Journal of the Royal Naval Medical Service最新文献

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An interview with Surgeon Vice Admiral Anthony Revell Royal Navy: “the early days and my career” 英国皇家海军外科医生安东尼·雷维尔中将的采访:“早期和我的职业生涯”
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-58
T. S. Spalding
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引用次数: 0
Surgeon Commander (D) Ed Madgwick Royal Navy, 1973–2019 埃德·马德威克皇家海军外科指挥官(D), 1973-2019
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-155
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引用次数: 0
The Institute of Naval Medicine 1969-2019: departments past and present 海军医学研究所1969-2019:过去和现在的部门
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-191
J. Wickenden, G. Mcmillan
{"title":"The Institute of Naval Medicine 1969-2019: departments past and\u0000 present","authors":"J. Wickenden, G. Mcmillan","doi":"10.1136/jrnms-105-191","DOIUrl":"https://doi.org/10.1136/jrnms-105-191","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207009","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
Medical leadership and management for military clinicians 军队临床医生的医疗领导与管理
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-180
L. Cottey, C. Lillington, E. Frost
{"title":"Medical leadership and management for military clinicians","authors":"L. Cottey, C. Lillington, E. Frost","doi":"10.1136/jrnms-105-180","DOIUrl":"https://doi.org/10.1136/jrnms-105-180","url":null,"abstract":"The development of medical leadership and management skills is an essential requirement for the progression of Defence Medical Services personnel in both military and medical training. This review will summarise how military experience can contribute to achieving medical leadership and management competencies and will signpost further opportunities and resources available. While it specifically focuses on doctors, this article has relevance to all Defence Healthcare Professionals.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207000","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
Key appointments in the Royal Naval Medical Service – the Red List 皇家海军医疗服务部门的重要任命——红色名单
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-72
{"title":"Key appointments in the Royal Naval Medical Service – the Red\u0000 List","authors":"","doi":"10.1136/jrnms-105-72","DOIUrl":"https://doi.org/10.1136/jrnms-105-72","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64208769","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
The Institute of Naval Medicine 1969-2019: past and future 海军医学研究所1969-2019:过去与未来
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-135
J. Wickenden, G. Mcmillan
{"title":"The Institute of Naval Medicine 1969-2019: past and future","authors":"J. Wickenden, G. Mcmillan","doi":"10.1136/jrnms-105-135","DOIUrl":"https://doi.org/10.1136/jrnms-105-135","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206918","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: 1
How do you solve a problem like… missing data? Lessons from the PAin SoluTions In the Emergency Setting (PASTIES) trials 如何解决数据丢失之类的问题?紧急情况下疼痛解决方案(PASTIES)试验的经验教训
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-23
J. Smith, S. Creanor, M. Rockett, P. Ewings
{"title":"How do you solve a problem like… missing data? Lessons from the PAin\u0000 SoluTions In the Emergency Setting (PASTIES) trials","authors":"J. Smith, S. Creanor, M. Rockett, P. Ewings","doi":"10.1136/jrnms-105-23","DOIUrl":"https://doi.org/10.1136/jrnms-105-23","url":null,"abstract":"When studies measure the effect of a treatment longitudinally over time, multiple data points are generated, but are sometimes incomplete. This may affect studies in a range of different settings, including studies on military patients. When analysing the data from such a study, one of the challenges is how to deal with missing data points in the final analysis. This article describes the possible different ways of dealing with missing data points in such a context, and outlines some pragmatic methods used for handling missing pain scores in the recent PAin SoluTions In the Emergency Setting (PASTIES) trials.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207433","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
Role 2 Afloat support to the QUEEN ELIZABETH (QE) Class – an update from WESTLANT 18 角色2:支持伊丽莎白女王级(QE) - WESTLANT 18的更新
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-103
J. Matthews
{"title":"Role 2 Afloat support to the QUEEN ELIZABETH (QE) Class – an update from WESTLANT 18","authors":"J. Matthews","doi":"10.1136/jrnms-105-103","DOIUrl":"https://doi.org/10.1136/jrnms-105-103","url":null,"abstract":"WESTLANT 18 saw a Role 2 Afloat (R2A) team deploy on HMS QUEEN ELIZABETH (QNLZ) to support the First of Class Flying Trials for the F-35 Lightning 2 aircraft. This team established the R2A capability onboard QNLZ and began the process of developing R2A support to Carrier Strike Group (CSG) operations. The deployment was a great success and many lessons were identified. The experience from this deployment is summarised and the current R2A support to CSG is described.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206903","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
Surgeon Commander Peter Urwin Royal Navy, 1943-2018 皇家海军外科指挥官彼得·厄温,1943年至2018年
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-154
{"title":"Surgeon Commander Peter Urwin Royal Navy, 1943-2018","authors":"","doi":"10.1136/jrnms-105-154","DOIUrl":"https://doi.org/10.1136/jrnms-105-154","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206948","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
Efficacy of pre-hospital fracture manipulation following ketamine administration: the experience of a single civilian air ambulance trust 氯胺酮给药后院前骨折手法的疗效:单一民用空中救护信托的经验
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-167
A. Follows, R. H. James, J. Vassallo
{"title":"Efficacy of pre-hospital fracture manipulation following ketamine\u0000 administration: the experience of a single civilian air ambulance\u0000 trust","authors":"A. Follows, R. H. James, J. Vassallo","doi":"10.1136/jrnms-105-167","DOIUrl":"https://doi.org/10.1136/jrnms-105-167","url":null,"abstract":"Limb fractures are common in pre-hospital care and can be associated with significant haemorrhage and neurovascular compromise. The pre-hospital management of these injuries centres around reduction and splinting. The aim of this study was to quantify the effectiveness of pre-hospital reduction of displaced fractures or dislocations and the incidence of the need for further manipulation in the emergency department. A three-year retrospective database analysis was conducted for all patients sustaining limb injuries who were attended by a single air ambulance and subsequently conveyed to the regional major trauma centre. Only patients who received ketamine, either as an analgesic or sedative, were included. Pre-hospital clinical records and emergency department (ED) notes were examined to determine outcomes. Over the study period, 122 patients sustained a limb injury and received ketamine; ED notes were available for 96 (78.7%). Of these, the majority (n=51, 41.8%) received ketamine for analgesia with n=10 (8.2%) receiving it to facilitate manipulation. The principal indication for pre-hospital manipulation was neurovascular compromise (n=7, 70.0%). Of those undergoing manipulation pre-hospital, the majority (n=7, 70.0%) required further manipulation in the ED. Pre-hospital manipulation by our regional air ambulance is a relatively low frequency event and in those undergoing a manipulation, a high proportion require further intervention in the ED or operative intervention within the acute phase of care.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206957","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
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