DiMiMED 2018

Recommendations for the treatment of severe burn injuries in the field – Part 2
Article: A. FRANKE, E. KOLLIG (GERMANY)

Recommendations for the treatment of severe burn injuries in the field – Part 2

Stabilisation, Consolidation, Transport

The complex nature of burn medicine made it necessary to divide this subject. While the first part (published in MCIF 4/11) dealt with emergency treatment of the seriously burned or of casualties with combined thermodynamic injuries in an operational context, the aim of this article is to present further procedures and the priorities of intensive ther-apy, ... more

Preclinical Treatment of Casualties in the Field
Report: A. FRANKE, G. HÖLLDOBLER (GERMANY)

Preclinical Treatment of Casualties in the Field

Clinical demand from the perspective of a field surgeon and a field anaesthetist *

*The content of this article is a personal summary of the contributions presented at a GER Armed Forces Medical Conference - “Damp 2012”

The German Armed forces have been involved in asymmetrical warfare as part of the ISAF deployment for many years now. The majority of the mission-related injuries presented to our treatment facilities in Afghanistan result from gunshot or blast. They include not only perforating and blunt force injuries of the abdomen and thorax, but also extensive soft ... more

SDFDS meeting in Buenos Aires
Article

SDFDS meeting in Buenos Aires

Impressions of an impressing event

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German Military Hospital in Hamburg:  Regionally potent, internationally cross-linked
Report: J. Hoitz

German Military Hospital in Hamburg: Regionally potent, internationally cross-linked

German Armed Forces run five military hospitals. One is located the North of Germany in Hamburg, the beautiful and well-known german harbour city.

History

The German Armed Forces Hospital in Hamburg was founded in 1958. It was established in buildings that were used by a british military hospital after WW II. Initially responsible only for military service members, in 1969 the hospital was opened for civilian patients also. In 1973, the emergency helicopter service for the Hamburg region ... more

Aeromedical Evacuation Simulation Training
Report: C. E. CORLISS (UNITED STATES)

Aeromedical Evacuation Simulation Training

As training resources and time become increasingly scarce new training methods and venues must be utilized to ensure mission readiness of Aerovac units to Airlift Wounded Warriors.

The 94th Aeromedical Evacuation Squadron of the US Air Force Reserve Command is integrating simulation into initial and continuation training for flight nurses and flight medics. These simulations include not only classroom and simulation lab training but live flights with simulators flown onboard training missions as patients in need of care. ... more

Earthquake Injuries and the Use of Ketamine for Surgical Procedures
Report: J. M. MULVEY*, A. A. QADRI†, M. A. MAQSOOD†

Earthquake Injuries and the Use of Ketamine for Surgical Procedures

The October 8, 2005 earthquake in Northern Pakistan had widespread destructive effects throughout the northern subcontinent.

Large numbers of people were killed or severely injured and many medical services destroyed. This report describes the experience of the only standing surgical hospital in the Kashmir region of Bagh District. More than 1,500 people were triaged in 72 hours, many critically injured; 78.4% of patients had upper or lower limb injuries; 50.3% of patients had ... more

Military evacuation operation ‘PEGASUS’
Report: W. Toepfer

Military evacuation operation ‘PEGASUS’

Humanitarian aid in TUNESIA in February/March 2011 – Medical service experiences from the point of view of the German Navy

During the revolutionary struggles in Libya in the spring of 2011 a German Naval Task Group secured the air evacuation of German citizens from this disputed territory from the sea using a naval rescue centre embarked. Several hundred Egyptian refugees were then taken aboard the ships and evacuated from Tunisia to Egypt. ... more

The Military Medical Reserve – connecting specialists around the world
Article: CAPT(R) Stephan Hofmeister, MD CIOMR International Vice President (2010-2012)

The Military Medical Reserve – connecting specialists around the world

CIOMR (Interallied Confederation of Medical Reserve Officers) is developing rapidly from a cold war
reserve officer organization mainly ensuring mutual understanding and deepening international
bonds to a modern provider of information and international network platform for medical specialist
in the military reserves.

Nations challenged by global threats human or nature born, involved in operations on large scale in dangerous or even hostile environment share a common burden: Medical care for those sent harm´s way as well as those innocently inflicted in such demise. ... more

Deployed Course in Hamburg
Article: P. JAGADICS (HUN A)

Deployed Course in Hamburg

NATO Emergency Medical Pre-deployment Team Training

On 16-20 January 2012, the NATO Centre of Excellence for Military Medicine (MILMED COE) - in close cooperation with the German Armed Forces Military Hospital Hamburg (Bundeswehrkrankenhaus Hamburg, DEU) - organized the first deployed course pilot outside NATO MILMED COE’s home base in Budapest, Hungary. The venue of this pilot course was in Hamburg, ... more

AEROMEDICAL EVACUATION
Article: M. Reksoprodio, H. Mulijadi, I. Trihapsoro, W. Mulyawan

AEROMEDICAL EVACUATION

Experiences of the Indonesian Armed Forces /TNI

Aeromedical Evacuation (AME) is the best choice for a rapid and relatively safe evacuation using air transportation.AME has several limitations caused by environmental influences on the human physiology. The operation of AME can work well when there is a good support organisation in place.

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Dental treatment at sea by on-board dentists and naval surgeons
Article: J. Rehder

Dental treatment at sea by on-board dentists and naval surgeons

A dental surgeon is not always on board or near at hand to provide dental care to personnel serving on sea-going naval units. However, it is essential to ensure that appropriate dental treatment can be provided in emergencies that occur at sea by either an on-board dentist or naval surgeon.

The particular nature of service at sea means that special framework conditions apply with regard to the provision of dental treatment to on-board naval personnel. There are specific factors that must be taken into account that deviate markedly from those relevant to the treatment situation on land, such as spatial restrictions, swell, vibration, ... more

Lessons From Haiti
Article: Lee H. Harvis

Lessons From Haiti

How The Second Deadliest Earthquake in History Can Teach us to be Better Prepared for Future Large Scale Natural Disasters

As a colonel and physician in the United States Air Force, I’m honored to have served a senior role in the Air Force Special Operations Command (AFSOC) following the devastating January 12, 2010 earthquake in Haiti, the second deadliest quake in recorded history. AFSOC was part of the massive humanitarian interagency mission of the United States ... more

Hospital on the High Seas
Article: B. Wölke

Hospital on the High Seas

Bumps, bruises, and third-degree burns – just like their colleagues on dry land, naval physicians have to be ready for anything.

The patient – a crew member – was suffering from a high fever, an intense headache, and he was shivering. His mouth was dry as dust, his muscles ach­ing. As if that wasn’t enough, he also had diarrhea and nausea – both much more prominent than would have been the case for a normal dose of influ­enza. The ship’s doctor, Commander MC Dr. Axel ... more

THREE MONTHS LATER...
Article: F. Herkert

THREE MONTHS LATER...

Three months after Haiti’s devastating earthquake in January 2010

Even three months after the devastating earthquake in Haiti, large scale and continuing international aid for the ordinary citizens of Haiti had still to arrive. The frontline medical support that was rapidly deployed within a few weeks of the disaster had already been withdrawn, and the Haitians had been left to face a deteriorating situation with regard ... more

Brazilian Humanitarian Aid for the People of Haiti
Article: J.L. DE MEDEIROS AMARANTE JR. (BRASILIA)

Brazilian Humanitarian Aid for the People of Haiti

Brazil was among the first countries to send aid to the victims of the earthquake in Haiti and still remains one of the strongest supporters of the long term operations. An Inter-ministerial Group coordinated the government aid efforts, which received a prompt response from the whole population, especially from the voluntary health workers. ... more

Defence against Bioterrorism
Article: Dr. med. Ernst-Jürgen Finke

Defence against Bioterrorism

Methods for Prevention and Control. NATO Science for Peace and Security. Series A: Chemistry and Biology

From military medical point of view the book may serve medical services of Armed Forces as very useful source of state-of the art knowledge, new strategies, policies, and methods to assess biological risks and to improve and strengthen the prevention, management and countering of biological attacks or natural and accidental disease outbreaks. ... more

CT-guided percutaneous drainage of a splenic abscess: case report and discussion of diagnostic and therapeutic options
Article: Wehrmedizinische Monatsschrift 5/2018

CT-guided percutaneous drainage of a splenic abscess: case report and discussion of diagnostic and therapeutic options

Department of Radiology (Head of Department: Colonel (MC) Dr. C. Moritz) of the Bundeswehr Hospital Hamburg (Hospital Commander and Medical Director: Brigadier (MC) Dr. J. Hoitz)

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2nd Working Conference of the Naval Officers in the Bundeswehr Medical Service
Report

2nd Working Conference of the Naval Officers in the Bundeswehr Medical Service

The 2nd Working Conference of the Naval Officers in the Bundeswehr Medical Service was held in Wilhelmshaven from 18 to 20 April 2018 at the invitation of the Surgeon General of the German Navy. ... more

Evidence of effectiveness of impulse sound hearing protection in the face of impulse noise triggered by handguns
Article: M.Wendorf, M. Schmitz-Rode

Evidence of effectiveness of impulse sound hearing protection in the face of impulse noise triggered by handguns

Due to the changing assignments for the German Armed Forces (Bundeswehr = Bw), it is necessary constantly to adjust the
material and equipment of soldiers to new demands. This includes improving the protection of soldiers against hearing damage
caused by the noise of weapons and explosions. In this study, a new type of impulse sound hearing ... more

Article: B. Kadlec

Smallpox: Gone—But Should Not be Forgotten

Smallpox, a natural occurring disease eradicated from the face of the planet in 1979 was responsible for an estimated
250 million deaths in the 20th Century alone. A highly effective vaccination program organized by the World Health Organization
(WHO) eliminated this disease as a natural threat. Is there a threat remaining? ... more

The Dental Services of the DEU Armed Foces Medical Service in the field
Article: M. Lüpke

The Dental Services of the DEU Armed Foces Medical Service in the field

Maintaining the dental health of service personnel on deployment abroad is often subject to special demands and requirements. Absolute priority must be given to the preservation or restoration of unrestricted combat readiness. To ensure that the dental status of service personnel when deployed is adequate, appropriate provisions must be made at home, where ... more

One for All and All for One: improved wound treatment through interdisciplinary cooperation at a cranial centre
Article: C. von See, A. Schramm, N.-C. Gellrich

One for All and All for One: improved wound treatment through interdisciplinary cooperation at a cranial centre

There have been significant changes with regard to the incidence, diagnosis and treatment of cranial injuries in recent decades. The factors underlying this are the growth in hazardous leisure activities, the fact that vehicles are travelling at faster speeds on our roads, a rise in violent crime and the modifications that have been made to the body armour ... more

Who gets mountain sickness?
Article: P.Bärtsch

Who gets mountain sickness?

Altitude, ascent rate and individual susceptibility are the most significant determinants for High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema (HAPE) . In general, susceptible individuals can avoid an HAPE at altitudes of up to 7000 m without medication if they ascend slowly. ... more

Article: PR Davis, KTS Pattinson, NP Mason, P Richards, D Hillebrandt

High Altitude Illness

The aims of this article are to outline the physiology of high altitude, the treatment of altitude illness and to describe the opportunities for further education in mountain medicine. This article updates a previous J R Army Med Corps article [1] drawing upon recently published consensus guidelines to update the therapeutics of the altitude-related ... more

THE ROAD TO ACCREDITATION (Part 4 / 4)
Article

THE ROAD TO ACCREDITATION (Part 4 / 4)

LESSONS LEARNT FROM THE FIRST PUBLIC SECTOR ISO 15189 ACCREDITED LABORATORY IN GHANA.

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