Notes of a Visit to the Military Hospitals at Bonn, with Remarks upon the Physique of the Troops Recently Returned from France

BMJ ◽  
1871 ◽  
Vol 2 (557) ◽  
pp. 260-261
Author(s):  
D. Duckworth
2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Ronen Segev

Abstract Background From the very onset, Israeli military nurses served in supporting positions on the front lines, shoulder to shoulder with men. When the IDF was established in 1948, nurses were sent to serve near areas of conflict and were not included in compulsory military service in field units. Once the military hospitals were closed in 1949, nursing in the Medical Corps lost a clear military purpose, and its main contribution was in the civilian arena. From 1949 until 2000, most recruited military nurses operated their mandatory service mainly in a civilian framework according to the integration agreement between the ministry of defense to the ministry of health. Between 2000 to 2018, military nurses served at home front military clinics and in headquarters jobs at the Medicine Corps. In2018, the Medical Corps decided to integrate military nurses into the Israeli military service in order to cope with the shortage of military physicians, among other things, and ensure appropriate availability of medical and health services for military units.. This study examines, for the first time, the considerations that led to the closure of military hospitals and the transfer of the military service of nurses in the IDF to the Ministry of Health in 1949 and the decision in 2018 to return the military nurses to the field’s military battalions. Methods The study was based on an analysis of documents from the IDF archives, the Israeli parliament archive, the David Ben-Gurion archive, articles from periodical newspapers, and interviews with nurses and partners in the Israeli Medical Corps. Results During almost 70 years, Israeli military nursing’s main contribution was to the civilian hospitals. The return of nursing care to the IDF field units in recent years intended to supplement the medicine corps demands in field units by placing qualified academic nurses. Conclusions The removal of nursing care from the IDF field units was provided as a response to the needs of the health demands of the emerging state. Until 2018 there was no significant need for military nurses except in emergency time. This is in contrast to other military nursing units.


The Lancet ◽  
1866 ◽  
Vol 88 (2245) ◽  
pp. 260-261
Author(s):  
Alexander Bruce

1903 ◽  
Vol 3 (3-4) ◽  
pp. 151-151
Author(s):  
O. M. Golbek

The author cites a number of observations on military field surgery carried out by the chiefs of the military hospitals of the Red Cross Society in Volksrust-Transvaal and Watervalboven during the South African war from February to August 1900.


2020 ◽  
Vol 22 (3) ◽  
pp. 217-220
Author(s):  
R. R. Kasimov ◽  
A. A. Zavrazhnov ◽  
I. V. Blinda ◽  
K. S. Puchin

Abstract. Considers an example of organizing and conducting practice-oriented classes on providing emergency medical care for injuries with medical personnel of the military level, garrison and base military hospitals in the Western military district. In large garrisons of the military district in 2019, we conducted four rounds of field training on the organization of emergency medical care for major life-threatening conditions. The format of classes included master classes and blitz lectures on various topics: cardiopulmonary resuscitation, stopping ongoing external bleeding, eliminating asphyxia and pneumothorax, transport immobilization, and features of the use of modern means of emergency medical care. An important practical part of the training was training with surgeons of military and hospital units on living biological objects. At the beginning and end of the course, primary and control tests of the level of knowledge were conducted. During the initial testing, the percentage of correct answers in the groups averaged: surgeons (n=20) 53,9%, doctors of other specialties (n=25) 56,5%, average medical staff (n=34) 52,8%, health instructors (n=52) 52,6%. During the control testing, the following results were obtained: 71,5; 83,5; 84,3 and 83,9% respectively. The format of classes reliably (p˂0,05) showed their high efficiency in all groups. Thus, the need to actively introduce a practice-oriented form of training in the form of demonstration classes, including the use of biological models and simulators, into the combat and special training of military medical personnel is obvious and beyond doubt.


2006 ◽  
Vol 9 (1) ◽  
pp. 105-124 ◽  
Author(s):  
Linda J. Quiney

Abstract The experience of some 500 Canadian and Newfoundland women who served overseas as Voluntary Aid Detachment (VAD) nurses during the Great War has been eclipsed by the British record. Sent as auxiliary assistants to trained nurses in the military hospitals, Canadian VADs confronted a complex mix of emotional, physical, and intellectual challenges, including their “colonial” status. As casually trained, inexperienced amateurs in an unfamiliar, highly structured hospital culture, they were often resented by the overworked and undervalued trained nurses, whose struggle for professional recognition was necessarily abandoned during the crisis of war. The frequently intimate physical needs of critically ill soldiers also demanded a rationalisation of the VAD's role as “nurse” within a maternalist framework that eased social tensions for both VAD and patient. As volunteers assisting paid practitioners, the Canadian VAD experience offers new insights into a critical era of women's developing professional identities.


2018 ◽  
Vol 15 (5) ◽  
pp. 429-435 ◽  
Author(s):  
Roberta W Scherer ◽  
Leonora D Sensinger ◽  
Benigno Sierra-Irizarry ◽  
Craig Formby

Background The Tinnitus Retraining Therapy Trial (TRTT), a randomized, placebo-controlled, multi-center trial, evaluated the efficacy of tinnitus retraining therapy and its individual components, tinnitus-specific educational counseling and sound therapy versus the standard of care, in military practice to improve study participants’ quality of life. The trial was conducted at six US military hospitals to take advantage of the greater prevalence of tinnitus in the military population. Methods During the trial, various challenges arose that were uniquely related to the military setting. To convey these challenges to investigators planning future multi-center trials in military hospitals, we itemized various challenges that arose during the trial, interviewed clinic directors and coordinators to elicit their viewpoints, and then collated and organized their responses, together with those challenges presented while conducting the Tinnitus Retraining Therapy Trial. Results We encountered challenges in site selection, the approval process, administrative issues, study personnel training and retention, participant recruitment methods and issues, adherence to protocol, reimbursement issues, and military security. Site selection involved visiting 20 military hospitals to identify six sites that enrolled and followed study participants. We found that commitment for the trial must be obtained from the full military chain of command, but with ongoing changes in staff or military priorities, initial commitments were insufficient to sustain support throughout the entire trial. More time is required to obtain necessary administrative approvals by various military authorities and institutional review boards than is typically experienced in civilian settings. Recruitment strategies must be flexible due to changing military regulations regarding display of materials. Protracted periods of inactivity were due to sequestration and delays in institutional review board approval of required study personnel or protocol amendments. While mostly adherent to the protocol, study staff had difficulties in integrating study visits into the military clinical schedule. Unexpected study expenses revolved around hiring civilian study staff and obtaining associated security clearance while maintaining a consistent flow of funds to each site. The added expense negated cost savings realized by conducting the National Institutes of Health–funded trial at federal institutions, whose personnel could not be reimbursed for their efforts. Military security concerns impacted the use of web-based data systems and led to increased time and effort required for site visits. Conclusion Overall, US military hospitals provide a unique setting to conduct multi-center trials. Challenges arise mainly due to ever-changing authority personnel and military priorities. Pre-planning and flexibility are keys in overcoming these challenges. Multi-center trials conducted in the military will likely take longer to initiate and complete than those in the civilian sector due to multiple levels of command and administrative approvals.


The Lancet ◽  
1866 ◽  
Vol 88 (2252) ◽  
pp. 463-465
Author(s):  
A BRUCE

2021 ◽  
Author(s):  
Justin P Fox ◽  
Nickolay P Markov ◽  
Kerry P Latham

ABSTRACT Military treatment facility-assigned surgeons face numerous challenges in maintaining critical wartime skills, including the “peacetime effect” and the “dual mission.” Using the field of plastic surgery to illustrate these issues, we contrast plastic surgeons’ contributions to combat casualty care with primary data describing plastic surgeons’ clinical practice in many military hospitals. Then, we outline the current administrative mechanisms being promoted at the enterprise-level for surgeons to gain a more mission-focused, clinical practice, while also examining significant shortcomings in these policies. Finally, we conclude with a call to action for the military surgical community to accelerate change in the development of more robust clinical practices for our surgeons, or potentially lose our ability to field a ready surgical force.


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