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

authors： Haldane AG

更新日期：2010-12-01 00:00:00

abstract：:For military forces, the control of infectious acute gastroenteritis constitutes an old, constant and unsolved concern. Recent epidemiological studies suggest that the common bacterial causes are being overtaken by viruses. Norviruses are the most alarming group and norovirus outbreaks in military forces are regularly...

journal_title：Journal of the Royal Army Medical Corps

authors： Delacour H,Dubrous P,Koeck JL

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：: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：:The maxillofacial injuries sustained by British troops requiring aeromedical evacuation to the United Kingdom are almost exclusively treated at The Royal Centre for Defence Medicine in Birmingham. As a result the Maxillofacial Department has collectively gained extensive experience in the management of ballistic injur...

journal_title：Journal of the Royal Army Medical Corps

authors： McVeigh K,Breeze J,Jeynes P,Martin T,Parmar S,Monaghan AM

更新日期：2010-06-01 00:00:00

abstract：:General Duty Medical Officers (GDMOs) may deploy within days of completing their Entry Officers Course thereby missing the pre-deployment training undertaken by the Regiment that they join. They can be attached to a unit that they have never worked with and it is often the first time that they have worked in isolation...

journal_title：Journal of the Royal Army Medical Corps

authors： Cooper DJ

更新日期：2010-03-01 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：: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：:It has been stated that the application of a pre-hospital tourniquet could prevent 7% of combat deaths, however their widespread use has been questioned due to the potential risk from prolonged ischaemia. We reviewed members of the UK Armed Forces who sustained severe limb-threatening injuries in Iraq and Afghanistan,...

journal_title：Journal of the Royal Army Medical Corps

authors： Clasper JC,Brown KV,Hill P

更新日期：2009-09-01 00:00:00

abstract：:Scoring systems for both trauma and intensive care patients have been widely used since the 1960's. This article will introduce several scoring systems currently in use and discuss their potential use for military ICU patients. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Nutbeam T,O'Meara M,Henning J

更新日期：2009-06-01 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

authors： Henning J,Scott T,Price S

更新日期：2008-12-01 00:00:00

abstract：:Phytophotodermatitis, otherwise known as 'Strimmer's Rash' is an unusual cause of a widespread rash. We present a case of phytophotodermatitis, which was initially misdiagnosed as chickenpox; the correct diagnosis was made after further careful history taking and illustrates the importance of taking a thorough history...

journal_title：Journal of the Royal Army Medical Corps

authors： Wild G

更新日期：2008-12-01 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

authors： Davies TJ,Nadin MN,McArthur DJ,Cox CW,Roberts P

更新日期：2008-09-01 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：: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：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：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

authors： McLeod J,Hodgetts T,Mahoney P

更新日期：2007-12-01 00:00:00

abstract：:We performed a study to assess the effectiveness of a fluid infusion strategy currently used in the military pre-hospital environment using the patient's own body weight as an infusion device. Thirteen healthy volunteers were cannulated and 0.9% sodium chloride infused over a period of ten minutes. The volumes infused...

journal_title：Journal of the Royal Army Medical Corps

authors： O'Meara M,Wood P,Thurgood A,Porter K

更新日期：2007-09-01 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：: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：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：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：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：: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：: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：BACKGROUND:During this conflict 34 Field Hospital, the sole Coalition field hospital located in Iraq, received and treated casualties with a wide range of injuries. Located very close to the front line during the period of combat hostilities, it was potentially going to deal with relatively fewer battle-injured extremi...

journal_title：Journal of the Royal Army Medical Corps

authors： Ramalingam T

更新日期：2004-09-01 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：: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：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 pe...

journal_title：Journal of the Royal Army Medical Corps

authors： Hodgetts TJ,Greasley LA

更新日期：2003-12-01 00:00:00

abstract：:Terrorism is not a new concept but our need to prepare for the effects of bioterrorism has achieved a particular urgency. The use of biological agents provides a new set of challenges to professional caregivers, emergency personnel and Governments. These agents are generally not readily identified through the senses, ...

journal_title：Journal of the Royal Army Medical Corps

authors： Alexander DA

更新日期：2003-06-01 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

authors： Shoaib A,Mehraj Q,Jepson F

更新日期：2002-09-01 00:00:00

abstract：:The pre-hospital care of patients with suspected spinal injuries involves early immobilisation of the whole spine and the institution of measures to prevent secondary injury from hypoxia, hypoperfusion or further mechanical disruption. Early ventilation and differentiation of haemorrhagic from neurogenic shock are the...

journal_title：Journal of the Royal Army Medical Corps

authors： Mackenzie R

更新日期：2002-06-01 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：:This paper describes the reconnaissance function for the siting of deployable field hospitals. It reports two levels of reconnaissance, theatre/operational and tactical. The paper describes the factors to be considered when conducting the reconnaissance and the format of the reconnaissance report. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Boreham A,Bricknell MC

更新日期：2002-03-01 00:00:00

abstract：:The British Army liberated the German concentration camp at Belsen on April 15, 1945. The thousands of inmates (estimates range from 60,000 to 78,900 inmates), mostly Jews from eastern Europe, were dying at a rate of 500-600 per day from disease, and many more were being killed by the German guards and co-workers. Dis...

journal_title：Journal of the Royal Army Medical Corps

authors： Trepman E

更新日期：2001-10-01 00:00:00

abstract：:The management of battle wounds of the colon has been safely established for many years, with primary closure of the wounds being discouraged. More recent work, involving large numbers of patients from civilian trauma centres, has challenged this. The appropriateness of these conclusions for the battle situation is di...

journal_title：Journal of the Royal Army Medical Corps

authors： MacFarlane C,Benn CA

更新日期：2001-06-01 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

authors： Bergman BP,Miller SA

更新日期：2000-10-01 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：: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：: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