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A blast from the present meets the MAST from the past: should the pneumatic anti-shock garment ever be used?
  1. Jerry Ray Baskerville
  1. Correspondence to Dr Jerry Baskerville, Research Director Emergency Medicine, 1RB Chairman, 2606 Hospital Boulevard 3 West, Corpus Christi, TX 78405, USA; jerry.baskerville{at}; jerry{at}

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The case report of Owen and Castle1 renews the controversy about usage of the pneumatic anti-shock garment (PASG). KwaZulu–Natal in rural South Africa is a location where surgical care is much delayed. Their patient had no blood pressure and was more than 45 minutes away from surgical care. He survived a severed internal iliac vein from a gunshot wound and would surely have died except for the usage of PASG.

Since the report in 1958 by Gardner et al2 of a patient with placenta percreta, the use of medical anti-shock trousers (MAST) has been debated. Their patient required 29 000 ml …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; not externally peer reviewed.