Safe burn excision prior to military repatriation: an achievable goal?

abstract：:The maxillofacial injuries sustained by British troops requiring aeromedical evacuation to the United Kingdom are almost exclusively treated at The Royal Centre for Defence Medicine in Birmingham. As a result the Maxillofacial Department has collectively gained extensive experience in the management of ballistic injur...

journal_title：Journal of the Royal Army Medical Corps

authors： McVeigh K,Breeze J,Jeynes P,Martin T,Parmar S,Monaghan AM

更新日期：2010-06-01 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：:The establishment of a British garrison in Malta in September 1800, provided opportunities for Maltese doctors to join the Army Medical Department. This article follows the academic and military life of four Maltese practitioners, whose joint careers span the era of the Napoleonic Wars. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Bonnici W

更新日期：1997-10-01 00:00:00

abstract：BACKGROUND:1.5-mile run time, as a surrogate measure of aerobic fitness, is associated with musculoskeletal injury (MSI) risk in military recruits. This study aimed to determine if 1.5-mile run times can predict injury risk and attrition rates from phase 1 (initial) training and determine if a link exists between phase...

journal_title：Journal of the Royal Army Medical Corps

authors： Hall LJ

更新日期：2017-12-01 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

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：:Proper clinical practice in the military for IUD insertion is outlined. Bimanual examination of the pelvis is prerequisite; a Cusco speculum should be used to visualize the cervix and vagina. Cervical erosion and vaginal discharges should be treated before insertion. The basic insertion method is to fix the blades ...

journal_title：Journal of the Royal Army Medical Corps

authors： Alexander I

更新日期：1980-10-01 00:00:00

abstract：:Tattoo removal from the forearm often requires excision and split skin grafting. The authors propose the use of a bloodless field to facilitate accurate dermal peeling, to ensure complete removal of the pigment, and to reduce operative time. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Hull JB,Corner NB,Roberts P,Attwood AI

更新日期：1991-02-01 00:00:00

abstract：:This study investigates mortality from ischaemic heart disease during 1973-1984 in males under 55 years of age in the three Armed Services. Comparisons are drawn within and between each service and with ischaemic heart disease (IHD) mortality in the UK male population. Evidence of a significant decline in the Army dea...

journal_title：Journal of the Royal Army Medical Corps

authors： Gray J

更新日期：1987-06-01 00:00:00

abstract：:Military training facilities and operational theatres, and the stressful activities undertaken in such settings, are unique. Military personnel living and working in these environments are at considerable risk of the acquisition and onward transmission of a variety of respiratory infections. While these generally caus...

journal_title：Journal of the Royal Army Medical Corps

authors： O'Shea MK,Wilson D

更新日期：2013-09-01 00:00:00

abstract：:The aim of military adventurous training (AT) is "to develop, through authorised challenging pursuits and within an outdoor environment, leadership and the qualities necessary to enhance the performance of military personnel during peace and war". An increasing amount of effort is being applied by all three services t...

journal_title：Journal of the Royal Army Medical Corps

authors： Mellor A,Jackson S,Hardern R

更新日期：2012-06-01 00:00:00

abstract：:Anterior sterno-clavicular dislocation, or fracture dislocation, as a result of carrying a backpack has not previously been described. We describe two cases, and reflect on the factors that may have led to the injuries, noting that the current PLCE (personal load carrying equipment) may also increase the risk of this ...

journal_title：Journal of the Royal Army Medical Corps

authors： Shoaib A,Mehraj Q,Jepson F

更新日期：2002-09-01 00:00:00

abstract：:This article argues that there is a duty of care held by the State to military veterans who have been technologically enhanced as part of their military service. It suggests that enhancements may be permanent, persistent or protracted and demonstrates how enhancements generate additional moral responsibilities from th...

journal_title：Journal of the Royal Army Medical Corps

authors： Henschke A

更新日期：2019-08-01 00:00:00

abstract：:We describe a case of anaerobic streptococcal myonecrosis as a rare complication after pilonidal sinus excision with primary closure. The recognition of the disease in any patient who has early septic deterioration after a surgical procedure requires aggressive management for survival. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Panov TA,Kjossev KT,Losanoff JE

更新日期：1994-10-01 00:00:00

abstract：:Even in the middle of an epidemic of a very serious illness, outbreaks of other infectious diseases will continue. Clinicians need to be able to make rapid decisions about the nature of the outbreak and how to manage it. A balance needs to be struck between managing all patients as if they have the worst-case scenario...

journal_title：Journal of the Royal Army Medical Corps

authors： Horne S,Forbes K,Burns D,Tuck J

更新日期：2017-02-01 00:00:00

abstract：:This study examines sudden unexpected deaths in relation to strenuous exercise in the five years following the introduction of the Basic Fitness Test viz: 1978-82 and, by comparison with an identical study of the years 1968-77, shows that the annual exercise associated mortality rate rose from 3.5 per 100,000 before t...

journal_title：Journal of the Royal Army Medical Corps

authors： Lynch P,Ineson N,Jones KP,Scott AW

更新日期：1985-02-01 00:00:00

abstract：:The following article provides an overview of the research psychology capabilities within MOD's Defence Science Technology Laboratory (Dstl). An explanation is provided of the role of Dstl psychologists and the way they work to deliver impacting applied scientific research to address 'real world' defence and security ...

journal_title：Journal of the Royal Army Medical Corps

authors： Butcher F

更新日期：2019-04-01 00:00:00

abstract：INTRODUCTION:Infectious diseases are a frequent cause of morbidity among British troops. The aim of this paper is to describe the spectrum of infectious diseases seen when UK service personnel are evacuated for definitive care to the Role 4 Medical Treatment Facility based at Birmingham Heartlands Hospital. METHOD:A r...

journal_title：Journal of the Royal Army Medical Corps

authors： Burns DS,Riley MR,Mason A,Bailey MS

更新日期：2018-05-01 00:00:00

abstract：:Cardiac disease remains a significant threat to both local and deployed military populations. In this article we present several cardiac case reports which may be of educational use to the military clinician. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Boos CJ,Cox AT

更新日期：2010-09-01 00:00:00

abstract：:A group of British Military Hospitals was established between 1915 and 1918 along the estuary of the River Canche on the northern French coast. Their positions, now obliterated, can be identified from a plan of the time. With the growing realisation of the importance of bacteriology in the treatment of wound infection...

journal_title：Journal of the Royal Army Medical Corps

authors： Meynell EW

更新日期：1996-02-01 00:00:00

abstract：:Prehospital use of blood products may improve survival. However, transfusion support with frozen blood components is logistically burdensome and constrains the configuration of prehospital medical support. Alternatives to frozen plasma, including lyophilised plasma, offer the potential for advanced resuscitation in th...

journal_title：Journal of the Royal Army Medical Corps

authors： Gokhale SG,Scorer T,Doughty H

更新日期：2016-02-01 00:00:00

abstract：:The Role 3 Medical Treatment Facility (Field Hospital) in Camp Bastion (R3 Bastion) is acknowledged to be one of the busiest dedicated trauma facilities in the world. Casualties typically present with severe injuries and in physiological extremis. These casualties form a unique cohort representing the most relevant po...

journal_title：Journal of the Royal Army Medical Corps

authors： Nordmann G,Woolley T,Doughty H,Dalle Lucca J,Hutchings S,Kirkman E

更新日期：2014-06-01 00:00:00

abstract：:The pre-hospital care of patients with suspected spinal injuries involves early immobilisation of the whole spine and the institution of measures to prevent secondary injury from hypoxia, hypoperfusion or further mechanical disruption. Early ventilation and differentiation of haemorrhagic from neurogenic shock are the...

journal_title：Journal of the Royal Army Medical Corps

authors： Mackenzie R

更新日期：2002-06-01 00:00:00

abstract：:Throughout the history of war, there have been many instances when the cold has ravaged armies more effectively than their enemies. Delineated risk factors are restricted to negro origins, previous cod injury, moderate but not heavy cigarette smoking and the possession of blood group O. No attention has been directed ...

journal_title：Journal of the Royal Army Medical Corps

authors： Craig RP

更新日期：1984-06-01 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：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：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：: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：:The British Army liberated the German concentration camp at Belsen on April 15, 1945. The thousands of inmates (estimates range from 60,000 to 78,900 inmates), mostly Jews from eastern Europe, were dying at a rate of 500-600 per day from disease, and many more were being killed by the German guards and co-workers. Dis...

journal_title：Journal of the Royal Army Medical Corps

authors： Trepman E

更新日期：2001-10-01 00:00:00

abstract：AIM:To quantify the risk for delivering care at Role 1 in the Land Environment (point of wounding to hospital care) on current operations and set the conditions for systematic change to enhance future capability. POPULATION:UK, US and Danish Army Role 1 Subject Matter Experts (SMEs) METHODS:(1) Questionnaire study of...

journal_title：Journal of the Royal Army Medical Corps

authors： Hodgetts TJ,Findlay S

更新日期：2012-09-01 00:00:00