A Review of Combat Casualties to Aid Care & Prevention

Research Paper Title Mortality Review of US Special Operations Command Battle-Injured Fatalities. Background Comprehensive analyses of battle-injured fatalities, incorporating a multidisciplinary process with a standardised lexicon, is necessary to elucidate opportunities for improvement (OFIs) to increase survivability. Methods A mortality review was conducted on United States Special Operations Command battle-injured fatalities who died from September… Read More

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Military Providers, TCCC Certification, and the Use of Surgical Cricothyroidotomy

Research Paper Title Prehospital Battlefield Casualty Intervention Decision Cognitive Study. Background Airway compromise is the third most common cause of preventable battlefield death. Surgical cricothyroidotomy (SC) is recommended by Tactical Combat Casualty Care (TCCC) guidelines when basic airway manoeuvres fail. This is a descriptive analysis of the decision-making process of prehospital emergency providers to perform… Read More

Should Physician Assistants Have a Greater Role in the Defence Medical Services?

Research Paper Title Physician assistant utilisation in the US Armed Forces: applicability to the UK Defence Medical Services. Background Physicians assistants (PAs) are being increasingly utilised by the US Armed Forces both in homeland medical treatment provision as well as while on deployment. In a deployed environment, the US has the flexibility to interchange doctors… Read More

Military Trauma Patients: Thromboelastometry & Coagulopathy

Research Paper Title A prospective evaluation of thromboelastometry (ROTEM) to identify acute traumatic coagulopathy and predict massive transfusion in military trauma patients in Afghanistan. Background Hemorrhage is the leading cause of preventable trauma-related mortality and is frequently aggravated by acute traumatic coagulopathy (ATC). Viscoelastic tests such as rotational thromboelastometry (ROTEM) may improve identification and management… Read More

Deployable Primary Care: From Regimental Aid Post to Medical Reception Station

Research Paper Title The Medical Reception Station: a new primary care capability for 3 Commando Brigade. Abstract 3 Commando Brigade’s delivery of pre-hospital (Role 1) care has until now largely been based around junior doctors delivering trauma-based resuscitation and limited primary care from small self-contained Regimental Aid Posts (RAPs). With the drawdown of large scale… Read More

Outlining Military Prehospital Emergency Care

Research Paper Title Military Prehospital Emergency Care: defining and professionalising the levels of care provided along the Operational Patient Care Pathway. Abstract The Defence Medical Services aims to provide gold standard care to ill and injured personnel in the deployed environment and its prehospital emergency care (PHEC) systems have been proven to save lives. The… Read More

Studying THAM Administration to Paediatric Trauma Patients in a Combat Zone

Research Paper Title THAM Administration to Paediatric Trauma Patients in a Combat Zone. Background Paediatric casualties made up a significant proportion of patients during the recent military conflicts in Iraq and Afghanistan. Damage control resuscitation strategies used by military physicians included rapid reversal of metabolic acidosis to mitigate its pathophysiologic consequences, primarily through haemorrhage control… Read More