By Bryan Perrett
The Churchill was once certainly probably the most winning British tanks of the second one international warfare. even though it suffered from being underarmed, a illness universal to so much British armoured cars of the interval, it was once however enjoyed through its crews: its cross-country skill used to be unrivalled and it was once much less susceptible to 'brew-up' from an instantaneous hit than the Sherman. It was once additionally adaptable. transformed Churchills performed a very important half within the preliminary D-Day landings and within the next improve via France. Bryan Perrett strains the lifetime of this slow-moving yet powerful and revered tank from its preliminary inception via until its eventual obsolescence.
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Extra info for Churchill Infantry Tank 1941-51 (New Vanguard, Volume 4)
In this position the airway is patent, but will become obstructed if the ambulance ofﬁcer or emergency physician insists on the patient lying ﬂat. When the patient is sitting it is important to consider how you will maintain cervical spine integrity—but maintaining the airway is more important than insisting on rigid cervical spinal immobilization in the supine position (see Rule 16). Airway obstruction with facial injuries may also be a result of heavy bleeding, or from the swelling associated with a fractured jaw.
If there is mid-line tenderness, ﬂexion and extension ﬁlms are used to assess for ligamentous injury. The level of motor deﬁcit is taken as the lowest muscle with power of 3/5 (American Spinal Injury Association Scale, where grade 3 power is a full range of movement against gravity). The level of sensory deﬁcit is taken as the lowest dermatome bilaterally to have normal sensation. When CT is available, it is appropriate to image the lower cervical spine if not seen on plain X-ray. When CT of the brain is undertaken following blunt trauma, it is recommended to extend the imaging to include C1–3.
There may have been a two-way exchange of violence and the patient may be carrying a weapon. Hypoxia causes confusion and aggression. Do not give the hypoxic patient the opportunity of confusing you with an aggressor. Do a rapid frisk for weapons and make them safe. If you do not know how to make a ﬁrearm safe, place it on the ﬂoor out of the way and have it guarded until the police arrive. It is standard practice within a ﬁeld hospital to ensure the removal of all weapons and pyrotechnics before the patient enters the hospital complex.