Aesthetics and identity: can tattoos help the prehospital clinician?
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Kyle, E., Naumann, D. N., Bowley, D. M. Tags: Letter Source Type: research

Vaccine efficacy against the SARS-CoV-2 Delta variant during a COVID-19 outbreak aboard a military ship
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Maugey, N., Lefebvre, T., Tournier, J.-N., Neulat-Ripoll, F., Chapus, C., Grandperret, V., Raynaud, F., Letois, F., Dutasta, F., Janvier, F., Wolf, A., de Laval, F. Tags: COVID-19 Letter Source Type: research

Military exposure and kidney stones among US adults: findings from 2007-2018 NHANES
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Wang, Y., Ni, J., Mao, W., Zhang, H., Yin, L., Zhang, T., Wang, K., Chen, S., Chen, M. Tags: Letter Source Type: research

Liberty ship sinking disrupts military medical mobilisation in 1942
Medical mobilisation is vital to support tropical campaigns where many disease casualties are expected. Much of the medical supplies and equipment for nine station and three general hospitals that were being placed in Australia were aboard the Liberty Ship SS Rufus King when it went aground off Moreton Island on 7 July 1942. A concerted salvage operation rescued 85% of the stores from the freighter that had broken in half on the Amity sandbar. This emergency effort allowed medical support to New Guinea to proceed without delays due to medical supplies that were nearly lost at sea. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Shanks, G. D. Tags: Footnotes and end pieces Source Type: research

The cholera outbreak during the Balkan Wars in Greece and the anticholeric vaccine as a force multiplier of the Greek army
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Diamantis, A., Velisariou, I., Magiorkinis, E. Tags: Footnotes and end pieces Source Type: research

Chemical burns in a French submariner
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Bouis, F.-X., Le Roy, B., Agousty, M. Tags: Images in clinical practice Source Type: research

Delayed management of a ring finger injury by a thinned and tubed groin flap in a forward surgical unit
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Pfister, G., Ranc, C., Mathieu, L. Tags: Images in clinical practice Source Type: research

Emergency endovascular management of a shrapnel injury to the left common carotid artery with impending blow-out
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Mehra, R., Patra, V., Dhillan, R., Jha, M. Tags: Images in clinical practice Source Type: research

Introducing heart rate variability technology into the UK defence mild traumatic brain injury service
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Houston, A. D., Brunger, H., White, T., Ellis, H., Dharm-Datta, S., Brockman, K., Ladlow, P. Tags: Images in clinical practice Source Type: research

Epidemiological methods used in the periodontal health research in military personnel: a systematic review
Conclusions Research on periodontal health carried out in military populations from the 1920s to the present has been performed from an almost exclusively descriptive approach. Issues such as the characteristics and representativeness of the samples, the epidemiological design and the different gingival-periodontal indexes used may limit the comparability of the study results. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Barcena Garcia, M., Cobo Plana, J. M., Rodriguez Cagiao, G., Arcos Gonzalez, P. I. Tags: Open access Systematic review Source Type: research

Prescribed footwear and orthoses are not prophylactic in preventing lower extremity injuries in military tactical athletes: a systematic review with meta-analysis
Conclusions Prescribed footwear and orthoses do not appear to have a prophylactic effect on lower quarter musculoskeletal injuries in military members and cannot be recommended at this time. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Paradise, S. L., Beer, J. R., Cruz, C. A., Fechner, K. M., MacGregor, A. J., Fraser, J. J. Tags: Systematic review Source Type: research

Effect of smoke-free policies in military settings on tobacco smoke exposure and smoking behaviour: a systematic review
Conclusions A research gap exists for high-quality studies on the impact of defence smoke-free policies which should use comparators and, if possible, randomisation. Policy-makers should introduce institutional smoke-free policies in defence settings within an evaluative framework to generate such evidence. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Falconer Hall, T., Siddiqi, K. Tags: Systematic review Source Type: research

Addressing moral injury in the military
Moral injury is a relatively new, but increasingly studied, construct in the field of mental health, particularly in relation to current and ex-serving military personnel. Moral injury refers to the enduring psychosocial, spiritual or ethical harms that can result from exposure to high-stakes events that strongly clash with one’s moral beliefs. There is a pressing need for further research to advance understanding of the nature of moral injury; its relationship to mental disorders such as posttraumatic stress disorder and depression; triggering events and underpinning mechanisms; and prevalence, prevention and treatm...
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Phelps, A. J., Adler, A. B., Belanger, S. A. H., Bennett, C., Cramm, H., Dell, L., Fikretoglu, D., Forbes, D., Heber, A., Hosseiny, F., Morganstein, J. C., Murphy, D., Nazarov, A., Pedlar, D., Richardson, J. D., Sadler, N., Williamson, V., Greenberg, N., Tags: Invited review Source Type: research

Innovation in education: the military medical ethics 'playing cards and smartphone application
Military medical personnel need to understand military medical ethics to comply with international humanitarian law, national health practice and professional norms. Teaching this subject is constrained by a lack of educational resources, being further exacerbated by the limits imposed by the COVID-19 pandemic. This paper describes an innovative approach to deliver military medical ethics education using 52 scenarios published as a set of playing cards and a smartphone app. The rationale for the methodology and the development of these scenarios is summarised. This package forms a part of a ‘d(igital)-learning’...
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Miron, M., Bricknell, M. Tags: Personal view Source Type: research

What do environment-related illnesses tell us about the character of military medicine and future clinical requirements?
Extreme environments present medical and occupational challenges that extend beyond generic resuscitation, to formulating bespoke diagnoses and prognoses and embarking on management pathways rarely encountered in civilian practice. Pathophysiological complexity and clinical uncertainty call for military physicians of all kinds to balance intuition with pragmatism, adapting according to the predominant patterns of care required. In an era of smaller operational footprints and less concentrated clinical experience, proposals aimed at improving the systematic care of Service Personnel incapacitated at environmental extremes m...
Source: Journal of the Royal Army Medical Corps - January 25, 2024 Category: General Medicine Authors: Stacey, M. J., Brett, S., Fitchett, G., Hill, N. E., Woods, D. Tags: Personal view Source Type: research