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B Garo-Filades. a Review of the Medical Record of a County Army

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B Garo-Filades. a Review of the Medical Record of a County Army J R Army Med Corps: first published as 10.1136/jramc-125-03-08 on 1 January 1979. Downloaded from Journal of The Royal Army Medical Corps 1979. 125, 162-163 A REVIEW OF THE MEDICAL RECORD OF A COU NTY ARMY CADET FORCE CAPT BASIL GARO-FALIDE~, BA, MB, RAMC(V) Introduction "The aim of Army Cadet Force training is to produce a self reliant fit young 1 man with an understanding of ba'sic military subjects ." Army Cadet Forces in the United Kingdom accept recruits between the ages of 13 and 18 years. The force consists of 41,963 cadets, plus 2,876 officers and 3,817 adult linsitructors. Physical fitness is not a pre-requisite nor is there a pre-entry medkal examination, except for officers and adults. Cadets undergo fairly vigorous military training and compete for the Duke of Edinburgh Awards, and participate in activities such as boxing, canoeing, rock climbing and sailing. The latter three activities are supervised by Regular Army youth team instructors. guest. Protected by copyright. This paper reports on three years of medical experience with a County Army Cadet Force. Methods The medical histories of 615 Cadets were obtained before a1ttending two annual camps by asking parents and guardians to answer a medical questionnaire on the lines of the usual life insurance examinations (see Column 1 of Table I). Ea,ch medical questionnaire was screened and doubtful cases were ca:lled for a full medical examination on the first day of annual camp. Further random medical examinations were conducted at camp. Results http://militaryhealth.bmj.com/ The random medical examinations revealed a small number (15) of cadets suffering from potentiailly serious conditions, such as severe psychiatric disorders, asthma, blackouts and cardiac abnormalities, which had not been recorded by the parents on the medicai questionnaire (see Column 3 of Table I). One Cadet who suffered bla'ckouts and another who had an artificial limb, were found rock climbing. We traced at camp a 14 year old who had made six attempts at suicide, and another who was registered partiaHy blind. Asthmatics were found camping in the open; stress was the main factor in precipitating attacks in 12 cases, and on September 27, 2021 by infection in two cases. Surprisingly, psychiatr,ic cases were no problem. Constipation was the main cause of abdominal pain. Dealing with youths between the ages of 13 and 18 years, we found it neces­ sary to create a sick ward of six beds in the camp where cadets could be observed, rather than bedding them in barrack rooms, where trea:tment could not be super­ vised or movement controlled. J R Army Med Corps: first published as 10.1136/jramc-125-03-08 on 1 January 1979. Downloaded from Basil Garo-Falides 163 1. Army Oadet F'orce (1974). Proficiency Cerlii·ficate SyHabus. Ministry of Defence. Table I Conditions encountered at an Army Cadet Force camp Known before Discovered Condition camp at camp Total Percentage Hay fever 54 - 54 8.7 Asthma 39 3 42 6.8 Recurrent headaches 39 1 40 6.4 Psychiatric history 23 1 24 3.9 Knee disorder 8 6 14 2.2 Recurrent abdominal pain 14 - 14 2.2 Blackouts 9 1 10 1.6 Chronic ear infec·uion 10 - 10 1.6 Bed wetting 8 - 8 1.2 ------------~--~- ---------- ----~ Chronic constipation 4 1 5 Cardiac abnormality 3 1 4 Epilepsy 4 - 4 Kidney disease 3 - 3 P /H meningitis 3 - 3 4.0 Low back pain 1 1 2 Diabetics 1 - 1 Partially blind 1 - 1 Artificial lower limb 1 1 - guest. Protected by copyright. Recurrent vomiting 1 - 1 Conclusion The introduction of a medical questionnaire (Table I), revealed the majority of potentially serious medical conditions which we were able to supervise. A small sick bay attached to the Medical Officer's room proved very useful. Acknowledgements I am grateful to Mr B W Broadhurst, FRCS and Mr J H Shelswell, FRCS, for their help and criticism: to SM Instructor J Banham, RAMC (Rtd) for his generous assistance, and Mrs E Lloyd for secretarial help. http://militaryhealth.bmj.com/ REFERENCE 1. Army Cadet Force (1974). Proficiency Certificate Syllabus. Ministry of Defence. on September 27, 2021 by.
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