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November 1957, Vol 75, No. 5 >

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ARTICLE | November 1957

Wound Shock and Débridement

KERMIT Q. VANDENBOS, MC
AMA Arch Surg. 1957;75(5):707-708. doi:10.1001/archsurg.1957.01280170017007.
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ABSTRACT

Wound shock is the response of the body to the incurrence of a wound and the blood lost. In addition, the wound is attended by pain and fear and, under battle conditions, by the rigors of exposure, transport, and other exhausting stimuli. The total effect of the wound is a sum of these many components acting in the direction of deterioration of the patient. The management of wound shock or resuscitation includes, in addition to replacement therapy for the deficient blood volume, specific surgical care to arrest the train of pathologic events that occurs after wounding. Wound surgery is the definitive resuscitative act that halts the progressive deterioration of wound shock. Debridement of wounds is an integral part of wound surgery. It was uniformly demonstrated in World War II that the severity of wound shock paralleled the degree of reduction in the circulating blood volume. The average person will have

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