Defence medical sciences themed

competition

30 September 2014 Glasgow

UK OFFICIAL © Crown copyright 2014 Dstl

01 October 2014

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

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

JMC Medical Directorate

Innovation in the Defence Medical Services (DMS)

Defence Consultant Advisor Emergency Medicine Defence Professor Emeritus, Emergency Medicine

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

JMC Medical Directorate

Indicators of Success Unexpected survivors

Mortality Review results

External validation

Passing lessons on

JMC Medical Directorate

Examples: Personal Protective Equipment (PPE) Eye injuries Genital injuries Helmets Body Armour

JMC Medical Directorate

examples

Innovation Examples

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

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

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

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

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)

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)

Defence Medical Sciences Research Programme

01 October 2014 © Dstl 2014

Casualty care Contingent operational medicine Whole service life care Medical systems

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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

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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

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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

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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

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The Medic on Operations

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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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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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Exploitation

• Research integration

• Procurement

• Policy

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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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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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• Technical Queries

medicalsciences@dstl.gov.uk

• General Enquiries

cde@dstl.gov.uk

• Proposals submitted via CDE portal No later than 5pm Thursday 13 November 2014

© Crown copyright 2014 Dstl

01 October 2014