An evaluation of the burden placed on the General Internal Medicine team at the Role 3 Hospital in Camp Bastion by UK Armed Forces personnel presenting with symptoms resulting from previously identified disease

Cox, Andrew T; Linton, Tara; Bailey, Kathryn; Stacey, Michael; Sharma, Sanjay; Thomas, Loris A.; Wilson, David E.

doi:10.1136/jramc-2014-000336

Cited by 9 publications

(6 citation statements)

References 5 publications

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“…Many factors can be controlled for using a command structure built on discipline, inherent in military organizations, coupled with careful occupational management. Both systems are fallible however (Cox et al, 2016b). How heat acclimation impacts or mitigates these exacerbating factors is unknown.…”

Section: Practices and Pitfalls In Generating And Sustaining Heat Adamentioning

confidence: 99%

Heat Adaptation in Military Personnel: Mitigating Risk, Maximizing Performance

2019

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The study of heat adaptation in military personnel offers generalizable insights into a variety of sporting, recreational and occupational populations. Conversely, certain characteristics of military employment have few parallels in civilian life, such as the imperative to achieve mission objectives during deployed operations, the opportunity to undergo training and selection for elite units or the requirement to fulfill essential duties under prolonged thermal stress. In such settings, achieving peak individual performance can be critical to organizational success. Short-notice deployment to a hot operational or training environment, exposure to high intensity exercise and undertaking ceremonial duties during extreme weather may challenge the ability to protect personnel from excessive thermal strain, especially where heat adaptation is incomplete. Graded and progressive acclimatization can reduce morbidity substantially and impact on mortality rates, yet individual variation in adaptation has the potential to undermine empirical approaches. Incapacity under heat stress can present the military with medical, occupational and logistic challenges requiring dynamic risk stratification during initial and subsequent heat stress. Using data from large studies of military personnel observing traditional and more contemporary acclimatization practices, this review article (1) characterizes the physical challenges that military training and deployed operations present (2) considers how heat adaptation has been used to augment military performance under thermal stress and (3) identifies potential solutions to optimize the risk-performance paradigm, including those with broader relevance to other populations exposed to heat stress.

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Section: Practices and Pitfalls In Generating And Sustaining Heat Adamentioning

confidence: 99%

Heat Adaptation in Military Personnel: Mitigating Risk, Maximizing Performance

2019

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“…A dedicated medical information recorder acted either as the trauma chart scribe or as a supervisor of the scribe during the resuscitation and had no direct clinical role. These data were used to shape medical organisation and provide insight into equipment issues 7. For example, according to the English translation of the recorded medical data, improvised explosive devices (IEDs) were the predominant threat to the peacekeeping troops in Sector East of MINUSMA; thus some suggestions regarding the safety precautions were given to the operation department.…”

Section: Discussionmentioning

confidence: 99%

Comparison of severe trauma treatment standards in civilian China with current practice in the Chinese military peacekeeping Level 2 Military Hospital in Gao, Mali

Jian

Tian²,

Wang

et al. 2018

J R Army Med Corps

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“…[20][21][22][23] In the military, like the general population, the most frequent cause of death is CAD, with an increasing trend seen with increasing age. [24][25][26] Whilst recruiting at a younger age, a focus on physical fitness, 27,28 reduced obesity levels [29][30][31] and the early discharge of those with conditions known to predispose to CVD, such as diabetes, 29,31 chronic kidney disease or rheumatoid arthritis, may reduce the burden of CVD, 32,33 a higher proportion of males recruited from lower socioeconomic groups, increased rates of smoking 31,[34][35][36] and a paradoxical increased rate of cardiovascular events due to vigorous exertion may not only negate any benefits, but worsen cardiovascular health in comparison to the comparative normal population. 37 The "healthy worker effect" does not apply to either firefighters or commercial motor vehicle (CMV) drivers.…”

Section: Healthy Worker Effectmentioning

confidence: 99%

The role of cardiovascular CT in occupational health assessment for coronary heart disease: An expert consensus document from the Society of Cardiovascular Computed Tomography (SCCT)

Slim¹,

Fentanes

Cheezum

et al. 2021

Journal of Cardiovascular Computed Tomography

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In response to the increasing application of cardiovascular computed tomography (cardiovascular CT), the Society of Cardiovascular Computed Tomography (SCCT) guidelines committee has produced this document to guide the use of cardiac CT in the risk assessment of coronary artery disease (CAD) in occupational health evaluation. The purpose of this document is to support quality care given to individuals who undergo occupational health evaluation for the diagnosis of CAD. This document reviews evidence regarding the prevalence of coronary artery disease (CAD), the incidence of major adverse cardiac events (MACE), and the recommendations for enhanced cardiovascular screening and investigation for CAD evaluation amongst safety sensitive occupations. This document examines occupation risk categories where cardiac CT may be appropriate to investigate for CAD and evaluates available testing strategies for risk assessment.

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An evaluation of the burden placed on the General Internal Medicine team at the Role 3 Hospital in Camp Bastion by UK Armed Forces personnel presenting with symptoms resulting from previously identified disease

Abstract: The number of general medical admissions to the Role 3 Hospital due to a pre-existing disease is very low.

Cited by 9 publications

References 5 publications

Heat Adaptation in Military Personnel: Mitigating Risk, Maximizing Performance

Heat Adaptation in Military Personnel: Mitigating Risk, Maximizing Performance

Comparison of severe trauma treatment standards in civilian China with current practice in the Chinese military peacekeeping Level 2 Military Hospital in Gao, Mali

The role of cardiovascular CT in occupational health assessment for coronary heart disease: An expert consensus document from the Society of Cardiovascular Computed Tomography (SCCT)

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