How are we currently training and maintaining clinical readiness of US and UK military surgeons responsible for managing head, face and neck wounds on deployment?

Journal of the Royal Army Medical Corps
John BreezeD B Powers

Abstract

The conflicts in Iraq and Afghanistan provided military surgeons from the USA and the UK with extensive experience into the management of injuries to the head, face and neck (HFN) from high energy bullets and explosive weaponry. The challenge is now to maintain the expertise in managing such injuries for future military deployments. The manner in which each country approaches four parameters required for a surgeon to competently treat HFN wounds in deployed military environments was compared. These comprised initial surgical training (residency/registrar training), surgical fellowships, hospital type and appointment as an attending (USA) or consultant (UK) and predeployment training. Neither country has residents/registrars undertaking surgical training that is military specific. The Major Trauma and Reconstructive Fellowship based in Birmingham UK and the Craniomaxillofacial Trauma fellowship at Duke University USA provide additional training directly applicable to managing HFN trauma on deployment. Placement in level 1 trauma/major trauma centres is encouraged by both countries but is not mandatory. US surgeons attend one of three single-service predeployment courses, of which HFN skills are taught on both cadavers and in a 1...Continue Reading

References

Jan 10, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Joseph Brennan
Dec 21, 2006·Journal of the Royal Army Medical Corps·A J GibbonsM S Dover
Sep 11, 2009·The Journal of Trauma·Raymond I ChoDavid B Powers
Nov 10, 2009·The British Journal of Oral & Maxillofacial Surgery·J BreezeA Monaghan
Jul 23, 2010·Journal of the Royal Army Medical Corps·A J Gibbons, N Mackenzie
Nov 16, 2010·The British Journal of Oral & Maxillofacial Surgery·J BreezeM Midwinter
Feb 19, 2011·International Journal of Oral and Maxillofacial Surgery·J BreezeA J Gibbons
Dec 7, 2011·The Journal of Trauma·Ronald J Brisebois, Homer C Tien
Jan 4, 2013·The Journal of Trauma and Acute Care Surgery·Joseph DuboseUNKNOWN Eastern Association for the Surgery of Trauma Military Ad Hoc Committee
Jan 4, 2013·The Journal of Trauma and Acute Care Surgery·Chad M ThorsonKenneth G Proctor
Jan 15, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Brent A FeldtJoseph Brennan
Jan 29, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Michael R ZacharRodney K Chan
Mar 16, 2017·Military Medicine·Daniel J StinnerUNKNOWN Major Extremity Trauma Research Consortium (METRC)
May 18, 2018·Journal of the Royal Army Medical Corps·Douglas HammondD Evriviades

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Citations

Jul 6, 2018·Journal of the Royal Army Medical Corps·Johno Breeze
Dec 19, 2019·Journal of Neuropathology and Experimental Neurology·Diego IaconoDaniel P Perl
Jul 29, 2018·BMJ Military Health·Johno Breeze, D Ross
Jan 22, 2021·BMJ Military Health·Katherine France, C Handford

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