Operation GRITROCK: the Defence Medical Services' story and emerging lessons from supporting the UK response to the Ebola crisis.

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：:Decision Support Aids (DSAs) have been widely used throughout industry and one (known as Table 7) is available to support British Army Medical Officers (MOs) grade soldiers against the Joint Medical Employment Standards. It is unknown how useful this DSA is in practice. An electronic questionnaire was distributed to B...

journal_title：Journal of the Royal Army Medical Corps

authors： Mackie I

更新日期：2015-12-01 00:00:00

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

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

更新日期：2018-05-01 00:00:00

abstract：:The physical mechanism of blunt impact injuries to thoracic and abdominal viscera is often conveniently described simply in terms of "crush"--this is an over-simplification. Any impact to the torso does result in the rapid displacement of the body wall which may lacerate and contuse underlying viscera, but this simple...

journal_title：Journal of the Royal Army Medical Corps

authors： Cooper GJ,Taylor DE

更新日期：1989-06-01 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：: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：: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 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：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

authors： Hagen RM,Loderstaedt U,Frickmann H

更新日期：2014-12-01 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：: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：: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：: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：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：BACKGROUND:Detailed knowledge of the likely volume and nature of the diseases presenting to deployed secondary care facilities aids operational planning. Now the British operation in Afghanistan has ended and a record of the experience is useful to preserve the lessons learned. METHODS:Over a 2-year period from April ...

journal_title：Journal of the Royal Army Medical Corps

authors： Cox AT,Lentaigne J,White S,Burns DS,Parsons I,O'Shea M,Stacey M,Sharma S,Wilson D

更新日期：2016-02-01 00:00:00

abstract：:A 31-year-old female soldier developed subacute cutaneous lupus erythematosus, which remained undiagnosed for 4 years. Referral to dermatology and a punch biopsy confirmed the diagnosis and effective treatment was instituted. The presence of an unresolving annular rash in light-exposed areas, especially in a young wom...

journal_title：Journal of the Royal Army Medical Corps

authors： Furzeland J,Malcolm P

更新日期：2017-04-01 00:00:00

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

authors： Ramalingam T

更新日期：2004-09-01 00:00:00

abstract：OBJECTIVE:The lack of need for immediate renal replacement treatment for military trauma victims suggests that the current policy of restricting operational deployment of those Service personnel with active inflammatory renal disease and significantly impaired renal function, combined with good prehospital care for all...

journal_title：Journal of the Royal Army Medical Corps

authors： World MJ

更新日期：2013-06-01 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：BACKGROUND:Traumatic cardiac arrest (TCA) in children is associated with a low probability of survival and poor neurological outcome in survivors. Since 2003, over 600 seriously injured local national children have been treated at deployed UK military medical treatment facilities during the Iraq and Afghanistan conflic...

journal_title：Journal of the Royal Army Medical Corps

authors： Hillman CM,Rickard A,Rawlins M,Smith JE

更新日期：2016-08-01 00:00:00

abstract：INTRODUCTION:Morphine auto-injectors are issued to all British soldiers on operations in Afghanistan who deploy forward of Camp Bastion, the main British base. Previous studies have reviewed the effectiveness of various pre-hospital analgesics, but there is no record of the knowledge and confidence of the relatively me...

journal_title：Journal of the Royal Army Medical Corps

authors： Nelson SC,Wedgwood JT

更新日期：2015-03-01 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：BACKGROUND:The UK military was continuously engaged in armed conflict in Iraq and Afghanistan between 2003 and 2014, resulting in 629 UK fatalities. Traumatic cardiac arrest (TCA) is a precursor to traumatic death, but data on military outcomes are limited. In order to better inform military treatment protocols, the ai...

journal_title：Journal of the Royal Army Medical Corps

authors： Barnard EBG,Hunt PAF,Lewis PEH,Smith JE

更新日期：2018-07-01 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：:Post-traumatic stress disorder (PTSD) is a disabling trauma and stress-related disorder that may occur after a person experiences a traumatic event, and evokes a combination of intrusion and avoidance symptoms, negative alterations in cognitions and mood, and alterations in arousal and reactivity. Accelerated resoluti...

journal_title：Journal of the Royal Army Medical Corps

authors： Finnegan A,Kip K,Hernandez D,McGhee S,Rosenzweig L,Hynes C,Thomas M

更新日期：2016-04-01 00:00:00

abstract：OBJECTIVES:Backpack palsy (BPP) is a common aetiology of brachial plexopathy in military hospitals. We aimed to determine the incidence and risk factors of BPP in young Korean soldiers. METHODS:We identified enlisted patients who were diagnosed with BPP from a review of the medical records of all the Korean military h...

journal_title：Journal of the Royal Army Medical Corps

authors： Kim KE,Kim EJ

更新日期：2016-02-01 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：:A retrospective analysis of 53 consecutive cases of orchidopexy performed at the British Military Hospital Munster between 1984 and 1988 showed that the average of referral for orchidopexy was 4 years 7 months and that the average age at surgery for mal/un-descended testes was 5 years exactly. Sixty-four percent of al...

journal_title：Journal of the Royal Army Medical Corps

authors： Corner NB,Bissett RJ,Hull JB,Roberts P

更新日期：1990-02-01 00:00:00

abstract：OBJECTIVES:To explore the first period of sick leave in military patients following a traumatic battle injury, and the role of primary care. To identify if and where patients perceived difficulties. METHOD:Participants were recruited from The Defence Medical Rehabilitation Centre (DMRC) Headley Court on their second a...

journal_title：Journal of the Royal Army Medical Corps

authors： Bailey TR

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:The long-term effect of repetitive trauma by military parachuting on the lumbar spine is not well investigated. Therefore, the purpose of this study was to examine the development of lumbar degenerative changes during a 30-year follow-up in Japanese Ground Self Defense Forces (JGSDF) parachute infantry soldi...

journal_title：Journal of the Royal Army Medical Corps

authors： Nemoto O,Kitada A,Naitou S,Tsuchihara T,Ito Y,Tachibana A

更新日期：2014-12-01 00:00:00