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Appendix D

Contents

APPENDIX D

Principal and Associated Wounds

A summary of the battle casualty deaths listed as to the site of the principal wound has already been presented in Chapter VII (p. 499). Considerable more information is available for each case relating to the region of the principal wound and the presence of associated wounds in other body regions. These detailed data are presented in tables 1 and 2.

TABLE 1.-Distribution of associated wounds as related to the region of the principal wound in Fifth U.S. Army hospital battle casualty deaths

1Artery or venous sinus.
2Extracranial or extraspinal.
NOTE.-Key for abbreviation.

Abd (intra-abdominal)
Cran (intracranial)
ThAbd (thoracoabdominal)
Thor (intrathoracic)
LE,B (lower extremity, with bone involvement)
UnMW (unclassified, multiple wounds)
CoA&T (combined intra-abdominal and intrathoracic)
LE,S (lower extremity, soft tissue only)
Spin (intravertebral)
Cerv (cervical)
UE,B (upper extremity, with bone involvement)
MaxF (maxillofacial, with bone involvement)
UE,S (upper extremity, soft tissue only)
AbdW (abdominal wall)

Figures in parentheses are number of cases in each group.


809

TABLE 2.-Regional distribution of principal and associated wounds, showing the number of cases exhibiting each1 in Fifth U.S. Army hospital battle casualty deaths

Region of associated wound

Principal wound

Associated wounds evident2

Total

Head:

Eye or orbit

---

25

25

Intracranial, known

297

60

357

Scalp (without known intracranial wound

---

27

27

Total

297

112

409

Face and jaws:

Bone and soft tissue

8

65

73

Eye or orbit

---

45

45

Soft tissue only

---

114

114

Total

8

224

232

Neck:

General (excluding spinal)

12

104

116

With carotid artery involved

7

2

9

With larynx or trachea involved

6

9

15

Total

25

115

140

Spinal cord or intravertebral nerves

27

85

112

Chest:

Chest wall only

---

86

86

Combined intra-abdominal and intrathoracic

18

8

26

Intrathoracic, known

138

94

232

Thoracoabdominal

121

5

126

Total

277

193

470

Abdomen:

Abdominal wall only

3

64

67

Combined intra-abdominal and intrathoracic

41

2

43

Intra-abdominal, known

408

20

428

Thoracoabdominal

91

2

93

Total

543

88

631

Upper extremity:

Soft tissue only

3

256

259

Soft tissue and artery

---

5

5

Soft tissue and artery and bone

---

11

11

Soft tissue and artery and bone and nerve

1

1

2

Soft tissue and artery and nerve

1

2

3

Soft tissue and bone

6

189

195

Soft tissue and bone and nerve

1

8

9

Soft tissue and nerve

---

3

3

Traumatic amputation

2

17

19

Total

14

492

506

Lower extremity:

Soft tissue only

17

316

333

Soft tissue and artery

12

12

24

Soft tissue and artery and bone

14

13

27

Soft tissue and artery and bone and nerve

3

2

5

Soft tissue and artery and nerve

1

---

1

Soft tissue and bone

53

145

198

Soft tissue and bone and nerve

1

6

7

Soft tissue and nerve

1

5

6

Traumatic amputation

43

22

65

Total

145

521

666

Arteries injured (excluding those in traumatic amputations):

Axillary

---

4

4

Brachial

---

13

13

Femoral

---

28

28

Intra-abdominal

---

32

32

Intracranial (artery or venous sinus)

---

30

30

Intrathoracic

---

9

9

Multiple

---

15

15

Others

---

4

4

Popliteal

---

8

8

Radial or ulnar

---

4

4

Subclavian

---

3

3

Tibial or peroneal

---

20

20

Total

---

155

155

Nerves injured (excluding those in traumatic amputations):

Brachial plexus

---

8

8

Femoral

---

2

2

Median

---

4

4

Multiple

---

16

16

Other nerve (extracranial or extraspinal)

---

4

4

Other plexus

---

2

2

Peroneal

---

2

2

Radial

---

7

7

Sciatic

---

10

10

Tibial

---

6

6

Ulnar

---

8

8

Unclassified

---

1

1

Total

---

54

54

Unclassified (as to principal wound):

Multiple wounds (included among associated wounds listed)

114

---

114

Grand total

1,450

2,039

3,489


1Not the total number of wounds present.
2A total of 126 associated wounds were suspected as follows: Intracranial, 35; intrathoracic, 61, and intra-abdominal, 30.

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