Ex Military vehicles for Sale. MOD direct sales, Used military dozer, loaders, trailers, Land Rovers, amphibious
Phone


















Professor Porter on advances in Defence medicine



www.mod.uk    Department of defence UK
2012-08-15

Professor Sir Keith Porter, Honorary Professor of Clinical Traumatology at the University of Birmingham, charts the remarkable progress of modern military care since the Cold War.


Professor Sir Keith Porter
[Picture: Queen Elizabeth Hospital Birmingham]

More than 60 years after the Cold War, a landmark Defence review and key studies, it is clear that military medicine has been transformed in its advances of world-class medical care for military patients.

It has been a long journey. By the mid-1990s, dedicated military hospitals were closed down and military secondary healthcare was switched to bustling NHS hospitals such as Frimley Park, Northallerton and Plymouth. Military command and control was effective through the MOD and the MOD Hospital Units (MDHUs) were established within NHS hospitals.

In an article originally published in Aesculapius - Journal of the University of Birmingham Medical and Dental Graduates Society, Sir Keith documents the extraordinary progress made in providing military clinical care.

He describes how, during military operations, serious casualties receive first aid at the point of injury and are evacuated and treated at several echelons of care, which are normally described as `Roles`. Role 1 is integral to a unit, ship or station. Role 2 provides a higher level of care, Role 3 is a field hospital and Role 4 refers to definitive care at the home base. Following the closer of dedicated military hospitals responsibility for providing acute Role 4 care was passed to the NHS.

Back in 1998, in the wake of the Laurence Report, mounting concerns over training standards, maintaining capability for deployment and staff retention, the Government announced a new strategy for Defence Medical Services which included setting up a Centre for Defence Medicine (CDM), recognising that military medicine was a distinct discipline in its own right.

The centre would provide professional leadership, a centre of training and develop a centre of excellence for research. From the beginning, it was recognised that the CDM should be developed in partnership with a civilian centre of excellence, preferably a teaching hospital.


Medical staff at the Royal Centre for Defence Medicine in Birmingham treat an officer following his injury in Afghanistan (stock image)
[Picture: Stuart Bingham, Crown Copyright/MOD 2008]


It didn`t make sense to sustain the relatively tiny number of military patients in a dedicated military hospital. Following an extensive tendering process, it was announced in late 1999 that the University Hospital Birmingham was selected for its strong academic and clinical partners.

Royal Assent was granted in 2000, and later that year it was announced that the Royal Defence Medical College would move from Fort Blockhouse (Gosport) to Birmingham. In October 2000, a Service Level Agreement confirming the partnership arrangement to cover the next 20 years was signed.

Early aspirations

The joint vision of MOD and its partners was that, by 2010, the Royal Centre for Defence Medicine (RCDM) would be a world-renowned centre of excellence for all UK military medicine. It would be a teaching focus for cutting edge military medical research, training and education.

Professor Porter is doubtlessly proud that these aims have been achieved. It is a fact that the unpredictable clinical workload generated by conflicts in Iraq and Afghanistan has produced significant clinical enhancements with the RCDM being part of a chain of highly successful clinical care.

The RCDM Research Centre integrates the Medical Director, Defence Professors and the Military Director of Research. The unit maintains strong links with the Defence Scientific Technical Laboratories (DSTL) at Porton Down, particularly in relation to its Combat Casualty Care Programme. A strong educational link has been established at undergraduate level with Birmingham City University for the delivery of nurse training and health professionals.

Clinical care is delivered by a hybrid model where battle casualties are initially treated and evacuated through a military medical chain, repatriated to the Queen Elizabeth Hospital Birmingham, before returning to the military chain for rehabilitation, either at the Defence Medical Services Rehabilitation Centre at Headley Court, Surrey, or at regional rehabilitation units.
"From the outset, it was recognised that Service personnel, and particularly battle casualties, should be nursed together wherever possible..."

Professor Sir Keith Porter


Professor Porter writes:

"From the outset, it was recognised that Service personnel, and particularly battle casualties, should be nursed together wherever possible, initially at Selly Oak Hospital and now at the Queen Elizabeth Hospital Birmingham where a military-managed ward was established."

An increase in military staff allowed the RCDM to cater for casualties who must be cared for on a different ward or hospital (for example, the Birmingham Midland Eye Centre) with sufficient military staff, including psychological care, welfare and support to create a `military bubble` around patients.

Landmark developments
Sir Keith also describes how many important developments have evolved in Role 4 care. They include: an increase in specialist military staffing; (anaesthesia, trauma and orthopaedics, plastic surgery) to meet increasing demand to cater for critical care beds (sometimes up to five patients on a single military repatriation flight) and extended theatre operating times.

Professor Porter writes:

"A further key step was the establishment of a robust military ward round/multi disciplinary team (MDT meeting), involving relevant specialty consultants including a rehabilitation consultant from Headley Court, junior doctors, nurses, allied health professionals, mental health and trauma nurse practitioners and trauma audit personnel."

A dedicated phone conference provided comprehensive military feedback to Afghanistan and supporting services, such as the aero medical evacuation team. Furthermore, critically injured patients are reviewed in the operating theatre between two and four hours of arrival at QEHB with up to six key specialty consultants present.


Two severely injured servicemen discuss prosthetic limbs at the Royal Centre for Defence Medicine in Birmingham (stock image)
[Picture: Stuart Bingham, Crown Copyright/MOD 2008]


A further improvement was establishing a team to handle the demand and logistics of theatre requirements. This includes the reception of up to nine patients in a single cohort. These extensively injured patients require frequent visits to theatre; one patient recently required 37 visits to theatre, totalling 75 hours and 15 minutes operating time.

Other important developments include:

• An evolving understanding of the microbiological challenges and the needs in relation to patient care

• A full understanding of the specific critical care challenges of military trauma, particularly on blast injury

• Services delivered mostly by consultants.

Research
Professor Porter notes that the key weakness to date has been an inability to exploit clinical achievements, largely due to unrelenting work load pressures. However, the recent establishment of the National Institute for Health Research (NIHR) Centre, which will focus on surgical reconstruction, medical microbiology, regenerative medicine and rehabilitation, will address this deficiency. The centre is underpinned by a strong four-way agreement between the University of Birmingham, MOD, University Hospital Birmingham and DoH providing £20m of funding over five years, to provide a catalyst for world-class research and outputs.

The QEHB and the Royal Centre for Defence Medicine are proud of gaining recognition as the leading hospitals for trauma in the UK and of their world-class reputation. The strong civilian-military partnership is a role model for co-operation, co-ordination and achievement. The recent recognition and selection of the QEHB, MOD and the University of Birmingham as a partnership in establishing the NIHR centre is recognition of clinical excellence and academic capability that will generate world-class research.

Professor Sir Keith Porter is an Honorary Professor of Clinical Traumatology at the University of Birmingham based at the Queen Elizabeth Hospital Birmingham.

Based on an article originally published in Aesculapius - Journal of the University of Birmingham Medical and Dental Graduates Society.

2012-08-15








Other MOD news


2013-02-07   UK military personnel mark anniversary of Queen`s accession

Members of the Armed Forces yesterday commemorated the 61st anniversary of Her Majesty The Queen`s accession to the throne. The King`s Troop Royal Horse Artillery firing a 41-gun salute in Green Park Princess Elizabeth acceded to the throne as Her Majesty Queen Elizabeth II on 6 Februa... more »

Department of Defence UK | https://www.gov.uk

2013-02-07   Bridge for Queen Elizabeth carrier moves to Rosyth

The forward island of the first of the Royal Navy`s new aircraft carriers today began its journey to Scotland to join the rest of the ship. The forward island section of HMS Queen Elizabeth leaves Portsmouth HMS Queen Elizabeth’s 680-tonne island, which houses the ship’s main bridge, i... more »

Department of Defence UK | https://www.gov.uk

2013-02-07   Defence Secretary visits British troops in Afghanistan

The Secretary of State for Defence, Philip Hammond, has visited UK troops in Helmand as part of a two-day trip to Afghanistan. Philip Hammond meets British troops in southern Afghanistan During his visit, the Defence Secretary witnessed first-hand the security transition to the Afghan ... more »

Department of Defence UK | https://www.gov.uk

2013-02-06   British forces deliver the goods to the front line

The vital job of making deliveries of kit and personnel to the front line in Afghanistan comes with no shortage of challenges. Supplies being delivered to a patrol base by the Immediate Replenishment Group The Immediate Replenishment Group (IRG) operates out of Main Operating Base Pric... more »

Department of Defence UK | https://www.gov.uk

2013-02-05   HMS Cattistock heads for the Med

Royal Navy minehunter HMS Cattistock has set sail on a four-month NATO mission in the Mediterranean. Royal Navy minehunter HMS Cattistock HMS Cattistock will be working as part of a permanent multinational maritime force in the area called the Standing NATO Mine Countermeasures Group 2... more »

Department of Defence UK | https://www.gov.uk

2013-02-05   Treating PTSD in the Armed Forces

How eye pupil movement is helping Service personnel fight the symptoms of post-traumatic stress disorder (PTSD). Eye movement desensitisation and reprocessing is a cutting-edge therapy helping PTSD sufferers When Sergeant Steve Johnson was asked if he would like to trial a mindboggling... more »

Department of Defence UK | https://www.gov.uk

2013-02-04   Royal Navy warship hosts NATO delegates in Qatar

During a routine port visit on patrol in the Middle East, Royal Naval warship HMS Monmouth hosted representatives of NATO members. NATO delegates on board HMS Monmouth in Qatar While in the port of Doha, Qatar, HMS Monmouth hosted 25 NATO parliamentarians to showcase the ship and her c... more »

Department of Defence UK | https://www.gov.uk

2013-02-04   Miniature surveillance helicopters help protect front line troops

British troops in Afghanistan are the first to use state-of-the-art handheld nano surveillance helicopters. A Black Hornet Nano Unmanned Air Vehicle being used in Afghanistan The Black Hornet Nano Unmanned Air Vehicle measures around 4 inches by 1 inch (10cm x 2.5cm) and provides troo... more »

Department of Defence UK | https://www.gov.uk

2013-02-02   Marine receives Military Cross for bravery under fire

A Royal Marine who rescued a severely wounded colleague in Afghanistan while under enemy fire has been presented with a Military Cross. Marine Mark Williams with his Military Cross at Buckingham Palace Marine Mark Williams, from 30 Commando Information Exploitation Group Royal Marines,... more »

Department of Defence UK | https://www.gov.uk

2013-02-02   UK-France relationship strong in Mali operation

UK operations in support of the French military in Mali are continuing from Evreux Air Base near Paris. French and British Air Force personnel at Bamako Airport in Mali Since the short notice commencement of Operation Newcombe, C-17 Globemaster aircraft operated by the RAF’s 99 Squadro... more »

Department of Defence UK | https://www.gov.uk

2013-02-01   Navy pilots swap Afghan desert for Norway snow

Personnel from the Commando Helicopter Force have been getting firmly entrenched in freezing Arctic Circle conditions. 845 Naval Air Squadron personnel on exercise in Norway Taking part in Arctic and mountain training, aircrew and support personnel from 845 Naval Air Squadron are on ex... more »

Department of Defence UK | https://www.gov.uk

2013-01-31   Army conducts largest ever virtual battlefield simulation experiment

The British Army is conducting its largest ever virtual simulation experiment in order to better understand its future equipment and training needs. Soldiers and scientists taking part in Exercise Urban Warrior 5 Exercise Urban Warrior 5 uses advanced science and computer technology as... more »

Department of Defence UK | https://www.gov.uk

2013-01-31   MOD reveals £160 billion plan to equip Armed Forces

The Ministry of Defence has today published details of how it will equip the Army, Royal Navy and Royal Air Force over the next 10 years and how this will be funded. A Royal Navy Sea King landing on Type 45 destroyer HMS Diamond For the first time, the government has set out a fully-fu... more »

Department of Defence UK | https://www.gov.uk

2013-01-30   Royal visit for Rifles ahead of Afghanistan deployment

The Duchess of Cornwall visited 4th Battalion The Rifles (4 RIFLES) yesterday, Tuesday 29 January, to see how they are preparing for their upcoming deployment to Afghanistan. The Duchess of Cornwall meeting soldiers from 4th Battalion The Rifles The Duchess made the journey to Bulford ... more »

Department of Defence UK | https://www.gov.uk

2013-01-30   British forces to support military training mission to Mali

The UK is to support the EU military training mission to Mali by providing up to 40 British personnel either in a headquarters or training team role. Defence Secretary Philip Hammond In response to an urgent question in the House of Commons, Defence Secretary Philip Hammond said that ... more »

Department of Defence UK | https://www.gov.uk

2013-01-30   RAF becomes NATO Response Force lead

The Royal Air Force`s Joint Force Air Component Commander (JFACC) today assumed lead responsibility for the NATO Response Force (NRF). An RAF Typhoon takes off from RAF Northolt The current incumbents, the German Air Force, were represented by Brigadier General Nolte at a handover of ... more »

Department of Defence UK | https://www.gov.uk

2013-01-29   First Navy Wildcat makes maiden flight

The first Wildcat attack helicopter to be delivered to the Royal Navy has successfully taken its first flight at Yeovil in Somerset. The Royal Navy Wildcat HMA Mark 2 attack helicopter The Wildcat has a more powerful engine, allowing it to be flown in extreme conditions all year round... more »

Department of Defence UK | https://www.gov.uk

2013-01-29   RAF squadron takes delivery of 100th Typhoon

The RAF`s most recently formed squadron has taken delivery of the latest state-of-the-art Typhoon jet. The 100th Typhoon jet delivered to No 1 (Fighter) Squadron at RAF Leuchars The unit, No 1 (Fighter) Squadron, which was reformed just 4 months ago at RAF Leuchars in Scotland, is now ... more »

Department of Defence UK | https://www.gov.uk

2013-01-29   Nottingham commits to supporting the Armed Forces

Ahead of hosting Armed Forces Day in June, Nottingham has shown the strength of its support for Service personnel and their families with the signing of a Community Covenant. Service personnel in Nottingham promoting Armed Forces Day 2013 Through a joint signing, both Nottingham City a... more »

Department of Defence UK | https://www.gov.uk

2013-01-29   British forces to support military training mission to Mali

The UK is to support the EU military training mission to Mali by providing up to 40 British personnel either in a headquarters or training team role. Defence Secretary Philip Hammond In response to an urgent question in the House of Commons, Defence Secretary Philip Hammond said that ... more »

Department of Defence UK | https://www.gov.uk

2013-01-28   Innovative ways sought to improve the security of maritime operations

The Ministry of Defence is looking for ways to strengthen the security of maritime operations so that it can be more effective at combating illegal activities such as gun-running, people-smuggling and piracy. A member of HMS Monmouth`s force protection team provides cover during the boarding ... more »

Department of Defence UK | https://www.gov.uk

2013-01-28   Navy`s new carrier receives first massive gas turbine

The first of the world`s most powerful marine gas turbines has been installed in the Royal Navy`s new aircraft carrier HMS Queen Elizabeth at Babcock`s Rosyth shipyard in Scotland. A computer-generated image of new Royal Navy aircraft carrier HMS Queen Elizabeth at sea The Rolls-Royce ... more »

Department of Defence UK | https://www.gov.uk

2013-01-25   Fighting fire under fire

RAF firefighters who helped fight off a Taliban attack on Camp Bastion in Helmand province have received their Afghanistan Operational Service Medals during a ceremony at the Palace of Westminster. The RAF Fire and Rescue Service based at Camp Bastion The RAF Fire and Rescue Service is... more »

Department of Defence UK | https://www.gov.uk

2013-01-25   RAF Sentinel aircraft deploys to Africa

A Sentinel aircraft has deployed from the UK in support of French military operations in Mali. A No 5 (Army Cooperation) Squadron Sentinel aircraft The Sentinel R1, from No 5 (Army Cooperation) Squadron, which is manned by both Army and RAF personnel who operate the ASTOR radar survei... more »

Department of Defence UK | https://www.gov.uk

2013-01-24   Top Afghan commander helps prepare UK forces for deployment

The commander of Afghan troops who work alongside British forces to provide security in Helmand province has visited the UK to help our troops prepare for deployment to the area. Brigadier General Sherin Shah Brigadier General Sherin Shah, the Commander of 3rd Brigade of 215 Corps of t... more »

Department of Defence UK | https://www.gov.uk

2013-01-24   Afghan forces take the lead in British-supported operation in Helmand

British-trained Afghan forces have demonstrated their expanding capability by successfully leading a large and complex operation to build a bridge over the Nahr-e Saraj canal in Afghanistan`s Helmand province. Members of the Afghan Uniform Police pose for a group photo Soldiers from th... more »

Department of Defence UK | https://www.gov.uk

2013-01-23   Army Reserves support youth engineering project in Redcar

Territorial Army soldiers are supporting a new council project in Redcar to give young people a range of engineering skills by getting them to build beach buggies. Soldiers in Redcar supporting a youth skills initiative Around 20 young people will take part in the first of 3 projects i... more »

Department of Defence UK | https://www.gov.uk

2013-01-23   Injured personnel in bid for world-first microlight flight to the South Pole

A team of injured Service personnel are to attempt a world-first microlight flight to the South Pole. Members of the Flying for Freedom Antarctic team with Lord Digby Jones and Rory Underwood Yesterday, Tuesday 22 January, in partnership with Help for Heroes, six of the eight-strong te... more »

Department of Defence UK | https://www.gov.uk

2013-01-22   Royal Navy icebreaker frees Norwegian liner

A Norwegian cruise liner at risk of becoming trapped in thick ice off the coast of Antarctica has been guided to safety by the Royal Navy in a two-hour operation. The MV Fram as seen from the deck of HMS Protector Icebreaker HMS Protector broke through the densely packed ice which had ... more »

Department of Defence UK | https://www.gov.uk

2013-01-22   Prince Harry completes tour of duty in Afghanistan

Captain Wales leaves Afghanistan after a successful tour as an Apache pilot. Prince Harry in an Apache attack helicopter Prince Harry, known as Captain Wales in the military, has departed Afghanistan with his squadron after a successful tour as an Apache pilot. He operated as pa... more »

Department of Defence UK | https://www.gov.uk

2013-01-22   Third tranche of Armed Forces redundancies announced

The Army has today announced which employment fields will be liable for tranche three of the Armed Forces Redundancy Programme. Soldiers on parade These redundancies are not new and are the third tranche of the Armed Forces Redundancy Programme that was announced in the Strategic Defen... more »

Department of Defence UK | https://www.gov.uk

2013-01-21   RAF rescue crew battles `whiteout` to help pregnant woman

With extreme weather conditions affecting most of the country, Royal Air Force Search and Rescue (SAR) teams have had a busy weekend. A Royal Air Force Search and Rescue Sea King helicopter RAF SAR units were assigned 9 incidents, and 13 people were directly assisted by SAR teams over... more »

Department of Defence UK | https://www.gov.uk

2013-01-18   Celebrities give morale-boost to injured personnel

Patients and staff at the Royal Centre for Defence Medicine have been treated to a visit from a footballing legend and a Hollywood star. Ray Winstone and David Beckham with staff and patients at the Queen Elizabeth Hospital David Beckham and Ray Winstone both dropped into the Royal Cen... more »

Department of Defence UK | https://www.gov.uk

2013-01-18   New treaty to formalise defence co-operation with Australia

The UK and Australia will strengthen their long-standing relationship today with a new defence treaty to provide a framework for the many strands of co-operation between the 2 countries. Computer-generated image of the proposed Type 26 Global Combat Ship The treaty, to be signed in Per... more »

Department of Defence UK | https://www.gov.uk

2013-01-17   Royal Navy helicopter rescues 4 sailors from burning vessel

Four sailors have been plucked to safety from a fishing boat on fire in the Firth of Clyde by a Royal Navy search and rescue helicopter. Petty Officer Taff Ashman prepares to rescue sailors from the Amy Harris 3 A mayday call went into Belfast Coastguard at approximately 3:05pm yesterd... more »

Department of Defence UK | https://www.gov.uk

2013-01-17   Kingsman David Shaw dies from wounds sustained in Afghanistan

It is with great sadness that the Ministry of Defence must confirm that Kingsman David Robert Shaw from 1st Battalion The Duke of Lancaster`s Regiment died in Queen Elizabeth Hospital Birmingham on Wednesday 16 January 2013 from wounds sustained in Afghanistan. Kingsman Shaw sustained a... more »

Department of Defence UK | https://www.gov.uk

2013-01-16   New £14 million contract boosts Brimstone missile stocks

A new £14 million contract will deliver hundreds of precision attack weapons to the RAF. Computer-generated image of Dual Mode Seeker Brimstone missiles fitted to an aircraft Brimstone missiles are carried by RAF Tornado aircraft in Afghanistan and were also used on operations ov... more »

Department of Defence UK | https://www.gov.uk

2013-01-15   Royal Navy teams help prevent tug sinking

Crews from 2 Royal Navy warships helped prevent a tug from sinking on Sunday night in a dramatic rescue in the English Channel off the Devon coast. Lifeboats approach the damaged tug Christos XXII Sailors from the frigate HMS Lancaster and offshore patrol ship HMS Severn struggled in d... more »

Department of Defence UK | https://www.gov.uk

2013-01-15   Professor awarded knighthood for service to military healthcare

A university professor who has improved mental health services for the Armed Forces has been made a Knight Bachelor. Professor Sir Simon Wessely Sir Simon Wessely, Professor of Psychological Medicine, Director of King’s College London’s Centre for Military Health Research and Vice Dean... more »

Department of Defence UK | https://www.gov.uk

2013-01-15   Employers have their say on MOD reservists

As the clock counts down to the end of the Future Reserves 2020 Consultation, the Ministry of Defence has reached out to several of the UK`s largest employers to pick their brains. Reservists from 5th Battalion The Rifles on operations in Afghanistan The MOD held a workshop on Friday, ... more »

Department of Defence UK | https://www.gov.uk

www.stroicar.com is in no way connected with these NEWS and not represent the British Ministry of Defence.