role of local analgesia in mass casualties

Two large groups of war injured patients were studied Group I had their emergency surgery done under local anaesthesia compared to Group II in whom surgery was done under general anaesthesia. Group I showed significant reduction in the period of hospitalization by thirty five to fifty% [35-50%]. Less incidence of complication due to general anaesthesia or its technique and due to the injury and surgical procedures [pulmonary infection, thrombosis and thromboembolism]. Shorter convalescence, faster operative theater and hospital turnover and less nursing services was require

Metabolic acidosis in hemorrhagic shock

A study of a selected group of war - injured patients who had sustained varying degrees of shock due to tissue damage and / or blood loss was undertaken. Metabolic acidosis was confirmed, assessed and monitored during resuscitation by clinical and laboratory means. The course of metabolic acidosis in haemorrhagic shock and the attempts made to alleviate it is discussed with special reference to the controversial problem of whether or not should be corrected by the use of bicarbonate