Venous thromboembolism: reducing the risk in a Role 3 setting.

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：INTRODUCTION:Definitive laparotomy (DL), with completion of all surgical tasks at first laparotomy has traditionally been the basis of surgical care of severe abdominal trauma. Damage control surgery (DCS) with a goal of physiological normalisation achieved with termination of operation before completion of anatomical ...

journal_title：Journal of the Royal Army Medical Corps

authors： Fries CA,Penn-Barwell J,Tai NR,Hodgetts TJ,Midwinter MJ,Bowley DM

更新日期：2011-12-01 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：: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

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

更新日期：2017-02-01 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：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：:A case of pentazocine induced hallucinations which responded to treatment with Naloxone is reported. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Jago RH,Restall J,Stonham J

更新日期：1984-02-01 00:00:00

abstract：:During the conflicts in Afghanistan and Iraq, many UK military personnel were killed or injured by improvised explosive devices (IEDs). Insurgents sought to develop new ways of concealing and detonating IEDs, and UK forces invested significantly in finding increasingly effective methods of detecting and avoiding them....

journal_title：Journal of the Royal Army Medical Corps

authors： Cornes KR,Boardman M,Ford C,Smith S

更新日期：2019-04-01 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：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：: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

authors： Cox AT,White S,Ayalew Y,Boos C,Haworth K,McKenna WJ

更新日期：2015-09-01 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：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

authors： Brodie S,Hodgetts TJ,Ollerton J,McLeod J,Lambert P,Mahoney P

更新日期：2007-12-01 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：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

authors： van der Snoek EM,Couwenberg SM,Stijnis C,Kortbeek LM,Schadd EM

更新日期：2017-02-01 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：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

authors： Rhodes HL,Chesterman K,Chan CW,Collins P,Kewley E,Pattinson KT,Myers S,Imray CH,Wright AD,Birmingham Medical Research Expeditionary Society.

更新日期：2011-03-01 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

authors： Owen JP,Macmillan AH

更新日期：1998-02-01 00:00:00

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

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

更新日期：2014-09-01 00:00:00

abstract：AIM:To establish the pre-hospital timelines for seriously injured UK military casualties on OP HERRICK. POPULATION:All consecutive MERT and MERT-E mobilizations from Camp Bastion, Helmand Province, between 04 May 06 and 18 Jun 07. METHODS:Interrogation of MS Access database compiled from paper patient report forms fo...

journal_title：Journal of the Royal Army Medical Corps

authors： McLeod J,Hodgetts T,Mahoney P

更新日期：2007-12-01 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

authors： Wilkins D,Dieppe C

更新日期：2017-12-01 00:00:00

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

authors： Gray J

更新日期：1987-06-01 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

authors： Panov TA,Kjossev KT,Losanoff JE

更新日期：1994-10-01 00:00:00

abstract：:In most conflicts there is the potential that there will be Captured Persons (CPERS) whose medical care is the responsibility of the capturing army. The standard of this care should be to the same standard as that afforded to one's own troops. However the medical practicalities of maintaining such standards can be dif...

journal_title：Journal of the Royal Army Medical Corps

authors： Simpson RG,Wilson D,Tuck JJ

更新日期：2014-03-01 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：: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：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：:Night vision goggles have become an essential component of military aviation. They provide superior visual capability over unaided night vision, but there are several inherent limitations associated with human factors and systems limitations. This study used a questionnaire survey of Army helicopter aircrew to investi...

journal_title：Journal of the Royal Army Medical Corps

authors： Manton AG

更新日期：2000-02-01 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

authors： Morgan-Jones D,Hodgetts TJ

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:1.5-mile run time, as a surrogate measure of aerobic fitness, is associated with musculoskeletal injury (MSI) risk in military recruits. This study aimed to determine if 1.5-mile run times can predict injury risk and attrition rates from phase 1 (initial) training and determine if a link exists between phase...

journal_title：Journal of the Royal Army Medical Corps

authors： Hall LJ

更新日期：2017-12-01 00:00:00