|Nemeth, John J., Pvt.||35927346||Age 19||‘M’ Co 255th Inf.|
|Injured||1100 hrs.||15 Feb 45||G.S. Wds|
|Field (Weiswiller)||1300 hrs.||M.S. gr 1/4 500 cc plasma|
|363rd Coll Co ‘C’||1530 hrs||M.S. gr 1/4|
|363rd Med Bn Clr CO A||1620 hrs.|
|10th Field Hosp.||1635 hrs.|
Gen’l condition on admission poor. B.P. 80/- P. 160. Abd. tender and rigid ++++. B.S. heard over left side of chest. P.M.I. in normal position. Right arm & forearm in splint. Two pen wds rt upper quadrant. Two F.B.’s in subq. position posterior axillary line at 5th & 7th ribs on left side. Severe perf. lac. wd of right forearm & hand.
Diagnosis: G.S.W., two, thoracoabdominal left sv. GSW perf & lac forearm & hand right sv. F.C.C. ulna right severe, F.C.C. 2nd metacarpal rt., shock secondary.
|1645 hrs.||B.P. 80/40||P. 160||Plasma 500 cc|
|1730 hrs.||20,000 units Penicillin. Urine neg.|
|1745 hrs.||B.P. 112/80|
|1900 hrs.||500 cc blood #91 "O" 2/4|
|1905 hrs.||1 cc T.T.|
|1910 hrs.||B.P. 120/80||P. 164|
|1935 hrs.||B.P. 120/80||P. 164||Xray showed two fb's--in a subcutaneous position at 5th & 7th ribs in posterior axillary line on left side. Xray of chest revealed left lung to be expanded.|
|2020 hrs.||B.P. 110/80||P. 154||Endotracheal E & O2. 200 cc plasma &
N.S. & G. 1000 cc
|2100 hrs.||B.P. 100/60||P. 150||Operation started. Plasma 200 cc.|
|2130 hrs.||B.P. 110/60||P. 140||Plasma 250 cc|
|2150 hrs.||B.P. 110/60||P. 148||Blood.|
|2230 hrs.||B.P. 110/60||P. 152||B1 20 mg into N.S. & G.|
|2300 hrs.||B.P. 110/60||P. 156||B1 50 mg into N.S. & G.|
|2330 hrs.||B.P. 104/60||P. 152|
|2400 hrs.||B.P. 100/60||P. 160|
|2430 hrs.||B.P. 80/40||P. 160||100,000 units Penicillin in N.S. & G.|
|2445 hrs.||B.P. 90/50||P. 160||End of operation.|
Laparotomy thru high left rectus muscle splitting incision. Considerable free blood , small and large bowel contents in peritoneal cavity. 7 perforations of jejunum and ileum (14 holes). Three of these were within first 6 inches of jejunum. Perforations closed. Two perforations of duodenum (one on free surface; one retroperitoneal)--closed. There was a large rent in the transverse mesocolon at its root--blood supply intact. Rent closed. Two perforations of diaphragm medial to spleen high on posterior surface of diaphragm closed. These were sucking. Spleen & stomach neg. Two perforations of transverse colon at mid portion--loop colostomy formed and delivered thru right subcostal stab wd. Exam of pelvis neg. 10 gms. sulf to peritoneal cavity. 5 retention sutures thru all layers. Wds of entrance & exit to right of mid line debrided. Two f.b.’s removed from left chest wall at 5th & 7th ribs. Wds sucked. Closed. Chest aspirated. 300 cc blood recovered. Lung brought out to chest wall. Intercostal catheter inserted in 3rd interspace left & connected to water trap. Wds of right forearm & hand debrided. 1 ½ inches of ulna blown out. Median N. incompletely lacerated. Radial A & V intact--pulsated in wd. Ulnar N. blown out. Perf. wd of hand debrided. Dry gauze dressings. Long arm plaster splint. (500 cc blood post op).
|18 Feb.||T. 102. Colostomy putting out this a.m. 500 cc blood.|
|20 Feb.||R.B.C. 3.7 Hb 65%. Thoracentesis, left--no recovery.|
|21 Feb.||Colostomy putting out formed feces. Semi soft diet. 500 cc blood.|
|23 Feb.||Thoracentesis = 0 fluid. Xray shows left lung fairly well expanded.|
|24 Feb.||500 cc blood. Colostomy working well. Still runs fever (102).|
|2 Mar.||Large abscess [lower] pole incision. T. to 99. Much improved.|
|3 Mar.||Arm cast changed. Wd clean. Evacuated in fair condition.|
Det of Patients
4352 US. Army Hosp
Dear Capt. Kennedy:
I thought I would drop you a few lines to let you know I am getting along O.K.
I want to thank you very much for the good care you took of me--The doctors tell me that my arm is going to be all right--and I certainly appreciate all you did for me.
I am looking forward to seeing my family in the near future.
I will let you know how I get along and will write again.
Please give my regards to my nurses and the others who were so kind to me.