Volume 25 Number 4 October 2017 Journal of Military and Veterans’ Health AMMA 2017 Conference Abstracts RY ME A DI IT C L I Primary Health Care in the ADF I N M E A N S A I S O S 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 provides seamless access to quality healthcare for 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 2017 Conference Abstracts .............................................................................................................................................................. 6 Reprint Primary Health Care in the ADF ........................................................................................................ 83 Medibank’s Garrison Health Services Delivering a national, integrated healthcare service to the Australian Defence Force Through Medibank’s extensive network, Garrison Health Services provides seamless access to quality healthcare for 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 Front Cover: Caption: “It all starts here” Description: Tactical sign indicating the location of 2GHB in the field, Exercise Talisman Sabre 2017, Shoalwater Bay Photographer: Colonel Murray Hayes, RAADC (Credit to Murray Hayes) Image courtesy of Dept of Defence Volume 25 Number 4; October 2017 Journal of Military and Veterans’ Health EDITORIAL BOARD CDRE Andy Robertson, CSC, PSM (Editor in Chief) Associate Professor Martin Richardson (Deputy Editor) Maj Gen Prof Dr Mohd Zin Bidin (Ret’d) BRIG Anne Campbell Dr Ian De Terte 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 RADM 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 GPCAPT Geoff Robinson medicine Council Members CDRE Andrew Robertson • Promoting research in military medicine Dr Peter Peters 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 Rachelle Warner 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 227 Collins Street Hobart Tas 7000 Australia Ph: +61 3 62347844 Email: [email protected] ISSN No. 1835-1271 Journal of Military and Veterans’ Health Editorial This issue is primarily focused on the abstracts for the from both a full-time and Reserve perspective, coming Australasian Military Medicine Conference to including the support systems required to make them be held in Brisbane in October 2017. The abstracts succeed. Finally, there a range of military medical reflect a very diverse and comprehensive overview history presentations that provide important lessons of military health. As befitting the theme of the for current and future military operations. All of conference, there will be a significant number of these presentations will be complemented by some presentations on all aspects of disaster response, excellent poster presentations and the photography from military and civilian deployments to the competition. management of animals in such events. There are We encourage all our presenters to consider are also a range of mental health presentations, submitting articles based on their abstracts, with a with resilience, post-traumatic stress disorder, number already in the peer review process. All articles management of alcohol abuse and support to are welcome, from original military health studies to veterans being particular themes. Clinically, there is reviews to operational perspectives. All articles are a strong focus on the management of acute trauma, peer-reviewed and available online, and we continue infectious diseases and critical care, including in to build the website with all articles online and an the aeromedical evacuation and submarine escape increasing range of journal metrics and indexing contexts. options available. I look forward to seeing everyone The full gamut of military healthcare is examined, at the Conference and welcome anyone contacting from recruitment and training through deployment me about current or future contributions to JMVH. and operational service, with a particular emphasis on Dr Andy Robertson, CSC, PSM improving diagnosis and care across this spectrum, Commodore, RANR to retirement and veterans’ health. Military health Editor-in-Chief leadership and management are also considered, Volume 25 Number 4; October 2017 Page 5 2017 AMMA Conference Abstracts Contents Abstracts A Review of Civil-Military Cooperation and Response During Epidemic and Pandemic Events 9 A Systematic Approach to Ensure Full Preparedness of Medical Support Missions in Disaster and 9 Conflict Scenarios Airway and Ventilation Management following Severe Burns 11 An Endoscopic Trial of Fibrin/Thrombin Patches, Fibrin/Thrombin glue and Beta-Chitin Patches for 11 Major Vessel Bleeding An Evaluation of Mental Health First Aid Training with Australian Army Cadets 12 An Overview of the Navy Profile of Unit Leadership Satisfaction and Effectiveness (PULSE) 13 Anger, Stress, and Alcohol-Related Difficulties in the Military: A Brief Group ACT intervention 14 ANZAC R2E TAJI – Commander’s Memoirs, April 2015 to December 2016 14 Australasian Military Medicine College 15 Australian Dental Support to Operations – Contemporary Experiences from Afghanistan 16 Averting Disaster by Management of Recall and Follow-up -One Health Centre’s Journey to Acquit 16 Referrals and Test Requests Back to the future - Immersive Full Mission Profile Training for Health Pers and First Responders at 17 Army School of Health Binocular Rivalry Online: An Online Visual Test for Bipolar Disorder for use in Large Clinical and 17 Genetic Studies Building Regional Disaster Resilience from a Health Perspective 19 Civil-Military Cooperation in Disaster and Crisis: The Role of the Private Sector 19 Confirmatory Factor Analysis and Psychometric Properties of the Clinician-Administered 20 Posttraumatic Stress Disorder Scale (CAPS-5) within an Australian Vietnam Veteran Sample Delivering a Humanitarian Health Effect: Independent Health Services for Civilian Victims of War 21 Deployment Stressors from a Royal New Zealand Navy Perspective 22 Developing AUSMAT’s Rehabilitation Capability: Applying the Technical Standards to Practice Dietary Intake and Associations with Cardiometabolic Health in Australian Vietnam veterans with 23 and without Posttraumatic Stress Disorder (PTSD) Dimensions of Resilience Among Australian Vietnam War Veterans: Exploratory Factor Analysis of the 24 Connor-Davidson Resilience Scale and Relationship with Psychopathology Directorate Navy Health, Professional Development Organisation – a Journey of Opportunity 25 Disaster Response: Providing Medical and Security Assistance to Expatriates and Travellers Affected 26 by the 2015 Earthquake in Nepal Do Not Use a Loaded Rifle for a Splint 27 Dunk, Dunk, Sunk: The Role of the Medical Allowance List in Response to a Submarine Escape and Rescue 29 Enhancing Legislation Protecting ADF Reservists 30 Evaluation of the ‘Post War: Survive to Thrive’ Online Program for Ex-Service Personnel 31 Ex SEA HORIZON 2017: Learning to “Be Amphibian” 32 Facing the Past to Face the Future: Facial Disfigurement from the First World War to Afghanistan 33 Far-Forward Operations: Current Gaps and Challenges in treating hemorrhagic shock and traumatic 34 brain injury Focus on Civilians: Planning and Sustaining Multiple Trauma Hospitals in a Conflict Zone in Support 34 of Humanitarian Efforts Page 6 Journal of Military and Veterans’ Health 2017 AMMA Conference Abstracts Contents Forensic Odontology (FOd) in Disaster Victim Identification - its History and Importance 35 From Concurrent to Integrated: Innovatively Challenging Traditional Paradigms of Aeromedical 36 Evacuation Interoperability - Exercise Cope North 17 Garrison Health Clinical Governance - Consumer Engagement 37 Garrison Health Planning for International Disaster Relief - Operation FIJI ASSIST 2016 38 Global Emergency Medical Team Classification & Standards 39 Health Response to Conflict and Disaster: Can we Learn Lessons from Disaster Response in Other 40 industries? Health Workforce Governance Framework 40 Holistic Rehabilitation of Wounded Ill and Injured Trainees in a Military Context 41 How Telemedicine is Transforming Remote and Aero Medical Medicine 42 Human Decomposition