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.

Comparison of injuries between US Army paratroopers and their non-paratrooper soldier counterparts
Conclusions Paratroopers were more likely to incur injury, especially an acute injury, than non-paratroopers. However, paratroopers’ average injury costs were less. This may be due to higher return-to-duty motivations, fitness levels, and/or facility-specific cost of care. Future studies should investigate causes of injuries found to be proportionally higher among paratroopers. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Hauschild, V. D., Rappole, C. A., Forrest, L. J., Dada, E. O., Beymer, M. R., Grier, T., Jones, B. H. Tags: Original research Source Type: research

Laryngotracheal and pharyngoesophageal traumatic injuries from US military operations in Iraq and Afghanistan, 2003-2017
Conclusions Severe laryngotracheal and pharyngo-oesophageal injuries have a high fatality rate and demand prompt treatment from skilled providers. Further work will elucidate preventive measures and clear management algorithms to optimise outcomes. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Coulter, M., Mickelson, R. C., Dye, J. L., Myers, E. E., Ambrosio, A. A. Tags: Original research Source Type: research

Utility of preinduction tests as predictors of attrition in infantry recruits: a prospective study
Conclusions FMS was not a significant predictor of infantry attrition. Measuring the three variables found to be associated with infantry attrition would seem to be valuable when the number of infantry candidates greatly exceeds the number of infantry positions. Transferring infantry attriters to non-combatant roles and not discharging them is a way to manage the problem of attrition. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Fleischmann, C., Yanovich, R., Milgrom, C., Eliyahu, U., Gez, H., Heled, Y., Finestone, A. S. Tags: Original research Source Type: research

Do Junior Entrants to the UK Armed Forces have worse outcomes than Standard Entrants?
Conclusions JEs do not have worse mental health than SEs, but there is uncertainty in relation to alcohol misuse, MSS and self-harm in more recent joiners. Monitoring these concerns is advisable. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Jones, M., Jones, N., Burdett, H., Bergman, B. P., Fear, N. T., Wessely, S., Rona, R. J. Tags: Original research Source Type: research

Age at entry to UK military service and long-term mental health
Conclusion We found no evidence that early recruitment is associated with adverse impact on long-term mental health. Paradoxically, it was veterans who entered service at age 20–25 years who demonstrated increased risk, although this attenuated in more recent birth cohorts. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Bergman, B. P., Mackay, D., Fear, N., Pell, J. Tags: Open access Original research Source Type: research

Family and occupational functioning following military trauma exposure and moral injury
Conclusions This study provides some of the first evidence of the pervasive negative impact of PMIEs on veterans’ familial and occupational functioning. These findings highlight the need to comprehensively screen for the impact of moral injury on daily functioning in future studies that goes beyond just an assessment of psychological symptoms. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Williamson, V., Murphy, D., Stevelink, S. A., Jones, E., Allen, S., Greenberg, N. Tags: Original research Source Type: research

Correlates of e-cigarette use among active duty US military personnel: implications for cessation policy
Conclusion The results demonstrate that exclusive e-cigarette users in the military have unique characteristics when compared with groups of other/mixed tobacco users. Findings can inform cessation and prevention efforts to improve both the overall health and combat readiness of active duty military personnel. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Godby, S., Dierst-Davies, R., Kogut, D., Degiorgi Winslow, L., Truslow, M. M., Tuttle, J., Koeppl, P., Marshall-Aiyelawo, K., Elenberg, K. Tags: Original research Source Type: research

Royal Society of Medicine, Colt Foundation Research & Clinical Innovation Meeting 2022
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Barker-Davies, R. M., James, R., Breeze, J., Wilson, D. Tags: Editorial Source Type: research

6 Beyond the default male: exploring sex differences in the acute physiological response to trauma and associated clinical outcomes
Conclusions Even when the confounding influences of age, mechanism and severe head injury are removed, females with comparable injury severities have different physiological responses and worse outcomes following trauma. Further work is needed to establish the underlying causes for this. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Ross, J., Bocchetta, N., Hickey, H., Lindsay, C., Cole, E. Tags: Royal Society of Medicine, Colt Foundation Research [amp ] Clinical Innovation Meeting 2022 Source Type: research

5 A new animal model for infected fracture non-union after external fixation of tibia with real-time in-vivo monitoring of infection
Conclusions This study has developed an infected fracture non-union animal model. Use of bioluminescent bacteria allows for non-invasive and real-time monitoring of infection. This model is more representative of the military casualty than previously reported models and could be used to evaluate therapeutic strategies for prevention and management of infected fracture non-union. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Robiati, L., Hindle, P., Stapley, S., Simpson, H. Tags: Royal Society of Medicine, Colt Foundation Research [amp ] Clinical Innovation Meeting 2022 Source Type: research

4 Improvements in orthostatic tolerance with physical training are augmented with heat acclimation and associated plasma volume expansion; a randomised controlled trial
Conclusions Heat adaptation causes improvements in OT and is likely to be beneficial in patients with heat exacerbated reflex syncope. Heat acclimation mediated PV expansion is the likely predominant physiological mechanism underlying improved OT. These data offer opportunities to improve health and wellbeing of service personnel with economic, logistical and reputational benefits for the UK Armed Forces. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Parsons, I. Tags: Royal Society of Medicine, Colt Foundation Research [amp ] Clinical Innovation Meeting 2022 Source Type: research

3 Cardiopulmonary, functional, cognitive and mental health outcomes post covid, across the range of severity of acute illness, in a physically active working age population: baseline findings from the MCOVID study
Conclusions Recovered SP who suffered mild-moderate COVID-19 do not differ from an age, sex and job-role matched controls. This is reassuring for the vast majority of individuals who have had acute COVID-19 not requiring hospital management. Individuals who were hospitalised or continue to suffer symptoms may require a specific, comprehensive clinical and occupational assessment prior to a full return to duty. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: OSullivan, O., Holdsworth, D. A., Ladlow, P., Barker-Davies, R. M., Chamley, R., Houston, A., May, S., Dewson, D., Mills, D., Pierce, K., Mitchell, J., Xie, C., Sellon, E., Naylor, J., Mulae, J., Cranley, M., Talbot, N. P., Rider, O. J., Nicol, E. D., Ben Tags: Royal Society of Medicine, Colt Foundation Research [amp ] Clinical Innovation Meeting 2022 Source Type: research

2 Developing a militarily relevant ex-vivo model of traumatic injury and haemorrhagic shock
Conclusions Limb EVNP can be successfully achieved for 24hrs, but further protocol improvements are required to sustain renal perfusion for 24hrs alongside adjustments to reduce the ischaemic insult and cell death. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Cottey, L., Stoll, A., Stone, J. P., Entwistle, T. R., Amin, K., Kerr, J., Cowey, W. R., Corban JT, B., Smith, J. E., Watts, S., Fildes, J. E. Tags: Royal Society of Medicine, Colt Foundation Research [amp ] Clinical Innovation Meeting 2022 Source Type: research

1 Platelet dysfunction in a model of complex military trauma
Conclusions Our model of trauma results in an attenuation of platelet function that, in the early phase, is independent of resuscitation strategy. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Chitambira, H., Bates, M., Watts, S., Kirkman, E. Tags: Royal Society of Medicine, Colt Foundation Research [amp ] Clinical Innovation Meeting 2022 Source Type: research

Introduction
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Lt Col Kate Brown Tags: Abstracts from the Mali Medical Conference Source Type: research