30 September 2014: Defence medical sciences CDE themed competition
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Transcript of 30 September 2014: Defence medical sciences CDE themed competition
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Defence medical sciences themed
competition
30 September 2014 Glasgow
UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
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UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
• Introduction
• Context – The human component of capability – Innovation in defence medicine – MOD’s Medical Sciences programme
• Technology Challenges – Technologies for health surveillance – Advanced medical systems for field care
• Exploitation
• Questions & answers
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UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
Context
• The human component is central to delivering military capability
• Providing sufficient, capable and appropriately trained personnel
• Sustaining capability by protection, treatment and rehabilitation
• Providing high quality support, care and treatment
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JMC Medical Directorate
Innovation in the Defence Medical Services (DMS)
Defence Consultant Advisor Emergency Medicine Defence Professor Emeritus, Emergency Medicine
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JMC Medical Directorate
War Drives Transformative Medical Change Napoleonic War: flying ambulance
Korean War: Heli-evac, Cardiopulmonary Resuscitation (CPR)
World War 1: Thomas Splint and environmental health
World War 2: blood and plasma transfusion, Penicillin
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JMC Medical Directorate
Indicators of Success Unexpected survivors
Mortality Review results
External validation
Passing lessons on
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JMC Medical Directorate
Examples: Personal Protective Equipment (PPE) Eye injuries Genital injuries Helmets Body Armour
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JMC Medical Directorate
examples
Innovation Examples
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JMC Medical Directorate
Risk Military medicine has consistently stagnated or
regressed between major campaigns
Imperative to sustain and develop clinical capability
Continuous innovation is essential to prevent:
cyclical stagnation and regression of military medicine between conflicts an intellectual deficit that is repaid in Servicemen’s lives at the
start of every major campaign
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Research ACTIVITY LINKS TO KEY PARTNERS
LOW
H
IGH
Institute for Naval Medicine (INM) Centre for Blast Injury Studies (CBIS)
Royal Centre for Defence Medicine
National Institute for Health Research (NIHR)
Surgical Reconstruction and Microbiology Research Centre
(SRMRC)
NO PRACTICAL USE YES
QU
EST
FOR
FU
ND
AM
ENTA
L U
ND
ERST
AN
DIN
G
Dstl, US Army Institute of Surgical Research
Extensive UK University
Partnerships
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decontamination
internal
therapeutics prosthetics
nutrition
diagnostics
therapeutics
Military Mental Health
Rehabilitation
CBRN
non freezing cold injury
Occupational Health
imaging
epid
emio
logy
inte
rven
tion
research thinking: breakthrough innovation
Primary Health Care
hemorrhage control
Combat Casualty Care tropical
Military Medicine
environmental
noise induced hearing loss
Role 1 surveillance
force protection
preventive
coagulation monitoring
CSA 30% investment in ‘breakthrough’
innovation
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JMC Medical Directorate
Current research activity - highlights Emergency Medicine
• Patient controlled analgesia in the emergency setting, a multi-centre Randomised Controlled Trial (RCT) (NIHR £248,000)
• Augmenting resuscitation with adenosine, lidocaine & magnesium (Dstl £560,000)
Surgery • Biomarkers after blast-induced brain injury
(Dstl £370,000) Orthopaedics
• Blast injury in the spine: understanding the mechanisms • Functional outcomes from amputees with heterotopic
ossification
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JMC Medical Directorate
Current Research activity HIGHLIGHTS
Medicine • RCT of 3 antibiotics in acute diarrhoea (US Department of
Defence (DoD) $2 million) • Pathogenesis of Crimean-Congo hemorrhagic fever (CCHF)
(Wellcome Trust Fellowship applied for) Nursing
• Does caring affect the carers? Qualitative assessment of Medical Emergency Response Team (MERT) crew
Rehabilitation • The ADVANCE study (DH initial funding, £2 million)
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JMC Medical Directorate
Current Research activity HIGHLIGHTS
Anaesthetics & Critical Care • Restorative virtual environments for rehabilitation • Evaluating effects of morphine in response to blood loss
(Dstl £480,000) General Practice & Primary Healthcare
• Cervical cytology in DMS: room to improve? • Attitudes of Service leavers toward accessing NHS Primary Care
Mental Health • Mental health stigmatisation in military personnel (Dstl £420,000) • Children of fathers with Post Traumatic Stress Disorder (PTSD)
(US DoD $1.7 million) • Post-deployment screening trial (US DoD $3 million)
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Defence Medical Sciences Research Programme
01 October 2014 © Dstl 2014
Casualty care Contingent operational medicine Whole service life care Medical systems
UK OFFICIAL
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Delivery Mechanisms Research procured by:
• Chief Scientific Advisor
• Surgeon General
• Chief Defence Personnel / Assistant Chief of the Defence Staff (Health)
• Joint Medical Command
• Front Line Commands
• Other Government Departments
• Charities/Foundations
Centre for Defence Enterprise
01 October 2014 UK OFFICIAL
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Delivery Mechanisms
• Dstl
• NIHR Surgical Reconstruction and Microbiology Research Centre
• Defence Human Capability S&T Centre
• Industry
• Academia
• Small Medium Enterprises
• International collaboration Centre for Defence Enterprise
01 October 2014 UK OFFICIAL
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Defence Medical Sciences Research Programme
01 October 2014
• Systems for Medics and First Responders
• Simulated Environments in Defence Medical Training
• Rehabilitation and Regenerative Medicine within Defence
• Fit to Deploy
• Operational Health and Protection
• Combat Casualty Care
• Surgical Reconstruction and Microbiology Research Centre
UK OFFICIAL
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Systems for Medics and First Responders
01 October 2014
Integration and exploitation of innovative systems to enhance military medical responses in theatres of operation or deployment Innovation via partnership with industry and academia • Ruggedised Blood Transfer Unit • Integrated Patient Monitor • Non-Invasive Continuous Core Temperature Monitor • MedicMat – Medic Platform of the Future
Centre for Defence Enterprise
UK OFFICIAL
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The Medic on Operations
UK OFFICIAL
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UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
Technology Challenge 1 Technologies for health surveillance For example:
• Novel methods for data recording and management
• Data integration and decision support • Utilisation of biomarkers • Novel materials and capabilities
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UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
Technology Challenge 2 Advanced medical systems for field care For example:
• Opportunities to maintain force effectiveness • Novel diagnostics • Patient care and management
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UK OFFICIAL © Crown copyright 2013 Dstl
01 October 2014
Exploitation
• Research integration
• Procurement
• Policy
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UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
What we want
• Novel and innovative systems • Systems which consider full
cost of introduction • Solutions which can be easily
upgraded or updated • Systems which ease the
burden of the battlefield medic
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UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
What we want
• Enhancements for patient and medic safety
• Systems which need minimal training or changes to existing practice
• Demonstration of proof-of-concept for further investigation
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UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
• Technical Queries
• General Enquiries
• Proposals submitted via CDE portal No later than 5pm Thursday 13 November 2014
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© Crown copyright 2014 Dstl
01 October 2014