Science of Conflict

Medicine-blood transfusion

The First World War is considered by some to be the war that bridged ancient warfare with modern day warfare. Battles such as Ypres, Somme and Flanders resembled ancient battle tactics but this time the technology to slaughter thousands every second was more developed. Men were ordered over the trenches only to be cut down by modern instruments of war such as the machine gun, artillery, land mines and even poison gas. Such sophistication in deadly weaponry presented the surgeon with new and daunting challenges. Anti-personnel mines were increasingly used during WW2 and later wars designed to inflict as much damage without causing death.

Blood loss is a major problem confronted by surgeons on the battlefield. Attempts to pass blood from a healthy soldier to one dyeing of blood loss on the operating table was made by a British doctor in 1818. Many unsuccessful attempts were made since then. The reason for such wholesale failure is clear to modern eyes but the complexity of blood and its composition was not to be discovered until 1900.
In 1900 Karl Landsteiner, pictured on the right, reported a series of tests, which identified the ABO Blood Group System. In 1910 he won the Nobel prize for medicine for this discovery. He mixed the serum and cells of all the researchers in his lab and found four different patterns of clotting. From those studies he developed what we now know as Landsteiner's rules for the ABO Blood Group.
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