Lamblin, Antoine Derkenne, C Radavidson, A
Published in
BMJ military health
The primary mission of the French military surgical teams deployed in external operations in the Sahel is to provide support for combatants. However, many of their activities and of the limited human and material resources allocated to them are devoted to providing free medical assistance to the local population. The French military surgical teams ...
Beaven, Alastair Sellon, E Ballard, M Parker, P
Published in
BMJ military health
There is a need for a military tourniquet to control catastrophic haemorrhage in a chemical, biological, radiological or nuclear (CBRN) threat environment. No published data exist as to the efficacy of tourniquets while wearing British military CBRN individual protective equipment (IPE). 12 volunteers from the counter CBRN instructors' course allow...
Dehn, George Hammer, N Wyatt, M C Soltani, S J Kieser, D C
Published in
BMJ military health
Displaced unstable pelvic injuries are life threatening and require rapid reduction and stabilisation, typically achieved with an external fixator. Recently, the benefits of supra-acetabular pins have been proven; however, these are usually inserted under fluoroscopic guidance. In austere environments and in extremis, this facility is limited and f...
Smith, Michael Johnston, K Withnall, R
Published in
BMJ military health
This article describes a novel patient care algorithm which provides a Role 1 (R1) medic with a structured approach to delivering prolonged field care (PFC) in a resource-limited environment. PFC is a vital component of the operational patient care pathway providing the continuum of care from completion of a primary survey to the delivery to hospit...
Ellington, Matt Booker, R J
Published in
BMJ military health
Procedural sedation is defined as producing a state of reduced consciousness, where the patient is still able to respond to verbal or physical stimulus and to continuously maintain a patent airway and adequate ventilation. This can be done to facilitate treatment that would not be otherwise possible. Recent evidence, guidelines and new equipment in...
Kim, Kyoung-Eun Kim, E-J Park, J Kim, S W Kwon, J Moon, G
Published in
BMJ military health
Humeral shaft fractures can lead to radial nerve injury and may require surgery and rehabilitation. We determined the causative events of humeral fracture, including arm wrestling, in young Korean soldiers and examined whether humeral fracture is related to demographic characteristics and the presence of radial nerve palsy. We reviewed 7.5 years (J...
Smith, Shane A McAlister, V C Dubois, L Beckett, A Hilsden, R
Published in
BMJ military health
Tactical combat casualty care and the application of extremity tourniquets have saved lives in combat. In the modern combat environment junctional injuries are common and difficult to treat. Recently, junctional tourniquets have emerged as a potential solution to this problem. Junctional tourniquets can be used as an adjunct to persistent haemorrha...
Loessel, Christian Mai, A Starke, M Vogt, D Stichling, M Willy, C
Published in
BMJ military health
Combat-related extremity injuries are regularly associated with long-term complications such as chronic infection, especially osteomyelitis. Clinical examination and laboratory parameters do not usually allow reliable diagnosis. In contrast, imaging techniques enable constructive assertions to be made about the location and extent of an infection o...
Campbell, Kieran Naumann, D N Remick, K Wright, C
Published in
BMJ military health
Specialist units that assist indigenous forces (IF) in their strategic aims are supported by medical teams providing point of injury emergency care for casualties, including IF and civilians (Civ). We investigated the activities of a Coalition Forces far-forward medical facility, in order to inform medical providers about the facilities and resourc...
Swiech, Astree Boddaert, G Daban, J-L Falzone, E Ausset, S Boutonnet, M
Published in
BMJ military health
Penetrating thoracic injuries (PTIs) is a medicosurgical challenge for civilian and military trauma teams. In civilian European practice, PTIs are most likely due to stab wounds and mostly require a simple chest tube drainage. On the battlefield, combat casualties suffer severe injuries, caused by high-lethality wounding agents.The aim of this stud...
