John Breeze
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View article: What is the medical requirement for a quick release system in a body armour vest?
What is the medical requirement for a quick release system in a body armour vest? Open
A quick release system is a method by which personal armour can be rapidly doffed by the disconnection of structural components using little force. There are slight variations in the design of quick release systems available in different p…
View article: Using CT scans to determine the optimal sizes of hard armour plates to protect the torso for UK female Armed Forces personnel
Using CT scans to determine the optimal sizes of hard armour plates to protect the torso for UK female Armed Forces personnel Open
Introduction Hard armour plates provide coverage to essential anatomical structures in the torso that, if injured, would likely be responsible for death before damage control surgery can be undertaken. Existing front and rear OSPREY plates…
View article: Local Effect of Ballistic Fragments Embedded Along the Carotid Sheath of a Porcine Animal Model
Local Effect of Ballistic Fragments Embedded Along the Carotid Sheath of a Porcine Animal Model Open
Introduction Energized ballistic fragments from improvised explosive devices were the most common cause of injury to coalition service personnel during conflicts in Iraq and Afghanistan. Surgical excision of retained fragments is not routi…
View article: Vascularized Fibula TMJ Reconstruction: A Report of Five Cases featuring Computerized Patient-specific Surgical Planning
Vascularized Fibula TMJ Reconstruction: A Report of Five Cases featuring Computerized Patient-specific Surgical Planning Open
Background: Mandibular defects involving the condyle represent a complex reconstructive challenge for restoring proper function of the temporomandibular joint because it requires precise bone graft alignment, or alloplastic materials, for …
View article: The Critical Role of a Backing Material in Assessing the Performance of Soft Ballistic Protection
The Critical Role of a Backing Material in Assessing the Performance of Soft Ballistic Protection Open
Penetrating trauma by energised fragments is the most common injury from an explosive event. Fragment penetrations to the truncal region can result in lethal haemorrhage. Personal armour is used to mitigate ballistic threats; it comprises …
View article: Protective Clothing Reduces Lower Limb Injury Severity Against Propelled Sand Debris in a Laboratory Setting
Protective Clothing Reduces Lower Limb Injury Severity Against Propelled Sand Debris in a Laboratory Setting Open
The contribution of energised environmental debris to injury patterns of the blast casualty is not known. The extent to which personal protective equipment (PPE) limits the injuries sustained by energised environmental debris following an …
View article: Head Face and Neck Surgical Workload From a Contemporary Military Role 3 Medical Treatment Facility
Head Face and Neck Surgical Workload From a Contemporary Military Role 3 Medical Treatment Facility Open
Introduction Previous analyses of head, face, and neck (HFN) surgery in the deployed military setting have focused on the treatment of injuries using trauma databases. Little has been written on the burden of disease and the requirement fo…
View article: Penetrating Neck Injuries Treated at a U.S. Role 3 Medical Treatment Facility in Afghanistan During Operation Resolute Support
Penetrating Neck Injuries Treated at a U.S. Role 3 Medical Treatment Facility in Afghanistan During Operation Resolute Support Open
Introduction Military trauma registries can identify broad epidemiological trends from neck wounds but cannot reliably demonstrate temporal casualty from clinical interventions or differentiate penetrating neck injuries (PNI) from those th…
View article: Combat Facial Fractures Sustained During Operation Resolute Support and Operation Freedom’s Sentinel in Afghanistan
Combat Facial Fractures Sustained During Operation Resolute Support and Operation Freedom’s Sentinel in Afghanistan Open
Introduction Facial fractures sustained in combat are generally unrepresentative of those commonly experienced in civilian practice. In the US military, acute trauma patient care is guided by the Joint Trauma System Clinical Practice Guide…
View article: Extending existing recommended military casualty evacuation timelines will likely increase morbidity and mortality: a UK consensus statement
Extending existing recommended military casualty evacuation timelines will likely increase morbidity and mortality: a UK consensus statement Open
Introduction Future conflicts may have limited use of aviation-based prehospital emergency care for evacuation. This will increase the likelihood of extended evacuation timelines and an extended hold at a forward hospital care facility fol…
View article: Gelatine Backing Affects the Performance of Single-Layer Ballistic-Resistant Materials Against Blast Fragments
Gelatine Backing Affects the Performance of Single-Layer Ballistic-Resistant Materials Against Blast Fragments Open
Penetrating trauma by energized fragments is the most common injury from explosive devices, the main threat in the contemporary battlefield. Such devices produce projectiles dependent upon their design, including preformed fragments, casin…
View article: Prolonged deployed hospital care in the management of military eye injuries
Prolonged deployed hospital care in the management of military eye injuries Open
Background/Objectives Prolonged hospital care is described as deployed medical care, applied beyond doctrinal planning timelines and military medical planning envisages that in future conflicts, patients will have to be managed for up to f…
View article: Sizing of ballistic arm protection for the VIRTUS body armour and load carriage system
Sizing of ballistic arm protection for the VIRTUS body armour and load carriage system Open
Introduction Severe haemorrhage from the arm that is unresponsive to direct pressure necessitates the application of a tourniquet. Detachable arm protection, referred to as brassards, are used by the UK Armed Forces to protect the upper ar…
View article: Outcomes following penetrating neck injury during the Iraq and Afghanistan conflicts: A comparison of treatment at US and United Kingdom medical treatment facilities
Outcomes following penetrating neck injury during the Iraq and Afghanistan conflicts: A comparison of treatment at US and United Kingdom medical treatment facilities Open
INTRODUCTION The United States and United Kingdom (UK) had differing approaches to the surgical skill mix within deployed medical treatment facilities (MTFs) in support of the military campaigns in Iraq and Afghanistan. METHODS The US and …
View article: Survival after traumatic brain injury improves with deployment of neurosurgeons: a comparison of US and UK military treatment facilities during the Iraq and Afghanistan conflicts
Survival after traumatic brain injury improves with deployment of neurosurgeons: a comparison of US and UK military treatment facilities during the Iraq and Afghanistan conflicts Open
Introduction Traumatic brain injury (TBI) is the most common cause of death on the modern battlefield. In recent conflicts in Iraq and Afghanistan, the US typically deployed neurosurgeons to medical treatment facilities (MTFs), while the U…
View article: Nerve agents: emergency preparedness
Nerve agents: emergency preparedness Open
Nerve agents (NAs) are a highly toxic group of chemical warfare agents. NAs are organophosphorus esters with varying physical and chemical properties depending on the individual agent. The most recently developed class of NA is ‘ Novichok …
View article: Exploring Dentist Opinions on the Provision of Intravenous Sedation in Primary Dental Care for UK Armed Forces Personnel
Exploring Dentist Opinions on the Provision of Intravenous Sedation in Primary Dental Care for UK Armed Forces Personnel Open
Introduction: Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments a…
View article: Data for: The Risk of Fracture to the Tibia from a Fragment Simulating Projectile
Data for: The Risk of Fracture to the Tibia from a Fragment Simulating Projectile Open
Demographic, injury, and statistical data
View article: Towards the future: The final issue of the journal of the Royal Army Medical Corps 1903-2019
Towards the future: The final issue of the journal of the Royal Army Medical Corps 1903-2019 Open
Every successful scientific and medical journal needs to adapt to its circumstances: its place in time, in the scientific order of things and its place in the society that it serves. In the 116 years of continuous print publication since i…
View article: Facial injury management undertaken at US and UK medical treatment facilities during the Iraq and Afghanistan conflicts: a retrospective cohort study
Facial injury management undertaken at US and UK medical treatment facilities during the Iraq and Afghanistan conflicts: a retrospective cohort study Open
Objectives To perform the first direct comparison of the facial injuries sustained and treatment performed at USA and UK deployed medical treatment facilities (MTFs) in support of the military campaigns in Iraq and Afghanistan. Setting The…