Action Stations! 100 years of traumacare on maritime and amphibiousoperations in the Royal Navy

摘要

Over the past century trauma care within the Royal Navy (RN) has evolved; wartime experiences and military medicalresearch have combined to allow significant improvement in the care of casualties. This article describes the key maritimeand amphibious operations that have seen the Royal Navy Medical Service (RNMS) deliver high levels of support towherever the Naval Service has deployed in the last 100 years. Key advancements in which progress has led to improvedoutcomes for injured personnel are highlighted - the control and treatment of blood loss, wound care, and the preventionand management of organ failure with optimal resuscitation. Historians often point out how slowly military medicine progressed for the first few thousand years of its recorded history,and how quickly it has progressed in the last century. This reflective article will show how the RNMS has been an integralpart of that story, and how the lessons learnt by our predecessors have shaped our modern day doctrine surrounding traumacare.