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Sex, military occupation and rank are associated with risk of anterior cruciate ligament injury in tactical-athletes
Conclusion Despite the decline among tactical athletes over time, rates of ACL injury remain much higher than the general US population. Sex, rank, branch of service and military occupation were found to be risk factors for ACL injury. It is critical for policy makers to understand the salient risk factors for ACL injury to guide proactive measures to prevent injury. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Aguero, A. D., Irrgang, J. J., MacGregor, A. J., Rothenberger, S. D., Hart, J. M., Fraser, J. J. Tags: Open access Original research Source Type: research

Longitudinal survey of UK veterans with pre-existing mental health difficulties: mental health during the COVID-19 pandemic
Conclusions These findings suggest that, to date, veterans with pre-existing mental health difficulties appear to demonstrate resilience as the COVID-19 pandemic progressed. However, as the pandemic continued, veterans faced significantly more COVID-19-related stressors, less social support, as well as difficulties attending health appointments. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Murphy, D., Hendrikx, L. J., Williamson, C., Baumann, J. Tags: COVID-19 Original research Source Type: research

Prevalence of common mental health disorders in military veterans: using primary healthcare data
Conclusion The SNOMED searches do not detail why certain groups had higher recordings of certain disorders. A future study that accesses the PHC written medical notes would prove enlightening to specifically identify what situational factors are having the most impact on the veteran population. The results from a sizeable English veteran population provide information that should be considered in developing veteran-specific clinical provision, educational syllabus and policy. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Finnegan, A., Randles, R. Tags: Open access Original research Source Type: research

Musculoskeletal injuries in UK Service Personnel and the impact of in-theatre rehabilitation during Cold Weather Warfare training: Exercise CETUS 2020
Conclusion This study identifies the nature, causation and injury location. It demonstrates the effectiveness of in-theatre rehabilitation and the ability to treat patients when deployed. Recommendations are presented to support strategies to mitigate musculoskeletal injury risk during future Cold Weather Warfare deployments to Norway. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Ferraby, D. H., Hayhurst, D., Strachan, R., Knapman, H., Wood, S., Fallowfield, J. L. Tags: Original research Source Type: research

Ten-year reduction in thoracic injury-related mortality among Israel Defense Forces soldiers
Conclusions Among military casualties with thoracic injuries, the rate of life-saving interventions increased, evacuation time decreased and mortality dropped following the implementation of My Brother’s Keeper plan. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Chen, J., Tsur, A. M., Nadler, R., Beit Ner, E., Sorkin, A., Radomislensky, I., Peleg, K., Ben Avi, R., Shushan, G., Glassberg, E., Benov, A. Tags: Original research Source Type: research

Impact of war on veteran life span: natural experiment involving combat versus non-combat exposed military personnel
Conclusions Despite a very high level of wounding in the combat-exposed group (48%), there were no statistically significant reductions in life span between this group and comparable non-combat exposed veterans. This finding contrasts to life span reductions found in a similar study of New Zealand veterans of WW1. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Wilson, N., Clement, C., Summers, J. A., Thomson, G., Harper, G. Tags: Original research Source Type: research

Sustained positive behaviour change of wounded, injured and sick UK military following an adaptive adventure sports and health coaching recovery course
Conclusions Recovery support programmes that encompass health coaching adventurous activities, such as the MAC, can initiate long-term positive behaviour change for recovering military personnel. In this specific context, the concurrence of the self-determination theory concepts that underpin the course delivery and participant outcomes is a powerful endorsement of implementation fidelity. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Sutton, R. J., Kay, C. W. P., McKenna, J., Kaiseler, M. Tags: Open access Original research Source Type: research

Abdominal Aortic Junctional Tourniquet - Stabilized (AAJTS) can be applied both successfully and rapidly by Combat Medical Technicians (CMTs)
Conclusion CMTs can use AAJTS successfully after a 1-hour training session in the majority of applications. Application was successful in both daylight and low-light conditions. Self-reported usability ratings were high. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Smith, T. N., Beaven, A., Handford, C., Sellon, E., Parker, P. J. Tags: Original research Source Type: research

Management of a large outbreak of COVID-19 at a British Army training centre: lessons for the future
Conclusions We discuss the key lessons learnt from the after-action review by the Incident Management Team. These include the importance of multidisciplinary working, the utility of sync matrices to monitor outbreaks in real time, issues around Officer Cadets reporting symptoms, timing of high-risk training activities, infrastructure and use of LFDs. COVID-19 represents a vital learning opportunity to minimise the impact of potential future pandemics, which may produce considerably higher morbidity and mortality in military populations. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Routledge, M., Lyon, J., Vincent, C., Gordon Clarke, A., Shawcross, K., Turpin, C., Cormack, H., Robson, S. C., Beckett, A., Glaysher, S., Cook, K., Fearn, C., Goudarzi, S., Hutley, E. J., Ross, D. Tags: COVID-19 Original research Source Type: research

UK Field Medical Care 2032: one Military Vision
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Parker, P., Pynn, H., Haldane, A. G., Ballard, M., König, T. C., Johnston, A. M. Tags: Editorial Source Type: research

Battlefield REBOA: Aces High or Journeys End?
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Parker, P., Johnston, A. M., Mountain, A., Pynn, H. Tags: Editorial Source Type: research

Why we need to talk about deployed palliative care
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: McMillan, K. Tags: Editorial Source Type: research

COVID-19: responding to a pandemic on Operation TORAL
This article will describe the challenges faced due to COVID-19 in Kabul. Medical planning considerations, occupational health issues, implementation of behaviour change and operating as part of a multinational organisation are all discussed, with challenges encountered detailed and potential solutions offered. The use of a suggested framework for ensuring the medical estimate process covered all areas relevant to an emerging viral pandemic —the 4Ds and 4Cs approach—proved particularly useful in the early stages of the pandemic in Afghanistan. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - September 22, 2023 Category: General Medicine Authors: Webster, S., Gough, A., Riley, M. R., Makin, S. Tags: COVID-19 Personal view Source Type: research

Developing the military GP using immersive simulation in specialty training
This article describes the educational design process in terms of the ‘10 goal conditions’ described by Issenberg for high-fidelity medical simulations leading to effective learning. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - September 22, 2023 Category: General Medicine Authors: King, K., Smith, M. Tags: Personal view Source Type: research

Parenteral medications at Role 1: do doctors in the British Army require improved training and experience?
This article explores the current training of Role 1 doctors, the threat of skill fade and how the safety of drug administration can be improved. This includes recommendations for the development of training competencies, bespoke courses and clinical placements, e-learning and the use of new technology. Application of these recommendations has the potential to improve patient safety and the confidence of doctors in the use of parenteral analgesia. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - September 22, 2023 Category: General Medicine Authors: Turner, L. J., Martin-Bates, A. J. Tags: Personal view Source Type: research