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July 25, 1953

Surgery in World War II: The Physiologic Effects of Wounds.

JAMA. 1953;152(13):1283. doi:10.1001/jama.1953.03690130099030

This book deals with the physiological responses of the body to wounds. The material is taken from surgical records of World War II. Since severe surgical shock associated with trauma is not commonly encountered in medical practice during peacetime, detailed study has seldom been possible. Valuable experimental work on shock has been done with animals since World War I, but there has been little opportunity for study of this serious condition in man. At the outset of World War II, the need for whole blood replacement and for resuscitation was poorly understood.

Proper emphasis is placed on the significance of blood volume, infection, uncontrolled hemorrhage, the site of injury, and limitations of analgesic and anesthetic agents. The material presented is quite remarkable in consideration of the fact that a great amount of it was collected in the open field, at times under direct fire; the data were obtained a few

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