Introduction Decay of surgical skills due to paucity of opportunity to operate is a potential threat to patients being cared for by the Defence Medical Services while on operational deployment. ...
Background In the face of the COVID-19 pandemic, the Defence Science and Technology Laboratory (Dstl) and Defence Pathology combined to form the Defence Clinical Lab (DCL), an accredited (ISO/IE...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Background Tension pneumothorax following trauma is a life-threatening emergency and radiological investigation is normally discouraged prior to treatment in traditional trauma doctrines such as...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Introduction Soldiers deployed to British Army Training Unit Kenya (BATUK) are at increased risk of sexually transmitted infections, including HIV, compared with when in the firm base, due to th...
Introduction The acquisition and retention of militarily relevant surgical knowledge and skills are vital to enable expert management of combat casualties on operations. Opportunities for skill ...
Introduction Root canal treatment (RCT) plays an important role in preserving the dentition by deferring other invasive treatments. Data on tooth survival and predictive factors for tooth loss a...
Introduction Most epidemiological studies in the field of military medicine have been based on data from medical records and registries. The aims of this study were to test a self-reporting inju...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Background Pilots are working in a unique and exacting environment with hypobaric hypoxia and acceleration forces. In military flying, missions are often challenging with possible combat scenari...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Introduction First-term attrition (FTA), or failure of a military service member to complete their initial service contract, is a major financial burden and source of lost manpower in the US Nav...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Haemorrhage from junctional injuries remains the most common cause of battlefield death. Changes to surgical training have meant acquiring and maintaining trauma surgical skills is becoming more ...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Over the last 20 years, there have been significant changes in UK surgical training. Civilian surgical training may no longer prepare military surgeons for the range of skills they require on ope...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
The UK military prehospital emergency care (PHEC) operational clinical capability framework must be updated in order that it retains its use as a valid operational planning tool. Specific require...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Moral injury is a relatively new, but increasingly studied, construct in the field of mental health, particularly in relation to current and ex-serving military personnel. Moral injury refers to ...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Medical mobilisation is vital to support tropical campaigns where many disease casualties are expected. Much of the medical supplies and equipment for nine station and three general hospitals tha...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Introduction Periodontal disease is a prevalent pathology in military personnel worldwide. The objective is to analyse the methodological features of periodontal health research performed in mil...
Background Appropriate nutritional intake is essential to optimise both general health and performance in military recruits. General nutritional knowledge is a significant and modifiable determi...
Introduction MRI is commonly used to evaluate medial tibial stress syndrome (MTSS), based on grading assessments developed in civilian populations. When MTSS represents stress fracture, rest is ...
A key research theme identified during the 2021 Strategic Delivery Plan (SDP) for Defence Medical Services (DMS) Research was preventing and treating musculoskeletal injury (MSKI). MSKI is a sign...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Introduction Smoke-free legislation has been instrumental in reducing secondhand smoke (SHS) exposure in public places. However, the evidence of the impact of institutional smoke-free policies i...
Introduction Leadership is accepted as a crucial component of effective working within teams. Followership’s contribution to successful performance is increasingly recognised but understudied....
Introduction Military members are exposed to high cumulative physical loads that frequently lead to injury. Prescribed footwear and orthoses have been used to prevent injury. The purpose of this...
Background Providing safe and effective anaesthesia in the context of humanitarian medicine is always a challenging situation. Spinal anaesthesia, and in particular its thoracic approach, repres...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Background There is evidence that core stabilisation, strength and endurance training contribute to reduce low back pain in the general population. However, we are not aware of the effect of the...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Introduction Combat boots are essential protective gear for military personnel. The purposes of the present study were to examine (1) the influence of combat boot type on ground reaction force (...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Extreme environments present medical and occupational challenges that extend beyond generic resuscitation, to formulating bespoke diagnoses and prognoses and embarking on management pathways rare...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Military medical personnel need to understand military medical ethics to comply with international humanitarian law, national health practice and professional norms. Teaching this subject is cons...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Heat illnesses (HI) define a continuum of conditions where patients become incapacitated due to uncompensable heat stress. In the military, HI has a significant health, financial and operational ...
Introduction Reflex syncope in the UK Armed Forces is reportedly higher than comparable militaries and civilian populations and is significantly more common in soldiers who take part in State Ce...
Background Emotional intelligence (EI) is a concept describing an individual’s ability to understand, process and act accordingly on others’ and one’s own emotions. It is a desirable quali...
Introduction Anterior cruciate ligament (ACL) injury is common within the US military and represents a significant loss to readiness. Since recent changes to operational tempo, there has not bee...
Introduction In Portugal, most adults have inadequate levels of vitamin D. Active duty military personnel need to be always ready for duty, perform tasks in specific contexts and overcome high p...
Introduction Serving military personnel and military veterans have been identified as having a high prevalence of mental disorders. Since 1985, UK patients’ primary healthcare (PHC) medical re...
Introduction At the start of the COVID-19 pandemic, individuals with pre-existing mental health difficulties were thought to be vulnerable to mental health deterioration due to the emerging thre...
Introduction This study aims to describe injury patterns, prehospital interventions and mortality rates of combat-related thoracic injuries during the past decade among Israel Defense Forces (ID...
Introduction The Royal Marines provide the lead Service for UK Defence Mountain and Cold Weather Warfare capability. This is the first prospective study addressing musculoskeletal injury rates s...
Introduction A rising trend has occurred in the physical and mental health challenges faced by recovering UK service personnel. To support these individuals, bespoke inclusive multiactivity and ...
Introduction There is still uncertainty around the impact of combat exposure on the life span of war veterans. Therefore we made use of a natural experiment to study the impact on veteran life s...
Background ‘Non-compressible’ haemorrhage is the leading cause of preventable battlefield death, often requiring surgical or radiological intervention, which is precluded in the pre-hospital...
Introduction The COVID-19 pandemic has posed major challenges for infection control within training centres, both civilian and military. Here we present a narrative review of an outbreak that oc...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Terrorist events in the form of explosive devices have occurred and remain a threat currently to the population and the infrastructure of many nations worldwide. Injuries occur from a combination...
Medical fellowships have traditionally developed the individual rather than furthering military or national strategic objectives. This paper describes a medical fellowship with the British Antarc...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Journal of the Royal Army Medical Corps RSS feed -- recent issues
Accurate and reliable diagnostic capability is essential in deployed healthcare to aid decision-making and mitigate risk. This is important for both the patient and the deployed healthcare system...
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) enables temporary haemorrhage control and physiological stabilisation. This article describes the bespoke Defence Medical Service...
Established in 2018, the Defence Endovascular Resuscitation (DefER) group recognised that resuscitative endovascular balloon occlusion of the aorta (REBOA) offered an option to improve survival i...
After the appearance of the COVID-19 pandemic in France, MEROPE system was created to transform the military tactical ATLAS A400M aircraft into a flying intensive care unit. Collective aeromedica...
Introduction Underbody blast loading can result in injuries to the pelvis and the lumbosacral spine. The purpose of this study was to determine human tolerance in this region based on survival a...
Introduction Military occupations have historically been, and continue to be, male dominated. As such, female military Veteran populations tend to be understudied, and comparisons of the physica...
Introduction Military veterans are at heightened risk of problem gambling. Little is known about the costs of problem gambling and related harm among United Kingdom (UK) Armed Forces (AF) vetera...
Introduction Despite making up about 11% of the UK military, there remains limited investigation on the impact of adversity women experience during their service in the UK military. Military adv...
Introduction The rights, roles and responsibilities of servicewomen in the UK Armed Forces has changed dramatically over time. Previously, service personnel were automatically discharged from th...
Introduction Reflex syncope is the most common subtype of syncope and, despite not being associated with increased mortality, often results in significant morbidity and costly diagnostics. Refle...
Introduction Sexual harassment (SH) at work can have an impact on the general health and well-being and on the productivity of the employee. To date, the Belgian Armed Forces do not have any acc...
Introduction Jumping ability is one of the most important physical qualities in military personnel. Previous training intervention studies have shown equivocal effects on jumping ability. In thi...
Journal of the Royal Army Medical Corps RSS feed -- recent issues
UK Defence’s doctors receive the majority of their pre-accreditation clinical training within the National Health Service’s (NHS) specialty training programmes. These are designed primarily t...
Introduction Successful completion of initial military training has been suggested to be predicted by physical abilities, cognitive abilities and non-cognitive abilities such as hardiness and gr...
Role 1 doctors in the British Army work predominantly in primary healthcare, but also provide prehospital emergency care and administer potent parenteral medications in the field. Role 1 doctors ...
Military general practice requires wider knowledge and more diverse skillset than that defined by the Royal College of General Practitioners curriculum. Following completion of specialty training...
Operation TORAL was the UK’s contribution to NATO’s Operation RESOLUTE SUPPORT in Kabul, Afghanistan. Approximately 1000 British troops were deployed in Kabul when the arrival of the COVID-19...
Journal of the Royal Army Medical Corps RSS feed -- recent issues