Magnesium (MgYREZr) bioabsorbable screws in orthopedic surgery
Article

Magnesium (MgYREZr) bioabsorbable screws in orthopedic surgery

A narrative review

Abstract

Magnesium-based bioabsorbable screws are a relatively new member of the family of orthopedic fixation materials. This new biomaterial will be fully absorbed, supports fracture union via osteoconductive capacities and potentially prevents infection. Among these implants, MgYREZr is the first approved alloy for clinical use in orthopedic ... more

THE CULTURAL CHALLENGE OF LEADING IN MILITARY MEDICINE
Article

THE CULTURAL CHALLENGE OF LEADING IN MILITARY MEDICINE

Lt Gen (Rtd) Professor Martin CM Bricknell CB OStJ PhD DM MBA MA MedSci

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Anaesthesia for Overseas Operations: UK Military Guidelines
Report: Lt Col N T Tarmey RAMC, Maj C L Park RAMC, Lt Col M Fox RAMC, Lt Col T Lowes RAMC, Surg Cdr A Mellor Royal Navy, Col P F Mahoney L/RAMC

Anaesthesia for Overseas Operations: UK Military Guidelines

The aim of this article is to share our recent experience of deployed military anaesthesia with the international community. In the United Kingdom Defence Medical Services (UK-DMS) we have recently completed a major revision of our Clinical Guidelines for Operations (CGOs). These guidelines aim to provide practical, concise guidance for deployed ... more

citizenAID®: A life saving principle
Article: Herron, JBT; Hay-David, AGC; Gilliam, AD; Hodgetts, TJ.

citizenAID®: A life saving principle

Since the London Bombings on 07/07/2005, terror attacks have made a resurgence in Great Britain: with 122 terrorism related attacks and 42 deaths in 2017 (1), and, a tactical shift towards the targeting of civilians in marauding terrorist attacks or vehicle based attacks (2). When a terrorist incident occurs, the police cannot guarantee the safety of any ... more

Continuous Improvement in Healthcare Support to Operations
Report: MCM Bricknell, RF Cordell (UK)

Continuous Improvement in Healthcare Support to Operations

This paper discusses the emerging concept of Continuous Improvement in Healthcare Support to Operations (CIHSO) recently introduced within NATO. It starts by summarising the developments in NATO policy regarding clinical governance and how this has evolved into CIHSO before examining the operational aspects of CIHSO within the Plan-Refine-Execute (PRE) ... more

Report: MISETA, T.F. MOLNÁR, S. RENDEKI (HUNGARY)

Potential Role of University Medical Schools in Civil-Military Cooperation (CiMiC)

The Pécs University (Hungary) Experience

The University of Pécs Medical School in Hungary developed the cooperation between military and civilian medicine as an ongoing issue. The Medical University provided much-needed theoretical backup to practice oriented military medicine. The university supported basic/introductionary training courses for young doctors enrolled into the compulsory national ... more

Special Print 2019
Article: EUROPEAN MILITARY MEDICAL SERVICES (EMMS) 2019

Special Print 2019

We are pleased to present to you the announced 2nd edition of the EUROPEAN MILITARY MEDICAL SERVICES.

After the publication of the first edition last year, we received a lot of positive feedback for our decision to accompany the allied European Military Medical Services in their efforts to come closer together. This has further spurred us on, and now you can follow the current developments. ... more

Canadian Forces Health Services
Report: S. Bailey (CANADA)

Canadian Forces Health Services

Road To Mental Readiness Programme

In 2007, the Canadian Armed Forces established a working group to consider new and innovative approaches to mental health training and education in the CAF, and was given the task of developing, delivering and evaluating mental health education across the spectrum of Canadian Forces audiences, including Canadian Forces members’ families. ... more

17 Medical Chemical Defense Conference
Abstracts

17 Medical Chemical Defense Conference

Chemical Warfare Agents - Old Problems and New Challenges

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AN ATTRACTION AND RETENTION FRAMEWORK FOR THE CANADIAN FORCES HEALTH SERVICES GROUP
Report: L. GAGNE (CANADA)

AN ATTRACTION AND RETENTION FRAMEWORK FOR THE CANADIAN FORCES HEALTH SERVICES GROUP

This article reflects on the Canadian Forces Health Services Group initiative on attraction and retention of military medical health care personnel.
The ability to attract high quality people and subsequently retain experienced military practitioners remains the primary aim of this strategic plan. ... more

Medical Force Protection
Article: O. QUANTICK, D. ROSS (UK)

Medical Force Protection

What have we Learnt from Operation HERRICK in Afghanistan?

Medical Force Protection (Med FP) measures are important in mitigating morbidity and mortality in deployed forces. Historically, Disease Non Battle Injury (DNBI) accounts for significantly more morbidity than traumatic injury. However, how successful have we been in implementing such measures in Afghanistan? The author who conceived and undertook 3 Med FP ... more

Oximes as Nerve Agent Antidotes
Article: Dr. Helmut Priewer and Christoph Bloch

Oximes as Nerve Agent Antidotes

From Hydroxylamine to HI 6-DMS

Organophosphate-type nerve agents (e. g. tabun, sarin, soman, cyclosarin, VX) are among the most toxic synthetic compounds known so far. Organophosphate intoxication causes an excess of the neurotransmitter acetylcholine by inhibition of the acetylcholinesterase that normally reduce the activity of acetylcholine. The following study gives an insight in the ... more

Value-oriented Psychotherapy for Soldiers with Moral Injury and Operational Experience
Article: Peter Zimmermann, Christian Fischer, Thomas Thiel, Christina Alliger-Horn

Value-oriented Psychotherapy for Soldiers with Moral Injury and Operational Experience

From the German Armed Forces Centre for Military Mental Health (Psychotrauma Centre) of the Bundeswehr Hospital Berlin

Participating in a military operation abroad is for many soldiers an experience that will shape their lives. During the months spent outside Germany, soldiers gain many different impressions, for example as a result of the close bonds that form in the camps – not least with soldiers from other nations – but also through contact with the local culture ... more

The Context for Planning Military Health Services Support
Article: MCM Bricknell1, CE Beardmore2

The Context for Planning Military Health Services Support

This article is designed to provide a short summary for medical personnel with limited military experience to understand how the medical staff function works within a military headquarters. It places planning military health services support in the context of wider planning for military operations. It starts by examining the Contemporary Operating ... more

The Influence of Type 2 Diabetes Mellitus on Periodontal Disease
Report: Diana Elisa Gomes Correia, José João Baltazar Mendes

The Influence of Type 2 Diabetes Mellitus on Periodontal Disease

Portuguese Armed Forces Hospital – Dental Service

The epidemiological association between PD and DM results from a direct causal relationship in which the complications of DM act as modifiers of the expression of PD and vice versa. The aim of this study is to investigate the influence of DM2 in the development of PD in a Portuguese
population. Patients are followed in the Armed Forces Hospital by the ... more

Article: C. CROSS

CANADIAN ARMED FORCES MEDICAL RISK MATRIX

From the CAF perspective, a stratified risk matrix was formulated by the Directorate of Medical Policy/Medical Standards, which balanced an acceptable level of risk to the health and safety of CAF personnel, whilst taking into consideration the potential unavailability of an appropriate level of medical care required, due to operational situation. The ... more

Report: S. M. Eagan Chamberlin, MPH PhD (United States of America)

The Warrior in a White Coat

Moral Dilemmas, the Physician-Soldier & the Problem of Dual Loyalty

Being a physician-soldier can be an ethically and morally complicated job. While the moral obligations of physicians are usually oriented towards the health and well being of their individual patients, military health professionals may encounter situations in which ethical tensions arise between their responsibilities to individual patients and those ... more

Nurse Practitioner LedHealth Facility (Role 1) on Exercise PrecisionSupport, 2011: A nurse practitioners observational report
Report: D. O’NEILL, M. LUTHER (AUSTRALIA)

Nurse Practitioner LedHealth Facility (Role 1) on Exercise PrecisionSupport, 2011: A nurse practitioners observational report

This article will discuss and review the role of the Nurse Practitioner (NP) within a Role One, deployed Defence health facility,build on international evidence whilst supporting the utilisation of NPs in the RAAF Health Service and subsequently more widely in the greater Australian Defence Force (ADF). This article will provide somepractical evidence ... more

Risks of Infection as a Result of Foreign Tissue Implantation Injuries and Sexual Violence in Asymmetric Conflicts
Report: H. Frickmann1, D. Sturm2, E.-J. Finke (GERMANY)

Risks of Infection as a Result of Foreign Tissue Implantation Injuries and Sexual Violence in Asymmetric Conflicts

As experience from the most recent crisis regions in the Middle East (Gaza, Lebanon, Iraq, Syria), in Central Africa (including the Democratic Republic of the Congo and Mali) or in Afghanistan very clearly prove, asymmetric warfare will determine the nature of military conflicts in future. The Medical Service must be prepared for this development too. In ... more

NATO Trauma Registry Phase 2 – Capability Development
Report: Dr. Robert Balazs

NATO Trauma Registry Phase 2 – Capability Development

In the previous NATO Trauma Registry publication of the MCI Forum in 2012, the author summarized the history of the initiative. Now the project has been delivered to the second phase with more involvement of the project participating nations. Allied Command Transformation (ACT) and NATO Centre of Excellence for Military Medicine (MILMED COE) have been ... more

African Trypanosomiasis: A Unique Experience at United Nation Mission in Liberia - Case Report
Article: W. HUSSAIN, A. M.KHAN, M. Z. ALI, A. RASHID, A. IKRAM (PAKISTAN)

African Trypanosomiasis: A Unique Experience at United Nation Mission in Liberia - Case Report

African Trypanosomiasis is a serious public health problem in certain regions of Africa. Many cases remain undiagnosed due to lack of diagnostic facilities. The disease is curable; fatal if untreated. We report a middle aged African individual with nonspecific symptoms diagnosed as a case of African Trypanosomiasis. ... more

Crisis Event on a Commercial Airline Flight -  Military Medical Simulation Training at APMMC XXII
Article: D.C. HOSTLER, D.S. VINCENT (USA)

Crisis Event on a Commercial Airline Flight - Military Medical Simulation Training at APMMC XXII

"Ladies and gentlemen, if there is a doctor on board, please identify yourself by pushing your call button.”

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Barodontalgia - Toothache triggered by hypobaric and hyperbaric conditions
Report: Reinke

Barodontalgia - Toothache triggered by hypobaric and hyperbaric conditions

Hypobaric and hyperbaric changes can trigger extreme states of pain in the human body. This article focuses on the phenomenon of barodontalgia, describing its pathophysiology and providing suggestions for preventative measures and approaches to treatment based on patient cases.

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Hungarian Experience in Integrating Military and Civilian Medical Capabilities -  Competence as a Driving Factor
Article: Z. VEKERDI, A. GROSZ, L. SVED, P. BAZSO, G. K. SZUGYIEZKI (HUNGARY)

Hungarian Experience in Integrating Military and Civilian Medical Capabilities - Competence as a Driving Factor

The article highlights the issue from a strategic point of view and does not go into details of its operational and tactical aspects. MCIF readers get a short introduction, background and the main requirements for a comprehensive approach to integration of military and civilian medical capabilities, using competence as a driving factor, within one organization, under military management.

The authors intend to generate discussions that can contribute to development of recommendations how to approach integration of civilian and military medical capabilities within one organization. These recommendations will inevitably go beyond national aspects of integration efforts, defining the appropriate level of interaction between the political, ... more

Recent Developments in Medical Evaluation
Article: R. MEIJERING (RNLAF)

Recent Developments in Medical Evaluation

In the MCIF issue 1/2010 an article was published called “Multinational Approach in Medical support to NATO Operations”. In this article the author, Col Dr Fazekas, explains the need for multinational cooperation and the definition of standards for Multinational Medical Units to ensure minimum quality requirements. This need resulted in the development of the AMedP-27, the NATO Medical Evaluation Manual and the promulgation of its covering STANAG 2650 in 2010.

In a following article from the same author, Col Dr Fazekas describes the design and conduct of the pilot Medical Evaluation (MEDEVAL) Course. In the meantime two medical exercises were evaluated, the MEDEVAL course had evolved tremendously and the preparation for four major international evaluation and certification projects were ongoing. The magnitude of ... more

Aeromedical Evacuation Experience - Feedback and Cooperation with Industry for Better Casualty Care
Report: J. PERALBA, J. COUCEIRO DE MIGUEL, V.N. GAVILÁN (SPAIN)

Aeromedical Evacuation Experience - Feedback and Cooperation with Industry for Better Casualty Care

War and combat has served for centuries as an engine for research, progress and as an experimental ground to test theories and hypothesis. Some advances and conclusions were the result of just observations or casual events and others the result of specific scientific research geared for war or just applications of scientific knowledge in other fields of the combat arena. This has also been the case in the medical field.

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