The Role of Nutrition in Injured Military Personnel at Role 4: Current Practice

Duff, Susan V.; Price, Susan; Gray, Jennifer

doi:10.1136/jramc-154-04-19

Cited by 4 publications

(2 citation statements)

References 47 publications

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“…Prevention strategies for this are currently being addressed and remain beyond the scope of this paper. Nevertheless, the premorbid state of malnutrition combined with a physiological catabolic response to major trauma places such patients at risk of severe nosocomial infections, delayed tissue healing, increased length of stay in critical care and increased muscle wasting, amongst other complications [15].…”

Section: Nutritionmentioning

confidence: 99%

Critical Care at Role 4

et al. 2010

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This descriptive paper focuses on the sequence of events that occur during the admission and ongoing management of the Military Polytrauma patient to Critical Care, Area B, Queen Elizabeth Hospital Birmingham (QEHB). It is intended to inform new clinical staff, the wider DMS, and potentially other NHS intensive care units which may be called upon to manage such patients during a military surge or following a UK domestic major incident.

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Section: Nutritionmentioning

confidence: 99%

Critical Care at Role 4

et al. 2010

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“…Regardless of nutritional supplementation, patients on intensive care units can lose up to 1 per cent of their total body protein per day [93], worsening muscle weakness and delaying weaning and rehabilitation [93,94]. Military personnel wounded during combat may have reduced fat and glycogen stores, which could contribute to accelerated catabolism and further aggravate body weight loss [95]. At the present time, there is no method of preserving nutritional status after critical illness.…”

Section: The Effects Of Serious Wounds On the Nutritional Status Of Mmentioning

confidence: 99%

Military nutrition: maintaining health and rebuilding injured tissue

Hill

Fallowfield

Price

et al. 2011

Phil. Trans. R. Soc. B

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Food and nutrition are fundamental to military capability. Historical examples demonstrate that a failure to supply adequate nutrition to armies inevitably leads to disaster; however, innovative measures to overcome difficulties in feeding reap benefits, and save lives. In barracks, UK Armed Forces are currently fed according to the relatively new Pay As You Dine policy, which has attracted criticism from some quarters. The recently introduced Multi-Climate Ration has been developed specifically to deal with issues arising from Iraq and the current conflict in Afghanistan. Severely wounded military personnel are likely to lose a significant amount of their muscle mass, in spite of the best medical care. Nutritional support is unable to prevent this, but can ameliorate the effects of the catabolic process. Measuring and quantifying nutritional status during critical illness is difficult. A consensus is beginning to emerge from studies investigating the effects of nutritional interventions on how, what and when to feed patients with critical illness. The Ministry of Defence is currently undertaking research to address specific concerns related to nutrition as well as seeking to promote healthy eating in military personnel.

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Malnutrition and Orthopedic Injuries

Contini

2016

Orthopaedic Trauma in the Austere Environment

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The Role of Nutrition in Injured Military Personnel at Role 4: Current Practice

Cited by 4 publications

References 47 publications

Critical Care at Role 4

Critical Care at Role 4

Military nutrition: maintaining health and rebuilding injured tissue

Malnutrition and Orthopedic Injuries

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