The Pre-Hospital Emergency Care Course (PHEC). A TA initiative.

abstract：:We report the case of successful management of a transcranial penetrating high-energy transfer injury in a 20-year-old soldier. The bullet traversed both cerebral hemispheres and lacerated the superior sagittal sinus rendering him unconscious. We detail the care received at all stages following injury from 'Buddy Aid'...

journal_title：Journal of the Royal Army Medical Corps

authors： Hoffmann C,Falzone E,Dagain A,Cirodde A,Leclerc T,Lenoir B

更新日期：2014-09-01 00:00:00

abstract：:Using a major ethics crisis as a methodological approach to study secret science environments, part II examines the origins and organisation of the Applied Biology Committee (ABC), the first independent research ethics committee (REC) at Porton Down, Britain's biological and chemical warfare establishment since the Fi...

journal_title：Journal of the Royal Army Medical Corps

authors： Schmidt U

更新日期：2019-08-01 00:00:00

abstract：INTRODUCTION:Definitive laparotomy (DL), with completion of all surgical tasks at first laparotomy has traditionally been the basis of surgical care of severe abdominal trauma. Damage control surgery (DCS) with a goal of physiological normalisation achieved with termination of operation before completion of anatomical ...

journal_title：Journal of the Royal Army Medical Corps

authors： Fries CA,Penn-Barwell J,Tai NR,Hodgetts TJ,Midwinter MJ,Bowley DM

更新日期：2011-12-01 00:00:00

abstract：:Myocarditis, simply defined as inflammation of the heart muscle, is a commonly encountered cardiac disease in primary and secondary care, both in the UK and on Operational deployments. In the UK Armed Forces, myocarditis results in deaths as well as the premature termination of military careers on medical grounds. The...

journal_title：Journal of the Royal Army Medical Corps

authors： Cox AT,White S,Ayalew Y,Boos C,Haworth K,McKenna WJ

更新日期：2015-09-01 00:00:00

abstract：:It has been stated that the application of a pre-hospital tourniquet could prevent 7% of combat deaths, however their widespread use has been questioned due to the potential risk from prolonged ischaemia. We reviewed members of the UK Armed Forces who sustained severe limb-threatening injuries in Iraq and Afghanistan,...

journal_title：Journal of the Royal Army Medical Corps

authors： Clasper JC,Brown KV,Hill P

更新日期：2009-09-01 00:00:00

abstract：:Anecdotal reports of mechanical failure of morphine autojets have triggered a review of possible alternatives. Methoxyflurane is one such alternative already widely used by the Australian and New Zealand Defence Forces. The potential benefits and likely significant drawbacks of methoxyflurane are reviewed with the aim...

journal_title：Journal of the Royal Army Medical Corps

authors： McLennan JV

更新日期：2007-06-01 00:00:00

abstract：:This article describes the non-operative management of five patients with ballistic abdominal solid organ injuries in a role 2E medical treatment facility. The selective non-operative management of ballistic abdominal solid organ injury is an accepted management strategy in high-volume civilian trauma centres, and app...

journal_title：Journal of the Royal Army Medical Corps

authors： Wood AM,Trimble K,Louden MA,Jansen J

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:Common Variable Immunodeficiency (CVID) is the commonest form of severe antibody deficiency. It is characterized by reduced levels of IgG (<400 mg/dL) and low IgA and/or IgM levels, recurrent bacterial infections, impaired antibody responses despite the presence of B Cells and normal or near normal T immunit...

journal_title：Journal of the Royal Army Medical Corps

authors： Lamb L,Richards P,Edgar JD

更新日期：2008-03-01 00:00:00

abstract：:A case of a 28 years old Caucasian woman is presented with acute tibial compartment of her left leg secondary to repeated self inflicted soft tissue injuries, together with literature review on Dermatitis Artefacta. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Eskander MB,MacDonald R

更新日期：1994-06-01 00:00:00

abstract：:A case of pentazocine induced hallucinations which responded to treatment with Naloxone is reported. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Jago RH,Restall J,Stonham J

更新日期：1984-02-01 00:00:00

abstract：:Emergency medicine is increasingly compartmentalised. The Unified Emergency Care System (UECS) requires the user to consider every option for emergency care for each patient, in a logical manner that transcends these artificial compartments and recognises the relative priority of concomitant medical, surgical, environ...

journal_title：Journal of the Royal Army Medical Corps

authors： Morgan-Jones D,Hodgetts TJ

更新日期：1999-06-01 00:00:00

abstract：:We describe a novel technique to allow use of small pins in medium pin size clamps. Slipping a second 3 mm pin into the same clamp hole as the first allows the 5 mm clamp to bite securely on a 3 mm pin. This enables construction of an external fixator frame utilising 3 mm and 5 mm pins, as required to span the elbow, ...

journal_title：Journal of the Royal Army Medical Corps

authors： Rodger MP,Standley D,Kazel M

更新日期：2010-09-01 00:00:00

abstract：OBJECTIVES:Historically, burns have formed a significant proportion of the casualties of war. The management of burns in recent conflict has been found to be a resource-heavy undertaking, though its impact on both personnel and resources in current conflicts is unclear. A case analysis has been carried out in order to ...

journal_title：Journal of the Royal Army Medical Corps

authors： Jeevaratnam JA,Pandya AN

更新日期：2014-03-01 00:00:00

abstract：:Under the laws of armed conflict military medics are deemed non-combatants, and as such are subject to certain protections and limitations. The non-combatant status is defined in the famous Geneva Conventions, which form the basis of the international law of armed conflict. The protections afforded to medical personne...

journal_title：Journal of the Royal Army Medical Corps

authors： Wilkins D,Dieppe C

更新日期：2017-12-01 00:00:00

abstract：OBJECTIVE:To examine the risk of cervical cancer in a large national cohort of military veteran women followed up for up to 30 years. METHODS:Retrospective cohort study of 5235 veteran women born between 1945 and 1985, and 20 703 women with no record of service matched for age and area of residence, using Cox proporti...

journal_title：Journal of the Royal Army Medical Corps

authors： Bergman BP,Mackay DF,Pell JP

更新日期：2016-10-01 00:00:00

abstract：:A multi disciplinary team furthered the collaborative study of acute encephalitis in southeastern Nepal during a major epidemic which occurred in the monsoon period of 1986. Viral studies of serum and cerebro-spinal fluid (CSF) confirmed Japanese Encephalitis Virus (JEV) as the causative agent. Analysis of epidemiolog...

journal_title：Journal of the Royal Army Medical Corps

authors： McCallum JD

更新日期：1991-02-01 00:00:00

abstract：INTRODUCTION:Body armour is a type of equipment worn by military personnel that aims to prevent or reduce the damage caused by ballistic projectiles to structures within the thorax and abdomen. Such injuries remain the leading cause of potentially survivable deaths on the modern battlefield. Recent developments in comp...

journal_title：Journal of the Royal Army Medical Corps

authors： Breeze J,Lewis EA,Fryer R,Hepper AE,Mahoney PF,Clasper JC

更新日期：2016-08-01 00:00:00

abstract：:In the late 18th Century wound debridement consisted of incision of skin and deep fascia to release the swelling associated with ballistic injury, however extremity war wounds were more usually managed non-operatively or by amputation. During the First World War debridement was redefined to include excision of all non...

journal_title：Journal of the Royal Army Medical Corps

authors： Guthrie HC,Clasper JC

更新日期：2011-06-01 00:00:00

abstract：:Post-traumatic stress disorder (PTSD) is an important health risk factor for military personnel deployed in modern warfare. In World War I this condition (then known as shell shock or 'neurasthenia') was such a problem that 'forward psychiatry' was begun by French doctors in 1915. Some British doctors tried general an...

journal_title：Journal of the Royal Army Medical Corps

authors： McKenzie AG

更新日期：2012-03-01 00:00:00

abstract：INTRODUCTION:In the Netherlands, cutaneous leishmaniasis is most commonly seen in military personnel deployed on a mission or training abroad. The treatment of two Dutch soldiers who acquired cutaneous leishmaniasis with oral miltefosine was evaluated. Adverse effects were monitored and the improvement of skin lesions ...

journal_title：Journal of the Royal Army Medical Corps

authors： van der Snoek EM,Couwenberg SM,Stijnis C,Kortbeek LM,Schadd EM

更新日期：2017-02-01 00:00:00

abstract：:The UK military commitment to United Nations operations has led to a new challenge in identifying and developing skill sets required for humanitarian operations. The last two decades have concentrated on kinetic operations, with haemorrhage control being the main driver. The austere location and prolonged evacuation t...

journal_title：Journal of the Royal Army Medical Corps

authors： Khan M

更新日期：2019-02-20 00:00:00

abstract：:The Australian Army recently adopted the British concept of hospital exercise (HOSPEX) as a means of evaluating the capabilities of its deployable NATO Role 2E hospital, the 2nd General Health Battalion. The Australian approach to HOSPEX differs from the original UK model. This article describes the reasons why the Au...

journal_title：Journal of the Royal Army Medical Corps

authors： Gill G,Butt P,Reade MC,Crozier J,Williams A,Thomas T,Flint B,Matthews G,Duff N,Brown G,Chambers A,Courtenay B,Innes D,Malley BO

更新日期：2015-12-01 00:00:00

abstract：INTRODUCTION:Injury Severity Score (ISS) and GCS can be retrospective markers of injury severity, but if used by clinicians to decide on the treatment of acutely brain-injured casualties at the point of injury may potentially limit interventions on people who may ultimately survive with good functional outcomes. METHO...

journal_title：Journal of the Royal Army Medical Corps

authors： Bahadur S,McGilloway E,Etherington J

更新日期：2016-04-01 00:00:00

abstract：:Phytophotodermatitis, otherwise known as 'Strimmer's Rash' is an unusual cause of a widespread rash. We present a case of phytophotodermatitis, which was initially misdiagnosed as chickenpox; the correct diagnosis was made after further careful history taking and illustrates the importance of taking a thorough history...

journal_title：Journal of the Royal Army Medical Corps

authors： Wild G

更新日期：2008-12-01 00:00:00

abstract：:The Defence Clinical Psychology Service (DCPS) is the professional clinical psychology service and community of clinical psychology practice within UK Ministry of Defence (MoD). The DCPS provides professional clinical care, consultation and research in support of the UK Armed Forces. Regulated by the Health and Care P...

journal_title：Journal of the Royal Army Medical Corps

authors： Norris R,McCauley M

更新日期：2019-04-01 00:00:00

abstract：:A survey of the orthopaedic casualties evacuated (casevacs) to the Royal Hospital Haslar between November 1995 and April 1996 was performed. A total of 464 service persons and civilians were casevaced. Orthopaedic cases amounted to 55% of all evacuations. Of these, 54% were British Army personnel. Conditions necessita...

journal_title：Journal of the Royal Army Medical Corps

authors： Cannon LB,Singer BR

更新日期：1997-06-01 00:00:00

abstract：:Leishmaniasis is an infectious disease caused by Leishmania protozoa and occurs as a spectrum of clinical syndromes ranging from various forms of cutaneous leishmaniasis (CL) to mucosal leishmaniasis (ML) and visceral leishmaniasis (VL). CL in Afghanistan is either zoonotic (ZCL) due to L. major or anthroponotic (ACL)...

journal_title：Journal of the Royal Army Medical Corps

authors： Matheson A,Williams R,Bailey MS

更新日期：2012-09-01 00:00:00

abstract：:Although much of the evidence is inconclusive, most of it is based on small patient groups it is generally supportive of early, enteral feeding of critically ill patients. It has become a standard of care in the UK and as such should be encouraged in deployed operational ITUs. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Henning J,Scott T,Price S

更新日期：2008-12-01 00:00:00

abstract：:OBJECTIVES: The purpose of this study was to investigate smoking prevalence of Tri-Service recruits, and changes in smoking behaviour at 3-year follow-up, by trade group and gender. Associations with educational attainment and deprivation were also assessed. METHODS: Analysis of a survey into the health behaviours of ...

journal_title：Journal of the Royal Army Medical Corps

authors： Bray I,Richardson P,Harrison K

更新日期：2013-03-01 00:00:00

abstract：INTRODUCTION:In 2015, the Australian Army commissioned a systematic review to assess the evidence on effectiveness and safety of pharmacological and biotechnological products for cognitive enhancement specifically in Army personnel. METHODS:Searches for studies examining biotechnological and pharmacological products i...

journal_title：Journal of the Royal Army Medical Corps

authors： Ko H,Hunter KE,Scott AM,Ayson M,Willson ML

更新日期：2018-07-01 00:00:00