Accession Number : ADA254658

Title :   U.S. Army Institute of Surgical Research Annual Research Progress Report for Fiscal Year 1990.

Descriptive Note : Rept. for 1 Oct 89-30 Sep 90,

Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX

Personal Author(s) : Pruitt Jr, Basil A.

Report Date : 01 OCT 1990

Pagination or Media Count : 643

Abstract : The clinical activities and research projects reported in this volume and its predecessors have advanced our understanding of the pathophysiologic responses of injured soldiers and have increased the survival of burn patients to unprecedented levels. The expertise derived from caring for severely burned patients during the past 43 years has been applied to minimize the morbidity and mortality associated with burns sustained as a result of military action in Korea, Vietnam, Lebanon, Granada, and Panama, as well as those injuries sustained mass casualty incidents involving both military personnel and civilians. Studies such as those of the biochemical alterations in burn injured tissue have led to further refinements in fluid resuscitation. The use of newly developed mechanical ventilators has significantly reduced the occurrence of pneumonia and the mortality associated with inhalation injury. Similarly, increased understanding of the changing epidemiology of infection in burn patients, the effect of burn injury on both serologic and cellular limbs of host resistance, and the complex metabolic and nutritional interactions induced by thermal injury have led to improvements in the diagnosis and treatment of infection, the prevention of sepsis, and metabolic support.

Descriptors :   *EPIDEMIOLOGY, *PATIENTS, *WOUNDS AND INJURIES, *BURNS(INJURIES), *WOUNDS AND INJURIES, ARMY, ARMY PERSONNEL, CASUALTIES, EXTREMITIES, FLUIDS, INHALATION, KOREA, LEBANON, MILITARY PERSONNEL, MORBIDITY, PANAMA, PERSONNEL, PNEUMONIA, PREVENTION, RESISTANCE, RESUSCITATION, SEPSIS, VENTILATORS, VIETNAM, CLINICAL MEDICINE, HEALTH CARE FACILITIES, MORTALITY RATE, SURVIVABILITY.

Subject Categories : Medicine and Medical Research
      Weapons Effects(biological)

Distribution Statement : APPROVED FOR PUBLIC RELEASE