Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Wound Debridement

Wound Debridement Abstract Much work must be done to prepare our population against the ravages of possible enemy attack so that national survival may be ensured. The "mass casualty" doctrine properly assumes, for planning purposes, that the casualty load will be overwhelming and that it cannot be managed by available medical manpower alone. It seems certain that our survival may depend largely on the individual citizen's ability to render effective first aid and support to himself, his family, and his neighbors. Members of the medical profession, with the help of allied paramedical professional groups, must, however, provide the leadership both in training the populace and in actually performing the task at hand. Initially, at least, specialization will cease to exist and all doctors of medicine (and others as well) of necessity will become traumatic surgeons. Here again, good training is prerequisite to success, and good training begins with fundamentals. With these thoughts in References 1. Woolsey, J. H.: Débridement , Am. J. Surg. 82:179-182 ( (July) ) 1951.Crossref 2. Woolsey, J. H.: Débridement , Am. J. Surg. 82:179-182 ( (July) ) 1951.Crossref 3. Depage, A.: General Considerations as to the Treatment of War Wounds , Ann. Surg. 69:575-588 ( (June) ) 1919.Crossref 4. Bick, E. M.: Source Book of Orthopaedics , Ed. 2, Baltimore, The Williams & Wilkins Company, 1948. 5. Campbell E., and Colton, J. B., Jr.: Theodoric: Master Surgeon of the 13th Century , New York J. Med. 54:191-193 ( (Jan. 15) ) 1954. 6. Botello, L., cited by Hewlett, T. H.9 7. Yudin, S. S.: The Treatment of War Fractures of the Femur , Surg. Gynec. & Obst. 78:1-8 ( (Jan.) ) 1944. 8. Dakin, H. D.: On the Use of Certain Antiseptic Substances in the Treatment of Infected Wounds , Brit. M. J. 2:318-320 ( (Aug. 28) ) 1915. 9. Hewlett, T. H.: Débridement , Am. Pract. & Digest Treat. 3:562-568 ( (July) ) 1952. 10. Woolsey, J. H.: Débridement , Am. J. Surg. 82:179-182 ( (July) ) 1951. 11. Gray, H. M. W.: Treatment of Gunshot Wounds by Excision and Primary Suture , Brit. M.J. 2:317 ( (Aug. 28) ) 1915. 12. Lewis, D. D.: Débridement , J.A.M.A. 73:377-383 ( (Aug. 9) ) 1919. 13. Pool, E. H.: War Wounds: Primary and Secondary Suture , J.A.M.A. 73:383-387 ( (Aug. 9) ) 1919. 14. Koch, S. L.: The Immediate Treatment of Compound Injuries , Illinois M.J. 67:40-43 ( (Jan.) ) 1935. 15. Orr, H. W.: Determining Factors in the End-Results Following War Wounds and Compound Fractures , Bull. New York Acad. Med. 18:237-245 ( (April) ) 1942. 16. Trueta, J.: Treatment of War Wounds and Fractures with Special Reference to the Closed Method as Used in the War in Spain , New York, Paul B. Hoeber, Inc., 1940. 17. Trueta, J.: The Principles and Practice of War Surgery , Ed. 3, London, Hamish Hamilton, Ltd., 1946. 18. Meroney, W. H.: Uremia-like Symptoms Not Due to Uremia in Battle Casualties , J.A.M.A. 158:1513-1516 ( (Aug. 27) ) 1955. 19. Vandenbos, K. Q.: Wound Shock and Débridement , A.M.A. Arch. Surg. 75:707-708 ( (Nov.) ) 1957. 20. Friedrich, P. L.: Die aseptische Versorgung frischer Wunden, unter Mittheilung von ThierVersuchen über die Auskeimungszeit von Infectionserregern in frischen Wunden , Arch. klin. Chir. 57:288-310, 1898. 21. Ochsner, E. W. A., Jr.: Experimental Wound Ballistics , in Recent Advances in Medicine and Surgery , U.S. Department of Defense, Army Medical Service, 1954, Vol. 1, pp. 222-229. 22. Pulaski, E. J.: War Wounds , New England J. Med. 249:890-897 ( (Nov. 26) ) 23. 932-938 (Dec. 3) 1953. 24. Kennedy, R. H.: Present-Day Early Care of Traumatic Wounds , S. Clin. North America 35:355-367 ( (April) ) 1955. 25. Scully, R. E.; Artz, C. P., and Sako, Y.: An Evaluation of the Surgeon's Criteria for Determining the Viability of Muscle During Débridement , A.M.A. Arch. Surg. 73:1031-1035 ( (Dec.) ) 1956. 26. Lowry, K. F., and Curtis, G. M.: Pertinent Factors Influencing Repair in Traumatic Wounds , Am. J. Surg. 78:781-792 ( (Nov.) ) 1949. 27. Ireland, M. W., cited by Lowry, K. F., and Curtis, G. M.25 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Loading next page...
 
/lp/american-medical-association/wound-debridement-ORSY3fHmrA
Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320110003001
Publisher site
See Article on Publisher Site

Abstract

Abstract Much work must be done to prepare our population against the ravages of possible enemy attack so that national survival may be ensured. The "mass casualty" doctrine properly assumes, for planning purposes, that the casualty load will be overwhelming and that it cannot be managed by available medical manpower alone. It seems certain that our survival may depend largely on the individual citizen's ability to render effective first aid and support to himself, his family, and his neighbors. Members of the medical profession, with the help of allied paramedical professional groups, must, however, provide the leadership both in training the populace and in actually performing the task at hand. Initially, at least, specialization will cease to exist and all doctors of medicine (and others as well) of necessity will become traumatic surgeons. Here again, good training is prerequisite to success, and good training begins with fundamentals. With these thoughts in References 1. Woolsey, J. H.: Débridement , Am. J. Surg. 82:179-182 ( (July) ) 1951.Crossref 2. Woolsey, J. H.: Débridement , Am. J. Surg. 82:179-182 ( (July) ) 1951.Crossref 3. Depage, A.: General Considerations as to the Treatment of War Wounds , Ann. Surg. 69:575-588 ( (June) ) 1919.Crossref 4. Bick, E. M.: Source Book of Orthopaedics , Ed. 2, Baltimore, The Williams & Wilkins Company, 1948. 5. Campbell E., and Colton, J. B., Jr.: Theodoric: Master Surgeon of the 13th Century , New York J. Med. 54:191-193 ( (Jan. 15) ) 1954. 6. Botello, L., cited by Hewlett, T. H.9 7. Yudin, S. S.: The Treatment of War Fractures of the Femur , Surg. Gynec. & Obst. 78:1-8 ( (Jan.) ) 1944. 8. Dakin, H. D.: On the Use of Certain Antiseptic Substances in the Treatment of Infected Wounds , Brit. M. J. 2:318-320 ( (Aug. 28) ) 1915. 9. Hewlett, T. H.: Débridement , Am. Pract. & Digest Treat. 3:562-568 ( (July) ) 1952. 10. Woolsey, J. H.: Débridement , Am. J. Surg. 82:179-182 ( (July) ) 1951. 11. Gray, H. M. W.: Treatment of Gunshot Wounds by Excision and Primary Suture , Brit. M.J. 2:317 ( (Aug. 28) ) 1915. 12. Lewis, D. D.: Débridement , J.A.M.A. 73:377-383 ( (Aug. 9) ) 1919. 13. Pool, E. H.: War Wounds: Primary and Secondary Suture , J.A.M.A. 73:383-387 ( (Aug. 9) ) 1919. 14. Koch, S. L.: The Immediate Treatment of Compound Injuries , Illinois M.J. 67:40-43 ( (Jan.) ) 1935. 15. Orr, H. W.: Determining Factors in the End-Results Following War Wounds and Compound Fractures , Bull. New York Acad. Med. 18:237-245 ( (April) ) 1942. 16. Trueta, J.: Treatment of War Wounds and Fractures with Special Reference to the Closed Method as Used in the War in Spain , New York, Paul B. Hoeber, Inc., 1940. 17. Trueta, J.: The Principles and Practice of War Surgery , Ed. 3, London, Hamish Hamilton, Ltd., 1946. 18. Meroney, W. H.: Uremia-like Symptoms Not Due to Uremia in Battle Casualties , J.A.M.A. 158:1513-1516 ( (Aug. 27) ) 1955. 19. Vandenbos, K. Q.: Wound Shock and Débridement , A.M.A. Arch. Surg. 75:707-708 ( (Nov.) ) 1957. 20. Friedrich, P. L.: Die aseptische Versorgung frischer Wunden, unter Mittheilung von ThierVersuchen über die Auskeimungszeit von Infectionserregern in frischen Wunden , Arch. klin. Chir. 57:288-310, 1898. 21. Ochsner, E. W. A., Jr.: Experimental Wound Ballistics , in Recent Advances in Medicine and Surgery , U.S. Department of Defense, Army Medical Service, 1954, Vol. 1, pp. 222-229. 22. Pulaski, E. J.: War Wounds , New England J. Med. 249:890-897 ( (Nov. 26) ) 23. 932-938 (Dec. 3) 1953. 24. Kennedy, R. H.: Present-Day Early Care of Traumatic Wounds , S. Clin. North America 35:355-367 ( (April) ) 1955. 25. Scully, R. E.; Artz, C. P., and Sako, Y.: An Evaluation of the Surgeon's Criteria for Determining the Viability of Muscle During Débridement , A.M.A. Arch. Surg. 73:1031-1035 ( (Dec.) ) 1956. 26. Lowry, K. F., and Curtis, G. M.: Pertinent Factors Influencing Repair in Traumatic Wounds , Am. J. Surg. 78:781-792 ( (Nov.) ) 1949. 27. Ireland, M. W., cited by Lowry, K. F., and Curtis, G. M.25

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Nov 1, 1959

References