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July 1955

Adrenal Function in the Combat Casualty u

Author Affiliations

U. S. Army; Washington, D. C.
From the Surgical Research Team in Korea; the Department of Biochemistry of the Army Medical Service Graduate School, United States Army, and Walter Reed Army Medical Center, Washington D. C.; Dr. Howard's present address is Department of Surgery, Baylor University College of Medicine.

AMA Arch Surg. 1955;71(1):47-58. doi:10.1001/archsurg.1955.01270130049007

This study was part of a broad survey of the systemic response to injury, carried out at a forward surgical hospital on the Eastern Front in Korea during 1952. This was a time when the front lines were stable and the flow of casualties was usually limited. Evacuation time averaged three and one-half hours. Because the casualty load was seldom very heavy, patients could be held at the forward hospital until they were ready for evacuation. Intensive studies could be made during this period of relative quiescence.

MATERIALS AND METHODS  Twenty battle casualties were chosen for study during a period of 7 to 14 days immediately after injury. The study was designed to study adrenal function during this period of early convalescence. This was often a period of repeated traumas—initial injury, evacuation, anesthesia, operation, secondary dressings, and secondary débridement. All of the patients studied were critically injured. Several died

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