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Renal Replacement in the Deployed Setting
  1. Lt Col Ian Nesbitt, Consultant Intensivist1,
  2. MK Almond, Consultant Physician and Nephrologist2 and
  3. DA Freshwater, Consultant Physician and Hepatologist3
  1. 1201 (N) Field Hospital (V), c/o ICCU level 3, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN
  2. 24626 Sqn, Royal Auxiliary Air Force
  3. 3Royal Centre for Defence Medicine, Birmingham


We present a case of a UK soldier suffering multiple injuries in Afghanistan including a lacerated liver, complicated by acute anuric renal failure. His condition was stabilised prior to transfer to the UK using continuous venovenous haemofiltration. This is the first deployed use of renal replacement therapy by UK forces for several decades, and raises questions regarding the provision of this high level capability in the deployed setting.

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