Abstract：
AIM:To identify reasons for inappropriate deployment of soldiers with chronic conditions to an operational environment. SETTING:Two British Army field hospitals in Kuwait, 08 February to 17 March 2003, during the period of troop concentration prior to war-fighting (Operation Telic). POPULATION:All British military personnel on land during the concentration phase, rising to an estimated 28,000 troops. METHODS:Real-time electronic record maintained of all cases presenting to 22 and 33 Field Hospitals judged to be inappropriately deployed. RESULTS:50 sequential cases were analysed. 34% were downgraded prior to deployment. Of those who were P2 FE, 85% were judged to have required protection from deployment by down-grading. 20% of all cases had a history of chronic asthma, and of the asthmatics 60% (6/10) were not downgraded. 18% of all cases were deployed while waiting for secondary care investigation or review that should have ensured protection from deployment. No patient had an existing "FT" (forward temperate) or "LT" (lines of communication temperate) grading: but in four cases it was predictable that the patient's underlying condition would be adversely affected by deployment to a desert environment. In 5 cases it was identified that the inappropriate deployment could be attributed to clinical management within the civilian sector, with a consequent failure to institute the necessary downgrading process. CONCLUSIONS:Review of the medical grading process is needed to protect those soldiers who are awaiting outpatient opinion or definitive diagnosis from investigation, and to provide an employability grading that matches a soldier's fitness for operational role.
journal_name
J R Army Med Corpsjournal_title
Journal of the Royal Army Medical Corpsauthors
Hodgetts TJ,Greasley LAdoi
10.1136/jramc-149-04-07subject
Has Abstractpub_date
2003-12-01 00:00:00pages
277-83issue
4eissn
0035-8665issn
2052-0468journal_volume
149pub_type
杂志文章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：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
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
pub_type： 杂志文章
doi：10.1136/jramc-132-01-07
更新日期：1986-02-01 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
pub_type： 杂志文章
doi：10.1136/jramc-148-03-10
更新日期：2002-09-01 00:00:00
abstract：:Military service requires individuals who are free from ill-health and who are physically and mentally robust, and throughout history those who have become unfit for service have been discharged on medical grounds. This paper uses published historical records to examine trends in the rate of discharge for six key cond...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 历史文章,杂志文章
doi：10.1136/jramc-146-03-10
更新日期：2000-10-01 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
pub_type： 杂志文章
doi：10.1136/jramc-158-03-15
更新日期：2012-09-01 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
pub_type： 杂志文章,评审
doi：10.1136/jramc-158-03-04
更新日期：2012-09-01 00:00:00
abstract：:Pneumorrhachis or intraspinal air is an increasingly encountered phenomenon in the management of severe trauma. The case of a 23-year-old soldier, who sustained a gunshot wound to the chest, is presented and the subsequent discussion illustrates that while often benign this phenomenon may indicate serious occult injur...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-156-04s-09
更新日期：2010-12-01 00:00:00
abstract：:This historical account, based on a survey of 250 medical articles written during and immediately after World War II, reviews the immediate treatment of frostbite in the American and German ground troops in Europe from 1941 to 1945. The American management was simpler and more conservative than the elaborate treatment...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 历史文章,杂志文章
doi：10.1136/jramc-157-03-05
更新日期：2011-09-01 00:00:00
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
pub_type： 杂志文章
doi：10.1136/jramc-2016-000648
更新日期：2017-04-01 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
pub_type： 杂志文章
doi：10.1136/jramc-154-03-17
更新日期：2008-09-01 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
pub_type： 杂志文章
doi：10.1136/jramc-138-03-04
更新日期：1992-10-01 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
pub_type： 杂志文章
doi：10.1136/jramc-137-01-02
更新日期：1991-02-01 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
pub_type： 社论,评审
doi：10.1136/jramc-2018-000908
更新日期：2018-11-01 00:00:00
abstract：:Although much of the evidence is inconclusive, most of it is based on small patient groups it is generally supportive of early, enteral feeding of critically ill patients. It has become a standard of care in the UK and as such should be encouraged in deployed operational ITUs. ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-154-04-17
更新日期：2008-12-01 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
pub_type： 杂志文章
doi：10.1136/jramc-133-02-09
更新日期：1987-06-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2015-000530
更新日期：2017-02-01 00:00:00
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
pub_type： 杂志文章
doi：10.1136/jramc-2017-000848
更新日期：2018-05-01 00:00:00
abstract：:Belize, hosting one of the British Army's overseas training areas, provides access to challenging terrain and austere environments, which allows the delivery of training to soldiers on survival and combat within the jungle environment. A 26-year-old infanteer on exercise in Belize presented with progressive bilateral ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-2017-000811
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVES:To explore the first period of sick leave in military patients following a traumatic battle injury, and the role of primary care. To identify if and where patients perceived difficulties. METHOD:Participants were recruited from The Defence Medical Rehabilitation Centre (DMRC) Headley Court on their second a...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-2013-000055
更新日期：2014-03-01 00:00:00
abstract：:The ten-week Professionally Qualified Officers (PQO) course has been running successfully for a number of years and focuses on the values of officership, leadership and command. This article compares the principals embodied in the "Sandhurst Ethos" and the General Medical Council's "Duties of a Doctor" and examines ho...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-158-04-21
更新日期：2012-12-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2014-000378
更新日期：2015-12-01 00:00:00
abstract：:Over a 15 month period, all the scripts written by doctors in the Episkopi Garrison Medical Centre, Cyprus, were analysed. A formulary was produced by using the most popular items in that 15 month period and tested in a one month trial period. The idea was to find a practical and efficient method of producing a 'basic...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-136-03-07
更新日期：1990-10-01 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
pub_type： 社论
doi：10.1136/jramc-2016-000732
更新日期：2017-12-01 00:00:00
abstract：:The following article provides an overview of the research psychology capabilities within MOD's Defence Science Technology Laboratory (Dstl). An explanation is provided of the role of Dstl psychologists and the way they work to deliver impacting applied scientific research to address 'real world' defence and security ...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章,评审
doi：10.1136/jramc-2018-001045
更新日期：2019-04-01 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
pub_type： 杂志文章
doi：10.1136/jramc-156-01-04
更新日期：2010-03-01 00:00:00
abstract：:The 2014-2015 Ebola virus disease (EVD) epidemic in West Africa was the largest in history. The three most affected countries, Guinea, Liberia and Sierra Leone, have faced enormous challenges in controlling transmission and providing clinical care for patients with EVD. The Chinese government, in response to the reque...
journal_title：Journal of the Royal Army Medical Corps
pub_type： 杂志文章
doi：10.1136/jramc-2015-000562
更新日期：2016-06-01 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
pub_type： 杂志文章
doi：10.1136/jramc-2015-000553
更新日期：2015-12-01 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：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
