Publications
71 results found
Brown KV, Ramasamy A, Tai N, et al., 2009, Complications of Extremity Vascular Injuries in Conflict, JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, Vol: 66, Pages: S145-S149, ISSN: 0022-5282
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- Citations: 30
Brown KV, Ramasamy A, McLeod J, et al., 2009, Predicting the Need for Early Amputation in Ballistic Mangled Extremity Injuries, JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, Vol: 66, Pages: S93-S97, ISSN: 0022-5282
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- Citations: 69
Ramasamy A, Hinsley DE, Brooks AJ, 2009, The use of three-dimensional computed tomography reconstruction in the assessment of penetrating ballistic trauma, EMERGENCY MEDICINE JOURNAL, Vol: 26, Pages: 228-228, ISSN: 1472-0205
Ramasamy A, Hinsley DE, Brooks AJ, 2008, The use of improvised bullet markers with 3D CT reconstruction in the evaluation of penetrating trauma., J R Army Med Corps, Vol: 154, Pages: 239-241, ISSN: 0035-8665
Radio-opaque markers placed over entry and exit wounds, have been used to help evaluate penetrating injuries and provide a permanent record of wound location on plain radiographs. To date there are no published reports of the application of improvised bullet markers in the evaluation of penetrating injuries using computed tomography (CT). We report a series of 4 cases where bullet markers were used in combination with three-dimensional (3D) computerised tomography (CT) to ascertain the path of the bullets and to assess damage to vital structures. We believe that the use of bullet markers in penetrating trauma casualties undergoing CT is valuable in the surgical decision making process and allows planning of surgical approaches.
Ramasamy A, Harrisson SE, Clasper JC, et al., 2008, Injuries From Roadside Improvised Explosive Devices, JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, Vol: 65, Pages: 910-914, ISSN: 0022-5282
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- Citations: 125
Ramasamy A, Jeffery SLA, 2008, The use of a dermal regeneration template following excision of a giant melanocytic nevus in a potential army recruit, MILITARY MEDICINE, Vol: 173, Pages: 105-106, ISSN: 0026-4075
Ramasamy A, Bhullar TPS, 2006, Posterior fracture dislocation of the hip from a Warrior turret injury., J R Army Med Corps, Vol: 152, Pages: 236-238, ISSN: 0035-8665
Fracture of the femoral head after hip dislocation is a relatively rare injury and is often associated with a poor functional outcome. Most result from high impact motor vehicle accidents. We report the case of a soldier who trapped his foot in a traversing Warrior turret and suffered a severe abduction injury to his hip. He sustained a Pipkin Type I fracture-dislocation of the hip not amenable to closed reduction and required transfer to the American Hospital in Baghdad where he underwent emergency open reduction and internal fixation of the fracture. This case report illustrates an unusual mechanism of injury resulting in a posterior fracture-dislocation and reviews the literature pertaining to the presentation, treatment and prognosis of this condition.
Ramasamy A, Shah RR, Bhullar TPS, et al., 2006, The role of local steroid injections in an operational field hospital setting., J R Army Med Corps, Vol: 152, Pages: 221-224, ISSN: 0035-8665
OBJECTIVES: To assess the safety and effectiveness of administering local steroid injections in an operational field hospital environment. METHOD: A prospective study of patients presenting to the physiotherapy department at the British Military Hospital (BMH) Shaibah, Iraq was undertaken from July 2006 - September 2006. Patients with a condition amenable to local steroid injection and who had not improved with conservative therapy were considered for the study. They then underwent local injection with steroid and local anaesthetic. RESULTS: During this period 12 patients were identified that fitted the criteria for local steroid injection. This represented 7% (12/179) of patients who were seen by the physiotherapy department in either an in or out-patient setting. All patients were injected with local anaesthetic and steroid injection with a single dose of intravenous antibiotic as antimicrobial cover. 10/12 (83.3%) were able to return to their unit within this theatre of operation. The only complication was one case of post injection flare of pain, which settled after 48 hours. CONCLUSION: The use of local steroid injection, as an adjunct to physical therapy, can enable service personnel to remain in the theatre of operations. These patients may have otherwise required aero medical evacuation. We consider the use of a local steroid injection to be a safe and effective intervention in certain patients where conservative measures alone do not work. This study highlights the safety of using steroid injections in an operational field hospital setting. Further large scale studies may help corroborate this conclusion.
Wills AK, Ewins DJ, Ramasamy A, et al., 2005, A Prospective Study Of Lower Extremity Kinematics During Gait In Persons With Patellofemoral Pain Syndrome, MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, Vol: 37, Pages: S54-S55, ISSN: 0195-9131
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- Citations: 1
Wills AK, Ramasamy A, Ewins DJ, et al., 2004, The incidence and occupational outcome of overuse anterior knee pain during army recruit training., J R Army Med Corps, Vol: 150, Pages: 264-269, ISSN: 0035-8665
OBJECTIVES: To determine the incidence and occupational outcome of overuse anterior knee pain (AKP) in Army recruits undergoing basic training. METHODS: A prospective cohort study of 1008 Army recruits. Recruits underwent the 12-week phase 1 training program. Cases of AKP were captured through self-presentation of pain at a primary care medical centre. All recruits medical records were reviewed on leaving training and any other lower limb injuries were recorded for comparison with the AKP group. Training outcomes in terms of medical discharges (MD) and discharges as of right (DAOR) i.e, voluntary discharge, were recorded along with training days lost (TDL) and whether a recruit had been held back in training (BS). RESULTS: 8.75% (95% CI: 6.93-10.57) of recruits reported to the medical centre with AKP. Of these more than half were referred to see a GP and the majority were from patients with no previous history of AKP (91%, 95% CI: 85.2-97.5). The median TDL per AKP case was 3 days (IQR: 3-5 days). The AKP group had a significantly higher (p < 0.01) MD rate (12.5%) than the lower limb injury group (3.3%; 95% CI diff: 1.1-17.2%) and the baseline rate of all other recruits (2.5%; 95% CI diff: 2.3-17.7%). The majority of AKP cases occurred by week 4 (median) of training (IQR: 2.2-64). CONCLUSIONS: There was a high incidence of AKP, and while the short term prognosis appears relatively good in the majority of cases as reflected in the median TDL, a large minority were medically discharged and held back in training. Further work should examine methods of reducing the disease burden of AKP in the Army, addressing areas such as aetiology, prevention and treatment.
Wills AK, Ramasamy A, Ewins DJ, et al., 2003, THE INCIDENCE AND EPIDEMIOLOGY OF OVERUSE ANTERIOR KNEE PAIN IN MILITARY RECRUITS, RHEUMATOLOGY, Vol: 42, Pages: 33-33, ISSN: 1462-0324
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