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 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.
Pearce
F J
FJ
Division of Surgery, Walter Reed Army Institute of Research, Washington, DC 20307, USA.
Lyons
W S
WS
D000328:Adult; D001803:Blood Transfusion / Q000379:methods* / Q000639:trends*; D003102:Colloids / Q000627:therapeutic use; D000077324:Crystalloid Solutions; D005440:Fluid Therapy / Q000009:adverse effects / Q000379:methods* / Q000639:trends*; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D007723:Korea; D008887:Military Medicine / Q000379:methods* / Q000639:trends*; D009102:Multiple Organ Failure / Q000209:etiology; D010952:Plasma Substitutes / Q000627:therapeutic use*; D012128:Respiratory Distress Syndrome / Q000209:etiology; D012151:Resuscitation / Q000009:adverse effects / Q000379:methods* / Q000639:trends*; D000077325:Ringer's Lactate; D018746:Systemic Inflammatory Response Syndrome / Q000209:etiology; D065227:Transfusion Reaction; D014481:United States; D014744:Vietnam; D014857:Warfare
D003102:Colloids; D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D010952:Plasma Substitutes; D000077325:Ringer's Lactate