|   home MEDICAL SUPPORT   |   FOREWORD   |   PREFACE   |   INTRODUCTION   |   I. THE MEDICAL COMMAND STRUCTURE   |   II. HEALTH OF THE COMMAND   |   III. CARE OF THE WOUNDED   |   IV. HOSPITALIZATION AND EVACUATION   |   V. MEDICAL SUPPLY   |   VI. DIVISION AND BRIGADE MEDICAL SUPPORT   |   VII. AVIATION MEDICINE   |   VIII. PREVENTIVE MEDICINE   |   IX. THE MILITARY BLOOD PROGRAM   |   X. MEDICAL RESEARCH   |   XI. LABORATORY SUPPORT   |   XII. CORPS SERVICES   |   XIII. MEDICAL ASSISTANCE TO VIETNAMESE CIVILIANS   |   XIV. SUMMARY AND CONCLUSIONS   |   Glossary MEDICAL SUPPORT Back To After Action Reports MEDICAL SUPPORT OF THE U.S. ARMY IN VIETNAM 1965-1970 by Major General Spurgeon Ned DEPARTMENT OF THE ARMY WASHINGTON, D.C., 1991 Library of Congress Catalog Card Number: 72-600264 First Printed 1973-CMH Pub 90-16  Contents FOREWORD PREFACE INTRODUCTION I. THE MEDICAL COMMAND STRUCTURE Medical Service During the Advisory Years Command and Staff Relationships During the Years of Military Commitment: 1963-67 Nondivisional Command and Staff Relationships: 1967-71 II. HEALTH OF THE COMMAND Rates and Trends Major Problems III. CARE OF THE WOUNDED Excellence of Medical Care Nature of Wounds Specific Advances IV. HOSPITALIZATION AND EVACUATION Hospitalization Evacuation Reduction and Reorganization V. MEDICAL SUPPLY Realignment of Medical Supply Activities The Depot System Medical Equipment Maintenance Support VI. DIVISION AND BRIGADE MEDICAL SUPPORT Usages of Divisional Medical Assets Medical Support of Separate Infantry Brigades Trial Reorganization VII. AVIATION MEDICINE Flyer Fatigue Care of the Flyer Program VIII. PREVENTIVE MEDICINE Communicable Diseases Environmental Sanitation Professional Conferences IX. THE MILITARY BLOOD PROGRAM Evolution of the System Initial Sources of Whole Blood Agencies for Expansion of Blood Supply Relocation of the Central Blood Bank Group and Type-Specific Blood Transfusion Reactions Fresh Frozen Plasma Wastage of Blood Technical Research and Innovations Significant Problems The Donor System X. MEDICAL RESEARCH Initial Efforts in Southeast Asia Studies of the Medical Research Team Special Projects Surgical Research XI. LABORATORY SUPPORT Evolution of the System The 9th Medical Laboratory Innovations Problems Surmounted XII. CORPS SERVICES Nursing Service Dental Service Veterinary Service Army Medical Specialist Corps Services XIII. MEDICAL ASSISTANCE TO VIETNAMESE CIVILIANS Provincial Health Assistance Program Military Provincial Health Assistance Program Medical Civic Action Program Civilian War Casualty Program XIV. SUMMARY AND CONCLUSIONS Medical Command and Control System Health of the Command Combat Casualties Hospitalization Helicopter Evacuation Medical Supply Outpatients Battalion Surgeons Impact of Policies Lack of Responsiveness of the Army Authorization Document System Research Vietnamese Civilian Care Civilian Implications GLOSSARY  Tables 1. Hospital Admissions for All Causes, U.S. Army, in Three Wars: World War II, Korea, and Vietnam, by Year 2. Approximate Number of Man-Days Lost From. Duty, by Cause, Among U.S. Army Personnel in Vietnam, 1967-70 3. Selected Causes of Admissions to Hospital and Quarters Among Active-Duty U.S. Army Personnel in Vietnam,1965-70 4. Incidence Rate of Diarrheal Disease Among U.S. Army Personnel in World War II and in Vietnam, by Year 5. Incidence Rate of Psychiatric Conditions, Army-Wide, 1965-70 6. Percent of Deaths and Wounds According to Agent, U.S. Army, in Three Wars: World War II, Korea, and Vietnam 7. Location of Wounds in Hospitalized Casualties, by Percent, U.S. Army, in Three Wars, World War II, Korea, and Vietnam 8. Total Number of Patients Evacuated From Vietnam, U.S. Army, by Month, 1965-69 9. Number of Units of Blood Collected and Shipped, by Year, to the Central Blood Bank in Vietnam by the 406th Medical Laboratory, U.S. Army, Japan 10. Inspection of Food by the U.S. Army Veterinary Service in Vietnam, by Year, 1965-70  Charts 1. Medical Command and Staff Structure, U.S. Army, Vietnam, 24 February 1962-1 April 1965 2. Medical Command and Staff Structure, U.S. Army, Vietnam, 1 November 1965-17 February 1966 3. Medical Command and Staff Structure, U.S. Army, Vietnarn, 1 May 1966-10 August 1967 4. Medical Command and Staff Structure, U.S. Army, Vietnam, 10 August 1967-1 March 1970 5. Medical Command mid Staff Structure, U.S. Army, Vietnam, 1 March 1970 6. Admissions, by Year, to Hospital and Quarters for Malaria in Three Wars: World War II, Korea, and Vietnam 7. Admissions to Hospital and Quarters for Malaria Among U.S. Army Personnel in Vietnam, 1965-69 8. Admissions, by Year, to Hospital and Quarters for Hepatitis in Three Wars: World War II, Korea, and Vietnam 9. Admissions to Hospital and Quarters for Hepatitis Among U.S. Army Personnel in Vietnam, 1965-69 10. Admissions to Hospital and Quarters for Diarrheal Disease Among U.S. Army Personnel in Vietnam, 1965-69 11. Admissions to Hospital and Quarters for Neuropsychiatric Conditions Among U.S. Army Personnel in Vietnam, 1965-69 12. Units of Blood Available in South Vietnam, by Month, January 1965-December 1970 13. Military Blood Program, Agency Operational Scheme for Triservice Collecting-Processing of Whole Blood 14. A Field Medical Laboratory Systern in Vietnam  Maps 1. Nondivisional Medical Units, 31 December 1962 2. U.S. Army Hospitals in Vietnam, 31 December 1968 3. Air Ambulance Units in Viernarn, 31 December 1968 4. U.S. Arrny Hospitals in Vietnam, 1970 5. Whole Blood Supply and Distribution System, July 1969