Clinical Considerations in the Anesthetic Management of Vietnam Casualties

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Abstract
THE ROLE OF the anesthesiologist as part of the resuscitation team in management of mass casualties, his equipment, and his techniques were reviewed following World War II1 and the Korean Conflict.2 The basic principles have been established and need no review at this time, but several changes that deserve mention have occurred in the practice of anesthesiology since the Korean Conflict. Rapid transport of critically ill patients to major treatment centers has had a great impact on patient care. The widespread use of halothane as a primary anesthetic agent, the concept of treating hemorrhage with large quantities of balanced salt solution in addition to blood, and development of a frozen blood capability are significant. More frequent use of closed-chest cardiac resuscitation techniques has presented anesthesiologists with patients with heart damage for further procedures, and hemodialysis has saved many patients with traumatic renal failure creating additional challenges. Characteristically, patients

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