Original communication| Volume 37, ISSUE 4, P602-611, April 1955

A survey of evacuation, resuscitation, and mortality in a forward surgical hospital

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      Results of detailed study of evacuation, resuscitation, and case fatality rates at the 46th Surgical Hospital in Korea from May 1, 1953, to Aug. 1, 1953, have been reported. The average evacuation time from injury to admission was 3.6 hours and from admission to surgery 3.0 hours. Casualties with extremity wounds requiring amputations received an average of 3,500 c.c. of blood in the first twenty-four hours following injury. Casualties with abdominal wounds, thoracoabdominal wounds, thoracic wounds, and open fractures were given an average of 3,428 c.c., 2,867 c.c., 1,890 c.c., and 926 c.c., respectively, during the first twenty-four hours following injury. The highest case fatality rates occurred in those casualties with abdominal wounds, 9 deaths among 75 casualties (12 per cent); the lowest in those casualties with open fractures, 1 death among 82 casualties (1.2 per cent).
      The over-all case fatality rate for 4,711 casualties admitted to the general surgical service over the period from Jan. 1, 1952, to Aug. 1, 1953, was 2.4 per cent. During this period, there were 402 casualties with abdominal wounds admitted to the hospital. There were 51 deaths, a case fatality rate of 12.7 per cent.
      The most important single factor in the improvement in case fatality rates appears to be the greater amounts of blood given during resuscitation for our series than for those reported for World War II.
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        • Forsee J.H.
        Forward Surgery of the Severely Wounded.
        Am. Surgeon. 1951; 27 (June): 508-526
        • Beebe G.W.
        • De Bakey M.E.
        Battle Casualties.
        Charles C Thomas, Publisher, Springfield1952
      1. Artz, C. P., Howard, J. M., Sako, Y., Bronwell, A. W., and Prentice, T.: Clinical Experiences in the Early Management of the Most Severely Injured Battle Casualties, Ann. Surg. In press.