Hawley A
Defence Medical Services Training Centre, Keogh Barracks, Aldershot.
J R Army Med Corps. 1996 Oct;142(3):120-5. doi: 10.1136/jramc-142-03-09.
With the development of British Army doctrine it is necessary to review the concepts underlying medical support to the modern battlefield. In particular, the provision of timely and balanced resuscitation to the high intensity battle is an issue requiring an understanding of both the tactical and the clinical demands. The wholesale application of civilian techniques and approaches to trauma management is not possible given the austerity of the battlefield clinical environment. The commitment to excellence and quality of care implicit in modern mainstream practice is of continuing relevance to the battlefield. A doctrinal approach involving the definition of desired clinical outcome and the constraints of operational feasibility, is proposed. Specifically, the introduction of a triad approach to trauma management is offered. The triad comprises readily available Battlefield Advanced Trauma Life Support (BATLS) skills, Surgical Resuscitation deployed forward and the provision of Field Intensive Care. Such an approach would marry together the clinically ideal with the tactically.
随着英国陆军作战理论的发展，有必要审视现代战场医疗保障背后的理念。特别是，在高强度战斗中提供及时且均衡的复苏治疗是一个需要兼顾战术需求和临床需求的问题。鉴于战场临床环境的严峻性，将民用创伤管理技术和方法全盘应用是不可能的。现代主流医疗实践中对卓越医疗和优质护理的追求在战场上仍然具有现实意义。本文提出一种基于作战理论的方法，该方法涉及明确期望的临床结果以及作战可行性的限制因素。具体而言，建议引入一种创伤管理的三元方法。这个三元方法包括随时可用的战场高级创伤生命支持（BATLS）技能、向前部署的外科复苏以及战地重症监护服务。这样一种方法将在临床上的理想状态与战术层面结合起来。
