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On November 5, 1991, the presidents of Yugoslavia’s six republics signed the Hague Statement on Respect of Humanitarian Principles. In it, the leaders agreed that “wounded and ill persons must be helped and protected in all circumstances, all arrested persons, and notably combatants who have surrendered, must be treated with humanity,” and they promised “unconditional support for the action of the ICRC in favour of the victims.” In technically advanced operating rooms, anesthesiologists employ a complicated array of drugs—both injected and inhaled—and use sophisticated electronic monitoring devices to administer anesthesia. Mechanized ventilators breathe for patients whose own airway reflexes are dampened by anesthetics or thwarted by paralytic agents. But where trauma patients need urgent surgery in an environment without trained anesthetists or a stable source of electricity to deliver gases, monitor vital signs, and ventilate lungs, most of the typical anesthetics won’t do. In conditions like the ones Nedret faces in Srebrenica, in spite of its bizarre psychological effects, ketamine is the drug of choice.
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