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Traumatic Pulmonary Insufficiency and Non‐Mechanical Bleeding in Battle Casualties
Author(s) -
Morton A.
Publication year - 1971
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1971.tb04091.x
Subject(s) - medicine , battle , intensive care medicine , surgery , disseminated intravascular coagulation , fibrinogen , coagulation , archaeology , history
Post‐traumatic pulmonary insufficiency and non‐mechanical bleeding are important complications of massive battle injuries. It is suggested that these conditions are inter‐related, and a small series of illustrative cases is described. It is further suggested that this syndrome may be important in some cases of death following severe injuries sustained in civilian life. Although treatment of this syndrome is not yet standardized, the management of the cases presented is described, and its rationale is discussed. It is to be noted that fibrinogen solution is unavailable in South Vietnam, as its use is believed by the American authorities to be contraindicated. In theory, its consumption may aggravate the disseminated intravascular coagulation process .