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LCDR Brian D. Lowery, MC, USNR; LCDR Charles T. Cloutier, MC, USNR; Larry C. Carey, MD

AMA Arch Surg. 1969;99(3):330-338.

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

Of late, there has been an increasing focus on the pulmonary dysfunction sometimes associated with hemorrhagic shock, septic states, and nonthoracic trauma.^1,2 Despite its usage by some, it is not at all clear that there is an entity in man deserving of the name, "shock lung." There are so many variables associated with the various poor perfusion states in humans that it seems foolhardy to group all the many possible changes in one organ system under one label. It is the intent of this paper not to enter the shock lung arena but simply to describe one indicator of pulmonary function, the arterial gas-tension pattern, in severely wounded battle casualties with no overt thoracic trauma. Attention is called to (1) the pattern of decline from and return toward normality; (2) morphine administration; (3) the mode and anatomic type of wounding; (4) the volume of resuscitative fluids; (5) the incidence . . . [Full Text PDF of this Article]

Author Affiliations
Bethesda, Md; Chelsea, Mass; Milwaukee

From the Shock and Resuscitation Research Unit, Station Hospital, US Naval Support Activity, Da Nang, Republic of Vietnam; Experimental Surgery Division, Naval Medical Research Institute, Bethesda, Md (Dr. Lowery); and Naval Medical Research Unit No. 2, Taipei, Taiwan. Dr. Lowery is now at McGill University, Montreal; Dr. Cloutier is at the US Naval Hospital, Chelsea, Mass; and Dr. Carey (Research Task No. M4305-3007) is at the University of Pittsburgh School of Medicine, Pittsburgh.

Footnotes
Submitted for publication March 10, 1969.

The opinions or assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the Navy Department or the Naval service at large.

Read before the 26th annual meeting of the Central Surgical Association, Chicago, Feb 22, 1969.

Reprint requests to Experimental Surgery Division, Naval Medical Research Institute, Bethesda, Md 20014 (Dr. Lowery, Attention Mr. James Magee).

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