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Journal of the Royal Naval Medical Service

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https://www.readbyqxmd.com/read/26867427/the-eighth-charles-bernard-lecture
#1
J Tanzer
No abstract text is available yet for this article.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867426/obituaries-surgeon-commander-herbert-ellis
#2
(no author information available yet)
No abstract text is available yet for this article.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867425/report-from-association-of-surgeons-in-training-conference
#3
C Swain
No abstract text is available yet for this article.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867424/military-health-systems-research-symposium-2015
#4
J Penn-Barwell
No abstract text is available yet for this article.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867423/a-brown-dog-tick-rhipicephalus-sanguineus-bite-at-sea
#5
E Stachow
Medical Officers (MOs) and Medical Branch Ratings (MBRs) must maintain an awareness of the risk of vector-borne diseases among deployed personnel. Personnel working in the maritime environment may not expect to be at risk of tick bites, as ticks typically occupy habitats with dense vegetation such as forests or scrub land. However, tick-borne pathogens can cause serious and sometimes fatal disease, and therefore the risk of tick bites and associated diseases should be recognised. We present a case of a tick bite in a member of a ship's company eight days after leaving port...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867422/recent-changes-in-hypoxia-training-at-the-royal-air-force-centre-of-aviation-medicine
#6
A Wrigley
Hypoxia training at the Royal Air Force Centre of Aviation Medicine (RAF CAM) has traditionally involved the use of a hypobaric chamber to induce hypoxia. While giving the student experience of both hypoxia and decompression, hypobaric chamber training is not without risks such as decompression sickness and barotrauma. This article describes the new system for hypoxia training known as Scenario-Based Hypoxia Training (SBHT), which involves the subject sitting in an aircraft simulator and wearing a mask linked by hose to a Reduced Oxygen Breathing Device (ROBD)...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867421/lower-limb-stress-fractures-in-military-training
#7
REVIEW
A M Wood, A Porter
This article describes stress fractures that are seen in military training, and reviews the relevant literature. The information is vital for medical personnel who work with the United Kingdom (UK) Armed Forces, particularly those working in training establishments. The author suggests areas for further research and discusses some of the issues in current UK Armed Forces training.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867420/abdominal-hernias-a-clinical-review-of-their-assessment-and-management-in-the-naval-service
#8
REVIEW
S Roy, M Khan
Hernias are a relatively common occurrence in the armed forces community and may affect an individual's fitness for duty and impact on operational capability, particularly in specialist occupations. Their early identification and management will allow appropriate treatment and minimise any impact on operational capability. This article aims to summarise the assessment and management of simple hernias and considers occupational considerations in their management for personnel serving in the Royal Navy and Royal Marines...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867419/the-management-of-acute-seizures-in-naval-service-personnel
#9
M McLellan, D A Freshwater
Seizures are a relatively common Emergency Department (ED) presentation among young adult populations, considered for the purpose of this report as being aged 15-59. Due to the varied aetiologies involved, understanding of the potential causes and their presentation is key to managing these patients. Although seizure incidence within the United Kingdom (UK) Armed Forces population is generally low, it is not negligible. Therefore, awareness of the initial management is required by all those involved in patient care from the Medical Assistant (MA) at the Role 1 facility, through to the senior doctors at Role 3 establishments...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867418/the-management-of-unexplained-collapse-in-service-age-personnel
#10
A S Martin, I A Edgar, Jon Walker
Unexplained collapse is a common presentation to medical practitioners, with a wide range of differential diagnoses making assessment problematic. Without a methodical approach to the patient presenting with unexplained collapse, potentially life-threatening conditions may not be recognised, whilst benign presentations can be over-investigated. This article will review the assessment, differential diagnosis and management of unexplained collapse, whilst considering the impact in the military environment.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867417/what-do-we-need-for-airway-management-of-adult-casualties-on-the-primary-casualty-receiving-facility-a-review-of-airway-management-on-role-3-afloat
#11
REVIEW
S Mercer, J Read, S Sudheer, J E Risdall, D Connor
The Primary Casualty Receiving Facility (PCRF) of the Royal Navy (RN) is currently based on Royal Fleet Auxiliary (RFA) ARGUS and provides a functioning hospital with surgical teams and a CT scanner (Role 3) within the maritime environment. The case mix could include complex trauma, critically ill patients returning to theatre several times, as well as non-battle injury procedures. This paper describes how we have used national guidelines, evidence from recent military experience, and the Clinical Guidelines for Operations (CGOs) to review and rationalise the airway equipment that is available and that would be required for the PCRF in its current configuration, whilst maintaining capability in a deployed setting...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867416/a-systematic-review-of-the-use-of-tourniquets-and-topical-haemostatic-agents-in-conflicts-in-afghanistan-and-iraq
#12
REVIEW
A C Mawhinney, S J Kirk
INTRODUCTION: The recent conflicts in Afghanistan and Iraq have seen increased use of tourniquets and topical haemostatic agents in the management of battlefield trauma. The aim of this paper is to review the available evidence for their efficacy and continued use. METHODS: A systematic review of the medical literature published as a consequence of conflicts in Iraq in Afghanistan was conducted to determine the clinical outcomes from the use of tourniquets and haemostatic agents for haemorrhage control in limb extremity injury...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867415/lessons-learned-while-undertaking-high-altitude-medical-research-in-the-himalayas
#13
J Mackey, A Mellor
Undertaking medical research during military adventurous training expeditions presents a unique set of challenges to medical personnel, and for those considering doing so in the future the task may seem daunting. This article details some of the challenges faced whilst undertaking high altitude research on a recent Defence Medical Services (DMS) adventurous training expedition to the Dhaulagiri circuit in Nepal. By discussing what led to some of the problems encountered, how they were overcome, and in some instances how they could have been avoided in the first place, it is hoped that the article will act as a guide for others who plan on undertaking future research in a similar environment...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867414/exercise-himalayan-serpent-feedback-article
#14
K France, A Mellor
Exercise HIMALAYAN SERPENT was open to junior doctors from the United Kingdom (UK) Armed Forces and aimed to educate potential expedition doctors on aspects of high altitude and wilderness medicine as well as conducting adventurous training (AT) and medical research. This was the first time such an exercise had been undertaken and this article explores the views of those junior doctors taking part to assess whether the exercise met the aims and objectives it set out.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867413/medical-reconnaissance-for-the-defence-medical-services-dhaulagiri-expedition-2016
#15
J Winchester, B Coombs
The formation of a clear and well-informed medical plan is critical to the safe planning and execution of any expedition in remote locations. We performed a reconnaissance of medical facilities in Nepal in March 2015 prior to a large Defence Medical Services (DMS) expedition to the Dhaulagiri area in 2016. Visiting relevant medical facilities in person provides invaluable information and experience of what healthcare services may be relied upon in managing an expedition casualty, in scenarios ranging from minor illness to major trauma...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867412/a-practical-guide-to-expedition-medical-planning
#16
D Wilkins, C Handford, A Nicol
Expedition medical planning is integral in ensuring participant safety and maximising the likelihood of achieving the expedition aims. The task of producing a medical plan will often fall to a medical officer of limited experience. The aim of this article is to provide a concise, practical guide to aid junior medical officers (MOs) in forming a robust and pragmatic medical plan.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867411/nurse-delivered-focused-echocardiography-to-determine-intravascular-volume-status-in-a-deployed-maritime-critical-care-unit
#17
S Hutchings, L Bisset, L Cantillon, P Keating-Brown, S Jeffreys, C Muzvidziwa, E Richmond, P Rees
Focused echocardiography is increasingly used by clinicians to guide fluid resuscitation. The UK Defence Medical Services (DMS) have adopted focused echocardiography as a tool to guide flow assessment and resuscitation in deployed critical care. We aimed to explore whether two focused echo techniques, namely Inferior Vena Cava (IVC) and Left Ventricular Outflow Tract Velocity Time integer (LVOT VTi) respiratory variability could be taught to a group of critical care nurses without previous exposure to ultrasound imaging...
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867410/from-raf-to-rn-the-transition-from-princess-mary-s-raf-nursing-service-pmrafns-to-queen-alexandra-s-royal-naval-nursing-service-qarnns
#18
S K Masawi
I transferred from the Royal Air Force to the Royal Navy (RN) on 10 July 2014. I would like to share my experiences as a junior RN Officer during Op GRITROCK, looking at some of the similarities and differences between the two Services and their deployed environments: maritime and air.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867409/medical-supply-on-contingency-military-operations-experience-from-operation-gritrock
#19
J P Robinson, P Reeves
Medical supply during military operations has the ability to affect the efficacy of the operation being undertaken, either negatively or positively. An appropriately-managed maritime platform with a robust medical supply chain during transit and on arrival in theatre is the main aim. A secure supply chain will reduce any implications that logistics may have with regard to capability, and negate the effects of deficiencies of short shelf life items occurring over time and during use in high tempo operations.
2015: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/26867408/platelet-apheresis-in-a-deployed-maritime-environment-experiences-from-operation-gritrock
#20
M A Robinson, Mark J Bailey
When the Primary Casualty Receiving Facility (PCRF) on Royal Fleet Auxiliary (RFA) ARGUS deployed to Operation GRITROCK in October 2014, platelet apheresis had yet to be proven as a sustainable and usable capability for improving provision of blood products on a maritime platform. This paper explores the difficulties encountered by nurses tasked with setting up this capability once deployed and the requirements needed to ensure that this capability is maintained for future operations.
2015: Journal of the Royal Naval Medical Service
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