Journal of the Royal Army Medical Corps This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

8 Bilateral engagement through sim training
During the current UN operation, the German team of Role 1 and the long-range reconnaissance group of the UK armed forces engaged in binational trauma simulation training. The simulation was led and designed by a team of British, consisting of two senior anaesthesiologists and one senior surgeon. The scenario was a 25-year-old unresponsive soldier with multiple gunshot wounds and a blocked airway, in a hemodynamically unstable condition. Following a structured trauma approach, the team established a surgical airway, a chest tube, a central venous line, and surgical bleeding control. Besides the classical advantages of simu...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Maj (Reserve) Dr. medic Amelie Oberst, MD Tags: Abstracts from the Mali Medical Conference Source Type: research

7 Principles of delivery of surgical care from a military facility to a local population; lessons learnt from deployed surgical care in Gao
Medical aid to the population stems from a long French tradition of caring for native populations. It has evolved through the various deployments in modern conflicts and is now based on well-defined principles. It is diplomatically important, as it allows the acceptance of the Force by the population. It is governed by military and strategic, legal but also ethical rules. The experience of the surgical assistance offered at the operational base in Gao has highlighted the limits that each surgeon has had to impose on himself to ensure the sustainability of this care. It was necessary to consider the local environment, to le...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Maj Grosset Antoine Tags: Abstracts from the Mali Medical Conference Source Type: research

6 The advantages of defence medical engagement
The Ground Manoeuvre Surgical Group was established to provide DCR/DCS support to Operation Newcombe, the UK contribution to MINUSMA, a UN stabilisation and support mission in Mali. Opportunities arose during my tour to forge closer relationships with other nations’ surgical teams to the benefit of all. The UK team delivered a trauma SIM session in the as-yet untested temporary French facility during the drawdown of OP Barkhane. Several human factors issues were identified, and procedures changed prior to the facility going live. Subsequently I was invited to attend when a UK soldier required emergency care in the Fr...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Lt Col Robert A Salaman Tags: Abstracts from the Mali Medical Conference Source Type: research

5 Diagnostic radiography and reach back capability in the remotely deployed environment; a summary from op newcombe rotation 3
Diagnostics remains to be an important and vital capability of any deployed field hospital or surgical team, particularly for teams that find themselves deployed in the most remote locations, such as Mali. The DRGo gives the British military a portable radiography solution. Completely digital, it provides an instantaneous X-ray for clinicians to review. A 6-month period between Dec 21 and Jun 22 saw 29 full X-ray examinations completed with a 50% split between those patients being referred for imaging in the firm base and those referred whilst out on patrol. With no deployed radiologists on the ground, the ability to obtai...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Sgt Jessica Bailey Tags: Abstracts from the Mali Medical Conference Source Type: research

4 The challenges of managing a COVID outbreak during a long-range desert patrol
The challenges of managing an infectious disease outbreak in a deployed military setting are well documented. During Op NEWCOMBE the outbreak of COVID in camp was predicted with Force Health Protection strategies and a medical response plan in place. Roto 3, December 2021 – June 2022, had a triple vaccinated task group, and models suggested any outbreak would be clinically and operationally insignificant. These models did not consider the specific challenges of an outbreak during a long range environmentally challenging desert patrol. The consequences of this COVID outbreak were clinically and operationally significa...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Lt Col Natasha Chatham-Zvelebil Tags: Abstracts from the Mali Medical Conference Source Type: research

3 Management of a major medical incident - a multi national challenge
Major Medical Incidents on deployed operations are increasingly likely with the utilisation of small DHC facilities with limited clinical personnel and resources. In June 2021 a Suicide Vehicle Borne IED was detonated against a DEU callsign resulting in 13 casualties. A multinational response working from the DEU Role 1+ facility was undertaken and personnel from the DEU, UK and SWE formed ‘Flash’ teams and utilised senior clinical SMEs to deliver care to all 13 patients, 9 directly from the incident and 4 after initial treatment at FRA and CHN facilities. 6 surgical cases were performed over 15 hours along wit...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Lt Col Jon Walker Tags: Abstracts from the Mali Medical Conference Source Type: research

2 Combining medical force elements into a medical group in Mali: recommendations from operation newcombe, Mali. An opinion piece
Conclusions Future deployment models should consider this force enabling approach in the planning, force generation and deployment phases for new Operations. Early identification and adoption of a Medical Group composition ensures pre-deployment risks can be identified and mitigated early, team cohesion can be generated, duplication of training and governance can be prevented whilst optimising the provision of deployed care. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Hivey, M. E., Lyne-Pirkis, M. C. Tags: Abstracts from the Mali Medical Conference Source Type: research

1 Ground manoeuvre surgical group (GMSG) development - lessons from theatre entry
In 2017, conceptual work began to develop a Role 2 Forward Surgical Capability (FSC) that could be rapidly deployable and manoeuvrable, modular and scalable, delivering Damage Control Resuscitation, Surgery and critical care patient hold. This developmental work was underpinned by lessons from other United Kingdom (UK) Role 2 light manoeuvre capabilities and exercising with a similar French capability. To standardise UK military medical descriptive nomenclature, direction was given to replace FSC with the term Ground Manoeuvre Surgical Group (GMSG). In Autumn 2019, 34 Field Hospital were tasked with delivering a GMSG the f...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Lt Col Jonathan A Round Tags: Abstracts from the Mali Medical Conference Source Type: research

Telemedicine for ultrasound diagnostics for the military doctors: an aid, not a norm
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - April 11, 2023 Category: General Medicine Authors: Cazes, N., Renard, A., Boutillier du Retail, C. Tags: Letter Source Type: research

Framework for analysing and fostering civilian-military medical relations
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - April 11, 2023 Category: General Medicine Authors: Ratnayake, A. S., Joseph, M., Worlton, T. Tags: Letter Source Type: research

Post-traumatic spinal cord tethering in a military service person
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - April 11, 2023 Category: General Medicine Authors: Mills, D. L., O'Sullivan, O., Sellon, E., Dharm-Datta, S. Tags: Images in clinical practice Source Type: research

Practical limitations of emergency donor panels as a risk mitigation in small-scale short-term training team operations
Haemostatic resuscitation with blood products has become the expected standard of care for trauma casualties. As UK Defence increases its deployment of small-scale, short-term training teams (STTTs) in Defence Engagement and influence operations, ever greater reliance is being placed on emergency donor panels (EDP) as a source of whole blood. This paper outlines the practical limitations of using EDPs as a risk mitigation in conventional STTTs which must be considered prior to every deployment. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - April 11, 2023 Category: General Medicine Authors: Grant, S. W. J., Heil, K. M. Tags: Personal view Source Type: research

Trans-Atlantic aeromedical repatriation of multiple COVID-19 patients: a hybrid military-civilian model
We describe the safe transfer of patients with COVID-19 using a combined military–civilian model. In our view, we have demonstrated that patients with COVID-19 can be aeromedically transferred while ensuring the safety of patients and crew using a hybrid military–civilian model; this report contains lessons for future aeromedical evacuation of patients with COVID-19. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - April 11, 2023 Category: General Medicine Authors: Dagens, A. B., Mckinnon, J., Simpson, R., Calvert, C., Keast, T., Hart, N., Almond, M. Tags: COVID-19 Personal view Source Type: research

Optimising aerial military medical evacuation dispatching decisions via operations research techniques
The objective of this paper is to highlight how recent research in the fields of operations research and machine learning can be leveraged to better inform the implementation and modification of current and future MEDEVAC tactics, techniques and procedures for combat operations in a deployed environment. More specifically, this paper discusses state-of-the-art techniques that optimise the management of MEDEVAC assets prior to and during combat operations. These recent research efforts emphasise that military healthcare administrators should contribute to and extend the evolving portfolio of research that seeks to design an...
Source: Journal of the Royal Army Medical Corps - April 11, 2023 Category: General Medicine Authors: Jenkins, P. R., Robbins, M. J., Lunday, B. J. Tags: Personal view Source Type: research

Preparing a deployed role 3 medical treatment facility for COVID-19 in Afghanistan
The Craig Joint Theater Hospital at Bagram Airfield is the coalition role 3 facility for the North Atlantic Treaty Organization-led Operation RESOLUTE SUPPORT in northern Afghanistan. The onset of the global COVID-19 pandemic in early 2020 presented the challenges of limiting viral transmission, disease force protection, specific protection of healthcare workers and management of patients with COVID-19, all while continuing to provide high-quality care for battlefield trauma. The estimated COVID-19 threat led to the introduction of enhanced force protection measures across the Combined Joint Operations Area-Afghanistan. Su...
Source: Journal of the Royal Army Medical Corps - April 11, 2023 Category: General Medicine Authors: Lewin, I. J. S., Krasucki, D. J., Stuart, R. P., White, B. K. Tags: COVID-19 Personal view Source Type: research