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  Subjects -> MILITARY (Total: 108 journals)
Showing 1 - 24 of 24 Journals sorted alphabetically
Africa Conflict Monitor     Full-text available via subscription   (Followers: 7)
Armed Conflict Survey     Full-text available via subscription   (Followers: 14)
Armed Forces & Society     Hybrid Journal   (Followers: 24)
Arms & Armour     Hybrid Journal   (Followers: 9)
British Journal for Military History     Open Access   (Followers: 40)
Bulletin of the Atomic Scientists     Hybrid Journal   (Followers: 6)
Ciencia y Poder Aéreo     Open Access   (Followers: 2)
Civil Wars     Hybrid Journal   (Followers: 21)
Coleção Meira Mattos : Revista das Ciências Militares     Open Access  
Conflict, Security & Development     Hybrid Journal   (Followers: 424)
Critical Military Studies     Hybrid Journal   (Followers: 4)
CRMA Journal of Humanities and Social Sciences     Open Access   (Followers: 1)
Cuadernos de Marte     Open Access  
Defence and Peace Economics     Hybrid Journal   (Followers: 22)
Defence Science Journal     Open Access   (Followers: 39)
Defence Studies     Hybrid Journal   (Followers: 30)
Defence Technology     Open Access   (Followers: 4)
Defense & Security Analysis     Hybrid Journal   (Followers: 31)
Digital War     Hybrid Journal   (Followers: 2)
Disaster and Military Medicine     Open Access   (Followers: 5)
Doutrina Militar Terrestre em Revista     Open Access   (Followers: 1)
Eesti Sõjaajaloo Aastaraamat / Estonian Yearbook of Military History     Open Access   (Followers: 2)
EsSEX : Revista Científica     Open Access   (Followers: 1)
First World War Studies     Hybrid Journal   (Followers: 28)
Fra Krig og Fred     Open Access   (Followers: 2)
Gettysburg Magazine     Full-text available via subscription  
Great Circle: Journal of the Australian Association for Maritime History, The     Full-text available via subscription   (Followers: 7)
Headmark     Full-text available via subscription   (Followers: 2)
Human Factors and Mechanical Engineering for Defense and Safety     Hybrid Journal   (Followers: 1)
International Bibliography of Military History     Hybrid Journal   (Followers: 9)
International Journal of Intelligent Defence Support Systems     Hybrid Journal   (Followers: 5)
International Peacekeeping     Hybrid Journal   (Followers: 473)
Journal for Maritime Research     Hybrid Journal   (Followers: 12)
Journal of Bioterrorism & Biodefense     Open Access   (Followers: 6)
Journal of African Military History     Hybrid Journal   (Followers: 1)
Journal of Archives in Military Medicine     Open Access   (Followers: 3)
Journal of Chinese Military History     Hybrid Journal   (Followers: 6)
Journal of Conflict and Security Law     Hybrid Journal   (Followers: 19)
Journal of Conventional Weapons Destruction     Open Access   (Followers: 3)
Journal of Defense Modeling and Simulation : Applications, Methodology, Technology     Hybrid Journal   (Followers: 5)
Journal of Defense Studies & Resource Management     Hybrid Journal   (Followers: 1)
Journal of Military and Information Science     Open Access   (Followers: 5)
Journal of Military and Strategic Studies     Open Access   (Followers: 4)
Journal of Military and Veterans Health     Full-text available via subscription   (Followers: 10)
Journal of Military Ethics     Hybrid Journal   (Followers: 11)
Journal of Military Experience     Open Access   (Followers: 7)
Journal of Military History     Full-text available via subscription   (Followers: 34)
Journal of Military Studies     Open Access   (Followers: 5)
Journal of National Security Law & Policy     Free   (Followers: 8)
Journal of Naval Architecture and Marine Engineering     Open Access   (Followers: 5)
Journal of Naval Sciences and Engineering     Open Access   (Followers: 1)
Journal of power institutions in post-soviet societies     Open Access   (Followers: 2)
Journal of Slavic Military Studies     Hybrid Journal   (Followers: 17)
Journal of Terrorism Research     Open Access   (Followers: 26)
Journal of the Royal Army Medical Corps     Hybrid Journal   (Followers: 9)
Journal on Baltic Security     Open Access   (Followers: 3)
Martial Arts Studies     Open Access   (Followers: 1)
Media, War & Conflict     Hybrid Journal   (Followers: 15)
Medical Journal Armed Forces India     Full-text available via subscription  
Medicine, Conflict and Survival     Hybrid Journal   (Followers: 3)
Militärgeschichtliche Zeitschrift     Hybrid Journal   (Followers: 6)
Military Behavioral Health     Hybrid Journal   (Followers: 6)
Military Medical Research     Open Access   (Followers: 4)
Military Medicine     Hybrid Journal   (Followers: 9)
Military Psychology     Hybrid Journal   (Followers: 10)
Modern Information Technologies in the Sphere of Security and Defence     Open Access   (Followers: 2)
Naval Research Logistics: an International Journal     Hybrid Journal   (Followers: 3)
Nonproliferation Review     Hybrid Journal   (Followers: 5)
O Adjunto : Revista Pedagógica da Escola de Aperfeiçoamento de Sargentos das Armas     Open Access   (Followers: 2)
Perspectives on Terrorism     Open Access   (Followers: 475)
Post-Soviet Armies Newsletter     Open Access   (Followers: 1)
Problemy Mechatroniki. Uzbrojenie, lotnictwo, inżynieria bezpieczeństwa / Problems of Mechatronics. Armament, Aviation, Safety Engineering     Open Access   (Followers: 3)
Revista Agulhas Negras     Open Access   (Followers: 1)
Revista Babilônia     Open Access   (Followers: 1)
Revista Científica Fundação Osório     Open Access  
Revista Científica General José María Córdova     Open Access  
Revista Cubana de Medicina Militar     Open Access   (Followers: 1)
Revista do Exército     Open Access   (Followers: 1)
Revista Militar de Ciência e Tecnologia     Open Access   (Followers: 1)
Revista Política y Estrategia     Open Access  
Sabretache     Full-text available via subscription   (Followers: 1)
Sanidad Militar     Open Access  
Scandinavian Journal of Military Studies     Open Access   (Followers: 1)
Scientia Militaria : South African Journal of Military Studies     Open Access   (Followers: 4)
Scientific Journal of Polish Naval Academy     Open Access  
Securitologia     Open Access   (Followers: 1)
Security and Defence Quarterly     Open Access   (Followers: 7)
Security Studies     Hybrid Journal   (Followers: 48)
Signals     Full-text available via subscription   (Followers: 2)
Small Wars & Insurgencies     Hybrid Journal   (Followers: 377)
Small Wars Journal     Open Access   (Followers: 17)
Social Development & Security : Journal of Scientific Papers     Open Access   (Followers: 1)
Special Operations Journal     Hybrid Journal   (Followers: 1)
Strategic Comments     Hybrid Journal   (Followers: 6)
The Military Balance     Hybrid Journal   (Followers: 9)
The RUSI Journal     Hybrid Journal   (Followers: 17)
Transportation Research Part E: Logistics and Transportation Review     Hybrid Journal   (Followers: 22)
United Service     Full-text available via subscription   (Followers: 1)
University of Miami National Security & Armed Conflict Law Review     Open Access   (Followers: 1)
Vierteljahrshefte für Zeitgeschichte. Das zentrale Forum der Zeitgeschichtsforschung     Hybrid Journal   (Followers: 11)
Vojnotehnički Glasnik     Open Access   (Followers: 1)
Vulcan     Hybrid Journal   (Followers: 1)
War & Society     Hybrid Journal   (Followers: 26)
War in History     Hybrid Journal   (Followers: 23)
Whitehall Papers     Hybrid Journal   (Followers: 3)
Wiedza Obronna     Open Access   (Followers: 2)
Zeitschrift für Slawistik     Hybrid Journal   (Followers: 1)
선진국방연구     Open Access  

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Journal of the Royal Army Medical Corps
Journal Prestige (SJR): 0.303
Citation Impact (citeScore): 1
Number of Followers: 9  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0035-8665 - ISSN (Online) 2052-0468
Published by BMJ Publishing Group Homepage  [68 journals]
  • Dispatches from the editor in chief: exercise SAIF SAREEA 3 and lessons
           learned for future UK medical military operations
    • Authors: Smith, M; Breeze, J.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/jramc-2019-001370
      Issue No: Vol. 166, No. 6 (2020)
  • Medical equipment trends during the UK military exercise SAIF SAREEA 3 in
    • Authors: Thompson, D. C; Davies, L. G, Smith, M. B.
      Pages: 373 - 377
      Abstract: IntroductionEx SAIF SAREEA 3 was a joint British-Omani military exercise involving approximately 5500 British personnel deployed to Oman over a 6-month period. Role 1 medical care was provided by medical treatment facilities (MTFs) deployed with medical equipment as per the UK 300 medical module.MethodRetrospective analysis was undertaken of prospectively collected equipment usage data from two Role 1 MTFs in Duqm (MTF 1) and Muaskar Al Murtafa (MTF 2) camps over a period of 6–8 weeks. Data were analysed alongside routinely collected epidemiological data (EPINATO) during the deployment. Equipment used in addition to the module was also recorded.ResultsMTF 1 used 50 out of the 179 different items from the module over the 8-week period. MTF 2 used 45 out of the 179 different items from their module over the 6-week period. The most commonly used items across the sites were non-sterile examination gloves, plastic aprons, tympanic thermometer probe covers, disinfectant wipes and self-adhesive plasters. Extramodular items (blunt fill needle, water pump sprayer, Jelonet gauze and stool specimen pot) accounted for 5% of all equipment used in MTF 1.ConclusionThe study showed that the 300 module accommodates 95% of Role 1 patients’ needs but highlights the requirement for dedicated equipment for the treatment of heat casualties if deemed likely and blunt fill/filter needles for the administration of parenteral medication. Commanders must perform a thorough medical estimate and risk assessment prior to deployment to ensure that the 300 medical module is likely to provide the necessary equipment and supplement the module if required.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001362
      Issue No: Vol. 166, No. 6 (2020)
  • Medical data collection on UK Military Exercise Saif Sareea 3: the
           EpiNATO-2 surveillance system
    • Authors: Chase, S; Kavanagh Williamson, M, Smith, M.
      Pages: 378 - 381
      Abstract: IntroductionEpidemiological data from military exercises are important to identify trends in medical presentations and treatment requirements to aid planning for future operations. UK Military exercises use the EpiNATO-2 surveillance system for this purpose, however it has some limitations in the spectrum of data it can collect. An enhanced reporting system titled EpiNATO-2 PLUS was developed and introduced in all LAND (Army) Role 1 Medical Treatment Facilities (MTFs) as part of Exercise Saif Sareea 3 (SS3). It was assessed as part of a Quality Improvement Project for its utility in terms of spectrum and validity of data capture.MethodEpidemiological data were collected over a 2-month period from medical consultations in Camp Shafa during SS3 by EpiNATO-2 or EpiNATO-2 PLUS. This involved categorisation of symptoms into a coding system which represents a spectrum of clinical presentations, as well as collecting data on the effect of medical issues on personnel productivity. Halfway through the collection period, an EpiNATO-2 PLUS education session and Summary Guide were introduced. Data were audited for the period before and after these introductions.ResultsOf the 1163 consultations conducted in the 2-month period, the use of EpiNATO-2 PLUS captured an additional 169 patient contacts not collected by EpiNATO-2. The provision of a summary guide and teaching session decreased coding errors in the second audit period from 12.9% to 6.8% for EpiNATO-2 and from 19.4% to 6.6% for EpiNATO-2 PLUS, respectively.ConclusionsThe use of EpiNATO-2 PLUS collected a broader spectrum of medical activity in the Role 1 MTF, by capturing an additional 10% of the clinical workload compared with EpiNATO-2. The increase in coding accuracy correlates with the introduction of the education session and EpiNATO-2 PLUS Summary Guide. It is recommended that EpiNATO-2 PLUS is used in future deployments.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001359
      Issue No: Vol. 166, No. 6 (2020)
  • Managing mental health on a prolonged deployment: UK military exercise
           SAIF SAREEA 3
    • Authors: Sawford, H. J; Smith, M. B.
      Pages: 382 - 386
      Abstract: IntroductionThis paper presents the burden of mental health cases throughout UK military exercise SAIF SAREEA 3 (SS3), a low-tempo armoured brigade exercise in Oman from June to November 2018, and aims to discuss ways that mental health may be better managed on future large exercises.MethodsA retrospective review of all attendances at army medical facilities and relevant computerised medical records was undertaken.Results14 mental health cases were identified, which required 51 follow-up presentations throughout the duration of SS3. This represented 1.2% of all first patient presentations, and 6.3% of all follow-up work. 64% had diagnoses which predated deployment and could all be classified within 10th revision of International Statistical Classification of Diseases and Related Health Problems as either F30–F39 mood (affective) disorders, or F40–F48 neurotic, stress-related and somatoform disorders; all new diagnoses made while deployed were adjustment disorders. The medical officer spent an average of 147 min total clinical care time per patient. Six patients were aeromedically evacuated (AE), which represented 26% of all AE cases from SS3.ConclusionsPresentations were low, but time consuming and with poor disposal outcomes. Most conditions predated the exercise, and could have been predicted to worsen through the deployment. Given the disproportionate burden that mental health cases afforded during SS3, future brigade-sized deployments should include deployed mental health professionals in order to offer evidence-based therapy which should lead to improved disposal outcomes and a reduced AE burden.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001355
      Issue No: Vol. 166, No. 6 (2020)
  • Prescribing in the prehospital environment: a review of the pharmaceutical
           Module 501 on UK Military Exercise SAIF SAREEA 3. Can such analysis assist
           with the scaling of healthcare assets'
    • Authors: Davies, L. G; Thompson, D. C, Gillett, R, Smith, M. B.
      Pages: 387 - 390
      Abstract: IntroductionModule 501 provides core medications which are fundamental to the capability of a prehospital treatment team (PHTT). The quantities of each medication in the module inventory undergo regular review, but these do not correspond to a population at risk (PAR) figure or deployment length for which they intend to be used. This article proposes how the quantities of Module 501 drugs can be scaled for a given deployment, in this example using statistics taken from static PHTTs on Exercise Saif Sareea 3 (SS3).MethodsThe statistics were gathered using a custom-built search of electronic records from the Deployed Defence Medical Information Capability Programme in addition to written record-keeping, which were aligned to the weekly PAR at each PHTT location throughout their full operational capability periods. A quotient was then derived for each module item using a formula.ResultsAmong the 10 most commonly prescribed drugs were four analgesics and three antimicrobials. 42 of the 110 studied drugs were not prescribed during SS3.DiscussionThe data from SS3 reflect the typical scope of disease encountered in the deployed land setting. Employing these data, the use of a formula to estimate the drug quantities needed to sustain a Strike Armoured Infantry Brigade over a 28-day period is demonstrated.RecommendationsFurther study of Module 501 across varied deployment environments would be valuable in evolving this approach to medicinal scaling if proven effective for the warm desert climate. It could then be applied to other modules to further inform future Strike medical planning.LimitationsSeveral considerations when drawing deductions from the data are mentioned, including the inaccuracy of predictor variables taken from the EpiNATO-2 reports.ConclusionThe proposed formula provides an evidence-based framework for scaling drug quantities for a deployment planning. This may improve patient safety and confer logistical, storage and fiscal benefits.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001363
      Issue No: Vol. 166, No. 6 (2020)
  • Epidemiology of UK Military Exercise SAIF SAREEA 3: future planning for
           hot climates
    • Authors: Chase, S. L; Kavanagh Williamson, M, Smith, M. B.
      Pages: 391 - 395
      Abstract: IntroductionEpidemiological data captured from military exercises and operations can highlight treatment requirements specific to operating in certain environmental conditions. Such data is invaluable to enable accurate planning for future exercises. Epidemiological data were collected during Exercise SAIF SAREEA 3 (SS3) to provide an insight into medical provision requirements for low-tempo military operations in hot, desert climates.MethodEpidemiological data was collected from all consultations conducted during the exercise within the LAND Medical Reception Station, 24 August–14 November 2018, using Epi-NATO surveillance systems.ResultsOf the 1414 total consultations recorded, 759 were first presentations and 665 were follow-up consultations, with 35 referrals made to hospitals. 1348 days of limited duties were given and 258 working days were lost. The most common coding reported for consultations were ‘non-battle non-sport related injuries’, ‘sport related injuries’ and ‘dermatological'. DiscussionThe data highlight the most common cause of injuries and the role of assets such as dental, sexual and mental health services for future deployments. A number of explanations are considered in relation to the patterns identified and the effect on future planning for working in hot climates. Furthermore, Exercise SS3 had reduced numbers of personnel requiring deployed Role 2 or host nation hospital services, which again raises further considerations for future deployments.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001360
      Issue No: Vol. 166, No. 6 (2020)
  • Smoking habits of UK military personnel on deployment: Exercise SAIF
           SAREEA 3
    • Authors: Williams, J. F; Fuller, M, Smith, M. B.
      Pages: 396 - 400
      Abstract: IntroductionChanges of environment brought about by deployments are often attributed to an increase in smoking of service personnel. Electronic cigarettes are recognised as being a viable aid to quitting smoking but are currently banned from sale in Oman and were therefore banned during exercise SAIF SAREEA 3 (SS3). This paper sought to establish whether smoking increased on this exercise and for what reasons. Also, if deployed smoking cessation services are likely to be used, if available.MethodsQuestionnaires were distributed to deployed troops at various locations in theatre for data collection.ResultsSmoking prevalence increased by 5.2% (29) in the deployed population by the end of the exercise. The largest increase was seen in those smoking 20 cigarettes a day or more, rising by 269.8% (73) with a mean increase of 9 cigarettes per day. During the exercise the number of personnel using electronic cigarettes decreased and individuals’ rate of electronic cigarette use also decreased. Those who smoked less during the exercise did mainly through choice (56.8%). 50% (280) of all individuals who increased smoking habits during the exercise did so out of boredom.ConclusionsDuring exercise SS3 the number of individuals who smoked and the quantity they smoked increased. The ban on electronic cigarettes in Oman and while on exercise potentially had an effect on the increased smoking habits. There is an argument to include smoking cessation material in medical modules to prevent ex-smokers from restarting, continue to aid those quitting and potentially lessen severity of increasing smoking habits while deployed.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001364
      Issue No: Vol. 166, No. 6 (2020)
  • Effects of heat: UK exercise Saif Sareea 3 and interpreting military
           climatic guidance
    • Authors: White, S; Smith, M. B.
      Pages: 401 - 405
      Abstract: IntroductionOver recent years much research, both civilian and military, has occurred in the field of heat illness. This has helped force health protection and medical management of service personnel operating in hot climates. Exercise Saif Sareea 3 in Oman saw a collection of presentations to the deployed UK medical treatment facilities due to the effects of heat.MethodThis paper aims to describe the case series of 24 casualties that presented to the deployed primary care facilities and 17 that were admitted to the deployed secondary care facility due to the effects of heat.ResultsOnly 10 casualties fulfilled the in-theatre diagnostic criteria for heat illness, of which two were of moderate severity and required aeromedical evacuation to the UK.ConclusionsCommanders appeared extremely well read on Joint Service Publication 539 (JSP539; May 2017) Heat Illness and Cold Injury: Prevention and Management, following the Brecon enquiry, and were proactive in managing their force in preventative measures. This likely contributed towards the low numbers of patients with heat illness seen on the exercise. JSP539 did, however, appear to have some limitations when trying to apply it to all patients seen within the operational patient care pathway, and some areas for development are discussed.
      Keywords: Editor''s choice
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001356
      Issue No: Vol. 166, No. 6 (2020)
  • Point-of-care ultrasound at Role 1: is it time for a rethink'
    • Authors: Duncan, P. G. A; Mackey, J.
      Pages: 406 - 410
      Abstract: IntroductionThe past 20 years have seen a rapid increase in point-of-care ultrasound (POCUS) use in the prehospital sphere. However, in the British Army there is no POCUS capability in the Defence Primary Healthcare (DPHC) or deployed Role 1 setting. POCUS can improve diagnostic capability, influence management decisions and transfer destination, and is a useful triage tool in mass casualty management.MethodA survey on POCUS use was sent to 279 clinicians working in the Role 1, civilian prehospital and Defence Primary Healthcare environments. Questions explored current levels of experience and training, indications for use and attitudes towards roll out. Results were analysed using a mixed methods approach.ResultsThere were 124 respondents (279 recipients; 44.4% response rate). 74.2% (92 respondents) had no experience of using POCUS while 9.7% (12 respondents) were classed as frequent users. The four most common indications for prehospital POCUS were abdominal, cardiac and lung imaging and vascular access. The majority of respondents felt that POCUS would add value in the deployed Role 1 environment; this was even more evident in the frequent user group. Common concerns were difficulty maintaining currency, governance burden and uncertainty over impact on management.ConclusionThe majority of doctors surveyed feel that POCUS would add value at Role 1 and is a capability that should be developed. The authors will watch with interest the progress of Project MORPHO.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2020-001466
      Issue No: Vol. 166, No. 6 (2020)
  • Infection Prevention and Control Lead Link Practitioner: a new deployed
           role piloted on Exercise SAIF SAREEA 3
    • Authors: Davis, S. I; Biswas, J. S, White, S.
      Pages: 411 - 413
      Abstract: Disease non-battle injury has plagued British expeditionary forces through the ages. While in recent years significant mortality has reduced, it has had a large impact on operational effectiveness, at times leading to closure of major medical treatment facilities (MTFs).Infection Prevention and Control (IPC) benefits from a subject matter expert and champion to ensure it remains at the front of people’s minds and to be on hand to manage acute and dynamic situations. To mitigate the lack of an IPC Nursing Officer, we piloted a deployed military IPC Lead Link Practitioner (IPC-LL) for the first time on a large-scale overseas exercise (SAIF SAREEA 3). An experienced generalist nurse deploying as the IPC-LL (after specific training) provided pre-deployment IPC education and preparation, deployed IPC advice, undertook mandatory audits and monitored IPC compliance throughout the MTFs on the exercise. Data from 22 IPC audits conducted on the exercise showed that the presence of the IPC-LL improved IPC compliance and standards overall in the MTF where based, compared with others. In addition, a gastroenteritis outbreak occurred and was successfully managed with significant input from the IPC-LL. The IPC-LL was also able to add value by pre-empting potential IPC problems from occurring.There is a small pool of deployable Infection Prevention and Control Nursing Officers, so this new IPC-LL role could help to fill the capability gap. The IPC-LL could be the dedicated person focusing on IPC elements, reducing the IPC risk within the deployed field hospital setting where deployed experts are not available.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2020-001703
      Issue No: Vol. 166, No. 6 (2020)
  • Structuring a UK military role 1 medical treatment facility for a
           sustained mobile exercise in a hot desert environment: UK military
           exercise SAIF SAREEA 3
    • Authors: Hain, J; Smith, M. B.
      Pages: 414 - 417
      Abstract: Exercise SAIF SAREEA 3 (SS3) is a triservice combined joint training military Exercise between the UK and the Omani Armed forces. SS3 represented a rare opportunity to exercise a complete role 1 medical reception station (MRS) in a tented platform for a prolonged period providing ‘real life support’, as opposed to an exercise without casualties. This article is a discursive paper making recommendations for amendments to the established structure for the MRS within static high-temperature deployments. Considering the facility blueprint, recognising and implementing improvements to patient flow and increasing infection prevention control measures resulted in limiting the spread of disease outbreak. During the deployment there were considerable challenges delivering care in extreme heat above 50°C these included the use of environmental control units, white liners and refrigerator units which allowed care to be delivered throughout the day, and for the appropriate care of both casualties and medication. Finally, the article covers improved patient service with a paper-based triage system supporting innovative ideas to deliver care.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001361
      Issue No: Vol. 166, No. 6 (2020)
  • Command application of UK military climatic guidance on Exercise SAIF
           SAREEA 3
    • Authors: Smith, M. B; White, S.
      Pages: 418 - 420
      Abstract: Health and risk management of personnel in hot climates remains a Commander’s responsibility, with Joint Service Publication 539 Heat Illness and Cold Injury: Prevention and Management (JSP 539) being the guiding document for the UK military. This policy can be challenging to interpret occasionally, needing medical professionals to provide ongoing advice to commanders. This is to achieve a shared understanding of scientific concepts and risks to allow a more informed decision-making by commanders. This then leads to the appropriate mitigation of risks to as low as reasonably practical. Exercise SAIF SAREEA 3 saw commanders and medical cooperation at all levels with a practical and pragmatic application of the principles articulated in joint policy. The elements which saw enhanced cooperation included pathophysiology, work rates and work:rest ratios, rest and sleep periods, uniform, acclimatisation, and hydration and electrolyte balance. This approach was exhibited throughout the planning, deployment and execution of Exercise SAIF SAREEA 3, which saw extremely low levels of heat injury throughout the exercise when compared with SAIF SAREEA 2 and related exercises. This personal view aims to describe the command and medical interaction on SAIF SAREEA 3 which the authors feel contributed to those successes against climatic effects.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001358
      Issue No: Vol. 166, No. 6 (2020)
  • Role of the pre-hospital treatment team on the UK military exercise SAIF
           SAREEA 3
    • Authors: Harper, P. N; Taylor, N, Royal, P, Smith, M.
      Pages: 421 - 424
      Abstract: The prehospital treatment team (PHTT) involves a small team working under the clinical supervision of a clinical lead. The clinical lead can be a general duties medical officer (Post Foundation Years Doctor), military nurse practitioner or more senior clinician. The team is mounted in vehicles appropriate to the environment they expect to operate in. A PHTT is closely located to the front line reducing transportation timelines from the point of wounding to more definitive care. The PHTT can provide medical support on the move or when time is available; a more permanent fully erected treatment facility can be established. Either configuration can provide both trauma and primary care. The size of the team allows for multiple trauma subteams enabling care to casualties that arrive simultaneously. The PHTT can move independently which could leave the team vulnerable as there is no integral force protection within the current structure. In such a small team, the right balance of medical and soldiering skills among team members is essential to success. Exercise SAIF SAREEA 3 represented a large-scale battlegroup exercise to the Middle East in the austere desert of Oman. This provided an ideal environment for employing the PHTT concept is a large deployed force undertaking dynamic activity.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001366
      Issue No: Vol. 166, No. 6 (2020)
  • A UK Military nurse practitioner on Exercise SAIF SAREEA 3: the first
           Overseas deployment
    • Authors: Royal, P. M; Smith, M. B.
      Pages: 425 - 428
      Abstract: As the Queen Alexandra’s Royal Army Nursing Corps celebrates its 70th Anniversary, army nursing continues to advance patient care delivery to new levels. Advanced level nursing practice has moved from the relatively ‘calm’ confines of the NHS to the austere desert of Oman. This article will provide a personal account of the first deployment of a military nurse practitioner since it was formally introduced in 2012 to frontline medicine, leading an armoured prehospital treatment team.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2020-001477
      Issue No: Vol. 166, No. 6 (2020)
  • Heat acclimatisation on UK exercise SAIF SAREEA 3
    • Authors: Smith, M; White, S.
      Pages: 429 - 432
      Abstract: UK Exercise SAIF SAREEA 3 saw components of first Armoured Infantry Brigade conduct kinetic armoured infantry manoeuvres in Oman in temperatures that at times exceeded 50°C. This paper presents the methods of acclimatisation, recreational physical training in the heat, and reacclimatisation training conducted in theatre during this exercise. In order to reduce the risk of heat illness, individuals underwent either validated heat acclimatisation training in accordance with current policy, or adapted training as dictated by musculoskeletal restrictions or job specification. Direction was issued regarding recreational training. There was a theatre medical consensus agreed for the practice of returning soldiers to the exercise after admission to a medical treatment facility due to the effects of heat and data were collated on all LAND (Army) acclimatisation and heat illness presentations. The rates of climatic effect were much lower than expected in the medical estimate based on Exercise SAIF SAREEA 2 and similar exercises. Only five LAND patients fulfilled the in-theatre case definition of exertional heat illness of a deployed LAND forces population at risk of 2550. Zero patients who were returned to the exercise after symptoms associated with climatic exposure were subsequently readmitted with heat illness.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2019-001357
      Issue No: Vol. 166, No. 6 (2020)
  • The Light Role CCP: A Blueprint for Far Forward Medical Support to
           Contemporary Operations
    • Authors: Miles, J; Jones, C.
      Pages: 433 - 438
      Abstract: November 2018 saw the deployment of a medical team with a remit to provide far forward medical support to UK, Coalition and indigenous forces. The delivery of this capability demanded a solution unique within the UK Defence Medical Services. The ‘light role’ casualty collection points provided emergency medical care to 475 casualties over a 4-month period. The success of the deployment was dependant on the ability to remain light and agile which brought with it logistical considerations. The clinical caseload was predominantly secondary blast injury and gunshot wound (GSW). The positioning of a Role 1 facility close to the front line of troops enabled early Damage Control Resuscitation including the delivery of blood products. MEDEVAC to Role 2 was enabled by indigenous forces. The unique situation demanded bespoke solutions for documentation and blood warming. The lessons learnt during the deployment may form a blueprint for future contingency operations.
      PubDate: 2020-12-11T02:11:36-08:00
      DOI: 10.1136/bmjmilitary-2020-001435
      Issue No: Vol. 166, No. 6 (2020)
  • Tropical medicine teaching for combat medical technicians: experience from
           UK military exercise SAIF SAREEA 3
    • Authors: Chase, S. L; Harper, P. N, Davies, L. G, Williamson, M. K, Smith, M. B.
      Pages: 439 - 439
      PubDate: 2020-12-11T02:11:37-08:00
      DOI: 10.1136/bmjmilitary-2020-001478
      Issue No: Vol. 166, No. 6 (2020)
  • COVID-19 resources through Friends of Millbank website
    • Authors: Vassallo; D.
      Pages: 440 - 440
      Keywords: COVID-19
      PubDate: 2020-12-11T02:11:37-08:00
      DOI: 10.1136/bmjmilitary-2020-001567
      Issue No: Vol. 166, No. 6 (2020)
  • Environmental samples: a valuable military help for COVID-19 lockdown exit
    • Authors: Cazes, N; Lacoste, A, Augier, P.
      Pages: 441 - 441
      Keywords: COVID-19
      PubDate: 2020-12-11T02:11:37-08:00
      DOI: 10.1136/bmjmilitary-2020-001566
      Issue No: Vol. 166, No. 6 (2020)
  • Will remote events be the 'new normal moving beyond the COVID-19
    • Authors: Charnell; A. M.
      Pages: 442 - 442
      Keywords: COVID-19
      PubDate: 2020-12-11T02:11:37-08:00
      DOI: 10.1136/bmjmilitary-2020-001595
      Issue No: Vol. 166, No. 6 (2020)
  • Psychological safeguards for Chinese Peoples Liberation Army fighting
    • Authors: Gu, R.-P; Li, T, Zheng, L.-P.
      Pages: 443 - 443
      Keywords: COVID-19
      PubDate: 2020-12-11T02:11:37-08:00
      DOI: 10.1136/bmjmilitary-2020-001578
      Issue No: Vol. 166, No. 6 (2020)
  • Release of Mafia-crime prisoners during the COVID-19 epidemic: imbalance
           between detainees health and public safety
    • Authors: Gallina, P; Giannicco, G, Gallina, F.
      Pages: 444 - 444
      Keywords: COVID-19
      PubDate: 2020-12-11T02:11:37-08:00
      DOI: 10.1136/bmjmilitary-2020-001689
      Issue No: Vol. 166, No. 6 (2020)
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