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Deployed research
  1. Giles Nordmann1,
  2. T Woolley2,
  3. H Doughty3,
  4. J Dalle Lucca4,
  5. S Hutchings5 and
  6. E Kirkman6
  1. 1Department of Military Anaesthesia and Critical Care Medicine, Royal Centre for Defence Medicine, Birmingham, UK
  2. 2Senior Lecturer, Department of Military Anaesthesia and Critical Care Medicine, Royal Centre for Defence Medicine, Birmingham, UK
  3. 3Consultant in Transfusion Medicine Royal Centre for Defence Medicine, Birmingham, UK and NHS Blood and Transplant, Birmingham, UK
  4. 4Director, Joint Inflam Modulation of Polytrauma Program, Lackland Air Force Base, Texas, USA
  5. 5Consultant, Intensive Care Medicine and Senior Lecturer in Critical Care, Medicine Kings College Hospital and Defence Medical Services, UK
  6. 6Principal Scientist, Biomedical Sciences, DSTL, Salisbury, UK
  1. Correspondence to Dr Giles Nordmann, Derriford Hospital, Plymouth, UK; airbornedoc{at}; Dr Emrys Kirkman, Dstl Porton Down, Salisbury, UK; Crown copyright 2014. Published with the permission of the Defence Science and Technology Laboratory on behalf of the Controller of HMSO


The Role 3 Medical Treatment Facility (Field Hospital) in Camp Bastion (R3 Bastion) is acknowledged to be one of the busiest dedicated trauma facilities in the world. Casualties typically present with severe injuries and in physiological extremis. These casualties form a unique cohort representing the most relevant population to evaluate the effectiveness of treating battlefield injuries as academic clinicians and scientists interested in trauma seek to improve outcomes for such patients in the future. This article describes four separate but related research projects that have been undertaken in Camp Bastion, Afghanistan, over the last year. They traverse the spectrum of clinical research, ranging from data collection to a randomised control trial. The aim is to discuss some of the problems encountered and the solutions that made it possible to undertake research in a theatre of operations, thereby providing a starting point for others who may wish to initiate research in a similar environment.

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