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David Hoffman | Shrapnel Killed So Many Vietnam Vets @DavidHoffmanFilmmaker | Uploaded September 2024 | Updated October 2024, 1 hour ago.
During the Vietnam War many soldiers were injured or killed by shrapnel. That presented a range of medical challenges. Treating shrapnel injuries in the field during the Vietnam War was extremely difficult due to the combination of the severity of the injuries, the challenging environment, limited medical resources, and the need for rapid evacuation and surgical intervention. Despite these challenges, advancements in battlefield medicine and evacuation techniques during the Vietnam War significantly improved the survival rates of injured soldiers compared to previous conflicts.
Shrapnel caused deep cuts and puncture wounds. These wounds often bled heavily and vary in size. If the shrapnel was heated by an explosion, it caused burns upon contact with the skin.

Fresh shrapnel wounds appeared red due to bleeding. If untreated, the blood clotted and turned dark red or brown. Bruises appeared around the wound site, displaying colors ranging from red to purple, blue, green, and yellow as they heal. If shrapnel wounds became infected, they exhibited redness, swelling, and discharge that can be yellow or green.

Controlling bleeding was a primary concern. This involved applying pressure, using tourniquets, and administering hemostatic agents. Removing debris and dead tissue from the wound to prevent infection, could be challenging with limited sterilization options. Administering pain relief was essential but limited to what was available, such as morphine or other analgesics.

Field medics used antibiotics to prevent or treat infections, but maintaining a sterile environment in the field was difficult. Tetanus prophylaxis was important for preventing infections from soil-contaminated shrapnel. Severe injuries often required evacuation to better-equipped medical facilities. Helicopter evacuations (MEDEVACs) were crucial for this. When evacuation wasn't possible, field surgeons had to perform emergency procedures under challenging conditions, often with minimal equipment.

Limited medical supplies meant that improvisation was often necessary. The availability of trained medical personnel varied, and medics sometimes had to operate under extreme pressure with little support.

The hot, humid environment of Vietnam increased the risk of infections and made it harder to maintain sterile conditions. Constant movement and the need to remain mobile in the field added to the complexity of providing adequate medical care.
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