RT Journal
A1 Connors JP, Tilney NL, Stormo AC
T1 AQueous silver nitrate (0.5%) in the treatment of nonthermal war wounds
JF Archives of Surgery
JO Archives of Surgery
YR 1969
FD January 1
VO 98
IS 1
SP 119
OP 120
DO 10.1001/archsurg.1969.01340070137032
UL http://dx.doi.org/10.1001/archsurg.1969.01340070137032
AB Rapid evacuation and sophisticated initial treatment has notably enhanced the overall survival of those wounded in the Vietnam conflict. Following injury, the patients undergo wound cleansing and debridement at nearby field hospitals. When stabilized, they are transferred in stages to other military institutions for definitive care. Many wounds become infected through unavoidable interruptions in therapy during transit.Aqueous silver nitrate (AGNO3) (0.5%) is effective as a topical bacteriostatic agent in massively burned patients.1 Its use against a wide variety of organisms has been demonstrated.2,3 The arrival of a series of patients with infected war wounds at Portsmouth Naval Hospital has stimulated the application of the solution on such nonthermal soft tissue injuries.Materials and Methods 
    Twenty-three missile and schrapnel wounds received by 12 patients an average of five days before admission were studied. The injuries varied between localized avulsions of skin and underlying muscle, to massive soft