Resuscitation of limb and abdominal wound cases in the field.

, A. n:MILNE, M.R.e.S., LR.e.p. (Late CaPt~in, Royal Army Medical CQrps.) . . . THE following are some condusionsderived from experience as a transfusion: officer, in the, field, ,in the European campaign from D-day, onwards, through , France, Belgium, Holland an~ Germany; and c~>llfirmed by a study of the' fatality rate of cases with limb odtbdominal wounds, a rate which in rpyview might be lowered' considerably. The, cauSe of this relatively high fatality ntte I believe to be inadequate transfusion. \ ,", . , , 'I have seen several transfusion ofllcers at work, and have seen the results of the work of others' (in th,ose cases that had not died) 'in large numbers of wounded who, had already had transfusions' and surgical treatme:nt" when working at the Casualty Evacuating Post (C.E.P.)" through which 40,000 to 60,000 men; mainly, wounded, 'were eV ',' ", ' Th~ remarks made here refer only to<wounds of the lirpbs ,and penetrating abdominal wounds or to wounds of the body that h~lVe not iIlVolved the pleura 'or dura mater.,P~netrating'head or chest wounds and thora<;o~abdomina1 , wounds belong to al,la:hogethet different' category as regards resuscitation' and 'require conservative transfusion; ." "