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Journal of the Royal Army Medical Corps最新文献

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For debate: health service support planning for large-scale defensive land operations (part 1). 供辩论:大规模陆上防御行动的保健服务支助规划(第1部分)。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-08-19 DOI: 10.1136/jramc-2018-000993
Martin Bricknell, A Finn, J Palmer
{"title":"For debate: health service support planning for large-scale defensive land operations (part 1).","authors":"Martin Bricknell,&nbsp;A Finn,&nbsp;J Palmer","doi":"10.1136/jramc-2018-000993","DOIUrl":"https://doi.org/10.1136/jramc-2018-000993","url":null,"abstract":"<p><p>This is the first of two articles that considers the medical planning implications of large-scale defensive military operations. This paper considers the military context and planning factors that may require a medical plan that is different from that seen in recent counterinsurgency operations. The scale and complexity of the challenge is likely to require a greater level of decentralisation and a more sophisticated approach to medical planning at the strategic and operational levels.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"173-175"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-000993","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36413916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Response to Howard et al. Power supplies and equipment for military field research: lessons from the British Service Dhaulagiri Research Expedition. 对Howard等人的回应。军事野外研究用电源和设备:来自英国道拉吉里研究队的经验教训。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-07-23 DOI: 10.1136/jramc-2018-001013
Neil E Hill
{"title":"Response to Howard <i>et al.</i> Power supplies and equipment for military field research: lessons from the British Service Dhaulagiri Research Expedition.","authors":"Neil E Hill","doi":"10.1136/jramc-2018-001013","DOIUrl":"https://doi.org/10.1136/jramc-2018-001013","url":null,"abstract":"Reading the paper by Howard et al ,[1][1] I reflected on my experience of the British Services Dhaulagiri Medical Research Expedition, which involved similar power planning, although on a much, much smaller scale. Our study involved collecting the continuous glucose monitoring (CGM) (Dexcom G4, San","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"210-211"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36337565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Apical hypertrophic cardiomyopathy: what are the risks in our diverse military population? 尖部肥厚性心肌病:在我们不同的军事人群中有什么风险?
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-10-12 DOI: 10.1136/jramc-2018-001017
Leanne Jane Eveson, A Williams
{"title":"Apical hypertrophic cardiomyopathy: what are the risks in our diverse military population?","authors":"Leanne Jane Eveson,&nbsp;A Williams","doi":"10.1136/jramc-2018-001017","DOIUrl":"https://doi.org/10.1136/jramc-2018-001017","url":null,"abstract":"<p><p>We present the case of a 50-year-old, fit, asymptomatic gurkha officer. At a routine medical, an ECG showed T-wave inversion in the chest leads V3-6. Transthoracic echo showed left ventricular apical hypertrophy and cavity obliteration consistent with apical hypertrophic cardiomyopathy (ApHCM). Cardiac magnetic resonance imaging showed apical and inferior wall hypertrophy in the left ventricle with no aneurysm or scarring. A 24-hour monitor showed normal sinus rhythm with no evidence of non-sustained ventricular tachycardia. Eighteen-panel genetic testing revealed no specific mutations. Cardiopulmonary exercise testing demonstrated a V̇O2 max, anaerobic threshold and peak V̇O2 consistent with above average cardiopulmonary capacity. There was no family history of either ApHCM or sudden cardiac death (SCD). Risk of SCD by the European Society of Cardiology's HCM calculator was low. This case generates discussion on the prognosis of ApHCM, factors that worsen prognosis, occupational limitation considerations and appropriate monitoring in this patient group.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"206-209"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36583903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hepatitis B in a vaccinated soldier: a case report. 接种疫苗士兵乙型肝炎1例报告。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-08-23 DOI: 10.1136/jramc-2018-001019
Keri McLean, T B Elmer, D A Freshwater, L Lamb, S D Woolley
{"title":"Hepatitis B in a vaccinated soldier: a case report.","authors":"Keri McLean,&nbsp;T B Elmer,&nbsp;D A Freshwater,&nbsp;L Lamb,&nbsp;S D Woolley","doi":"10.1136/jramc-2018-001019","DOIUrl":"https://doi.org/10.1136/jramc-2018-001019","url":null,"abstract":"<p><p>Assessing for an adequate immunological response to a pre-exposure course of hepatitis B vaccine is not routinely recommended in all vaccinated individuals. Current UK guidelines advise checking hepatitis B surface antibody titres only in those considered at high occupational risk such as healthcare and laboratory workers. We present a case of an infantry soldier who developed acute hepatitis B despite having a complete course of hepatitis B vaccinations. This case emphasises that hepatitis B is still an important differential diagnosis for all returning military personnel who present with compatible symptoms despite being vaccinated.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"201-203"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36425290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to: 'REBOA at Role 2 Afloat: resuscitative endovascular balloon occlusion of the aorta as a bridge to damage control surgery in the military maritime setting' by Rees et al. 对Rees等人发表的“REBOA在海上的作用2:复苏血管内球囊阻塞主动脉作为军事海上环境中损伤控制手术的桥梁”的回应。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-08-19 DOI: 10.1136/jramc-2018-001016
Paul Rees
{"title":"Response to: 'REBOA at Role 2 Afloat: resuscitative endovascular balloon occlusion of the aorta as a bridge to damage control surgery in the military maritime setting' by Rees <i>et al</i>.","authors":"Paul Rees","doi":"10.1136/jramc-2018-001016","DOIUrl":"https://doi.org/10.1136/jramc-2018-001016","url":null,"abstract":"We thank our colleague for his comments on our recent paper[1][1] and the editors for the opportunity to respond. We have outlined a position for resuscitative endovascular balloon occlusion of the aorta (REBOA) in the immediate management of the peri-arrest patient with non-compressible torso","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"213-214"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36413917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
'Bastard bush': acacia thorn injuries and management. “杂种灌木”:刺槐刺伤及处理。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-09-10 DOI: 10.1136/jramc-2018-000978
Simon Johnstone Smail, C Arthur, K Hylands, C J Stewart
{"title":"'Bastard bush': acacia thorn injuries and management.","authors":"Simon Johnstone Smail,&nbsp;C Arthur,&nbsp;K Hylands,&nbsp;C J Stewart","doi":"10.1136/jramc-2018-000978","DOIUrl":"https://doi.org/10.1136/jramc-2018-000978","url":null,"abstract":"<p><p>This case report outlines the presentation and management of a young soldier who sustained a lower limb acacia thorn injury while on exercise in Kenya. The injury failed to heal with a subsequent ultrasound scan revealing a large retained thorn requiring surgical removal and wash out. From this case, lessons can be learnt regarding the management of thorn injuries, which are common in exercising troops in Kenya and indeed around the world. The key take-home messages are always consider a retained thorn if wounds fail to settle, use ultrasound as the imaging modality of choice, always remove identified retained thorns and if antibiotics are required use broad-spectrum antibiotics pending culture results.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"204-205"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-000978","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36481026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Negative pressure temporary abdominal closure without continuous suction: a solution for damage control surgery in austere and far-forward settings. 负压暂时关闭腹部不持续吸引:一个解决方案的损害控制手术在严峻和遥远的设置。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-09-04 DOI: 10.1136/jramc-2018-000998
Edwin Robert Faulconer, A J Davidson, D Bowley, J Galante
{"title":"Negative pressure temporary abdominal closure without continuous suction: a solution for damage control surgery in austere and far-forward settings.","authors":"Edwin Robert Faulconer,&nbsp;A J Davidson,&nbsp;D Bowley,&nbsp;J Galante","doi":"10.1136/jramc-2018-000998","DOIUrl":"https://doi.org/10.1136/jramc-2018-000998","url":null,"abstract":"<p><p>The use of topical negative pressure dressings in temporary abdominal closure has been readily adopted worldwide; however, a method of continuous suction is typically required to provide a seal. We describe a method of temporary abdominal closure using readily available materials in the forward surgical environment which does not require continuous suction after application. This method of temporary abdominal closure provides the benefits of negative pressure temporary abdominal closure after damage control surgery without the need for continuous suction or specialised equipment. Its application in damage control surgery in austere or far-forward settings is suggested. The technique has potential applications for military surgeons as well as in humanitarian settings where the logistic supply chain may be fragile.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"163-165"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-000998","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36462216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dispatches from the editor in chief: highlights of the June edition. 总编辑快讯:六月版精华。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 DOI: 10.1136/jramc-2019-001235
Johno Breeze
{"title":"Dispatches from the editor in chief: highlights of the June edition.","authors":"Johno Breeze","doi":"10.1136/jramc-2019-001235","DOIUrl":"https://doi.org/10.1136/jramc-2019-001235","url":null,"abstract":"I would like to welcome you to the third issue of the journal in 2019. This is our first non-special issue of the year so far, following on from the previous highly successful ‘ Blast ’ and ‘ Psychology ’ issues. The board of the journal feel that it is important to have this mixture of","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"139"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2019-001235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37267971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phosgene use in World War 1 and early evaluations of pathophysiology. 光气在第一次世界大战中的应用和病理生理学的早期评价。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-10-23 DOI: 10.1136/jramc-2018-001072
T C Nicholson-Roberts
{"title":"Phosgene use in World War 1 and early evaluations of pathophysiology.","authors":"T C Nicholson-Roberts","doi":"10.1136/jramc-2018-001072","DOIUrl":"https://doi.org/10.1136/jramc-2018-001072","url":null,"abstract":"<p><p>World War 1 ended 100 years ago. The aftermath included the consolidation of significant advances in medical care of casualties. Some of these advances were made in the care of chemical casualties, in particular the mechanisms of toxicity and treatment of phosgene exposure. Phosgene, or carbonyl chloride, is an extremely poisonous vapour that was used to devastating effect during World War 1. Observations made of acutely poisoned casualties formed the basis of much research in the early post-World War 1 era. Some extremely elegant experiments, some at the nascent Porton Down research facility, further evaluated the toxin and defences against it. Researchers drew on knowledge that was later forgotten and has since been relearnt later in the 20th century and made many correct assumptions. Their work is the bedrock of our understanding of phosgene toxicity that survives to this day. The horrors of chemical warfare prompted the Geneva Protocol of 1925, prohibiting the use of chemical agents in warfare, and chemical warfare on this scale has not been repeated. The ease with which phosgene can be synthesised requires healthcare providers to be familiar with its effects.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"183-187"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36602922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
REBOA in the Role 2 Afloat environment. REBOA在角色2漂浮环境。
Journal of the Royal Army Medical Corps Pub Date : 2019-06-01 Epub Date: 2018-08-19 DOI: 10.1136/jramc-2018-001014
Mansoor Khan
{"title":"REBOA in the Role 2 Afloat environment.","authors":"Mansoor Khan","doi":"10.1136/jramc-2018-001014","DOIUrl":"https://doi.org/10.1136/jramc-2018-001014","url":null,"abstract":"To the Editor \u0000\u0000It is with great interest I read your recent article on the proposed usage of the Resuscitative Endovascular Balloon Occlusion of the Aorta on the Role 2 Afloat platform.[1][1] There are a number of points and concerns which I would like to highlight with regards to the indications,","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 3","pages":"212"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36413912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
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