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  1. Article ; Online: History and its relevance to contemporary and future leadership.

    Bricknell, Martin

    BMJ leader

    2024  

    Abstract: Background/aim: This paper argues that an inquisitiveness into the history of medicine and healthcare organisation is an important characteristic of a leader seeking to understand why facts are as they are, before embarking on leading change. I had the ... ...

    Abstract Background/aim: This paper argues that an inquisitiveness into the history of medicine and healthcare organisation is an important characteristic of a leader seeking to understand why facts are as they are, before embarking on leading change. I had the privilege of 34 years of service in the UK Defence Medical Services, culminating in the most senior role of Surgeon General. I, and many of my military medical colleagues, are members of the Faculty of Medical Leadership and Management. Through this, I hope that we have been able to add an interesting dimension to the practice of medical leadership in UK health organisations.
    Methods: This paper is a reflection on my personal experience suggesting that studying the history of military medicine can provide insights into the collective knowledge of previous generations, the process of organisational development during war, and the clinical and system innovations needed for the next war.
    Results: This paper summarises my personal experience of the relevance of the history of military medicine in clinical practice and policy development within the UK Defence Medical Services. It has five sections starting with history as a trajectory of knowledge, and how this links to my personal career. I then show how history informed my leadership influence on policy and practice in four topics: the prevention of heat illness, the organisation of medical services, partnerships in military medicine, and organisational learning. The paper is framed around my personal experience over a career that spanned clinical practice, policy development, leadership on military operations, and finally senior strategic roles.
    Conclusion: While I have placed my argument in the context of military medical leadership, I suggest that understanding history is just as important in civilian medical leadership.
    Language English
    Publishing date 2024-04-04
    Publishing country England
    Document type Journal Article
    ISSN 2398-631X
    ISSN (online) 2398-631X
    DOI 10.1136/leader-2024-000993
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Observations from the Korean War for Modern Military Medicine.

    Bricknell, Martin Cm

    Ui sahak

    2024  Volume 32, Issue 3, Page(s) 787–828

    Abstract: This paper reviews developments in military medicine during the Korean War and places them in the evolution of military medical lessons from the Second World War and the subsequent development of military medicine through the Vietnam War to the present ... ...

    Abstract This paper reviews developments in military medicine during the Korean War and places them in the evolution of military medical lessons from the Second World War and the subsequent development of military medicine through the Vietnam War to the present day. The analysis is structured according to the '10 Instruments of Military Healthcare.' Whilst there were incremental developments in military medicine in all these areas, several innovations are specifically attributed to the Korean War. The introduction of helicopters to the battlefield led to the establishment of dedicated medical evacuation helicopters crewed with medical personnel and the evolution into the DUSTOFF system during the Vietnam War. Helicopter evacuation was the primary medical evacuation system in the wars in Iraq and Afghanistan. The establishment of the Mobile Army Surgical Hospital during the Korean War were founded upon the US Auxiliary Surgical Groups or the UK Casualty Clearing Stations of World War II. The requirement for resuscitation and surgical teams close to the battlefield has endured through the development of mobile hospitals of varying sizes from Field Surgical Teams to the current 'modular' Hospital Centre and other international equivalents. There were many innovations in the clinical care of battle casualties covering wound shock, surgical techniques, preventive medicine, and acute psychiatric care that refreshed or advanced knowledge from the Second World War. These were enabled through the establishment of medical research programs that were managed within the theatre of operations. Further advances in all these clinical topics can be observed through the Vietnam War to the wars in Iraq and Afghanistan - all of which were underpinned by institutional directed research programs. Finally, collaboration between international military medical services and the development of Korean military medical services is a major theme of this review. This 'military-tomilitary' and 'civil-military' medical engagement was also a major activity during the Vietnam War and more recently in Iraq and Afghanistan. Overall, the topics and themes in military medicine that were important during the Korean War can be considered to be part of trajectory of innovation in military medicine have been replicated in many subsequent wars. The paper also highlights some 'lessons' from World War II that had to be relearned in the Korean War, and some observations from the Korean War that had to be relearned in subsequent wars.
    MeSH term(s) Humans ; Korean War ; Military Medicine/history ; Military Personnel ; Air Ambulances/history ; Aircraft/history ; Wounds and Injuries
    Language English
    Publishing date 2024-02-12
    Publishing country Korea (South)
    Document type Review ; Journal Article
    ZDB-ID 2256536-X
    ISSN 2093-5609 ; 2093-5609
    ISSN (online) 2093-5609
    ISSN 2093-5609
    DOI 10.13081/kjmh.2023.32.787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Fundamentals of Military Medicine

    Bricknell, Martin

    BMJ military health

    2020  Volume 166, Issue 4, Page(s) 284

    MeSH term(s) Humans ; Military Medicine/methods ; Military Medicine/trends ; Military Personnel ; Textbooks as Topic ; United States
    Language English
    Publishing date 2020-02-02
    Publishing country England
    Document type Letter
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/jramc-2019-001289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mission command: applying principles of military leadership to the SARS-CoV-2 (COVID-19) crisis: more than just 'mission command'.

    Bricknell, Martin

    BMJ military health

    2020  Volume 167, Issue 1, Page(s) 70

    MeSH term(s) COVID-19 ; Humans ; Leadership ; Military Personnel ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-03
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/bmjmilitary-2020-001525
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  5. Article ; Online: MIlitary Combat Mental Health Framework.

    Bricknell, Martin

    BMJ military health

    2020  Volume 167, Issue 3, Page(s) 201–203

    Abstract: This paper describes a framework for understanding military combat mental health based on the possible mental ill-health consequences of exposure to 'potential trauma events' for members of the armed forces and after their military service as veterans. ... ...

    Abstract This paper describes a framework for understanding military combat mental health based on the possible mental ill-health consequences of exposure to 'potential trauma events' for members of the armed forces and after their military service as veterans. It uses a life course approach that maps an individual's mental well-being against four 'states': fit, reacting, injured and ill. It then considers five categories of factors that influence the risk of mental illness from this exposure based on research evidence; prejoining vulnerability, resilience, precipitating, treatment and recovery. This framework offers a structure to debate current knowledge, inform policy and therapeutic interventions, provide education and to guide future research into the subject.
    MeSH term(s) Delivery of Health Care/methods ; Delivery of Health Care/trends ; Humans ; Military Medicine/methods ; Military Medicine/trends ; Preventive Medicine/methods ; Preventive Medicine/trends ; United Kingdom
    Language English
    Publishing date 2020-04-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/bmjmilitary-2020-001439
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Non-combatant status of military medicine and contemporary warfare: old issues or new problems?

    Bricknell, Martin / Lin, C Y / Bailey, Z

    BMJ military health

    2024  Volume 170, Issue 2, Page(s) 97–98

    MeSH term(s) Humans ; Military Medicine ; Warfare ; Military Personnel
    Language English
    Publishing date 2024-03-20
    Publishing country England
    Document type Editorial
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/military-2022-002161
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Ethical tensions in delivering Defence Engagement (Health).

    Bricknell, Martin / Kelly, J

    BMJ military health

    2023  

    Abstract: This paper considers the potential ethical tensions in the conduct of Defence Engagement (Health) (DE(H)) activities. Multiple academic papers have described the ethical dimensions of topics such as 'medical rules of eligibility', cultural differences in ...

    Abstract This paper considers the potential ethical tensions in the conduct of Defence Engagement (Health) (DE(H)) activities. Multiple academic papers have described the ethical dimensions of topics such as 'medical rules of eligibility', cultural differences in clinical behaviour when providing mentoring support to military health professions, MEDCAPS (non-emergency primary care clinics by international military medical personnel direct to the indigenous civilian population) and military medical collaboration with the civilian public health system and humanitarian organisations. After a short summary of principles and perspectives in military healthcare ethics (MHE), this paper considers the ethical risks of DE(H) activities at the strategic, operational and tactical level. The paper closes by discussing how to prepare military healthcare personnel for ethical challenges during DE(H) tasks. This includes considering the wider legal, professional, societal and public health perspectives alongside clinical perspectives in the analysis of an MHE issue. In conclusion, potential MHE issues during DE(H) activities are predictable and personnel should be trained to identify and address them. This paper forms part of a special issue of BMJ Military Health dedicated to Defence Healthcare Engagement.
    Language English
    Publishing date 2023-02-14
    Publishing country England
    Document type Editorial
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/military-2022-002318
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  8. Article ; Online: Delivering effective Defence Engagement (Health): lessons from Operation TRENTON (South Sudan).

    Bricknell, Martin / Rowland, T

    BMJ military health

    2023  

    Abstract: This paper describes the Defence Engagement (Health) (DE(H)) component of the medical mission within the UK deployment to South Sudan under Op TRENTON, the UK troop contribution to the United Nations Mission in South Sudan (UNMISS). The DE(H) activities ... ...

    Abstract This paper describes the Defence Engagement (Health) (DE(H)) component of the medical mission within the UK deployment to South Sudan under Op TRENTON, the UK troop contribution to the United Nations Mission in South Sudan (UNMISS). The DE(H) activities provided advice and mentoring to the Vietnamese military medical services to support the predeployment preparation and training of their medical contingent that would undertake a relief in place of the UK personnel providing a Level 2 hospital in Bentiu, South Sudan. The paper describes these UK DE(H) activities at the strategic, operational and tactical levels to show the integration across these levels from January 2017 until the handover of command in South Sudan on 26 October 2018. The UK worked alongside personnel from the US and Australian military medical services to deliver a Field Training Exercise and other capability-building events for personnel from the Vietnamese 175 Military Hospital. The paper shows how a DE(H) programme can have strategic effects by bringing another nation into a United Nations mission, increasing UK diplomatic activity with a partner country, and by ensuring continuity of medical cover to a key UNMISS location after the withdrawal of the UK medical contingent. This paper forms part of a special issue of
    Language English
    Publishing date 2023-03-10
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/military-2022-002319
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Foreward to the special issue of the

    Bricknell, Martin

    Journal of the Royal Army Medical Corps

    2018  Volume 165, Issue 2, Page(s) 65

    MeSH term(s) Health Services Accessibility ; Military Medicine ; Military Personnel ; Psychology, Military ; United Kingdom
    Language English
    Publishing date 2018-10-18
    Publishing country England
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 840678-9
    ISSN 2052-0468 ; 0035-8665
    ISSN (online) 2052-0468
    ISSN 0035-8665
    DOI 10.1136/jramc-2018-001083
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    Zs.MO 487: Show issues

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