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, and performed a matched cohort study based on the presence or absence of pre-hospital tourniquet application. When a pre-hospital tourniquet had been applied, 19/22 patients had a least one complication compared to 15/22 where no tourniquet had been applied [p = 0.13]. There were 10 limbs with at least one major complication in the pre-hospital tourniquet group but only four in the group with no tourniquet [p = 0.045]. The significant difference in the incidence of major complications is a concern, particularly as the difference was mainly due to a deep infection rate of 32% vs. 4.5%. Although a number of variables could have influenced these small groups, such as choice of fracture fixation implant and method and timing of wound closure, the use of a matched cohort study design with a statistical significance level of p < 0.05, suggests the use of a pre-hospital tourniquet as a factor. Although the use of pre-hospital tourniquets cannot be decried as a result of this study, the need to continually prospectively review their use to determine their risk/benefit ratio remains.
journal_name
J R Army Med Corpsjournal_title
Journal of the Royal Army Medical Corpsauthors
Clasper JC,Brown KV,Hill Pdoi
10.1136/jramc-155-03-06subject
Has Abstractpub_date
2009-09-01 00:00:00pages
200-2issue
3eissn
0035-8665issn
2052-0468journal_volume
155pub_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：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
pub_type： 杂志文章
doi：10.1136/jramc-2014-000385
更新日期：2016-02-01 00:00:00
abstract：:A multi disciplinary team furthered the collaborative study of acute encephalitis in southeastern Nepal during a major epidemic which occurred in the monsoon period of 1986. Viral studies of serum and cerebro-spinal fluid (CSF) confirmed Japanese Encephalitis Virus (JEV) as the causative agent. Analysis of epidemiolog...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-137-01-03
更新日期：1991-02-01 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：: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
pub_type： 杂志文章
doi：10.1136/jramc-2018-001140
更新日期：2019-08-01 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：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：:This study presents epidemiological data on sports injuries in deployed British troops in Bosnia, during the first five months of Operation Resolute. A retrospective analysis was carried out of sports injuries seen in one practice in the divisional rear area during April 1996. They account for a significant morbidity ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-143-01-07
更新日期：1997-02-01 00:00:00
abstract：:Prehospital use of blood products may improve survival. However, transfusion support with frozen blood components is logistically burdensome and constrains the configuration of prehospital medical support. Alternatives to frozen plasma, including lyophilised plasma, offer the potential for advanced resuscitation in th...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-2014-000361
更新日期：2016-02-01 00:00:00
abstract：:This paper measures the prevalence of psychological symptoms in two British Infantry battalions, 36 months after being involved in peace keeping operations in the former Yugoslavia during November 1992-April 1993. Those deployed had a high level of post traumatic stress disorder (16%) compared to (9%) in the control g...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-145-01-03
更新日期：1999-02-01 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
pub_type： 杂志文章
doi：10.1136/jramc-156-03-10
更新日期：2010-09-01 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：:Throughout the history of war, there have been many instances when the cold has ravaged armies more effectively than their enemies. Delineated risk factors are restricted to negro origins, previous cod injury, moderate but not heavy cigarette smoking and the possession of blood group O. No attention has been directed ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 历史文章,杂志文章
doi：10.1136/jramc-130-02-05
更新日期：1984-06-01 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：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 retrospective analysis of 53 consecutive cases of orchidopexy performed at the British Military Hospital Munster between 1984 and 1988 showed that the average of referral for orchidopexy was 4 years 7 months and that the average age at surgery for mal/un-descended testes was 5 years exactly. Sixty-four percent of al...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-136-01-08
更新日期：1990-02-01 00:00:00
abstract：OBJECTIVES:The General Medical Council has stipulated that greater importance must be placed on undergraduate students developing their ability to lead and work effectively as part of a team. Wales Universities' Officer Training Corps have attempted to meet this requirement through a third year interactive tutorial whi...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-2013-000052
更新日期：2013-12-01 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
pub_type： 杂志文章
doi：10.1136/jramc-133-02-14
更新日期：1987-06-01 00:00:00
abstract：:In response to an Urgent Operational Requirement, the UK Ministry of Defence (MoD) investigated, designed, developed, trialled and subsequently fielded a Tiered Pelvic Protection System to service personnel deployed on Operation HERRICK in Afghanistan. An Urgent Statement of User Requirement (USUR) was drafted in orde...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-2013-000026
更新日期：2013-03-01 00:00:00
abstract：:The Royal Army Medical Corps and its predecessors have always had an interest in the selection and training methods of the Army, especially when physiological principles are in question. Surgeon Major Davy appears to have suggested an early combat fitness test as a better method of assessing the suitability of recruit...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 传,历史文章,杂志文章
doi：10.1136/jramc-135-02-12
更新日期：1989-06-01 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：INTRODUCTION:Body armour is a type of equipment worn by military personnel that aims to prevent or reduce the damage caused by ballistic projectiles to structures within the thorax and abdomen. Such injuries remain the leading cause of potentially survivable deaths on the modern battlefield. Recent developments in comp...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-2015-000431
更新日期：2016-08-01 00:00:00
abstract：INTRODUCTION:We evaluated the potential of Cryptosporidium spp. for intentional transmission as a terrorist tactic in asymmetric conflicts in terms of the recognised optimum conditions for biological warfare. METHODS:Published and widely accepted criteria regarding the optimum conditions for the success of biological ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-2013-000186
更新日期：2014-12-01 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
pub_type： 社论
doi：10.1136/jramc-2018-000941
更新日期：2018-09-01 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：: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：: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：: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：: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
pub_type： 杂志文章,评审
doi：10.1136/jramc-138-01-07
更新日期：1992-02-01 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
