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Journal of the Royal Army Medical Corps

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https://www.readbyqxmd.com/read/29982191/emergency-preparedness-ionising-radiation-incidents-and-medical-management
#1
Crawford R M Foster
Military personnel risk being exposed to ionising radiation through a variety of means, including industrial accidents with Ministry of Defence equipment, inadvertent exposure while on operations, terrorist activities and nuclear war. The aim of this review is to outline the possible acute health effects and immediate management of radiation casualties in the context of different exposure scenarios. It emphasises the most important principles for managing irradiated, and/or contaminated casualties, in the operational environment, as well as providing details of key references and other sources of reach-back support...
July 6, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29976616/lost-productivity-among-military-personnel-with-cardiovascular-disease
#2
Mahdi Gharasi-Manshadi, M Meskarpour-Amiri, P Mehdizadeh
OBJECTIVE: Cardiovascular disease (CVD) is associated with significant productivity loss among all occupational groups. However, the increased occupational requirements of military personnel pose physical and psychological demands that could lead to greater lost productivity of CVD. The aim of this study was to determine the economic cost of lost productivity of military patients with CVD. METHODS: A prospective cross-sectional study was undertaken on all military patients attending a specialist CVD clinic in Tehran, Iran...
July 4, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29976615/terroristic-sniper-shot-ocular-injuries-military-and-police-casualties-case-series
#3
Soner Guven, A H Durukan
INTRODUCTION: Sniper shot ocular injuries (SSOI) are rare and result in poor ocular outcomes due to high energy transfer both to the eye and the adjacent brain. To our knowledge, no reports of such injuries in terms of outcomes have been previously described in the literature. The aim of this case series was to describe the treatment performed and ocular outcomes of such injuries. METHODS: Five cases of terroristic SSOIs referred to Gulhane Military Medical Academy Department of Ophthalmology between 22 July 2015 and 30 January 2017 were reviewed...
July 4, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29973383/dispatches-from-the-editor-highlights-of-this-edition
#4
Johno Breeze
No abstract text is available yet for this article.
July 3, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29959178/case-reports-on-dangerous-infectious-diseases-a-review-of-patient-consent
#5
EDITORIAL
Kieran Walsh
Case reports are commonly used to describe new infectious diseases. In the past 20 years, there have been an increasing number of emerging infectious diseases that could constitute a major threat to global health security (through naturally occurring pandemics or deliberate release of infectious agents). It is vitally important that case reports related to infectious diseases are written up according to the highest possible standards and that guidelines regarding patient consent to publish are followed. So, do case reports that relate to dangerous infectious diseases follow guidance related to patient consent? To help find the answer to this question, I looked at a sample of case reports published on PubMed between 1 January 2014 and 31 December 2016...
June 29, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29950299/lessons-learnt-from-the-pietermaritzburg-experience-with-damage-control-laparotomy-for-trauma
#6
Ross D Weale, V Y Kong, J M Blodgett, J Buitendag, A Ras, G Laing, J L Bruce, W Bekker, V Manchev, D Clarke
INTRODUCTION: The modern concept of damage control surgery (DCS) for trauma was first introduced less than three decades ago. This audit aims to describe the spectrum and outcome of patients requiring DCS, to benchmark our experience against that reported from other centres and countries and to distil the pertinent teaching lessons from this experience. METHODS: All patients over the age of 15 years undergoing a laparotomy for trauma over the period from December 2012 to July 2016 were retrieved from the trauma registry of the Pietermaritzburg Metropolitan Trauma Service, South Africa...
June 27, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29950298/risk-factors-of-suicidal-ideation-in-a-population-of-uk-military-veterans-seeking-support-for-mental-health-difficulties
#7
Larissa Harden, D Murphy
BACKGROUND: Little has been reported regarding the risk factors of suicidal ideation in individuals once they have left the military in the UK. The aim of this paper was to explore the risk factors associated with suicidal ideation in a sample of treatment-seeking veterans. METHODS: Using a cross-sectional design, participants included veterans (n=144) seeking treatment from a national mental health charity in the UK. Individuals completed questionnaires regarding their military experiences, pre-enlistment factors and health...
June 27, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29941489/military-prehospital-emergency-care-defining-and-professionalising-the-levels-of-care-provided-along-the-operational-patient-care-pathway
#8
REVIEW
Danny Sharpe, J McKinlay, S Jefferys, C Wright
The Defence Medical Services aims to provide gold standard care to ill and injured personnel in the deployed environment and its prehospital emergency care (PHEC) systems have been proven to save lives. The authors have set out to demonstrate, using existing literature, consensus and doctrine that the NHS Skills for Health framework can be reflected in military prehospital care and provides an existing model for defining the levels of care our providers can offer. In addition, we have demonstrated how these levels of care support the Operational Patient Care Pathway and add to the body of evidence for the use of specialist PHEC teams to allow the right patient to be transported on the right platform, with the right medical team, to the right place...
June 25, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29934414/phantom-menace-novel-psychoactive-substances-and-the-uk-armed-forces
#9
REVIEW
Alys H Hunter, T Ayres, N Moreland, A Cox
Novel psychoactive substances (NPS) encompass a large group of synthesised compounds specifically designed to mimic traditional recreational drugs. Current UK Armed Forces compulsory drug testing does not screen for these substances, making them tempting to the small proportion of UK Armed Forces personnel who indulge in recreational drug use. The acute and chronic sequelae of NPS misuse are widely variable and associated with high morbidity. In this paper, we discuss NPS pharmacology and clinical presentation...
June 22, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29914920/supplementary-magnesium-in-traumatic-brain-injury-where-do-we-go-from-here
#10
EDITORIAL
David James Davies
No abstract text is available yet for this article.
June 18, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29903717/emergency-preparedness
#11
EDITORIAL
Chris Wright
No abstract text is available yet for this article.
June 14, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29903716/exercise-serpent-anatomy-cadaveric-trauma-simulation-training-to-improve-the-resilience-of-reservist-combat-medical-technicians
#12
Charles Timothy West, C Brassett
No abstract text is available yet for this article.
June 14, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29895608/analysis-of-cases-managed-by-the-otolaryngology-service-in-the-chinese-military-peacekeeping-level-2-medical-treatment-facility-in-mali
#13
Yongqiang Zhao, X Ma, Y Li, Q Fu
OBJECTIVES: As part of the UN peacekeeping mission in Mali, the People's Republic of China have deployed a level 2 medical treatment facility (CHN L2). The aim of this study was to review the cases managed by the otolaryngology service within this facility. METHODS: The medical records of all patients treated by the otolaryngology service at the CHN L2 from 1 March 2015 to 1 March 2018 were retrospectively assessed. RESULTS: 614/10189 (6%) of all cases seen in the hospital during this period were referred to the otolaryngology service...
June 11, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29886451/the-7th-french-airborne-forward-surgical-team-experience-of-surgical-support-to-the-population-of-a-low-income-country-a-prospective-study-on-341-patients-with-short-term-follow-up
#14
Yvain Goudard, C Butin, C Carfantan, G Pauleau, E Soucanye de Landevoisin, G Goin, D Clement, J Bordes, P Balandraud
BACKGROUND: The 7th Airborne Forward Surgical Team (FST) has deployed to Chad in 2015 and 2016, in support of French military forces. Humanitarian surgical care is known to represent a significant part of the surgical activity in such missions, but to date limited data have been published on the subject. METHODS: All surgical patients from a civilian host population treated by the FST during these missions have been prospectively included. Indications, operative outcomes and postoperative outcomes were evaluated...
June 9, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29880472/environmental-toxicology-of-blast-exposures-injury-metrics-modelling-methods-and-standards
#15
EDITORIAL
Michael J Leggieri, D Bieler, S Bjarnason, I Cernak, A Franke, E Kirkman, L Martineau, H Orru, S Ouellet, M Philippens, M G Risling, J-C Sarron, S Skriudalen, J A Teland, S Watts, R K Gupta
No abstract text is available yet for this article.
June 6, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29858400/surgical-management-of-focal-ionising-radiation-burns
#16
EDITORIAL
Cara Swain, M Khan
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.
May 31, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29804096/experience-of-the-medical-audit-form-on-op-trenton-4
#17
Kristian Houlberg, D O'Brien, J E Smith
No abstract text is available yet for this article.
May 26, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29804095/why-is-building-psychological-resilience-relevant-to-uk-service-personnel-in-order-to-improve-military-mental-health
#18
Emma Daffey-Moore
This article will aim to give an overview of stress and resilience, briefly exploring current definitions. It will try to identify why psychological resilience is relevant in the military context and suggest why the UK military could be exploring data from other countries and welfare bodies to enhance their own stress management policies in order to improve military mental health. The MOD (Ministry of Defence) understands their duty of care and has developed a clear strategic intent to tackle the increasing numbers of personnel developing mental health issues...
May 26, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29804094/from-northern-ireland-to-afghanistan-half-a-century-of-blast-injuries
#19
Ruth McGuire, A Hepper, K Harrison
INTRODUCTION: Throughout the last half century, blast injuries have been a common occurrence to UK military personnel during combat operations. This study investigates casualty data from three different military operations to determine whether survivability from blast injuries has improved over time and whether the tactics used could have influenced the injuries sustained. METHODS: Casualty data from operations in Northern Ireland, Iraq and Afghanistan were reviewed and found to contain a total of 2629 casualties injured by improvised explosive devices...
May 26, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29794172/experimental-platforms-to-study-blast-injury
#20
Thuy-Tien Nguyen, A P Pearce, D Carpanen, D Sory, G Grigoriadis, N Newell, J Clasper, A Bull, W G Proud, S D Masouros
Injuries sustained due to attacks from explosive weapons are multiple in number, complex in nature, and not well characterised. Blast may cause damage to the human body by the direct effect of overpressure, penetration by highly energised fragments, and blunt trauma by violent displacements of the body. The ability to reproduce the injuries of such insults in a well-controlled fashion is essential in order to understand fully the unique mechanism by which they occur, and design better treatment and protection strategies to alleviate the resulting poor long-term outcomes...
May 24, 2018: Journal of the Royal Army Medical Corps
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