Abstract:
:The optimal fluid for the resuscitation of critically ill and injured patients remains the subject of considerable controversy. Hypertonic crystalloid solutions such as hypertonic saline provide rapid volume expansion, have an acceptable safety profile, and are easy to store and transport. Recent meta-analyses suggest a trend toward increased survival in patients given hypertonic saline, and it has been suggested that they may have particular benefit in certain groups of patients such as hypovolaemic head injury patients. This short review examines the physiological and experimental evidence supporting the use of hypertonic saline in fluid resuscitation.
journal_name
J R Army Med Corpsjournal_title
Journal of the Royal Army Medical Corpsauthors
Smith JE,Hall MJdoi
10.1136/jramc-150-04-03subject
Has Abstractpub_date
2004-12-01 00:00:00pages
239-43issue
4eissn
0035-8665issn
2052-0468journal_volume
150pub_type
杂志文章,评审abstract::A case of ovarian ectopic pregnancy is described which satisfies all of Spiegelberg's criteria and in the discussion the reasons for the apparent association with an intrauterine contraceptive device are examined. :A case is reported of ovarian pregnancy in a woman wearing a Copper 7 IUD for 2 years. She has 2 weeks...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-133-02-09
更新日期:1987-06-01 00:00:00
abstract::The Role 3 Medical Treatment Facility (Field Hospital) in Camp Bastion (R3 Bastion) is acknowledged to be one of the busiest dedicated trauma facilities in the world. Casualties typically present with severe injuries and in physiological extremis. These casualties form a unique cohort representing the most relevant po...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 社论
doi:10.1136/jramc-2014-000272
更新日期:2014-06-01 00:00:00
abstract:INTRODUCTION:In the Netherlands, cutaneous leishmaniasis is most commonly seen in military personnel deployed on a mission or training abroad. The treatment of two Dutch soldiers who acquired cutaneous leishmaniasis with oral miltefosine was evaluated. Adverse effects were monitored and the improvement of skin lesions ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2015-000530
更新日期:2017-02-01 00:00:00
abstract::Belize, hosting one of the British Army's overseas training areas, provides access to challenging terrain and austere environments, which allows the delivery of training to soldiers on survival and combat within the jungle environment. A 26-year-old infanteer on exercise in Belize presented with progressive bilateral ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2017-000811
更新日期:2017-12-01 00:00:00
abstract::The aim of military adventurous training (AT) is "to develop, through authorised challenging pursuits and within an outdoor environment, leadership and the qualities necessary to enhance the performance of military personnel during peace and war". An increasing amount of effort is being applied by all three services t...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-158-02-08
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:To outline the characteristics and outcomes of eye injuries in the Chinese People's Liberation Army. METHODS:A retrospective review of military inpatient eye injuries, in one military region, population 250,000 soldiers, between January 2006 and December 2010. RESULTS:There were 709 eye injury patients (75...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,多中心研究
doi:10.1136/jramc-158-04-09
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND AND AIM:Safe clinical care within Ebola Virus Disease Treatment Units (EVDTUs) mandate the use of personal protective equipment (PPE), comprising a fluid impermeable hooded suit, visor, gloves and rubber boots. The aim of this study was to assess the impact of this PPE on clinical personnel's performance in ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2015-000541
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVES:The General Medical Council has stipulated that greater importance must be placed on undergraduate students developing their ability to lead and work effectively as part of a team. Wales Universities' Officer Training Corps have attempted to meet this requirement through a third year interactive tutorial whi...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2013-000052
更新日期:2013-12-01 00:00:00
abstract:INTRODUCTION:Infectious diseases are a frequent cause of morbidity among British troops. The aim of this paper is to describe the spectrum of infectious diseases seen when UK service personnel are evacuated for definitive care to the Role 4 Medical Treatment Facility based at Birmingham Heartlands Hospital. METHOD:A r...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2017-000815
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:Backpack palsy (BPP) is a common aetiology of brachial plexopathy in military hospitals. We aimed to determine the incidence and risk factors of BPP in young Korean soldiers. METHODS:We identified enlisted patients who were diagnosed with BPP from a review of the medical records of all the Korean military h...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2014-000403
更新日期:2016-02-01 00:00:00
abstract:INTRODUCTION:Body armour is a type of equipment worn by military personnel that aims to prevent or reduce the damage caused by ballistic projectiles to structures within the thorax and abdomen. Such injuries remain the leading cause of potentially survivable deaths on the modern battlefield. Recent developments in comp...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-2015-000431
更新日期:2016-08-01 00:00:00
abstract::The Pre-Hospital Emergency Care (PHEC) course is a 3 day course run by BASICS Education for the Royal College of Surgeons of Edinburgh, Royal College of Nursing and the NHS Ambulance Service. PHEC teaches and examines the care of medical, trauma, paediatric and obstetric patients in the pre-hospital environment. 243 (...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-143-03-03
更新日期:1997-10-01 00:00:00
abstract::We describe a novel technique to allow use of small pins in medium pin size clamps. Slipping a second 3 mm pin into the same clamp hole as the first allows the 5 mm clamp to bite securely on a 3 mm pin. This enables construction of an external fixator frame utilising 3 mm and 5 mm pins, as required to span the elbow, ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00
abstract::A case of a 28 years old Caucasian woman is presented with acute tibial compartment of her left leg secondary to repeated self inflicted soft tissue injuries, together with literature review on Dermatitis Artefacta. ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-140-02-11
更新日期:1994-06-01 00:00:00
abstract::On Friday 16 February 2001, terrorists detonated a bomb under a civilian coach travelling from Nis in Serbia to Gracanica in Kosovo. 10 people were killed at the scene. 13 casualties were treated in the British KFOR hospital (Reynolds Hospital) in Pristina. Another 8 casualties were evacuated to the American KFOR hosp...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-151-01-04
更新日期:2005-03-01 00:00:00
abstract::The British Army liberated the German concentration camp at Belsen on April 15, 1945. The thousands of inmates (estimates range from 60,000 to 78,900 inmates), mostly Jews from eastern Europe, were dying at a rate of 500-600 per day from disease, and many more were being killed by the German guards and co-workers. Dis...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 历史文章,杂志文章,评审
doi:10.1136/jramc-147-03-06
更新日期:2001-10-01 00:00:00
abstract::Since World War II, more vehicles have been lost to land mines than all other threats combined. Anti-vehicular (AV) mines are capable of disabling a heavy vehicle, or completely destroying a lighter vehicle. The most common form of AV mine is the blast mine, which uses a large amount of explosive to directly damage th...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-155-04-06
更新日期:2009-12-01 00:00:00
abstract::The case notes of patients admitted with loss of consciousness (LOC) to BMH Rinteln over 18 months were retrospectively studied. Forty percent of those diagnosed as epileptic were heavy goods vehicle (HGV) drivers. This paper audits the criteria for diagnosis and discusses its implications on the soldier's career. ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-137-03-05
更新日期:1991-10-01 00:00:00
abstract::Maintaining high-quality chest compressions during cardiopulmonary resuscitation following cardiac arrest presents a challenge. The currently available mechanical CPR (mCPR) devices are described in this review, coupled with an analysis of the evidence pertaining to their efficacy. Overall, mCPR appears to be at least...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 社论,评审
doi:10.1136/jramc-2018-000908
更新日期:2018-11-01 00:00:00
abstract:AIM:To determine the prevalence of tourniquet use in combat trauma, the contribution to lives saved and the complications of their use in this environment. POPULATION:All casualties treated at UK field hospital facilities in Iraq and Afghanistan and meeting criteria for entry into UK Joint Theatre Trauma Registry (JTT...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-153-04-19
更新日期:2007-12-01 00:00:00
abstract:INTRODUCTION:Morphine auto-injectors are issued to all British soldiers on operations in Afghanistan who deploy forward of Camp Bastion, the main British base. Previous studies have reviewed the effectiveness of various pre-hospital analgesics, but there is no record of the knowledge and confidence of the relatively me...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2013-000203
更新日期:2015-03-01 00:00:00
abstract::The management of battle wounds of the colon has been safely established for many years, with primary closure of the wounds being discouraged. More recent work, involving large numbers of patients from civilian trauma centres, has challenged this. The appropriateness of these conclusions for the battle situation is di...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-147-02-12
更新日期:2001-06-01 00:00:00
abstract:INTRODUCTION:2-Chloroacetophenone (CN), o-chlorobenzylidene malonitrile (CS) and oleoresin capsicum (OC) are common riot control agents. While serious systemic effects are uncommon, exposure to high concentrations may lead to severe complications and even death. The aim of this narrative review is to summarise all main...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-2013-000165
更新日期:2015-06-01 00:00:00
abstract::Phytophotodermatitis, otherwise known as 'Strimmer's Rash' is an unusual cause of a widespread rash. We present a case of phytophotodermatitis, which was initially misdiagnosed as chickenpox; the correct diagnosis was made after further careful history taking and illustrates the importance of taking a thorough history...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-154-04-08
更新日期:2008-12-01 00:00:00
abstract::This paper measures the prevalence of psychological symptoms in two British Infantry battalions, 36 months after being involved in peace keeping operations in the former Yugoslavia during November 1992-April 1993. Those deployed had a high level of post traumatic stress disorder (16%) compared to (9%) in the control g...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-145-01-03
更新日期:1999-02-01 00:00:00
abstract::During the recent conflicts in Iraq and Afghanistan, substantial numbers of service personnel survived devastating injuries, presenting significant challenges for early rehabilitation at Queen Elizabeth Hospital Birmingham. Royal Centre for Defence Medicine personnel augmented NHS therapy provision, gaining significan...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2016-000648
更新日期:2017-04-01 00:00:00
abstract::Even in the middle of an epidemic of a very serious illness, outbreaks of other infectious diseases will continue. Clinicians need to be able to make rapid decisions about the nature of the outbreak and how to manage it. A balance needs to be struck between managing all patients as if they have the worst-case scenario...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-2016-000684
更新日期:2017-02-01 00:00:00
abstract::This study investigates mortality from ischaemic heart disease during 1973-1984 in males under 55 years of age in the three Armed Services. Comparisons are drawn within and between each service and with ischaemic heart disease (IHD) mortality in the UK male population. Evidence of a significant decline in the Army dea...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-133-02-14
更新日期:1987-06-01 00:00:00
abstract:INTRODUCTION:We evaluated the potential of Cryptosporidium spp. for intentional transmission as a terrorist tactic in asymmetric conflicts in terms of the recognised optimum conditions for biological warfare. METHODS:Published and widely accepted criteria regarding the optimum conditions for the success of biological ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2013-000186
更新日期:2014-12-01 00:00:00
abstract::This paper is the first part of a two part review of the published literature reporting the military experience of heat illness. It summarises current concepts of the mechanisms for the development of heat illness. The reports of heat illness in the military medical literature from pre-World War 1 to the end of World ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 历史文章,杂志文章,评审
doi:10.1136/jramc-141-03-06
更新日期:1995-10-01 00:00:00