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INTERNATIONALINTERNATIONAL REVIEWREVIEW OFOF THETHE ARMEDARMED FORCES FORCES MEDICALMEDICAL SERVICESSERVICES REVUE INTERNATIONALE DES SERVICES DE SANTÉ DES FORCES ARMÉES Official organ of the International Committee of Military Medicine Organe officiel du Comité International de Médecine Militaire Quarterly : September 2010 • Trimestriel : septembre 2010 VOL. 83/3 Working Closely for Five Decades Admittedly, you may not want us to actually join you on fi eld manoeuvres. But even from behind our desks, the Meridian Medical Technologies team has a distinctive approach to collaborating with customers. Meridian is a world leader in the design, development, and production of emergency auto-injector drug delivery systems. Building on 50 years of experience as a supplier to the US military, we are now partnering with allied nations around the world. From country-specifi c drug formulations and foreign language labeling to the completion of registration and authorisation protocols, our services are tailored to your specifi c needs. With the ambiguity and uncertainty of today’s geopolitical climate, Meridian is ready to help you get prepared and stay prepared. >>For more information, please call +1.443.259.7800 or visit www.MeridianMeds.com Copyright © 2010 Meridian Medical Technologies®, Inc., a wholly owned subsidiary of King Pharmaceuticals®, Inc. All rights reserved. MMT6779 01/2010 International Review of the ARMED FORCES MEDICAL SERVICES Revue Internationale des Services de Santé des Forces Armées Official organ of the International Committee of Military Medicine Organe officiel du Comité International de Médecine Militaire VOL. 8283/1/3 SCIENTIFIC COMMITEE / COMITÉ SCIENTIFIQUE EDITION / REDACTION Col. (MD) J. ALSINA Director / Directeur (Spain / Espagne) Dr J. SANABRIA [email protected] Col. (MD, Prof.) H. BAER (Switzerland / Suisse) Editor-in-Chief / Rédacteur en chef Maj. Gen. (MD, Prof.) M. MERLIN (ret.) Brig. Gen. (Pharm.) Dr G. BLEIMULLER [email protected] org (Germany / Allemagne) . Assistant Chief-Editor / Rédacteur en chef adjoint Col. (Dent.) JJ BRAU Maj. Gen. (MD, Prof.) M. MORILLON (France / France) [email protected] Dr E. GERDING Secretary of the Editorial Board (Argentina / Argentine) Secrétaire du Comité de rédaction Ms C. HUBERTS Brig. Gen. (MD) KHALID A. ABU-AZAMAH AL-SAEDI (Saudi Arabia / Arabie Saoudite) Editor’s office / Bureau de la rédaction International Committee of Military Medicine Col. (MC) Y. KHOLIKOF Comité International de Médecine Militaire (Russian Federation / Fédération de Russie) Hôpital Militaire Reine Astrid BE-1120 Brussels (Belgium) Col. (MD) E. MPOUDI NGOLÉ ✆ : +32 2 264 43 48 - : +32 2 264 43 67 (Cameroon / Cameroun) [email protected] Lt. Col. (Dent.) M. NASSIH (Morocco / Maroc) Maj. (Vet.) V. ROUS (France / France) ADVERTISING / PUBLICITÉ Col. (Vet.) P. VAN DER MERWE (South Africa / Afrique du Sud) Négociations & Editions Publicitaires 13, rue Portefoin - FR-75003 Paris (France) Air Com. (MD) A.J. VAN LEUSDEN (ret.) ✆ : +33 1 40278888 - : +33 1 40278943 (The Netherlands / Pays-Bas) [email protected] www.cimm-icmm International Review of the Armed Forces Medical Services 3 Revue Internationale des Services de Santé des Forces Armées CONTENTS Sommaire 39 Medical Planning of Chinese Armed Forces in ORIGINAL ARTICLES / ARTICLES ORIGINAUX 5·12 Wenchuan Earthquake Rescuing Operations. By S. GUO, Z. YANG, X. WU, C. CHEN, Y. LI and L. MA. P. R. of China. 5 EDITORIAL By Colonel M. LEMMENS, MD 44 Deputy Secretary-General of the ICMM. Health Risks Assessment in Operations. A French Focus. By V. DENUX and N. GRANGER-VEYRON. France. 6 Medical Aspects in Military Missions in IRAQ By K. KANEV, S. TONEV, E. BELOKONSKI and K. KATZAROV. 48 Bulgaria. Monitoring Performance Changes with On-Board Data Recording System. By A. GRÓSZ, J. HORNYIK, E. TÓTH and A. SZATMÁRI. 12 Hungary. Safety of Altitude Chamber Training Operations in the Italian Air Force Experience. By F. MORGAGNI, A. AUTORE, A. LANDOLFI and 55 G. CINIGLIO APPIANI. Italy. Piqûres de scorpion : Attitude des Services de santé militaire Algériens. Par D. BACHA. Algérie. 19 An Unusual Case of Firearm Injury to the Face with Bullet Cover Lodged in the Nose. 60 The War Veterans’ Silent Killers. By S. AL SAIF and K. AL-SHAIKH. By E. GERDING. Argentina. Kingdom of Saudi Arabia. 24 Safe Deployment of Soldiers with Type 1 Diabetes Mellitus. INFORMATIONS ON ICMM By Y. S. CHOI and J. C. NANCE. U.S.A. INFORMATIONS DU CIMM 31 Modern Medical Stability Operations: Advancing 38 39 the Standards of Care. Add-in folder between the pages By W. ANDERSON, P. LARABY, G. NAKANO, M. MAHMOOD 38 39 and D. NOAH. U.S.A. Encarté entre les pages Photo on the cover: Exercise during a course of medical support in the Kingdom of Saudi Arabia. Views and opinions expressed in this Review are those of the authors Les idées et opinions exprimées dans cette Revue sont celles des auteurs et VOL. and imply no relationship to author’s official authorities policy, present ne reflètent pas nécessairement la politique officielle, présente ou future 83/3 or future. des autorités dont relèvent les auteurs. International Review of the Armed Forces Medical Services 4 Revue Internationale des Services de Santé des Forces Armées EDITORIAL EDITO EDITO 2010 is the year of the regional congresses, and for the first time in its history, ICMM holds six regional congresses within a few months. This is a response to the will of the General Assembly of the Heads of delegations to stay in close contact with all the parts of the World and to their demand to organize courses and scientific activities on regional base. The first ICMM Pan European Congress in Svetlogorsk (Kaliningrad, Russia) from 7 to 11 June 2010 was the first ICMM Regional Congress this year. The ICMM Pan European Regional Working Group (RWG) was created by France, Netherlands, Russia, Serbia and Switzerland, and no doubt they will be joined by many other European countries in the future. As each ICMM RWG will do this year, the Regional Assembly of the Pan European RWG made remarks on the draft strategic plan to be presented next year during the General Assembly of the World Congress in Nigeria. Such an exercise is very important. A growing organization as ICMM needs to assess its objectives and its means for the future. We wish a big success to the organizers of the next ICMM regional congresses and we hope that many officers of the health services will participate to the ICMM regional congress of their region, in order to exchange experiences of scientific value and why not, to make scientific presentations: this allows them to propose an article to be published in our international review. All the activities of ICMM are presented in our review, and can also be found on the website of ICMM: www.cimm-icmm.org. You can find there the last information about the timing and organization, and links for subscription. Col. LEMMENS Marc, MD Deputy Secretary-General 2010 est l’année des congrès régionaux, et pour la première fois dans son histoire, le CIMM va tenir six congrès régionaux en quelques mois. C’est la réponse à la volonté de l’Assemblée Générale des Chefs de délégations de rester en contact étroit avec toutes les parties du monde et à leur demande d’organiser des cours et des activités scientifiques sur une base régionale. Le premier Congrès Pan Européen du CIMM à Svetlogorsk (Kaliningrad, Russie) du 07 au 11 juin 2010 était le premier Congrès Régional du CIMM cette année. Le Groupe de Travail Régional (GTR) Pan Européen du CIMM a été créé par la France, les Pays-Bas, la Russie, la Serbie et la Suisse, et il n’y a pas de doute qu’ils seront rejoints par beaucoup d’autres pays européens dans le futur. Comme chaque GTR du CIMM le fera cette année, l’Assemblée Régionale du GTR Pan Européen a commenté le projet du plan stratégique qui sera présenté l’an prochain pendant l’Assemblée Générale du Congrès Mondial au Nigéria. Un tel exercice est très important. Une organisation en pleine croissance comme le CIMM doit fixer ses objectifs et ses moyens pour le futur. Nous souhaitons plein succès aux organisateurs des prochains congrès régionaux et nous espérons que beaucoup d’officiers des services de santé participeront au congrès régional de leur région, de façon à échanger des expériences sur base scientifique et pourquoi pas, faire des présentations scientifiques : cela leur permettra de proposer un article pour une édition dans notre revue internationale. Toutes les activités du CIMM sont présentées dans notre revue, et peuvent aussi être retrouvées sur le site Internet du CIMM : www.cimm-icmm.org. Vous y trouverez les dernières informations concernant les horaires et l’organisation, et des liens pour les inscriptions. Médecin Colonel LEMMENS Marc Secrétaire Général Adjoint VOL. 83/3 International Review of the Armed Forces Medical Services 5 Revue Internationale des Services de Santé des Forces Armées Medical Aspects in Military Missions in IRAQ.* ARTICLES ARTICLES ARTICLES ARTICLES By K. KANEV❶, S. TONEV❷, E. BELOKONSKI❸ and K. KATZAROV❸. Bulgaria Kamen Petrov KANEV JOB POSITION: Military doctor in regiment, Radomir, Bulgaria (1980-1981). Post-graduate student in Medical Defense, Military Toxicology, Radiology in Higher Military Medical Institute, PhD (1981-1985). Deputy-head of Department of Medical Control at Ministry of Defense (1986). Head of Department of Medical Control at Ministry of Defense (1988). Assoc. Prof. in Toxicology (1990). Head of I Dept. of Internal Diseases (1992). Deputy-director of Governmental Hospital «Lozenec» (1994–1999). Head of Department of Public Health at District Health Center, Sofia (2002). Assoc. Prof, in the Faculty of Emergency and Intensive Medicine, Military Medical Academy, Sofia (2003) & continues. Chief of Clinic «Toxicology and allergology» (2007) and continues. Chief of Chair of «Disaster Medicine and Toxicology» (2004) & continues. Secretary of the Specialized Scientific Council of Military Medicine in Bulgaria.