Artificial intelligence (AI) has developed greatly and is now at the centre of technological advancements. Current and recent military conflicts have highlighted the evolving complexity of warfar...
http://jramc.bmj.com/cgi/content/short/military-2024-002682v2?rss=1
Soldiers typically perform physically demanding tasks while wearing military uniforms and tactical footwear. New research has revealed a substantial increase of ~10% in energetic cost of walking ...
http://jramc.bmj.com/cgi/content/short/military-2023-002614v1?rss=1
Introduction Increasing numbers of women serve in the armed forces in countries worldwide. Stress experienced during pregnancy is associated with adverse birth outcomes including preterm deliver...
http://jramc.bmj.com/cgi/content/short/military-2023-002634v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002627v1?rss=1
Introduction Measuring cortisol during military training offers insights into physiological responses to stress. We attempted precisely timed, cortisol awakening response (CAR) and pre-sleep cor...
http://jramc.bmj.com/cgi/content/short/military-2023-002622v1?rss=1
Prone positioning is an intervention used for patients with acute respiratory distress syndrome (ARDS) whose hypoxia is worsening despite conventional treatment. Previously used infrequently, it ...
http://jramc.bmj.com/cgi/content/short/military-2022-002302v1?rss=1
Introduction There are notable disparities in health-related quality of life (HRQOL) between gay and bisexual men (GBM) and heterosexual patients with prostate cancer (PCa); however, the role of...
http://jramc.bmj.com/cgi/content/short/military-2023-002649v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002631v1?rss=1
Introduction In 2021, the Armed Forces Covenant Fund Trust allocated over £2 million to programmes designed to have a clear and demonstrable impact on suicide prevention. Four grant holders del...
http://jramc.bmj.com/cgi/content/short/military-2023-002623v1?rss=1
The geopolitical setting has changed significantly since the definition of UK Armed Forces General Practice was published in 2012. New operating models require medical services to provide smaller...
http://jramc.bmj.com/cgi/content/short/military-2023-002635v1?rss=1
Introduction VO2 drift, the rise in oxygen consumption during continuous exercise, has not been adequately reported during prolonged military marches. The purpose of this study was to analyse VO...
http://jramc.bmj.com/cgi/content/short/military-2023-002573v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2024-002675v1?rss=1
Introduction The main objective was to compare suicide rates and their trends across the three UK Armed forces (Royal Navy, Army and Royal Air Force) from 1900 to 2020. Further objectives were t...
http://jramc.bmj.com/cgi/content/short/military-2022-002309v2?rss=1
Introduction Canadian Armed Forces (CAF) members must complete an annual fitness evaluation. Members with a total hip arthroplasty (THA) may be at risk of injury during these strenuous tests. To...
http://jramc.bmj.com/cgi/content/short/military-2023-002461v3?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002626v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002628v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002662v1?rss=1
This article has been retracted
http://jramc.bmj.com/cgi/content/short/military-2022-002237v4?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002617v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002606v1?rss=1
Introduction Suicide among army conscripts represents a poorly understood and complex public health issue that has escalated in recent decades. The early identification of individuals at risk ho...
http://jramc.bmj.com/cgi/content/short/military-2023-002602v1?rss=1
Introduction In the USA, an estimated 45% of veterans personally own firearms. Firearm access increases the risk of suicide, so suicide prevention efforts in the US Department of Defense (DoD) f...
http://jramc.bmj.com/cgi/content/short/military-2023-002591v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002598v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002583v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002478v1?rss=1
The Lviv Military Medical Centre is the main hospital responsible for the management of wounded military personnel in Western Ukraine. Since the full-scale invasion of our country in 2022, we hav...
http://jramc.bmj.com/cgi/content/short/military-2023-002527v1?rss=1
Introduction Injuries induced by falls represent the main cause of failure in the French Navy Special Forces selection course. In the present study, we made the assumption that probing the postu...
http://jramc.bmj.com/cgi/content/short/military-2023-002542v1?rss=1
Introduction Chronic non-cancer pain is common among military veterans; however, the prevalence is uncertain. This information gap complicates policy decisions and resource planning to ensure ve...
http://jramc.bmj.com/cgi/content/short/military-2023-002554v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002620v1?rss=1
Introduction Musculoskeletal injuries (MSKIs) are common during military and other occupational physical training programmes, and employers have a duty of care to mitigate this injury risk. MSKI...
http://jramc.bmj.com/cgi/content/short/military-2023-002416v1?rss=1
Introduction Physiological monitoring of soldiers can indicate combat readiness and performance. Despite demonstrated use of wearable devices for HR monitoring, commercial options lack desired m...
http://jramc.bmj.com/cgi/content/short/military-2023-002541v1?rss=1
Introduction Wearable sensor technologies enable Defence to optimise human performance, remotely identify physiological abnormalities and enhance medical support. Maximising the acceptability of...
http://jramc.bmj.com/cgi/content/short/military-2023-002524v1?rss=1
Militaries have an important and inevitable role in global health and will interface with existing health systems on deployments. While the primary concern of militaries is not global health, the...
http://jramc.bmj.com/cgi/content/short/military-2023-002497v1?rss=1
Introduction Military veterans are at greater risk for chronic medical conditions, many of which are associated with greater body mass index (BMI). Detrimental changes to diet and physical activ...
http://jramc.bmj.com/cgi/content/short/military-2023-002525v1?rss=1
Understanding tissue loss following injury is important due to its prevalence among the war-wounded and the impact it has on subsequent treatment and rehabilitation. Progressive tissue loss is a ...
http://jramc.bmj.com/cgi/content/short/military-2022-002227v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002570v1?rss=1
Introduction Lower limb amputation (LLA) poses significant health challenges, including physical health comorbidities (PHCs) and functional limitations. Military veterans, who typically undergo ...
http://jramc.bmj.com/cgi/content/short/military-2023-002578v1?rss=1
Introduction Defence Medical Services personnel regularly deploy overseas to deliver training activities as part of defence engagement (DE) to positively influence partners and others. There rem...
http://jramc.bmj.com/cgi/content/short/military-2023-002477v1?rss=1
Tranexamic acid (TXA) is a life-saving drug that reduces the risk of death from haemorrhage. Intervention is time critical with benefit decreasing with delayed administration. The current Joint S...
http://jramc.bmj.com/cgi/content/short/military-2023-002471v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002599v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002565v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002569v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002528v1?rss=1
Administration of medication is a well-established part of prehospital trauma care. Guidance varies on the types of recommended medications and when they should be administered. Mnemonics have be...
http://jramc.bmj.com/cgi/content/short/military-2023-002463v3?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002600v1?rss=1
Personalised medicine is replacing prototypical medical care. Personalised medicine focuses on enhancing patients’ functioning and preventing future negative impacts of both medical disease and...
http://jramc.bmj.com/cgi/content/short/military-2023-002356v1?rss=1
Introduction In January 2013, France launched a military operation in Mali, which ended in August 2022. This study aimed to analyse the global activity performed by a surgical team within the ro...
http://jramc.bmj.com/cgi/content/short/military-2023-002553v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002581v1?rss=1
Upper limb prosthetics have a challenging task. A natural upper limb combines strength, coordination and dexterity to accomplish daily activities such as eating, writing, working and social inter...
http://jramc.bmj.com/cgi/content/short/military-2023-002485v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002557v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002460v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002548v2?rss=1
Introduction Research has suggested that increased difficulties in social-communicative skills are associated with release from military service. A few studies have focused on the association be...
http://jramc.bmj.com/cgi/content/short/military-2023-002498v1?rss=1
Introduction COVID-19 infection can precede, in a proportion of patients, a prolonged syndrome including fatigue, exercise intolerance, mood and cognitive problems. This study aimed to describe ...
http://jramc.bmj.com/cgi/content/short/military-2023-002500v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002379v2?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002531v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002539v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002488v1?rss=1
Mass casualty events (MASCAL) do not follow the same rules as typical major incidents. In the West at least, the latter often occur in stable, networked trauma systems, whereas MASCAL are charact...
http://jramc.bmj.com/cgi/content/short/military-2023-002489v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002530v1?rss=1
Introduction Tendon structure in mid-portion Achilles tendinopathy (mid-AT) appears poorly associated with symptoms. Yet, degenerative tendon changes on imaging have been associated with an incr...
http://jramc.bmj.com/cgi/content/short/military-2023-002521v1?rss=1
Whole blood transfusion is being increasingly used for trauma resuscitation, particularly in military settings. Low-titre group O whole blood simplifies the logistical challenges and maximises th...
http://jramc.bmj.com/cgi/content/short/military-2023-002516v1?rss=1
Introduction Older veterans with multimorbidity experience physical, mental and social factors which may negatively impact health and healthcare access. Physical function, behaviour change skill...
http://jramc.bmj.com/cgi/content/short/military-2023-002535v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002458v1?rss=1
Introduction Military service members experience patellar dislocations at a rate 10 times that of civilians. The purpose of this study was to determine the return to duty rate of active duty mil...
http://jramc.bmj.com/cgi/content/short/military-2023-002407v1?rss=1
Introduction Military service personnel are required to deploy to austere environments where they are exposed to harsh conditions. Many service personnel continue to wear contact lenses when dep...
http://jramc.bmj.com/cgi/content/short/military-2023-002476v1?rss=1
Introduction Armed conflict is a growing global cause of death, posing a significant threat to the resilience of global health systems. However, the burden of disease resulting from the Yemeni C...
http://jramc.bmj.com/cgi/content/short/military-2023-002509v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002468v1?rss=1
Introduction The high prevalence of occipital ulcers in UK military casualties observed during the conflict in Afghanistan is a multifactorial phenomenon. However, the consensus is that ulcerati...
http://jramc.bmj.com/cgi/content/short/military-2022-002305v5?rss=1
Pharmacological interventions for treating posttraumatic stress disorder in Canadian Armed Forces (CAF) members and Veterans often achieve modest results. The field of pharmacogenetics, or the st...
http://jramc.bmj.com/cgi/content/short/military-2023-002447v1?rss=1
Introduction UK veterans are at increased risk of mental health and alcohol use disorders (AUDs), experiencing specific challenges such as combat exposure and re-integration which may contribute...
http://jramc.bmj.com/cgi/content/short/military-2023-002383v2?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002538v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002502v1?rss=1
This analysis considers circulation of bacterial disease in wartime Ukraine. Anthrax, brucellosis, botulism and tularaemia are all naturally occurring in the country. The causative agents of thes...
http://jramc.bmj.com/cgi/content/short/military-2023-002512v1?rss=1
Introduction Pelvic fractures often result from high-energy trauma and are associated with a 10% mortality rate and significant morbidity. Pelvic binders are applied in suspected pelvic injury t...
http://jramc.bmj.com/cgi/content/short/military-2023-002398v1?rss=1
Global health practice is becoming a key enabler within UK Defence and foreign policy. The definition of global health remains debated, though some important themes have been identified including...
http://jramc.bmj.com/cgi/content/short/military-2023-002374v1?rss=1
Frostbite remains a severe medical condition that causes long-lasting sequelae and can threaten military operations. Information on prehospital treatment of frostbite is scarce and existing guide...
http://jramc.bmj.com/cgi/content/short/military-2023-002380v1?rss=1
Introduction Annual British Army medical training exercises have run in Kenya since the early 1990s, initially with a dual purpose—to deliver the Kenyan Extended Programme of Immunisation (in ...
http://jramc.bmj.com/cgi/content/short/military-2023-002442v1?rss=1
Introduction Traumatic injury is one of the leading causes of death worldwide, and despite significant improvements in patient care, survival in the most severely injured patients remains unchan...
http://jramc.bmj.com/cgi/content/short/military-2023-002427v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002464v1?rss=1
Within the UK Armed Forces, musculoskeletal injuries account for over half of all medical downgrades and discharges. Data from other Armed Forces show that osteoarthritis (OA), more common in mil...
http://jramc.bmj.com/cgi/content/short/military-2023-002390v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002508v1?rss=1
Introduction The challenges faced by healthcare workers, not least during the response to the COVID-19 pandemic, have been extensively studied, and concerns continue to be highlighted in relatio...
http://jramc.bmj.com/cgi/content/short/military-2023-002359v1?rss=1
Introduction In November 2020, The NHS for England launched a pilot High Intensity Service (HIS) programme for treating military veterans complex mental health problems. Seven regional grants we...
http://jramc.bmj.com/cgi/content/short/military-2023-002385v1?rss=1
Introduction Veterans experience a high incidence of chronic and complex health conditions requiring a holistic approach to health and well-being. The Adapted Physical Activity Program (APAP) is...
http://jramc.bmj.com/cgi/content/short/military-2023-002375v2?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002435v1?rss=1
Advances in technology have improved the ability for real-time communication and enhanced awareness of medically related information on the battlefield. A government off-the-shelf platform, Team ...
http://jramc.bmj.com/cgi/content/short/military-2023-002400v1?rss=1
Introduction Stress experienced during pregnancy is associated with adverse birth outcomes including preterm delivery (PTD) and low birth weight (LBW). Pregnant spouses and partners of deployed ...
http://jramc.bmj.com/cgi/content/short/military-2023-002454v1?rss=1
Introduction Haemorrhage is the leading cause of potentially survivable death on the battlefield. Despite overall improvement in battlefield mortality, there has been no improvement in survival ...
http://jramc.bmj.com/cgi/content/short/military-2023-002451v1?rss=1
Introduction Life-threatening haemorrhage is the leading cause of potentially survivable injury in battlefield casualties. During Operation HERRICK (Afghanistan), mortality rates improved year o...
http://jramc.bmj.com/cgi/content/short/military-2023-002408v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002465v1?rss=1
Introduction On 24 February 2022, the full-scale military invasion of Russia into Ukraine has started, creating one of the largest humanitarian crises in Europe since the World War II. As of 27 ...
http://jramc.bmj.com/cgi/content/short/military-2023-002365v2?rss=1
Introduction Moral injury concerns transgressive harms and the outcomes that such experiences may cause. A gap in the literature surrounding moral injury, and an outcome that may be important to...
http://jramc.bmj.com/cgi/content/short/military-2023-002457v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002431v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002473v1?rss=1
Microbiomes involve complex microbial communities wherein the micro-organisms interact with one another as well as their associated hosts or environmental niches. Much of the characterisation of ...
http://jramc.bmj.com/cgi/content/short/military-2022-002308v1?rss=1
Introduction British military personnel deploy internationally to areas with high levels of ambient air pollution. Air pollution can cause acute respiratory symptoms which lead to concern about ...
http://jramc.bmj.com/cgi/content/short/military-2023-002381v1?rss=1
Spinal cord stimulators (SCS) and peripheral nerve stimulators (PNS) are increasingly used in the treatment of chronic pain, allowing more patients to resume working and return to activities. Mil...
http://jramc.bmj.com/cgi/content/short/military-2023-002366v1?rss=1
Introduction The US Marine Corps (USMC) Officer Candidates School (OCS) is a 10-week training course for Marine Officer Candidates (MOCs). OCS training is rigorous and demanding, which results i...
http://jramc.bmj.com/cgi/content/short/military-2023-002392v1?rss=1
Introduction Research into the factors resulting in suicide in the military veteran population has yet to reach a consensus. Available research is concentrated on a small number of countries, an...
http://jramc.bmj.com/cgi/content/short/military-2023-002413v1?rss=1
Microbiomes involve complex microbial communities where the microorganisms interact with one another as well as their associated hosts or environmental niches. The characterisation of these commu...
http://jramc.bmj.com/cgi/content/short/military-2022-002307v1?rss=1
Defence Engagement (DE) (Health) themes are reviewed in this paper through two historical perspectives set in very different contexts. The first-person narrative in Guerrilla Surgeon by Lindsay R...
http://jramc.bmj.com/cgi/content/short/military-2023-002412v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002446v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002450v1?rss=1
Military service members need to be able to operate under conditions of extreme stress to ensure the success of their team’s mission; however, an acute stress reaction (ASR) can compromise team...
http://jramc.bmj.com/cgi/content/short/military-2022-002344v1?rss=1
Biomarkers have been of considerable interest in military medicine as a strategy to identify objective measures of resilience in the context of the cumulative trauma exposure of combat as well de...
http://jramc.bmj.com/cgi/content/short/military-2023-002352v1?rss=1
Introduction Intraosseous (IO) administration of medications and blood products is accepted practice in major trauma when intravenous access is not immediately available. However, there is a con...
http://jramc.bmj.com/cgi/content/short/military-2023-002378v1?rss=1
Introduction Little is known of the epidemiology of musculoskeletal injuries (MSKIs) in US Air Force Special Warfare (AFSPECWAR) Tactical Air Control Party trainees. The purpose of this longitud...
http://jramc.bmj.com/cgi/content/short/military-2023-002417v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002443v1?rss=1
Defence Engagement (DE) has been a core UK Defence task since 2015. DE (Health) is the use of military medical capabilities to achieve DE effects within the health sector to achieve security and ...
http://jramc.bmj.com/cgi/content/short/military-2023-002369v1?rss=1
Introduction The clinical application of the arts among military personnel and veterans has been well documented, particularly in relation to service-related mental health difficulties. However,...
http://jramc.bmj.com/cgi/content/short/military-2022-002174v2?rss=1
Introduction Mid-portion Achilles tendinopathy (mid-AT) is currently the preferred term for persistent Achilles tendon pain, defined as located 2–7 cm proximal to the calcaneus, and with loss ...
http://jramc.bmj.com/cgi/content/short/military-2022-002241v2?rss=1
Introduction Moral injury (MI) significantly impacts the lives of many UK military veterans however, there is a lack of manualised treatment to address the needs of this population. To develop f...
http://jramc.bmj.com/cgi/content/short/military-2022-002332v1?rss=1
Introduction Identifying barriers to care in veteran populations is critical, as veterans face increased social isolation, relationship strains and financial insecurities. For Canadian veterans ...
http://jramc.bmj.com/cgi/content/short/military-2022-002249v1?rss=1
Background Studies indicate that alcohol use is more prevalent in the military and that such use is related to coping mechanisms for stress. Alcohol use could result in health and social problem...
http://jramc.bmj.com/cgi/content/short/military-2022-002217v2?rss=1
Objective Post-COVID-19 syndrome presents a health and economic challenge affecting ~10% of patients recovering from COVID-19. Accurate assessment of patients with post-COVID-19 syndrome is comp...
http://jramc.bmj.com/cgi/content/short/military-2022-002193v2?rss=1
Global Health Engagement is one method employed by the Australian Defence Force (ADF) in pursuit of its objectives to shape Australia’s strategic environment and to deter actions against Austra...
http://jramc.bmj.com/cgi/content/short/military-2022-002335v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002432v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002402v1?rss=1
There are many similarities in symptoms between postviral conditions, including clinical features such as fatigue, reduced daily activity and postexertional symptom exacerbation. Unfavourable res...
http://jramc.bmj.com/cgi/content/short/military-2023-002399v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002384v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002354v2?rss=1
Over the past 25 years, one way the US Department of Defense (DoD) has worked to optimise and personalise the delivery of behavioural healthcare is by integrating behavioural health providers int...
http://jramc.bmj.com/cgi/content/short/military-2022-002312v1?rss=1
Introduction There is a need for quality medical care for children injured in conflict, but a description of injuries and injury burden from blast and ballistic mechanisms is lacking. The radiol...
http://jramc.bmj.com/cgi/content/short/military-2022-002336v1?rss=1
Introduction Accurate measurement of health status is essential to assess veterans’ needs and the effects of interventions directed at improving veterans’ well-being. We conducted a systemat...
http://jramc.bmj.com/cgi/content/short/military-2022-002219v1?rss=1
Introduction Shoulder instability is a common problem for military personnel due to the highly physical demands of work and training. This study assessed the pattern of glenoid labrum tears suff...
http://jramc.bmj.com/cgi/content/short/military-2022-002244v2?rss=1
Since the February 2022 Russian invasion of Ukraine, the prospect of an Article 5 North Atlantic Treaty Organisation collective defence operation in Europe has increased significantly. Were this ...
http://jramc.bmj.com/cgi/content/short/military-2023-002396v1?rss=1
Introduction Combat-related traumatic injury (CRTI) has been linked to an increased cardiovascular disease (CVD) risk. The long-term impact of CRTI on heart rate variability (HRV)—a robust CVD...
http://jramc.bmj.com/cgi/content/short/military-2022-002316v1?rss=1
Introduction On 25 August 2020, 29 British Forces Brunei (BFB) service personnel were hospitalised after being struck by lightning during a company-level training exercise in the Brunei jungle. ...
http://jramc.bmj.com/cgi/content/short/military-2023-002393v1?rss=1
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http://jramc.bmj.com/cgi/content/short/military-2023-002386v1?rss=1
Introduction New Zealand’s initial contribution of 50 nurses to WWI was thought to be sufficient. However, by the time of Armistice Day, at least 550 nurses had served for the New Zealand Army...
http://jramc.bmj.com/cgi/content/short/military-2022-002325v1?rss=1
Introduction Long COVID (LC) is a medical condition first described and documented through anecdotes on social media by patients prior to being recognised by WHO as a disease. Although >50 prolo...
http://jramc.bmj.com/cgi/content/short/military-2022-002280v2?rss=1
This paper describes the Defence Engagement (Health) (DE(H)) component of the medical mission within the UK deployment to South Sudan under Op TRENTON, the UK troop contribution to the United Nat...
http://jramc.bmj.com/cgi/content/short/military-2022-002319v1?rss=1
Introduction Mid-portion Achilles tendinopathy (mid-AT) is common in soldiers, significantly impacting activity levels and operational readiness. Currently, Victorian Institute of Sport Assessme...
http://jramc.bmj.com/cgi/content/short/military-2022-002326v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002370v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002341v2?rss=1
Background Ketamine is a dissociative anaesthetic currently used in a variety of healthcare applications. Effects are dose dependent and cause escalating levels of euphoria, analgesia, dissociat...
http://jramc.bmj.com/cgi/content/short/military-2022-002291v1?rss=1
Background Normative student-athlete concussion assessment data may not be appropriate for service academy members (SAMs), particularly rugby players, because of the uniqueness of their academic...
http://jramc.bmj.com/cgi/content/short/military-2023-002358v1?rss=1
Introduction The purpose of this study was to investigate the relationship between sleep and pain in military personnel and to determine if metrics of sleep and pain intensity differ between the...
http://jramc.bmj.com/cgi/content/short/military-2022-002281v1?rss=1
The role of nutrition and performance is well established. Service members’ physical and cognitive performance, sleep and mood are impacted by nutritional choices. Although many eating patterns...
http://jramc.bmj.com/cgi/content/short/military-2022-002311v1?rss=1
Introduction Since 2013, the French Army Health Service, in agreement with international experts, has recommended the administration of 1 g of tranexamic acid (TXA) in trauma patients in haemorr...
http://jramc.bmj.com/cgi/content/short/military-2022-002321v2?rss=1
This paper considers the potential ethical tensions in the conduct of Defence Engagement (Health) (DE(H)) activities. Multiple academic papers have described the ethical dimensions of topics such...
http://jramc.bmj.com/cgi/content/short/military-2022-002318v1?rss=1
Background SARS-CoV-2 can spread rapidly on maritime platforms. Several outbreaks of SARS-CoV-2 have been reported on warships at sea, where transmission is facilitated by living and working in ...
http://jramc.bmj.com/cgi/content/short/military-2022-002296v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002337v1?rss=1
Gold standard treatments for military personnel seeking support for mental health difficulties are often standardised and manualised to ensure high levels of treatment fidelity. While manualised ...
http://jramc.bmj.com/cgi/content/short/military-2022-002253v1?rss=1
Background Military practice or deployment in extreme conditions includes risks, dangers and rare disorders. One of the challenges is frostbite; however, current literature does not provide an o...
http://jramc.bmj.com/cgi/content/short/military-2022-002171v1?rss=1
Introduction The purpose was to quantify physical performance in men and women during British Army Junior Entry (Army-JE), British Army Standard Entry (Army-SE) and Royal Air Force (RAF) basic t...
http://jramc.bmj.com/cgi/content/short/military-2022-002285v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002329v1?rss=1
Anterior cruciate ligament (ACL) rupture is a common injury that affects young, active individuals, normally managed with reconstruction in this age group. Current UK Armed Forces policy preclude...
http://jramc.bmj.com/cgi/content/short/military-2022-002261v1?rss=1
While substantial investment has been made in the early identification of mental and behavioural health disorders in service members, rates of depression, substance abuse and suicidality continue...
http://jramc.bmj.com/cgi/content/short/military-2022-002306v1?rss=1
Background In the UK, there have been multiple waves of COVID-19, with a five-tier alert system created to describe the transmission rate and appropriate restrictions. While acute mortality decr...
http://jramc.bmj.com/cgi/content/short/military-2022-002248v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2023-002348v1?rss=1
Introduction Managing emergency situations in different simulated flight segments can entail a workload that could affect the performance of military pilots. The aim was to analyse the modificat...
http://jramc.bmj.com/cgi/content/short/military-2022-002242v1?rss=1
Introduction This study describes deaths among Danish soldiers in international operations 2002–2018. Having been part of UN and later NATO forces in ex-Yugoslavia, in 2002 the first Danish co...
http://jramc.bmj.com/cgi/content/short/military-2022-002164v1?rss=1
After the emergence of the SARS-CoV-2 virus in early 2020, it quickly became clear that symptomatic or asymptomatic infection had the potential to negatively impact on an individual’s fitness t...
http://jramc.bmj.com/cgi/content/short/military-2022-002327v1?rss=1
Introduction There remains uncertainty around the impact of war on the lifespan of First World War (WW1) veterans. In particular, study comparison groups do not typically consider the ‘healthy...
http://jramc.bmj.com/cgi/content/short/military-2022-002278v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002301v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002266v1?rss=1
The COVID-19 pandemic has resulted in a digital technology revolution which included widespread use in remote healthcare settings, remote working and use of technology to support friends and fami...
http://jramc.bmj.com/cgi/content/short/military-2022-002279v1?rss=1
Background Musculoskeletal system injuries (MSIs) are the major health problem of soldiers. The aim of this study was to assess the types of MSIs that occurred most frequently among soldiers and...
http://jramc.bmj.com/cgi/content/short/military-2022-002166v1?rss=1
Introduction Exertional rhabdomyolysis is a syndrome of muscle breakdown following exercise. This study describes laboratory and demographic trends of service members hospitalised for exertional...
http://jramc.bmj.com/cgi/content/short/military-2021-002028v1?rss=1
Introduction Individuals who have been exposed to a traumatic event can develop profound feelings of guilt, shame and anger. Yet, studies of treatments for post-traumatic stress disorder (PTSD) ...
http://jramc.bmj.com/cgi/content/short/military-2022-002155v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002295v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002251v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002286v1?rss=1
Background The creation of highly muscled and strong fighters is a recurring theme in human performance enhancement concepts. Physical readiness standards, intended to prevent obesity in the mil...
http://jramc.bmj.com/cgi/content/short/military-2022-002189v1?rss=1
Introduction Military personnel train and operate in challenging multistressor environments, which can affect hormonal levels, and subsequently compromise performance and recovery. The aims of t...
http://jramc.bmj.com/cgi/content/short/military-2022-002179v1?rss=1
Background The ability to predict the risk of poor outcome following knee cruciate ligament reconstruction in the Australian Defence Force (ADF) population would help direct individual rehabilit...
http://jramc.bmj.com/cgi/content/short/military-2022-002150v1?rss=1
Background Long-distance runs with equipment are practised in military training establishments to develop physical stamina and prepare for battles. A study was planned to quantify and compare th...
http://jramc.bmj.com/cgi/content/short/military-2022-002154v1?rss=1
Introduction The physical and mental training load can be high during military service. Therefore, tailored preconditioning programmes based on assessment of physical fitness could increase read...
http://jramc.bmj.com/cgi/content/short/military-2022-002267v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002255v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002233v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002274v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002290v1?rss=1
Shared ablutions and stairwells, corridor cross-ventilation and non-deliberate perflation (natural draft blowing through a space) are potential risk factors for COVID-19 transmission in corridor-...
http://jramc.bmj.com/cgi/content/short/military-2022-002204v1?rss=1
Introduction Proper nutrition can play an important role in preventing and improving disease progression in patients with COVID-19. The Healthy Eating Index-2015 (HEI-2015) is one of the most co...
http://jramc.bmj.com/cgi/content/short/military-2022-002173v1?rss=1
Introduction Despite mitigation efforts, exertional heat stroke (EHS) is known to occur in military personnel during training and operations. It has significant potential to cause preventable mo...
http://jramc.bmj.com/cgi/content/short/military-2022-002133v1?rss=1
Background Military specialists are elite personnel who are trained to work across diverse operational environments where a high level of physical conditioning is a prerequisite for their role. ...
http://jramc.bmj.com/cgi/content/short/military-2022-002165v1?rss=1
Background Three permanent military operations are established in French Guiana. The Cayenne medical unit is a French military search and rescue unit and provides MEDEVAC and CASEVAC for ill and...
http://jramc.bmj.com/cgi/content/short/military-2022-002125v1?rss=1
Introduction Musculoskeletal injuries (MSKIs) are ubiquitous during initial entry military training, with overuse injuries the most common. A common injury mechanism is running, an activity that...
http://jramc.bmj.com/cgi/content/short/military-2022-002211v1?rss=1
Objective The selection process to the British Army’s Brigade of Gurkhas is rigorous, demanding and competitive. The ethos of recruitment to the Gurkhas is grounded in an overarching tenant: t...
http://jramc.bmj.com/cgi/content/short/military-2022-002158v1?rss=1
Introduction Penetrating traumatic brain injury (TBI) is the most common cause of death in current military conflicts, and results in significant morbidity in survivors. Identifying those physio...
http://jramc.bmj.com/cgi/content/short/military-2022-002118v1?rss=1
The COVID-19 pandemic placed significant global pressure on public health, with the demand for specialist clinical input, equipment and therapeutics often outweighing supply in many well-establis...
http://jramc.bmj.com/cgi/content/short/military-2022-002205v1?rss=1
Background Modern instant messaging systems facilitate reach-back medical support for Defence Medical Services (DMS) by connecting deployed clinicians to remote specialists. The mobile app Pando...
http://jramc.bmj.com/cgi/content/short/military-2022-002172v1?rss=1
Introduction Head-mounted displays (HMDs) are becoming increasingly investigated in the realm of healthcare. These devices are worn on the user’s head and display information directly to the e...
http://jramc.bmj.com/cgi/content/short/military-2022-002108v1?rss=1
Journal of the Royal Army Medical Corps RSS Feed -- Online First
http://jramc.bmj.com/cgi/content/short/military-2022-002187v1?rss=1
Introduction The military includes lower extremity amputees requiring arthroplasty; however, there is little literature on this population. The primary aim of this study was to report demographi...
http://jramc.bmj.com/cgi/content/short/military-2022-002106v1?rss=1
Introduction Exercise programmes have been used to prevent injuries in military personnel, as they can reduce modifiable risk factors for injuries. Our aim was to review the literature to evalua...
http://jramc.bmj.com/cgi/content/short/bmjmilitary-2022-002098v1?rss=1
Background Body dysmorphic disorder (BDD) and muscle dysmorphia (MD) are common but often underdiagnosed disorders. These disorders have rarely been explored in the context of military personnel...
http://jramc.bmj.com/cgi/content/short/bmjmilitary-2022-002135v1?rss=1