abstract：:Post-traumatic stress disorder (PTSD) is a disabling trauma and stress-related disorder that may occur after a person experiences a traumatic event, and evokes a combination of intrusion and avoidance symptoms, negative alterations in cognitions and mood, and alterations in arousal and reactivity. Accelerated resoluti...

journal_title：Journal of the Royal Army Medical Corps

authors： Finnegan A,Kip K,Hernandez D,McGhee S,Rosenzweig L,Hynes C,Thomas M

更新日期：2016-04-01 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：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：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：:Prehospital use of blood products may improve survival. However, transfusion support with frozen blood components is logistically burdensome and constrains the configuration of prehospital medical support. Alternatives to frozen plasma, including lyophilised plasma, offer the potential for advanced resuscitation in th...

journal_title：Journal of the Royal Army Medical Corps

authors： Gokhale SG,Scorer T,Doughty H

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:Detailed knowledge of the likely volume and nature of the diseases presenting to deployed secondary care facilities aids operational planning. Now the British operation in Afghanistan has ended and a record of the experience is useful to preserve the lessons learned. METHODS:Over a 2-year period from April ...

journal_title：Journal of the Royal Army Medical Corps

authors： Cox AT,Lentaigne J,White S,Burns DS,Parsons I,O'Shea M,Stacey M,Sharma S,Wilson D

更新日期：2016-02-01 00:00:00

abstract：OBJECTIVES:Backpack palsy (BPP) is a common aetiology of brachial plexopathy in military hospitals. We aimed to determine the incidence and risk factors of BPP in young Korean soldiers. METHODS:We identified enlisted patients who were diagnosed with BPP from a review of the medical records of all the Korean military h...

journal_title：Journal of the Royal Army Medical Corps

authors： Kim KE,Kim EJ

更新日期：2016-02-01 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

authors： Gill G,Butt P,Reade MC,Crozier J,Williams A,Thomas T,Flint B,Matthews G,Duff N,Brown G,Chambers A,Courtenay B,Innes D,Malley BO

更新日期：2015-12-01 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：INTRODUCTION:Haemorrhage from the injured extremity is a significant cause of preventable death in military settings. This study evaluated the effect of training on the efficacy of the combat application tourniquet (CAT) and to define standards for military personnel. METHOD:Participants from a training tank battalion...

journal_title：Journal of the Royal Army Medical Corps

authors： Unlu A,Kaya E,Guvenc I,Kaymak S,Cetinkaya RA,Lapsekili EO,Ozer MT,Guler A,Yildiz R,Petrone P,Harlak A,Kilic S

更新日期：2015-12-01 00:00:00

abstract：:Myocarditis, simply defined as inflammation of the heart muscle, is a commonly encountered cardiac disease in primary and secondary care, both in the UK and on Operational deployments. In the UK Armed Forces, myocarditis results in deaths as well as the premature termination of military careers on medical grounds. The...

journal_title：Journal of the Royal Army Medical Corps

authors： Cox AT,White S,Ayalew Y,Boos C,Haworth K,McKenna WJ

更新日期：2015-09-01 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：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：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：BACKGROUND:Venous thromboembolism (VTE) represents a significant preventable cause of hospital mortality. VTE assessment and prophylaxis rates are key patient safety and quality of care indicators. The aim of this study was to audit low molecular weight heparin (LMWH) and graduated elasticated compression stockings (GE...

journal_title：Journal of the Royal Army Medical Corps

authors： Craig DG,Adam MG,Proffitt A,Parsons I,Tai NR,d'Arcy JL

更新日期：2014-12-01 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

authors： Hagen RM,Loderstaedt U,Frickmann H

更新日期：2014-12-01 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：: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: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：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

authors： Bailey TR

更新日期：2014-03-01 00:00:00

abstract：:In most conflicts there is the potential that there will be Captured Persons (CPERS) whose medical care is the responsibility of the capturing army. The standard of this care should be to the same standard as that afforded to one's own troops. However the medical practicalities of maintaining such standards can be dif...

journal_title：Journal of the Royal Army Medical Corps

authors： Simpson RG,Wilson D,Tuck JJ

更新日期：2014-03-01 00:00:00

abstract：OBJECTIVES:The General Medical Council has stipulated that greater importance must be placed on undergraduate students developing their ability to lead and work effectively as part of a team. Wales Universities' Officer Training Corps have attempted to meet this requirement through a third year interactive tutorial whi...

journal_title：Journal of the Royal Army Medical Corps

authors： Clark J,Hall TF,O'Mahony K

更新日期：2013-12-01 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：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: 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

abstract：:In response to an Urgent Operational Requirement, the UK Ministry of Defence (MoD) investigated, designed, developed, trialled and subsequently fielded a Tiered Pelvic Protection System to service personnel deployed on Operation HERRICK in Afghanistan. An Urgent Statement of User Requirement (USUR) was drafted in orde...

journal_title：Journal of the Royal Army Medical Corps

authors： Lewis EA,Pigott MA,Randall A,Hepper AE

更新日期：2013-03-01 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

authors： Moss AS

更新日期：2012-12-01 00:00:00

abstract：OBJECTIVES:To outline the characteristics and outcomes of eye injuries in the Chinese People's Liberation Army. METHODS:A retrospective review of military inpatient eye injuries, in one military region, population 250,000 soldiers, between January 2006 and December 2010. RESULTS:There were 709 eye injury patients (75...

journal_title：Journal of the Royal Army Medical Corps

authors： Xiao J,Zhang M,Jiang C,Zhang Y,Qiu H,Chaloulias C,Suleman H

更新日期：2012-12-01 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：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 aim of military adventurous training (AT) is "to develop, through authorised challenging pursuits and within an outdoor environment, leadership and the qualities necessary to enhance the performance of military personnel during peace and war". An increasing amount of effort is being applied by all three services t...

journal_title：Journal of the Royal Army Medical Corps

authors： Mellor A,Jackson S,Hardern R

更新日期：2012-06-01 00:00:00

abstract：:Post-traumatic stress disorder (PTSD) is an important health risk factor for military personnel deployed in modern warfare. In World War I this condition (then known as shell shock or 'neurasthenia') was such a problem that 'forward psychiatry' was begun by French doctors in 1915. Some British doctors tried general an...

journal_title：Journal of the Royal Army Medical Corps

authors： McKenzie AG

更新日期：2012-03-01 00:00:00

abstract：INTRODUCTION:Definitive laparotomy (DL), with completion of all surgical tasks at first laparotomy has traditionally been the basis of surgical care of severe abdominal trauma. Damage control surgery (DCS) with a goal of physiological normalisation achieved with termination of operation before completion of anatomical ...

journal_title：Journal of the Royal Army Medical Corps

authors： Fries CA,Penn-Barwell J,Tai NR,Hodgetts TJ,Midwinter MJ,Bowley DM

更新日期：2011-12-01 00:00:00

abstract：:Damage Control Radiology describes the process where imaging aids the decision making process in a trauma setting and is an important part of Damage Control Surgery and Resuscitation. This article outlines how radiology fits in to the primary and secondary surveys and discusses the role of imaging modalities such as u...

journal_title：Journal of the Royal Army Medical Corps

authors： Gay DA,Miles RM

更新日期：2011-09-01 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

authors： Defalque RJ,Wright AJ

更新日期：2011-09-01 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：: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：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：: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：: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