Abstract：
OBJECTIVES:Historically, burns have formed a significant proportion of the casualties of war. The management of burns in recent conflict has been found to be a resource-heavy undertaking, though its impact on both personnel and resources in current conflicts is unclear. A case analysis has been carried out in order to quantify the logistical impact of the management of burns on Role 3 Medical Treatment Facility (MTF) infrastructure and to examine if and how the cause and management of burns have evolved in early 21st century conflict. METHODS:All casualties treated for burns at a Role 3 MTF over one calendar year were identified and scanned copies of their notes obtained from the UK Joint Theatre Trauma Registry and retrospectively analysed. RESULTS:88 of the 1461 (6.0%) trauma patients presenting to the Role 3 MTF over the year were treated for burns of whom 52.3% were combat troops and 45.4% civilians. Half of the burns were caused by non-conflict related mechanisms; the two commonest mechanisms were flame burns in 38/88 mostly non-conflict related cases and blast in 30/88 cases most of which were conflict related. CONCLUSIONS:The management of burns at war is a complex process. It is further confounded by the management of civilians with non-conflict related burns, which places a predictable strain on Role 3 MTF resources: theatre time, nursing time, dressing resources and bed space. This must be planned for in current and future deployed operations.
journal_name
J R Army Med Corpsjournal_title
Journal of the Royal Army Medical Corpsauthors
Jeevaratnam JA,Pandya ANdoi
10.1136/jramc-2013-000100subject
Has Abstractpub_date
2014-03-01 00:00:00pages
22-6issue
1eissn
0035-8665issn
2052-0468pii
jramc-2013-000100journal_volume
160pub_type
杂志文章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
pub_type： 杂志文章
doi：10.1136/jramc-135-02-04
更新日期：1989-06-01 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
pub_type： 杂志文章
doi：10.1136/jramc-154-04-17
更新日期：2008-12-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2015-000553
更新日期：2015-12-01 00:00:00
abstract：:Modern drug treatment, added to our previous experience of surgery and radiotherapy, is currently producing nearly 90% cure of all patients with testicular tumours. Most of the failures of treatment today occur in patients with a large mass of diseased tissue which has accumulated due to delayed diagnosis. A retrospec...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-131-03-04
更新日期：1985-10-01 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：: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
pub_type： 杂志文章
doi：10.1136/jramc-134-01-02
更新日期：1988-02-01 00:00:00
abstract：:The pre-hospital care of patients with suspected spinal injuries involves early immobilisation of the whole spine and the institution of measures to prevent secondary injury from hypoxia, hypoperfusion or further mechanical disruption. Early ventilation and differentiation of haemorrhagic from neurogenic shock are the...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-148-02-11
更新日期：2002-06-01 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：: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 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:Common Variable Immunodeficiency (CVID) is the commonest form of severe antibody deficiency. It is characterized by reduced levels of IgG (<400 mg/dL) and low IgA and/or IgM levels, recurrent bacterial infections, impaired antibody responses despite the presence of B Cells and normal or near normal T immunit...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-154-01-15
更新日期：2008-03-01 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
pub_type： 社论,历史文章
doi：10.1136/jramc-157-02-01
更新日期：2011-06-01 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
pub_type： 杂志文章
doi：10.1136/jramc-133-03-11
更新日期：1987-10-01 00:00:00
abstract：:Since World War II, more vehicles have been lost to land mines than all other threats combined. Anti-vehicular (AV) mines are capable of disabling a heavy vehicle, or completely destroying a lighter vehicle. The most common form of AV mine is the blast mine, which uses a large amount of explosive to directly damage th...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-155-04-06
更新日期：2009-12-01 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：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
pub_type： 杂志文章
doi：10.1136/jramc-153-04-09
更新日期：2007-12-01 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：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：BACKGROUND:Fatigue in military operations leads to safety and operational problems due to a decrease in alertness and performance. The primary method of counteracting the effects of sleep deprivation is to increase nightly sleep time, which in operational situations is not always feasible. History has taught us that su...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-2016-000640
更新日期：2017-06-01 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
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
pub_type： 杂志文章
doi：10.1136/jramc-150-01-07
更新日期：2004-03-01 00:00:00
abstract：:This paper is the first part of a two part review of the published literature reporting the military experience of heat illness. It summarises current concepts of the mechanisms for the development of heat illness. The reports of heat illness in the military medical literature from pre-World War 1 to the end of World ...
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-141-03-06
更新日期：1995-10-01 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：:Hydatid disease of the liver is highly prevalent in oriental countries including Turkey, in which their population live mostly in rural areas. The outcome of surgical methods used in the management of a cystic cavity in patients with hepatic hydatid disease was evaluated. Three hundred and forty consecutive patients w...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-144-03-04
更新日期：1998-10-01 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：: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
pub_type： 杂志文章
doi：10.1136/jramc-2015-000501
更新日期：2016-06-01 00:00:00
abstract：:The optimal fluid for the resuscitation of critically ill and injured patients remains the subject of considerable controversy. Hypertonic crystalloid solutions such as hypertonic saline provide rapid volume expansion, have an acceptable safety profile, and are easy to store and transport. Recent meta-analyses suggest...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-150-04-03
更新日期：2004-12-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2017-000848
更新日期：2018-05-01 00:00:00
abstract：:Using a major ethics crisis as a methodological approach to study secret science environments, part II examines the origins and organisation of the Applied Biology Committee (ABC), the first independent research ethics committee (REC) at Porton Down, Britain's biological and chemical warfare establishment since the Fi...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 历史文章,杂志文章
doi：10.1136/jramc-2019-001207
更新日期：2019-08-01 00:00:00
abstract：:By virtue of the Battalion I serve with, I was the first Task Force Doctor on to the Falklands. On Friday the 21st May, 2 Para made an assault beach landing, thankfully unopposed, on San Carlos beach, the RAP was with them. ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 历史文章,杂志文章
doi：10.1136/jramc-153-03s-08
更新日期：2007-01-01 00:00:00
