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.

Skill decay in surgeons deployed on military operations: a systematic review
Conclusions This systematic review of the literature found very little specific evidence confirming or refuting surgical skill decay in trained surgeons, with measurement of decay hampered by the lack of an accepted methodology. Studying this in the deployed setting may offer a firmer evidence base from which to generate policy. Potential mitigation strategies are discussed. PROSPERO registration number ID260846. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Stansfield, T., Tai, N. Tags: Systematic review Source Type: research

Defining capabilities in deployed UK military prehospital emergency care
The UK military prehospital emergency care (PHEC) operational clinical capability framework must be updated in order that it retains its use as a valid operational planning tool. Specific requirements include accurately defining the PHEC levels and the ‘Medical Emergency Response Team’ (MERT), while reinforcing PHEC as a specialist area of clinical practice that requires an assured set of competencies at all levels and mandatory clinical currency for vocational providers. A military PHEC review panel was convened by the Defence Consultant Advisor (DCA) for PHEC. Each PHEC level was reviewed and all issues which...
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Thompson, M., Jefferson, O., James, T., Waller, B., Reed, R., Slade, H., Swift, K., Pynn, H. J. Tags: Personal view Source Type: research

Lessons from the use of telemedicine in the austere military environment and the implications for deployed surgical teams
This article will outline the current use of RTCS, with emphasis on deployed surgical teams in austere environments, and discuss the advantages and limitations of this capability. However, it must be emphasised that no technology can be a substitute for clinical training and experience. Although several limitations remain, the authors believe that RTCS offers potential benefits for the DMS and could be an important tool aiding deployed clinicians. It can also be argued that by engaging with the concept now, the DMS can shape future developments in this sphere. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: McKnight, G., O'Reilly, D., Guthrie, H., Aye Maung, N., Bull, J., Bartels, O., Baxter, D. Tags: Personal view Source Type: research

Bringing damage control surgery simulation to life: developing a novel surgical anatomy model within immersive military trauma surgery simulation
Haemorrhage from junctional injuries remains the most common cause of battlefield death. Changes to surgical training have meant acquiring and maintaining trauma surgical skills is becoming more difficult for military surgeons. The multidisciplinary Military Operational Specialist Team Training (MOSTT) course is designed to bridge the gap between civilian practice and the deployed environment, as part of predeployment trauma training. It involves immersive team simulation and uses cadaveric dissection for surgical skills practice. A novel surgical anatomy model, featuring junctional haemorrhage surgical task trainers of th...
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Swain, C. S., Cohen, H. M. L., Stannard, A., Faulconer, E. R., Pallister, I. Tags: Personal view Source Type: research

Medical correlates of first-term attrition in US Navy personnel
Conclusions This study provides evidence that FTA is associated with both mental and physical health conditions. Mental and physical factors related to FTA require further examination, particularly whether pre-enlistment screening or early career intervention could lead to mitigation strategies. Future research should extend this analysis to other services and population subgroups. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Elkins, T. A., MacGregor, A., Dougherty, A., Olson, A. Tags: Original research Source Type: research

Return to flying duties of German military pilots after recovery from COVID-19
Conclusion Due to their demanding working environment, pilots, and other high-hazard employees, should undergo medical evaluation prior to return to their duties to exclude ongoing symptoms and the development of post-acute COVID-19 or post-COVID-19 syndrome. The scope of examinations may depend on the severity of the disease, comorbidities, the vaccination status, the predominant SARS-CoV-2 variant and the type of aircraft flown. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Adam, T., Sammito, S., Nicol, E., Guettler, N. J. Tags: COVID-19 Original research Source Type: research

Occult tension pneumothorax discovered following imaging for adult trauma patients in the modern major trauma system: a multicentre observational study
Conclusion Radiological imaging may be appropriate for selected trauma patients at risk of tension pneumothorax if they are considered haemodynamically stable. Trauma patients may be physiologically stable enough for radiological imaging but have occult tension pneumothorax because they did not have the typical clinical presentation. The historical dogma of the ‘forbidden scan’ no longer applies to such patients. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Naumann, D. N., Sellon, E., Mitchinson, S., Tucker, H., Marsden, M. E. R., Norris-Cervetto, E., Bafitis, V., Smith, T., Bradley, R., Alzarrad, A., Naeem, S., Smith, G., Dillane, S., Humphrys-Eveleigh, A., Wordsworth, M., Sanchez-Thompson, N., Bootland, D. Tags: Original research Source Type: research

Acquisition and retention of military surgical competencies: a survey of surgeons experiences in the UK Defence Medical Services
Conclusions There was a feeling among a sample of UK DMS consultants and trainees that better preparedness is required for them to deploy confidently as a surgeon for combat casualties. The responses suggest that UK DMS surgical training requires urgent attention if current surgeons are to be ready for their role on deployed operations. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Cant, M. R., Naumann, D. N., Swain, C., Mountain, A. J., Baden, J., Bowley, D. M. Tags: Original research Source Type: research

Are British soldiers adequately prepared to make safe sexual health decisions when deployed to areas with high HIV prevalence?
Conclusions This study highlights that soldiers deploying on exercise in BATUK are inadequately prepared to make safe sexual health decisions. This raises the need for further research to understand soldiers’ understanding of high-risk sexual behaviours. This will inform the revised content of the sexual health brief required to improve the sexual health of soldiers and units deployed to BATUK, improve operational effectiveness, improve the reputation of the British Army and reduce the likelihood of sexually transmitted diseases being spread. Further research should also consider factors such as peer pressure and &ls...
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Paveley, M. Tags: Original research Source Type: research

Eight-year retrospective study investigating tooth survival after primary non-surgical root canal treatment in a UK military cohort
Conclusions Within the limitations of this study, the presence of preoperative pain; teeth with less than two proximal contacts or with cores involving more than two tooth surfaces; and occurrence of postoperative UDA were found to significantly increase the hazard of tooth loss. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Smith, R. B., Bryce, G. E., Ng, Y., Gulabivala, K., Dermont, M. A. Tags: Original research Source Type: research

Introducing a new method to record injuries during military training: a prospective study among 296 young Norwegian conscripts
Conclusion The OSTRC-H2 is suitable for use in a military setting and records substantially more injuries than the standard medical record. The prevalence of injuries among conscripts is high and comparable with many elite sports. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Bjorneboe, J., Heen, A., Borud, E., Bahr, R., Clarsen, B., Norheim, A.-J. Tags: Original research Source Type: research

Combat injury is associated with adverse mental health outcomes among deployed personnel, but not for amputees: is there a hierarchy of wounding?
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Minshall, D. Tags: Editorial Source Type: research

Non-combatant status of military medicine and contemporary warfare: old issues or new problems?
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Bricknell, M., Lin, C. Y., Bailey, Z. Tags: Editorial Source Type: research

Childhood trauma: a major risk factor in the military recruitment of young people
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 20, 2024 Category: General Medicine Authors: Campbell, K. A. Tags: Editorial Source Type: research

Smoking cessation in the Greek Air Force: associations with shift work and flight status
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Kalkanis, A., Diamantidou, V., Papadopoulos, D., Eleftheriou, M., Testelmans, D., Buyse, B. Tags: Letter Source Type: research