Journal of the Royal Army Medical Corps
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Comment Letter Case Reports
The Airtraq laryngoscope in severe ankylosing spondylitis.
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Historical Article
D-day on board a tank landing ship: meat, cheese and blood transfusion.
Tank Landing Ships were used as evacuation station hospitals during D-Day of World War Two. This historical vignette describes how difficulties were overcome in blood transfusion and trauma surgery aboard these ships. Their place in the evacuation chain is discussed in relation to previous experiences in military medicine.
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This study was designed to identify the most effective underbody position when using the patient's own body weight as an infusion device. Twenty volunteers had an air-less 500 ml bag of saline located at various under-body positions. ⋯ Locating the fluid bag at the buttock cleft delivered the highest mean flow rate at 135 ml/min. This underbody position may provide flow rates sufficient to achieve the clinical aim of fluid resuscitation in the military pre-hospital environment.
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Damage Control Resuscitation (DCR) is a novel concept that draws together a series of technical and organisational advances in combat casualty care. It is consistent with and encapsulates the established concept of damage control surgery (DCS).