Abstract
Extreme environments present medical and occupational challenges that extend beyond generic resuscitation, to formulating bespoke diagnoses and prognoses and embarking on management pathways rarely encountered in civilian practice. Pathophysiological complexity and clinical uncertainty call for military physicians of all kinds to balance intuition with pragmatism, adapting according to the predominant patterns of care required. In an era of smaller operational footprints and less concentrated clinical experience, proposals aimed at improving the systematic care of Service Personnel incapacitated at environmental extremes must not be lost to corporate memory. These general issues are explored in the particular context of thermal stress and metabolic disruption. Specific focus is given to the accounts of military physicians who served on large-scale deployments into the heat of Iraq and Kuwait (Operation TELIC) and Oman (Exercise SAIF SAREEA). Generalisable insights into the enduring character of military medicine and future clinical requirements result.
Reference23 articles.
1. Coleman J , Fair SM , Doughty HA . Heat Illness Experience at BMH Shaibah, Basra during Operation TELIC - May to July 2003. BMJ Mil Med.
2. Effects of heat: UK exercise Saif Sareea 3 and interpreting military climatic guidance
3. An Observational Study On The Spectrum Of Heat-Related Illness, With A Proposal On Classification
4. Desert climate physiological and clinical observations;Ladell;The Lancet,1944
5. The Ætiology and treatment of heat exhaustion and heat hyperpyrexia, with special reference to experiences in Iraq;Morton;Proc R Soc Med,1932