Lessons learned from early rehabilitation of complex trauma at the Royal Centre for Defence Medicine.

abstract：:In the decade 1968-77, 203 (12%) of the 1723 deaths in off duty British Army males were associated with a blood alcohol concentration (BAC) in excess of 80 mgs/100 mls. These deaths occurred in road traffic accidents (49%), acute alcohol poisoning (23%), suicide (9%), drowning (8%), falling from a height (7%), burns (...

journal_title：Journal of the Royal Army Medical Corps

authors： Lynch P

更新日期：1987-02-01 00:00:00

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

authors： Strowbridge NF

更新日期：1987-10-01 00:00:00

abstract：:Role 2 Afloat provides a damage control resuscitation and surgery facility in support of maritime, littoral and aviation operations. Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers a rapid, effective solution to exsanguinating haemorrhage from pelvic and non-compressible torso haemorrhage. It ...

journal_title：Journal of the Royal Army Medical Corps

authors： Rees P,Waller B,Buckley AM,Doran C,Bland S,Scott T,Matthews J

更新日期：2018-05-01 00:00:00

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 ...

journal_title：Journal of the Royal Army Medical Corps

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

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:In a care under fire situation, a first line response to haemorrhage is to apply a tourniquet and return fire. However, there is little understanding of how tourniquets and other haemorrhage control devices impact marksmanship. METHODS:We compared the impact of the iTClamp and the Combat Application Tourniq...

journal_title：Journal of the Royal Army Medical Corps

authors： LaPorta A,Kirkpatrick AW,Mckee JL,Roberts DJ,Tien H,Beckett A,Ball CG,Mckee I,Louw D,Holcomb JB

更新日期：2017-06-01 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：: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：:For the military doctor, an understanding of the metabolic effects of high altitude (HA) exposure is highly relevant. This review examines the acute metabolic challenge and subsequent changes in nutritional homeostasis that occur when troops deploy rapidly to HA. Key factors that impact on metabolism include the hypox...

journal_title：Journal of the Royal Army Medical Corps

authors： Hill NE,Stacey MJ,Woods DR

更新日期：2011-03-01 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：: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：OBJECTIVE:The Royal Army Medical Corps (RAMC) has justly regarded its relief of the appalling conditions found in the liberated Nazi concentration camp at Bergen-Belsen in April 1945 as one of its more glorious achievements. This view has, in the last decade, come under attack from historians who have, inter alia, crit...

journal_title：Journal of the Royal Army Medical Corps

authors： MacAuslan R

更新日期：2016-02-01 00:00:00

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

authors： Manton AG,Webster KW

更新日期：1996-10-01 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：: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

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

更新日期：2016-06-01 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 2014-2015 Ebola virus disease (EVD) epidemic in West Africa was the largest in history. The three most affected countries, Guinea, Liberia and Sierra Leone, have faced enormous challenges in controlling transmission and providing clinical care for patients with EVD. The Chinese government, in response to the reque...

journal_title：Journal of the Royal Army Medical Corps

authors： Lu Y,Rong G,Yu SP,Sun Z,Duan X,Dong Z,Xia H,Zhan N,Jin C,Ji J,Duan H

更新日期：2016-06-01 00:00:00

abstract：:The clinical experience of an army surgeon in a military hospital in East Nepal is discussed. The truly general nature of the work load is highlighted and the need for a broad based general training in surgery for such a task is well illustrated. A high degree of interdisciplinary cooperation was experienced and was i...

journal_title：Journal of the Royal Army Medical Corps

authors： Ryan JM

更新日期：1988-02-01 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：:Following a large earthquake in Nepal, the experience of a small hospital in dealing with the resulting mass casualties is described. The value of pre-planning and effective triage of the injured is stressed, and aspects of surgical and medical care specific to earthquake victims discussed. Clinical and administrative...

journal_title：Journal of the Royal Army Medical Corps

authors： Guy PJ,Ineson N,Bailie R,Grimwood A

更新日期：1990-02-01 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：: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：:This historical account, based on a survey of 250 medical articles written during and immediately after World War II, reviews the immediate treatment of frostbite in the American and German ground troops in Europe from 1941 to 1945. The American management was simpler and more conservative than the elaborate treatment...

journal_title：Journal of the Royal Army Medical Corps

authors： Defalque RJ,Wright AJ

更新日期：2011-09-01 00:00:00

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

authors： Abdul-Aziz LA,Whiteoak R

更新日期：1991-10-01 00:00:00

abstract：:General Duty Medical Officers (GDMOs) may deploy within days of completing their Entry Officers Course thereby missing the pre-deployment training undertaken by the Regiment that they join. They can be attached to a unit that they have never worked with and it is often the first time that they have worked in isolation...

journal_title：Journal of the Royal Army Medical Corps

authors： Cooper DJ

更新日期：2010-03-01 00:00:00

abstract：:Recurrent pyogenic meningitis is uncommon. Its aetiology is often associated with impaired host defence mechanisms. Two such examples are discussed. Case 1 resulted from an anatomical defect and Case 2 a defect of the complement system. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Whitehouse DP,Bowen JR,Sahi SP

更新日期：1993-02-01 00:00:00

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

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

更新日期：2007-09-01 00:00:00

abstract：:A method of comparing the quality of intestinal anastomoses performed in craft workshops is described. The equipment is readily available in any hospital, inexpensive and requires no technical construction. The apparatus accurately measures the intraluminal pressure at the first sign of anastomotic leak and a method o...

journal_title：Journal of the Royal Army Medical Corps

authors： Royle CA,Phillips RK

更新日期：1993-10-01 00:00:00

abstract：:The vast majority of casualties will only require a common sense approach to their preparation for evacuation, by asking simple questions, most problems can be identified and resolved prior to the evacuation. Ask? Are aeromed teams available to undertake this task? (Contact them). If aeromed teams are unavailable but ...

journal_title：Journal of the Royal Army Medical Corps

authors：

更新日期：2004-03-01 00:00:00

abstract：:Over a 15 month period, all the scripts written by doctors in the Episkopi Garrison Medical Centre, Cyprus, were analysed. A formulary was produced by using the most popular items in that 15 month period and tested in a one month trial period. The idea was to find a practical and efficient method of producing a 'basic...

journal_title：Journal of the Royal Army Medical Corps

authors： Morton IN

更新日期：1990-10-01 00:00:00

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

authors： Handford C

更新日期：2018-05-01 00:00:00