The effectiveness of a military pre-hospital fluid infusion strategy.

abstract：:During the recent conflicts in Iraq and Afghanistan, substantial numbers of service personnel survived devastating injuries, presenting significant challenges for early rehabilitation at Queen Elizabeth Hospital Birmingham. Royal Centre for Defence Medicine personnel augmented NHS therapy provision, gaining significan...

journal_title：Journal of the Royal Army Medical Corps

authors： Pope S,Vickerstaff AL,Wareham AP

更新日期：2017-04-01 00:00:00

abstract：:The Role 3 Medical Treatment Facility (Field Hospital) in Camp Bastion (R3 Bastion) is acknowledged to be one of the busiest dedicated trauma facilities in the world. Casualties typically present with severe injuries and in physiological extremis. These casualties form a unique cohort representing the most relevant po...

journal_title：Journal of the Royal Army Medical Corps

authors： Nordmann G,Woolley T,Doughty H,Dalle Lucca J,Hutchings S,Kirkman E

更新日期：2014-06-01 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：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：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：:A retrospective study was made of all 28 soldiers with chronic pancreatitis first diagnosed between 1978 and 1989. All patients were male, alcohol was the aetiological factor in 90%, the mean age at diagnosis was 30 and the commonest mode of presentation was with recurrent painful episodes of pancreatitis. Endocrine a...

journal_title：Journal of the Royal Army Medical Corps

authors： Melia WM,Sims MM,Whitehouse DP,Cowan GO

更新日期：1992-10-01 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：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

abstract：:A project sponsored by HQ AMS TA and executed by an experienced TA Commanding Officer enhanced the effectiveness of Hospital Collective Training by improving the standard of selection and documentation of the input of exercise casualties, and set up the basis of a comprehensive library of casualty cards for future use...

journal_title：Journal of the Royal Army Medical Corps

authors： Clarke K,Robinson RG

更新日期：1986-02-01 00:00:00

abstract：:Recurrent pyogenic meningitis is uncommon. Its aetiology is often associated with impaired host defence mechanisms. Two such examples are discussed. Case 1 resulted from an anatomical defect and Case 2 a defect of the complement system. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Whitehouse DP,Bowen JR,Sahi SP

更新日期：1993-02-01 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 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：:Maintaining high-quality chest compressions during cardiopulmonary resuscitation following cardiac arrest presents a challenge. The currently available mechanical CPR (mCPR) devices are described in this review, coupled with an analysis of the evidence pertaining to their efficacy. Overall, mCPR appears to be at least...

journal_title：Journal of the Royal Army Medical Corps

authors： Parsons IT,Cox AT,Rees PSC

更新日期：2018-11-01 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：: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：:The management of focal radiation burns after prolonged exposure to ionising radiation remains a relatively rare but significant therapeutic challenge. This narrative aims to highlight certain aspects of management that can be overlooked and mitigation strategies in the management of these potentially fatal injuries. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Swain C,Khan M

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVE:In order to train medical personnel properly for future international missions the Lithuanian Armed Forces decided to adopt BATLS/BARTS as a basic course for military pre-hospital trauma care. This decision was based upon the increasing Lithuanian participation in international missions as a part of multinati...

journal_title：Journal of the Royal Army Medical Corps

authors： Molde A,Milasius S,Lundberg L

更新日期：2006-12-01 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

authors： Mackie I

更新日期：2015-12-01 00:00:00

abstract：:This article describes the non-operative management of five patients with ballistic abdominal solid organ injuries in a role 2E medical treatment facility. The selective non-operative management of ballistic abdominal solid organ injury is an accepted management strategy in high-volume civilian trauma centres, and app...

journal_title：Journal of the Royal Army Medical Corps

authors： Wood AM,Trimble K,Louden MA,Jansen J

更新日期：2010-03-01 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：: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：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

authors： Thandi G,Oram S,Verey A,Greenberg N,Fear NT

更新日期：2017-08-01 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：: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：:Anecdotal reports of mechanical failure of morphine autojets have triggered a review of possible alternatives. Methoxyflurane is one such alternative already widely used by the Australian and New Zealand Defence Forces. The potential benefits and likely significant drawbacks of methoxyflurane are reviewed with the aim...

journal_title：Journal of the Royal Army Medical Corps

authors： McLennan JV

更新日期：2007-06-01 00:00:00

abstract：:The Defence Clinical Psychology Service (DCPS) is the professional clinical psychology service and community of clinical psychology practice within UK Ministry of Defence (MoD). The DCPS provides professional clinical care, consultation and research in support of the UK Armed Forces. Regulated by the Health and Care P...

journal_title：Journal of the Royal Army Medical Corps

authors： Norris R,McCauley M

更新日期：2019-04-01 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：: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

authors： Corner NB,Bissett RJ,Hull JB,Roberts P

更新日期：1990-02-01 00:00:00

abstract：:OBJECTIVES: The purpose of this study was to investigate smoking prevalence of Tri-Service recruits, and changes in smoking behaviour at 3-year follow-up, by trade group and gender. Associations with educational attainment and deprivation were also assessed. METHODS: Analysis of a survey into the health behaviours of ...

journal_title：Journal of the Royal Army Medical Corps

authors： Bray I,Richardson P,Harrison K

更新日期：2013-03-01 00:00:00