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Welcome to the October 2017 edition of the Journal of the Royal Army Medical Corps. I’ve led the issue with my Editor’s choice paper from our Canadian colleagues discussing the future potential applications of resuscitative endovascular balloon occlusion of the aorta.1 Non- compressible thoracic haemorrhage remains the second most common cause of death on the battlefield and currently the only methods for effectively managing it in the prehospital setting are through thoracotomy and of course prevention using personal armour.2
Colonel David Woods’ group ask the difficult questions as to whether military training results in reproductive dysfunction in a manner analogous to civilian athletes and have identified lines of future potential research.3 As many of you are aware Major Daniel Stinner is a US military surgeon currently undertaking research at Imperial College London and has recently joined our international editorial board. His group have published in this edition about the effectiveness of foot fasciotomies in foot and ankle trauma which I would encourage you to read and I hope reflects even more submissions in the future from our US colleagues.4
A review by our French military colleagues into blast ear has demonstrated that the significant functional signs caused by such events, but more interestingly that such signs are not correlated to otoscopic examinations.5 Blast Injury has been a significant source of morbidity for UK service personnel and significant research in terms of active ear prevention is still required before an acceptable form of personal protective equipment is found.6 I would also recommend the reading of another paper by our US colleagues regarding the implications of critical care management in terms of traumatic brain injury and in flight intra-cranial pressure monitoring.7
The editorial board are currently in the process of finalising a special edition on blast Injury which is pencilled in for the February edition and as well as an edition for Immediate responses to terrorist threats which is planned for April 2018. Although both editions are well away any authors wishing to contribute should contact me by the email below.
Provenance and peer review Not commissioned; internally peer reviewed.
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