Journal of the Royal Army Medical Corps
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conservative approach to splenic trauma has been practised in many countries. Haemodynamically stable patients who have been carefully assessed clinically and radiographically may safely be treated non-operatively. In those patients who require surgery the spleen may be preserved by splenorrhaphy or partial splenectomy. This approach has been practised at our hospital and we present our experience over seven years to show that expectant treatment of splenic injury following trauma is safe.
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Comment Letter
Trauma management on the battlefield: a modern approach.
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The modern soldier, as with his predecessors, remains at risk from penetrating cranio-cerebral injury. The subject is briefly reviewed and the modern approach outlined in a military context.
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Since the withdrawal of Royal Air Force Puma helicopters from Belize in 1994, the role of casualty evacuation (CASEVAC) of British military personnel, Belizean citizens and foreign nationals throughout the country, has passed to 25 Flight Army Air Corps, currently equipped with Gazelle helicopters. Details of casualty evacuations during 1995 and 1996 have been collated and analysed in order to provide information on casualty types, and the locations from which casualties have been evacuated, during this 2 year period. The data so obtained might be used to ensure the future provision of an appropriately equipped CASEVAC helicopter, or to highlight common causes of significant morbidity in British troops deployed to Belize.