{"title":"The SAM splint – an aide-memoire","authors":"L. J. Elliott, P. Guyver","doi":"10.1136/jrnms-105-63","DOIUrl":"https://doi.org/10.1136/jrnms-105-63","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jrnms-105-63","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
1. Title page with author’s full names, rank (if military), highest post-nominals and contact details for corresponding author. E-mail addresses for all authors are required. 2. Manuscript font: Times New Roman, size 12. 3. Tables and figures, each with an accompanying legend, and each on a separate page at the end of the manuscript. 4. Reference numbers should be superscript following punctuation in the text of the article (e.g.1), with the citations in a reference list at the end of the manuscript, numbered in the order that they are referenced in the text.
1. 标题页上有作者的全名、军衔(如果是军人)、最高职称和通讯作者的联系方式。需要所有作者的电子邮件地址。2. 稿子字体:Times New Roman, 12号。3.表格和图表，每一个都附有图例，每一个都在手稿末尾的单独一页上。4. 参考文献编号应标在文章标点符号后面(例如1)，并在文章末尾的参考文献列表中注明引文，按引文在文中引用的顺序编号。
{"title":"Journal of the Royal Naval Medical Service Instructions for\u0000 Authors","authors":"","doi":"10.1136/jrnms-105-75","DOIUrl":"https://doi.org/10.1136/jrnms-105-75","url":null,"abstract":"1. Title page with author’s full names, rank (if military), highest post-nominals and contact details for corresponding author. E-mail addresses for all authors are required. 2. Manuscript font: Times New Roman, size 12. 3. Tables and figures, each with an accompanying legend, and each on a separate page at the end of the manuscript. 4. Reference numbers should be superscript following punctuation in the text of the article (e.g.1), with the citations in a reference list at the end of the manuscript, numbered in the order that they are referenced in the text.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64209060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In 2012, the Initial Officer Training (INT(O)) pipeline for Royal Navy Medical and Dental Officers (RN MODOs) was reorganised to ensure the same key training objectives were met by all Officers in the RN. This modernisation programme was initiated by the Institute of Naval Medicine (INM) and Britannia Royal Naval College (BRNC), to guarantee that MOs possess the leadership and military skills required for service in the Royal Navy. This article describes the course and how it has developed over the seven years since its introduction. It aims to give an understanding of what initial MO training involves, some areas of opportunity, and intends to inform potential RN Medical Service applicants about what they can expect during initial training.
{"title":"Initial Naval Training for Medical Officers: successes and\u0000 opportunities","authors":"K. M. Heil, A. Thornback","doi":"10.1136/jrnms-105-198","DOIUrl":"https://doi.org/10.1136/jrnms-105-198","url":null,"abstract":"In 2012, the Initial Officer Training (INT(O)) pipeline for Royal Navy Medical and Dental Officers (RN MODOs) was reorganised to ensure the same key training objectives were met by all Officers in the RN. This modernisation programme was initiated by the Institute of Naval Medicine (INM) and Britannia Royal Naval College (BRNC), to guarantee that MOs possess the leadership and military skills required for service in the Royal Navy. This article describes the course and how it has developed over the seven years since its introduction. It aims to give an understanding of what initial MO training involves, some areas of opportunity, and intends to inform potential RN Medical Service applicants about what they can expect during initial training.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maintenance of a breathable atmosphere is a core tenet of dived submarine operations, and the responsibility for this falls to the medical department. Nitrogen oxides (NOx) are atmospheric contaminants from a currently unconfirmed source. If not controlled, these contaminants can act as respiratory irritants and asphyxiants which may endanger health and threaten sustained dived operations. Using the issued Dräger Short Term Detection Tubes (STDTs) to sample strategic locations, the relationship between atmospheric contaminants and NOx was investigated in an attempt to determine the source of NOx formation. Interventions were implemented to reduce NOx by reducing leakage of monoethanolamine (MEA) from carbon dioxide (CO2) scrubbing equipment, a known potential source of NOx if oxidised (combusted). Dräger STDTs for NH3 demonstrate cross-reactivity with MEA, these levels being referred to as NH3/MEA. A relationship was demonstrated between elevated readings for atmospheric NH3/MEA and elevated readings for NOx, with a variable lag period. Findings suggest that NOx production may be reduced by control of atmospheric NH3/MEA. Of the control measures examined, replacement of resin filter bags was noted to reduce atmospheric NH3/MEA, while replenishment of CO2 scrubber MEA was noted to increase it, with a resultant increase in NOx production. Elevated NH3 atmospheric readings may in fact be due to MEA from CO2 scrubbers. This, when catalytically oxidised by CO/H2 burners, produces NOx. Management of MEA egress from CO2 scrubbers (carryover) represents a potential target for NOx control interventions. Specific MEA detection equipment is required to demonstrate whether MEA or NH3 is the progenitor species for NOx. Furthermore, controlled trials are required to prove a definitive relationship between MEA and NOx and to evaluate the best control measures.
{"title":"Measurement of atmospheric oxides of nitrogen and a preliminary\u0000 investigation of their source","authors":"S. King","doi":"10.1136/jrnms-105-6","DOIUrl":"https://doi.org/10.1136/jrnms-105-6","url":null,"abstract":"Maintenance of a breathable atmosphere is a core tenet of dived submarine operations, and the responsibility for this falls to the medical department. Nitrogen oxides (NOx) are atmospheric contaminants from a currently unconfirmed source. If not controlled, these contaminants can act as respiratory irritants and asphyxiants which may endanger health and threaten sustained dived operations. Using the issued Dräger Short Term Detection Tubes (STDTs) to sample strategic locations, the relationship between atmospheric contaminants and NOx was investigated in an attempt to determine the source of NOx formation. Interventions were implemented to reduce NOx by reducing leakage of monoethanolamine (MEA) from carbon dioxide (CO2) scrubbing equipment, a known potential source of NOx if oxidised (combusted). Dräger STDTs for NH3 demonstrate cross-reactivity with MEA, these levels being referred to as NH3/MEA. A relationship was demonstrated between elevated readings for atmospheric NH3/MEA and elevated readings for NOx, with a variable lag period. Findings suggest that NOx production may be reduced by control of atmospheric NH3/MEA. Of the control measures examined, replacement of resin filter bags was noted to reduce atmospheric NH3/MEA, while replenishment of CO2 scrubber MEA was noted to increase it, with a resultant increase in NOx production. Elevated NH3 atmospheric readings may in fact be due to MEA from CO2 scrubbers. This, when catalytically oxidised by CO/H2 burners, produces NOx. Management of MEA egress from CO2 scrubbers (carryover) represents a potential target for NOx control interventions. Specific MEA detection equipment is required to demonstrate whether MEA or NH3 is the progenitor species for NOx. Furthermore, controlled trials are required to prove a definitive relationship between MEA and NOx and to evaluate the best control measures.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Guénot, S. Leigh-Smith, N. Granger-Veyron, C. Carfantan, E. Dulaurent
French military Search and Rescue (SAR) is primarily for the recovery of downed aircrew in an operational environment but has traditionally also played an important civilian role. Military doctors and nurses with competence in this area frequently form part of civilian teams, their experience being transferable between operational and civilian spheres. A recent re-organisation of French Medical Aid at Sea (MAS) has seen greater involvement of civilian medical services in this sector with consequent potential for negative impact on future military involvement.The French Military Medical Service / Service de Santé des Armées (SSA) 2020 plan provides opportunities for mutually advantageous, deeper engagement and joint working between the SSA and the French National Health Service / Service Public de Santé (SPS).This article describes the current structure for MAS and the involvement of SSA therein before considering some of the challenges and potential solutions with respect to deeper civilian-military engagement in this domain in future.
{"title":"The involvement of the French military medical service in helicopter rescue missions for Emergency Medical Aid at Sea: the current situation and prospects for the future.","authors":"P. Guénot, S. Leigh-Smith, N. Granger-Veyron, C. Carfantan, E. Dulaurent","doi":"10.1136/jrnms-105-95","DOIUrl":"https://doi.org/10.1136/jrnms-105-95","url":null,"abstract":"French military Search and Rescue (SAR) is primarily for the recovery of downed aircrew in an operational environment but has traditionally also played an important civilian role. Military doctors and nurses with competence in this area frequently form part of civilian teams, their experience being transferable between operational and civilian spheres. A recent re-organisation of French Medical Aid at Sea (MAS) has seen greater involvement of civilian medical services in this sector with consequent potential for negative impact on future military involvement.The French Military Medical Service / Service de Santé des Armées (SSA) 2020 plan provides opportunities for mutually advantageous, deeper engagement and joint working between the SSA and the French National Health Service / Service Public de Santé (SPS).This article describes the current structure for MAS and the involvement of SSA therein before considering some of the challenges and potential solutions with respect to deeper civilian-military engagement in this domain in future.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64209493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The history of the Journal and the Institute of Naval Medicine","authors":"J. Wickenden, E. Crowson","doi":"10.1136/jrnms-105-196","DOIUrl":"https://doi.org/10.1136/jrnms-105-196","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jrnms-105-196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In March 2018, a team of five UK Defence Medical Service (DMS) personnel deployed to Hawaii in order to take part in the US Navy-led PACIFIC PARTNERSHIP (PP18) mission. This was the third deployment of UK DMS personnel to this annual humanitarian and disaster relief preparedness mission and further supported a shift in focus into the Indo-Asia-Pacific Region.
{"title":"Pacific Partnership 18","authors":"M. Middleton","doi":"10.1136/jrnms-105-2","DOIUrl":"https://doi.org/10.1136/jrnms-105-2","url":null,"abstract":"In March 2018, a team of five UK Defence Medical Service (DMS) personnel deployed to Hawaii in order to take part in the US Navy-led PACIFIC PARTNERSHIP (PP18) mission. This was the third deployment of UK DMS personnel to this annual humanitarian and disaster relief preparedness mission and further supported a shift in focus into the Indo-Asia-Pacific Region.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64206973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The life and legacy of Doctor James Lind","authors":"K. Shaw","doi":"10.1136/jrnms-105-216","DOIUrl":"https://doi.org/10.1136/jrnms-105-216","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"News from the Historic Collections Library, Institute of Naval\u0000 Medicine","authors":"J. Wickenden","doi":"10.1136/jrnms-105-230","DOIUrl":"https://doi.org/10.1136/jrnms-105-230","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ear barotrauma represents a spectrum of pathology ranging from a mild, self-limiting condition, to significant morbidity with occupational implications. This article describes the anatomy of a normal functioning ear and how this function is disrupted in patients with ear barotrauma. It will discuss the clinical features of the condition, as well as how to investigate and manage a patient presenting with ear barotrauma, including the occupational considerations that should be made.
{"title":"The effects of barotrauma on the ear","authors":"N. Roocroft, E. Hogg, R. Williams","doi":"10.1136/jrnms-105-47","DOIUrl":"https://doi.org/10.1136/jrnms-105-47","url":null,"abstract":"Ear barotrauma represents a spectrum of pathology ranging from a mild, self-limiting condition, to significant morbidity with occupational implications. This article describes the anatomy of a normal functioning ear and how this function is disrupted in patients with ear barotrauma. It will discuss the clinical features of the condition, as well as how to investigate and manage a patient presenting with ear barotrauma, including the occupational considerations that should be made.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64207851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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