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：: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：:This article argues that there is a duty of care held by the State to military veterans who have been technologically enhanced as part of their military service. It suggests that enhancements may be permanent, persistent or protracted and demonstrates how enhancements generate additional moral responsibilities from th...

journal_title：Journal of the Royal Army Medical Corps

authors： Henschke A

更新日期：2019-08-01 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：BACKGROUND:Having served more than 4000 personnel including the peacekeeping troops, UN police and civilian staff, the Chinese Peacekeeping Level 2 Military Hospital has accumulated 1235 inpatient medical records in 4 years. Assessment of the records stored in the CHN L2 identified that the data collected by different ...

journal_title：Journal of the Royal Army Medical Corps

authors： Sun R,Tian J,Jia Z,Zhou N,Zhou S

更新日期：2019-06-01 00:00:00

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：: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

authors： Butcher F

更新日期：2019-04-01 00:00:00

abstract：:The Defence Clinical Psychology Service (DCPS) is the professional clinical psychology service and community of clinical psychology practice within UK Ministry of Defence (MoD). The DCPS provides professional clinical care, consultation and research in support of the UK Armed Forces. Regulated by the Health and Care P...

journal_title：Journal of the Royal Army Medical Corps

authors： Norris R,McCauley M

更新日期：2019-04-01 00:00:00

abstract：:The UK military commitment to United Nations operations has led to a new challenge in identifying and developing skill sets required for humanitarian operations. The last two decades have concentrated on kinetic operations, with haemorrhage control being the main driver. The austere location and prolonged evacuation t...

journal_title：Journal of the Royal Army Medical Corps

authors： Khan M

更新日期：2019-02-20 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

authors： Parsons IT,Cox AT,Rees PSC

更新日期：2018-11-01 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

authors： Pujji O,Jeffery SLA

更新日期：2018-09-01 00:00:00

abstract：:This article introduces a practical triage tool designed to assist commanders, jungle training instructors (JTIs) and medical personnel to identify Defence Personnel (DP) with suspected exertional heat illness (EHI). The challenges of managing suspected EHI in a jungle training environment and the potential advantages...

journal_title：Journal of the Royal Army Medical Corps

authors： Smith M,Withnall R,Boulter M

更新日期：2018-08-01 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：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：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

abstract：:Venom ophthalmia is a condition that can be eyesight threatening. This article describes a case of venom ophthalmia due to the Naja pallida (red spitting cobra) and is aimed to educate readers regarding the management of an uncommon, yet important, pathology that deployed military personnel may encounter. Simple first...

journal_title：Journal of the Royal Army Medical Corps

authors： Handford C

更新日期：2018-05-01 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：:Role 2 Afloat provides a damage control resuscitation and surgery facility in support of maritime, littoral and aviation operations. Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers a rapid, effective solution to exsanguinating haemorrhage from pelvic and non-compressible torso haemorrhage. It ...

journal_title：Journal of the Royal Army Medical Corps

authors： Rees P,Waller B,Buckley AM,Doran C,Bland S,Scott T,Matthews J

更新日期：2018-05-01 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：: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

authors： Forbes KE,Foster P

更新日期：2017-12-01 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

authors： Wilkins D,Dieppe C

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:1.5-mile run time, as a surrogate measure of aerobic fitness, is associated with musculoskeletal injury (MSI) risk in military recruits. This study aimed to determine if 1.5-mile run times can predict injury risk and attrition rates from phase 1 (initial) training and determine if a link exists between phase...

journal_title：Journal of the Royal Army Medical Corps

authors： Hall LJ

更新日期：2017-12-01 00:00:00

abstract：AIM:Currently, there is no research available on the experiences of spouses providing informal care to wounded, injured or sick (WIS) UK military personnel. The aim of this study was to fill this gap by investigating the relationship experiences of non-military partners caring for WIS UK military personnel. METHODS:Sp...

journal_title：Journal of the Royal Army Medical Corps

authors： Thandi G,Oram S,Verey A,Greenberg N,Fear NT

更新日期：2017-08-01 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：BACKGROUND:Fatigue in military operations leads to safety and operational problems due to a decrease in alertness and performance. The primary method of counteracting the effects of sleep deprivation is to increase nightly sleep time, which in operational situations is not always feasible. History has taught us that su...

journal_title：Journal of the Royal Army Medical Corps

authors： Parker RS,Parker P

更新日期：2017-06-01 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：:Overuse injuries of the leg are a common problem for young soldiers. This article reviews the literature concerning the prevention and treatment of exercise related leg pain in military settings and presents the latest developments in proposed mechanisms and treatments. Current practice and treatment protocols from th...

journal_title：Journal of the Royal Army Medical Corps

authors： Zimmermann WO,Helmhout PH,Beutler A

更新日期：2017-04-01 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：: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：:Even in the middle of an epidemic of a very serious illness, outbreaks of other infectious diseases will continue. Clinicians need to be able to make rapid decisions about the nature of the outbreak and how to manage it. A balance needs to be struck between managing all patients as if they have the worst-case scenario...

journal_title：Journal of the Royal Army Medical Corps

authors： Horne S,Forbes K,Burns D,Tuck J

更新日期：2017-02-01 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

authors： van der Snoek EM,Couwenberg SM,Stijnis C,Kortbeek LM,Schadd EM

更新日期：2017-02-01 00:00:00

abstract：PURPOSE:The purpose of this study was to find out the risk value of functional fitness test (FFT) results for low back pain (LBP) among fixed-wing military pilots. METHODS:A total of 104 male military pilots were recruited for this study. The study was conducted with a self-administered questionnaire and FFT. The func...

journal_title：Journal of the Royal Army Medical Corps

authors： Honkanen T,Kyröläinen H,Avela J,Mäntysaari M

更新日期：2017-02-01 00:00:00

abstract：OBJECTIVES:This study was designed to evaluate the causative organisms in young male soldiers with clinical signs and symptoms after sexual contact that suggests a diagnosis of urethritis. METHODS:Between June 2012 and January 2015, male patients with urethritis symptoms that had resulted from sexual contact within 3 ...

journal_title：Journal of the Royal Army Medical Corps

authors： Kim HJ,Park JK,Park SC,Kim YG,Choi H,Ko JI,Kim MK,Jeong YB,Shin YS

更新日期：2017-02-01 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：INTRODUCTION:Body armour is a type of equipment worn by military personnel that aims to prevent or reduce the damage caused by ballistic projectiles to structures within the thorax and abdomen. Such injuries remain the leading cause of potentially survivable deaths on the modern battlefield. Recent developments in comp...

journal_title：Journal of the Royal Army Medical Corps

authors： Breeze J,Lewis EA,Fryer R,Hepper AE,Mahoney PF,Clasper JC

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:Traumatic cardiac arrest (TCA) in children is associated with a low probability of survival and poor neurological outcome in survivors. Since 2003, over 600 seriously injured local national children have been treated at deployed UK military medical treatment facilities during the Iraq and Afghanistan conflic...

journal_title：Journal of the Royal Army Medical Corps

authors： Hillman CM,Rickard A,Rawlins M,Smith JE

更新日期：2016-08-01 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

authors： Lu Y,Rong G,Yu SP,Sun Z,Duan X,Dong Z,Xia H,Zhan N,Jin C,Ji J,Duan H

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND AND AIM:Safe clinical care within Ebola Virus Disease Treatment Units (EVDTUs) mandate the use of personal protective equipment (PPE), comprising a fluid impermeable hooded suit, visor, gloves and rubber boots. The aim of this study was to assess the impact of this PPE on clinical personnel's performance in ...

journal_title：Journal of the Royal Army Medical Corps

authors： Maynard SL,Kao R,Craig DG

更新日期：2016-06-01 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：:This paper is a record of the UK Defence Medical Services (DMS) contribution to the UK response to the Ebola crisis in West Africa from the start of planning in July 2014 to the closure of the Ministry of Defence Ebola Virus Disease Treatment Unit at the end of June 2015. The context and wider UK government decisions ...

journal_title：Journal of the Royal Army Medical Corps

authors： Bricknell M,Hodgetts T,Beaton K,McCourt A

更新日期：2016-06-01 00:00:00