defence medical sciences CDE themed competition presentation from 30 September 2014 Innovation Network event in Scotland

1. Defence medical sciences themed competition
30 September 2014
Glasgow
UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014

2. UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
•
Introduction
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Context
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The human component of capability
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Innovation in defence medicine
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MOD’s Medical Sciences programme
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Technology Challenges
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Technologies for health surveillance
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Advanced medical systems for field care
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Exploitation
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Questions & answers

3. 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

4. JMC Medical Directorate
Innovation in the Defence Medical Services (DMS)
Defence Consultant Advisor Emergency Medicine
Defence Professor Emeritus, Emergency Medicine

5. 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

6. JMC Medical Directorate
Indicators of Success

Unexpected survivors
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Mortality Review results
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External validation

Passing lessons on

7. JMC Medical Directorate
Examples: Personal Protective Equipment (PPE)
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Eye injuries

Genital injuries

Helmets
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Body Armour

8. JMC Medical Directorate
examples
Innovation
Examples

9. JMC Medical Directorate
Risk

Military medicine has consistently stagnated or regressed between major campaigns

Imperative to sustain and develop clinical capability
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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

10. Research ACTIVITY LINKS TO KEY PARTNERS
LOW HIGH
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
QUEST FOR FUNDAMENTAL UNDERSTANDING
Dstl, US Army Institute of Surgical Research
Extensive UK University Partnerships

11. decontamination
internal
therapeutics
prosthetics
nutrition
diagnostics
therapeutics
Military Mental Health
Rehabilitation
CBRN
non freezing cold injury
Occupational Health
imaging
epidemiology
intervention
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

12. JMC Medical Directorate
Current research activity - highlights

Emergency Medicine
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Patient controlled analgesia in the emergency setting, a multi- centre Randomised Controlled Trial (RCT) (NIHR £248,000)
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Augmenting resuscitation with adenosine, lidocaine & magnesium (Dstl £560,000)

Surgery
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Biomarkers after blast-induced brain injury (Dstl £370,000)

Orthopaedics
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Blast injury in the spine: understanding the mechanisms
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Functional outcomes from amputees with heterotopic ossification

13. JMC Medical Directorate
Current Research activity HIGHLIGHTS

Medicine
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RCT of 3 antibiotics in acute diarrhoea (US Department of Defence (DoD) $2 million)
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Pathogenesis of Crimean-Congo hemorrhagic fever (CCHF) (Wellcome Trust Fellowship applied for)

Nursing
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Does caring affect the carers? Qualitative assessment of Medical Emergency Response Team (MERT) crew

Rehabilitation
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The ADVANCE study (DH initial funding, £2 million)

14. JMC Medical Directorate
Current Research activity HIGHLIGHTS

Anaesthetics & Critical Care
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Restorative virtual environments for rehabilitation
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Evaluating effects of morphine in response to blood loss (Dstl £480,000)

General Practice & Primary Healthcare
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Cervical cytology in DMS: room to improve?
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Attitudes of Service leavers toward accessing NHS Primary Care
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Mental Health
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Mental health stigmatisation in military personnel (Dstl £420,000)
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Children of fathers with Post Traumatic Stress Disorder (PTSD) (US DoD $1.7 million)
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Post-deployment screening trial (US DoD $3 million)

15. Defence Medical Sciences Research Programme
01 October 2014
© Dstl 2014
Casualty care Contingent operational medicine Whole service life care Medical systems
UK OFFICIAL

16. 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

17. 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

18. Defence Medical Sciences Research Programme
01 October 2014
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Systems for Medics and First Responders
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Simulated Environments in Defence Medical Training
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Rehabilitation and Regenerative Medicine within Defence
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Fit to Deploy
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Operational Health and Protection
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Combat Casualty Care
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Surgical Reconstruction and Microbiology Research Centre
UK OFFICIAL

19. 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

20. The Medic on Operations
UK OFFICIAL

21. 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

22. 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

23. UK OFFICIAL © Crown copyright 2013 Dstl
01 October 2014
Exploitation
•Research integration
•Procurement
•Policy

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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

25. 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

26. UK OFFICIAL © Crown copyright 2014 Dstl
01 October 2014
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Technical Queries
medicalsciences@dstl.gov.uk
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General Enquiries
cde@dstl.gov.uk
•Proposals submitted via CDE portal
No later than 5pm Thursday 13 November 2014

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