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July 1968

Clinical Considerations in the Anesthetic Management of Vietnam Casualties: 1965 to 1966

Author Affiliations

USAF; USAF; USAF, Clark Air Force Base, Philippines
From the departments of anesthesia (Dr. Kadis), surgery (Col Tarrow and Maj Dannemiller), and pathology (Capt Mastrangelo), US Air Force Hospital, Clark Air Force Base, Philippines, and the Third Marine Batallion (Dr. Torpey), Da Nang, Vietnam, and the 85th Evacuation Hospital, US Army (Dr. Noble), Qui Nhon, Vietnam. Drs. Kadis, Torpey, and Noble are presently at Stanford University School of Medicine, Palo Alto, Calif, University of Pittsburgh School of Medicine, Pittsburgh, and University of Texas Southwestern Medical School, Dallas. Maj Danneville is presently at Keesler Air Force Base, Keesler, Miss.

Arch Surg. 1968;97(1):16-26. doi:10.1001/archsurg.1968.01340010046002

THE ROLE OF the anesthesiologist as part of the resuscitation team in management of mass casualties, his equipment, and his techniques were reviewed following World War II1 and the Korean Conflict.2 The basic principles have been established and need no review at this time, but several changes that deserve mention have occurred in the practice of anesthesiology since the Korean Conflict. Rapid transport of critically ill patients to major treatment centers has had a great impact on patient care. The widespread use of halothane as a primary anesthetic agent, the concept of treating hemorrhage with large quantities of balanced salt solution in addition to blood, and development of a frozen blood capability are significant. More frequent use of closed-chest cardiac resuscitation techniques has presented anesthesiologists with patients with heart damage for further procedures, and hemodialysis has saved many patients with traumatic renal failure creating additional challenges. Characteristically, patients

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