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Cold injuries in Kashmir, December 1971.

A K Barat, H C Puri, N Ray

    Annals of the Royal College of Surgeons of England
    |July 1, 1978
    PubMed
    Summary
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    During the 1971 Indo-Pakistan conflict, 847 cold injury cases were managed using a drug combination and conservative tissue ablation. This approach yielded encouraging results for treating cold-related injuries.

    Area of Science:

    • Military Medicine
    • Trauma Care
    • Cold Injury Management

    Background:

    • The Indo-Pakistan conflict in Kashmir (December 1971) resulted in a high incidence of cold injuries.
    • A significant number of casualties (847) required urgent medical attention due to environmental exposure.

    Purpose of the Study:

    • To describe the management strategies and outcomes for cold injury cases during wartime.
    • To evaluate the efficacy of a specific drug regimen and conservative surgical approach.

    Main Methods:

    • Treatment involved a combination therapy including low-molecular-weight dextran, an anti-inflammatory agent, and a vasodilator.
    • A conservative approach was adopted regarding the ablation of necrosed (dead) tissues.

    Main Results:

    Related Experiment Videos

    • The combined drug therapy showed encouraging results in managing cold injuries.
    • Conservative management of necrosed tissues led to favorable outcomes, avoiding premature amputation.

    Conclusions:

    • A multimodal treatment strategy combining specific medications and conservative surgical care is effective for wartime cold injuries.
    • Preserving affected tissues through conservative management can lead to better end results in cold injury cases.