Citation

Bridgewater FHG. Mil. Med. 2010; 175(11): 827-834.

Affiliation

St. John Ambulance Australia SA, Inc., 85 Edmund Avenue, Unley, South Australia, 5061.

Copyright

(Copyright © 2010, Association of Military Surgeons of the United States)

DOI

unavailable

PMID

21121490

Abstract

This article considers two historical military casualties in the context of present day Advanced Trauma Life Support (ATLS) teaching. The death of Admiral Lord Nelson, Royal Navy, at the Battle of Trafalgar in 1805 has been well documented while that of Lieutenant Luke, an American aviator, U.S. Army Air Service, in France in 1918 has been almost disregarded. Both suffered a gunshot wound to the chest with the responsible weapon similarly sited. Nelson's dying was witnessed and recorded in detail by his surgeon. Luke's death was unwitnessed and has been the subject of considerable speculation. A recent monograph removes much of this speculation but cannot describe his last few minutes of life. This article describes both events and considers the mechanism of injury. It presents speculative radiological reconstructions and an outline of emergency management according to ATLS for both and further clinical speculation on Luke's demise.

Language: en