Logistics of parenteral fluids in battlefield resuscitation

The paper discusses the substantial reduction in weight and volume of the fluids of resuscitation that is possible and desirable on the basis of sound physiology and the vast experience of the U.S. Army in four major wars in this century. We note the major shift in emphasis from massive colloid and...

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Bibliographic Details
Published in:Military medicine 1999-09, Vol.164 (9), p.653-655
Main Authors: PEARCE, F. J, LYONS, W. S
Format: Article
Language:English
Subjects:
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Armed forces
Biological and medical sciences
Blood
Blood Transfusion - methods
Blood Transfusion - trends
Colloids - therapeutic use
Edema
Emergency and intensive care: techniques, logistics
Fluid Therapy - adverse effects
Fluid Therapy - methods
Fluid Therapy - trends
Fluids
Hemorrhage
Hemorrhagic shock
Humans
Intensive care medicine
Isotonic Solutions - therapeutic use
Korea
Medical sciences
Military Medicine - methods
Military Medicine - trends
Multiple Organ Failure - etiology
Perfusions. Catheterizations. Hyperbaric oxygenotherapy
Physiology
Plasma
Plasma Substitutes - therapeutic use
Respiratory distress syndrome
Respiratory Distress Syndrome, Adult - etiology
Respiratory failure
Resuscitation - adverse effects
Resuscitation - methods
Resuscitation - trends
Surgeons
Systemic Inflammatory Response Syndrome - etiology
Transfusion Reaction
United States
Vietnam
Warfare
World War I
World War II
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Summary:The paper discusses the substantial reduction in weight and volume of the fluids of resuscitation that is possible and desirable on the basis of sound physiology and the vast experience of the U.S. Army in four major wars in this century. We note the major shift in emphasis from massive colloid and whole blood in World War II and Korea to massive crystalloid and packed cells in Vietnam and the serious complications with which this was associated. These complications were edematous in nature and best known as the Da Nang lung, or adult respiratory distress syndrome, multiorgan dysfunction syndrome, and systemic inflammatory response syndrome. The advantage of colloid in reducing the weight and volume of resuscitation fluids in forward areas by 60% to 90%, as well as in avoiding the edematous complications of crystalloid-, are emphasized.
ISSN:0026-4075
1930-613X
DOI:10.1093/milmed/164.9.653