FORENSIC DENTISTRY IN THE SINGAPORE ARMED FORCES
Article: MAJ (DR) Gabriel Chong

FORENSIC DENTISTRY IN THE SINGAPORE ARMED FORCES

In most countries, Forensic Dentistry is typically the remit of the law enforcement agencies. However, in Singapore, the Singapore Armed Forces (SAF) is the only public institution to raise Forensic Odontologists. As such, the SAF Forensic Odontologists are also called upon to support the Nation’s requirements. This military-civil partnership embodies the ... more

Aeromedical Evacuation Simulation Training
Article: 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. ... more

RETAINED INTRACRANIAL SPLINTERS: A REVIEW
Article: Brig Harjinder S Bhatoe VSM

RETAINED INTRACRANIAL SPLINTERS: A REVIEW

With rapid evacuation of patients with craniocerebral missile injury (CMI) from the combat zone to neurosurgical centers, early evaluation with computed tomography (CT), improved surgical techniques and post-operative care, there has been an overall improvement in the survival of these patients. Series have reported improved survival even in patients with ... more

The Threat to Humanitas in Asymmetric Conflict
Article: D. FISCHER (GERMANY)

The Threat to Humanitas in Asymmetric Conflict

A Challenge for Military Medical Ethics

Among the multiple problems Military Medical Ethics has to face, the threat to Humanitas in asymmetric conflict appears to be a particular challenge. It is worthwhile to explore such a fundamental phenomenon as the Humanitas in the light of the new wars, as it is of crucial importance for the medical services. ... more

Periodontal emergency treatment in the field
Article: M. LÜPKE (GERMANY)

Periodontal emergency treatment in the field

In 2012, 18.63 % of all dental procedures performed during tours of duty of the German Armed Foces (Bundeswehr) were caused by periodontal problems. These 819 treatment sessions represent a not unimportant factor that requires more detailed analysis. The inflammatory periodontal disorders in question were gingivitis and periodontitis. These usually chronic ... more

Preparation for active deployment and combat readiness from the perspective of dental medicine
Article: C. v. SEE, C. KÜHLHORN, F. HELLWIG, N.-C. GELLRICH (GERMANY)

Preparation for active deployment and combat readiness from the perspective of dental medicine

A critical review

As part of their preparation for active deployment, personnel of the armed forces are required to undergo a medical examination that is appropriate to the proposed theatre of operations. This generally includes a thorough dental examination. In addition to assessing specific absolute criteria, the examining dentists also determine whether problems are ... more

Developments in Computer Assisted Rehabilitation Environments
Article: R. van der Meer, MD (NL)

Developments in Computer Assisted Rehabilitation Environments

The Article is based on a lecture, delivered during the 40th ICMM World Congress on Military Medicine, 7-12 Dec 2013, Jeddah, Saudi-Arabia.

The use of Improvised Explosive Devices (IEDs) in recent conflict often results in complex orthopedic/neurological trauma, which may include limb loss, spinal cord injuries and traumatic brain injury. Survival rate have increased very much, but unfortunately many warriors sustained limb amputations. The primary rehabilitation goal for these individuals is ... more

Penetrating Neck Injury
Report: K. POLLO, H. BRAHO, L. NIKOLLARI (HUNGARY)

Penetrating Neck Injury

Tracheal injuries are seen in approximately 1%–7% of patients with penetrating neck injuries. Although they are rare, a high suspicion should be maintained because of the potential for life-threatening airway compromise. This case report aims to emphasize this claim.

Greater urban violence has resulted in an increased incidence of penetrating neck trauma. Penetrating neck wounds can present difficult diagnostic and therapeutic dilemmas. The evaluation and management of such injuries, however, remains controversial. Factors contributing to these problems are complex anatomy, proximity of vital structures, and potential ... more

Back to life
Report: A.LISON, M.GRUENE (GERMANY)

Back to life

A prevention programme for personnel injured in the line of duty − a lifetime concept

In the form of its 'Continuous, interdisciplinary medical care of soldiers injured in the line of duty to restore, retain and improve their psychological and physical capacity' concept, the medical services of the Bundeswehr (German Armed Forces) have evolved a comprehensive medical programme designed for the support of personnel who have been wounded, ... more

Article: Elizabeth Ashton MB ChB,FRCPsych, RAF

From Trauma To Recovery: Treatment at DMRC

Article based on conference presentation at NATO MilMed conference, Budapest, 25 Jun 14

This article is to give an overview of how British Armed Forces mental health care is structured and give some background data for mental disorder in the UK Military; to explain the working model of the Defence Medical Rehabilitation Centre (DMRC) Headley Court and to present some of the work of the mental health team at DMRC. ... more

A Quite Extraordinary Cause of Penetrating Thorax Trauma:
Report: CH. SCHREYER, A. WILLMS, S. SCHAAF, R. SCHWAB (GERMANY)

A Quite Extraordinary Cause of Penetrating Thorax Trauma:

High Pressure Injection Injury with Hydraulic Fluid

In general, penetrating thoracic trauma per se is rare and high-pressure injection injuries to the rib cage in particular are uncommon. This case describes for the first time a penetrating thoracic trauma caused by a jet of hydraulic oil. ... more

Prevalence of Allergic Rhinitis in Hungary in the Population Applying for Military Service
Article: Á. REMÉNYI, A. GRÓSZ, F. HELFFERICH (HUNGARY)

Prevalence of Allergic Rhinitis in Hungary in the Population Applying for Military Service

Scientific surveys have shown an increase in the incidence of allergic rhinitis in recent decades. This condition, infrequent earlier, has now become a more common disease, representing a significant problem for general epidemiology and the economy due to the impairment of health and reduction in work ability caused by its symptoms. The emergence of this ... more

New Capability of the Bundeswehr Medical Service
Article: M. Melcher

New Capability of the Bundeswehr Medical Service

At the end of July 2015, the Federal Office of Bundeswehr Equipment, Information Technology and In-Service Support (BAAINBw) handed over the first serially produced land-based casualty decontamination facility to the Medical Training Regiment (MedTrg Regt) in Feldkirchen. Thus the Bundeswehr Joint Medical Service now has a new capability in the field of ... more

Postgraduate curricular periodontal education for military dentists
Article: Th. Eger, J. Weyer, R. Thierbach (Germany)

Postgraduate curricular periodontal education for military dentists

Untreated advanced periodontal disease is a main reason for the development of dental emergencies and sick call during deployments. The purpose of this study was to compare the effect of a postgraduate periodontal training on the quantity of periodontal treatment and prevention.

Periodontitis, meanwhile being the most common dental disorder responsible for the biggest part of tooth loss until the age of 65, has come to the fore of treatment needs in Germany. The purpose of this study was to compare the effect of a postgraduate periodontal training program of 148 continuing education (CE) hours on the quantity of periodontal ... more

Report: DUAN LianNing, LUO Yuan, LU ChengRong, XU XianRong, WANG JianChang

Analysis of Medical Evaluation of Hematological Diseases in 83 Air Force Aircrews

The aim of this paper is to analyze the characteristics of hematological diseases in 83 Air Force aircrews and investigate its relationship to their flying ability and medical evaluation. Our results suggest that most aircrew patients can return to flying position after treatment except malignant or progressive diseases. The medical evaluation should be made according to the nature and prognosis of disease,therapeutic efficacy, as well as the flying airplane type.

Introduction

Health assessment of aircrews is very important to maintain flight safety and guarantee continuous operation. Environmental and physical factors in flight could influence blood immune regulation. Till now, the identification basis of blood-immune system diseases is still in shortage because of low incidence, diverse symptom and ... more

Use Of Telemedicine For The Diagnosis Of Parasites And Viruses In A Deployed Setting
Article: Patrick Leander Scheid

Use Of Telemedicine For The Diagnosis Of Parasites And Viruses In A Deployed Setting

Infectious diseases are among the most common causes of morbidity in military deployment situations. Their diagnosis requires
special equipment and expertise, which are both normally provided by laboratories within the mission area. In order to further
enhance the diagnostic process by means of distant expert support, a telemicrobiology module ... more

The Bio Prevention of Infections in War Related Injuries in the Republic of Armenia
Report: ASHOT ZOHRABYAN

The Bio Prevention of Infections in War Related Injuries in the Republic of Armenia

INTRODUCTION

The necrosis and bacterial infestation of chronic wounds caused by nowadays firearms or explosive mines create a serious medical dilemma for the Army of the Armenian Republic. These wounds are characterized by extensive tissue damage, by massive destruction not only of the affected area, but also of the surrounding tissues, ... more

Removal of traumatic foreign bodies by use of a hydrosurgery system (Versajet™)
Article: F. Siemers

Removal of traumatic foreign bodies by use of a hydrosurgery system (Versajet™)

In case of blast injuries accidental inclusions of intradermal pigmented particles occurs. If there is no removal within 72 hours traumatic tattoos results. To avoid these pigmented changes, especially in areas like the head and neck region and the hands, the primary goal in first treatment is to remove all particles and foreign bodies. Superficial foreign ... more

Stress as a risk factor?
Article: Lieutenant Colonel Dr Michael Lüpke, MC

Stress as a risk factor?

Possible correlations between stress and the pathogenesis and progression of periodontal disease in Bundeswehr personnel in the field

The mechanism that converts psychosocial stress into a potential inflammatory disorder involves complex interactions between nerves and the immune system. It has also been postulated that psychosocial stress may be a risk factor that influences the development and progression of periodontal disease. ... more

Team Trainer for Ship’s Hospital Teams
Article: H. FRANZ (GERMANY)

Team Trainer for Ship’s Hospital Teams

At the Institute of Maritime Medicine of the German Navy, sea-going medical teams and the medical support units of the Naval Special Forces are offered a team training course when preparing for deployment. As the course is held in a sick bay model, participants have the unique chance to familiarize with working in the limited spaces characteristic of the ... more

Mental Health Services in the Canadian Forces
Article: Rakesh Jetly OMM CD MD FRCPC Colonel Psychiatrist

Mental Health Services in the Canadian Forces

The health needs, including the mental health needs, of Canadian Forces (CF) military personnel are a priority for the Government of Canada and the CF. As such, significant investment has been made by the CF to ensure personnel receive the highest standard of mental health care possible wherever they serve. The Canadian Forces Health Services (CFHS) has ... more

German Emergency Physicians on U.S. UH-60 “Black Hawk” MedEvac
Report: Dr. Andreas Otto, LCDR(MC), Military Hospital Westerstede, Dep. Anesthesiology and Intensive Care

German Emergency Physicians on U.S. UH-60 “Black Hawk” MedEvac

From the 30th contingent DEU-ISAF MTF Role 2 Kunduz (Chief of company LtCol(MC) Houda) of the DEU-ISAF MTF (Commander Col(MC) Dr. Höpner)

Since September 2012 a pilot project with DEU Emergency Physicians (DEU EP) on U.S. ForwardAirMedevac-Helicopter continues. The benefit is, in addition to optimize patient treatment, getting experiences for the implementation of the DEU ForwardAirMedEvac-System. The author was deployed from November 2012 till March 2013 to Kunduz being part of this project. ... more

Armoured casualty transport
Article: Master Sergeant (OR-8, Paramedic) Tobias Uebel Squad Leader, Second Company Medical Training Regiment; LTC MC (OF-4, DD, GS) Dr. Rolf v. Uslar Commander Medical Training Regiment

Armoured casualty transport

The links of the land-based evacuation chain

In all kinds of military operations, it is essential to provide for the transport of casualties. While Air Medevac remains the most frequent means of casualty transport, land-based transport of casualties will continue to be of importance. The following article focuses on the armoured land-based casualty evacuation concept employed by the German Armed ... more

Report: MCM Bricknell, LM Kelly

Tactical Aeromedical Evacuation

This paper discusses the principles of tactical aeromedical evacuation (TACEVAC) planning and execution with specific consideration of the command and control arrangements for TACEVAC. UK personnel may be familiar with TACEVAC procedures using UK national aircraft and aeromedical evacuation crews between national medical facilities. Recent operations, most particularly in Afghanistan, have illustrated the requirement to understand TACEVAC within a multi-national context as both our military hospitals have moved patients using other nations aircraft and medical escort crews, and UK aeromedical aircraft and crews have moved other nations’ patients.

Forward Medical Evacuation from point of injury to the initial medical treatment facility is MEDEVAC, whereas medical evacuation between medical treatment facilities within a Joint Operational Area (JOA) is tactical aeromedical evacuation (TACEVAC).It is a separate entity to strategic evacuation (STRATEVAC) from the JOA to a home or allied nation.STRATEVAC ... more