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RECENT ADVANCES
IN
MEDICINE AND SURGERY (19-30 APRIL 1954)

BASED ON PROFESSIONAL MEDICAL
EXPERIENCES IN JAPAN AND KOREA
1950-1953

VOLUME I

U. S. ARMY MEDICAL SERVICE GRADUATE SCHOOL
WALTER REED ARMY MEDICAL CENTER
WASHINGTON, D. C.


WALTER REED ARMY MEDICAL CENTER
MAJOR GENERALLEONARD D. HEATON,MC
Commanding

ARMY MEDICAL SERVICE GRADUATE SCHOOL
COLONEL WILLIAMS. STONE, MC
Commandant

MEDICAL DIVISION
LIEUTENANT COLONELFRANK L. BAUER,MC
Director

MEDICAL SCIENCE PUBLICATION No. 4


CONTENTS

Volume I

Preface

Participants

Monday Morning Session
19 April 1954
RUSSELL SCOTT, JR.,M. D., Moderator

Some General Considerations of Homeostatic and AdaptiveMechanisms to Stress in Effect Prior to Wounding - Stanley H. Eldred, M.D.

Fatigue and Metabolic Deficit - John M. Howard,M. D.

A Study of Combat Stress in Korea, 1952: Physiologicand Biochemical - Fred Elmadjian, Ph. D. and Stanley W. Davis, Ph. D.

Care of the Battle Casualty in Advance of the AidStation - Russell Scott, Jr., M. D.

Emergency Treatment and Resuscitation at the BattalionLevel - Major Meredith Mallory, Jr., MC

Monday Afternoon Session
19 April 1954
JOHN M. HOWARD, M. D., Moderator

Professional Considerations of Patient Evacuation- Lieutenant Colonel Douglas Lindsey, MC

Triage in the Korean Conflict - John M. Howard,M. D.

Resuscitation - Major Curtis P. Artz, MC, CaptainYoshio Sako, and Captain Alvin W. Bronwell, MC

Discussion of Papers on Preoperative Treatment ofBattle Casualties - Lieutenant Colonel Carl W. Hughes, MC

Anesthesia for Combat Casualties on the Basis ofExperience in Korea - Robert D. Dripps, M. D.

Tuesday Morning Session
20 April 1954
COLONEL WILLIAM S. STONE,MC, Moderator

The X-ray Service in an Army Area Surgical Hospital- Colonel Harry L. Berman, MC

Operation of Blood Bank Systems - Colonel DouglasB. Kendrick, MC

Experience with Procurement, Storage and Distributionof Blood from Local Sources in the Early Days of the Korean War - ColonelRobert L. Hullinghorst, MC

Studies of Blood Volume and Transfusion Therapyin the Korean Battle Casualty - Captain Theodore C. Prentice, MC, FirstLieutenant John M. Olney, Jr., MC, Major Curtis P. Artz, MC, and CaptainJohn M. Howard, MC

The Safety of Blood Transfusion in the Treatmentof Mass Casualties - Lieutenant Colonel William H. Crosby, MC

Massive Transfusions, Blood Derivatives and PlasmaExpanders - Major Curtis P. Artz, MC

Tuesday Afternoon Session
20 April 1954
MAJOR CURTIS P. ARTZ,MC, Moderator

Medical Aspects of Body Armor in Korea - RobertH. Holmes, M. D., William F. Enos, Jr., M. D., and Captain James C. Beyer,MC

Experimental Wound Ballistics - Captain Edward A.Ochsner, Jr., MC

Preoperative and Postoperative Care of Battle Casualties- Major Curtis P. Artz, MC, Captain Alvin W. Bronwell, MC, and CaptainYoshio Sako, MC

Discussion on Consultants and Organization of SurgicalService - Major Curtis P. Artz, MC

Wednesday Morning Session
21 April 1954
MAJOR WILLIAM H. MERONEY,MC, Moderator

Hemorrhage - Lieutenant Colonel Carl W. Hughes,MC

Shock - John M. Howard, M. D.

Débridement - Captain Alvin W. Bronwell,MC, Major Curtis P. Artz, MC, and Captain Yoshio Sako, MC

Oliguria - Major William H. Meroney, MC

Wound Healing in Patients with Severe Battle Woundsand Renal Dysfunction - Stanley M. Levenson, M. D.

Wednesday Afternoon Session
21 April 1954
LIEUTENANT COLONEL EDWINJ. PULASKI, MC, Moderator

The Bacterial Flora of Wounds in the Korean War- Lieutenant Colonel Robert B. Lindberg, MSC

The Effect of Severe Battle Injury and of Post-traumaticRenal Failure on Resistance to Infection - Major Henry H. Balch, Jr., MC

The Occurrence of Infection in Korean War BattleCasualties During May-June 1953 (Report on Korean Tour) - William A. Altemeier,M. D., and Lieutenant Colonel Edwin J. Pulaski, MC

Thermal Burns - Lieutenant Colonel Edwin J. Pulaski,MC

Thursday Morning Session
22 April 1954
LIEUTENANT COLONEL GEORGEJ. HAYES, MC, Moderator

A Review of Postmortem Examinations in Combat Casualties- First Lieutenant Joseph G. Strawitz, MC

Problems of Wound Treatment during the Early Phasesof the Korean War - Colonel Joseph P. Russell, MC

Specific Considerations in Primary Surgery of theExtremities - Colonel John M. Salyer, MC, and Captain John Esslinger, MC

Discussion - Colonel August W. Spittler, MC

Specific Considerations in Primary Surgery of NervousSystem - Lieutenant Colonel George J. Hayes, MC

Thursday Afternoon Session
22 April 1954
COLONEL JOHN M. SALYER,MC, Moderator

An Analysis of 2,811 Chest Casualties of the KoreanConflict - Major A. R. Valle, MC

Abdominal and Thoraco-abdominal Wounds - CaptainAlvin W. Bronwell, MC, Major Curtis P. Artz, MC, and Captain Yoshio Sako,MC

Friday Morning Session
23 April 1954
LIEUTENANT COLONEL CARLW. HUGHES, MC, Moderator

Surgical Considerations in the Treatment of WarWounds of the Rectum and Rectosigmoid Colon - Lieutenant Colonel H. HaskellZiperman, MC

Primary Surgery of Blood Vessels in Korea - LieutenantColonel Carl W. Hughes, MC

An Analysis of Follow-up Studies on 115 Acute VascularRepairs - Major Edward J. Jahnke, Jr., MC

The Early Management of Genitourinary War Wounds- Colonel Jack W. Schwartz, MC

Practical Considerations in the Treatment of EyeCasualties - Major John E. Edwards, MC

Discussion - Colonel John H. King, Jr., MC

Friday Afternoon Session
23 April 1954
COLONEL BERNARD N. SODERBERG,MC, Moderator

Plastic Surgery Repairs in Korean Casualties -Colonel Bernard N. Soderberg, MC

Maxillofacial Injuries - Lieutenant Colonel JamesE. Chipps, DC

Reparative Surgery (Seondary Surgery) in the KoreanCampaign - Colonel Frank E. Hagman, MC