Journal of Military and Veterans' Health
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Volume 16 Number 1 October 2007 Journal of Military and Veterans’ Health Deployment Health Surveillance Australian Defence Force Personnel Rehabilitation Blast Lung Injury and Lung Assist Devices Shell Shock The Journal of the Australian Military Medicine Association Every emergency is unique System solutions for Emergency, Transport and Disaster Medicine Different types of emergencies demand adaptable tools and support. We focus on providing innovative products developed with the user in mind. The result is a range of products that are tough, perfectly coordinated with each other and adaptable for every rescue operation. Weinmann (Australia) Pty. Ltd. – Melbourne T: +61-(0)3-95 43 91 97 E: [email protected] www.weinmann.de Weinmann (New Zealand) Ltd. – New Plymouth T: +64-(0)6-7 59 22 10 E: [email protected] www.weinmann.de Emergency_A4_4c_EN.indd 1 06.08.2007 9:29:06 Uhr Table of contents Editorial Inside this edition . 3 President’s message . 4 Editor’s message . 5 Commentary Initiating an Australian Deployment Health Surveillance Program . 6 Myers – The dawn of a new era . 8 Original Articles The Australian Defence Deployment Health Surveillance Program – InterFET Pilot Project . 9 Review Articles Rehabilitation of injured or ill ADF Members . 14 What is the effectiveness of lung assist devices in blast injury: A literature review . .17 Short Communications Unusual Poisons: Socrates’ Curse . 25 Reprinted Articles A contribution to the study of shell shock . 27 Every emergency is unique Operation Sumatra Assist Two . 32 System solutions for Emergency, Transport and Disaster Medicine Biography Surgeon Rear Admiral Lionel Lockwood . 35 Different types of emergencies demand adaptable tools and support. We focus on providing innovative products developed with the user in mind. The result is a range of products that Obituary are tough, perfectly coordinated with each other and adaptable for every rescue operation. Ron Josey . .47 Author’s Instructions . 48 Copyright Policy . 56 Weinmann (Australia) Pty. Ltd. – Melbourne T: +61-(0)3-95 43 91 97 E: [email protected] www.weinmann.de Weinmann (New Zealand) Ltd. – New Plymouth T: +64-(0)6-7 59 22 10 E: [email protected] www.weinmann.de Volume 16 Number 1; October 2007 Page 1 Emergency_A4_4c_EN.indd 1 06.08.2007 9:29:06 Uhr Journal of Military and Veterans’ Health EDITORIAL BOARD Dr Russell Schedlich (Editor in Chief) Australian Military Medicine Association Dr Graeme Cannell Centre for Military and Veterans’ Health Dr Mark Gardener New Zealand Defence Health Services Dr Keith Horsley Department of Veterans’ Affairs Assoc . Prof . Scott Kitchener Australian Military Medicine Association Dr Peter Leggat Australian Defence Health Services Prof Malcolm Sim Monash University Dr Bob Stacy University of Ballarat Australian Military Medicine Association PATRON Rear Admiral Graeme Shirtley RANR Surgeon General Australian Defence Force COUNCIL President Russell Schedlich Vice President Nader Abou-Seif Treasurer Graham Boothby Secretary Janet Scott Council Members Scott Kitchener Greg Mahoney Andrew Robertson Geoff Robinson Public Officer James Ross STATEMENT OF OBJECTIVES The Australian Military Medicine Association is an independent professional scientific organisation of health professionals with the objectives of: • Promoting the study of military medicine • Bringing together those with an interest in military medicine • Disseminating knowledge of military medicine • Publishing and distributing a journal in military medicine • Promoting research in military medicine Membership of the Association is open to doctors, dentists, nurses, pharmacists, paramedics and anyone with a professional interest in any of the disciplines of military medicine . The Association is totally independent of the Australian Defence Force . ISSN No. 1835-1271 Page 2 Journal of Military and Veterans’ Health Editorial Inside this edition There are a number of themes that run through this Australian Defence Force . The other feature of the edition . biography is the descriptions of blast injury provided by the late Admiral . Firstly, a paper outlining recent deployments undertaken by the Australian Defence Force to After reading Admiral Lockwood’s description of blast help with humanitarian assistance following the injury, you will find Ben Mackie’s important paper Earthquake on the Indonesian Island of Nias which reviewing the world literature on lung assist devices sadly, during this later deployment, a helicopter in blast lung injury even more interesting . Sadly, we crashed and nine of our people paid the ultimate live in a world where military and civilian intensive sacrifice . care units will need to use this knowledge . In another paper, colleagues from the Centre for The legislative and administrative basis for Military and Veterans’ Health outline how they are successful rehabilitation of injured defence proposing to undertake surveillance of the health of personnel is outlined in a paper by Jim Porteous . As those deployed on overseas deployments, using the outlined in the paper, there is a new focus on early example of East Timor . We can expect a great deal identification of injury or illness . of important material from this group in the future . As Susan Treloar notes in a commentary on this Blast injury of another kind is identified in the paper work, the stakeholders involved in this program are that we have reprinted from The Lancet of 1915, in extremely optimistic as to what will be achieved . which Myers first described shell shock, with an attached commentary . Neil Westphalen provides us with a comprehensive biography of one of Australia’s leading naval surgeons, And this buffet of delights on military and veterans’ the late Surgeon Rear Admiral Lockwood . There are health is rounded off by a toxicological essay on two features that you may wish to note . First, this hemlock poisoning by Andy Robertson . As you can brilliant naval surgeon suffered from mental illness see from the article, the plant that gives rise to – before most of his stellar career . Clearly, people hemlock is common in Australia, and fatalities have with such diseases can be successfully rehabilitated, occurred . Yet another concern for military health and go on to make important contributions to the with units deployed in the field . Volume 16 Number 1; October 2007 Page 3 Editorial President’s message As you read this, you will probably be sitting at Foremost amongst these is the need for significant the 2007 Australian Military Medicine Association forward planning, and in this respect it has become Annual Scientific Conference in Melbourne . clear that our conferences must be planned at least two years in advance . Over the last 12 months, and in the follow-on from the highly successful joint Defence Health I am pleased to report that the DHS has agreed to Services/AMMA Conference in Brisbane last year, come on board for the 2009 Conference, and this is the Association through its Council has been likely to be held in Brisbane . The determination of working to improve the way we plan and manage this location is largely brought about by the need for our conferences . a large venue and one which facilitates the movement As with the 2002 joint conference, the 2006 event of DHS personnel to and from the Conference . has given us the opportunity to build on a huge level DHS has also agreed to work around a three-year of interest in the Association and its professional rotation for joint conferences, which is an approach and scientific activities . that Council considers best meets the needs of This has been aptly demonstrated through the the Association . More frequently would dilute the requirement at relatively short notice to change Association’s ability to grow as an independent the venue of this year’s conference to one that is body, whilst less frequently would risk the events significantly larger and better equipped for a becoming less embedded as a part of the overall conference of the scope that we are now able to military health and medical professional program . produce . Council has also decided that the 2008 Conference There was an amazing level of interest in presenting will be held in Hobart . Venues for future Conferences papers this year, and the significant sponsorship will be determined as a minimum two years out that we have been able to attract demanded the from the date . change . In closing, I wish to personally acknowledge and It is clear that the hard work of the Conference thank the Head Defence Health Services, Air Vice Organisers, Nader Abou-Seif, Peter Habersberger, Marshal Tony Austin RAAF, for his support and Helen Kelsall and Bob Stacy, ably supported by commitment to the Association and its activities, in our Secretariat, Leishman Associates, has well and particular both our Conferences and our new Journal . truly paid off . On your behalf, I congratulate them His determination to support the Association as on their success . an independent professional and scientific body is gratefully appreciated . Nevertheless, there are some key areas of improvement that Council is determined to work on Russ Schedlich to ensure that future conferences are even better . President, AMMA Page 4 Journal of Military and Veterans’ Health Editorial Editor’s message Welcome to the first edition of the Journal of Military There remains a considerable body of work to be and Veterans’ Health . completed, including populating the website, bedding down electronic-based processes for managing JMVH is the successor to Australian Military Medicine, the original journal of the Australian the receipt, review and publication of papers, and Military Medicine Association . setting out a variety of policies in relation to both these matters and other key issues such as editorial AMM started as a fairly basic newsletter at the independence . The Board is also in the process time of the Association’s formation in 1991 . Over of inviting a variety of appropriately experienced the succeeding years, and under the tutelage of a international researchers and authors to constitute number of editors, it had developed to the point of an International Advisory Board .