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 aetiology is usually the result of a number of infectious aetiologies with viruses being the most common pathogens in the vast majority of cases. However, it may also be the result of autoimmune activation, chemical or pharmacological toxins, environmental insult or hypersensitivity reactions. Particular aetiologies that are more likely to be seen in a military population are discussed and include certain infections, smallpox vaccine, and hyperthermia and hypothermia. The clinical features can be highly variable ranging from an asymptomatic infection to fulminant heart failure. Features pertinent to the military doctor, including the natural history, investigative modalities and management strategies, with a particular emphasis on the occupational impact of myocarditis in the UK Armed Forces are reviewed.
journal_name
J R Army Med Corpsjournal_title
Journal of the Royal Army Medical Corpsauthors
Cox AT,White S,Ayalew Y,Boos C,Haworth K,McKenna WJdoi
10.1136/jramc-2015-000500subject
Has Abstractpub_date
2015-09-01 00:00:00pages
275-82issue
3eissn
0035-8665issn
2052-0468pii
jramc-2015-000500journal_volume
161pub_type
杂志文章,评审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
更新日期：1985-02-01 00:00:00
abstract：AIM:To identify reasons for inappropriate deployment of soldiers with chronic conditions to an operational environment. SETTING:Two British Army field hospitals in Kuwait, 08 February to 17 March 2003, during the period of troop concentration prior to war-fighting (Operation Telic). POPULATION:All British military pe...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-149-04-07
更新日期：2003-12-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2015-000566
更新日期：2017-04-01 00:00:00
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
pub_type： 杂志文章
doi：10.1136/jramc-133-01-06
更新日期：1987-02-01 00:00:00
abstract：:The management of battle wounds of the colon has been safely established for many years, with primary closure of the wounds being discouraged. More recent work, involving large numbers of patients from civilian trauma centres, has challenged this. The appropriateness of these conclusions for the battle situation is di...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-147-02-12
更新日期：2001-06-01 00:00:00
abstract：:Overuse injuries of the leg are a common problem for young soldiers. This article reviews the literature concerning the prevention and treatment of exercise related leg pain in military settings and presents the latest developments in proposed mechanisms and treatments. Current practice and treatment protocols from th...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-2016-000635
更新日期：2017-04-01 00:00:00
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
pub_type： 杂志文章
doi：10.1136/jramc-156-02-11
更新日期：2010-06-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2017-000874
更新日期：2018-05-01 00:00:00
abstract：:The deployed clinical environment is complex. Hospex provides a vehicle to model this complexity and provide deploying hospitals the opportunity to rehearse in a realistic but controlled environment. ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-154-03-17
更新日期：2008-09-01 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
pub_type： 历史文章,杂志文章
doi：10.1136/jramc-158-01-07
更新日期：2012-03-01 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
pub_type： 杂志文章
doi：10.1136/jramc-137-01-02
更新日期：1991-02-01 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
pub_type： 杂志文章
doi：
更新日期：1980-10-01 00:00:00
abstract：:A project sponsored by HQ AMS TA and executed by an experienced TA Commanding Officer enhanced the effectiveness of Hospital Collective Training by improving the standard of selection and documentation of the input of exercise casualties, and set up the basis of a comprehensive library of casualty cards for future use...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-132-01-07
更新日期：1986-02-01 00:00:00
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
更新日期：2006-09-01 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
pub_type： 杂志文章
doi：10.1136/jramc-145-02-03
更新日期：1999-06-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2015-000562
更新日期：2016-06-01 00:00:00
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
更新日期：1983-10-01 00:00:00
abstract：:This paper is a record of the UK Defence Medical Services (DMS) contribution to the UK response to the Ebola crisis in West Africa from the start of planning in July 2014 to the closure of the Ministry of Defence Ebola Virus Disease Treatment Unit at the end of June 2015. The context and wider UK government decisions ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-2015-000512
更新日期：2016-06-01 00:00:00
abstract：:Scoring systems for both trauma and intensive care patients have been widely used since the 1960's. This article will introduce several scoring systems currently in use and discuss their potential use for military ICU patients. ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-155-02-10
更新日期：2009-06-01 00:00:00
abstract：:A modified version of the J95 morbidity reporting system, called J95a, was used in the Multinational Division South West (MND SW) during Operation Resolute 2. The broad scope of the 'Other Diseases' and 'Other Injuries' event codes were reduced, with codes being added for specific areas of interest which were 'ENT Pro...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-144-01-04
更新日期：1998-02-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2014-000378
更新日期：2015-12-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2015-000530
更新日期：2017-02-01 00:00:00
abstract：AIM:To determine the prevalence of tourniquet use in combat trauma, the contribution to lives saved and the complications of their use in this environment. POPULATION:All casualties treated at UK field hospital facilities in Iraq and Afghanistan and meeting criteria for entry into UK Joint Theatre Trauma Registry (JTT...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-153-04-19
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVES:SLAP (superior labrum anterior and posterior) lesions are a recognised cause of shoulder pain and instability. They can occur following a direct blow, biceps traction and compression injuries, and are commonly seen in overhead athletes. Military personnel are physically active and often subjected to trauma. ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-151-03-07
更新日期：2005-09-01 00:00:00
abstract：OBJECTIVES:Systemic arterial pressure rises on acute exposure to high altitude and changes in blood pressure (BP) and endothelial function may be important in the pathogenesis of clinical syndromes occurring at high altitude. METHODS:Arterial BP, stiffness (SI) and tone (RI) were studied over 11 days in 17 subjects (t...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-157-01-18
更新日期：2011-03-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2015-000464
更新日期：2016-08-01 00:00:00
abstract：OBJECTIVES:To investigate whether there was a difference in social characteristics in different garrison towns of the British Forces Germany and to ascertain whether the health visitor workload was different in these towns. DESIGN:Self completed questionnaires administered to mothers by health visitors on first contac...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-144-02-07
更新日期：1998-06-01 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
pub_type： 杂志文章,评审
doi：10.1136/jramc-158-03-04
更新日期：2012-09-01 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
pub_type： 传,历史文章,杂志文章
doi：10.1136/jramc-143-03-12
更新日期：1997-10-01 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
pub_type： 杂志文章
doi：10.1136/jramc-139-03-06
更新日期：1993-10-01 00:00:00
