Combat "Category A" calls: evaluating the prehospital timelines in a military trauma system.

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：:Leishmaniasis is an infectious disease caused by Leishmania protozoa and occurs as a spectrum of clinical syndromes ranging from various forms of cutaneous leishmaniasis (CL) to mucosal leishmaniasis (ML) and visceral leishmaniasis (VL). CL in Afghanistan is either zoonotic (ZCL) due to L. major or anthroponotic (ACL)...

journal_title：Journal of the Royal Army Medical Corps

authors： Matheson A,Williams R,Bailey MS

更新日期：2012-09-01 00:00:00

abstract：:For the military doctor, an understanding of the metabolic effects of high altitude (HA) exposure is highly relevant. This review examines the acute metabolic challenge and subsequent changes in nutritional homeostasis that occur when troops deploy rapidly to HA. Key factors that impact on metabolism include the hypox...

journal_title：Journal of the Royal Army Medical Corps

authors： Hill NE,Stacey MJ,Woods DR

更新日期：2011-03-01 00:00:00

abstract：:A group of British Military Hospitals was established between 1915 and 1918 along the estuary of the River Canche on the northern French coast. Their positions, now obliterated, can be identified from a plan of the time. With the growing realisation of the importance of bacteriology in the treatment of wound infection...

journal_title：Journal of the Royal Army Medical Corps

authors： Meynell EW

更新日期：1996-02-01 00:00:00

abstract：:Overuse injuries of the leg are a common problem for young soldiers. This article reviews the literature concerning the prevention and treatment of exercise related leg pain in military settings and presents the latest developments in proposed mechanisms and treatments. Current practice and treatment protocols from th...

journal_title：Journal of the Royal Army Medical Corps

authors： Zimmermann WO,Helmhout PH,Beutler A

更新日期：2017-04-01 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

authors： Strowbridge NF

更新日期：1987-10-01 00:00:00

abstract：:We describe a case of malignant duodenocolic fistula in which after a radical resection of right hemicolectomy and pancreaticoduodenectomy, the duodenal defect was reconstructed using a conduit of transposed ileum. This technique, not previously described, offers an alternative to 'duodenal patching', which allows onl...

journal_title：Journal of the Royal Army Medical Corps

authors： Ohri AK,Ohri SK

更新日期：1993-06-01 00:00:00

abstract：:The establishment of a British garrison in Malta in September 1800, provided opportunities for Maltese doctors to join the Army Medical Department. This article follows the academic and military life of four Maltese practitioners, whose joint careers span the era of the Napoleonic Wars. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Bonnici W

更新日期：1997-10-01 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：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

authors： Kampa RJ,Clasper J

更新日期：2005-09-01 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

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：: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：:For military forces, the control of infectious acute gastroenteritis constitutes an old, constant and unsolved concern. Recent epidemiological studies suggest that the common bacterial causes are being overtaken by viruses. Norviruses are the most alarming group and norovirus outbreaks in military forces are regularly...

journal_title：Journal of the Royal Army Medical Corps

authors： Delacour H,Dubrous P,Koeck JL

更新日期：2010-12-01 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

authors： Parker RS,Parker P

更新日期：2017-06-01 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

authors： Bricknell M,Hodgetts T,Beaton K,McCourt A

更新日期：2016-06-01 00:00:00

abstract：:This article introduces a practical triage tool designed to assist commanders, jungle training instructors (JTIs) and medical personnel to identify Defence Personnel (DP) with suspected exertional heat illness (EHI). The challenges of managing suspected EHI in a jungle training environment and the potential advantages...

journal_title：Journal of the Royal Army Medical Corps

authors： Smith M,Withnall R,Boulter M

更新日期：2018-08-01 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：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：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：: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：: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：:Medical Support Troop Bravo (MST Bravo) provides third line medical support for the United Kingdom Battle Group currently deployed on operation Grapple 2 in Bosnia Herzegovina. Standing operating procedures for the initial assessment and resuscitation of all casualties are based on the protocols taught on Advanced Tra...

journal_title：Journal of the Royal Army Medical Corps

authors： Ryan JM,Bailie R,Diack G,Kierle J,Williams T

更新日期：1994-02-01 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：: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：:Military training facilities and operational theatres, and the stressful activities undertaken in such settings, are unique. Military personnel living and working in these environments are at considerable risk of the acquisition and onward transmission of a variety of respiratory infections. While these generally caus...

journal_title：Journal of the Royal Army Medical Corps

authors： O'Shea MK,Wilson D

更新日期：2013-09-01 00:00:00

abstract：:A case of a 28 years old Caucasian woman is presented with acute tibial compartment of her left leg secondary to repeated self inflicted soft tissue injuries, together with literature review on Dermatitis Artefacta. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Eskander MB,MacDonald R

更新日期：1994-06-01 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

authors： Akin ML,Erenoglu C,Uncu EU,Basekim C,Batkin A

更新日期：1998-10-01 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：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

authors： Tong JL,Taylor A,House J,Smith JE

更新日期：2006-09-01 00:00:00