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Journal of the Royal Army Medical Corps

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https://www.readbyqxmd.com/read/28341785/commentary
#1
EDITORIAL
S Jackson, J Greeves, D A Ross
No abstract text is available yet for this article.
March 24, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28341787/potential-new-treatment-for-non-freezing-cold-injury-is-iloprost-the-way-forward
#2
Anne-Marie Ionescu, Sarah Hutchinson, Mehtab Ahmad, Christopher Imray
INTRODUCTION: Non-freezing cold injury (NFCI) remains largely under-reported, and is of particular importance in the armed forces where its prevalence is greatest. Iloprost, a synthetic prostaglandin I2 analogue, has previously been used with some success in the treatment of vasospastic and freezing cold injuries, although its role in NFCI remains unclear. CASE REPORT: An Iloprost infusion was used to treat the long-term sequelae of an ex-soldier suffering with ongoing pedal pain and loss of function 20 years after the initial NFCI insult sustained on military exercise...
March 23, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28341786/effectiveness-of-foot-fasciotomies-in-foot-and-ankle-trauma
#3
Katherine M Bedigrew, D J Stinner, J F Kragh, B K Potter, S B Shawen, J R Hsu
BACKGROUND: Foot compartment syndrome (FCS) has been reported to cause neuropathic pain, claw or hammer toes, and motor and sensory disturbances. The optimal treatment of FCS is controversial. The purpose of this study was to determine if foot fasciotomies improve patient outcomes in high-energy, combat-related lower extremity trauma. METHODS: Medical records of patients with documented FCS from May 2007 to January 2009 were retrospectively reviewed. Consecutive, matched control patients were identified based on similar hindfoot, mid-foot and/or forefoot injuries who did not undergo foot fasciotomy during the same period...
March 23, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28331047/ascension-island-a-survey-to-assess-the-presence-of-zika-virus-vectors
#4
G Bullivant, A F Martinou
BACKGROUND AND AIM: Following concerns regarding the spread of Zika virus, Joint Services Health Unit (Cyprus) were tasked to carry out a mosquito survey on the Ascension Island, South Atlantic. This was to determine if vectors of the virus such as Aedes aegypti and Aedes albopictus were introduced and established on the Island. METHODS: An extensive survey of residential areas and natural habitats was initiated in order to collect mosquito larvae and adults by methods such as larval sampling, adult trapping and human landing catches...
March 22, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28320917/predictors-of-massive-blood-transfusion-a-delphi-study-to-examine-the-views-of-experts
#5
Jacqueline V Mclennan, K C Mackway-Jones, S T Horne, R Body
BACKGROUND: Trauma patients requiring massive blood transfusion (MBT) have high morbidity and mortality: early and aggressive use of blood products during immediate resuscitation may improve survival. There is currently a lack of evidence to guide initial identification of these patients which is especially important in areas where plasma may need to be thawed. In the absence of this evidence, this study aimed to robustly evaluate expert opinion by using a Delphi process to identify predictors of massive transfusion...
March 20, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28320916/a-systematic-review-of-the-effectiveness-of-alcohol-brief-interventions-for-the-uk-military-personnel-moving-back-to-civilian-life
#6
REVIEW
Sarah Wigham, A Bauer, S Robalino, J Ferguson, A Burke, D Newbury-Birch
BACKGROUND: Higher levels of alcohol consumption have been observed in the UK armed forces compared with the general population. For some, this may increase the risk of using alcohol as a coping strategy when adjusting to multiple life events occurring when moving back into civilian life. METHOD: A systematic review was conducted to determine the effectiveness of alcohol brief interventions for military personnel during transition. Electronic databases including Medline, Central, Healthcare Management Information Consortium (HMIC) and Embase, and grey literature, were searched...
March 20, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28249956/long-term-follow-up-of-two-patients-with-retained-intraosseous-sternal-needles
#7
James M Hodgetts, A Johnston, J Kendrew
Sternal intraosseous devices are widely used in both civilian and military trauma when vascular access is difficult to establish. We discuss a rare complication of intraosseous needle insertion in two patients where the needle tip remained in the sternum after the device had been removed. Neither patient had evidence of any complication of the retained intraosseous needle tip after >6 years of follow-up.
March 1, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28213615/force-health-protection-during-the-ebola-crisis-french-experience-in-guinea
#8
LETTER
Franck Berger, G Bédubourg, A Facon, S Boyavalle, H Michel, G Velut, S Duron
No abstract text is available yet for this article.
February 17, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28213614/reproductive-dysfunction-and-associated-pathology-in-women-undergoing-military-training
#9
REVIEW
Robert M Gifford, R M Reynolds, J Greeves, R A Anderson, D R Woods
INTRODUCTION: Evidence from civilian athletes raises the question of whether reproductive dysfunction may be seen in female soldiers as a result of military training. Such reproductive dysfunction consists of impaired ovulation with or without long-term subfertility. METHODS: A critical review of pertinent evidence following an extensive literature search. RESULTS: The evidence points towards reduced energy availability as the most likely explanation for exercise-induced reproductive dysfunction...
February 17, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28209807/blast-injury-of-the-ear-by-massive-explosion-a-review-of-41-cases
#10
Stanislas Ballivet de Régloix, A Crambert, O Maurin, Q Lisan, S Marty, Y Pons
BACKGROUND: Blast injuries in modern warfare are common, and the ear is often affected as it is an effective pressure transducer. This study aimed to evaluate military blast injuries of the ear. METHODS: From May 2002 to October 2014, all patients referred to two military hospitals near Paris, France following exposure to massive explosions were analysed. RESULTS: Among the 41 patients (82 ears), 36 of them reported tinnitus, 25 hearing loss, 14 earache and 8 vertigo...
February 16, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28193748/medical-students-unique-experience-of-army-leadership-training-a-qualitative-study
#11
John Earis, J Garner, D Haddock, J Jenkins, V Jha
OBJECTIVES: To assess the interactive experience of first year medical students attending the leadership and management course hosted by a British Army Reserve Field Hospital developed in partnership with Liverpool University. METHODS: 244 students submitted a 1000-word structured reflective learning assignment about their reaction to, learning from and any behaviour and attitude changes as a result of, the training. The assignments were thematically analysed to identify how aspects of the training had impacted upon the students' understanding of leadership and teamwork...
February 13, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28193747/novel-porcine-model-of-cutaneous-myiasis-a-training-tool-for-healthcare-workers
#12
Daniel S Burns, D Fletcher, K Johnston, M S Bailey, K Campbell
Cutaneous myiasis is a well-described problem in travellers to endemic regions including military personnel. Realistic training is important to ensure that healthcare workers have the confidence and expertise to recognise cutaneous myiasis and safely remove larvae if required. A model is described here that is simple, reproducible and realistic, and will allow for training of military healthcare workers in safe surgical removal of larvae when required.
February 13, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28159844/military-anaesthesia-in-contingencies-what-skill-sets-are-required-and-how-will-we-prepare-our-trainees
#13
EDITORIAL
Simon J Mercer, C L Jones, J Round, D Parkhouse
The Defence Medical Services are now in an established period of contingency operations. In 2008, the Royal College of Anaesthetists approved a Military Anaesthesia Higher Training Module which could be easily achieved by deploying to the field hospital in Camp Bastion, Afghanistan, for two months under the supervision of a consultant anaesthetist. This opportunity no longer exists but the need to assure quality training and to demonstrate military skill sets is still essential. This article discusses the revised Military Higher Module and how it will be implemented in the future either during deployment or during times of peace...
February 3, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28148551/towards-research-combat-readiness-prepared-prospective-and-preapproved
#14
EDITORIAL
David N Naumann, N Eisenstein, D S Burns, S A Stapley
Research drives the advancement of medical knowledge during war, but planning and execution are too slow to enable early data acquisition. Future conflicts are likely to be shorter and more dispersed, requiring innovation to avoid missing out on the crucial early stages. To seize the initiative, we suggest that a collection of preapproved research studies be designed, stored and maintained within the medical command structure so that they are ready for immediate implementation at the onset of future conflicts, even during the most kinetic early phases of deployment...
February 1, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28073825/comparison-of-characteristics-and-outcomes-of-percutaneous-coronary-intervention-in-military-and-non-military-men
#15
Adel Joharimoghadam, S-M Ghoreyshi-Hefzabad, S Kheirkhah-Sabetghadam
OBJECTIVES: Living in a military environment, as a unique job and lifestyle, may affect the physical and mental status of military personnel. Coronary artery disease (CAD) status and outcomes of percutaneous coronary intervention (PCI) in military personnel as a unique part of each society are less investigated. METHOD: In a registry-based study, data of 338 military men and 1954 non-military men who underwent successful PCI from March 2012 to March 2013 were analysed...
January 10, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28062529/a-mixed-reality-simulator-concept-for-future-medical-emergency-response-team-training
#16
Robert J Stone, R Guest, P Mahoney, D Lamb, C Gibson
The UK Defence Medical Service's Pre-Hospital Emergency Care (PHEC) capability includes rapid-deployment Medical Emergency Response Teams (MERTs) comprising tri-service trauma consultants, paramedics and specialised nurses, all of whom are qualified to administer emergency care under extreme conditions to improve the survival prospects of combat casualties. The pre-deployment training of MERT personnel is designed to foster individual knowledge, skills and abilities in PHEC and in small team performance and cohesion in 'mission-specific' contexts...
January 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28062528/can-a-projectile-based-riot-control-method-ever-be-truly-non-lethal
#17
EDITORIAL
Shabir A Dhar, T A Dar
No abstract text is available yet for this article.
January 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28062527/lessons-from-the-organisation-of-the-uk-medical-services-deployed-in-support-of-operation-telic-iraq-and-operation-herrick-afghanistan
#18
Martin C M Bricknell, M Nadin
This paper provides the definitive record of the UK Defence Medical Services (DMS) lessons from the organisation of medical services in support of Operation (Op) TELIC (Iraq) and Op HERRICK (Afghanistan). The analysis involved a detailed review of the published academic literature, internal post-operational tour reports and post-tour interviews. The list of lessons was reviewed through three Military Judgement Panel cycles producing the single synthesis 'the golden thread' and eight 'silver bullets' as themes to institutionalise the learning to deliver the golden thread...
January 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28132022/highlights-of-this-edition
#19
EDITORIAL
Johno Breeze, J Garner
No abstract text is available yet for this article.
February 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27909068/use-of-multiplex-pcr-to-rapidly-diagnose-febrile-patients-during-a-gastroenteritis-outbreak-among-ebola-virus-treatment-unit-workers
#20
Tom O Evans, T Fominyam, S W Matthews, M S Bailey, E J Hutley
Multiplex PCR can provide rapid diagnosis for patients presenting with an acute undifferentiated febrile illness. Such technology is useful in deployed settings, where access to conventional microbiological diagnosis is limited. It was used in Sierra Leone to guide management of febrile healthcare workers, in whom Ebola virus disease was a possible cause. In particular, it informed appropriate antibiotic treatment while minimising the risk to clinicians of exposure to the causative organism.
February 2017: Journal of the Royal Army Medical Corps
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