Is methoxyflurane a suitable battlefield analgesic?

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：:We present a case of a UK soldier suffering multiple injuries in Afghanistan including a lacerated liver, complicated by acute anuric renal failure. His condition was stabilised prior to transfer to the UK using continuous venovenous haemofiltration. This is the first deployed use of renal replacement therapy by UK fo...

journal_title：Journal of the Royal Army Medical Corps

authors： Nesbitt I,Almond MK,Freshwater DA

更新日期：2011-06-01 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

authors： Smith JE,Hall MJ

更新日期：2004-12-01 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：: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：:Primary blast lung injury frequently complicates military conflict and terrorist attacks on civilian populations. The fact that it occurs in areas of conflict or unpredictable mass casualty events makes clinical study in human casualties implausible. Research in this field is therefore reliant on the use of some form ...

journal_title：Journal of the Royal Army Medical Corps

authors： Scott T,Hulse E,Haque M,Kirkman E,Hardman J,Mahoney P

更新日期：2017-04-01 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：:On Friday 16 February 2001, terrorists detonated a bomb under a civilian coach travelling from Nis in Serbia to Gracanica in Kosovo. 10 people were killed at the scene. 13 casualties were treated in the British KFOR hospital (Reynolds Hospital) in Pristina. Another 8 casualties were evacuated to the American KFOR hosp...

journal_title：Journal of the Royal Army Medical Corps

authors： Vassallo DJ,Graham PJ,Gupta G,Alempijevic Dj

更新日期：2005-03-01 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

authors： Ramasamy A,Hill AM,Hepper AE,Bull AM,Clasper JC

更新日期：2009-12-01 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：: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

abstract：:The deployment of 16 Air Assault Brigade to Helmand Province, Afghanistan in April-October 2006 was supported by a two -surgeon Field Surgical Team (FST) embedded within a 25 bed medical facility. We report the summative operative experience of the FST in order to analyse workload, case-mix and outline future training...

journal_title：Journal of the Royal Army Medical Corps

authors： Tai N,Hill P,Kay A,Parker P

更新日期：2008-03-01 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：:A 31-year-old female soldier developed subacute cutaneous lupus erythematosus, which remained undiagnosed for 4 years. Referral to dermatology and a punch biopsy confirmed the diagnosis and effective treatment was instituted. The presence of an unresolving annular rash in light-exposed areas, especially in a young wom...

journal_title：Journal of the Royal Army Medical Corps

authors： Furzeland J,Malcolm P

更新日期：2017-04-01 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：: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：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

authors： Bergman BP,Mackay DF,Pell JP

更新日期：2016-10-01 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：AIM:To quantify the risk for delivering care at Role 1 in the Land Environment (point of wounding to hospital care) on current operations and set the conditions for systematic change to enhance future capability. POPULATION:UK, US and Danish Army Role 1 Subject Matter Experts (SMEs) METHODS:(1) Questionnaire study of...

journal_title：Journal of the Royal Army Medical Corps

authors： Hodgetts TJ,Findlay S

更新日期：2012-09-01 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：: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：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：:A case of ovarian ectopic pregnancy is described which satisfies all of Spiegelberg's criteria and in the discussion the reasons for the apparent association with an intrauterine contraceptive device are examined. :A case is reported of ovarian pregnancy in a woman wearing a Copper 7 IUD for 2 years. She has 2 weeks...

journal_title：Journal of the Royal Army Medical Corps

authors： Johnston B

更新日期：1987-06-01 00:00:00

abstract：INTRODUCTION:2-Chloroacetophenone (CN), o-chlorobenzylidene malonitrile (CS) and oleoresin capsicum (OC) are common riot control agents. While serious systemic effects are uncommon, exposure to high concentrations may lead to severe complications and even death. The aim of this narrative review is to summarise all main...

journal_title：Journal of the Royal Army Medical Corps

authors： Schep LJ,Slaughter RJ,McBride DI

更新日期：2015-06-01 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

authors：

更新日期：2004-03-01 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：BACKGROUND:In a care under fire situation, a first line response to haemorrhage is to apply a tourniquet and return fire. However, there is little understanding of how tourniquets and other haemorrhage control devices impact marksmanship. METHODS:We compared the impact of the iTClamp and the Combat Application Tourniq...

journal_title：Journal of the Royal Army Medical Corps

authors： LaPorta A,Kirkpatrick AW,Mckee JL,Roberts DJ,Tien H,Beckett A,Ball CG,Mckee I,Louw D,Holcomb JB

更新日期：2017-06-01 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：:Tattoo removal from the forearm often requires excision and split skin grafting. The authors propose the use of a bloodless field to facilitate accurate dermal peeling, to ensure complete removal of the pigment, and to reduce operative time. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Hull JB,Corner NB,Roberts P,Attwood AI

更新日期：1991-02-01 00:00:00

abstract：OBJECTIVES:To investigate whether there was a difference in social characteristics in different garrison towns of the British Forces Germany and to ascertain whether the health visitor workload was different in these towns. DESIGN:Self completed questionnaires administered to mothers by health visitors on first contac...

journal_title：Journal of the Royal Army Medical Corps

authors： Ross DA,Clayton TC

更新日期：1998-06-01 00:00:00