ABSTRACT
On Nov 21, 1990, the 13th Evacuation Hospital from Madison was called to active duty to support the US Army's VII Corps, which had been sent to the Persian Gulf from Germany. Physicians, nurses, and other medical personnel from reserve components and the active army were attached to our unit to complement our personnel requirements. This report will provide an overview of our activities and experiences, and add some insight to the medical phase of the Persian Gulf conflict. The compilation of our clinical data was hampered by the frequent transfers of the patients and their medical records, as well as our lack of copying facilities. Inter-hospital communication and follow-up information were also deficient due to the constraints of preparation for the war. The assimilation of fragmentary reports, such as this one, into a comprehensive review of the lessons learned is currently taking place and should soon be available to the public.
Subject(s)
Desert Climate , Military Medicine , Warfare , Hospitals, Military , Humans , Saudi ArabiaSubject(s)
Clinical Protocols , Hospitals, Community , Resuscitation/standards , Aged , Aged, 80 and over , Humans , Middle Aged , Mortality , Resuscitation/methods , WisconsinABSTRACT
In a 56 year old woman, shock, disseminated intravascular coagulation, symmetrical peripheral gangrene and the adult respiratory distress syndrome developed following a dog bite. She suffered from chronic alcoholism and was asplenic. The newly described gram-negative bacillus (DF-2) was isolated from the initial blood cultures on the eighth hospital day when she was recovering from the illness. Penicillin G, clindamycin, or both (administered intravenously in large doses), and therapy directed toward the severe complications appeared responsible for her successful outcome.
Subject(s)
Bites and Stings/complications , Dogs , Sepsis/etiology , Spleen/physiology , Alcoholism/complications , Animals , Bacteria/isolation & purification , Clindamycin/therapeutic use , Disseminated Intravascular Coagulation/etiology , Female , Gangrene/etiology , Humans , Middle Aged , Penicillin G/therapeutic use , Respiratory Distress Syndrome/etiology , Sepsis/drug therapy , Shock, Septic/etiologyABSTRACT
An edge defect in the superior area of the left lobe is difficult to evaluate on the liver image. Eighty normal liver-heart images showed no focal separation between liver and heart images. Four cases with suspicious edge defects in the superior area of the left lobe were also studied with liver-heart imaging. One case was well demonstrated to be due to right ventricular compression of the liver without focal separation of the liver-heart images. Three cases showed focal separation of the liver-heart images. One defect was diagnosed as amebic abscess and showed enlargement on the followup images. The other two cases were proven to have liver metastasis. Liver-heart imaging is a reliable technique in evaluating a suspicious defect in the superior area of the left lobe of the liver.
