Assessing injury severity during general war. Will the Military Triage system meet future needs?

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：: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：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

authors： Maynard SL,Kao R,Craig DG

更新日期：2016-06-01 00:00:00

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 ...

journal_title：Journal of the Royal Army Medical Corps

authors： Jeevaratnam JA,Pandya AN

更新日期：2014-03-01 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

authors： Alexander I

更新日期：1980-10-01 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：: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：: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

authors： Rees P,Waller B,Buckley AM,Doran C,Bland S,Scott T,Matthews J

更新日期：2018-05-01 00:00:00

abstract：:Cardiac disease remains a significant threat to both local and deployed military populations. In this article we present several cardiac case reports which may be of educational use to the military clinician. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Boos CJ,Cox AT

更新日期：2010-09-01 00:00:00

abstract：:Following a large earthquake in Nepal, the experience of a small hospital in dealing with the resulting mass casualties is described. The value of pre-planning and effective triage of the injured is stressed, and aspects of surgical and medical care specific to earthquake victims discussed. Clinical and administrative...

journal_title：Journal of the Royal Army Medical Corps

authors： Guy PJ,Ineson N,Bailie R,Grimwood A

更新日期：1990-02-01 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：:Clinical confusion, treatment failure and recurrence commonly plague the Management of Otitis Externa. The aim of this study was to investigate the clinical attitudes and habits of army general practitioners and to review the recent literature. The results of a questionnaire survey showed that although all the respond...

journal_title：Journal of the Royal Army Medical Corps

authors： Robertson DG,Bennett JD

更新日期：1992-02-01 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

authors： Dhariwal DK,Gibbons AJ,Murphy M,Llewelyn J,Gregory MC

更新日期：2002-06-01 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

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

更新日期：2017-02-01 00:00:00

abstract：:Venom ophthalmia is a condition that can be eyesight threatening. This article describes a case of venom ophthalmia due to the Naja pallida (red spitting cobra) and is aimed to educate readers regarding the management of an uncommon, yet important, pathology that deployed military personnel may encounter. Simple first...

journal_title：Journal of the Royal Army Medical Corps

authors： Handford C

更新日期：2018-05-01 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

authors： McKenzie AG

更新日期：2012-03-01 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：INTRODUCTION:Academic papers are an essential manner for describing new ideas and consolidating existing concepts in the field of military medicine. The academic impact of military medical publications reflects the extent and depth of recognition, acceptance and utilisation of the concepts transmitted in these publicat...

journal_title：Journal of the Royal Army Medical Corps

authors： Li X,Hao JY

更新日期：2018-07-01 00:00:00

abstract：:Burn excision is the gold standard treatment for full thickness and some deep partial thickness burns. Early burn excision (24-96 hours) has been shown to improve patient outcomes. However, in the military setting, transporting the patient to a centre which can provide this procedure can be delayed. Especially as cont...

journal_title：Journal of the Royal Army Medical Corps

authors： Pujji O,Jeffery SLA

更新日期：2018-09-01 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

authors： Davies TJ,Nadin MN,McArthur DJ,Cox CW,Roberts P

更新日期：2008-09-01 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：:This paper is a corollary of the recent Class Action against the MoD 2003 and should be read in conjunction with Palmer 2003. As fear is a prerequisite for the diagnosis of Post Traumatic Stress Disorder (PTSD) it was examined in some detail during this case. This paper serves to amplify those deliberations. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Palmer I

更新日期：2004-06-01 00:00:00

abstract：:The Triservice Anaesthetic Apparatus was designed around 30 years ago as a robust and highly portable anaesthesia delivery system for medical support to airborne operations and it has been the core anaesthesia system for the Defence Medical Services since then. Over this period there have been a number of equipment ch...

journal_title：Journal of the Royal Army Medical Corps

authors： Frazer RS,Birt DJ

更新日期：2010-12-01 00:00:00

abstract：INTRODUCTION:Haemorrhage from the injured extremity is a significant cause of preventable death in military settings. This study evaluated the effect of training on the efficacy of the combat application tourniquet (CAT) and to define standards for military personnel. METHOD:Participants from a training tank battalion...

journal_title：Journal of the Royal Army Medical Corps

authors： Unlu A,Kaya E,Guvenc I,Kaymak S,Cetinkaya RA,Lapsekili EO,Ozer MT,Guler A,Yildiz R,Petrone P,Harlak A,Kilic S

更新日期：2015-12-01 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

authors： Schmidt U

更新日期：2019-08-01 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

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

authors： Gill G,Butt P,Reade MC,Crozier J,Williams A,Thomas T,Flint B,Matthews G,Duff N,Brown G,Chambers A,Courtenay B,Innes D,Malley BO

更新日期：2015-12-01 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

authors： Carpenter A,Cox AT,Marion D,Phillips A,Ewington I

更新日期：2016-06-01 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：: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

authors： Keoghane SR,Ritchie AW,Jones DJ

更新日期：1999-10-01 00:00:00