read at the Tripler Army Hospital Symposium on Surgery in Acute Trauma, Honolulu, April 1-5, 1957.



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