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Journal of the Royal Naval Medical Service最新文献

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Popliteal cystic adventitial disease: a rare case of calf claudication in a young man 腘窝囊性外膜病:一例罕见的年轻男子小腿跛行
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-172
A. Collingwood, D. Ablett
{"title":"Popliteal cystic adventitial disease: a rare case of calf claudication in\u0000 a young man","authors":"A. Collingwood, D. Ablett","doi":"10.1136/jrnms-105-172","DOIUrl":"https://doi.org/10.1136/jrnms-105-172","url":null,"abstract":"Popliteal cystic adventitial disease is a rare arterial condition characterised by mucinous cyst formation in the adventitia of the popliteal artery producing stenosis or occlusion of the arterial lumen. It predominantly affects males and typically presents in the thirties with disabling intermittent calf claudication. Because of the demographic it affects it is of relevance to military medical practitioners. We present such a case and describe the presentation, clinical features, differential diagnoses and imaging findings as well as the theories surrounding pathogenesis, clinical management and surgical treatment options.","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":"64206967","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
Fittest of the fit: health and morale in the Royal Navy, 1939-1945 适者生存:1939-1945年皇家海军的健康与士气
Journal of the Royal Naval Medical Service Pub Date : 2019-01-01 DOI: 10.1136/jrnms-105-215
Kevin Brown
{"title":"Fittest of the fit: health and morale in the Royal Navy,\u0000 1939-1945","authors":"Kevin Brown","doi":"10.1136/jrnms-105-215","DOIUrl":"https://doi.org/10.1136/jrnms-105-215","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"663 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207414","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 inception of the Bastion Protocol for trauma CT scanning 创伤CT扫描Bastion协议的建立
Journal of the Royal Naval Medical Service Pub Date : 2018-12-21 DOI: 10.1136/jrnms-104-183
N. Carter, G. Kirkwood, R. Miles
{"title":"The inception of the Bastion Protocol for trauma CT scanning","authors":"N. Carter, G. Kirkwood, R. Miles","doi":"10.1136/jrnms-104-183","DOIUrl":"https://doi.org/10.1136/jrnms-104-183","url":null,"abstract":"Abstract During Operation HERRICK, increasing numbers of battlefield casualties resulted in the need for innovation in the medical management of trauma. The aim of diagnostic radiology was to provide fast and accurate diagnostic information to the trauma team. The Bastion Protocol Computed Tomography (CT) Traumagram played a vital part in achieving this aim in the Joint Force Role 3 Medical Treatment Facility (R3), Camp Bastion. The CT Traumagram comprises a non-contrast CT scan of the head, followed by a biphasic intravenous contrast injection with single-pass acquisition from the Circle of Willis to the ischial tuberosities or as far down the legs as is necessary. Diagnostic CT, once a time-consuming process, became one of the major medical successes of Operation HERRICK. As a result, the Bastion Protocol, in modified forms, has been widely accepted and adopted in civilian trauma practice throughout the United Kingdom (UK). This paper aims to document the inception of the Bastion Protocol.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"104 1","pages":"183-186"},"PeriodicalIF":0.0,"publicationDate":"2018-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49391717","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
Consideration of the medical care and biomedical support of women and children on Role 2 Afloat maritime contingency operations. 审议关于第2类海上应急行动的妇女和儿童的医疗和生物医学支助问题。
Journal of the Royal Naval Medical Service Pub Date : 2018-01-01 DOI: 10.1136/jrnms-103-21
C. Hillman, R. Horrobin, S. Mills, S. Mercer
{"title":"Consideration of the medical care and biomedical support of women and children on Role 2 Afloat maritime contingency operations.","authors":"C. Hillman, R. Horrobin, S. Mills, S. Mercer","doi":"10.1136/jrnms-103-21","DOIUrl":"https://doi.org/10.1136/jrnms-103-21","url":null,"abstract":"The Royal Navy’s Role 2 Afloat (R2A) capability has now been firmly established in support of United Kingdom (UK) troops on contingency operations such as humanitarian aid and disaster relief operations. This article reviews the current capability of R2A to deliver medical care to children and pregnant women, including the challenges facing the deployed Biomedical Scientist (BMS).","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1 1","pages":"21-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64204630","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
Obstructive jaundice: a clinical review for the UK armed forces. 梗阻性黄疸:英国武装部队的临床回顾。
Journal of the Royal Naval Medical Service Pub Date : 2018-01-01 DOI: 10.1136/jrnms-103-44
S. Roy, A. Lambert
{"title":"Obstructive jaundice: a clinical review for the UK armed forces.","authors":"S. Roy, A. Lambert","doi":"10.1136/jrnms-103-44","DOIUrl":"https://doi.org/10.1136/jrnms-103-44","url":null,"abstract":"Obstructive jaundice is a clinical condition that indicates the possibility of a significant underlying disease process. This clinical review considers the pathophysiology, investigation and management of patients with obstructive jaundice and considers the particular challenges that medical personnel may face when deployed away from the United Kingdom (UK). It aims to give guidance with regard to the short- and long-term investigation and management of such patients.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"29 1","pages":"44-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64205445","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
The Maritime Medical Emergency Response Team: what do we really need? 海上医疗应急反应小组:我们真正需要什么?
Journal of the Royal Naval Medical Service Pub Date : 2018-01-01 DOI: 10.1136/jrnms-103-17
S. Mercer, M. A. Khan, C. Hillman, J. Robin, J. Matthews
{"title":"The Maritime Medical Emergency Response Team: what do we really need?","authors":"S. Mercer, M. A. Khan, C. Hillman, J. Robin, J. Matthews","doi":"10.1136/jrnms-103-17","DOIUrl":"https://doi.org/10.1136/jrnms-103-17","url":null,"abstract":"Since 2006, the Defence Medical Services (DMS) pre-hospital care focus has been the Medical Emergency Response Team (MERT), which has enabled the projection of Damage Control Resuscitation (DCR) to the point of wounding as part of consultant- delivered care. Now in a period of contingency operations, the Royal Navy (RN)’s Role 2 medical capability, Role 2 Afloat (R2A) delivers DCR (including surgery) on a maritime platform. This article will focus on the development of the Maritime MERT component of R2A (termed Maritime In Transit Care (MITC) in Maritime Medical Doctrine) and will discuss the requirements based on experience of and preparation for an operation in 2016. Also discussed are the individual competencies and training required to be part of the Maritime MERT; it is hoped that this will simulate debate around this evolving team.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"76 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64204430","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: 2
Second Sea Lord’s Feeding the Fleet initiative: the health of Royal Navy personnel aboard Type-45 destroyers – an executive summary. 第二届海务大臣为舰队提供补给倡议:45型驱逐舰上皇家海军人员的健康——执行摘要。
Journal of the Royal Naval Medical Service Pub Date : 2018-01-01 DOI: 10.1136/jrnms-103-2
A. Shaw, S. Downie, F. Gunner, L. Morrow, T. Davey, J. Fallowfield
{"title":"Second Sea Lord’s Feeding the Fleet initiative: the health of Royal Navy personnel aboard Type-45 destroyers – an executive summary.","authors":"A. Shaw, S. Downie, F. Gunner, L. Morrow, T. Davey, J. Fallowfield","doi":"10.1136/jrnms-103-2","DOIUrl":"https://doi.org/10.1136/jrnms-103-2","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1 1","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64204529","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
Free Open Access Medical Education (FOAM) and its relevance to military clinicians 免费开放获取医学教育(FOAM)及其与军事临床医生的相关性
Journal of the Royal Naval Medical Service Pub Date : 2018-01-01 DOI: 10.1136/jrnms-104-192
M. Winstanley, D. Henning, I. Gurney
{"title":"Free Open Access Medical Education (FOAM) and its relevance to military clinicians","authors":"M. Winstanley, D. Henning, I. Gurney","doi":"10.1136/jrnms-104-192","DOIUrl":"https://doi.org/10.1136/jrnms-104-192","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"104 1","pages":"192-195"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206556","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
Too hot to handle: how quickly do surgical instruments cool sufficiently to use safely following sterilisation using the Medical Device Decontamination Capability (Forward)? 太热而无法处理:在使用医疗器械去污能力进行消毒后，手术器械冷却到足以安全使用的速度有多快?
Journal of the Royal Naval Medical Service Pub Date : 2018-01-01 DOI: 10.1136/jrnms-104-87
D. Roper, A. McClean, C. Hand
{"title":"Too hot to handle: how quickly do surgical instruments cool sufficiently to use safely following sterilisation using the Medical Device Decontamination Capability (Forward)?","authors":"D. Roper, A. McClean, C. Hand","doi":"10.1136/jrnms-104-87","DOIUrl":"https://doi.org/10.1136/jrnms-104-87","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"104 1","pages":"87-92"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206195","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 1 Enhanced: a new paradigm in humanitarian operations. 作用1加强:人道主义行动的新范例。
Journal of the Royal Naval Medical Service Pub Date : 2018-01-01 DOI: 10.1136/jrnms-103-32
D. Henning, A. Bennett
{"title":"Role 1 Enhanced: a new paradigm in humanitarian operations.","authors":"D. Henning, A. Bennett","doi":"10.1136/jrnms-103-32","DOIUrl":"https://doi.org/10.1136/jrnms-103-32","url":null,"abstract":"Operation BUCKTAIL is the UK contribution to migrant surveillance and reconnaissance in the Aegean Sea. This paper describes two different and novel medical configurations which deployed in early 2016 to this Area of Operations (AO). Casualties in this situation would be treated under the Convention of Safety Of Life At Sea, a humanitarian role which may be less familiar to some of the Defence Medical Services. Casualty management is discussed and the composition of medical teams examined.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1 1","pages":"32-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64204695","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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