Journal of the Royal Army Medical Corps
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Medical Support Troop Bravo (MST Bravo) provides third line medical support for the United Kingdom Battle Group currently deployed on operation Grapple 2 in Bosnia Herzegovina. Standing operating procedures for the initial assessment and resuscitation of all casualties are based on the protocols taught on Advanced Trauma Life Support (ATLS) and Battlefield Advanced Trauma Life Support (BATLS) courses. ⋯ This has led to an appraisal of CBA removal and the identification of a drill for rapid, safe and reliable means of undressing without jeopardy to the integrity of the spine. The method is described.
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Hypertonic saline solutions have properties that may be advantageous for resuscitation. In both animal and human studies rapid improvements in cardiovascular status occur when hypertonic saline is administered to hypovolaemic subjects and the possible side effects of hypertonic solutions have not been shown to be of clinical importance. Hypertonic saline certainly has a potential role in resuscitation of hypovolaemic casulaties in the modern military setting.