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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