Academic Department of Military Surgery and Trauma (ADMST): preparedness for the next conflict through collaboration in research and innovation.

The UK Strategic Defence Review 2025 provides a compelling examination of the threats faced by the UK. The UK as a whole, and the Ministry of Defence in particular, must become ready for large-scale conflict operations (LSCO) and learn the lessons from Ukraine. A successful academic military surgical department should regularly re-evaluate its mission, its surgical priorities and its outputs.

The genetic history of the Southern Caucasus from the Bronze Age to the Early Middle Ages: 5,000 years of genetic continuity despite high mobility.

The Caucasus was a hub for cultural and technological innovation in prehistory, yet the population history between the Greater and Lesser Caucasus remains insufficiently understood. We present genome-wide data of 205 individuals from modern Georgia and 25 from Armenia, spanning the period from the Bronze Age (BA) to the "Migration Period" (c. 3500 BCE-700 CE).

Diagnostic Power of Head-Up Tilt Test Enhanced by Autonomic ECG Parameters and Beat-to-Beat Hemodynamic Monitoring.

The head-up tilt test (HUTT) is a well-established diagnostic procedure used to differentiate between the types of syncope. Since its introduction in 1986, the protocol has undergone several refinements aimed at increasing diagnostic accuracy. Despite growing interest in advanced autonomic ECG parameters and beat-to-beat blood pressure monitoring, their integration into routine HUTT protocols remains limited.

Water-soluble contrast agents in adhesional small bowel obstruction: meta-analysis and PRECIS-2 assessment of trials.

Background: Adhesional small bowel obstruction is a common presentation to acute general surgical services. Initial management is typically conservative and includes the use of water-soluble contrast agents. Current trials assessing water-soluble contrast agents are limited by sample size and demonstrate contrasting results.

The SHADER model: forward surgical teams managing high-intensity, low-frequency military surgery incidents.

Introduction: The UK Defence Medical Services (UK DMS) surgical teams have been deployed in small, low resource, remote mobile Role 2 (R2) facilities globally to provide Damage Control Resuscitation and Surgery for combat casualties. It is vital that commanders understand the expected workload for specific operations for planning and training and sustainment of high-quality surgical capability. The current study examined the surgical workload from a complete forward UK DMS R2 facility deployment to better inform future operations of this nature.