Biomedical subjects

M C M Bricknell

Publications and source records attributed to M C M Bricknell.

7 recordsLinked to original sources

PubMed2003

Command in a field hospital.

This paper examines the challenges involved in commanding a field hospital. There are frequent, dynamic tensions between the military culture that is based on a task-focussed, hierarchical structure and the clinical culture that is based on flat, process-focussed, multidisciplinary teams. The paper outlines the cultural environment of the field hospital and then examines the deployment sequence whereby a functioning clinical facility may be created from a group of disparate individuals. There are a number of tools that may assist with this including the personality of the Commanding Officer, individual skills, the creation of an organizational identity and the choice of command structure.

Hospitals, Military↗

PubMed2003

The evolution of casualty evacuation in the British Army in the 20th century (Part 3)--1945 to present.

This is the third in a series of papers describing the evolution of the British casualty evacuation chain during the 20th century. This period was dominated by the threat of war between NATO and the Warsaw Pact in Central Europe. The Suez Crisis in 1956, the Falklands War in 1982, the GulfWar in 1991 and events in the Balkans during the 1990s demonstrated the requirement for a flexible system for medical support to the UK Armed Forces.

History, 20th Century↗

PubMed2003

The evolution of casualty evacuation in the 20th century (Part 4)--an international perspective.

This is the fourth in a series of papers that review the evolution of the military casualty evacuation during the 20th Century. The previous three papers have looked at the British Army system. This paper looks at the organisation of army medical services from the United States, Israel, Russia and Croatia and compares these with the British Army system reported in the previous papers. All national army medical services have evolved organisations to reduce the time lag between injury and surgery for their wounded. The paper will show that there are some fundamental differences in the organisation of medical units to achieve this aim. Helicopters are almost universally used for the evacuation of seriously ill casualties when this is practicable.

Croatia↗

PubMed2002

Heat illness--recent developments.

This paper reviews the literature concerning exertional heat illness in soldiers. It focuses on developments since Bricknell's two part paper "Heat Illness--A Review of Military Experience" published in this journal in 1996. Recent advances in the understanding of risk factors, pathophysiology and treatment are discussed with a view to reducing the already low incidence of heat illness within the Armed Forces.

Heat Stress Disorders↗

PubMed2002

The reconnaissance and siting of field hospitals.

This paper describes the reconnaissance function for the siting of deployable field hospitals. It reports two levels of reconnaissance, theatre/operational and tactical. The paper describes the factors to be considered when conducting the reconnaissance and the format of the reconnaissance report.

Hospital Design and Construction↗

PubMed2002

The evolution of casualty evacuation in the British Army 20th century (Part 1)--Boer War to 1918.

This is the first in a series of papers which describe the evolution of the British casualty evacuation system in the 20th Century. This paper describes the formation of the Field Ambulance after the Boer War and the development of the Casualty Clearing Station during the First World War. It also discusses how the effects of an improved understanding of triage, shock and wound infection contributed to changes in the internal organization of hospitals in the field.

Australia↗

PubMed2002

The evolution of casualty evacuation in the British Army in the 20th century (Part 2)--1918 to 1945.

This is the second in a series of papers that examine the evolution of the military casualty evacuation chain during the 20th century. The Spanish Civil War demonstrated to the world the revolutionary tactic of 'Blitzkrieg' developed by the Germans. This and the experience of the British Expeditionary Force in 1940 emphasised the need for mobility in forward medical units. The campaign in the Western Desert led to the creation of a number of new units such as the Field Surgical Unit and the Field Transfusion Unit which were introduced across the British Army as a result of the findings of the Hartgill Committee. The aeroplane transformed the evacuation chain from CCSs to base hospitals and beyond.

Africa, Northern↗