Modelling primary blast lung injury: current capability and future direction.

Abstract:

:Primary blast lung injury frequently complicates military conflict and terrorist attacks on civilian populations. The fact that it occurs in areas of conflict or unpredictable mass casualty events makes clinical study in human casualties implausible. Research in this field is therefore reliant on the use of some form of biological or non-biological surrogate model. This article briefly reviews the modelling work undertaken in this field until now and describes the rationale behind the generation of an in silico physiological model.

journal_name

J R Army Med Corps

authors

Scott T,Hulse E,Haque M,Kirkman E,Hardman J,Mahoney P

doi

10.1136/jramc-2016-000678

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

84-88

issue

2

eissn

0035-8665

issn

2052-0468

pii

jramc-2016-000678

journal_volume

163

pub_type

社论,评审
  • UK Role 4 military infectious diseases and tropical medicine cases in 2005-2013.

    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

    pub_type: 杂志文章

    doi:10.1136/jramc-2017-000815

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

    更新日期:2018-05-01 00:00:00

  • A systematic review of performance-enhancing pharmacologicals and biotechnologies in the Army.

    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

    pub_type: 杂志文章,评审

    doi:10.1136/jramc-2016-000752

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

    更新日期:2018-07-01 00:00:00

  • American cutaneous leishmaniasis.

    abstract::This review outlines the present knowledge of American cutaneous leishmaniasis, a disease which, owing to the increase in international travel, is being seen with increasing frequency in Europe and North America. A knowledge of this disease is of particular importance to the military medical officer as in recent years...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章,评审

    doi:10.1136/jramc-129-03-09

    authors: Freeman K

    更新日期:1983-10-01 00:00:00

  • Injuries of the sterno-clavicular joint in backpackers.

    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

    pub_type: 杂志文章

    doi:10.1136/jramc-148-03-10

    authors: Shoaib A,Mehraj Q,Jepson F

    更新日期:2002-09-01 00:00:00

  • Riot control agents: the tear gases CN, CS and OC-a medical review.

    abstract:INTRODUCTION:2-Chloroacetophenone (CN), o-chlorobenzylidene malonitrile (CS) and oleoresin capsicum (OC) are common riot control agents. While serious systemic effects are uncommon, exposure to high concentrations may lead to severe complications and even death. The aim of this narrative review is to summarise all main...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章,评审

    doi:10.1136/jramc-2013-000165

    authors: Schep LJ,Slaughter RJ,McBride DI

    更新日期:2015-06-01 00:00:00

  • A case of a chlorine inhalation injury in an Ebola treatment unit.

    abstract::We present a 26-year-old male British military nurse, deployed to Sierra Leone to treat patients with Ebola virus disease at the military-run Kerry Town Ebola Treatment Unit. Following exposure to chlorine gas during routine maintenance procedures, the patient had an episode of respiratory distress and briefly lost co...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2015-000501

    authors: Carpenter A,Cox AT,Marion D,Phillips A,Ewington I

    更新日期:2016-06-01 00:00:00

  • An assessment of the ANV 20/20 focusing aid for night vision devices.

    abstract::Night vision goggles (NVGs) are becoming an increasingly important tool in military aviation. They provide superior visual capability over unaided night vision, but any reduction in goggle performance can have a serious effect on flight safety and operational effectiveness. This study shows that the use of the ANV 20/...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-142-03-06

    authors: Manton AG,Webster KW

    更新日期:1996-10-01 00:00:00

  • HOSPEX in the antipodes.

    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

    pub_type: 杂志文章

    doi:10.1136/jramc-2014-000378

    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

  • Tracheobronchomalacia. A rare cause of respiratory distress in children.

    abstract::Tracheobronchomalacia is a rare cause of respiratory distress in children. An infant with tracheobronchomalacia is presented. The aetiology, pathophysiology and management are discussed. ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-138-02-08

    authors: Moorthy B,Robertson H

    更新日期:1992-06-01 00:00:00

  • Blast mines: physics, injury mechanisms and vehicle protection.

    abstract::Since World War II, more vehicles have been lost to land mines than all other threats combined. Anti-vehicular (AV) mines are capable of disabling a heavy vehicle, or completely destroying a lighter vehicle. The most common form of AV mine is the blast mine, which uses a large amount of explosive to directly damage th...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章,评审

    doi:10.1136/jramc-155-04-06

    authors: Ramasamy A,Hill AM,Hepper AE,Bull AM,Clasper JC

    更新日期:2009-12-01 00:00:00

  • Extremity injuries remain a high surgical workload in a conflict zone: experiences of a British Field Hospital in Iraq, 2003.

    abstract:BACKGROUND:During this conflict 34 Field Hospital, the sole Coalition field hospital located in Iraq, received and treated casualties with a wide range of injuries. Located very close to the front line during the period of combat hostilities, it was potentially going to deal with relatively fewer battle-injured extremi...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-150-03-06

    authors: Ramalingam T

    更新日期:2004-09-01 00:00:00

  • Construction of an evaluation index system for determining the academic impact of military medical scholars.

    abstract:INTRODUCTION:Academic papers are an essential manner for describing new ideas and consolidating existing concepts in the field of military medicine. The academic impact of military medical publications reflects the extent and depth of recognition, acceptance and utilisation of the concepts transmitted in these publicat...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2017-000863

    authors: Li X,Hao JY

    更新日期:2018-07-01 00:00:00

  • An evaluation of the potential use of Cryptosporidium species as agents for deliberate release.

    abstract:INTRODUCTION:We evaluated the potential of Cryptosporidium spp. for intentional transmission as a terrorist tactic in asymmetric conflicts in terms of the recognised optimum conditions for biological warfare. METHODS:Published and widely accepted criteria regarding the optimum conditions for the success of biological ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2013-000186

    authors: Hagen RM,Loderstaedt U,Frickmann H

    更新日期:2014-12-01 00:00:00

  • Deployed research.

    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

    pub_type: 社论

    doi:10.1136/jramc-2014-000272

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

    更新日期:2014-06-01 00:00:00

  • Successful management of a severe combat penetrating brain injury.

    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

    pub_type: 杂志文章

    doi:10.1136/jramc-2013-000121

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

    更新日期:2014-09-01 00:00:00

  • The reconnaissance and siting of field hospitals.

    abstract::This paper describes the reconnaissance function for the siting of deployable field hospitals. It reports two levels of reconnaissance, theatre/operational and tactical. The paper describes the factors to be considered when conducting the reconnaissance and the format of the reconnaissance report. ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-148-01-07

    authors: Boreham A,Bricknell MC

    更新日期:2002-03-01 00:00:00

  • Militaries and the duty of care to enhanced veterans.

    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

    pub_type: 杂志文章

    doi:10.1136/jramc-2018-001140

    authors: Henschke A

    更新日期:2019-08-01 00:00:00

  • Mortality from ischaemic heart disease in the Armed Forces 1973-1984.

    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

    pub_type: 杂志文章

    doi:10.1136/jramc-133-02-14

    authors: Gray J

    更新日期:1987-06-01 00:00:00

  • Acute salivary gland enlargement following instrumentation of the upper airway.

    abstract::A case of sudden enlargement of the submandibular and parotid salivary glands following endotracheal intubation is described. The literature concerning this condition is reviewed, and the possible causes are discussed. ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-133-03-11

    authors: Strowbridge NF

    更新日期:1987-10-01 00:00:00

  • Sudden death in sport before and after introduction of the Basic Fitness Test.

    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

    pub_type: 杂志文章

    doi:10.1136/jramc-131-01-10

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

    更新日期:1985-02-01 00:00:00

  • Case of venom ophthalmia following contact with Naja pallida: the red spitting cobra.

    abstract::Venom ophthalmia is a condition that can be eyesight threatening. This article describes a case of venom ophthalmia due to the Naja pallida (red spitting cobra) and is aimed to educate readers regarding the management of an uncommon, yet important, pathology that deployed military personnel may encounter. Simple first...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2017-000891

    authors: Handford C

    更新日期:2018-05-01 00:00:00

  • Forward trauma surgery in Afghanistan: lessons learnt on the modern asymmetric battlefield.

    abstract::The deployment of 16 Air Assault Brigade to Helmand Province, Afghanistan in April-October 2006 was supported by a two -surgeon Field Surgical Team (FST) embedded within a 25 bed medical facility. We report the summative operative experience of the FST in order to analyse workload, case-mix and outline future training...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-154-01-05

    authors: Tai N,Hill P,Kay A,Parker P

    更新日期:2008-03-01 00:00:00

  • Role of research psychology in defence and security.

    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

    pub_type: 杂志文章,评审

    doi:10.1136/jramc-2018-001045

    authors: Butcher F

    更新日期:2019-04-01 00:00:00

  • Heat illness--a review of military experience (Part 1).

    abstract::This paper is the first part of a two part review of the published literature reporting the military experience of heat illness. It summarises current concepts of the mechanisms for the development of heat illness. The reports of heat illness in the military medical literature from pre-World War 1 to the end of World ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 历史文章,杂志文章,评审

    doi:10.1136/jramc-141-03-06

    authors: Bricknell MC

    更新日期:1995-10-01 00:00:00

  • An outbreak inside an epidemic: managing an infectious disease outbreak while treating Ebola.

    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

    pub_type: 杂志文章,评审

    doi:10.1136/jramc-2016-000684

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

    更新日期:2017-02-01 00:00:00

  • A study into loss of consciousness.

    abstract::The case notes of patients admitted with loss of consciousness (LOC) to BMH Rinteln over 18 months were retrospectively studied. Forty percent of those diagnosed as epileptic were heavy goods vehicle (HGV) drivers. This paper audits the criteria for diagnosis and discusses its implications on the soldier's career. ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-137-03-05

    authors: Abdul-Aziz LA,Whiteoak R

    更新日期:1991-10-01 00:00:00

  • The effectiveness of a military pre-hospital fluid infusion strategy.

    abstract::We performed a study to assess the effectiveness of a fluid infusion strategy currently used in the military pre-hospital environment using the patient's own body weight as an infusion device. Thirteen healthy volunteers were cannulated and 0.9% sodium chloride infused over a period of ten minutes. The volumes infused...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-153-03-06

    authors: O'Meara M,Wood P,Thurgood A,Porter K

    更新日期:2007-09-01 00:00:00

  • Assessing airway patency and breathing in NBC category 4R--the RG method.

    abstract:INTRODUCTION:Confirming airway patency and the presence of breathing has significant limitations when both the casualty and medical personnel are in NBC category 4R. In casualties with limited signs of breathing, IPE may adversely affect the efficiency of clinical assessment, and when the triage sieve is used this coul...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-152-03-05

    authors: Tong JL,Taylor A,House J,Smith JE

    更新日期:2006-09-01 00:00:00

  • Historical origins and current concepts of wound debridement.

    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

    pub_type: 社论,历史文章

    doi:10.1136/jramc-157-02-01

    authors: Guthrie HC,Clasper JC

    更新日期:2011-06-01 00:00:00

  • Meningoencephalitis in a Royal Marine after skinning reindeer in Norway.

    abstract::Meningoencephalitis presenting in service personnel overseas may present a diagnostic challenge due to the broad range of potential differential diagnosis as well as the requirement for rapid assessment and treatment. A 25-year-old Royal Marine was evacuated to the Royal Centre for Defence Medicine in Birmingham, UK, ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2017-000848

    authors: Pollard CA,Burns DS,Ho B,Johnston AM

    更新日期:2018-05-01 00:00:00