Fellowships and defence engagement: from clinical niches to strategic impact

Lowe, Jonathon; Potter, Dara; Warner, Matthew; Horne, Simon

doi:10.1136/bmjmilitary-2021-002009

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Lowe and Warner [ 43 ] provide an example of how telemedicine can be used to maintain operational effectiveness in the Antarctic. They reviewed the current telecommunication capabilities in the British Antarctic Territory, and conducted a review of cases, particularly the challenges posed in treating them.…”

Section: Medical Training and Treatment Planning In Austere Cold Envi...mentioning

confidence: 99%

Human performance and medical treatment during cold weather operations – synthesis of a symposium

Mekjavic,

Norheim,

Friedl

2023

International Journal of Circumpolar Health

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In October 2022, the Human Factors and Medicine (HFM) panel of the NATO Science and Technology Organization convened a review of progress in military biomedical research for cold weather operations. This paper represents a summary of the research presentations and future directions. The importance of realistic training was an overarching theme. Many reported studies took advantage of cold weather training exercises to monitor soldiers’ health and performance; these are valuable data, using winter exercises as a platform to gain further knowledge regarding human performance in the cold and represent an excellent extension of controlled laboratory studies. Topics also included prevention of Cold Weather Injuries (CWI); effects of cold weather stressors on cognitive function; field treatment of freezing cold injuries (FCI); and new consideration to injury and trauma care in the cold. Future work programmes re-emphasise development of cold weather training and establishment of consensus diagnostic criteria and treatments for FCI and non-FCI. CWI prevention should take advantage of biomathematical models that predict risk of CWI and provide guidance regarding optimal clothing and equipment and move from group averages to personalised predictions. The publication of selected presentations from the symposium in this special issue increases attention to military cold weather research.

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Section: Medical Training and Treatment Planning In Austere Cold Envi...mentioning

confidence: 99%

Human performance and medical treatment during cold weather operations – synthesis of a symposium

Mekjavic,

Norheim,

Friedl

2023

International Journal of Circumpolar Health

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“…Although reach-back has provided early communication with respect to patients requiring evacuation, it has also been utilised to keep patients on station by providing bespoke telemedicine support [ 10 , 17 ]. Table 1 contains examples of recent utilisation.…”

Section: Recent Utilisation Of Reach-back In Support Of Antarctic Ope...mentioning

confidence: 99%

“…The process for the design and construction of the deployed equipment modules was based on multiple information sources. The basis for the design was taken from the experience of the UK Armed Forces during recent operations and applied to the known risks of operating within the Antarctic environment [ 17 , 19–22 ].…”

Section: Mitigating Risk Through Modularisationmentioning

confidence: 99%

“…The inspiration for a number of the change and optimisation programmes as part of the multi-year BASMU projects have been driven by lessons learnt from the UK Armed Forces [ 10 , 11 , 19 , 20 ]27 . Certainly, from a medical perspective, there has also been active engagement between the civilian Emergency Physicians of BASMU and the Emergency Physicians of the Tri-Service Emergency Medicine Cadre with a proportion of established posts within BASMU occupied by Military Physicians [ 17 ].…”

Section: The Future Strategy For Remote Support and Trainingmentioning

confidence: 99%

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Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory

Lowe

Warner

2023

International Journal of Circumpolar Health

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Injury in Antarctica can have a significant impact when considering transfer timelines of several weeks. Medical support to the British Antarctic Territory (BAT) is provided by deployed healthcare professionals and the utilisation of “reach-back” with telemedicine. This is paired with robust training and familiarisation with a system of modularised deployed equipment. This paper examines the current telemedicine strategy, infrastructure modularisation, and influence from military practice by the British Antarctic Survey Medical Unit (BASMU) for medical care at extreme reach. Current telemedicine practices and utilisation, as well as modular equipment capabilities across the BAT were reviewed to provide an outline of care delivery. Requests varied from expert advice to remote supervision of clinical procedures. Integration of commercially available solutions enabled real-time display of patient physiology. The deployment of modular resources has improved equipment availability and greater standardisation between sites. The sending of case notes and digital x-rays has been generally sufficient but, when greater supervision was required, limited data transfer bandwidth was a challenge. An ongoing review of deployed equipment capabilities may also enhance the ease with which remote support can be offered but an uplift in telemedicine capability will likely require infrastructure upgrades to maintain data transfer from 8000 miles away.

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