of complicated

te een

boay

ee

commen

each

(lity

wa

ree

i

Tre

therapy.

or any effective

Probable Etfects of Therapy
On clinical grounds,
antibiotics,

has

gata

severe hematopoietic depression occurring at dose

irfadiation have

y

(20)

alc

in

;

;

their

Perman et al.
Soi 4

that

the

survival
;

the cumbLinea use of

transfusions when needeu,

studies.

Subsequent

(29) have clearly shown

rortality from a near

106% fatal aose

;

/

rate of

transtusions
to
eht

ene mi o

t

hi

;

transfusion

stuuies

by Sorenson et al. (2l) and
.
that one can consistently reduce
to about

IL. mortality

in dogs by

the

blood

supplenentea by platelet-rich plasna when red cells ate tot

needed.

This enables one to shift the sigroidal acse murtality curve of
.
vos
.
uncomplicated whole body radiation injury tu a much steeper one shirting

at

“the LDgy from approximately 300 rad in
The 5% mortality

is

the oog to a

shifted from reughly ZUG rad

in a nearly vertical sigmoid mortality curve.
_ tad little
“although

“anticipate

survival

time

is moderately

that antibiotacs, bluco

little cver 400 rac.

te about Sul

After doses

benefit is observed and wits preater

the

Beye

how

Furth

irradiated mice.

combined use uf high dosage of successive antibietics ana whole
w

woula

shown ty ‘Yailler et al.

(27) obtained no marked benefit from antibiotic ang

therapy

and Tobertsea., BR

think

It has been clearl,

iucrease

that antibiotics

et al.

ano enetey of ©

:

one would

fresh whole blcod and platelet

increase the survival rate,

on

therapeutic

ane

trauma,

burns,

the absence

360 rad midline in

the vicinity of

levels of about 200 rad.

©
opsmnen
ir estimates
»

thermal

can make a first ,uess

estimate is bolstered by the fact that patients given therapeutic tetai

;

the

in

that the Lue, for mantis

an

one

Thus,

10% and SO% is approximately 36U rad.

:

rag

in excess of

doses nu aninals

increasea,

traustueiuns ang

Thus,

tesulting
50%

survive,

one can

platelet

transfusions

.

would benefit hunan beings.

Se

The

relatiouship of mortality

in do,s and wan

§:

at antibiotics.
bere exposed
Bae
ae

to

further points
In Figure 2
gumma

up

to uepression
the

is shown

radiation

from a

inportant

in the granulocyte count
role of

the grautlocyte
nucleat

bomb

infection anc value

:

count

and

the

in agogs

thet

correlation

¥
ith
percent mottality. The granulucyte curve at the far left is it augs
a
“that were exposed to about 600 rad midline dose. Note that the blood
unts ceclined ana all animals were ceacg by
&utopsy

ite

Ive

infection was clearly

the mortality was also

‘ount along

with a

longer

the seveuth day cof eapousure.

the wajor cause of

death.

100% witn a slower decline

survival

time.

At

autupsy

the

in

the next

in jgratulocyte
wajer

cause

ct

pFeas

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