LTCOL Charles H.C. Pilgrim

Articles by LTCOL Charles H.C. Pilgrim


Treatment at Point of Injury – A Proposal for an Enhanced Combat First Aider and Health Technician Skillset

Abstract Management of trauma in the future operating environment might be significantly different from the recent experience in the Middle East Region if it were to occur in the context of hostilities between coalition, including Australian forces and a near-peer or peer-level threat. Specifically, reliance on rotary-wing aeromedical evacuation may be compromised if air superiority… Read more »

By LTCOL Charles H.C. Pilgrim , A. P. Chandra and A Pearson In   Issue Volume 31 No. 1 Doi No https://doi-ds.org/doilink/03.2023-24814268/JMVH Vol 31 No 1

Novel approaches to point of injury care utilising robotic and autonomous systems

Abstract Army has developed a robotic and autonomous system (RAS) strategy (2018); however, health has yet to feature in this domain. Artificial intelligence can be used to augment surgical and resuscitative intervention on the battlefield utilising current heads-up display technology, aligning with three key strategic aims of the RAS document of 1) maximising soldier performance,… Read more »

By LTCOL Charles H.C. Pilgrim and Mark Fitzgerald In   Issue Volume 30 No. 4 Doi No https://doi-ds.org/doilink/11.2022-76753281/JMVH Vol 30 No 4

Treatment at Point of Injury – Forward movement of surgical assets to address non- compressible truncal haemorrhage

Abstract Contemporary battlefield trauma surgery in the Middle East Region has been characterised by aeromedical evacuation by rotatory wing (RWAME) with relative impunity. Therefore, future health planning needs to consider an environment whereby RWAME movement may be degraded or denied by a near-peer, peer or superior threat. To that end, an exploration of alternative approaches… Read more »

By LTCOL Charles H.C. Pilgrim , S Hendel , N Eatough and M Graves In   Issue Volume 30 No. 1 Doi No https://doi-ds.org/doilink/03.2022-92674215/JMVH Vol 30 No 1

An Overview of the Key Elements Required for Haemostasis Following Military Trauma from the Point of Injury to Definitive care

Abstract Haemorrhage control for traumatised soldiers takes place at many levels, from the point of injury through resuscitation and reception into surgical facilities, and postoperatively to intensive care units where normalisation of physiology and ultimate recovery following definitive surgery may be achieved. Differences in priorities and availability of interventions at each level of care provide… Read more »

By LTCOL Charles H.C. Pilgrim In   Issue Volume 27 No. 2 Doi No https://doi-ds.org/doilink/05.2021-25411192/JMVH Vol 27 No 2