Evolution of the Role 4 UK Military Pain Service

Devonport, L; Edwards, D. M.; Edwards, Curtis L.; Aldington, Dominic; Mahoney, PF; Wood, P.R.

doi:10.1136/jramc-156-04s-22

Cited by 12 publications

(7 citation statements)

References 11 publications

(14 reference statements)

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“…CSH guidelines for acute pain management have been established that emphasize multimodal analgesia and support the use of APS within the CSH and home medical centers. A recent update of pain service activities describes the nature of combat injuries and analgesic approaches [21]. The capacity to deliver regional analgesia in the battlefield environments has increased with approximately 66% of regional anesthesia catheters being placed in CSHs [22].…”

Section: Discussionmentioning

confidence: 99%

Impact of an Acute Pain Service on Pain Outcomes with Combat-Injured Soldiers at Camp Bastion, Afghanistan

Buckenmaier¹,

Mahoney²,

Anton³

et al. 2012

Pain Med

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Section: Discussionmentioning

confidence: 99%

Impact of an Acute Pain Service on Pain Outcomes with Combat-Injured Soldiers at Camp Bastion, Afghanistan

Buckenmaier¹,

Mahoney²,

Anton³

et al. 2012

Pain Med

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“…Pain management: An overview is given on the current acute pain guidelines34 35 and is supplemented by a half-day workshop on regional anaesthesia in the deployed environment 36…”

Section: Core Coursesmentioning

confidence: 99%

Military Anaesthesia in contingencies: what skill sets are required and how will we prepare our trainees?

et al. 2017

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The Defence Medical Services are now in an established period of contingency operations. In 2008, the Royal College of Anaesthetists approved a Military Anaesthesia Higher Training Module which could be easily achieved by deploying to the field hospital in Camp Bastion, Afghanistan, for two months under the supervision of a consultant anaesthetist. This opportunity no longer exists but the need to assure quality training and to demonstrate military skill sets is still essential. This article discusses the revised Military Higher Module and how it will be implemented in the future either during deployment or during times of peace.

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“…While many advances have been made regarding the pharmacological management of pain,21 22 24 these are outside the scope of this article. The rehabilitation team at RCDM established close links with, and became part of, the military pain team, attending pain rounds and trained to deliver Entonox.…”

Section: Pain Managementmentioning

confidence: 99%

Lessons learned from early rehabilitation of complex trauma at the Royal Centre for Defence Medicine

Pope

Vickerstaff

Wareham³

2016

J R Army Med Corps

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During the recent conflicts in Iraq and Afghanistan, substantial numbers of service personnel survived devastating injuries, presenting significant challenges for early rehabilitation at Queen Elizabeth Hospital Birmingham. Royal Centre for Defence Medicine personnel augmented NHS therapy provision, gaining significant experience in rehabilitating complex trauma. Multidisciplinary working was key to delivering this service, with a unique rehabilitation coordinating officer position established to manage the rehabilitation pathway. A military exercise rehabilitation instructor provided daily gym-based rehabilitation, developing exercise tolerance. Emphasis was placed on early independence, reducing pain, eliminating complications and optimising function. Innovative solutions and non-standard combinations of rehabilitation were required, with therapy working practices redesigned that, we believe, exceed provision elsewhere, including novel applications such as unique patient transfers, specialist seating, additional equipment, problem-solving teaching and early upper limb prosthetic provision. Active pain management allowed engagement in rehabilitation. With limited evidence available, therapeutic modalities attempting to alleviate phantom limb pain centred on patients' ability to engage in treatment. Finally, the requirement to measure change in early trauma rehabilitation was identified, leading to the development of the preprosthetic functional outcome measure. This article aims to document advances made, lessons learned, encourage debate and identify priorities for future research for military complex trauma rehabilitation.

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Evolution of the Role 4 UK Military Pain Service

Abstract: The early development of the UK Role 4 pain service has already been described. This article will describe developments up to October 2010, and present the results of projects used in assessing the effect of this service.

Cited by 12 publications

References 11 publications

Impact of an Acute Pain Service on Pain Outcomes with Combat-Injured Soldiers at Camp Bastion, Afghanistan

Impact of an Acute Pain Service on Pain Outcomes with Combat-Injured Soldiers at Camp Bastion, Afghanistan

Military Anaesthesia in contingencies: what skill sets are required and how will we prepare our trainees?

Lessons learned from early rehabilitation of complex trauma at the Royal Centre for Defence Medicine

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