52 results found
Pearce AP, Clasper J, 2019, Improving survivability from blast injury: 'shifting the goalposts' and the need for interdisciplinary research, JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, Vol: 165, Pages: 5-6, ISSN: 0035-8665
Walker NM, Eardley W, Clasper JC, 2014, UK combat-related pelvic junctional vascular injuries 2008-2011: Implications for future intervention, INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, Vol: 45, Pages: 1585-1589, ISSN: 0020-1383
Clasper J, 2014, THE SURGICAL TREATMENT OF WOUNDS ON A BACTERIOLOGICAL BASIS, JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, Vol: 160, Pages: 9-10, ISSN: 0035-8665
Breeze J, Mahoney PF, Clasper J, 2014, Highlights of this edition, JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, Vol: 160, Pages: 85-85, ISSN: 0035-8665
Singleton JAG, Walker NM, Gibb IE, et al., 2014, Case suitability for definitive through knee amputation following lower extremity blast trauma: analysis of 146 combat casualties, 2008-2010, JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, Vol: 160, Pages: 187-190, ISSN: 0035-8665
Singleton JAG, Gibb IE, Bull AMJ, et al., 2014, Blast-mediated traumatic amputation: evidence for a revised, multiple injury mechanism theory, JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, Vol: 160, Pages: 175-179, ISSN: 0035-8665
Hepper AE, Pope DJ, Bishop M, et al., 2014, Modelling the blast environment and relating this to clinical injury: experience from the 7/7 inquest, JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, Vol: 160, Pages: 171-174, ISSN: 0035-8665
Breeze J, Granger CJ, Pearkes TD, et al., 2014, Ergonomic assessment of enhanced protection under body armour combat shirt neck collars, JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, Vol: 160, Pages: 32-37, ISSN: 0035-8665
Breeze J, Leason J, Gibb I, et al., 2013, Characterisation of explosive fragments injuring the neck, BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, Vol: 51, Pages: E263-E266, ISSN: 0266-4356
Breeze J, Clasper JC, 2013, Determining the velocity required for skin perforation by fragment simulating projectiles: a systematic review, JOURNAL OF THE ROYAL ARMY MEDICAL CORPS, Vol: 159, Pages: 265-270, ISSN: 0035-8665
Masouros SD, Brown KA, Clasper J, et al., 2013, Briefing: Blast effects on biological systems, Proceedings of the Institution of Civil Engineers: Engineering and Computational Mechanics, Vol: 166, Pages: 113-118, ISSN: 1755-0777
A signature of current conflicts is the use of buried improvised explosive devices to cause injury to military personnel and damage to their vehicles. Explosive devices also cause injuries to non-military populations in current and former conflict zones. The nature and placement of the explosive charge has a marked effect on the loading experienced. In all situations, damage to tissues occurs when the energy and loading rate exceeds that which the human body can support. Currently, it is difficult to predict the various time-dependent effects of blast injury because of the complexities of the rapid initial accelerations, the loading geometries and the heterogeneous nature of the tissues that can be damaged. An outline of the ways in which one may study how explosive energy interacts with biological systems is presented along with a discussion of how the data generated can be used to develop improved, costeffective strategies for studying blast injury processes.
Breeze J, Leason J, Gibb I, et al., 2013, Computed Tomography Can Improve the Selection of Fragment Simulating Projectiles From Which to Test Future Body Armor Materials, MILITARY MEDICINE, Vol: 178, Pages: 690-695, ISSN: 0026-4075
Breeze J, Hunt N, Gibb I, et al., 2013, Experimental penetration of fragment simulating projectiles into porcine tissues compared with simulants, JOURNAL OF FORENSIC AND LEGAL MEDICINE, Vol: 20, Pages: 296-299, ISSN: 1752-928X
Breeze J, Midwinter MJ, Pope D, et al., 2013, Developmental framework to validate future designs of ballistic neck protection, BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, Vol: 51, Pages: 47-51, ISSN: 0266-4356
Breeze J, West A, Clasper J, 2013, Anthropometric assessment of cervical neurovascular structures using CTA to determine zone-specific vulnerability to penetrating fragmentation injuries, CLINICAL RADIOLOGY, Vol: 68, Pages: 34-38, ISSN: 0009-9260
Masouros SD, Newell N, Bonner TJ, et al., 2012, A standing vehicle occupant is likely to sustain a more severe injury than one who has flexed knees in an under-vehicle explosion: A cadaveric study, 2012 IRCOBI Conference Proceedings - International Research Council on the Biomechanics of Injury, Pages: 289-295
The lower limb of military vehicle occupants has been the most injured body part due to undervehicle explosions in recent conflicts. Understanding the injury mechanism and causality of injury severity could aid in developing better protection. Therefore, we tested 4 different occupant postures (seated, brace, standing, standing with knee locked in hyper-extension) in a simulated under-vehicle explosion (solid blast) using our traumatic injury simulator in the laboratory; we hypothesised that occupant posture would affect injury severity. No skeletal injury was observed in the specimens in seated and braced postures. Severe, impairing injuries were observed in the foot of standing and hyper-extended specimens. These results demonstrate that a vehicle occupant whose posture at the time of the attack incorporates knee flexion is more likely to be protected against severe skeletal injury to the lower leg.
Jansen JO, Thomas GOR, Adams SA, et al., 2012, Early management of proximal traumatic lower extremity amputation and pelvic injury caused by improvised explosive devices (IEDs), INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, Vol: 43, Pages: 976-979, ISSN: 0020-1383
Brown KV, Guthrie HC, Ramasamy A, et al., 2012, Modern military surgery LESSONS FROM IRAQ AND AFGHANISTAN, JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol: 94B, Pages: 536-543, ISSN: 0301-620X
Birch R, Eardley WGP, Ramasamy A, et al., 2012, Nerve injuries sustained during warfare PART I - EPIDEMIOLOGY, JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol: 94B, Pages: 523-528, ISSN: 0301-620X
Birch R, Misra P, Stewart MPM, et al., 2012, Nerve injuries sustained during warfare: part II: Outcomes., J Bone Joint Surg Br, Vol: 94, Pages: 529-535
The outcomes of 261 nerve injuries in 100 patients were graded good in 173 cases (66%), fair in 70 (26.8%) and poor in 18 (6.9%) at the final review (median 28.4 months (1.3 to 64.2)). The initial grades for the 42 sutures and graft were 11 good, 14 fair and 17 poor. After subsequent revision repairs in seven, neurolyses in 11 and free vascularised fasciocutaneous flaps in 11, the final grades were 15 good, 18 fair and nine poor. Pain was relieved in 30 of 36 patients by nerve repair, revision of repair or neurolysis, and flaps when indicated. The difference in outcome between penetrating missile wounds and those caused by explosions was not statistically significant; in the latter group the onset of recovery from focal conduction block was delayed (mean 4.7 months (2.5 to 10.2) vs 3.8 months (0.6 to 6); p = 0.0001). A total of 42 patients (47 lower limbs) presented with an insensate foot. By final review (mean 27.4 months (20 to 36)) plantar sensation was good in 26 limbs (55%), fair in 16 (34%) and poor in five (11%). Nine patients returned to full military duties, 18 to restricted duties, 30 to sedentary work, and 43 were discharged from military service. Effective rehabilitation must be early, integrated and vigorous. The responsible surgeons must be firmly embedded in the process, at times exerting leadership.
Breeze J, Horsfall I, Hepper A, et al., 2011, Face, neck, and eye protection: adapting body armour to counter the changing patterns of injuries on the battlefield, BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, Vol: 49, Pages: 602-606, ISSN: 0266-4356
Ramasamy A, Hill AM, Phillip R, et al., 2011, The Modern "Deck-Slap" Injury-Calcaneal Blast Fractures From Vehicle Explosions, JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, Vol: 71, Pages: 1694-1698, ISSN: 0022-5282
Dharm-Datta S, Etherington J, Mistlin A, et al., 2011, The outcome of British combat amputees in relation to military service, INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, Vol: 42, Pages: 1362-1367, ISSN: 0020-1383
Breeze J, Watson CH, Horsfall I, et al., 2011, Comparing the Comfort and Potential Military Performance Restriction of Neck Collars From the Body Armor of Six Different Countries, MILITARY MEDICINE, Vol: 176, Pages: 1274-1277, ISSN: 0026-4075
Bonner TJ, Eardley WGP, Newell N, et al., 2011, Accurate placement of a pelvic binder improves reduction of unstable fractures of the pelvic ring, JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol: 93B, Pages: 1524-1528, ISSN: 0301-620X
Ramasamy A, Hill AM, Masouros S, et al., 2011, Blast-related fracture patterns: a forensic biomechanical approach, JOURNAL OF THE ROYAL SOCIETY INTERFACE, Vol: 8, Pages: 689-698, ISSN: 1742-5689
Stannard A, Brown K, Benson C, et al., 2011, Outcome after vascular trauma in a deployed military trauma system, BRITISH JOURNAL OF SURGERY, Vol: 98, Pages: 228-234, ISSN: 0007-1323
Brown K, Bo C, Ramasamy A, et al., 2011, Prospects for studying how high-intensity compression waves cause damage in human blast injuries, 17th Biennial International Conference of the American Physical Society: Topical Group on Shock Compression of Condensed Matter
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