Primary closure of battle wounds of the colon: is it an option for the military surgeon?

abstract：:During the conflicts in Afghanistan and Iraq, many UK military personnel were killed or injured by improvised explosive devices (IEDs). Insurgents sought to develop new ways of concealing and detonating IEDs, and UK forces invested significantly in finding increasingly effective methods of detecting and avoiding them....

journal_title：Journal of the Royal Army Medical Corps

authors： Cornes KR,Boardman M,Ford C,Smith S

更新日期：2019-04-01 00:00:00

abstract：INTRODUCTION:Injury Severity Score (ISS) and GCS can be retrospective markers of injury severity, but if used by clinicians to decide on the treatment of acutely brain-injured casualties at the point of injury may potentially limit interventions on people who may ultimately survive with good functional outcomes. METHO...

journal_title：Journal of the Royal Army Medical Corps

authors： Bahadur S,McGilloway E,Etherington J

更新日期：2016-04-01 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：: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：: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：: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

authors： Bennett JD

更新日期：1989-06-01 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：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：INTRODUCTION:Infectious diseases are a frequent cause of morbidity among British troops. The aim of this paper is to describe the spectrum of infectious diseases seen when UK service personnel are evacuated for definitive care to the Role 4 Medical Treatment Facility based at Birmingham Heartlands Hospital. METHOD:A r...

journal_title：Journal of the Royal Army Medical Corps

authors： Burns DS,Riley MR,Mason A,Bailey MS

更新日期：2018-05-01 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 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：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：:The Triservice Anaesthetic Apparatus was designed around 30 years ago as a robust and highly portable anaesthesia delivery system for medical support to airborne operations and it has been the core anaesthesia system for the Defence Medical Services since then. Over this period there have been a number of equipment ch...

journal_title：Journal of the Royal Army Medical Corps

authors： Frazer RS,Birt DJ

更新日期：2010-12-01 00:00:00

abstract：:We describe a novel technique to allow use of small pins in medium pin size clamps. Slipping a second 3 mm pin into the same clamp hole as the first allows the 5 mm clamp to bite securely on a 3 mm pin. This enables construction of an external fixator frame utilising 3 mm and 5 mm pins, as required to span the elbow, ...

journal_title：Journal of the Royal Army Medical Corps

authors： Rodger MP,Standley D,Kazel M

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:Common Variable Immunodeficiency (CVID) is the commonest form of severe antibody deficiency. It is characterized by reduced levels of IgG (<400 mg/dL) and low IgA and/or IgM levels, recurrent bacterial infections, impaired antibody responses despite the presence of B Cells and normal or near normal T immunit...

journal_title：Journal of the Royal Army Medical Corps

authors： Lamb L,Richards P,Edgar JD

更新日期：2008-03-01 00:00:00

abstract：OBJECTIVE:The Royal Army Medical Corps (RAMC) has justly regarded its relief of the appalling conditions found in the liberated Nazi concentration camp at Bergen-Belsen in April 1945 as one of its more glorious achievements. This view has, in the last decade, come under attack from historians who have, inter alia, crit...

journal_title：Journal of the Royal Army Medical Corps

authors： MacAuslan R

更新日期：2016-02-01 00:00:00

abstract：INTRODUCTION:Academic papers are an essential manner for describing new ideas and consolidating existing concepts in the field of military medicine. The academic impact of military medical publications reflects the extent and depth of recognition, acceptance and utilisation of the concepts transmitted in these publicat...

journal_title：Journal of the Royal Army Medical Corps

authors： Li X,Hao JY

更新日期：2018-07-01 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：: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 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

authors： Moss AS

更新日期：2012-12-01 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：: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：BACKGROUND:The UK military was continuously engaged in armed conflict in Iraq and Afghanistan between 2003 and 2014, resulting in 629 UK fatalities. Traumatic cardiac arrest (TCA) is a precursor to traumatic death, but data on military outcomes are limited. In order to better inform military treatment protocols, the ai...

journal_title：Journal of the Royal Army Medical Corps

authors： Barnard EBG,Hunt PAF,Lewis PEH,Smith JE

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Currently, the open abdomen technique is the widely recognised method for treatment of life-threatening trauma, intra-abdominal sepsis, abdominal compartment syndrome and wound dehiscence. The techniques for temporary closure using negative pressure have gained increasing popularity. Although negative pressu...

journal_title：Journal of the Royal Army Medical Corps

authors： Mutafchiyski VM,Popivanov GI,Kjossev KT,Chipeva S

更新日期：2016-02-01 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：:By virtue of the Battalion I serve with, I was the first Task Force Doctor on to the Falklands. On Friday the 21st May, 2 Para made an assault beach landing, thankfully unopposed, on San Carlos beach, the RAP was with them. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Hughes SJ

更新日期：2007-01-01 00:00:00

abstract：:This paper reviews changes in the ethical challenges that have arisen in military medicine over the past four decades. This includes the degree, if any, to which providers during the Vietnam conflict have carried out what we now refer to as harsh interrogation measures in an attempt to extract information from capture...

journal_title：Journal of the Royal Army Medical Corps

authors： Howe E

更新日期：2019-08-01 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

authors： Pollard CA,Burns DS,Ho B,Johnston AM

更新日期：2018-05-01 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：INTRODUCTION:In 2015, the Australian Army commissioned a systematic review to assess the evidence on effectiveness and safety of pharmacological and biotechnological products for cognitive enhancement specifically in Army personnel. METHODS:Searches for studies examining biotechnological and pharmacological products i...

journal_title：Journal of the Royal Army Medical Corps

authors： Ko H,Hunter KE,Scott AM,Ayson M,Willson ML

更新日期：2018-07-01 00:00:00