Use of Whole Blood and Blood Volume Expanders in U.S. Military Medical Facilities in Vietnam 1966-1971
DOD MILITARY BLOOD PROGRAM OFFICE WASHINGTON DC WASHINGTON DC
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The report presents information on the actual usage of blood and blood volume expanders in US Military hospitals in Vietnam. It is necessary to have a method of estimating blood and fluid requirements for the resuscitation of combat and disaster casualties based on modern surgical practices and experience. The amount of blood and the amount, types, and proportions of fluids given to each patient are influenced by what is available, the training and philosophy of the surgeon responsible for the individual patient, and the extent of current surgical knowledge. In the Vietnam conflict, because of the superb, prompt rescue, and immediate resuscitation and transport of the injured, a higher percentage of patients with very severe injuries reached the hospitals alive, with an exceedingly high survival rate. Therefore, the Vietnam experience should serve to update the whole blood and fluid requirements for resuscitation under conditions in which severely injured individuals arrive at the hospital alive.