This book concentrates mainly on
Dunkerque, The Falklands and Afghanistan. The improved
quality of training and provision of modern equipment
for today's combat medical technician/paramedic is gone
into in detail.
The authors repeatedly return to the question of how far
forward doctors should be deployed without questioning
whether forward deployment of such a highly trained and
scarce resource would improve the survival rates of a
significant number of wounded.
Would the statistics be
better compared to those who had been treated by the
combat paramedics alone ?
Perhaps the paramedic with tourniquets, airways, QuikClot, splints and morphine can do all that the
doctor can in almost all of the cases? The current
provision of Role 1 medical care - immediate care
supervised by a doctor - is probably ideal.
Not only do the authors praise those
amputees who now indulge in all sorts of sports and show
great enthusiasm for life but most properly devote a
chapter to those who are deeply affected by Post
Traumatic Stress Disorder. We are left to ponder the
outcome for those wounded who cannot find re-employment
either inside or outside the services.
The "Arithmetic of the Frontier" does
"A scrimmage in a
A canter down some dark defile-
Two thousand pounds of education
Drops to a ten-rupee jezail-"