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Record W2750921499 · doi:10.1136/emermed-2017-207023

One hundred years on: Ypres and ATLS

2017· article· en· W2750921499 on OpenAlexaboutno aff
Rachael SV Parker, Paul Parker

Bibliographic record

VenueEmergency Medicine Journal · 2017
Typearticle
Languageen
FieldMedicine
TopicTrauma, Hemostasis, Coagulopathy, Resuscitation
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineBattleOfficerOffensiveBlood transfusionSurgeryGeneral surgeryAncient historyHistoryOperations researchArchaeology

Abstract

fetched live from OpenAlex

“Hemorrhage, hemorrhage, hemorrhage—blood everywhere—clothes soaked in the blood, pools of blood in the stretchers, streams of blood dropping from the stretchers to the floor” Robertson OH, unpublished WWI diaries.1 In the sombre predawn darkness at 03:50 hours on the morning of 31July 1917; British, French and Belgian Forces advanced along the ridges and fields of the Gheluvelt plateau. So began the Third Battle of Ypres. Their objective was a small village called Passchendaele only 13 km away. However, it would take 3 months and over half a million casualties to get there. Two medical officers; both called Robertson, one Canadian and one American, were part of this offensive. The Canadian was Major Lawrence Bruce Robertson, a surgeon who used uncrossmatched whole blood transfused by syringe directly from donor to recipient to demonstrate the life-saving potential of blood transfusion and the need to resuscitate the badly injured with ‘something more than saline’ . He felt that any danger of this novel blood transfusion method was vastly outweighed by its benefit. He published his experiences of 36 such transfusions, performed in the 2nd Canadian Casualty Clearing Station in the BMJ of 1916.2 Unfortunately, three of his patients suffered fatal haemolytic reactions and died.  Sir George Makins, the Surgeon General of the British Expeditionary Force (BEF) at the time, expressed considerable concern about this use of uncrossmatched blood transfusion within the BEF. An American officer, Captain Oswald Hope Robertson (US Army Medical Officer Reserve Corps), born in Woolwich, London, and emigrated with his parents to America when he was 18 months old, was sent to assess and solve the problem. From his past experience in the transfusion laboratories of Harvard Medical School and the Rockefeller Institute, OH …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.836
Threshold uncertainty score0.996

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0050.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.097
GPT teacher head0.378
Teacher spread0.281 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2017
Admission routes1
Has abstractyes

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