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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The deployment of British Contingent (BRITCON) to United Nations Force in Rwanda (UNAMIR) on Operation GABRIEL in 1994, proved to be a successful deployment on humanitarian operations. Many of the lessons have been successfully incorporated into training, equipment and organisational structures since the deployment. Others require further work to develop and assimilate. ⋯ Implications for future humanitarian operations include a co-operative approach to pre-deployment training with the Non-Governmental Organisation (NGO) community. This will help to promote understanding between the 2 arms of the humanitarian effort and will exploit the strengths of both sides. Equally, the military medical services have to be fully aware of mission definition and its centrality to planning, execution and audit of performance.