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Journal of Military and Veterans' Health Volume 23 Number 4 October 2015 Journal of Military and Veterans’ Health 2015 Conference Abstracts RY ME A DI IT C L I Epidemiology of Medical Discharge in the New Zealand Defence Force I N M E A N S A I S Australian Doctors at War. A literature review. Part Two: After Gallipoli S O A C L I A A T R I T O S N U A IN C. The Journal of the Australasian Military Medicine Association Medibank’s Garrison Health Services Delivering a national, integrated healthcare service to the Australian Defence Force Through Medibank’s extensive network, Garrison Health Services (GHS) provides seamless access to quality healthcare to the 60 000+ permanent and 20 000+ reservist uniformed ADF personnel—from point of injury or illness to recovery. The health of the ADF is central to everything we do. medibankhealth.com.au/garrisonhealthservices Image courtesy of Dept of Defence Table of Contents 2015 Conference Abstracts .............................................................................................................................................................. 3 Original Articles Epidemiology of Medical Discharge in the New Zealand Defence Force ................................................... 82 Reprinted Articles Medibank’s Garrison Health Services Australian Doctors at War. A literature review. Part Two: After Gallipoli ................................................. 92 Naval casualty management training using human patient simulators ................................................. 99 Delivering a national, integrated healthcare service to the Australian Defence Force Through Medibank’s extensive network, Garrison Health Services (GHS) provides seamless access to quality healthcare to the 60 000+ permanent and 20 000+ reservist uniformed ADF personnel—from point of injury or illness to recovery. The health of the ADF is central to everything we do. medibankhealth.com.au/garrisonhealthservices Image courtesy of Dept of Defence Volume 23 Number 4; October 2015 Journal of Military and Veterans’ Health EDITORIAL BOARD CDRE Andy Robertson, CSC, PSM (Editor in Chief) Maj Gen Prof Dr Mohd Zin Bidin (Ret’d) BRIG Anne Campbell CDRE Michael Dowsett Dr Helen Kelsall COL Prof Peter Leggat, AM Benjamin Mackie Dr Mike O’Connor Tyler C Smith, MS, PhD Dr Darryl Tong Australasian Military Medicine Association PATRON STATEMENT OF OBJECTIVES Dr Jenny Firman The Australasian Military Medicine Association is an Surgeon General Australian Defence Force Reserves independent, professional scientific organisation of health professionals with the objectives of: COUNCIL • Promoting the study of military medicine President Dr Greg Mahoney • Bringing together those with an interest in military medicine Vice President Dr Nader Abou-Seif • Disseminating knowledge of military medicine Secretary Dr Janet Scott • Publishing and distributing a journal in military Treasurer Ms Jenny Lumsden medicine Council Members CDRE Andrew Robertson • Promoting research in military medicine LTCOL Kerry Clifford Membership of the Association is open to doctors, dentists, nurses, pharmacists, paramedics and Dr Peter Hurly anyone with a professional interest in any of the GPCAPT Geoff Robinson disciplines of military medicine. The Association is Public Officer Ms Paula Leishman totally independent of the Australian Defence Force. JMVH is published by the Australasian Military Medicine Association 113 Harrington Street Hobart Tas 7000 Australia Ph: +61 3 62347844 Email: [email protected] ISSN No. 1835-1271 Journal of Military and Veterans’ Health Front Cover Centenary of the August Offensive Australian Defence Force personnel joined their New The Battle for Chunuk Bair, which took place Zealand contemporaries at Gallipoli on Saturday, 8 from 6–10 August 1915, was the New Zealand August 2015, to commemorate 100 years since the Expeditionary Forces’ most significant action in the Battle of Chunuk Bair. Gallipoli campaign, and formed an integral part of the August Offensive. Several Australian Army soldiers stood alongside New Zealand Defence Force personnel to help present The Wellington Battalion initially seized the hilltop wreaths and form an honour guard during an early on 8 August, but the unit and all other reinforcing ceremony at the lower cemetery. New Zealand units suffered extremely heavy losses. Chunuk Bair was eventually lost on 10 August after The Governor-General of Australia, His Excellency sustained Ottoman counterattacks. General the Honourable Sir Peter Cosgrove (Retd) AK MC, and the Governor-General of New Zealand, His New Zealand forces suffered 2000 casualties in Excellency Lieutenant General the Right Honourable August 1915, with approximately 870 killed during Sir Jerry Mateparae GNZM QSO, were met by Maori the August Offensive. warriors upon arrival and invited to pay their respects Photo Courtesy of the Australian Government in the lower cemetery before the service began. Department of Defence Chief of Army, Lieutenant General Angus Campbell, © Commonwealth of Australia 2015 DSC, AM, joined the Governor-Generals of Australian and New Zealand in laying wreaths at the New Zealand Battlefield Memorial at Chunuk Bair. Volume 23 Number 4; October 2015 Page 1 Page 2 Journal of Military and Veterans’ Health AMMA 2015 Conference Abstracts Contents The ADF Centre for Mental Health Second Opinion Clinic. (Dr Duncan Wallace & LTCOL 8 Jacqueline Costello) ADF Medical Specialist Program/Clinical Placement Deed Update. (CMDR Craig Spinks & 8 CMDR Wendy Davey) ADF Mental Health and Wellbeing Strategy 2016-2020: where we have come from and where we 9 are going. (COL Nicole Sadler & Mr David Morton) ADF Sterilising Capability Improvement Project. (Ms Madeline Makeham) 10 ADF Trauma Clinical Practice Guidelines - about time? (LTCOL Michael Reade) 10 Application of Clinical Governance in the Role 2E Environment: The 2nd General Health 11 Battalion Experience. (LTCOL Michael Reade, LTCOL Russell Linwood, COL Bradley McCall, LTCOL Nicholas Duff, LTCOL Clarke Flint & MAJ Paul Krohn) Army health workforce reform is implementation of Nurse Practitioners one strategy? (CAPT 12 Roneel Chandra) Associations between pre-deployment and deployment specific factors, and inflammatory 13 markers among ADF members. (Dr Ellie Lawrence-wood, Dr Amelia Searle, Dr Miranda Van Hooff, Dr Blair Grace, Ms Jenelle Baur & Prof Alexander McFarlane) An audit of clinical recall in Garrison Health Operations. (Dr Darrell Duncan) 14 Australian Soldier Load Carriage: From Gallipoli to Afghanistan (Dr Rob Orr) 15 The Benefits of Utilizing Hybrid Military/Private Contractor Medical Services in Conflict 15 Resolution and Post-conflict Rehabilitation Operating Environments. Case Study – Eastern Ukraine and support to the OSCE in 2014/2015. (Ewen McLay) Building GRIT in performance focused populations - taking it from theory to the street. 16 (Mr Mark Mathieson) Building Mental Fitness – High Resilience. (COL Nicole Sadler, Assoc Prof Darryl Wade, 17 Stephanie Hodson & Prof Jane Burns) Building Mental Health in the New Zealand Defence Force. (LT COL Clare Bennett) 18 The Can’t Intubate, can’t Oxygenate Scenario- Update and who is responsible. 18 (Michael Lumsden-Steel) The changing needs of Australia’s servicewomen and female veterans: a historical overview. 19 (Assoc Prof Susan Neuhaus, Dr Ellie Lawrence-Wood, Dr Samantha Crompvoets) Chronic fatigue, Irritable Bowel Syndrome and chronic pain in Australian Gulf War veterans: 20 19 years after deployment. (Dr Helen Kelsall, Dr Jill Ikin, Ms Stella Gwini, Prof Andrew Forbes & Prof Malcolm Sim) Civil-military cooperation and combat service support. (Edmund Ng) 20 Clinical governance in the NZDF; leading the way through change. (Dr Vanessa Weenink, COL 21 Andrew Gray & WGCDR Paul Nealis) A Comparison of Work Health and Safety Incidents and Injuries in Part-time and Full-time 22 Australian Army Personnel. (Dr Robin Orr, Dr Rodney Pope & Dylan MacDonald) DeHS and its contribution to Clinical Governance in Defence Health Care. (Dr Felicity Williams, 23 Mr Jason Kerr & Dr Andrew Johnston) Detection and mitigation of hearing loss in the Australian Defence Forces. (Dr David Sly, Assoc 23 Prof Gary Rance, Assoc Prof Simon Ng, Dr Luke Campbell & Kyle Slater) Differences in physical characteristics and performance measures of part-time and full-time 24 tactical personnel: A critical narrative review. (D. MacDonald, Dr Rob Orr & Dr Rodney Pope) Volume 23 Number 4; October 2015 Page 3 AMMA 2015 Conference Abstracts Diploma of Military Medicine. (Elizabeth Rushbrook) 25 Do lifestyle risk factors differ for serving and ex-serving Australian Defence Force personnel? 26 The Australian Gulf War Veterans’ Health Study. (Ms Stella Gwini, Prof Andrew Forbes, Prof Malcolm Sim & Dr Helen Kelsall) The Effect of PTSD Symptoms and mild TBI on Neural Responses to Emotional Faces Following 27 Deployment. (Prof Kim Felmingham, Mr Daniel Zuj, Prof Richard Bryant, Dr Matthew Palmer, Dr Carol Davy, Dr Ellie Lawrence-Wood, Mr Andy Lawrence & Prof Alexander McFarlane) E-Mental Health – a tool to provide support where and when it is needed. (Veronica Hancock & 27 Mr David Morton) Enhancing Resilience and Performance in Military through Biofeedback Based Skills Training. 28 (MAJ Kane Pfingst, A/Prof Eugene Nalivaiko, A/Prof Mathias Baumert, Dr Ellie Lawrence-Wood & Dr Blair Grace) Enhancements in rehabilitation and mental health. (Veronica Hancock & Mr Neil Bayles) 29 Establishment of an Ebola Treatment Centre (ETC) in Sierra Leone on behalf of the Australian 30 government: a description
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