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November 1959

Wound Debridement

Author Affiliations

Rochester, Minn.
Fellow in Orthopedic Surgery, Mayo Foundation (Dr. Hoover); Section of Orthopedic Surgery, Mayo Clinic and Mayo Foundation (Dr. Ivins). The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

AMA Arch Surg. 1959;79(5):701-710. doi:10.1001/archsurg.1959.04320110003001

Much work must be done to prepare our population against the ravages of possible enemy attack so that national survival may be ensured. The "mass casualty" doctrine properly assumes, for planning purposes, that the casualty load will be overwhelming and that it cannot be managed by available medical manpower alone. It seems certain that our survival may depend largely on the individual citizen's ability to render effective first aid and support to himself, his family, and his neighbors. Members of the medical profession, with the help of allied paramedical professional groups, must, however, provide the leadership both in training the populace and in actually performing the task at hand. Initially, at least, specialization will cease to exist and all doctors of medicine (and others as well) of necessity will become traumatic surgeons. Here again, good training is prerequisite to success, and good training begins with fundamentals.

With these thoughts in

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