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.

Beyond A to E: addressing the unfamiliar issues arising in the acute and immediate phase post-catastrophe
During a time in which there is increased focus on level 5 and 6 prehospital emergency care provision and utilisation in the deployed military space, it is important to consider the range of care that more junior medical practitioners may be exposed to. The initial response to a catastrophe at a level pertaining to General Duties Medical Officers or similar forward-deployed tri-service personnel comprises acute care and triage skills, which are widely taught through prehospital courses and Foundation training. However, beyond that, the necessary workload becomes less clear. To provide comprehensive care in-theatre, there i...
Source: Journal of the Royal Army Medical Corps - November 22, 2022 Category: General Medicine Authors: Reckless, A., McPhail, S., Lillington, C., Kingsley-Smith, B. Tags: Invited review Source Type: research

CBRNE3 medicine in the austere environment: the challenges
Chemical, Biological, Radiological, Nuclear and Explosive/Environmental/Endemic Disease (CBRNE3) incidents encompass a wide spectrum of events from natural events/disasters to industrial accidents through to deliberate military release and nuclear war. The UK military operates globally and in environments that are often austere. The very nature of these environments means that CBRNE3 incidents are a very real risk, and a CBRNE3 incident in a well-developed society could ultimately create an austere environment. Responding to such an event in an austere environment poses challenges. The very nature of the environment may be...
Source: Journal of the Royal Army Medical Corps - November 22, 2022 Category: General Medicine Authors: Smith, M., Weir, A. Tags: Invited review Source Type: research

Protecting the health of responders: Team Health
The rise in humanitarian disasters has led to more volunteers responding to deploy with humanitarian organisations. Those organisations that use these volunteers have a responsibility for the health of these teams of workers. This personal view outlines the three phases of ‘Team Health’—prepare, sustain and recover. This is a paper commissioned as a part of the Humanitarian and Disaster Relief Operations special issue of BMJ Military Health. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2022 Category: General Medicine Authors: Ross, D. Tags: Personal view Source Type: research

Comparison between Defence Healthcare Engagement and humanitarian assistance
Humanitarian assistance and Defence Healthcare Engagement have traditionally both been taught on the Medical Humanitarian Stabilisation Operations Course. However, the two activities are distinct. This paper outlines the critical differences between them, focusing on their specific purposes, scope, timescales and ethics. Humanitarian assistance will remain a distinct activity with a focus on the relief of suffering, guided by international norms, while Defence Healthcare Engagement will encompass a broader range of activities, less constrained by internationally agreed principles. This presents an opportunity for the Defen...
Source: Journal of the Royal Army Medical Corps - November 22, 2022 Category: General Medicine Authors: Falconer Hall, T., Horne, S., Ross, D. Tags: Open access Personal view Source Type: research

Understanding medical civil-military relationships within the humanitarian-development-peace 'triple nexus: a typology to enable effective discourse
The interface between humanitarianism, development and peacebuilding is increasingly congested. Western foreign policies have shifted towards pro-active stabilisation agendae and so Civil-Military Relationships (CMRel) will inevitably be more frequent. Debate is hampered by lack of a common language or clear, mutually understood operational contexts to define such relationships. Often it may be easier to simply assume that military co-operation attempts are solely to ‘win hearts and minds’, rather than attempt to navigate the morass of different acronyms. In healthcare, such relationships are common and more co...
Source: Journal of the Royal Army Medical Corps - November 22, 2022 Category: General Medicine Authors: Horne, S., Boland, S. Tags: Original research Source Type: research

Why humanitarian standards have implications for military support to civilians on operations
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2022 Category: General Medicine Authors: Horne, S., Court, M. Tags: Editorial Source Type: research

Foreword to the Humanitarian and Disaster Relief Operations special issue of BMJ Military Health
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2022 Category: General Medicine Authors: Ross, D. Tags: Editorial Source Type: research

Preface to special issue of BMJ Military Health on humanitarian and disaster relief operations
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2022 Category: General Medicine Authors: Sandhu, A., Breeze, J. Tags: Highlights from this issue Source Type: research

Preperitoneal pelvic packing in severe pelvic ring injuries: a French military perspective
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - September 26, 2022 Category: General Medicine Authors: Hardy, J., Chiron, P., Long Depaquit, T., Coisy, M., Monchal, T., Bourgouin, S., Cardinale, M., Aoun, O., Savoie, P.-H. Tags: Letter Source Type: research

Torso body armour coverage defined according to feasibility of haemorrhage control within the prehospital environment: a new paradigm for combat trauma protection
Developments in military personal armour have aimed to achieve a balance between anatomical coverage, protection and mobility. When death is likely to occur within 60 min of injury to anatomical structures without damage control surgery, then these anatomical structures are defined as ‘essential’. However, the medical terminology used to describe coverage is challenging to convey in a Systems Requirements Document (SRD) for acquisition of new armour and to ultimately translate to the correct sizing and fitting of personal armour. Many of those with Ministry of Defence responsible for the procurement of personal...
Source: Journal of the Royal Army Medical Corps - September 26, 2022 Category: General Medicine Authors: Breeze, J., Bowley, D. M., Naumann, D. N., Marsden, M. E. R., Fryer, R. N., Keene, D., Ramasamy, A., Lewis, E. A. Tags: Personal view Source Type: research

Comparing the medical coverage provided by four contemporary military combat helmets against penetrating traumatic brain injury
Conclusions Both the VIRTUS and ACH helmets provide excellent overall coverage of the brain and brainstem against ballistic threats. Coverage of both would be improved at the rear by using a nape protector and the front using a visor. This is demonstrated with the analysis of the addition of the nape protector in the VIRTUS system. High-cut helmets provide significantly reduced coverage from the side of the head, as the communication devices they are worn with are not designed to provide protection from ballistic threats. Unless absolutely necessary, it is therefore recommended that high-cut helmets be worn only by those u...
Source: Journal of the Royal Army Medical Corps - September 26, 2022 Category: General Medicine Authors: Breeze, J., Fryer, R. N., Russell, J. Tags: Editor''s choice Original research Source Type: research

Characterisation of retained energised fragments from explosive devices in military personnel
Conclusions Predicting the mass of metallic fragments from CT was possible with an error margin of up to 5%, but was less accurate for non-metallic fragments such as stone. Only 3% of fragments were removed through debridement or purposeful excision; these were not just the largest or most superficial. This suggests that future retrospective analysis of the dimensions and predicted masses of retained fragments in larger casualty cohorts of service personnel is potentially feasible within a small margin of error. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - September 26, 2022 Category: General Medicine Authors: Breeze, J., Steel, C. J., Streit, A., Sarber, K. M. Tags: Original research Source Type: research

Estimating the proportion of overweight soldiers in the Australian Army by combat uniform waist size
Conclusions The Australian Army, like many western armies, has a significant proportion of overweight personnel. This can negatively affect operational capability, health and future healthcare costs both within the military and to society after military service has concluded. This is the first study to use a uniform waist size as a proxy to estimate overweight and obesity. This technique has application for the military, emergency services or any other organisation in which uniforms are provided. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - September 26, 2022 Category: General Medicine Authors: Selman, J., Zevenbergen, M., Wing, G. Tags: Original research Source Type: research

Diagnosis of Stress fractures in military trainees: a large-scale cohort
Conclusion The high percentage of negative radiographs may indicate towards alternative causes for symptoms. Performing the radiograph before or after 21 days did not affect workup results diverting from current belief that later radiographs will be more sensitive. Multiple stress fractures are a common finding, indicating that the increased training load puts the whole musculoskeletal system at increased risk for injury. Research results may necessitate a revision of clinical guidelines for the diagnosis of stress fractures in military trainees. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - September 26, 2022 Category: General Medicine Authors: Shapiro, M., Zubkov, K., Landau, R. Tags: Original research Source Type: research

Illicit drug use and self-reported vision loss among military service members or veterans
Conclusions This study indicates that self-reported vision loss among SMVs is more prevalent than among civilians, and vision loss in SMVs is associated with severe or prolonged illicit drug use. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - September 26, 2022 Category: General Medicine Authors: McDaniel, J. T., Jenkins, W. D., Albright, D. L., Null, D., McIntosh, S., McDaniel, M. R. Tags: Press releases Original research Source Type: research