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 population to evaluate the effectiveness of treating battlefield injuries as academic clinicians and scientists interested in trauma seek to improve outcomes for such patients in the future. This article describes four separate but related research projects that have been undertaken in Camp Bastion, Afghanistan, over the last year. They traverse the spectrum of clinical research, ranging from data collection to a randomised control trial. The aim is to discuss some of the problems encountered and the solutions that made it possible to undertake research in a theatre of operations, thereby providing a starting point for others who may wish to initiate research in a similar environment.
journal_name
J R Army Med Corpsjournal_title
Journal of the Royal Army Medical Corpsauthors
Nordmann G,Woolley T,Doughty H,Dalle Lucca J,Hutchings S,Kirkman Edoi
10.1136/jramc-2014-000272subject
Has Abstractpub_date
2014-06-01 00:00:00pages
92-8issue
2eissn
0035-8665issn
2052-0468pii
jramc-2014-000272journal_volume
160pub_type
社论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::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
pub_type: 历史文章,杂志文章,评审
doi:10.1136/jramc-147-03-06
更新日期:2001-10-01 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
pub_type: 杂志文章,评审
doi:10.1136/jramc-2018-001045
更新日期:2019-04-01 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
pub_type: 杂志文章
doi:10.1136/jramc-2017-000818
更新日期:2018-07-01 00:00:00
abstract::Under the laws of armed conflict military medics are deemed non-combatants, and as such are subject to certain protections and limitations. The non-combatant status is defined in the famous Geneva Conventions, which form the basis of the international law of armed conflict. The protections afforded to medical personne...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 社论
doi:10.1136/jramc-2016-000732
更新日期:2017-12-01 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::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::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::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
pub_type: 杂志文章
doi:10.1136/jramc-140-03-09
更新日期:1994-10-01 00:00:00
abstract::Both flexible and rigid cysto-urethroscopy are routinely used in the surveillance of transitional cell bladder tumours. This study addressed the issue of patient selection for either rigid or flexible cystoscopy. What proportion of positive findings at flexible cystoscopy and negative findings at rigid cystoscopy are ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-145-03-08
更新日期:1999-10-01 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: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
pub_type: 杂志文章
doi:10.1136/jramc-2015-000544
更新日期:2016-10-01 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
pub_type: 杂志文章
doi:10.1136/jramc-158-02-08
更新日期:2012-06-01 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::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
更新日期:2002-03-01 00:00:00
abstract::A retrospective study was made of all 28 soldiers with chronic pancreatitis first diagnosed between 1978 and 1989. All patients were male, alcohol was the aetiological factor in 90%, the mean age at diagnosis was 30 and the commonest mode of presentation was with recurrent painful episodes of pancreatitis. Endocrine a...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-138-03-04
更新日期:1992-10-01 00:00:00
abstract:BACKGROUND AND AIM:Safe clinical care within Ebola Virus Disease Treatment Units (EVDTUs) mandate the use of personal protective equipment (PPE), comprising a fluid impermeable hooded suit, visor, gloves and rubber boots. The aim of this study was to assess the impact of this PPE on clinical personnel's performance in ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2015-000541
更新日期:2016-06-01 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
pub_type: 杂志文章
doi:10.1136/jramc-2017-000815
更新日期:2018-05-01 00:00:00
abstract::The ten-week Professionally Qualified Officers (PQO) course has been running successfully for a number of years and focuses on the values of officership, leadership and command. This article compares the principals embodied in the "Sandhurst Ethos" and the General Medical Council's "Duties of a Doctor" and examines ho...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-158-04-21
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Having served more than 4000 personnel including the peacekeeping troops, UN police and civilian staff, the Chinese Peacekeeping Level 2 Military Hospital has accumulated 1235 inpatient medical records in 4 years. Assessment of the records stored in the CHN L2 identified that the data collected by different ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2018-000995
更新日期:2019-06-01 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::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
更新日期:1992-06-01 00:00:00
abstract:AIM:Currently, there is no research available on the experiences of spouses providing informal care to wounded, injured or sick (WIS) UK military personnel. The aim of this study was to fill this gap by investigating the relationship experiences of non-military partners caring for WIS UK military personnel. METHODS:Sp...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2016-000679
更新日期:2017-08-01 00:00:00
abstract::A review of all patients with treated mandibular angle fractures at a district general hospital, over a two year period, was undertaken. Forty one consecutive patients with 43 mandibular angle fractures were identified. Thirty eight fractures were treated by open reduction and internal fixation with miniplates and 5 b...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-148-02-01
更新日期:2002-06-01 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
pub_type: 杂志文章,评审
doi:10.1136/jramc-2016-000752
更新日期:2018-07-01 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: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
pub_type: 杂志文章
doi:10.1136/jramc-2013-000149
更新日期:2014-12-01 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
pub_type: 杂志文章
doi:10.1136/jramc-2013-000203
更新日期:2015-03-01 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::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...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-2015-000500
更新日期:2015-09-01 00:00:00