ICMM Congress Book by MCI TangenC

Congress Book ICMM

CIMM

13-9

2012

3rd ICMM Pan Arab Regional Working Group Congress on Military Medicine 9-13 December 2012, Abu Dhabi, United Arab Emirates

In Peace and War, for Humanity letâ&#x20AC;&#x2122;s make a difference

20 CME Hours Accredited from

Stay Connected:

Organized by

The Medical Services Corps of the UAE Armed Forces

In Association with

Armed Forces Officers Club & Hotel

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His Highness Late Sheikh Zayed Bin Sultan Al Nahyan The Founder of the UAE and the Father of the Nation

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His Highness Sheikh Khalifa Bin Zayed Al Nahyan President of the UAE Supreme Commander of the UAE Armed Forces

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His Highness Sheikh Mohammed Bin Rashid Al Maktoum Vice President and Prime Minister of the UAE and Ruler of Dubai

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His Highness Sheikh Mohammed Bin Zayed Al Nahyan Deputy Supreme Commander of the Armed Forces and Crown Prince of Abu Dhabi

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Table of Contents Conference Chairman Message ......................................... 11 Main Themes of the Congress ............................................ 12 Committee .......................................................................... 13 General Information ............................................................. 14 Venue & Exhibition Layout .................................................. 16 Scientific Program ................................................................ 19 Keynote Speakers ............................................................. 27 Faculty Profiles ................................................................... 34 Abstracts 10th December, 2012 ........................................................... 64 11th December, 2012 ........................................................... 87 13th December, 2012 ........................................................... 107 Selected Oral Presentations................................................. 115 Selected Poster Presentations............................................. 121 Sponsor Profile..................................................................... 134 Orientation Tour in Abu Dhabi .............................................. 147 About Abu Dhabi................................................................... 148 Al Ain Tour............................................................................. 150 Modern Dubai Tour.................................................................151 Notes ................................................................................... 152 Acknowledgement ............................................................... 155

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Committee

Welcome to the 3rd ICMM Pan Arab RWG Congress

Dear Colleagues and Guests, It gives us immense pleasure to welcome you to the 3rd Pan Arab Regional Working Group Congress on Military Medicine, wishing you a very successful congress and a memorable stay in Abu Dhabi.

We are looking forward to your active participation and contributions, sharing your expertise and knowledge towards a fruitful and enriched event. My team and I would do all we can to ensure you a pleasant stay. We invite you to join us, discover the charm of our country by enrolling on the multiple well chosen social activities.

With my very best wishes, Yours sincerely, Staff Colonel Dr. Mohammed Sabeel Al Dhanhani Chairman of the Congress

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Main Themes of the Congress

Humanitarian Military Intervention Impact of Illness and non-combat Injuries on Soldiers and their Readiness

Aviation Medical Emergencies

Wartime Evacuations

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Committee Congress Organizing Committee Staff. Col. Dr. Mohammed Sabeel Aldhanhani Congress Chairman Staff. Col. Matar Saeed Rashed Alneaimi Organizing Committee Chairman Col. Dr. Abdulla Khamis Alnaeemi Scientific Committee Head Col. Dr. Ali Yousif Binhammad Finance Committee Head Col. (Ret.) Dr. Hussain Saleh A. Almusabi General Secretary of the Congress Lt. Col. Dr. Sarhan Mohammed Alneyadi Reception & Hospitality Committee Head Dr. Yousif Ismaeil Alhosani Media Committee Head

Brig. (Ret.) Dr. Asma S. Almugheri Organizing Committee Member Maj. Dr. Saif Obaid Alkaabi Organizing Committee Member Maj. Muneera J. Aljunaibi Organizing Committee Member Mr. Khalid Mohammed Fulad Organizing Committee Member Dr. Yousif I. Alneaimi Organizing Committee Member Mr. Abdulla Ibrahim Albloushi Organizing Committee Member

Contact details Regional Organization Committee Col. (Ret.) Dr. Hussain Saleh A. Almusabi General Secretary of the Congress Tel: +97124055993, Mob: +971504434248, Fax: +97124443326

Visiting Details Congress Location Abu Dhabi National Exhibition Centre (ADNEC) Address: ADNEC, Al Khaleej Al Arabi Road Abu Dhabi, UAE

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General Information Registration Desk: Registration desks for name badge collection and onsite registration will be operational as below in the Concourse Foyer Area of Hall 11: 9 December, 2012: 16:00 - 20:00 10 December, 2012: 07:00 - 09:30 11 December, 2012: 07:00 - 08:00 13 December, 2012: 07:00 - 08:00 Registration fees entitles participants to: • Admission to all scientific sessions and exhibitions. • Congress material (bag, final programme, abstract volume, press volume). • Coffee breaks and lunches. Badges: Name badges should be visible and used at all times at the Congress Venue. Badge Categories:

Organizing Committee (all access) Official Guest (all access except speaker preview room) Official Delegate (all access) ICMM (all access) Faculty (all access) Delegate (all access except speaker preview room) Exhibitor (all access except speaker preview room) Organizer (all access) Media (all access)

Congress Bags: Congress bags will be distributed to registered participants at the Registration Desk. CME Certification: Certificates will be issued online from the congress website after completing the online evaluation form from 23 December 2012 onwards. Speaker Registration & Preview Room: There is a dedicated registration room for speaker registration and badge collection at the Speaker Preview Room (TBA) and is operational during the conference hours. NOTE: All speakers are requested to report at least 2 hours before their session for a final check on their presentation material.

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General Information Food & Beverage: Coffee breaks and lunches will be open to all registered delegates ONLY in Hall 11 (Exhibition Hall). Exhibition: The 3rd ICMM Pan Arab Regional Working Group Congress on Military Medicine Exhibition will be located in ADNEC Hall 11. Language: The official languages are Arabic, English and French. Simultaneous translation into these languages will be available in the main congress halls (Emirates Hall, Abu Dhabi Hall, and Dubai Hall). Rules: Smoking Policy: Abu Dhabi National Exhibition Centre is a non-smoking venue. Attendees are requested to exit the building to the designated smoking areas. Mobile Phones: Delegates are kindly requested to keep their mobile phones in the off mode in meeting rooms when scientific sessions are in progress. Parking: Two car parks are available with a combined capacity of 6,000. Full valet service can be provided for VIP visitors. Prayer Room: The male prayer room are located on next to Capital Suite 7 and the female prayer room is located before Capital Suite 8. Emergency Contact: While in Abu Dhabi during the congress, for any emergency, please contact the following people from the congress secretariat: Abdulla Al Bloushi Fadi Dannoura +971 56 2121377 +971 50 890 2626 +971 55 5622855 Congress Secretariat: MCI Middle East LLC P.O. Box: 124752 Dubai, UAE Tel: +971 (4) 311 6300 - Fax: +971 (4) 311 6301 Email: Panarab-icmm@mci-group.com

Eyad Zerba +971 55 203 5000

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9m x 3m

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56 Red

Royal Jet

6m x 3m

Neuro Spinal Hospital

9m x 3m

Gulf Drug

6m x 3m

Military Museum

American Hospital Dubai

AstraZeneca

27 6m

Dept. of Transportation Abu Dhabi

PďŹ zer 6m x 3m

6m x 3m

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Conference Halls

Venue & Exhibition Layout

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Scientific Program

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Masimo,inRainbow, SET, SpCO, and SpMet trademarks or registered trademarks MasimoofCorporation. the United States and/or other are countries. All other trademarks are theofproperty their respective owners.

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Military (PHTLS) Pre-hospital Trauma Life Support

Buses Start Round Trips From Hotels To ADNEC

Registration

Ice-Breaker Reception (At The Concorse Or The Coridor In The First Level)

Buses Start Round Trips From ADNEC to Hotels

08:00 - 18:30

15:30 - 16:30

16:00 - 20:00

18:00 - 20:00

20:00 - 21:00

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Registration

Reception Of Event Patron In VIP Hall

Walking To The Main Hall & Seating

Ofﬁcial Congress Opening Ceremony (Master Of Ceremony TBA)

07:00 - 09:30

09:30 - 09:50

09:50 - 10:00

10:00 - 10:45

Pan Arab Regional Working Group New Chairman Speech

Pan Arab Regional Working Group Current Chairman Speech

Playing National Anthem

Flags Carriers Entrance

Buses Start Round Trips From Hotels To ADNEC

06:45 - 09:00

MONDAY, DECEMBER 10th

Dress Code For Non-Military: Ofﬁcial Or Smart Casual

Dress Code For Military: Working Uniform

Aviation Medical Emergencies

SUNDAY, DECEMBER 9th

CONGRESS PROGRAM

Day 2

Day 1

9-13 December 2012, Abu Dhabi National Exhibitions Company (ADNEC), Abu Dhabi, United Arab Emirates

08:00 - 18:30

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Scientific Program

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Strategies To Deal With Refugee Inﬂux - Col. Dr. Aiman Al Sumadi (Jordan)

UAE Search And Rescue Team Abu Dhabi Police - Lt. Col. Mohamed A. J Al-Ansari

14:10 - 14:30

14:30 - 14:50

Panel Discussion/Q&A Session Coffee Break/Exhibition/Poster Viewing

14:50 - 15:15

15:15 - 15:30

Tunisian Medical Services Corps Humanitarian Action During The Crisis In Libya - Col. Prof. Fethi Bayoudh (Tunisia)

Mental Fitness Assessment For Military Personnel With Mental Health Disorders - Surg. Capt. Dr. John Sharpley (UK)

Current Status Of Neurosurgical Services And Developments In UAE - Dr. Abdul Karim Msaddi (UAE)

Pre-Deployment Training, What Is The Answer? - Maj. Dr. Saleh Al Ali (UAE)

13:50 - 14:10

Prevention of Heat Illness - Dr. Mark Rayson (UK)

The Prevalence Of COPD In The Middle East And North Africa - Lt. Col. Dr. Ashraf Alzaabi (UAE)

Minimizing Missed War - Related Injuries - Prof. Fikri Abu Zaidan (UAE)

Wartime Evacuation - Dr. Terry Martin (UK)

13:30 - 13:50

Current Trends In The Medical Rehabilitation - Dr. Sabahat Asim Wasti (UAE)

Successful Projects In Combating Overweight And Obesity in The Military - Brig. Dr. Ret. Stephan Rudzki (Australia)

Pre-Hospital Management of Penetrating Trauma - Mr. Michael Hunter (USA)

International Chairperson: Maj. Gen. Dr. Abdel-Aziz Ziadat (Jordan) Local Chairperson: Col. Dr. Abdulla Alnaeemi (UAE)

International Chairperson: Maj. Gen. Dr. Saadateen Chatener (Turkey) Local Chairperson: Lt. Col. Ashraf Alzaabi (UAE)

Symposium C (Dubai Hall)

International Chairperson: Col. Dr. Leshakov Victor (Belorussia) Local Chairperson: Col. Dr. Ahmad Albani (UAE)

Symposium A (Emirates Hall)

Symposium B (Abu Dhabi Hall)

Lunch Break

Poster Exhibition Opening

13:30 - 15:15

11:40 - 13:30

Human Performance In Extreme Environment - Dr. Warren Lockette (USA)

11:15 - 11:40

Regional Assembly Meeting - Chaired By Staff. Col. Dr. Mohammad Al Dhanhani (UAE)

Chairman: Staff. Col. Dr. Mohammad Al Dhanhani (UAE)

Regional Assembly (C-Suite 7)

PLENARY SESSION I (Emirates Hall) Chairperson: Maj. Gen. Ret. Dr. Ketab Alotaibi (ICMM Deputy Chairman) Chairperson: Major General Prof. (ret) Marcel MERLIN, M.D. (Chairman of ICMM Scientiﬁc Council)

Role Of UAE In Humanitarian Missions - Lt. Col. Dr. Aysha Al Dhaheri (UAE)

Medals Giving

Event Patron Speech

ICMM General Secretary Speech

10:50 - 11:15

10:50 - 11:40

10:00 - 10:45

Scientific Program

Pain Management in Military During Peace and War - Maj. Dr. Farah Al Zaabi (UAE) Hidden Agenda In Clinical Practic - Maj. Dr. Fayza Alameri (UAE)

Women And Pediatric Aspect In Humanitarian Mission And Disasters - Col. Dr. Aiman Alsumadi (Jordan)

Post Traumatic Stress Disorders - Surg. Capt. Dr. John Sharpley (UK)

15:50 - 16:10

16:10 - 16:30

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Military Medical Ethics - Dr. Asma Al Nuaimi (UAE)

Col. Dr. Johan Crouse (ICMM) Local Chairperson: Dr. Asma Alnuaimi (UAE)

Cardiovascular Risk Prevention Program In Military Employees - Col. Dr. Abdullah Alnaeemi (UAE)

Remarkable Reduction In Cardiac Mortality Associated With The Introduction Of The Strategic Cardiac Hajj Interventional Program During The Largest Gathering In The Planet - Col. Dr. Khalid Alfaraidy (KSA)

Prevention Of Orthopedic Injuries During Military Training - Dr. Johnny Lau (Canada)

09:00 - 09:25

09:25 - 09:50

09:50 - 10:15

Day 3

DNA Applications And The 21st Century Application

Local Chairperson: Dr. Arwa Alsayed (KSA) Lt. Col. Maryam Alqahtani (UAE)

Round Table (Education & Training) Round Table (Dentistry) (C-Suite 19) (C-Suite 18) International Chairperson: Col. Dr. Theresa S. Gonzales (ICMM) International Chairperson:

PLENARY SESSION II (Emirates Hall) Chairperson: Brigadier General (Dr) Hilary MA AGADA (ICMM Chairman) (Nigeria) Chairperson: Lt. Col. Dr. Salem Alkaabi (UAE)

Registration

07:00 - 08:00

09:00 - 10:30

Buses Start Round Trips From Hotels To ADNEC

Panel Discussion/Q&A Session

Can The Data From The Battleﬁeld Extrapolated Into The Non-Tactical Setting - Mr. Creg Chapman

Method Of Investigating Firearm Cases And The Study Of The Projectiles Trajectories In Bone - Mr. Khudooma Alnaimi (UAE)

Transformation of Medical Logistics Through Innovation And Technology - Mr. Saeed Aljasmi (UAE)

TUESDAY, DECEMBER 11th

Dress Code For Non-Military: Ofﬁcial Or Smart Casual

Dress Code For Military: Ceremonial Uniform

Abu Dhabi Tour

Dress Code For Non-Military: Ofﬁcial Or Smart Casual

Dress Code For Military: Ceremonial Uniform

Buses Start Round Trips From ADNEC To Hotels

06:45 - 08:30

17:00 - 22:00

16:45 - 17:30

16:30 - 16:45

Successes, Controversies And Refractive Surgery Lessons In Military Medical Current Practice - Maj. Dr. Vasudha Panday (USA) Humanitarian Operations - Dr. Warner Anderson (USA)

Symposium F (Dubai Hall)

International Chairperson: International Chairperson: Gen. Dr. Dr. James Palma (USA) Ousama Al-Mouallem (Lebanon) Local Chairperson: Local Chairperson: Maj. Dr. Rashed O. Alsuwaidi (UAE) Lt. Col. Dr. Sarhan Alneyadi (UAE)

15:30 - 15:50

International Chairperson: Group Capt. Andrew Monaghan (UK) Local Chairperson: Lt. Col. Dr. Abdulraman Albulooshi (UAE)

Symposium D (Emirates Hall) Symposium E (Abu Dhabi Hall)

15:30 - 16:45

Scientific Program

22 Trauma Experience In KOSVO Conﬂict - Dr. Steven Liggins (UAE)

Maxillofacial Trauma Experience In Afghanistan, The British Experience - Group Capt. Andrew Monaghan (UK)

Top Recent Innovations In Military Medicine: Can We Appy It In Civilain Setting - Lt. Col. Dr. Ahmad Mubarak Humaid (UAE) Operational Ultrasound: Efast And Beyond - Dr. James Palma (USA)

Personal Protective Measures Used Against Disease Vectors - Col. Dr. Mostapha Debboun (USA)

Field & Medical Management Of Chemical/Bio Casualties (FCBC & MCBC) Col Dr. (ret.) James D. Pillow (USA)

13:50 - 14:10

14:10 - 14:30

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International Chairperson: Col. Dr. Zhang Lulu (ICMM) Local Chairperson: Col. Dr. Ali Bani Hammad (UAE)

Panel Discussion/Q&A Session Coffee Break/Exhibition/Poster Viewing

14:50 - 15:10

Regional Assembly Meeting - Chaired By Staff. Col. Dr. Mohammad Al Dhanhani (UAE)

Adminstration And Medico-Military Logistics In Huminitarian Assistance And Disaster Relief - Col. Dr. Zhang Lulu (ICMM)

Regional Assembly (C-Suite 7) Round Table (Logistic) (C-Suite 18)

14:30 - 14:50

Expedient Management of Maxillofacial Trauma - Col. Dr. Goksel Tamer (USA)

Telemedicine In Military - Col. Rafael De Jesus (USA)

Immunization Strategies In Missions - Lt. Col. Dr. Nawal Al Kaabi (UAE)

13:30 - 13:50

Symposium I (Dubai Hall)

International Chairperson: Col. Dr. Yasunori Matsuki (Japan) Local Chairperson: Dr. Saleh Alali (UAE)

International Chairperson: Brig. Dr. (ret.) Stephan Rudzki (Australia) Local Chairperson: Maj. Dr. Saif Albedwawi (UAE)

International Chairperson: Brig. Dr. (ret.) Asma Almughery (UAE) Local Chairperson: Lt. Col. Dr. Ibrahim Albulooshi (UAE)

Symposium G (Emirates Hall) Symposium H (Abu Dhabi Hall)

Lunch Break/Exhibition/Poster Viewing

13:30 - 14:50

12:30 - 13:30

Chairman: Staff. Col. Dr. Mohammad Al Dhanhani Moderator: TBA

Keratoconus, What’s New? - Lt. Col. Dr. Ahmed Alsaadi (UAE)

11:50 - 12:15 Panel Discussion/Q&A Session

Medical Support Of Japan Self Defense Force (JSDF) For The Eastern Japan Earthquake, Massive Tsunami And Nuclear Power Plant Accident - Col. Yasunori Matsuki (Japan)

11:25 - 11:50

12:15 - 12:30

Logistical Challenges In Humanitarian Mission - Brig. Gen. W. Bryan Gamble (USA)

11:00 - 11:25

PLENARY SESSION III (Emirates Hall) Chairperson: Maj. Gen. Dr. Abdulqader Bin Jalloul (Algeria) Chairperson: Lt. Col. Salem Almehairi (UAE)

Coffee Break/Exhibition/Poster Viewing

10:30 - 11:00

11:00 - 12:30

Panel Discussion/Q&A Session

10:15 - 10:30

Scientific Program

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Ofﬁcial Dinner/Heritage Show/Appreciation And Recognition Ceremony By The Host Country (At Armed Forces Ofﬁcers Club Hotel)

Buses Start Round Trips From Armed Forces Ofﬁcers Club Hotel To Hotels

20:00 - 22:00

22:00 - 22:30

Dress Code For Non-Military: Ofﬁcial Or Smart Casual

Dress Code For Military: Ceremonial Uniform

Buses Start Round Trips From Hotels To Armed Forces Ofﬁcers Club Hotel

19:30 - 20:00

Zoonotic Diseases Of Military Importance

Worldwide Network of Military Pharmacists

Logistics And Resource Management In The Field

International Chairperson: Col. Dr. Claus M. Lommer (ICMM) Local Chairperson: Maj. Dr. Aysha Qassimi

Buses Start Round Trips From ADNEC To Hotels

Dress Code For Non-Military: Ofﬁcial Or Smart Casual

Panel Discussion/Q&A Session

How To Start And Monitor Screening for Noise Induced A Research Project: Hearing Loss Among Military From The Idea To The Results Personnel In Eastern Province - Dr. Abdulla Alreesi (Oman) Of Saudi Arabia - Brig. Dr. Saud S. Alsaif (Saudi Arabia)

Dress Code For Military: Working Uniform

Advances In Treatment Of ACL Injuries - Dr. Ehab Farhan (UAE)

CT Angio Experience In ZMH Lt. Col. Dr. Abdulla Alremaithi (UAE)

Management Of Craniofacial Vascular Malformations - The Birmingham Experience The Interface Between Animal, - Group Captian Andrew Monaghan (UK) Men And The Environment And The Implication Infections In War Noise - Induced Hearing Loss - Maj. Dr. Mohammed R. Alkaabi in the Military Service For Military Veterinary Services (UAE) - Maj. Dr. Reem Alalawi (UAE)

HIV/AIDS In Uniformed Services - Maj. Dr. Saif Al Bedwawi (UAE)

International Chairperson: Dr. Paul Van Der Merwe (ICMM) Local Chairperson: Col. Dr. Mostapha Debboun (USA)

Round Table (Veterinary) (C-Suite 18) Round Table (Pharmacy) (C-Suite 19)

16:45 - 17:00

16:30 - 16:45

16:10 - 16:30

Symposium L (Dubai Hall)

International Chairperson: Col. Dr. Ballati International Chairperson: Mohamedon Saleck (Mauritania) Maj. Gen. Dr. Ahmed M. Halim (Egypt) Local Chairperson: Local Chairperson: Maj. Dr. Reema Alsaiari (UAE) Maj. Dr. Fayza Alameri (UAE)

Management Of Multidirectional Military Medical Ethics Shoulder Dislocation - Col. Dr. Johan Crouse (ICMM) - Dr. Omar Batouk (KSA)

Flat Foot, Can We Ignore It? - Dr. Johnny Lau (UAE)

15:30 - 15:50

15:50 - 16:10

Ankle Instability - Maj. Dr. Salem Alnuaimi (UAE)

International Chairperson: Dr. Johnny Lau (Canada) Local Chairperson: Lt. Col. Abdulla Alremaithi (UAE)

Symposium J (Emirates Hall) Symposium K (Abu Dhabi Hall)

15:10 - 15:30

15:10 - 16:45

Scientific Program

Buses Start Trips From Hotels To Armed Forces Ofﬁcers Club Hotel

08:00 - 09:00

Coffee Break/Exhibition/Poster Viewing

The Challenges Of Providing Wartime/Humanitarian Medical Evacuation Services - Lt. Col. Dr. Nasser Al-Nuaimi (UAE)

09:20 - 09:45

10:00 - 10:30

USA Aeromedical Evacuation, A US View - Lt. Col. Tammy Pokorney (USA)

08:55 - 09:20

Panel Discussion/Q&A Session

Recent Advances In Operational And Tactical Planning For Field Medicine - Col. Rafael De Jesus (USA)

08:30 - 08:55

09:45 - 10:00

Registration

07:00 - 08:00 08:30 - 10:00 PLENARY SESSION IV (Emirates Hall) Chairperson: Brig. Dr. Abdul-Aziz Alnaama (Qatar) Chairperson: Col. Dr. Ahmad Farhood (UAE)

Buses Start Round Trips From Hotels To ADNEC

Dubai Tour

06:45 - 08:30

Dress Code For Non-Military: Smart Casual

THURSDAY, DECEMBER 13th

Buses Arrive to Armed Forces Ofﬁcers Club Hotel

18:00 - 18:30

Dress Code For Military: Smart Casual

Buses Arrive to ADNEC

17:15 - 18:00

Al Ain Tour

Musculoskeletal Injuries In Adults & Children

08:00 - 18:30

09:00 - 18:00

Ultrasound-Trauma Life Support In Tactical Scenarios “USTLS-TS”

08:00 - 18:30

WEDNESDAY, DECEMBER 12th

Day 5

Day 4

Scientific Program

www.panarab2012-icmm.ae

- The Netherlands experience with frozen -80°C red cells, plasma and platelets in Combat Casualty Care

- Cervical Spine Mri Analysis In Asymptomatic Fighetr Pilots Flying F-16 And Mirage-2000

Scientiﬁc Paper Abstract Oral Presentation - see below -

Symposium O (Dubai Hall)

International Chairperson: Dr. Jean Bachet Local Chairperson: Maj. Dr. Mohammed R. Alkaabi (UAE)

Our experience at King Hussein Medical Centre

- The Role Of Computed Tomography In Evaluation Of Patients With Acute Abdominal Trauma.

Closing Ceremony Lunch Break/Exhibition/Poster Viewing

12:15 - 13:00

13:00 - 14:00

Dress Code For Non-Military: Ofﬁcial Or Smart Casual

Dress Code For Military: Ceremonial Uniform

Buses Start Round Trips From Hotels To ADNEC

Panel Discussion/Q&A Session

Keynote Speakers

Dr. Soliman A Mhd Ewis (Qatar) - Ramadan Fasting and Type 2 Diabetics: Inﬂuence of Regular Military Training

Dr. Mehmet Cetin (Turkey) - Prescription Behaviours Of General Practitioners While Working As A Reserve Ofﬁcer

Dr. Abulah Al Junaibi (UAE) - Prevalence And Modiﬁable Determinants Of Obesity Among School Children And Adolescents In Abu Dhabi

Dr. Trukhan Alexey (Belarus) - Treatment Of Patients With Explosive Defeats In The Act Of Terrorism

Dr. Asem A Al-Hiari (Jordan)

Preventive Measures And Management

Dr. Abdulrahman Al-Asmari (Saudi Arabia) - Venomous Bites And Stings Amongst The Armed Forces: A Review Of Risk Factors,

Dr. John F. Badloe (Netherlands)

Dr. Muntaser A. Husein (UAE)

Fitness Assessment And Readiness For Military Exercise Readiness In Military Training - Brig. Ret. Dr. Stephan Rudzki (Australia)

11:50 - 12:15

10:30 - 11:50

Military Aeromedical Evacuation Training - Mr. Wayne Hayman (UAE)

Physiotheraphy Management Of Neck Pain - Maj. Abduladheem Kamkar (UAE)

Aero Medical Evacuation Team Composition and Medical Equipment Requirements Maj. Dr. Salem K. Alnuaimi (UAE) Ultra-Long Haul Patient Movement On Civilian - Dr. Nadia Bastaki (UAE)

11:10 - 11:30

11:30 - 11:50

Injuries In Police Recruits - Maj. Dr. Reema Al Hosani (UAE)

Wartime Evacuations “Point Of Injury To Hospital” - Col. Dr. (ret.) James D. Pillow (USA)

10:50 - 11:10

Optimizing The Selction And Training Of Military Personnel UK Military Experience - Dr. Mark Rayson (UK)

Echelons Of Care And Current Triage Techniques In Combat - Col. Dr. Goksel Tamer (USA)

10:30 - 10:50

Symposium N (Abu Dhabi Hall)

Symposium M (Emirates Hall)

International Chairperson: Maj. Gen. Nam Taik Seo (Korea) International Chairperson: Senior Col. Dr. Mondher Yedeas (Tunisia) Local Chairperson: Lt. Col. Dr. Nasser Alnuaimi (UAE) Local Chairperson: Dr. Farah Alzaabi (UAE)

10:30 - 12:15

Scientific Program

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Keynote Speakers PLENARY SESSION I (Emirates Hall)

Lt. Col. Dr. Aysha Sultan Aldhaheri Deputy Commander ZMH Zayed Military Hospital, Medical Services Corps Abu Dhabi, United Arab Emirates Lt.Col. Dr. Aldhaheri is currently the Deputy Commander of Zayed Military Hospital, Abu Dhabi, United Arab Emirates since July 2010. Dr. Aldhaheri graduated from the United Arab Emirates University, Faculty of Medicine. She did her postgraduate in the United States were she earned a masterâ&#x20AC;&#x2122;s degree in health administration/ business administration as an outstanding student from the University of Colorado at Denver, USA. Dr. Aldhaheri was the recipient of the Eugenie Sontag Award for excellence in community service, academic performance, leadership and achievement in the year 2002. Lt. Col. Dr. Aldhaheri was one of the first female military physicians to participate in the international humanitarian mission during the war in Kosovo in 1991. Her long standing interest in delivering quality medical services during war time,both to UAE troops and to local communities in less fortunate countries, lead to her being the first female military physician to be deployed to Afghanistan. Furthermore, she was instrumental in establishing the USA / UAE joint Polyclinics in FOB Robinson, Helmand province providing high level of care to the Afghani locals.

Dr. Warren Lockette Deputy Assistant Secretary of Defense Health Affairs United States of America

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Keynote Speakers PLENARY SESSION II (Emirates Hall)

Col. Dr. Abdullah Alnaeemi Medical Director Zayed Military Hospital Abu Dhabi, United Arab Emirates Assistant Professor UAE Medical School, Consultant Cardiologist and Head of Cardiology department in Zayed Military hospital, Abu Dhabi, UAE. After graduation from high school in Dublin, He joined The Royal College of Surgeons in Ireland to graduate in 1991. He did his Medicine and Cardiology rotation for 6 years in Dublin hospitals before coming home in 1997. He did one year of Interventional Cardiology fellowship in Calgary , Alberta in Canada in 2001.In Zayed military hospital he established active Cardiology Dept. with aggressive Coronary and peripheral intervention. This is also backed by strong Cardiac surgical program. He has special interest in teaching and sharing presentations in different national and regional meetings.A founding member of the Emirates Cardiac society and a member of the Gulf heart association board of directors as well as the recently established GIM (Gulf interventional meeting) .For the community activities he lead a team of national doctors, nurses and paramedics for a large UAE campaign in establishing medical camps in the rural UAE areas. He’s chairing the Medical executive committee for Zayed military hospital since 2010. Chairman of scientific Committee of the 3rd PAN ARAB regional ICMM congress to be held in Abu Dhabi in December 2012 . Awarded the “ Clinical Performance Distinction Award” in 2011 conducted by Abu Dhabi Medical Distinction Award , Health Authority on Abu Dhabi Abu DhabI, UAE.

Col. Dr. Khalid Alfaraidy Director King Fahad Military Medical Complex (KFMMC) Cardiac Center Dammam, Kingdom of Saudi Arabia Dr. Khalid Abdulraheem Alfaraidy was born on the 5th of October 1967 in Riyadh, Saudi Arabia. He is the Director of KFMMC Cardiac Center since January 2009 and was recently appointed as Deputy Director of Medical Administration at King Fahd Military Medical Complex, Dhahran, K.S.A since May 2012. Recently, Dr. Khalid Alfaraidy received an Award from Professor Mohammad Rashed AlFagih Cardiac Research Award for the Best Research for the Year 2012 (Remarkable Reduction in Cardiac Mortality Associated with the Introduction of the Strategic Cardiac Hajj Interventional Program (SCHIP) in the Largest Gathering in the Planet). 28

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Keynote Speakers

Dr. Johnny Lau Assistant Professor, Consultant Orthopedic Surgeon University of Toronto Toronto, Canada Dr. Johnny Lau completed his medical school, surgical scientist training obtaining a Masters of Science degree, and Orthopaedic residency at the University of Toronto. He then completed a fellowship in complex foot/ankle reconstruction under the supervision of Dr.â&#x20AC;&#x2122;s Mark Myerson and Lew Schon. He returned to the University of Toronto working at the University Health Network â&#x20AC;&#x201C; Toronto Western Division as a Consultant Orthopaedic Surgeon specializing in foot/ankle reconstruction, and as an Assistant Professor in the Department of Surgery, Faculty of Medicine. His practice is focused on complex foot / ankle reconstruction, and he serves as the Orthopaedic foot/ankle consultant for many of the professional sports teams in Toronto (NHL, NBA, MLS, MLB) and the University of Toronto sports program. He is the past President of the Canadian Orthopaedic Foot and Ankle Society (COFAS), and the current Research Chair. He is also the current Editor-in-Chief of Orthopaedia, which is an internet textbook maintained by the American Orthopaedic Foot and Ankle Society (AOFAS). He was the Chair of the American Academy of Orthopaedic Surgeons (AAOS) Guideline for Treatment of Ankle Arthritis Working Group. He has been training fellows and residents for 10 years, and he coordinates the national residents preparation for the final exam in the foot/ankle section. His research interests involve the treatment of foot/ankle arthritis.

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Keynote Speakers PLENARY SESSION III (Emirates Hall)

Brig. Gen. W. Bryan Gamble Deputy Director, TRICARE Management Activity United States of America

Dr. Terry Martin Consultant in Anaesthesia and Intensive Care Director CCAT Aeromedical Training Medical Director, Capital Air Ambulance United Kingdom Terry Martin is an ex-Royal Air Force doctor and helicopter pilot with a broad-based background in anaesthetics, intensive care, emergency medicine, general practice, and aviation medicine. He has been involved in the organisation, practice, research and teaching of civilian and military aeromedical transport since the 1980s and has worked variously as the medical director at Europ Assistance in the UK, trauma registrar with the London Helicopter Emergency Medical Service, senior medical officer at the former RAF Institute of Aviation Medicine and, more recently, doing paediatric and adult retrievals for Auckland Air Ambulance in New Zealand. Dr Martin’s extensive military medevac experience includes a spell for the medical service of the Royal New Zealand Air Force and, as well as his peacetime air force roles, Dr Martin has had real-time disaster management experience and war service as squadron commander and senior medical officer with an RAF Aeromedical Evacuation Squadron.Currently, he is a consultant anaesthetist and intensive care tutor in southern England, and a part-time flight physician and aeromedical medical adviser. In addition he designed, founded and now directs a suite of aeromedical courses run by the CCAT organisation. These include the introductory ‘Clinical Considerations in Aeromedical Transport’ course, as well as an advanced programme as well as the ‘Medical Emergencies in Flight’ and the ‘Helicopter Medical Flight Crew’ courses in the UK and in other locations such as Istanbul, Abu Dhabi, Athens, Muscat and Montreal. Between 2004 and 2008, Dr Martin designed and directed the University of Otago suite of distance-taught aeromedical retrieval and transport courses and is now working with other institutes to extend the scope and teaching of extreme environments medicine in a range of new courses and qualifications. Dr Martin is a prolific writer and speaker on the subject of medical transportation, and he is an examiner in the new Diploma of Retrieval and Transport Medicine at the Royal College of Surgeons of Edinburgh. He is also a Board Director of AMREF Flying Doctors, part of the largest NGO in Africa, as well as being the Medical Director of Capital Air Ambulance in southern England. In his spare time, Dr Martin is a helicopter pilot, flying the navy Westland Wasp. 30

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Keynote Speakers

Lt. Col. Dr Ahmed M. Alsaadi Consultant, Cornea and Refractive Surgeon Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr. Alsaadi graduated from the Faculty of Medicine and Health Sciences in Al Ain in 1999. He completed his internship in Tawam and Al Ain hospitals in July 2000.. He joined Ophthalmology program in McGill University, Canada, July 2001 and graduated in 2006 from the Royal College of Surgeons Canada. Following that he obtained a fellowship in cornea and anterior Segment from the University of Montreal in the year 2007. He completed his Executive Masters in Healthcare Administration in 2010 with (Distinction with Honour). He has been working in ZMH, the largest military hospital in the country since 2007. He established the Cornea transplant program in the year 2008 in ZMH.. He also introduced the up to date cornea procedure to ZMH. He has done more than 1500 Refractive procedures. He is actively involved in teaching in the UAE University and various residency programs in the UAE. He has a special interest in Keratoconus. He worked as a Chief Medical Officer of Zayed Military Hospital from Aug. 2011 - Oct. 2012.

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Keynote Speakers PLENARY SESSION IV (Emirates Hall)

Col. Rafael De Jesus Deputy, Medical Corps Joint Staff Surgeon Washington DC, United States of America

Lt. Col. Tammy Pokorney Aero medical Evacuation and Medical Operations Planner, Air Force Central Command United States of America Lieutenant Colonel Tammy D. Pokorney is the Aeromedical Evacuation and Medical Operations Planner for Air Force Central Command. Shaw Air Force Base, South Carolina. She is deployed from her Flight Command at the Mike O’Callaghan Federal Medical Center, 99th Air Base Wing, Nellis AFB, Nevada. Her current responsibilities support patient movement intra and inter-theatre for the United States Central Command Area of Responsibility. She advises on contingency and peacetime patient movement requirements to include plans, exercises, and deployments. She develops and validates operational patient movement oversight for more than 250 members supporting Coal ition and US Forces. Lieutenant Colonel Pokorney hales from Mustang, Oklahoma. She graduated from the University of Oklahoma Health Sciences Center with a Bachelor’s of Science in Nursing degree and received her Air Force commission as a Second Lieutenant from the Reserve Officer Training Corps in 1993. In August 1993, she had her first assignment as a Nurse Intern at David Grant Medical Center, Travis Ai r Force Base, California. Since that time, she has held various positions as Nurse Manager, Flight Commander, Med ical Planner, and Executive Officer in both inpatient and outpatient settings as well as in a flying assignment. She has deployed as the Air Force medical planner for Joint Task Force Civil Support, trauma nurse in an Army Hospital on a Forward Operating Base, as the Officer in Charge of an Aeromedical Evacuation Operations Team, and as the joint Patient M ovement Requirements Center Trainer and Liaison Officer for Transportation Command’s Regulating and Command & Control Evacuation System.

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Keynote Speakers

Lt. Col. Dr. Nasser Alnuaimi Commanding Officer of UAE AF Medical Center, Chief Flight Surgeon, Commander Aeromedical Training Center, Medical Services Corps / UAE Armed Forces Abu Dhabi, United Arab Emirates

Faculty Profiles

Lieutenant Colonel Doctor Nasser ALNUAIMI is currently the commander of the UAE Air Force and Air Defense Medical Centre and Chief Flight Surgeon. His current responsibilities are to command and oversee the overall health and wellbeing of Air Force and Air Defense personnel. He serves as the medical advisor to the Air Force commander, providing advice and coordinating issues related to aviation medicine and readiness among the general staff and especially aircrew. He graduated from the Faculty of Medicine and Health Sciences in Al Ain in 1995. He completed his internship in Tawam and Al Ain hospitals in July 1997. He joined the Aerospace Medicine Masters program at Wright States University, Dayton, Ohio 1998. And he completed the MS Avi. Med. requirements on 2000. He completed his Master of Business Administration from the American University in Dubai in 2006. LTCOL Alnuaimi has 12 years of aviation medicine practice experience and 25 years of military service including early years of study as a cadet.

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Faculty Profile

Lt. Col. Mohamed A. J Alansari Search & Rescue Department Head – Abu Dhabi Police Abu Dhabi, United Arab Emirates Lt. Col. Mohamed A. J Alansari is the head of search & Rescue department – Abu Dhabi Police. He served as the Field Liaison Officer with the UN and was a member of the foundation team to the search & rescue department. Lt. Col. Mohamed A. J Alansari also served as the Chairman of the International Search and Rescue Advisory Group (INSARAG) Africa/Europe/Middle East Regional Group. He holds a Bachelor Degree in Law and Police Sciences Diploma

Maj. Dr. Reema Alhosani Specialist Sports Physician Medical Service Administration of Abu Dhabi Abu Dhabi, United Arab Emirates Reema Mohd Alhosani, a graduate of Faculty of Medicine and Health Science (UAE) in 1994, completed internship in 1995. Trained in Al-ain/Tawam hospitals for 18 months in surgical departments (general surgery, orthopaedic, plastic, and neurosurgery). Joined in Mafraq and managed trauma cases. Completed the two years training program for MRCS. Resigned in July 2004 and joined Abu-Dhabi police in August 2004 till now. Completed my Master and PhD degrees in sports medicine in 2008 and 2012 consecutively. She’s a doping officer and instructor in Asian Football Federation. She headed many departments like, x-ray department in the medical service for 4 years, surgical speciality department for 1 year, specialized clinics department from April 2012 till now. Pass middle management/leadership course and was first on the class. She won the minister of interior excellence prize (GHQ) 2011.

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Faculty Profile

Mr. Saeed Al Jasmi Head of Business support and development Medical Logistic Center Abu Dhabi, United Arab Emirates Saeed Al-Jasmi is currently the head of business support and development in Medical Logistic center in UAE armed forces, as well as the Chairman of the Abu Dhabi Health Authority radiography examination board and licensing committee. Saeed Al-Jasmi holds: - Bsc. In Diagnostic imaging form UK, - MSc. In Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) - UK - MBA â&#x20AC;&#x201C; Master in Business and administration - Certificate in medical physics and health informatics systems - Certificate in procurement and project management

Lt. Col. Dr. Nawal Alkaabi Sheikh Khalifa Medical City Abu Dhabi, United Arab Emirates Dr. Nawal Alkaabi graduated with an MBBS from UAE University in Al Ain, UAE . She became certified as a Fellow in Pediatrics through the Royal College of Physicians in Canada in 2002 and again in Pediatric Infectious Disease in 2004. Additionally she completed an Infection Control Fellowship at the Childrens Hospital of Eastern Ontario, University of Ottawa in Canada. She is also American Board Certified (2001). Prior to her post at Sheikh Khalifa Medical City she was a consultant at Zayed Military Hospital, Abu Dhabi, UAE. She has been Division Head of Pediatric Infectious Disease at SKMC since 2007 , Paediatric residency Program Director since April 2010, Deputy DIO, Education Institute: Shaikh Khalifa Medical City, UAE since Feb 2012 and SEHA infection Control Committee since September 2012. Dr. Alkaabi main interests are Vaccination, Multidrug resistance organisms, Infection Control and Medical Educations. www.panarab2012-icmm.ae

Faculty Profile

Maj. Dr. Mohammed R. Alkaabi Consultant Medical Microbiologist Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr. M. Alkaabi earned his MBBS from the Faculty of Medicine and Health Sciences in Al Ain in 1999. After completing his internship in Al Ain he joined Medical microbiology program at the University of Alberta, Edmonton, Canada in 2001 and graduated in 2006 from the Royal College of Physicians Canada. He earned also, the American Board of Medical Microbiology and Public Health in the same year. He was seconded to Tawam Hospital -a tertiary health care hospital and cancer institute in Al Ain- from 2006 to 2010 as a consultant microbiologist. Joined Zayed Military Hospital in 2010. He has been working in ZMH in Abu Dhabi as a Clinical Microbiologist supervising the sections of microbiology, serology, TB lab and molecular biology. He is also, a member of the infection control committee. Dr Alkaabi is involved in family medicine residency programs teaching. His area of interest is antibiotic susceptibility testing and antimicrobial resistance.

Mr. Khudooma Alnaimi Abu Dhabi Police Abu Dhabi, United Arab Emirates Expert Khudooma Alnaimi graduated from the Faculty of Sciences in the UAE University in Al Ain in 1999 with B.Sc in Biological Sciences. He completed in 2008 his MSc. in forensic anthropology in the University of Central Lancashire in the United Kingdom. He is studying part time MBA program in the University of Strathclyde of UK in Abu Dhabi. He is currently working in the Forensic Biology section, Department of Forensic Evidences in the General Directorate of Abu Dhabi Police, ministry of interior which he joined in 2001. His duties include attending crime scene investigation, laboratory examination of evidences, and training new staff. His research interest includes forensic anthropology (e.g. the effect of firearm on human bone), forensic biology, forensic entomology and facial comparison and skull-photo superimposition of unknown persons. He is a member in the American Academy of Forensic Sciences and the international Association of Identification. He participated in 2005 in the identification of war victims in Bosnia and Herzegovina using forensic anthropology. He has attended several local and international conferences and workshop. He contributed by a chapter in 2008 in published book on forensic DNA in the United States of America. 36

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Faculty Profile

Dr. Asma Alnuaimi Head of Pediatric department Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr. Al Nuaimi graduated from the Faculty of Medicine and Health Sciences in Al Ain in 1999. She completed her internship in Tawam and Al Ain hospitals in July 2000.. and afterwards joined Zayed Military Hospital , in the year 2001 she pursued further training in Canada, in which she joined the pediatric residency training program in Calgary in July 2001 and graduated in 2004 from the Royal College of Surgeons Canada and as well American board of pediatrics as a general pediatrician. Following that she obtained a fellowship training in pediatric pulmonary/ Respirology at Alberta childrenâ&#x20AC;&#x2122;s hospital in Calgary with special focus on intensive care . She joined back Zayed military hospital in October 2006, and has been appointed the head of pediatric department since April 2011. She completed an Executive Masters in Healthcare Administration in 2010 with honors, and currently completing her master degree in biomedical ethics and law with special focus on military ethics, She has been active in multiple hospital administrative committees including chairing the ethical committee for zayed military hospital, She is a part time pulmonologist at Sheikh khalifa hospital another major tertiary hospital in Abu Dhabi and have helped establish the UAE pediatric pulmonary group which has an active role in teaching and raising awareness in the city of Abu Dhabi in regards to common pediatric pulmonary problems for pediatricians and the general practitioner. Participated in teaching at many levels of undergraduate, post grad in UAE university and Arab board programs, and as well in putting the guidelines for the health authority of Abu Dhabi for common respiratory problems

Maj. Dr. Salem B. Alnuaimi Abu Dhabi, United Arab Emirates Finished Medicine From Faculty of medicine at UAE University on 2000. Then went to University of Toronto and did the Residency Program and 2 years of fellowship in Joint replacement and Foot and Ankle. Currently head of Department At ZMH. Practicing Foot and Ankle Surgery, Joint replacement, Trauma. www.panarab2012-icmm.ae

Faculty Profile

Major. Dr. Salem K. Alnuaimi Consultant Orthopedic, Head of Department Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr. Salem graduated from the Faculty of medicine and health sciences in Al Ain 2001. He had his master degree in Aviation Medicine in 2006 from aero medical institute in Cairo, Egypt. He is Medical officer and his position is flight surgeon in UAE air force. He received basic and advance military training in Jordan, Cairo and USA. He has been deployed in Afghanistan in 2010(ISAF). Dr. Salem attended many UAE AF exercise training in Jordan and USA. He also posted with UAE Air Force in Italy, Task Force 211 with NATO in the war against Gadafi for freedom of Libya. In military service he received numerous awards.

Col. Dr. Aiman Alsumadi Consultant OBGYN Jordanian Royal Medical Services Jordan Col. Dr. Aiman Alsumadi is a consultant OBGYN and Reproductive medicine in the Infertility and ART unit at King Hussein Medical Centre. Before that he served as planning officer at the planning department of Jordan Royal Medical services and worked previously as training officer at the training and professional development department of the Jordan Royal Medical Services. He is the Chairman of Scientific Committee of the Jordanian Society of OBGYN and the Jordanian Society of Fertility and Genetics, also he is a member of the Jordanian Representative Committee of RCOG. Col. Dr. Aiman Al Sumadi had been working as Clinical Assistance Professor at OBGYN Department of the Jordan University and after that at Hashemait University, and was a lecturer of Midwifery Program in the Nursing Faculty of Mutâ&#x20AC;&#x2122;a University. Col. Dr. Aiman Al Sumadi is a member of editorial board of the Evidence Based Women Health Journal and Jordanian Journal of OBGYN, as well as being a member of the Scientific Committee of many conferences in Jordan and ALSO Jordanian Group. 38

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Faculty Profile

Maj. Dr. Farah Alzaabi Consultant in Family Medicine and Chronic Pain Management, Zayed Military Hospital Abu Dhabi, United Arab Emirates Major Doctor/ Farah Saeed Alzaabi began working at Zayed Military, hospital in 2006 as a consultant in Family Medicine & Chronic Pain Management after getting her canadian certificate in family medicine and two fellowships in medical education and chronic pain and addiction from the University of Toronto.To improve her administrative and leadership skills in 2011, she got her Excutive Master in Health Administration from, Zayed University, Abu-dhabi . She has been a key person in the hospital for her eagerness to improve healthcare system as well as healthcare providers at different levels. She became the medical education director in (january /2010) when she started leading different training and educational programs and activities within the hospital . Dr . Farah’s ambition, dedication and hard working took her to many places and positions like being an active member in the executive committee of recruitment at ZMH, JCIA committee, in family physicians liscencing committee for Abudhabi health authority, Abu-Dhabi Medical Award and Clinical Assistant professor in the Department of Family Medicine, College of Medicine, at the UAE University. Being an active person, she participated in many events nationally. Oral presentation, Challenges in pain management in primary care, WONCA Middle East, Dubai, 2011. •

Oral presentation, Chronic pain in elderly, family medicine conference, Arab health congress, Abu-Dhabi, 2010. •

Workshop in chronic pain Management for primary care, the Fourth Al Ain CME Update in Family Medicine, 2009 and internationally like: •

Oral presentation, chronic pain and addiction, Updates on Chronic pain Management symposia, Riyadh, KSA, 2007. •

• Oral communication of abstract: Motivational interviewing: a family practice guideline,13th

WONCA Europe conference, Paris, France, 2007.

• Free

paper presentation,18th WONCA World Conference, Singapore, 2007. Awarded for outstanding and got Certificate of Merit for the first paper “family physicians and alcoholism: family- centered approach”.

• Poster

Presentation, the 25th. Annual Scientific Meeting of the American Pain Society, San Antonio,TX, 2006.

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Faculty Profile

Maj. Dr. Reem Alalawi Specialist ENT Specialist Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr. Alalalwi is an otolaryngologist in Zayed Military Hospital in UAE. She graduated from the Arabian Gulf University in Bahrain in 2003. She completed her internship in Mafraq in 2004. Then she joined ENT department in ZMH. She received a MSc in voice pathology in 2011 from University College London in UK. She has a special interest in phoniatrics and phonosurgery

Maj. Dr. Fayza Alameri Specialist Family Medicine Zayed Military Primary Care Centre Abu Dhabi, United Arab Emirates Dr. AL Ameri is Specialist Family Physician in Zayed Military Primary Care Centre, Abu Dhabi, UAE. She Graduated from Dubai Medical College in Dubai in July 2004. She joined The Royal College of General Practitioners (international) in August 2010. She joined family medicine residency program in Dubai under Dubai Health Authority for 4 years. She obtained the Arab Board in February 2011. She is an international examiner of the membership examination of the royal collage of general practitioners since Sep. 2011 She is a lecturer in evidence based medicine & critical appraisal of medical Publications since 2009. She is actively involved in medical education and is going to lead the family medicine residency program of zayed military hospital that will start in August 2013.

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Faculty Profile

Maj. Dr. Saif Albedwawi Infectious Diseases Consultant Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr. Albedwawi graduated from the Faculty of Medicine and Health Sciences in Al Ain in 1999. He completed his internship in Tawam and Al-Ain hospitals in July 2000. He joined Internal Medicine program in Dalhousie University, Canada, Aug 2001. He is certified by the Royal College of Surgeons Canada and American College of Physicians. . Following that he completed a fellowship in Infectious Diseases from the University of Ottawa in the year 2007. He completed his Executive Masters in Healthcare Administration in 2010. He has been working in ZMH since 2007. He established the Infection Control Dept in ZMH in 2008. He is representing the Medical Services Corps in the National AIDS program and leading the UAE Armed Forces Collaborative AIDS program.

Maj. Dr. Saleh S Fares Aal Ali Emergency Medicine Consultant Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr. Saleh is the first Canadian and American board-certified emergency physician from the UAE (UAE). He completed his medical education at the Royal College of Surgeons in Ireland. He then completed the Royal College Emergency Medicine Residency Program at McGill University in Montreal, Canada (2002-2007) after which he completed a fellowship in clinical Emergency Medicine and Emergency Medical Services (EMS) at the University of Toronto in Canada (2008) followed by a Disaster Medicine Fellowship at Harvard Medical School in Boston, USA as Harvard’s first Disaster Medicine fellow (2009) during which he lead several local and international projects. In May 2011, he obtained his MPH from Johns Hopkins Bloomberg School of Public Health at which he is currently enrolled in a DrPH program in Health Care Management and Leadership at the same school as part of a special cohort from Abu Dhabi which is intended to create a “learning network” of health care leaders who will help ensure the excellence of health care system in Abu Dhabi and the UAE. Dr. Saleh is currently an Emergency Medicine Consultant at Zayed Military Hospital and is the chairman and member of several important committees and projects, including the Trauma System Initiative of the Emirate of Abu Dhabi and the Higher Security Committee of Events, the Higher Medical Disaster Committee in Abu Dhabi, to mention few. He has also led and participated in several Emirati medical humanitarian teams in international missions. He is the founder and president of the Emirates Society of Emergency Medicine (ESEM) and actively playing a leading role in planning the future of emergency healthcare locally and has presented in several conferences regionally and internationally. www.panarab2012-icmm.ae

Faculty Profile

Dr. Abdulla Alreesi Emergency Medicine Consultant Sultan Qaboos University Hospital, Muscat Oman Clinical Prifile Emergency Medicine Consultant at Sultan Qaboos University Hospital (Current) July 2008 till today, Muscat, Oman, Emergency Physician(Consultant) and research Fellow at The Ottawa Hospital (2007/2008) Ottawa, Ontario, Canada, Residency Program at the University of Ottawa from 2002-2007, Ottawa, Ontario, Canada, Academic Profile • Emergency Research Fellowship (Ottawa, Canada) 2007-2008 • Master of Epidemiology and Community Medicine (MSc) 2009 • American Board Certificate in Emergency Medicine (ABEM) November 2008 • FRCPC-Emergency Medicine Specialty Certification (Fellow of the Royal College of Physicians and Surgeons of Canada) June-2007 • 2002-2007: Royal College of physicians and surgeons of Canada residency program in emergency medicine • MD, Sultan Qaboos University 1999 Awards: Young investigator research awarded by American college of emergency physicians 2012 He is an author and co-author of many published studies in his specialty.

Lt. Col. Dr. Abdulla Alremaithi Consultant Radiologist and Head of Department of Imaging Studies, Zayed Military Hospital Abu Dhabi , United Arab Emirates Lt Col Dr. Abdulla Alremeithi born in UAE 1968 Graduated at Royal College of Surgeon 1994. Served in ZMH 1994-98. 1998 Joined the diagnostic Radiology training program at university of Alberta and graduated in 2003. 2003-2004-Done the general MRI fellowship at university of Alberta, Canada. 2004- Rejoin Radiology Dept at ZMH as Consultant Radiologist. 2007- Appointed Head of Scientific Local Committee for Arab Board Radiology Program in UAE. 2008- Appointed Head of Diagnostic image 2009-2011 Examiner at Arab Board radiology Damascus Syria 42

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Faculty Profile

Brig. Gen. Dr. Saud Saleh Alsaif Consultant ENT Surgeon, Head of ENT Departement, King Fahad Military Medical Complex Kingdom of Saudi Arabia Brig. Gen. Dr. Saud Saleh Alsaif is a medical & technical assistant of eastern province military hospital director, Dhahran – KSA. He is the president of Pan Arab federation of ORL-H&N surgery societies and vice presedent of saudi ORL-H&N surgery society.

Dr. Arwa Ali Alsayed Consultant in Periodontics and Dental Implants Riyadh Armed Forces Hospital Riyadh, Kingdom of Saudi Arabia Dr. Arwa has graduated from king Saud University with honour in 1989. In 1993 She did training in Periodontology at Dalhousie University in Halifax – Canada. In 1996 She obtained a Master of Dental Implants from the University of Toronto in Toronto – Canada she developed a new design for the Endo-Pore dental implant system and won the price of the best thesis in Toronto for that year. In 2001 She obtained a second Master degree in advanced clinical training in Periodontology and Dental Implant from Eastman Dental Institute at University Collage London in UK – she was graduated with distinction. In 2009 she became an associate editor in the dental section at the Saudi Medical Journal In 2010 she was awarded with King AbdulAziz First Medal Price at the Kingdom of Saudi Arabia for discovering gene polymorphism in druginduced gingival hyperplasia in kidney transplant patients. Currently she works as: Consultant in Periodontics and Dental Implants at Riyadh Armed Forces Hospital, Head of Periodontics and Dental Implant Sections Chairman of the Saudi fellowship program in Dental Implants Director of the Saudi Board in Periodontics, Head of Dental Research Centre

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Faculty Profile

Lt. Col. Dr. Ashraf Alzaabi Head, Respiratory Division Zayed Military Hospital Abu Dhabi, United Arab Emirates He graduated from The Royal College of Surgeons in Ireland 1997. He then joined the residency training in Internal Medicine at the University of Toronto 2000-2004. Following that he completed a fellowship in Respirology from the same University in the year 2005. He completed his Executive Masters in Healthcare Administration with honors in 2010. His research interest is in the field of Asthma and COPD.

Dr. Warner Anderson United States of America

Warner Anderson MD FACP, a physician and medical anthropologist, is Director of the International Health Division. He reports to the Deputy Assistant Secretary of Defense for Force Health Protection and Readiness, and advises the Assistant Secretary of Defense (Health Affairs) on global health matters. International Health is responsible for health policy in stability operations, humanitarian assistance and counterinsurgency. Dr. Anderson is a retired US Army Reserve colonel. He joined the National Guard’s 20th Special Forces Group (Airborne) at 17 years old, and left service 7 years later as a sergeant first class (E-7). He was a Special Forces engineer sergeant and medical sergeant, with additional designation in psychological operations. Dr. Anderson re-entered military service after an 18-year hiatus, commissioned an Army Reserve captain in the Medical Corps. He served 2 years as Chief of Internal Medicine for a mobile army surgical hospital (or “MASH”). He also was medical consultant at the US Air Force Pararescue School, where he participated in search missions for 7 years. Anderson served as battalion surgeon for a reserve Special Forces battalion, and became the 19th Special Forces Group (Airborne)’s group surgeon. After 6 years as group surgeon, Anderson transferred to HHC, US Army Civil Affairs and Psychological Operations Command, re-attached to 19th SFGA as “Group Surgeon Emeritus.” After September 11, 2001’s terrorist attack COL Anderson volunteered for a year, which grew into 5 ½ years, of mobilization in the Global War on Terror (GWOT). On active duty at the Joint Special Operations Medical Training Center, he was deputy commanding officer and associate dean. He 44

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Faculty Profile evaluated the Special Operations Combat Medic Course for Special Forces, SEALs, Rangers and Recon Marines; and re-wrote the curriculum for special operations medicine in GWOT. He performed additional duty as medical director for the Defense Intelligence Agency’s Weapons of Mass Destruction Team. COL Anderson deployed to Operation Iraqi Freedom in March, 2003 with the National-Level Public Health Team of the 352nd Civil Affairs Command. After an ambush in April, 2003 resulted in serious injuries to several team members, he became the team’s chief, and led in establishing early health services in Iraq. When the Coalition Provisional Authority stood up, he was Chief of Public Health for the CPA. COL Anderson returned to Iraq in 2006, this time as surgeon and combat medic for the Iraqi Counterterrorist Force. During this deployment, COL Anderson provided combat casualty care for Iraqi Special Operations Forces (ISOF) troopers, enemy wounded, and rescued hostages. He re-wrote the Basic Medic Course for Multi-National Security Training CommandIraq (MNSTC-I), wrote the curriculum for the ISOF and Iraqi Advanced Trauma Medic courses, and had them translated into Arabic. He oversaw the first iteration of the new ISOF BMC training. COL Anderson’s “one-year” mobilization ended after 5-1/2 years. He retired from the Army Reserve and returned to the Indian Health Service, from which he was detailed to his present position. In 2011 he converted to Defense Department civil service as a supervisory physician GS-15, retaining directorship of the International Health Division. In civilian life, Anderson established 3 free clinics in the 1970’s as a community advocate (two of these clinics are still providing care), while earning a Bachelor of Science degree in behavioral science at the University of South Florida. He completed physician assistant school, attended graduate school in biomedical sciences, and then medical school at Florida State University and the University of Florida. He completed classes for an anthropology doctorate while earning his doctor of medicine degree. Dr. Anderson completed residency in internal medicine at the University of New Mexico. He worked 2 years in the National Health Services Corps in Gallup, NM, with low-income Spanish-speaking patients. He worked in private practice internal and critical care medicine for 2 years, then became director of emergency medicine for a non-profit hospital. He re-entered civil service as chief of emergency medicine at the Indian Health Service’s largest hospital, directing care for 85,000 Navajo Indian patients per year. He served as EMS medical director for the county, city, and a district of the Navajo Nation. He was a member of the New Mexico EMS Licensing Commission and a New Mexico district medical investigator, as well as sheriff’s SWAT medic. Dr. Anderson was also flight surgeon and medical director of the Navajo Area Indian Health Service aeromedical transport service. Dr. Anderson has been recognized with Fellowship in the American College of Physicians, as New Mexico EMS Physician of the Year, and other civilian awards. Military awards and certifications include the Legion of Merit, Bronze Star with Valor Device and 2 oak leaf clusters, Purple Heart, Meritorious Service Medal with oak leaf cluster, Joint Services Commendation Medal; Army Commendation Medal, Army Achievement Medal, Special Forces Tab, Combat Action Badge, Army and US Public Health Service Flight Surgeon Badges, US Army Parachutist Badge, Order of Military Medical Merit, parachute badges of Thai Special Forces, Thai Royal Marines, and Mongolian Smoke Jumpers; and other awards. Dr. Anderson is bilingual in Spanish; and speaks elementary Romance languages, Navajo and is learning Arabic. In the military, he has provided medical care in Thailand, Mongolia, Honduras, and Iraq.

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Faculty Profile Dr. Nadia Bastaki Senior Medical Officer, Aviation Department Etihad Airways Abu Dhabi, United Arab Emirates Dr Nadia Qassim despite her young age, has reached a milestone in a niche medical practice as she is the first female UAE national with Aviation Specialist in the region Her medical educational pathway started by obtaining MD degree from University of George T Popa in 2004. She then successfully completed her Internship program at Dubai Health Authority in 2005 followed by enrolling in residency program in family medicine, it was during her residency program that she pursued a serious interest in Aviation Medicine and pursued her ambition by enrolling into Kingâ&#x20AC;&#x2122;s College where she has successfully completed a postgraduate degree in Aviation Medicine from Kings College London in 2009, she is also a proud member of Royal College of Physicians, faculty of Occupation Medicine UK. She recently completed her advanced Post Graduated Diploma in Occupational medicine from Manchester University and currently completing her Master in Occupational Medicine; She Heading the Etihad Airways Medical Center as Senior Medical Officer and leading the Aviation Department at the Etihad Airways. In her pocket of achievements: She is registered as the first female UAE national as senior Aeromedical Examiner by the GCAA soon after she became a committee member in civil aviation authority assisting and in formulating the policy procedures and regulations for the GCAA. She is also GCAA instructor Today she is the focal point for GCAA related matters and issues within Etihad. she also recognized as first Medical Review Officer in the region reviewing all positive Alcohol and drug cases she is also designated as a fatigue instructor and Aviation instructor my the Civil aviation Authority . Dr Nadia is a key member of the medical team at Etihad involved in drafting and developing the internal medical policies and the procedure policies of the medical department. She also a part of training Advisory board for UAE national .She also introduced Continuous Medical Education (CME) for her fellow colleagues including both Doctors and Nurses because of her commitment and belief to enhance best medical practice and skills she has been involved in many Aviation training programs for local specialist In 2010 she received award for her hard work and dedication towards the Aviation medicine field by the GCAA and in 2011 she received an award for female role model in Aviation by the GCAA she also has several certificates of appreciation till date

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Faculty Profile

Dr. Omar Batouk Assistant Professor , KSAU-HS (King Saud bin Abdulaziz University for Health Science)- College of Medicine Jeddah, Kingdom of Saudi Arabia Dr. Omar Batouk is the head of foot and ankle club in SOA and he is a consultant orthopedic surgeon. He is an instructor of Advanced Trauma Life Support (ATLS) and holds the following: Saudi Specialty certificate SSC (orthopedics) Jordanian Medical Board JMC (Orthopedic) Fellow of Royal College of Physician and surgeon of Canada FRCSC Sports Injuries fellowship at University of Toronto Arthroplasty and Reconstruction surgery fellowship at University of Toronto

Col. Prof. Fethi Bayoudh Chef de service de pédiatrie Hôpital militaire de Tunis Tunisia Postes actuels : 1. Chef service de pédiatrie hôpital Militaire de Tunis. Tunisie 2. Directeur de l’école d’application du service santé des armées 3. Directeur du DICA de Tunis (droit international de conflit armé) Diplômes: 1. Doctorat de médecine 1984 (faculté de médecine de Tunis) 2. Spécialiste de pédiatrie 1988 3. Professorat de médecine en 2008 Publications Médicales : 1. Pédiatrie générale 2. Neuro-pédiatrie (Les différents aspects de l’épilepsie de l’enfant) Médico-militaires : 1. Caravanes de Santé 2. Psychotraumatisme de l’enfant lors des séismes 3. La circoncision, l’infibulation des filles en Somalie Centres d’intérêt : 1. Neurologie pédiatrique 2. Action humanitaire des armées 3. Droit humanitaire et conflit armé www.panarab2012-icmm.ae

Faculty Profile

Mr. Greg Chapman Director of the Center for Prehospital Medicine, Department of Emergency Medicine, Carolinas Medical Center (CMC), Charlotte, North Carolina, USA Chapman a life long educator, author and presenter, is the Director of the Center for Prehospital Medicine within the Department of Emergency Medicine at Carolinas Medical Center (CMC) in Charlotte North Carolina. CMC is a large level 1 trauma center and tertiary care center. The Emergency Department sees over 115K patients per year from the greater Charlotte catchment area. Prior to moving to Charlotte Chapman was the Department Chair of the Institute for Prehospital Medicine within the New York State College system for 21 years. He is also the Vice Chair and executive committee member of the Pre Hospital Trauma Life Support (PHTLS) programs for the last 20 years. In his role as vice chair Chapman has been instrumental in the development and promulgation of PHTLS worldwide. Chapman has presented on Trauma and Prehospital topics in over 15 countries.

Col. Dr Johan Crouse Medico Legal South African National Defence Force South Africa Jakobus Johannes (known as Johan) Crouse from South Africa initially studied commerce and law and obtained the degrees B.COMM and LLB. His interest in the relationship between medicine and the law resulted in him also studying in the medicine field and he inter alia obtained a university qualification: in medicine and the law and thereafter specialised in the medico â&#x20AC;&#x201C; legal environment. After being in practise for many years he was requested to join the South African military health service in the South African Military and became the head of the Medico Legal Department and as part of this function the specialist adviser to the surgeon general. He was also appointed as judge and thereafter senior judge in military courts as well as a judge in the Military Appeals Court. His medical knowledge assisted greatly in cases based on medical and forensic evidence During 2005 he became an international teacher in the law of armed conflict and military medical ethics Switzerland is for the past 3 years the head of the international teachers in the ICMM reference centre on the law of armed conflict and military medical ethics in Switzerland. During 2007 he was also requested to be the Deputy Chairman in the ICMM Technical Commission on Education Personal: He is married with 4 children, active as an equestrian in riding and teaching and a pilot also on Boeing 727 aircraft. 48

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Faculty Profile

Col. Dr. Mostapha Debboun Chief, Department of Preventive Health Services US Army Medical Department Center & School Texas, United States of America Colonel (Dr.) Mustapha Debboun is a Medical and Veterinary Entomologist in the US Army Medical Department. He has worked in public health and preventive medicine operations, research and development of arthropod repellents and personal protective measures. His assignments and field work took him to over 25 different countries in Africa, Asia, Australia, Europe, Central and South America. His main goal is the integration of medical entomology with other operational public health fields to provide efficient and sustainable management of disease vectors and troop protection from the vector-borne disease threat. COL Debboun has served in a wide variety of military leadership and staff positions and is currently the Chief of the Department of Preventive Health Services at the Academy of Health Sciences in Fort Sam Houston, Texas. He is a Board Certified Medical and Veterinary Entomologist, Director-Elect of the Entomological Society of America Certification Board, Adjunct Associate Professor in the Division of San Antonio Regional Campus at The University of Texas Health Science Center at Houston, and serves as U.S. Department of Defense Liaison to the Scientific Review Committee of the International Committee of Military Science for the International Review of the Armed Forces Medical Sciences. COL Debboun is nationally and internationally recognized for his work on arthropod repellent research and development. He has authored and co-authored over 75 publications and two books. Some of his professional awards include Agricultural Research Service Award, Order of Military Medical Merit, the Surgeon Generalâ&#x20AC;&#x2122;s A Professional Proficiency Designator, and Distinguished Service Award to the Certification Program of the Entomological Society of America.

Dr. Ehab Farhan Consultant of Orthopaedics Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr. Ehab Farhan is a consultant in Trauma and Ortho at Zayed Military Hospital; he worked previously as a consultant in Trauma and Ortho at Al-Hada Armed Forces Hospital â&#x20AC;&#x201C; KSA. He holds a MBBch from Cairo University and MSc Ortho from Cairo University as well as FRCS from Ireland. www.panarab2012-icmm.ae

Faculty Profile

Col. Dr.Theresa S. Gonzales Communications Director- Office of the Army Surgeon General, United States Army, Chairman of the ICMM Technical Commission on Dentistry Virginia, United States of America Dr. Gonzales recently returned from Europe after completing a highly successful tour as the Commander of the Bavaria Dental Activity. For the past 6 years, Colonel Gonzales has commanded formations and has deployed to Iraq with the 1st Medical Brigade as the Chief of Clinical Operations. Prior to her successive command selections, she served as Director of Orofacial Pain Management and a Staff Oral and Maxillofacial Pathologist at Tripler Army Medical Center in Honolulu, Hawaii. Theresa graduated Magna Cum Laude from the College of Charleston with a B.S. in Chemistry and received her D.M.D. from the Medical University of South Carolina. Colonel Gonzales began her military career at Fort Jackson, South Carolina as a resident in the Advanced Education in General Dentistry program. She then completed a residency training program in oral and maxillofacial pathology in 1992 at the National Naval Medical Center in Bethesda. In 2006, she completed a two-year fellowship in Orofacial Pain at the Naval Postgraduate Dental School and completed a Master of Science in Health Care from George Washington University in Washington, DC. From 1994 to 1998, Dr. Gonzales taught in the Department of Diagnostic Sciences at Baylor College of Dentistry in Dallas, Texas. During her tenure at Baylor, she was a perennial favorite and was nominated no less than three times as “Teacher of the Year.” COL Gonzales has earned Fellowship status with the American Academy of Oral & Maxillofacial Pathology, the American Academy of Oral Medicine, and the Academy of General Dentistry. She is a Diplomate of the American Board of Oral and Maxillofacial Pathology and the American Board of Orofacial Pain. She holds Diplomate status as well as with the American Board of Forensic Examiners and the American Board of forensic Medicine. She is a Fellow of both the American College and International College of Dentists. Dr. Gonzales’s diverse professional background includes tours as staff assigned to Oral Surgery, Hanau, Germany, Force Dental Surgeon, Multinational Peace Keeping Force in El Gorah, Egypt as well as Chief, of Oral and Maxillofacial Pathology, Walter Reed Army Medical Center, William Beaumont Army Hospital and Darnall Army Hospital. She has authored over fifty scientific publications in peer-reviewed journals and was the recipient of the International College of Dentists Award for Excellence in Research. She has received the Order of Military Medical Merit and the Surgeon General’s A designator for clinical excellence. Colonel Gonzales is a 2008 graduate of the United States Army War College and recently, she was selected by the Surgeon General as the Director of Communications for the Army Medical Department- the second largest command in the Army inventory. Theresa is a talented educator and an accomplished public speaker.

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Faculty Profile

Mr. Wayne Hayman Chief Flight Paramedic Abu Dhabi, United Arab Emirates

He is currently holding the post as Chief Flight Paramedic in Armed Forces, Air Force Medical Center. He obtained his degrees in Charles Sturt University – 2011 as Bachelor of Clinical Practise – Paramedic. One of the main function that he is proud of is providing 24 hour Advanced Life Support (ALS) to UAE Armed Forces personnel, Co-ordinate and supervise aero-medical transfers of patients within the UAE and GCC States etc. Worked as Station Commander for 10 years in Durban, South Africa. Some of the few qualification that he obtained was Recruit Training Instructor – February 1991 in South Africa. From 1989 until 1990, he held the post of Armoured Division and completed 2 years in military training in South African Defence Force. He is one of the Examiner & Founding member Emergency care board Abu Dhabi (HAAD)

Lt. Col. Dr. Ahmad Mubarak Humaid Emergency Medicine Consultant, Head of Emergency Medicine Department, Zayed Military Hospital Abu Dhabi, United Arab Emirates An Emergency Physician Consultant at Zayed Military Hospital and medical graduate from Faculty of Medicine Ain Shams University, Cairo, Egypt on 1998. Had his higher education on Family medicine at University of Alberta and Emergency Medicine qualification at University of Ottawa, ON, Canada. He’s been in charge of Emergency Department at ZMH since 2007. And, appointed as in charge of resuscitation and advanced courses section at Medical Services Corps for one year at 2009. He’s currently continuing his master degree in healthcare administration at Zayed University, UAE. He had several contributions in different local and international conferences and events.

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Faculty Profile

Mr. Michael Hunter Deputy Chief of Emergnecy Medical Services for Worcester EMS, UMass Memorial Medical Center (UMMMC) Worcester, Mass, United States of America Michael J. Hunter, a veteran of EMS for more than 27 years, serves as Deputy Chief of EMS for Worcester EMS at UMass Memorial Medical Center (UMMMC) University Campus in Worcester, Mass., where he has worked for more than 17 years. He began there as a staff paramedic and worked his way up through the ranks to EMS captain and then into his current position. Worcester EMS (WEMS) is a hospital-based transport system and a division of UMMHC, the region’s largest employer and a STEMI Center, Stroke Center and the region’s only Level 1Trauma Center. Worcester EMS is a paramedic-only system, one of the state’s few RSI services and the 911 EMS provider to the city of Worcester and neighboring town of Shrewsbury. In addition to his duties at Worcester EMS, Hunter continues to provide direct patient care while working for Spencer Rescue, in Spencer, Mass. Hunter began his career as an on-call firefighter and emergency medical technician. He graduated from The Vermont Paramedic Training Program in 1984 and has spent most of his paramedic career in hospital-based EMS programs. For the first eight years of his career, he worked on an ALS intercept vehicle, based out of a community hospital, serving 10 suburban towns. He has served on the Massachusetts Committee of Trauma’s Trauma Registry Sub-Committee and is an active member of the UMMMC Emergency Medicine/Trauma Committee. He was a co-investigator in UMMMC’s involvement in the EMS TIPI-IS project, and the WEMS lead role in UMMMC’s Field to Cardiac Cathe Lab STEMI Project. He is active in regional disaster planning and also is a founding member of the WEMS Honor Guard. Hunter has long been a member of the National Association of EMT’s and has been active in Pre Hospital Trauma Life Support since the late 1980s. In addition to his involvement on the PHTLS Executive Council, Hunter is the North America PHTLS Coordinator and an active member of the PHTLS International Faculty. He also is a professional member of the National Association of EMS Physicians.

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Faculty Profile

Maj. Abduladheem Kamkar Head of Physiotherapy Section Dubai Police Health Center United Arab Emirates Abduladheem Kmakar has been head of the Physiotherapy Section in Dubai Police Health Center since 1993. He received his Bachelor and Master of Science in physiotherapy from University of Pittsburgh in 1990 and 1992 respectively. He completed a residency in orthopedic manual therapy with Dr Richard Erhard in Pennsylvaina, USA in 1993. He is a member of Emirates Physiotherapy Society and American Physical Therapy Association. He is currently serving as chairman of the Emirates Physiotherapy Society (Emirates Medical Association) and is co-chairman of the upcoming 8th Interdisciplinary World Congress on Low Back and Pelvic Pain which will be held in Dubai in October 2013. His interests are in the spine, shoulder, and prevention of injuries.

Dr. Steven Liggins Consultant Maxillofacial Surgeon Zayed Military Hospital Abu Dhabi, United Arab Emirates Dr Steve Liggins is a Consultant Maxillofacial Surgeon presently working at Zayed Military Hospital Abu Dhabi. He gained his Dental Degree from Liverpool University in 1983 and Medical Degree from Cardiff University in 1992. After Surgical and Higher surgical training at the world renown Plastics and Maxillofacial Unit at Canniesburn Glasgow he obtained 3 Surgical Fellowships in General Surgery and Oral and Maxillofacial Surgery of the UK Surgical Royal Colleges.He joined the British Royal Navy in 1984 and was appointed the Royal Navyâ&#x20AC;&#x2122;s first Dually Qualified Dual Surgically Fellowshipped Consultant Maxillofacial Surgeon in 1997. He worked as a Consultant Surgeon in Derriford Hospital Plymouth helping set up the UKâ&#x20AC;&#x2122;s first new medical and dental school s for 20 years. Mr Liggins has developed a surgical interest in trauma and reconstruction, facial deformity correction and facial aesthetic surgery presenting at several international meetings. His work has been the subject of several television programmes, including the Discovery Channel. He served abroad in his capacity as a Military Consultant Surgeon in several conflict zones including Kosovo in 1999. He left the Royal Navy in 2002 to take up a consultant post at the Queen Elizabeth Hospital Birmingham, he was appointed as Trauma and Adult Craniofacial Deformity Lead Consultant. Birmingham has one of the most active trauma centres in the UK and is also the primary UK military trauma receiving centre. He has been active in all levels of surgical training. In 2007 he was offered a post at Sheikh Khalifa Medical City has Head of the maxillofacial department and during that time served as acting Chair of Surgery. He moved to Zayed Military Hospital 3 in 2010. www.panarab2012-icmm.ae

Faculty Profile

Col. Dr. Claus M. Lommer Branch Chief X Armaments Logistic Pharmacy Deutsche Bundeswehr, Chairman of the ICMM Technical Commission on Pharmacy Coblence, Germany Division Chief at the Joint Medical Service Headquarter, Logistics & Logistics doctrine, Armament, Protection Task (NBC, Hazardous goods etc.), at Coblence, Germany, Approved Pharmacist for Pharmaceutical Technology, Chairman of the ICMM Technical Commission on Pharmacy After graduation from high school in Cologne, I joined the University of Fribourg / Switzer-land and the Friedrich-Alexander-University of Erlangen / Germany. In 1978 I have got the li-cense to practise as pharmacist. After post-graduate study in pharmaceutical technology I did in 1983 the doctor degree as Doctor of natural sciences. After conscription as Medical of-ficer in the German armed Forces, I was in charge of the pharmaceutical production and de-velopment facilities at the Central military Hospital at Coblence. After this stage I chaired on higher echelons of Medical Office, Ministry of defence and Joint Medical Forces Command the logistic command and control, logistic doctrine, mission planning follow-up support for the missions SFOR, KFOR, UNOMIG, ISAF, NRF/EUBG, EUFOR COD, TSUNAMI. Since October 2012 I am commissioned as Division Chief of the Joint Medical Service Headquarter.

Staff. Col. Dr. Zhang Lulu Chairman of the ICMM Technical Commission on Medical Logistics Shanghai, China Staff. Col. Dr. Zhang Lulu had worked in Director Management at Uptodate Second Military Medical University and prior to that had worked at Chengdu Military Area Command General Hospital. She finished her bachelor Degree from Second Military Medical University in Clinical Medicine and after that she completed her Masters in Social Medicine and Health service Management from Second Military Medical University. Then she had done her doctor in Social Medicine and Health service Management in Shanghai Medical University.

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Faculty Profile

Col. Yasunori Matsuki Chief of Plans and Administration Office Medical Department, Ground Staff Office (GSO) Ministry of Defense Tokyo, Japan Academic Career: Colonel Matsuki graduated from the National Defense Medical College (NDMC) in 1990 and completed residency at the NDMC and Japan Self Defense Central Hospital. He has studied as a research fellow of Clinical Immunology and Rheumatology in the University of Alabama at Birmingham, USA 1999-2001. He earned his Ph.D. degree from the NDMC in 2002. He took a civil-military relationship in medical field as his object of study at the National Institute for Defense Studies 2008-2009. He is a certified physician and councilor of the Japan Rheumatism Association, and a Fellow of the Japanese Society of Internal Medicine. Recent Military Career: Colonel Matsuki was assigned for the 1st Division Surgeon, Eastern Army, Tokyo in 2001 and Medical Personnel Officer, Assignment Division, Personnel Department, GSO in 2003. He deployed to Samawah, Iraq and served as the Senior Medical Officer, Iraqi Reconstruction Support Group 2005-2006. He involved in the operation for the Eastern Japan Earthquake and Tsunami* in March 2011 as the Chief of Medical Planning Group, Plans and Administration Office, Medical Department, GSO. He has most recently been the Army Surgeon, Western Army, Kengun, Kumamoto. *Matsuki et al. Medical Support by the Japan Ground Self Defense Force following the Eastern Japan Earthquake, Massive Tsunami, and Nuclear Power Plant Accident. International Review of the Armed Forces Medical Services p72-7, Vol. 84 (3), 2011

Group Captain Andrew M. Monaghan England, United Kingdom Following qualification from Birmingham Dental School in 1979, Gp Capt Monaghan filled a number of NHS posts including registrar in restorative dentistry at the London Hospital and general dental practitioner in Shrewsbury. He was commissioned in 1986 and undertook general duties posts at RAF Cranwell and Wattisham. In his younger years he represented England at athletics and the interservices in athletics and triathlon but physical decline led him to concentrate on his career. In 1987 he was selected for oral surgery training and worked in military hospitals at Halton, www.panarab2012-icmm.ae

Faculty Profile Ely, Wegberg and Akrotiri. Following medical school Gp Capt Monaghan became specialist registrar in the West Midlands Region and was appointed consultant at RCDM/Queen Elizabeth Hospital Birmingham in 2002. His main clinical interests are maxillofacial ballistics injuries, management of head and neck vascular anomalies and paediatric maxillofacial surgery. Gp Capt Monaghan is honorary consultant to Birmingham Childrenâ&#x20AC;&#x2122;s Hospital, Birmingham Dental School and, is a senior lecturer at Birmingham Medical School. He has had two deployments to Afghanistan and is involved in management of head and neck casualties evacuated back to UK from conflict areas. Until recently was the Military Clinical Director at RCDM. He is the current DCA in OMFS. He is a member of the Specialist Accreditation Committee for his speciality, the College Higher Surgical Training Adviser for Scotland, and is an examiner for the FRCS Exit Examination. Gp Capt Monaghan is a former recipient of the Lean Memorial Award for his services to military dentistry and maxillofacial surgery. In 2009 he was awarded BAOMS Presidents Prize for his work on the management of head and neck vascular anomalies and, also the BAOMS Surgery Prize from the Royal College Surgeons for his contribution to the speciality. He has over 40 publications and a number of chapters in textbooks, and lectures widely internationally.

Dr. James Palma Assistant Professor, Military and Emergency Medicine, Uniformed Services University of The Health Sciences, United States of America Dr. Palma is a graduate of the United States Naval Academy (BS, Chemistry) and the Uniformed Services University of the Health Sciences (MD). He completed transitional internship and emergency medicine residency training at Naval Medical Center Portsmouth (Virginia), as well as a Masters of Public Health degree at the University of South Carolina (Columbia, SC). He also completed a two-year emergency ultrasound fellowship at Palmetto Health Richland (Columbia, SC). He served for two years as the General Medical Officer on the aircraft carrier USS George Washington (CVN-73). He was a staff emergency medicine physician at the Naval Hospital Yokosuka, Japan, for two years, where he was actively involved in the Japanese intern training program and also a visiting assistant professor at Keio Universitya in Tokyo. He is currently an assistant professor at the Uniformed Services University of the Health Sciences. As the universityâ&#x20AC;&#x2122;s first director of ultrasound in medical education, he has developed and implemented a new integrated ultrasound curriculum for the medical school, and he is active in ultrasound teaching and program development throughout the military and civilian sectors. He also directs the first-year combat medical skills course and fourth-year emergency medicine clerkship. His research interests include bedside ultrasound and medical education. 56

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Faculty Profile

Maj. Dr. Vasudha Panday Consultant to the Air Force Surgeon General for Refractive Surgery, U.S. Air Force Air Education and Training Command, Texas United States of America Major Vasudha A. Panday is the Consultant to the Air Force Surgeon General for Refractive Surgery. She provides oversight for the Warfighter Refractive Surgery Program in the Air Force, which includes seven laser centers across the United States. She manages an extensive budget, evaluates new technologies for the laser centers and has performed thousands of refractive surgery procedures. Major Panday is also chief of the Cornea/External Disease and Refractive Surgery section of the Department of Ophthalmology at Wilford Hall and provides clinical and surgical care to active duty, dependent, and retired members of the Armed Forces in the subspecialty of Cornea and External Disease. She has performed many cataract as well as transplant procedures. She also serves as the Ophthalmology Residency Program Director for the Air Force. As such she is directly responsible for recommending candidates from medical school, as well as flight surgeons, to undergo training to become ophthalmologists. Major Panday holds an academic appointment at the Uniformed Services University of the Health Sciences and a clinical appointment at the University of Texas Health Sciences Center, San Antonio. She has served in a variety of organizations during her career, including being nominated as Chair of the Certification Committee for the Joint Commission on Allied Health Personnel in Ophthalmology. Major Panday is from Newark, Delaware where she completed her undergraduate education at the University of Delaware. She was selected to receive the Health Professions Scholarship and was commissioned in 1997. She completed her medical training at Jefferson Medical College in Philadelphia, Pennsylvania. She went on to complete an Ophthalmology Residency at Wills Eye Hospital in Philadelphia and a fellowship in Cornea/External Disease and Refractive Surgery at Wilmer Eye Institute, Johns Hopkins Hospital in Baltimore, MD. Upon completion of her fellowship, Major Panday was assigned to the 59th MDW at Lackland Air Force Base in San Antonio. She as remained there for the past six years serving in the positions outlined above.

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Faculty Profile

Col. Dr. (Ret.) James D. Pillow Program Analyst Central Command (CENTCOM) Florida, United States of America Mr. James (Jimi) Pillow currently serves as a Medical Countermeasures (MC) Program Analyst for the Partner Nation Capabilities Branch (PNCB), J5-C Strategy, Plans & Policy, Central Command (CENTCOM) in Tampa, FL. He provides medical plans, operations, and training subject-matter-expertise for CBRN response capabilities and capacity with partner nations. Additionally, he assesses, reviews, and makes recommendations regarding Emergency Operations Centers, national response plans, and consequence management operations. He routinely travels to UAE, Bahrain, Kuwait, etc, to conduct meetings, workshops, assessments, exercises, and provide recommendations to partner nation leaders. As a retired Army Colonel, Medical Service Corps officer, Mr Pillow has 20+ years of experience in medical plans, operations, training, leadership, and building relationships. His last assignment was Chief of Operations for Task Force Medical-East/North/Central in Afghanistan, April 2010-April 2011. He managed all U.S. medical units above brigade combat team for the northern half of Afghanistan. As an integral part of the coalition, he also built relationships with nine partner nations where U.S. medical units were co-located or embedded. COL (Retired) Pillow graduated from numerous military schools and served at all levels of leadership and responsibility. He received numerous awards and accolades, to include the Valorous Unit Award, Bronze Star, Combat Field Medical Badge, and Gold German Sports Badge. Mr Pillow is a native of Humboldt, TN., earning a Bachelor of Science (BS) in Biology from Middle Tennessee State University (1988) and a Master of Science (MS) in Emergency & Disaster Management from Trident University (2008). He is a member of the Reserve Officerâ&#x20AC;&#x2122;s Association (ROA), the International Association of Emergency Managers (IAEM), and the owner/trainer at CrossFit MadBeach. You can reach Mr. Pillow at pillowj@ centcom.mil, jpillow25@yahoo.com, or Facebook & Linked-In- Jimi Pillow.

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Faculty Profile

Dr. Mark Rayson Managing Director Optimal Performance Limited United Kingdom Dr Mark Rayson (PhD, MA, BSc) is the Owner and Managing Director of Optimal Performance Limited (OPL), a specialist provider of occupational physiology services to the Armed Forces and Emergency Services in the UK, Middle East and Asia. The Company has also supported the US Department of Defence and the Australian Defence Force. Dr Rayson trained in exercise sciences (PhD, MA, BSc) at the Universities of Birmingham and Loughborough in the UK and has over 25 years of experience in providing occupational research and consultancy in both the public and private sectors. Prior to setting up OPL in 1996, Dr Rayson worked for the UK Ministry of Defence, leading a section of human scientists on various occupational research projects. In 2007 OPL conducted their first project in the UAE for GHQ UAE Armed Forces. In 2008, OPL set up an office in Abu Dhabi and established a research team in Al Ain. The task was to set up and help to manage the Health and Sports Medicine Centre at the Military High School, and to provide a range of health science professionals. Dr Rayson is a member of the Institute of Directors, the Institute of Ergonomics and Human Factors, and the American College of Sports Medicine. www.optimalperformance.co.uk; email: mark@ optimalperformance.co.uk.

Brig. Dr. (Ret.) Stephan Rudzki Regional Medical Advisor (Formerly Director General Policy & Research Adf), Department Of Defence Australia Brigadier Rudzki graduated from Adelaide University and joined the Royal Australian Army Medical Corps in 1982. He has served as Regimental Medical Officer of the 3rd Battalion (Para) and the 1st Recruit Training Battalion. He served as an exchange officer with the United States Army at the US Army Medical Department Centre and School in San Antonio Texas, and has had operational postings to Western Sahara, Bougainville, East Timor and the Middle East. Senior staff appointments have included Director of Preventative Health, Defence Health Services Division, Director of Occupational Health and Safety – Army and inaugural Director of Army Health. His most recent appointment was as Director General Policy and Research within Joint Health Command. Brigadier Rudzki has had a long standing interest in reducing injury in military recruits, and has published a number of research papers on the subject. He was awarded a Defence Force Fellowship in 1993 to document and compare Injuries in the Australian Army with Allied Forces. He was also responsible for the introduction of the Defence Injury Prevention Program in 2003, and his PhD thesis was titled “The Cost of Injury to the Australian Army”. He was awarded a foundation Fellowship of the Australasian College of Sports Physicians in 1991, and admitted as a Fellow of the UK Faculty of Sports and Exercise Medicine in 2008., He recently retired from the Australian Army after 31 years of Service. www.panarab2012-icmm.ae

Faculty Profile

Capt. Dr. John Sharpley Surgeon Captain Defence Consultant Advisor in Psychiatry United Kingdom Surgeon Captain John Sharpley trained in medicine at Cambridge University and Guys Hospital, London. He joined the Royal Navy in 1987 whilst completing his medical training. On completion of house jobs, he worked as a general duties medical officer between 1991 and 1994, at CTCRM Lympstone (Royal Marine training centre), deployed on three frigates for 6 months each and finished with a tour at RNAS Culdrose (RN Air Station). In 1994 he commenced psychiatric training, working in the NHS in the Southampton area, and specialist training in Yorkshire and Oxford. Appointed as a consultant in 2001, he worked at Royal Hospital Haslar, until 2007 when the community mental health department moved to the Naval Base in Portsmouth. In Jan 2003 he deployed as the leader of the mental health team supporting amphibious forces entering Iraq. He has deployed in a visiting capacity to the Balkans and Afghanistan. In December 2003 he was appointed as Consultant Advisor in Psychiatry to the Medical Director General (Naval) and has run naval psychiatric services until May 2010 when he was appointed the Defence Advisor in Psychiatry. He is published on alcohol detoxification, history of mental health at RH Haslar and pre-deployment stress briefing amongst other topics. He was elected Fellow of the Royal College of Psychiatrists in 2009.

Col. Dr. Goksel Tamer Staff Surgeon, Landstuhl Medical Center United States Army United States of America Dr. Goksel is currently a Staff Surgeon in the Department of Oral and Maxillofacial Surgery at Landstuhl Regional Medical Center, Landstuhl, Germany. He received his DDS in 1992 from the University of Tennessee â&#x20AC;&#x201C; Memphis and his MD in 1999 from the University of Texas â&#x20AC;&#x201C; San Antonio. He earned his certificate in Oral and Maxillofacial Surgery from the San Antonio Uniformed Services Health Education Consortium in 2002. He completed a fellowship in General Cosmetic Surgery at the Cosmetic Surgery Center in Little Rock, Arkansas in 2003. He is a Diplomate of both the American Board of Oral and Maxillofacial Surgery and the American Board of Cosmetic Surgery. Dr. Goksel is a Fellow of the American College of Surgeons, the American Association of Oral and Maxillofacial Surgeons and the American Academy of Cosmetic Surgery. Dr. Goksel has been an Active Duty Army Dental Corps Officer for over 20 years and holds numerous awards to include membership in the Order of Military Medical Merit. 60

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Faculty Profile

Col. Dr. Paul van der Merwe Director Animal Health, South African Military Health Service, South African National Defence Force Chairman of the ICMM Technical Commission on Veterinary South Africa Completed my studies for my Veterinary Degree (BVSc) in 1986. Join the South African National Defence Force in 1986. Transferred to the former South West Africa (Namibia) as the veterinary officer in charge of all animals of the Defence Force in South West Africa. Transferred in 1988 to the former Transkei with the responsibility to establish a Mounted Battalion. Transferred in 1989 to the Equestrian Centre in Potchefstroom as the Chief Veterinarian. Transferred in 1989 to the South African Military Health HQ to establish the section responsible for wildlife veterinary services. Completed my Honors Degree (BVSc Hons) in wildlife physiology in 1991. Appointed as the Deputy Director Animal Health in 1995. Appointed in 2000 as the Staff Officer responsible for the delivery of all Primary Health Care Services in the South African Military Health Service. Completed my Masters degree (MMedVet (Fer)) in wildlife diseases and my Senior Management Program. Appointed as the Chairperson of the ICMM’s Veterinary Technical Commission. In 2001 to 2002 the promoter for a masters student investigating the risk of the transmission of tuberculosis from tuberculous venison to humans. In 2004 appointed as the Director Animal Health. In 2004 to 2006 the promoter for a masters degree student investigating the Knowledge, Attitude and Practices of Food Handlers in an operational area. In 2006 and 2010 re-appointed as the Chairperson of the ICMM’s Veterinary Technical Commission. I am a vivid proponent/supporter of the “One Health” concept and the implementation of the concept through Conservation Medicine. I believe that the concept is the only workable option for the health challenges of the world, but more specifically South Africa. Being involved in wildlife medicine grants me the opportunity to better understand the wildlife, animal, human environment interface and so deliver evidence based inputs as to the optimal management of diseases, especially zoonotic diseases.

Dr. Sabaht Asim Wasti Consultant in Physical Medicine and Rehabilitation Sheikh Khalifa Medical City Abu Dhabi, United Arab Emirates Sabahat Wasti completed his bachelor’s degree in Medicine and Surgery from Khyber Medical College Peshawar, Pakistan and moved to United Kingdom for postgraduate studies in 1984. After gaining the membership of Royal College of Ireland Dr Wasti entered into Rehabilitation Medicine training in Leeds Teaching Hospitals and became consultant in Rehawww.panarab2012-icmm.ae

Faculty Profile bilitation Medicine in Sheffield Teaching Hospitals, Sheffield UK. He served there for nearly 9 years before moving to UAE to take up Senior Consultant Post at Shiekh Khalifa Medical City in Physical Medicine and Rehabilitation in 2007. He served on as British Society of Rehabilitation representative on Consensus Reference Group for Multiple Sclerosis Guidelines, commissioned by the National Institute of Clinical Excellence. Dr Wasti is perhaps the most well known practicing physician in the field of Medical Rehabilitation of Pakistani origin. He has been a pioneer in advancing the specialty of Rehabilitation Medicine in the region and has lectured and published articles on the subject of impact of cultural variance on the outcomes in rehabilitation. He is recognized for promoting the cause of Neurorehabilitation in particular and widely respected by his peers. He has special interest in early neurorehabilitation starting from the intensive care setting. He is well known for his views on cultural and ethical variances and the implications of these on neurorehabilitation. Dr Wasti has served on many committees. He currently serves as Regional Vice President World Federation of Neurorehabilitation (Gulf Region), Secretary Ethics Special Interest Group, World Federation of Neurorehabilitation and Secretary, Applied Research Group, World Federation of Neurology. usly he has been an executive member of the British Society of Rehabilitation Medicine Vocational Rehabilitation Sub-committee. Dr Wasti has served as Chair of several Rehabilitation conferences and he frequently delivers invited lectures.

Prof. Fikri Abu Zaidan Professor Head, Trauma Group UAE University Al Ain, United Arab Emirates Professor Fikri Abu-Zidan is a Consultant Trauma and Acute Care Surgeon. He obtained his MD from Aleppo University (Syria) in 1981; FRCS, Glasgow, Scotland in 1987; PhD in Trauma and Disaster Medicine from Linkoping University (Sweden) in 1995; and finally Postgraduate Diploma of Applied Statistics from Massey University (New Zealand) (1999). He worked as a surgeon in Kuwait (1983â&#x20AC;&#x201C;93), as a Trauma Research Fellow at Linkoping University, Sweden (1993-95), as a Senior Research Fellow at Auckland University (N.Z) (1996â&#x20AC;&#x201C;2001), as a Trauma Fellow at Royal Perth Hospital, Perth, Australia (2001), and finally as the Head of the Trauma Group at the Faculty of Medicine and Health Sciences, UAE University since 2001. During his 30 years postgraduate career, He has made major contributions to trauma management, research and education in Kuwait, Sweden, New Zealand, Australia and UAE. Clinical expertise exists in the management of multiple trauma patients. This included treating war injured patients during the Second Gulf War (1990) in Kuwait. He has contributed to more than 220 publications in refereed international journals. Professor Abu-Zidan has been promoting the clinical use of Focused Assessment Sonography of Trauma for more than twenty years. Training courses were run in UAE, Kuwait, Oman, Bahrain, Egypt, Sweden, France, Austria and Italy. Several national and international awards for clinical, research and educational activities have been given. An invited speaker and visiting Professor at numerous international meetings. Chaired or Co-chaired the organization committees of several successful international conferences on Trauma management. 62

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Abstracts www.panarab2012-icmm.ae

Abstracts Day 2: 10th December, 2012 PLENARY SESSION I (Emirates Hall)

10:50 - 11:40

Lt. Col. Dr. Aysha Aldhaheri Deputy Commander ZMH Zayed Military Hospital Medical Services Corps Abu Dhabi, UAE Role of UAE in Humanitarian Missions The Presentation narrates the detailed story of the United Arab Emirates multiple International Humanitarian missions since the year 1976 in Lebanon, as part of the Arab Deterrent Forces during the civil war, dedicatedly continuing their missions to the present time in Afghanistan, as part of ISAF, and concurrently in Jordan to deliver shelter and medical services to the Syrian refugees. It highlights the importance of UAE role as part of the international communityâ&#x20AC;&#x2122;s collective efforts in peacekeeping and delivering quality humanitarian aid to the less fortunate population around the world. The presentation illustrates the commitment and involvement of the UAE leaders even before sending the teams for the execution up until the successful completion of the humanitarian mission. In addition to the importance of the partnership between the governmental and non-governmental agencies both at the local and the international level in conducting humanitarian missions successfully. It also recognizes the prime importance of the Medical Services Corps as a cornerstone in the success of the humanitarian missions, and the value of the Female medical staff participation in certain humanitarian missions.

Dr. Warren Lockette Deputy Assistant Secretary of Defense Health Affairs United States of America Human Performance in Extreme Environment

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Abstracts Symposium A (Emirates Hall)

13:30 - 15:15

Col. Yasunori Matsuki Chief of Plans and Administration Office Medical Department, Ground Staff Office (GSO) Ministry of Defense Tokyo, Japan Medical Support of Japan Self Defense Force (JSDF) For The Eastern Japan Earthquake, Massive Tsunami And Nuclear Power Plant Accident As a consequence of the earthquake and tsunami in March 2011, the nuclear power plant was severely damaged resulting in the release of radioactive materials into the environment. This nuclear accident is considered to be second only to the Chernobyl disaster of 1986 and was assessed as being at level 7, which is the highest level indicating a major accident, on the International Nuclear Event Scale (INES). To deal with this catastrophe, the JGSDF, mainly the Central Response Force, was given the responsibilities of spraying water on the plant, monitoring the exposure of personnel and equipment, and supporting decontamination efforts and medical care. Six minor injuries have been reported as the result of a hydrogen explosion on March 14th, and the exposure levels seen in SDF personnel have been as low as acceptable. The NBC Counter Measure Medical Unit executed medical support and education related to radiologic exposure prevention. Another mission of the GSDF medical team was to evacuate and attend to hospitalized patients or bed-ridden refugees at home in an area within a 30 km radius of the power plant, as this area had received a high spatial radiation dose. Following a criticality accident in Tokai village which ended in two deaths in 1999, GSDF doctors were sent to training courses conducted by the National Institute of Radiological Science to improve their capacity for dealing with radiation accidents. GSDF doctors who had passed the course played an important role in establishing guidelines dealing with preventive measures, including criteria for the administration of potassium iodide. After the mission in Fukushima, GSDF have conducted physical and mental check-up of the personnel including evaluation of the internal radiation exposure as necessary.

Maj. Dr. Saleh Alali Emergency Medicine Consultant Zayed Military Hospital Abu Dhabi, United Arab Emirates Pre-Deployment Training, What Is The Answer? Military medical services world-wide are expected to support troops at different deployments, during peace and war. Such support mandates special skills, training and preparedness in order to provide the best care possible. Different guidelines have been presented in 66

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Abstracts the literature with no clear consensus on the right approach. Aim: The aim of this lecture is to present different models of medical training currently in use and present a common approach that will enable military medical leaders on planning for the next deployment. Objectives: 1. Give an overview of pre-deployment medical trainings. 2. Present the main components of pre-deployment medical trainings. 3. Shed some light on some of the best practices available from different parts of the world. 4. Present few recommendations on how to plan for a pre-deployment medical training program. Target Audience: Health care leaders and policy makers, administrators, physicians, nurses and paramedical personnel.

Col. Dr. Aiman Alsumadi Consultant OBGYN Jordanian Royal Medical Services Jordan Strategies to Deal With Refugee Influx Use of military forces for humanitarian purposes is a long- established tradition in all corners of the world. In the public mind, there is an association between disaster relief and military involvement; indeed, there is often an expectation that military units will assist the civilian population in the immediate aftermath of wars and large-scale emergencies. Humanitarian assistance operations can encompass both reactive programs, such as disaster relief, and proactive programs , such as humanitarian and civic assistance (HCA) or civil support. Jordan Armed Forces and Royal Medical Services of Jordan ( RMS) has involved in many activities of humanitarian assistance programs both on national and international levels. Few wars just on the boarders of Jordan make the challenges in dealing with both refugees influx and helping civilians in the war zones a demanding issue to RMS This presentation will focus on Jordanian experience in dealing with 1. Humanitarian Strategies to deal with refuges influx to Jordan ( Iraq and Syria cases) 2. Lessons from Deployments of Humanitarian assistance teams to international loci of disasters and war zones 3. Plans to deal with national humanitarian missions within Jordan in cases of disasters

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Abstracts Lt. Col. Mohamed A. J Alansari Search & Rescue Department Head – Abu Dhabi Police Abu Dhabi, United Arab Emirates UAE Search and Rescue Team Abu Dhabi Police

Col. Prof. Fethi Bayoudh Chef de service de pédiatrie Hôpital militaire de Tunis Tunisia Tunisian Medical Services Corps Humanitarian Action During The Crisis In Libya

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Abstracts Symposium B (Abu Dhabi Hall)

13:30 - 15:15

Mr. Michael Hunter Deputy Chief Emergency Medical Services Umass Memorial Medical Ctr United States of America Pre-Hospital Management of Penetrating Trauma

Prof. Fikri Abu Zaidan Professor Head, Trauma Group UAE University Minimizing Missed War - Related Injuries Missed injuries are defined as injuries diagnosed after 24 hours of admission. They are reported to occur in 9% of multiple trauma patients. Missed injuries will be reduced when performing tertiary survey in multiple trauma patients. It is logical that missed injuries may increase with mass casualty situations because tertiary survey may prove to be occasionally difficult. The lecture will highlight the lessoned learned from the Second Gulf War by giving examples of missed injuries. Missed injuries can be either in the preoperative or operative stages. Preoperative missed injuries include spinal cord injuries or blast lung injuries due to lack of appreciation of the transmission of energy away from the track of the ballistics. It is always to important find the inlet and exit of the ballistic wound so as to map the missile injuries. Missed intraoperative injuries occur mainly in the retroperitoneal structures like the pancreas, ureter and colon. Understanding the biomechanics of ballistics injury will help the treating surgeon to early diagnose warâ&#x20AC;&#x201C;related injuries.

Dr. Abdul Karim Msaddi Current Status of Neurosurgical Services and Developments in UAE Embolization, Coiling and Stenting etc..permanently established since 2002, we have in UAE 4 centers performing this technique, before that date, there were on and off of few visiting Interventional Neuroradiologists performing some procedures in local hospitals for short period. IOM for Spine Surgery started in the year 1999 - 2000, then after it is enlarged to brain surgery IOM and Brain Mapping with Awake Cranial Surgery in few patients. Spinal and Brain Navigation are of routine work in the major Neurosurgical Units in public and private hospitals, that involves the use of O-Arm as routine in Spine Surgery in 3 hospitals, with this year introduction of Intraoperative Multislice CT Scan. More and more available Neurosurgical ICU and specialized Neurointensivists are in the major hospitals. For sure we will not

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Abstracts forget the neuro rehabilitation which is available but still not able to cover the real need. In General : The progress of Neurosurgery is continuous with more sub specialties established and more expert Neurosurgeons supported by advanced technology are dealing with more serious pathologies, the flow of patients travelling abroad is minimized and we are witnessing a reverse tendency of patients coming to UAE for Neurosurgical Treatment. One main issue still on the way: The Stereotactic Radiosurgery which is not ready and another weakness is the lack of expertise in Neuropathology. Training Programs in Neurosurgery still not yet established, scientific activities are mainly covered by the Emirates Neuroscience Society which was established in 2001, the Society represent the main Neurosurgical activities in UAE with international congress every 2 years, local monthly meetings and participate in the organization of Dubai Spine Conferences since 10 years, European Spine Course Diploma since 2 years and few other courses and hands on cadaveric workshops. In Conclusion: UAE is progressing fast in the domain of Neurosurgery, expertise and technology are more and more available, scientific activities are starting well, but still missing educational programs in Neurosurgery, few important services still missing too, such as Stereotactic Radiosurgery, Neuropathology, and Functional Brain Neurosrugery.

Dr. Sabaht Asim Wasti Consultant in Physical Medicine and Rehabilitation Sheikh Khalifa Medical City Abu Dhabi, United Arab Emirates Current Trends in the Medical Rehabilitation Objectives of the Lecture • To give an overview of history of the development of the Rehabilitation Medicine • Give details of changing face of Rehabilitation and move from generalist approach to specialized programs • The current set ups for delivery of rehabilitation • New approaches and treatment modalities • Current trends in assessing effectiveness of Rehabilitation • A brief overview of shape of things to come

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Abstracts Symposium C (Dubai Hall)

13:30 - 15:15

Brig. Dr. (Ret.) Stephan Rudzki Regional Medical Advisor (Formerly Director General Policy & Research Adf) Department Of Defence Australia Successful Projects In Combating Overweight and Obesity in The Military Obesity is a surprising common condition among military forces. This seems incongruous in a population which is highly active, but a number of factors can come into play. The most common factor in soldiers is injury, where activity levels are reduced but diet, and in particular calories remain unchanged. It is important to educate soldiers that their caloric intake must reduce when activity levels decline. Equally many jobs within the military involve clerical work and do not justify large caloric intake. This has led to discussions about “healthy choice” foods in canteens or messes, to guide members towards better foods. Traditionally weight reduction programmes have involved a combination of compulsory exercise, dietary advice and administrative threat. This approach has been problematic and often results in prolongation or worsening of injury. Recently the ADF is trialing the use of weightwatchers with promising results. Bariatric surgery is also being considered because many obese members have highly valuable skill sets and losing them on administrative grounds represents a capability loss. Surgery in such cases may represent a cost-effective method of managing the condition with additional benefits in terms of diabetes and CV disease.

Lt. Col. Dr. Ashraf Alzaabi Head, Respiratory Division Zayed Military Hospital Abu Dhabi, United Arab Emirates The Prevalence of COPD in The Middle East and North Africa

Surg. Capt. Dr. John Sharpley Surgeon Captain Defence Consultant Advisor in Psychiatry United Kingdom Mental Fitness Assessment for Military Personnel With Mental Health Disorders • • •

Historical aspects of military mental health Mental health data / epidemiology in UK armed forces Mental healthcare service provision for UK armed forces www.panarab2012-icmm.ae

Abstracts Dr. Mark Rayson Managing Director Optimal Performance Limited United Kingdom Prevention of Heat Illness The level of heat strain experienced by an individual is a result of the interaction between the level of physical exercise undertaken, the clothing worn and the prevailing environmental conditions. Heat strain is exacerbated in soldiers, firefighters, oil, gas and other industrial workers who wear personal protective equipment to carry out routine tasks. Heat strain can severely limit performance and work productivity, as well as increasing the risk of heat illness. Military personnel around the world are particularly susceptible to heat illness. In the United States of America the 2009 Medical Surveillance Monthly Report reported 229 cases of heat stroke and 1467 cases of heat exhaustion in the US Armed Forces during 2008. Heat injuries are not only confined to hot environments; in the UK in the 2003-2004 academic year 12 officer cadets sustained heat related illness at the Royal Military Academy Sandhurst (RMAS) following five different competition events. Strategies can be employed to try and reduce the risk. Monitoring body core temperature (Tc) enables the worker and/or supervisor to assess the level of strain experienced by each person. However, this is limited by the technology available for non-invasive measurement of Tc in a field environment. Work/rest schedules can be altered to reduce the rise in Tc, as was employed by RMAS to reduce the number of heat casualties in the competition events. Additionally, cooling strategies such as cool vests or pre-cooling using iced drinks can reduce the rise in Tc observed during exercise,as well as ensuring adequate hydration. This presentation will give examples of the heat strain experienced by various occupational groups and show how strategies can be employed to reduce the risk of heat illness.

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Abstracts Symposium D (Emirates Hall)

15:30 - 16:45

Dr. Warner Anderson Director International Health Division United States of America Successes, Controversies and Lessons in Military Medical Humanitarian Operations A large number of definitions exist. Let us take those expressed so many times by the ICRC . Humanitarian action includes any action undertaken in order to help human beings in a state of physical or moral suffering, in particular in time of disasters, whether those are from human, natural or technological origin, but also and especially in periods of conflict. The development of this concept of “conflict” has been observed for a few years insofar as between the light of the “state of peace” and the darkness of the “state of war”, a whole area of shades of grey exist, from the most pale to the darkest one, where one can find the definition of words such as: peace keeping, peace making... Legally, international laws specify that the objectives to be achieved are to respect life and recognise the right for any human being to enjoy health and dignity, in peacetime as well as in wartime without difference in ideology, thought, religion or ethnic origin. 1) Human rights stress the right of the victims, and only of the victims, while it refuses to recognise human suffering as justifiable, whatever the circumstances. This rights stress the victims’ right to call for humanitarian aid. 2) It compels people involved in conflicts or disasters to accept the humanitarian aid. 3) It gives no right to those proposing this aid to impose it by strength. Humanitarian action involves the agreement and the request of the assisted region.

According to these circumstances, the actors of this aid can be: • • • • • • •

The medical organisations of the countries concerned The governmental organisations The non governmental organisations (NGO) The International Federation of Red Cross and Red Crescent Societies as well as national societies The International Committee of the Red Cross The Armed Forces The medical military departments. www.panarab2012-icmm.ae

Abstracts •

The agencies of the United Nations (UNHCR, UNICEF, FAO, WFP, UNDP, WHO, UNOCHA etc)

Concern for neutrality and impartiality, particularly developed among certain countries, is still a reason of conflict of interest, each one wanting to preserve its moral integrity and/or its influence. There is not always a harmonious integration for the simultaneous control of the humanitarian emergency actions (health and food aid resting on heavy logistics) and of the humanitarian development actions (support during the programme improving the quality of people life, with active participation of people). There is no consensus between the reports of the humanitarian agencies and the states which want to carry out their actions within the framework of a strategy « of coherent integration » of means. Better co-ordination of these various groups of participants would remain the best way of increasing the effectiveness of help for the victims, who should remain the only subject of importance.

Col. Dr. Aiman Alsumadi Consultant OBGYN Jordanian Royal Medical Services Jordan Women and Pediatric Aspect in Humanitarian Mission and Disasters Disasters usually strike resource-poor nations, where women and children are often the most affected. They represent the majority of the poor, the most malnourished, and the least educated, and they account for more than 75% of displaced persons. Disasters usually magnifies the duties and responsibilities of women in particular where on the hand they have significantly less support and fewer resources than they had before the incident. Besides the effects of the disaster, women become more vulnerable to reproductive and sexual health problems and are at increased risk for physical and sexual violence. Women become both victims and the primary caretakers. Health practitioners are often not aware of these issues when providing emergency care. Developing a disaster relief team with experts in maternal health is necessary to improve women’s health outcome. Addressing the health needs of children in complex emergencies is critical to the success of relief efforts and requires coordinated and effective interventions. The major causes of childhood morbidity and mortality in complex emergencies are similar to nonemergency settings: diarrheal diseases, acute respiratory tract infection, measles, malaria, and malnutrition. However, the severity and magnitude of these diseases are often exacerbated by conflict or disaster, necessitating rapid assessment and treatment of large numbers of severely ill children. Disease surveillance systems must be rapidly established, particularly for diseases known to cause outbreaks with high case fatality.

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Abstracts Surg. Capt. Dr. John Sharpley Surgeon Captain Defence Consultant Advisor in Psychiatry United Kingdom Post Traumatic Stress Disorders

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Abstracts Symposium E (Abu Dhabi Hall)

15:30 - 16:45

Maj. Dr. Vasudha Panday Consultant to the Air Force Surgeon General for Refractive Surgery U.S. Air Force Air Education and Training Command Texas, United States of America Refractive Surgery Current Practice Talk will provide a broad picture of the status of Refractive Surgery in the United States military. Topics covered will include current regulations, demographics, technology, and practice patterns. Outcomes and performance will also be discussed.

Maj. Dr. Farah Alzaabi Department of family medicine & chronic pain clinic Zayed Military Hospital Abu Dhabi, United Arab Emirates Pain Management in Military During Peace and War Background: Data from WHO survey showed a world-wide prevalence of chronic pain in the range of 20% to 30%. While Opioid prescribing has increased dramatically in recent years, There is evidence that chronic pain remains under-treated and chronic Opioid therapy for chronic pain conditions continues to be surrounded by considerable controversy for many reasons. Many of the Military Health System’s (MHS) challenges with pain management are very similar to those faced by other medical systems, but the MHS also faces some unique issues because of its distinctive mission, structure and patient population. For Example: • The nation expects the MHS to provide the highest level of care to those carrying Wars’ heaviest burdens. • The transient nature of the military population, makes continuity of care a challenge for military medicine. • Pain management challenges associated with combat poly-trauma patients require integrated approaches to clinical care • Finally, the MHS care for warriors is rooted in a military culture that praises selflessness, toughness, and willingness to accept pain. “No Pain, No Gain” . Objective: • Discuss challenges of proper pain management in Military Health System • Discuss proper pain management modalities in all sittings Main Message: Understanding that pain is not just a symptom of disease but at times, Is a fundamental change occurring in modern medicine, explaining the New emphasis on effective pain 80

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Abstracts control. Regardless of the treatment setting (Civilian Vs. Military), inadequate acute pain control is associated with a myriad of physiologic changes that can significantly increase patient morbidity and possibly mortality. Pain specialists have reported that addiction is a rare occurrence among chronic pain patients, and Opioids remain our most effective means to control pain, and their appropriate use is an essential cornerstone to the practice of medicine. However, careful and considered prescribing of Opioid medications must be adopted by all physicians to prevent inappropriate misuse and diversion. Conclusion: The Military Health Care System, which includes providers, administrators, resource managers and patients, must be re-educated on the management of pain as well as the consequences of failure to treat this disease. This re-orientation to pain will require a robust education and training curriculum that impacts all service members and their dependents. The goals are lofty, the task is difficult, but the effort will enhance wounded-warrior care which is reason enough to move out. Maj. Dr. Fayza Alameri Specialist Family Medicine Zayed Military Primary Care Centre Abu Dhabi, UAE Hidden Agenda in Clinical Practice •

This 20 minutes lecture highlights the presence of hidden agenda in our clinical practice which is when the patient’s presenting complaint is not the real reason why they have come to see the doctor.

• It is based on real cases from practice demonstrating examples of patients hidden agendas •

It shows the other side of clinical practice where physicians have their hidden agenda from patients

•

It raises the issue of VIP treatment and the serious down side of VIP care

•

By the end of the presentation participants will be able to:

1. 2. 3. 4. 5.

Recognize the different presentations of hidden agenda in clinical practice by the illustrating case reports. Outline Bio Medical Model of a consultation versus Patient centered approach which is an essential tool to recognize the hidden agendas of patients. Apply different techniques to uncover the Hidden Agenda. Recognize possible Hidden Agenda of physicians in consultations. Discuss different concepts when dealing with VIP patients and the serious down sides of VIP care.

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Abstracts Symposium F (Dubai Hall)

15:30 - 16:45

Mr. Saeed Aljasmi Head of Business Support and Development Medical Logistic Center, UAE Armed Forces United Arab Emirates Transformation of Medical Logistics Through Innovation and Technology The huge amount of logistic demands and the increasing numbers of operation tasks, created a very challenging environment in the military medical logistic services that resulted in logistics oversize, difficult management, and heavy burden. Therefore, UAE army medical logistics took the initiative of total business transformation and re-engineering, by recognizing opportunities that emerge outside traditional business models, constantly seeking new knowledge, “think for the customer”, anticipating, and innovating services to meet customers’ evolving needs. This paper examines how the medical logistics center in UAE armed forces adopted innovation in logistics through technology, knowledge and relationship networks, in order to achieve greater efficiency; allow better strategic planning and improved decision making.

Mr. Khudooma Alnaimi Abu Dhabi Police Abu Dhabi, United Arab Emirates Method of Investigating Firearm Cases and the Study of the Projectiles Trajectories in Bone This is a 20 minutes lecture which will teaches and informs the attendee about forensic firearm cases investigation techniques that can be applied in incidents such as in homicide, suicide, mass killing or accidental shooting. Firearm forensic cases investigation require intensive work from a firearm expert to identify several factors and condition such as types of ammunition (e.g. bottleneck cartridge, expanding bullet), guns types and number, bullets composition, distance of shooting, injuries location in human body and clothes, the gun shot residues, and to study the trajectory of the projectile. A case example will be presented. The effect of projectile entrances and exit on bone will be discussed in its relation to the investigation process. After • • •

attending this lecture, the participants will be able to: Understand the important of crime scene in the investigation process. Identify the firearm cases forensic investigation techniques. Recognize and understand the effect of firearm projectile (e.g. different bullets) on bone in case examples and in experimental condition.

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Abstracts Mr. Greg Chapman Director the Center for Prehospital Medicine- Vice Chairman PHTLS Carolinas Medical Center United States of America Can the Data From the Battlefield Extrapolated into the Non-Tactical Setting Airway management in the Prehospital setting differs from that encountered in the tactical/ combat situation. This presentation will review the common airway management techniques used in the non-tactical Prehospital environment and compare and contrast it to that of tahe tactical environment. Review of airway management techniques used and the timing of these during the different phases of the care of traumatized patient in the care under fire tactical field care and evacuation care will be discussed. The discussion will center around the primary field MEDIC.

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When the risk is high ®

Atorvastatin

G U L F P H A R M A C E U T I CA L I N D U S T R I E S United Arab Emirates, P.O. Box 997, Ras Al Khaimah Tel.: (971-7) 2461461, Fax: (971-7) 2462462 www.julphar.net

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EN/146/Adv/001/1112 Hos B

Your Patients’ Lifeguard

Abstracts Day 3: 11th December, 2012 PLENARY SESSION II (Emirates Hall)

09:00 - 10:30

Col. Dr. Abdullah Alnaeemi Medical Director Zayed Military Hospital Abu Dhabi, United Arab Emirates Cardiovascular Risk Prevention Program In Military Employees A total of 496 individuals, all males, participated in the cross-sectional study. Those were serially selected from the attendees of the military recruitment clinic in early 2012.All participants were UAE nationals. Demographic data was collected and anthropometric measurements were done using standard methodologies. Classification of risk factors was based on published international criteria. Calculation of the BMI revealed that 27% of the participants were within the normal range while 40% were over-weight, 30% were obese and 3% were extremely obese with a BMI above 40.The prevalence rate of other CVD risk factors were as follows; hypertension, 25%; smoking, 24%; high blood cholesterol level, 40%; elevated LDL level, 40%; hyper triglyceridemia, 40%; low HDL level, 46%; central (abdominal) obesity, 41%; high total body fat, 67%; pre-diabetics, 15%; and diagnosed diabetics 8%.The study was undertaken to measure the prevalence of known risk factors for the development of cardiovascular diseases in military personnel serving in the uae army. Those selected for the study were coming for their periodical medical check up for the purpose of renewing their military reengagement contracts.The study is both timely and relevant given the alarming rates of CVD risk factors among the civilian population. The major risk factors include obesity, diabetes Miletus and hypertension. The impact of CVD on the health of the individuals, the quality of their lives and the toll on productivity and healthcare expenditure are enormous.Standard procedures were used in the clinical assessment, laboratory testing and data collection using validated questionnaires to assess dietary and lifestyle knowledge and practices. The study concluded that the prevalence of CVD is high among UAE military personnel tested, mirroring the rates in the general population. Therefore, there is definite and acute need for interventional measures aimed at reducing those rates and promoting and sustaining healthy dietary and lifestyle practices among the military personnel and their families.

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Abstracts Col. Dr. Khalid Alfaraidy Director of KFMMC Cardiac Center Director of Medical AdministrationCardiac Center King Fahd Military Medical Complex Dhahran, Kingdom of Saudi Arabia Remarkable Reduction in Cardiac Mortality Associated with the Introduction of The Strategic Cardiac Hajj Interventional Program During The Largest Gathering in the Planet Background Religious pilgrimage, or Hajj, is a basic tenet of the Islamic doctrine. Each year approximately 3million pilgrims congregate for up to 2 weeks in a <3 square mile area around the city of Makkah. Hajjis can experience physical and emotional stress with limited healthcare access. Cardiovascularevents were the main cause of death during Hajj for the last decade; therefore theStrategic Cardiac Hajj Interventional Program (SCHIP) was launched in 2009 to provide improved cardiacoutcomes. Aim: To assess the impact of SCHIP on cardiac mortality during Hajj. Methods: A team of Cardiologists, specialists, nurses with access to 3 cardiac catherization laboratoriesprovided 24 hour-a-day support to 13 local hospitals throughout the Hajj period.Cardiac and all causes mortality adjusting for the potential other covariates were statistically analyzed using time series data before and after intervention. Results: Cardiac death rates during 2006, 2007 and 2008 were 51.7%, 50.6% and 53.2%. After SCHIP introduction rates in 2009, 2010 and 2011 were 43.3%, 32.5 and 19.7%. The in-hospital mortality for ACS were 4.7%, 4.6% and 3.0%. The number of cardiac procedure performed in 2 week during Hajj 2009, 2010, and 2011 were 183, 288 and 550. The majority of the procedure in the last 3 years were coronary catherization 90.1%, 80.9% and 86.7% .The rates of open heart surgery were 7%, 5.2% and 4.5%. Conclusion: After introduction of SCHIP, cardiac and in-hospital mortality substantially reduced. Future introduction of mobile cardiac catheterization laboratories may further reduce cardiac mortality.

Dr. Johnny Lau Assistant Professor, Consultant Orthopedic Surgeon University of Toronto Toronto, Canada Prevention of Orthopedic Injuries During Military Training

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Abstracts PLENARY SESSION III (Emirates Hall)

11:00 - 12:30

Brig. Gen. W. Bryan Gamble Deputy Director, TRICARE Management Activity United States of America Logistical Challenges in Humanitarian Mission

Dr. Terry Martin Consultant in Anaesthesia and Intensive Care Director CCAT Aeromedical Training Medical Director, Capital Air Ambulance United Kingdom Wartime Evacuation

Lt. Col. Dr. Ahmed Alsaadi Consultant, Cornea and Refractive Surgeon Zayed Military Hospital Abu Dhabi, United Arab Emirates Keratoconus, Whatâ&#x20AC;&#x2122;s New? Keratoconus is a common corneal disease affects the young population. There have been several advances in the treatment of this condition. Contact lenses have been refined, Intrastromal Corneal Rings have been introduced and corneal cross linking is used. Intraocular contact lenses and lamellar grafting has been successful. The lecture will shed light on how to approach different cases with the best modality of treatment.

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Abstracts Symposium G (Emirates Hall)

13:30 - 14:50

Lt. Col. Dr. Nawal Alkaabi Division Head of Pediatric Infectious Disease Sheikh Khalifa Medical City Abu Dhabi, United Arab Emirates Immunization Strategies in Missions Immunization protects the personal health of the military personnel and maintains their ability to accomplish missions.This presentation will provide the audience with a comprehensive overview of the military immunizations The main objectives will be: 1. To Review Military immunization Standards 2. To provide an Overview of Immunizations in Missions 3. To review Smallpox and Anthrax immunization Col. Dr. Mostapha Debboun Chief, Department of Preventive Health Services US Army Medical Department Center & School Texas, United States of America Personal Protective Measures Used Against Disease Vectors In worldwide military operations, vector-borne diseases such as malaria, dengue, leishmaniasis, Lyme Disease, etc… and associated discomfort caused by biting arthropods can be largely prevented with proper use of personal protective measures, particularly arthropod repellents. Personal protective measures and repellents are usually the first line of defense against biting and vector-borne disease arthropods and provide military commanders with a quick and inexpensive measure to protect the force in any military situation. This presentation will describe the U.S. Department of Defense Arthropod Repellent System and other important personal protective measures used to protect the military troops from disease vectors throughout the world. Col. Dr. (Ret.) James D. Pillow Program Analyst Central Command (CENTCOM) Florida, United States of America Field & Medical Management of Chemical/Bio Casualties (FCBC & MCBC) My presentation, entitled “Point of Injury to Hospital” will give the audience a general overview of the treatment and evacuation resources used by the U.S. military to manage trauma patients on the battlefield. In addition to reviewing the military treatment and evacuation system, I intent to amplify proven tools and techniques, and stimulate thought and discussion as it relates to developing a comprehensive military medical system. I will speak from an Army perspective, but will acknowledge our sister services. The examples, pictures, and lessons-learned are from my tour in Afghanistan, April 2010-April 2011. 92

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Abstracts Symposium H (Abu Dhabi Hall)

13:30 - 14:50

Col. Rafael De Jesus Deputy, Medical Corps Joint Staff Surgeon Washington DC United States of America Telemedicine in Military Lt. Col. Dr. Ahmad Mubarak Humaid Emergency Physician Consultant Zayed Military Hospital Abu Dhabi, United Arab Emirates Top Recent Innovations in Military Medicine: Can We Apply it in Civilain Setting Military advances in the field had affected and reduced mortality in combat environment. Civilian sector have applied many of these recent advances. New therapeutic devices and drugs can provide treatment options for critically injured trauma victims. The speaker will review recent military advances, including hemorrhage control, resuscitative adjuncts, and field ultrasound. • Discuss new devices for possibility to improve patient care. • The critically injured trauma patient and new resuscitative agents. • Discuss new medical devices that have been developed by the military and how can we apply it in civilian setting. • Military innovations for Intravenous lines in combat environment. • Innovations of different hemostatic agents and tourniquets for extremities and non extremities injuries. • New physiological monitoring devices to support the resuscitative efforts done to casualties and its civilian application. Dr. James Palma Program Analyst Central Command (CENTCOM) Florida, United States of America Operational Ultrasound: Efast and Beyond This one-hour lecture teaches the extended Focused Assessment with Sonography in Trauma (eFAST) exam with dynamic videos and case-based examples, specifically focusing on using the FAST exam to aid in triage and evacuation decisions. There is also a brief review of other ultrasound applications that have particular utility in austere environments (eg, ocular and musculoskeletal). At the conclusion of this lecture, participants should be able to: • Differentiate normal versus abnormal (positive) eFAST ultrasound exam images. • Describe integration of ultrasound into triage, evacuation, and medical decision-making scenarios. • Appreciate the utility of bedside ultrasound for other austere-environment applications. 94

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Abstracts Symposium I (Dubai Hall)

13:30 - 14:50

Col. Dr. Goksel Tamer Staff Surgeon, Landstuhl Medical Center United States Army United States of America Expedient Management of Maxillofacial Trauma The presentation will guide the attendee through the process of evaluating and treating combat maxillofacial injuries in an area with limited medical resources By the end of the lecture participants will be able to: 1. Appreciate current injury patterns relative to those experienced in past conflicts 2. Learn techniques to expediently manage maxillofacial injuries when resources are limited

Dr. Steven Liggins Consultant Maxillofacial Surgeon Zayed Military Hospital Abu Dhabi, United Arab Emirates Trauma Experience in KOSVO Conflict The speaker will give an overview of the British Military Medical involvement and secondary care assets during the Kosovo conflict of the late 1990â&#x20AC;&#x2122;s, Personal experience and case reports during this conflict are presented. Key performance indicators in clinical management are discussed. By the end of the lecture, delegates will be able to. 1. Understand the scale and scope of the major trauma load treated at the British Military Hospital Pristina. 2. Be made aware of some of the successes and failures of the treatment of major trauma at the time

Group Captain Andrew M. Monaghan England, United Kingdom Management of Maxillofacial Trauma in The Field

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Abstracts Symposium J (Emirates Hall)

15:10 - 16:45

Maj. Dr. Salem Alnuaimi Consultant Orthopedic Head of Department Zayed Military hospital Abu Dhabi, Unites Arab Emirates Ankle Instability This Twenty mints lecture about ankle instability and it is management. Ankle sprains are the most common athletic-associated injury: they represent up to 40% of all sports-related injuries. The incidence of this inversion type of ankle sprain is around10, 000 people per day. Literature has cited that about 50% of patients with ankle sprains have some long-term sequelae of their injury. Many of these people develop ankle instability. At the conclusion of this lecture, participants should be able to: • Differentiate different type of ankle instability. • How to diagnose the Ankle instability. • What is the different ways of surgical and nonsurgical treatment of ankle instability.

Dr. Johnny Lau Assistant Professor, Consultant Orthopedic Surgeon University of Toronto Toronto, Canada Flat Foot, Can We Ignore It?

Dr. Omar Batouk Assistant Professor KSAU-HS (King Saud bin Abdulaziz University for Health Science)- College of Medicine Jeddah, Kingdom of Saudi Arabia Management of Multidirectional Shoulder Dislocation

Dr. Ehab Farhan Consultant of Orthopaedics Zayed Military Hospital Abu Dhabi, United Arab Emirates Advances in Treatment of ACL Injuries 98

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Abstracts Symposium K (Abu Dhabi Hall)

15:10 - 16:45

Maj. Dr. Saif Albedwawi Infectious Diseases Consultant Zayed Military Hospital Abu Dhabi, United Arab Emirates HIV/AIDS in Uniformed Services At the end of 2011, an estimated 34 million people were living with HIV and estimated 2.5 million people were newly infected cases in 2011. The HIV situation in UAE can be characterized as low prevalence country. There is no global data in the prevalence of the diseases in the military and or its impact on military effectiveness and readiness. But, uniformed services are vulnerable group to HIV due to facilitating factors that expose them to higher risk of HIV infection. The presentation will outline: 1. 2. 3. 4.

The global and regional epidemiological data of HIV/AIDS The prevalence of AIDS in uniformed services The impact of HIV/AIDS in the military Overview of UAE Armed Forces HIV/AIDS program

Maj. Dr. Mohamed R. Alkaabi Consultant Medical Microbiologist and Public Health Zayed Military Hospital Abu Dhabi, United Arab Emirates Infections in War Abstract Infectious diseases and war have been intertwined throughout history. Trauma-related complications, food- and water-borne diseases, endemic zoonoses, and respiratory and vectorborne infections characterize specific types of challenges to the health of the Forces during Operations. This review centers on sub-acute infections like, tuberculosis, malaria, leishmaniasis, brucellosis, diarrhea, and wound infections with multidrug-resistant gram-negative bacteria. Learning Objectives • • •

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Understanding the importance of wound infections in War Understanding the role of other infections associated with War Learning how to protect the troops from common infections associated with war

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Abstracts Col. Dr Johan Crouse Medico Legal South African National Defence Force South Africa Military Medical Ethics Knowledge of the challenges for the Military Medical Officer in modern times have become more and more important especially after the creation of the International Tribunals and International Criminal Court. The relationship between morals, Ethics and Law and the principle of Dual Obligation is not only important but has given rise to more challenges for the Military Medical Officer, especially in conflict situations.

Dr. Abdulla Alreesi Emergency Medicine Consultant Sultan Qaboos University Hospital, Muscat Oman How to Start and Monitor a Research Project: From the Idea to the Results

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Abstracts Symposium L (Dubai Hall)

15:10 - 16:45

Group Captain Andrew M. Monaghan England, United Kingdom Management of Craniofacial Vascular Malformations - The Birmingham Experience Maj. Dr. Reem Alalawi Specialist ENT Department, CMS Abu Dhabi, United Arab Emirates Noise - Induced Hearing Loss in the Military Service This 20 minutes lecture highlights sources of noise in the military service and the effect of noise on hearing. It will focus on the critical need to implement and re-inforce hearing protection program in the military. It will include a brief explanation of hearing process and the mechanism of noise-induced hearing loss. At the conclusion of this lecture, participants should be able to: • Outline hearing process • Understand the mechanism of noise-induced hearing loss • Appreciate the importance of a valid hearing protection program

Lt. Col. Dr. Abdulla Alremaithi Consultant Radiologist and Head of Department of Imaging Studies Zayed Military Hospital Abu Dhabi , United Arab Emirates CT Angio Experience In ZMH This will include; 1. Indication for CTA 2. Technique 3. Interpretation 4. Non Coronary Disease 5. Advantages and disadvantages 6. Future plans of ZMH experience using CTA. Objectives; To show the Basic Coronary CT Angiography and the clinical use of this technology and our experience in ZMH in this regards.

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Abstracts Brig. Dr. Saud S. Alsaif Consultant ENT Surgeon Head of ENT DEPARTEMENT King Fahad Military Medical Complex Kingdom of Saudi Arabia Screening For Noise Induced Hearing Loss Among Military Personnel in Eastern Province of Saudi Arabia Objective: To study the effect of noise exposure on the hearing sensitivity of the screened study subjects, analysis of the questionnaire for noise exposure and to compare between hearing impairment in different noise exposure categories. Materials and methods: as a first part of the screening study, 1879 subjects were evaluated. Noise exposure survey was filled by the study group. Screening air conduction pure tone audiogram was done for each participant. Patient who did not pass the screening were referred to the ENT and audiology unit for further evaluation: complete history, otological examination, pure tone audiometry, tympanometry and DPOAEs. Results: The average duration of duty for the study group was 10.26 Âą 8.06 years. 33.9 % of the study group was cigarette smoker. 188 subjects out of 1879 (10 %) did not pass the screening air conduction pure tone audiogram and they were referred to audiology clinic. The mean emission amplitude across the DPOAEs measured frequencies in NIHL patients at high frequencies were significantly lower than that of the low frequencies. Also it was noticed that as the hearing loss increases at high frequencies region with the NIHL the DPOAEs amplitude decreases. Discussion and Conclusion:10 % of the high risk noise exposed subjects had high frequencies hearing loss. This hearing loss could be minimized with the proper use of the hearing protective devices on exposure to intense noise level. DPOAEs in NIHL evoked at low frequencies differ from those evoked at high frequencies. Reduction in the emission amplitude of DPOAEs at high frequencies region was significant in comparison with that of the low frequencies. These differences can be attributed to the hearing loss and the pathophysiologic mechanism at the level of OHCs encountered in those patients.

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Abstracts Day 5: 13th December, 2012 PLENARY SESSION IV (Emirates Hall)

08:30 - 10:00

Col. Rafael De Jesus Deputy, Medical Corps Joint Staff Surgeon Washington DC, United States of America Recent Advances in Operational and Tactical Planning for Field Medicine

Lt. Col. Tammy Pokorney Aero medical Evacuation and Medical Operations Planner Air Force Central Command United States of America USA Aeromedical Evacuation, A US View Synopsis: This presentation will briefly cover the history of the Aeromedical Evacuation system through early Army Air Corps to present day capabilities with emphasis on organizing, training an equipping of the force and the universal capabilities by platform to include the C-17, KC-135 and the C-130. Basic principles of en route coordination and regulated patient validation area defined for the theatre of operation, discussing the collaboration of the medical treatment preparation for the operational lift of patient requirements.

Lt. Col. Dr. Nasser Alnuaimi Commanding Officer of UAE AF Medical Center, Chief Flight Surgeon Commander Aeromedical Training Center Medical Services Corps / UAE Armed Forces Abu Dhabi, United Arab Emirates The Challenges of Providing Wartime/Humanitarian Medical Evacuation Services The presentation will inform the attendee of the challenges of providing wartime and humanitarian medical evacuations services in the practical sense of operations. The challenges will be presented from a UAE prospective and will give examples of the current aeromedical evacuation system in the UAE. The presenter will give his views of possible solutions to the challenges. By the end of the lecture participants will be able to: 1. Understand the challenges of providing AeroMedical Evacuation Service from an operational point of view. 2. Understand possible solutions to the challenges.

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Abstracts Symposium M (Emirates Hall)

10:30 - 12:15

Col. Dr. Tamer Goksel Staff Surgeon, Landstuhl Medical Center United States Army United States of America Echelons of Care and Current Triage Techniques in Combat The presentation will inform the attendee of the differing echelons of care in military medicine. The lecture will also cover current triage techniques and advances in military emergency medicine. By the end of the lecture participants will be able to: 1. Understand the changes implemented in current military triage techniques 2. Understand the echelons of care in military medicine and the impact it has on casualties

Col. Dr. (ret.) James D. Pillow Program Analyst Central Command (CENTCOM) Florida, United States of America Wartime Evacuations “Point of Injury to Hospital”

Maj. Dr. Salem K. Alnuaimi Abu Dhabi, United Arab Emirates Aero Medical Evacuation Team Compositions and Medial Equipment Requirements Aero medical evacuation procedures provide service so that no soldier away from a medical facility capable of giving definite, resuscitative life-saving treatment. This presentation give an over view of mission, organization and capability of UAE military SAR and Aero medical evacuation team. At the conclusion of this lecture, participants should be able to: • List the Tenets of Medical Evacuation • Describe what medical evacuation encompasses • Describe what are the planning considerations • Identify the different modes of evacuation • Identify the advantages & disadvantages of our military evacuation equipment • Aero medical evacuation team composition and medical equipment Requirements www.panarab2012-icmm.ae

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Abstracts Dr. Nadia Bastaki Senior Medical Officer Etihad Airways Medical Center Abu Dhabi, United Arab Emirates Ultra-Long Haul Patient Movement on Civilian Introduction The need to understand basic aerospace physiology has been accelerated by the growing number of passengers who use commercial air travel and, in particular, the increasing number of elderly, disabled or chronically ill passengers. Although commercial air transportation is very safe compared with other forms of transportation, both environmental and health concerns must be considered when counseling ill patients who are about to travel by air. In-Flight Resources Civil Aviation Authority require all UAE based airlines to carry a basic emergency medical kit with specified contents, as well as a first-aid kit for emergencies that may occur during flight. However, the contents of the kits are limited and are intended for basic emergency treatment only, not to sustain or treat critically ill passengers on extended flights. The medical kit may be opened during flight only when authorized by a physician, either on board or from the airlineâ&#x20AC;&#x2122;s Medair assistance services connected to the aircraft via air-to-ground communications. In addition, a number of airlines have installed automatic external defibrillators, Tempus and enhanced medical kits containing a wide variety of acute cardiac life support drugs and equipment to aid in medical emergencies. The flight attendants or Cabin Crew are trained in basic life support and the use of emergency equipment onboard but the use is only limited during emergency Transfer of ill passenger Transfer of ill passenger on the commercial flight requires to follow certain procedure to assess the fitness of the passenger before and during the course of flight, passenger with pre existing medical problem and health issue are request to fill the MEDIF form and accompany that with medical report where the airline medical center evaluates each case and advices and recommends certain requirements during the flight which may include (medical escort , oxygen ,stretcher) the Airline medical department may also refuse cases depending on medical condition and it course during the flight , safety of other passenger Aircraft diversions risk The presentation will discuss all this aspects and highlight points related to patient transfer in long haul flights

Mr. Wayne Hayman Chief Flight Paramedic GHQ â&#x20AC;&#x201C; Armed Forces, Air Force Medical Center Abu Dhabi, United Arab Emirates Military Aeromedical Evacuation Training

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Abstracts Symposium N (Abu Dhabi Hall)

10:30 - 12:15

Dr. Mark Rayson Managing Director Optimal Performance Limited United Kingdom Optimizing the Selection and Training of Military Personnel UK Military Experience

Maj. Dr. Reema Alhosani Specialist Sports Physician Medical Service Administration of Abu Dhabi United Arab Emirates Injuries in Police Recruits The overall incidence of injury during training among recruits has been recorded to be in the range 8% to 20% with an injury rate from 10 to 15 per 100 recruits per month. This represents a large burden on academies in terms of recruitsâ&#x20AC;&#x2122; missed training time and resultant decreased fitness together with greatly enhanced academy training costs. A similar situation exists for the training of police recruits but there are little data available to quantify the magnitude of the problem. Purpose: To explore the epidemiology of injuries sustained during training among recruits in the Abu-Dhabi and Dubai police academies and to investigate an injury prevention program. Methods: A prospective cohort study was conducted among recruits joining the Abu-Dhabi & Dubai police academies during the period 2009-2011. Incidence (injuries /recruitshours) was evaluated in addition to injury severity, location, type, and causes of injuries. Results: injuries were recorded, of which 60.4%were time-loss injuries and 39.6% were medical attention injuries. Seventy one percent of injuries affected the lower limbs. Muscle, tendon, and bone pathologies were the most common types of conditions encountered. Eighty three percent of the injuries were gradual onset in nature. Sixty four percent of injuries were of minimal severity. Physical workload at all stages of the training programme was assessed and an injury prevention programme has been conducted however, show no significant changes in injury reduction. Conclusion: Incidence of injuries among recruits resembles that amongst athletes undertaking endurance exercises, but lower than few athletes involved with contact sports. Lower limb injuries were the commonest encountered injuries, however, of minimal severity.

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Abstracts Maj. Abduladheem Kamkar Head of Physiotherapy Section Dubai Police Health Center Dubai, United Arab Emirates Physiotheraphy Management of Neck Pain Neck pain and impairment is a common condition that affects an estimated 22-70% of the population during their lifetime. In addition, 30% of patients who suffer from neck may develop chronic pain. A variety of causes of neck pain have been described and include osteoarthritis, discogenic disorders, trauma, tumors, infection, myofascial pain syndrome, torticollis, and whiplash. Similar to low back pain, a pathoanatomical cause is not identifiable in majority of cases that present with neck pain or neck related pain in the upper quarter. If serious pathology is ruled out, patients who present with above conditions are are diagnosed as having mechanical neck disorder or non-specific neck pain. Physiotherapists use many clinical examination and treatment techniques to assess the condition and treat it. Aim of this talk will be to present current best practice in physiotherapy management of neck pain. Interventions that are used in management of neck pain will be reviewed.

Oral Presentations

At the conclusion of this lecture, participants should be able to: • Understand prevalence and clinical course of neck pain. • Describe a classification system proposed for assessment and treatment of neck pain. • Describe evidence based examination and treatment intervention used in assessment and treatment of neck pain.

Brig. Ret. Dr. Stephan Rudzki Regional Medical Advisor (Formerly Director General Policy & Research Adf) Department Of Defence Australia Fitness Assessment and Readiness for Military Exercise Readiness in Military Training Fitness is an essential requirement for all soldiers who engage in combat. But there is considerable debate about how best to assess military fitness. For centuries Armies have relied on pack marches to condition soldiers, but from the 1970’s onwards running became the preferred method of training and assessing soldiers. Fitness tests involving running, sit ups and push-ups become commonplace among Western Militaries, and had the advantage of administrative simplicity and minimum time requirements. However, recent conflicts have confirmed that it is the requirement to carry load that is the most important. Run performance is a function of power to weight ratio which is best summarised by VO2 MAX which is expressed as millilitres of oxygen consumed per kg body weight per minute (malls/kg/ min). This favours light runners of low mass. Load carriage performance is determined by absolute VO2 and this is a function of body mass. So the paradox exists of a combat requirement for load carriage but a fitness testing regime that penalises soldiers of large mass. The Australian Army has moved towards the introduction of new tests based on physical employment standards and these will be discussed. www.panarab2012-icmm.ae

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Oral Presentations Cervical Spine MRI Analysis in Asymp- The Netherlands experience with frozen tomatic Fighter Pilots Flying F-16 and -80°C red cells, plasma and platelets in Combat Casualty Care Mirage-2000 Dr. Muntaser A. Husein (UAE)

Dr. John F. Badloe (Netherlands)

Abstract : Reclined seat-back angle has been identified as a risk factor for neck injuries in +Gz flying environment. The additional neckflexion required to maintain normal gaze relative to horizon increases the risk of extreme cervical spine (CS) positions and reduces mechanical efficiency of neck muscles in CS protection. In this MRI study, CS images of 9 F-16 fighter pilots (FP) and 9 Mirage-2000 FP have been evaluated by 2-blinded radiologists to assess prevalence and pattern of degenerative changes in these FP groups for the hypothesis that F-16 FP are more prone for CS degeneration than FP flying other aircrafts of similar performance. There were no significant differences between study groups in relation to numbers, grades, disc levels involvement and nature of degenerative lesions. 24 (57.1%) lesions affected 13 discs of 7 F-16 FP compared to 18 (42.9%) lesions in 9 discs of 5 Mirage-2000 FP. Degenerative changes in these subgroups concentrated around C3-4 (38.1%) and C5-6 (38.1%) levels and they were frequently in form of posterior disc protrusion/bulging (42.9%), signal intensity reduction (28.6%) and posterior osteophyte formation (19%). It was concluded that F-16 FP are not at higher risk of developing CS injuries because of reclined seat-back angle. FP screening and periodic CS imaging was suggested for identifying those at higher risk and to reveal acquired degenerative lesions. Further studies with more criteria and definite grading together with larger study samples and non-flying controls might be of greater statistical significance and help in understanding links between +Gz exposure and CS loading.

Background: Since 1987 the Netherlands Military Blood Bank has worked closely with Dr CR Valeri for the production of -80°C frozen blood products. With the procedures of his Naval Blood Research Laboratory the Netherlands Military is able to provide frozen red cells since 1993 and frozen plasma and platelets since 2001 for peacekeeping and peace enforcing missions abroad the Netherlands. With the availability of these -80°C frozen blood products the ‘walking blood bank’ and its potentially unsafe blood products are obsolete and this concept is thus safely abolished in 2001 by the Netherlands military. Since the introduction of 4°C storage of thawed red cells in 2004, the Netherlands military mainly use -80°C frozen blood products to cover operational needs. Here we describe the experiences with these products of NLD blood bank facilities in Afghanistan, from Aug 2006-April 2011. Methods: All -80°C frozen products are leukodepleted and of universal donor type, produced in the Netherlands, shipped at -80°C (dry ice) and sto red in theatre at -80°C. Products are thawed on demand (red cells, plasma and platelets) or for 4°C storage after thaw (red cells 14 days and plasma 7 days). Occasionally, non frozen liquid red cells are sent as a supplement to cover (expected) higher usage. All products are in compliance with international regulations and guidelines. Results: During the past 4.7 years, 1002 patients (83% Afghan) were transfused with 6164 -80°C frozen blood products (2168

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Oral Presentations red cell units, 2953 plasma units and 1043 platelet units) and 876 units liquid red cells. On one location, where all blood products were provided by the Netherlands Military Blood Bank, blood usage and survival were further analyzed. It showed that >95% of the transfused patients were trauma patients, of which 14% (48 out of 341) required more than 10 red cell units within 24 hours. In these massively transfused patients survival improved from 44% (N=16) to 84% (N=34) after the introduction of the new ‘1:1 transfusion policy’ in Nov 2007. No walking blood bank was required and no shortages or transfusion reactions were reported. Conclusions: Fully tested, frozen blood products, readily available after thaw proved to be a safe, available, effective and efficient blood support for combat casualty care and together with the use of a 1:1:1 ratio increased survival in MT patients significantly. Venomous Bites and Stings Amongst the Armed Forces: A Review of Risk Factors Preventive Measures And Management Dr. Abdulrahman Alasmari (Saudi Arabia) Snakebites, scorpion stings, and spider bites are risks for deployed troops in the desert environment. In Operation Desert Shield when Army units entered unimproved areas in Saudi Arabia, numerous stings and bites accidents occurred. Fifty-seven cases of scorpion stings alone were reported, which required treatment with fluid support and several types of drugs. First and foremost, awareness about time of year when encounters are increased is necessary along with preventive measures of habitat avoidance if possible and protective clothing as practical as possible given the hot environment. Some studies showed that the peak occurrence of encounters occurred in the spring and summer months, with snakebites peaking in May and arthro116

pod bites peaking in August. This can be explained by the poikilothermic nature of snakes, with most activity in the spring and fall and minimal activity in extreme temperatures. Arthropods are less reactive to extreme temperatures, but extreme heat in summer months lead soldiers to have more exposed skin. It is because of this reason spider/scorpion encounters were reported more likely during the third quarter of the year. The Saudi study also demonstrated the increase in the summer months (51% of stings) and decrease in winter months, with the highest incidence in May. Prevention remains the best method to reduce snake, scorpion and spider encounters. Besides wearing protective clothing, shaking clothes/shoes before wear are useful common sense activities. Soldier’s behavior, with regard to snakebites, scorpion bites and spider bites also plays a significant role. Soldiers should avoid disturbing animal habitats and “looking for trouble” by handling or provoking snakes, scorpions, and spiders. Once bitten, the systemic effects vary based on species in terms of their toxicity. Species-specific antivenin is the primary medical treatment but due to real world conditions where species may not be identified, polyvalent antivenin is maintained at major treatment facilities. Defense Forces generally follow a well established protocol for field treatment that includes reassurance, splinting, rest, intravenous fluid administration, and pain medication. Rapid evacuation to a hospital for definitive care and antivenin administration complete the treatment protocol. The contraindicated measures include cutting or applying suction to the wound, applying arterial or venous tourniquets, giving hot fluids or alcohol, cooling the wound, or cauterizing or freezing the wound. Medical personnel deployed on operations are strongly recommended to attend briefings about snake/scorpion/spider avoidance and the prevention of bites and stings with the emphasis on the particular species of venomous animals that are reported in that area.

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Oral Presentations The Role of Computed Tomography in Evaluation of Patients with Acute Abdominal Trauma. Our experience at King Hussein Medical Centre

patients. It is fast and widely available. The study showed strong effect on surgeons› clinical diagnoses and treatment plans. Treatment of Patients with Explosive Defeats in the Act of Terrorism

Dr. Asem A Alhiari (Jordan) Abstract: Acute abdominal trauma may result in multiple internal organ injuries which may be quite difficult to characterize especially in the presence of more obvious external injuries.

Dr. Trukhan Alexey (Belarus)

Purpose: the main aim of this study is to evaluate the role of Computed tomography (CT scan) in determining the nature, type and associated findings of internal organ injuries due to acute blunt abdominal trauma, and to determine the effect of its result on the decision of the surgeon. .

Material and Methods: The work is based on an analysis of treatment of 195 injured in the explosion at the metro station \\\”October\\\” 11 April 2011. The study comprises 15 hospitals, including hospitals of the Ministry of Defence and the Ministry of Internal Affairs.

Methods: the surgical team evaluated the cases and wrote-down their notes before and after abdominal CT in 285 patients who presented to the emergency room due to acute abdominal trauma between January 2007 and January 2009. The study was done at King Hussein Medical Center, Amman-Jordan . The sample included 193 males (68%) and 92 females (32%) , with an age range of 2-78 years (mean age, 23.5 years). The surgeon was asked to estimate the probability of an underlying internal abdominal organ injury, which organ was injured and if he is suspecting other associated complication like hemo or pneumo peritoneum. Results: The CT scan results changed the surgeons\› initial suspicion in 188 (66%) patients. Management plans changed in 82 (29%) patients. Admission into Intensive Care unit has decreased by (35% . CONCLUSION: CT scans is extremely helpful in initial evaluation of patients with acute abdominal injuries particularly in haemodynamically-stable

Abstract: The aim of the study. Identify the most common surgical procedures in patients with explosive defeats.

Results: We considered surgery for victims of this terrorist act. The main types of operations on different anatomical areas are analyzed, technical characteristics and priorities for their implementation are defined. The necessity of the ability to perform primary surgical treatment of wounds by civil surgeons is shown. The active search for diagnostic in patients with blast lesions for early detection of life-threatening trauma has great importance. We should use all possible laboratory and instrumental techniques, including invasive (laparocentesis, laparoscopy). The dependence of the nature and type of surgery for fractures of the bones on the type of injury, severity of the condition of the victim, the availability of medical specialists and their equipment is shown. Conclusion:. Victims of blast lesions in need of performing a large number of surgical interventions, including in specialized care, and should be guided by the principles of Â«damage controlÂ». Each surgeon must know the characteristics of the pathogenesis and treatment of gunshot and blast wounds, and technique of primary surgical treatment of wounds.

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Oral Presentations Prevalence and Modifiable Determinants tors should be given more weight and what of Obesity Among School Children and kind of political and administrative strateAdolescents in Abu Dhabi gies must be developed to change physiciansâ€™ prescribing behavior. Dr. Abulah Aljunaibi (UAE) Ramadan Fasting and Type 2 Diabetics: Prescription Behaviours of General Prac- Influence of Regular Military Training titioners While Working as a Reserve Officer Dr. Soliman A Mhd Ewis (Qatar) Dr. Mehmet Cetin (Turkey) Abstract: Introduction - Today, there are numerous medications developed for a particular indication. The physician has to choose the most appropriate drug for his or her patient. The objective of this study is to investigate the prescription behavior of general practitioners while working as a reverse officer in military medical facilities. Material and Methods: This determinative study was carried out between April-June 2009, with the doctors who joined military service to take basic training as reserve officers in Samsun Terrain Medical School and Education Command Center. A total of 267 general practitioners were asked to participate in the study and 189 (70,7 %) volunteers were included in the study. In this study, a questionnaire which was composed of three parts was used as data collection proceeding. Results: The mean age and the mean year of service were 30,2 and 2,8 years, respectively. The results of the questionnaire revealed that, the most important factor during deciding to write a prescription was as follows: safety of drug (adverse effect profile) (6.0), clinical effect of the drug (5.8), and suitability of the drug to the patient (5.8). The least important factors were found to be expectations and influence of the pharmacist (1.8) and the mentality of â€œgood physician prescribes more drugsâ€ (2.1). A mock prescription was asked from all participants and the lowest prescription cost was 0 $, the highest one was 39,94 $, and average cost was 9.5 $. Conclusions: The results of this study are thought to shed light on the issue which fac118

Abstract: Purpose & Participants: As is customary, most reduce their daily activities during the monthe of Ramadan, which this year runs during summer time. We studied the biochemical and clinical changes in 42 military, male type 2 diabetics. Non of them known to have IHD, diabetic nephropathy, neuropathy or peripheral vascular disease. They were aged 39.2 yr (range 25 â€“ 51); had had diabetes for 9.3 yr (range 2 â€“ 14); 18 took light to moderate regular exercise â€œGroup Iâ€ and 24 did not â€œGroup IIâ€ . Methods & Results: They were left to manage their diabetes as they usually did each year during Ramadan. After 3 weeks of fasting, plasma glucose fell from 12.7Â±6.1 mmol/l (fasting) to 8.9Â±4.1 mmol/l (p = 0.048) in group I and from 13.6 Â±6.8 mmol/l to 12.5Â±6.2 mmol/l (NS) in group II. HbA1c showed non-significant differeces, while serum triglycerides fell signifcantly in both groups. Serum createnin, uric acid, BUN, total protein, albumin, alkaline phosphatase, ALT and AST showed a non-significant increase during the fasting period in both groups. No patients were noted to have lost any weight. Non showed Ketonuria or hypoglycemia. Fifty six percent of those who took regular exercise and 37% of those who did not, had a subjective felling of being better during Ramadan. Conclusion: Non-complicated type 2 diabetics who wish to take light to moderate regular military exercise during Ramadan should encourag to do so. More investigations are recommended. Different results may be obtained if similar study was conducted during Ramadan in winter period.

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Poster Presentations

Notes

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Poster Presentations 1-Children and Disasters, Public Mental or only one symptom after stress or trauma. Health Approches. 2-Resilience, Burn- It is a measure of coping and out, and the Role of Stress Applying crime scene investigation techniques and its importance in solving Dr. Asmaa Amin Abdelaziz (Qatar) violence death case Abstract: Children have unique risks from weapon of mass destruction due to various Dr. Hamad Alghafri (UAE) physiological and psychological factors including susceptibility to radiation, propensity to become hypothermic from mass decon- The role of forensic anthropology in the tamination, inadequate availability of pedi- identification process of dead and missatric emergency care and equipment, con- ing military service members in war and traindications for pediatric use of standard peace treatments and possible greater risk from biological agents themselves. To date, there Mr. Khudooma Saeed Alnaimi (UAE) are no reliable large scale epidemiological data on the morbidity or mortality of children Abstract: Forensic anthropology is the sciexposed to terrorism and specific disasters ence study human body for legal identificahave begun to document a range of adverse tion purposes. It include searching for human mental health consequences. Subsequent remains, collecting them in an organized manto the Public Health Security and Bioterror- ner, differentiate between human and non huism Preparedness and Response Acts of man skeletal remains, estimate the minimum 2002, federal guidance directs all states to number of persons of these remains, extract address the unique needs of children and information from human remains regarding families in recognition that children are more ageing the skeleton, sexing (male or female), susceptible to the untoward consequences human race (e.g White, Black, Asian human of disasters because of a host of special population), stature estimation (how tall is circumstances, including biological and psy- the person before death?), type and locachological vulnerability. As a result, there has tion of different trauma on human skeleton been a significant modernization of public (Ballistics, blunt, or sharp force trauma), child and family mental health approaches identify any other characters on human bone to terrorism and disaster preparedness, re- which can help in its identification such as muscle attachment on bone, teeth condition sponse and recovery. (e.g. attrition, caries, missing teeth, medical nd The 2 Abstract: While psychopathological intervention), and geographical origin of huchange after stress is relatively common, it man remains. The techniques which forensic is noted that it is the exception rather than anthropology can use include CT scanning the role.Even after significant exposures to of human remains, comparing postmortem stress or trauma, most of people do not de- and antemortem teeth and bone x-rays, favelop lasting psychopathology. Increasing in- cial reconstruction, face-photo superimpositerest in stress resilience has led to research tion, osteometric measurement, and stable on the neurobiological basis of protective isotopes analysis from teeth, bone, nail and factors as well as risk factors for developing hair. In the military situations which can fopsychopathological changes. Resilience has rensic anthropology help are in missing milibeen defined as having either no symptoms tary service members during action of war

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Poster Presentations or peace, plan crash accident with multiple casualties, explosive accidents with several human remains mixed together, and in natural disasters. Forensic anthropology will help is must in initial identification of the remains before taking samples for DNA final identification. The aims of this research is to outline the importance of the forensic anthropology to the military identification of missing persons in order honor them and reach the truth of their death circumstances and to return their remains to their families. Case examples will be presented from the local and international experience.

swabs. These samples can be analysis and stored in a separated military DNA database or to be stored and analyzed when itâ€™s needed. In this research cases example of using DNA in identifying deceased persons in Abu Dhabi will be reviewed, paternity analysis, and the Abu Dhabi forensic DNA database system will be discussed which will explain the database types, its methods of searching and uploading DNA profiles. The important of fingerprint in the human forensic identification

The DNA and its Database as military Dr. Sultan Al Tenaeji biometric management identity tools. Abstract: Fingerprints are friction ridges of human hand and foot which can be used in Dr. Mariam Alquahtani (UAE) the identification process. It can be recover Abstract: In modern armies the use ad- from dead bodies in early decomposition vance techniques and equipments will help stage, or mummified bodes, and other imin reaching its full military operation capaci- pression from different surfaces in various ties. To reach this target a strong identify items such as cars, pens, wood, skin, glass, management tool will help to identify its mili- plastic, paper, fruits and other. Fingerprint tary staff especially for men lost in local and can be importance evidence in cases such overseas military duties either in fighting as homicide, burglaries, unknown persons or in military accidents. The use of identity identification. In cases of decomposed bodmanagement method for its staff will have ies hands skin can be removed to be wash positive e security and humanitarian con- and treat the skin in the laboratory in order sequences especially when other means of to facilitate the fingerprinting process, in identity such as fingerprint, military number, mummified human bodies fingers can be clothes and ID cards are missing or dam- cut from the hands in order to clean their aged. DNA is occupying an important loca- skin and to treat later by distilled water to tion in the identification and verification of make the skin softer to recover fingerprint. the identify of unknown dead persons by There are several fingerprint classification comparing their DNA to a stored DNA data- systems such as which categorize the finbase profiles or to a close familial members. gerprint in to loop, whorl and arch. Modern The DNA methods can be an effective staff ink-free equipments are used to take fingeridentity management methods in the military print from the hand which enables transfer life as its can be analysis from biological evi- them electronically to the database. Fingerdences such as blood, bouclesâ€™ swabs, print which are taken from crime scene or teeth, hair and bone. The DNA techniques dead unknown bodies will be compared to can include nuclear DNA, Y-chromosome, local or international (Interpol) fingerprint and Mitochondrial DNA. The suggest meth- database. This research paper will explain ods of collecting DNA samples is by buccles the importance of fingerprint, applications,

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Poster Presentations and procedures. Cases examples will be pre- use in human shooting case investigation. sented which explain the fingerprint recovery Case examples from local and international techniques from different surfaces using experience will be discussed. several techniques. Extreme Hot Climate Related Health Methods of investigating firearm cases Hazard Among Armed Forces: Experiand the study of the projectiles trajecto- ences During Gulf War ries in bone Dr. Abdulrahman Alasmari (KSA) Dr. Jasim Obaid Alali (UAE) Heat illness is a major cause of preventable morbidity for armed forces. The major heatAbstract: Firearm forensic cases investigarelated illnesses, heat exhaustion and heat tion require an intensive work from an exstroke, involve varying degrees of thermoregperienced firearm expert to identify several ulatory failure that occur when individuals are factors and condition such as types of am- exposed to elevated temperatures (101-102 munition (e.g. bottleneck cartilage, expand- degrees F) whereas paleness, dizziness, ing bullet), caliber, bullets composition, dis- nausea, vomiting are caused as a result of tance of shooting, number of round, injuries excessive heat and dehydration. It may raplocation in human body and clothes, the idly progress to heatstroke when the bodyâ&#x20AC;&#x2122;s firearm residual on the shooter and victims, thermoregulatory mechanisms become overwhelmed. Exertional heat stroke generand to study the trajectory of the projectile. ally occurs in healthy individuals who engage Firearm forensic cases investigation can be in heavy exercise during heat waves when in situations such as homicide, suicide, hu- temperatures exceed 102.50F (39.20C) for man right investigation in like genocide and 3 or more consecutive days. Those with mass killing. The work of the expert will be exertional heat stroke usually have both divided between the shooting scene and a respiratory alkalosis and lactic acidosis. It laboratory for examination, comparison and occurs in younger patients: typical military interpretation of result. Bullets which will be cadets, soldiers and athletes during training. recovered from the scene will be compared Heat exhaustion and exertional heat stroke affect our soldiers and athletes during trainregarding their striation and grooves with ing in extreme hot climate. Risk of developthe suspected firearm which is used in the ing exertional heat stroke is related directly shooting. Integrated Ballistics Identification to peak temperature, duration of exposure System (IBIS) will be used to compare the and acclimatization period. Heat waves may suspect bullets with a local and international also increase the mortality rate. In Saudi firearm database to identify and track un- Arabia, the incidence varies seasonally, from known firearm and if it has been used in pre- 22 to 250 cases per 100,000 populations. vious shooting cases either locally or internationally. The effect of projectile entrances Besides stroke and exhaustion Gulf War experience revealed a large number of hot and exit on bone will be used to study the climate related health hazards including suntrajectory of shooting to help to differentiburns, milivia (keratinization and sub corneal ate between homicide, suicide or accidental vesicles formation of skin), hyperpyretion, shooting. In this research the general proce- heat syncope, dehydration and depletion of dure of firearm shooting forensic investiga- salt. The soldiers in Gulf War also suffered tion and procedure will be presented in addi- from hot climate related intertrigo (inflammation to experimental shooting on animal bone tory dermatosis) in axillary and inguinal fold, with known shooting trajectory in order to be upper eyelids, neck creases, antecubital fossa, emblical, perineal and interdigital area. www.panarab2012-icmm.ae

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Poster Presentations In some soldiers these heat related disorder also lead to secondary bacterial and fungal infection. On the other hand tinea body and tinea versicolor was commonly observed in Gulf War veterans. These conditions resulted from heat and moisture in the foot due to wearing occlusive military boots. Hot climate is known to be predisposal factor for fungal infection caused by high temperature, sweating and humidity.

an increased risk of ALS, rather than Gulf War service in particular. Taken together, the conclusion is that if a neurological examination in a GWV is within normal limits, then extensive neurological testing is unlikely to diagnose occult neurological disorders. On the other hand Gulf War veterans have reported an increase in symptoms that could be due to central or peripheral nervous system (PNS) disorders, compared to non-deployed veterans. The five most frequently reported symptoms were: muscle (and joint) pain, fatigue, headache, memory problems and sleep disturbances. Some of these symptoms could also be related to psychiatric conditions, such as major depression, posttraumatic stress disorder (PTSD) or anxiety disorders.

Gulf War veterans also suffered from urticaria caused by direct warmth and hot sun. Xerosis (dry skin) was very common among deployed personnel during Gulf War. Hot and dry climate with temperature reaching up to 1220F during daytime also resulted in cheilitis characterized by scaly and dry lips manifested by fissured appearance of lips. Superficial erosion and secondary infection also occur due to licking the lips or picking A meta-analysis of the published data based at the scales. Nature of hot climate related on other combat experiences will throw furhealth hazards and preventive measures will ther light on this important subject. be discussed. Molecular eidemiological study of hepaA Review of Neurological Disorders in titis B virus in the United Arab Emirates Gulf War Veterans based on the analysis of pre-S gene Dr. Abdulrahman Alasmari (KSA) Dr. Mubarak S. Alfaresi (UAE) In this presentation we reviewed the neurological disorders in Gulf War veterans (GWV). Introduction: Hepatitis B virus (HBV) is a Twenty-two studies were reviewed, including small, enveloped 3.2-kb DNA virus with four large hospitalization and registry studies, open reading frames (ORFs). HBV envelope large population-based epidemiological stud- proteins are encoded by three overlapping ies, investigations of a single military unit, envelope genes contained within a single small uncontrolled studies of ill veterans and ORF: pre-S1, pre-S2, and S. Depending on small controlled studies of veterans. In nearly the translated initiation site among S, preall studies, neurological function was normal S2, or pre-S1, three different sized proteins in most GWVs, except for a small propor- are produced. tion who were diagnosed with compres- In the late 1990s, two major types of presion neuropathies (carpal tunnel syndrome S deletion mutant LHBS were identified and or ulnar neuropathy). In the great majority highly associated with HCC. of controlled studies, there were no differences in the rates of neurological abnormali- After pre-S mutant LHBS was discovered, ties in GWVs and controls. In a national US various geographically diverse studies (Chen study, the incidence of amyotrophic lateral et al., 2006; Chen et al., 2007; Chen et al., sclerosis (ALS) seems to be significantly in- 2008; Fang et al., 2008; Huy et al., 2003; creased in GWVs, compared to the rate in Kajiya et al., 2002; Preikschat et al., 2002; controls. However, it is possible that military Santantonio et al., 1992; Suwannakarn et service, in general, might be associated with al., 2008) screening for pre-S mutations in124

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Poster Presentations variably reported that they were prevalent in chronic HBV carriers. In this study, we investigated the prevalence and characteristics of the pre-S gene mutations predominant in the United Arab Emirates population as well as its association with HBV genotypes and both precore and core mutants.

Sequence analysis. Genotyping, BCP, and pre core mutant and pre-S region analysis were carried out by sequence comparison with known sequences from different HBV genotypes that have been previously described and were aligned as described above. The Geneious program (Biomatters, Inc.) was used for genotyping as well as for phylogeMaterials & Methods: Patients. A total of netic and molecular evolutionary analyses. 120 consecutive serum samples from HBsAg-positive patients were evaluated in this HBV DNA quantification. All samples were study. These samples were derived from 98 submitted to HBV DNA quantification using males and 22 females with a mean age of the commercial TaqMan Amplicor HBV assay 36.4±12.6 years. All of these patients were (Roche Diagnostics), which has a lower limit UAE citizens. The samples were evaluated of detection of 12 IU/L. for the presence of several serological markers of HBV infection (including HBeAg, anti- Statistical analysis. For statistical analysis, HBeAg, and HBsAg) using the bioMérieux we used the PASW Statistics software packELISA kit according to the manufacturer’s age, version 18.0. Either the χ2 test with instructions. the Yates correction or Fischer’s exact test was used to analyze quantitative data and to Analysis of HBV sequences from different compare proportions. All calculated P values genotypes. We used selected primers that were two-tailed and all P-values <0.05 were have been described previously(Sitnik et al., considered to be statistically significant. 2004) and that corresponded to conserved regions of the various HBV genotypes that GenBank accession numbers. Sequences flank heterogeneous intervening regions to from the S gene that were acquired during distinguish between the HBV genotypes. The this study were deposited in the GenBank unregion selected for amplification also includ- der numbers GU594063-GU594150. ed the amino acid loop corresponding to the a, d/y, and w/r allelic subtypic determinants Results: Distribution of HBV genotypes. Of as well as mutations that have been shown the 120 HBsAg-Positive subjects, HBeAg to be related to the HBIg antibody, the anti- was detected in nine serum samples (7.5%). HBs monoclonal antibody, and vaccine re- 90 (75%) of the 120 HBsAg-Positive subjects sistance. were positive for HBV-DNA in the sera, detected by PCR. The mean age of the subDetection of BCP and precore mutants. For jects was 36.4 ± 12.6 years and 82.2% the detection of BCP and precore mutants, were male. Of those positive for HBV-DNA, HBV-DNA-positive samples were amplified by 70 cases (77.8%) were determined to be using the primers described by Takahashi et genotype D, 16 cases (17.8%) belonged to al. (1995). genotype A, and 4 cases (4.4%) belonged to genotype C. Amplification of HBV pre-S region and sequencing analysis. The pre-S1 and pre-S2 re- The distribution of the HBV antigen subtypes gions were amplified as described previously among these subjects was: ayw2 (78.9%), (Huy et al., 2003) by heminested PCR. Re- adw2 (14.4%), and adw (2.2%). In this study, covered PCR products were then subjected all cases with genotype D belonged to the to direct sequencing with an ABI Prism Big subtype awy2. The sequences were also Dye terminator cycle sequencing ready reac- aligned with those of the isolates of known tion kit. genotype and subjected to phylogenetic

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Poster Presentations analysis (Figure 1). Prevalence and characterization of pre-S mutations. Based on direct sequencing, preS mutations were detected in only four of the 90 cases (4.4%). All of these cases belonged to genotype C. As for the prevalence of pre-S mutations according to site, pre-S2 deletion was the most common (50%), followed by both pre-S2 and pre-S1 deletion (25%), and start codon mutation (25%). The mean age of patients with a pre-S mutation was significantly higher than that of patients without the mutations (P<0.05). In addition, the mean HBV load in patients with a preS mutation was significantly higher than in those without mutants (P<0.05). Discussion: BV infection is an important global health problem that places a continuously increasing burden on developing countries like the UAE. Molecular epidemiological studies provide valuable information on understanding the prevalence and characteristics of HBV genotypes and mutations from different areas of the world. In this study we confirmed the predominance of genotypes D and A among the HBV strains in the UAE, which accounted for more than 95% of cases. These findings are not surprising; they reflect the typical genotypes circulating in the area. Genotype C was not a prevalent genotype in this area. HBV genotype C is more commonly associated with severe liver diseases and the development of cirrhosis( Kao et al., 2000). The prevalence of pre-S mutations is variable and considerably different among different geographic areas. In our study it was very low (4.4%). Huy et al. reported that the prevalence of HBV pre-S mutants 197 ranged from 0% to 36% in an analysis of HBV198 DNA-positive serum samples from individuals residing in 12 countries (2003). Either no cases or fewer cases with such a mutant were seen in countries with low HBV prevalence and in countries with low prevalence of HBV genotype C. Interestingly, our data only showed pre-S

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mutations in patients infected with genotype C. Taking into consideration that these mutations were predominantly found in genotype C, it is possible that this genotype may be more prone to develop such mutations. Moreover, the mean age of patients with pre-S mutations was significantly higher than that of those without the mutants. This observation also confirmed previous data suggesting that the prevalence of pre-S mutants tends to increase inÂ direct relation to the patientâ&#x20AC;&#x2122;s age (Chen et al., 2006; Choi et al., 2007; Huy et al., 2003). Regarding the site of mutation, our report showed that pre-S2 deletion was the most common mutation type. This result is also in agreement with those of recent reports from Japan and Korea (Choi et al., 2007; Huy et al., 2003). Psychiatric Disorders in the Armed Forces Dr. Saeed Ghuder Alkadasah (KSA) It is well known that mental health issues and their treatment are major challenges, as the stress, psychological trauma and loss are always involved among service men. The posttraumatic stress disorder (PTSD) and mild traumatic brain injury may account for a very large number of psychologically and cognitively impaired veterans. Trauma-related conditions, such as combat stress, acute stress disorder (ASD) and PTSD may account for a significant number of psychiatric cases. Given the high prevalence rates for psychiatric illness in the general population (lifetime prevalence for mood and anxiety disorders approaching 20%), the high presence of these psychiatric illnesses in the army is understandable. Generally, 4 types of patients are presented for assessment/treatment of psychiatric illnesses. Some of the cases have preexisting mental illness. The spectrum of illness in this group may be broad, covering anxiety disorders, and obsessive-compulsive disorder; mood disorders, such as major depressive disorder; and substance-use disorders. Many pa-

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Poster Presentations tients in this category may have conditions that were previously undiagnosed, and the illness only became apparent in theatre as it interfered with the soldiersâ&#x20AC;&#x2122; functioning. Others may have had a previous diagnosis and were successfully treated before being deployed. On the other hand some of the soldiersâ&#x20AC;&#x2122; illnesses may have been first manifested during deployment. These disorders include the psychiatric illnesses mentioned above as well as illnesses, such as schizophrenia or severe bipolar disorder, that are typically not seen in active military members. The emergence of these illnesses may have been entirely coincidental to deployment and explained by epidemiologic risk or deployment factors, such as stress and sleep deprivation, which may have unmasked an otherwise dormant condition. Other psychiatric conditions may be traumaspecific conditions. From a diagnostic perspective, these conditions include adjustment disorder, ASD and PTSD. The term combat stress reaction used by soldiers to describe stress symptoms may be best described as adjustment disorder or ASD. These conditions may pose the greatest challenge for the treatment team. Lastly psychosocial issues such as common family problems on the home front dominate and interfere with the normal functioning of the soldiers. These issues are traditionally not in the realm of psychiatry; however, they can be a significant distraction for the individual and may jeopardize a mission. Management of these issues often involved creative approaches. Novel Approaches for Screening Military Personnel for Drug Abuse Dr. Saeed Ghuder Alkadasah (KSA) Despite strict implementation of anti drug laws in Saudi Arabia and a strong religious belief against the use of alcohol and other addictive substances, there is a general notion that alcohol and substance abuse still exist to some extent in the Saudi Arabian society as well as armed forces. It is important to

stress that drug misuse in the Armed Forces as a whole involve relatively low numbers of personnel and is often confined to occasional recreational rather than habitual use of drugs The Medical Service Department (MSD) of the Ministry of Defense and Aviation takes all necessary measures to create a totally drug-free Armed Forces in KSA. Its Zero tolerance policy on drug means that servicemen will have the best mental and physical health necessary to perform the assigned duties. Facilities are available to participate in early intervention program including education, behavioral therapy, rehabilitation and counseling. In view of National Security and Occupational Safety in Armed Forces, MSD is keen to make all out efforts to review and investigate the extent, pattern and causes of drug abuse and take all necessary measures to addresses this problem. This presentation will include: 1. Recent trends in substance abuse. 2. Contemporary techniques in the identification/ screening of substances of abuse. 3. Current methodology for the setting up of voluntary self/supervisory referrals of employees using illicit drugs for treatment. 4. The behavioral effects associated with different types of substances of abuse. 5. Recent trends in the counseling, rehabilitation and treatment of personnel found positive for substance abuse. 6. Current developments in the field of treatment including the introduction of novel vaccines for the treatment of substance abuse disorders. 7. Importance of periodical review of the policies on substance abuse. Above mentioned aspects of drug abuse in

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Poster Presentations military personnel will be discussed in detail. or deep white matter hyper intensities compared to offshore workers, but this was not Long Term Health Effects of Diving and related to forgetfulness. Under Water Activities There should be follow-up studies in order to determine whether divers are at increased Dr. Hesham Alkhashan (KSA) risk of dementia in old age and to identify Under water activities, diving and hyperbaric possible predisposing factors. exposure is associated with a number of well recognized illnesses or injuries, including decompression illness (DCI), gas embolism and barotraumas. The outcome depends on the extent severity, nature and duration of these activities. These under water activity may lead to neurological abnormalities, lung function changes and inner ear damage.

Certain diving techniques, notably mixed gas bounce diving, saturation and surface oxygen decompression diving are also associated with mental health. Further studies are warranted to examine for possible causative factors for diving related health effects.

Noise Induced Hearing Loss in the MiliRecent studies suggest that three complaints tary were more common in divers than offshore Environment workers; ‘forgetfulness or loss of concentration’, ‘joint pain or muscle stiffness’ and ‘im- Dr. Hesham Alkhashan (KSA) paired hearing’. Divers are three times more likely to report symptoms of forgetfulness or The mission of Military Medical service loss of concentration than an age matched in Civil-war effort: what are the lessons group of offshore workers. The complaint learned from Humanitarian mission in of forgetfulness and loss of concentration civil war during Libya freedom? was found to be the most significant long term health effect. Divers with longer diving careers were more likely to report that they Dr. Mohammed Almarri (Qatar) suffered ‘forgetfulness or loss of concentration’. Dose response effects for this subjec- Abstract: Back ground: the Military Medical tive complaint were found for specific diving Service has vital role in providing the healthtechniques; mixed gas bounce, surface oxy- care in peace and war, however this was the first civil war related mission for the author gen decompression and saturation dives. as military medical officer therefore in this In case control study, divers were found to paper the author will discuss the role in civil perform more poorly on objective neuro- war aids to civil war victims of Libya freephysiological test of memory and concentra- dom.

tion. A higher proportion of these divers had done mixed gas bounce, surface oxygen Finding: the preparation for mission was decompression and saturation diving than short. Mission was diverse from inside and outside Libya. The mission was to provide divers. the healthcare care for the civilians` chronic Taking into account confounding factors, diseases and for the casualty of civil war. ‘forgetfulness or loss of concentration’ was The gunshot wound and blast injuries were found to be associated with an increased in- the commonest injuries faced in the casualcidence of periventricular hyper intensities ties of the civil war. on MRI. Periventricular hyper intensities have been related in previous studies to lower Conclusion: There were lots of lessons cognitive performance. Divers were found to learned from this mission, thus in this paper have an increased likelihood of subcortical we addressed those lessons that will help in future missions.

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Poster Presentations The mission of Military Medical service in Humanitarian effort: what are the lessons learned from Pakistan Earthquake mission?

in the hospital was recorded. The role of an early use of any Hemodialysis Modality (Intermittent Hemodialysis), and continuous Renal Replacement Therapy (RRT) on the outcome was also studied.

Dr. Mohammed Almarri (Qatar)

Objective: To elucidate the role of severe acute kidney injury and renal replacement Abstract: Back Ground: Military Medical Sertherapy in the outcome of combat related vice has vital role in providing the healthcare trauma. in peace and war, however this was the first humanitarian mission for the author as miliMethods: Between 29 November 2009 tary medical officer therefore in this paper and 24 January 2010, eighty (80 patients) the author will discuss the role in humanitarcombat related trauma patients were admitian aids to earthquake victims of Kashmir. ted to Prince Sultan Medical Military City. Out of these patients, 21 developed AKI. Finding: preparation for the mission was Demographic data, characteristics of injury, short, selection of the mission area was arcauses and severity of AKI (as per AKIN stagranged, and majority of the causality were ing system), frequency of RRT required and long bone fracture that was neglected. Co- mortality rate were recorded. operation local hospitals and other United Nation agency in the field and other nations Results: Our results showed that 21patients field hospital in utilization the resources and (26%) of those severely injured military personnel developed AKI of which 17 patients providing additional resources. (80.9%) were admitted to the ICU, 16 paConclusion: There were lots of lessons tients (76%) developed sepsis, 10 patients (47.6%) were put on ventilator. Severity scorlearned from this mission, thus in this paper ing of renal function showed that 7 patients we addressed those lessons that will help in (33.3%) had stage III AKI (increase in serum future missions. creatinine 3 times the baseline) all of them received Renal Replacement Therapy, IHD/ Acute Kidney Injury in Patients with CRRT. Total mortality rate in those severely injured patients with severe AKI was 57% (4 Combat Related Trauma patients). Although no significant association was found among the three AKI stages in reDr. Hanea Saadi Almosuly (KSA) lation to patientâ&#x20AC;&#x2122;s age and type of injury, however a significant association was found beBackground: Acute Kidney Injury (AKI) has tween the severity of AKI and the outcome. been hard to assess due to the lack of standard definitions. Traditionally AKI has been de- Conclusion: AKI is a common feature among fined as the abrupt loss of kidney function combat related trauma patients requiring inthat results in the retention of urea, creati- tensive care. Our observations suggest that the development of a severe degree of AKI is nine and other nitrogenous waste products associated with an increased mortality of the and in the dysregulation of extracellular fluid affected patients. We recommend an early volume and electrolytes. The extent of kid- initiation of RRT of any modality (IHD/CRRT) ney injury is assessed by reassuring the se- to improve the patient and renal utcome rum creatinine according to the staging system of Acute Kidney Injury Network (AKIN). In this study attempt was made to estimate the frequency and the severity of AKI following combat related trauma. An association between the severity of AKI the length of stay in the ICU as well as the total length of stay

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Poster Presentations Policies And Programmes for Prevention and Control of Viral Hepatitis: A Global Perspective

assistance with the delivery of vaccination, highlighting the need to widen and strengthen vaccination policies and programmes.

Dr. Mulfi Mubarak Alotaibi (KSA)

The lack of accurate prevalence data on hepatitis is widely recognized as inhibiting more effective prevention and control at both international and national levels. 82% of countries report having hepatitis B and/or C surveillance measures in place, although the components of these differ considerably; one-third of countries report having no prevalence data available and more than two-thirds request assistance with surveillance. Access to testing and treatment is very variable and across some regions both are extremely limited. Just two in five people live in countries where testing is accessible to more than half of the population and only 4% of low income countries report that testing is accessible. The diverse components required for effective prevention and control mean that effective programming can be very complex. Although challenging, this complexity also offers opportunities.

Chronic viral hepatitis is highly prevalent globally, with some five hundred million people estimated to be currently infected with hepatitis B or C. These two diseases are the cause of significant global mortality and morbidity among military and civilians. Approximately 1 million deaths each year attributable to them and their sequelae, liver disease and primary liver cancer. World Hepatitis Alliance provides an unprecedented analysis and overview of countriesâ&#x20AC;&#x2122; policies and programmes that determine prevention and control of viral hepatitis. Of the 135 countries that responded to the survey, 80% said that they regard hepatitis B and/or C as an urgent public health issue. In the Western Pacific and Eastern Mediterranean regions the figure was 90% and in Africa closer to 100%. And, overall, the results underscore that, while very effective policy and programming exists in some areas, there is huge variation and in much Syndrome de Sturge Weber Krabbe of the world it is either not yet in place or Dr. Bayoudh Fethi (Tunisia) requires significant strengthening. Hepatitis prevention and control programmes are multi-faceted and may involve immunization, blood screening, injection safety, public health awareness and education, sexual health programmes, surveillance, drug and alcohol services, and blood testing and treatment access. Strategic planning and coordination are therefore essential. 70% of countries report having a national strategy for the prevention and control of viral hepatitis and 71% national goals. However, from further detail supplied it is clear that some strategies are more a series of uncoordinated programmes than a cohesive strategic approach. Much progress is being made in protecting the next generation from hepatitis B; vaccination policies are in place in almost every country and almost all of these policies include infants. However, other risk groups are often not covered, particularly in lower income countries. 40% of countries would like

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Congenital Mitral Stenosis: Report of 5 Cases Dr. Khaled Ould Isselmou Boye (Muritania) Knowledge, Attitude and Practice of Hyperbaric O2 Therapy in the Treatment of Chronic non-healing Wounds among Physicians in the Saudi Armed Forces Hospitals, 2008 Dr. Jamal Darandari (KSA) Background: Hyperbaric Oxygen (HBO2) Therapy has been used for several decades for the treatment of diving accidents, and also as an adjunctive treatment to standard care for chronic non-healing Wounds. However, very little is known about the factors that influenced Physicians use of this mode of therapy in their practice.

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Poster Presentations Objectives: 1st to assess Physicians Knowledge, Attitude and Practice of HBO2 Therapy in the treatment of chronic non-healing wounds among Physicians, whose practice included wound care, in the Saudi Armed Forces Hospitals, during the year 2008. 2nd to identify the factors associated with their Knowledge, Attitude and Practice of HBO2 Therapy.

suggested that the HBO2 Therapy was relatively inaccessible or unavailable (except in Jubail), despite the availability of the HBO2 Chambers. To encourage future use of HBO2 Therapy, it is suggested that, simple policy procedures and protocols for use of (or referral for) HBO2 Therapy to be constructed and implemented. Also educating both Patients and Physicians and focusing on costeffectiveness most probably will promote Methods: Cross-sectional study with an future use of HBO2 Therapy. analytical component. A modified, with Arabic and English language, 21-item question- Advances in wound care and wound naire which was pre-designed and validated diagnostics through moisture sensing was used. 110 Physicians, whose practice included wound care during the year 2008, Dr. David Heath (United Kingdom) participated. Results: The Practice of HBO2 Therapy was adopted by only a minority (7.3%;95% C. I = 3.7 – 13.7) of Physicians who were concentrated in the eastern province. This was despite that the majority of Physicians had a high Knowledge (76%; 95% C.I= 76.4–83.5) and agreed (61.9%;95% C.I=52.4–70.6) with the use of HBO2 Therapy. Physicians Knowledge of HBO2 Therapy in the treatment of chronic wounds was significantly associated with Gender (P<0.05); Physicians dependence on various sources of information to stay informed about the evidence of wound care treatment, like Scientific Medical Journals (P<0.001) and others. Physicians Attitude towards HBO2 Therapy was significantly associated with Knowledge of Physicians (P <0.05), Hospital Location (P= 0.007), number of years of Medical Practice (P= 0.002), and Qualification (p <0.05). Physicians Practice of HBO2 Therapy was significantly associated with Patients voluntary request of HBO2 Therapy (P= 0.006), Symposia as a source of information (P= 0.007), Physicians Major Medical Specialty (P <0.001), Hospital Location (P <0.001), and presence of an operating HBO2 Chamber at Facility Practice (P <0.001).

Abstract: This paper presents results of moisture profiling of a selection of wounds using a novel â€˜in dressingâ€™ wound moisture sensor that can be read with a hand held meter at the attending physicianâ€™s convenience. The dressing remains in place during the reading and decisions on dressing change or treatment variation are supported without the need to disturb the wound bed. Relevance: The method has potential for deployment in military trauma medicine, in humanitarian intervention, and in acute and chronic wound treatment. Participants: Case studies reported here cover moisture profiling in; military personnel with trauma injuries , patients presenting for vascular surgery intervention, and chronic wound care patients. Ethics approval was obtained where required ( the sensor is CE marked).

Methods: Dressing selection and wound bed preparation followed local normal clinical protocol. Wounds were assessed by the attending clinician and photographed before application of the moisture sensor and dressing. Moisture was measured regularly ( at least daily) using the hand held meter and Conclusions: The low level of Physicians its 5 drop moisture scale.. Practice, in contrast to their high Knowledge of and Attitude towards, HBO2 Therapy in Results and Analysis: The case studthe treatment of chronic non-healing wounds ies presented include graphical results of www.panarab2012-icmm.ae

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Poster Presentations moisture profiles during healing. Wounds was performed in 210, thoracotomy in 25, on course for healing had moisture profiles VATS in 8, laparotomy in 28, video-assisted close to moist, with the exception of TNP thoracic surgery in 1 and other operations therapy where a dryer status was consist- in 20. Mean hospitalisation was 7.6 days. ently recorded, consistent with the removal There were five mortality in patients with blunt trauma and two mortality in patients of exudate by the vacuum system. with penetrating trauma. Conclusions: The sensor provides an effective means of profiling wound moisture Closed tube thoracostomy is very valuable during healing and could be deployed in in the management of patients with pneumotreatment protocols to check that moisture thorax and/or hemothorax except for some is being managed properly and to avoid un- thoracic trauma cases with uncontrolled intrathoracic bleeding or visceral organ injury. necessary dressing changes. Overview of 469 Patients with Major Thoracic Trauma in a Military Training Hospital Dr. Eyup Turgut Isitmangil (Turkey) Abstract: The initial management in the golden hour after injury relates directly to chances of survival in thoracic trauma.

Fixed-wing aeromedical evacuation during operation knightâ&#x20AC;&#x2122;s charge(saulat Al-Fursan),law imposition in Basrah governorate, Iraq Dr. Mohammed T. Kadhim (Iraq)

Abstract : In March 2008, there was plan for Iraqi armed forces to fight the militias and other armed groups to establish the In this study we reviewed the consequenc- security at Basrah governorate in south of es of various types of thoracic injuries and country. treatment modalities. We hospitalised a total of 469 patients with major thoracic trauma, During the operations which last for almost consisting of 251 cases with blunt trauma 7 days, there were 220 causalities (injured and 218 cases with penetrating trauma soliders) from Iraqi armed forces evacuated (caused by 132 gunshot wounds and 86 by C-130 Iraqi air force planes from Basrah stab wounds) between January 1993 and to Baghdad and to send them eventually to December 2011. Four hundred eighteen Ministry Of Health hospitals. males and 51 females (mean age: 33.79) were enrolled into our study. In the blunt 1- Purpose: showing the ability of new Iraqi trauma group, 17 hemopneumothoraces, armed force medical services in achieving 38 hemothoraces, 38 pneumothoraces, 35 the AE missions in wartime major lung injuries, 6 flail chest, 2 contusion of the heart and 158 ribs, 15 sternal 2- Relevance: wartime evacuations and 9 clavicular fractures were observed. One patient was quadroparalysed and pol- 3- Participants: injured soliders from Iraqi ytrauma was seen in 33 patients. Among armed forces patients with gunshot wounds, there were 57 hemopneumothoraces, 42 hemothora- 4- Methods: descriptive study includes ces, 15 pneumothoraces, and 35 lung in- 220 injured Iraqi armed forces soliders with juries. Among patients with stab wounds, different types and severity of injuries, data there were 22 collected from medical service command of Iraqi air force hemopneumothoraces, 24 hemothoraces and 28 pneumothoraces. In the patients 5-Results: out of those 220 injured solidwith thoracic trauma, tube thoracostomy ers, 25 have amputation of either upper or 132

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Poster Presentations lower limb or both(11.3%), 144 (with multiple shell wounds at abdomen, chest or limbs) (65%), 47 with more than one type of injury( shell wound +burns+amputation)(21.8%),3 with head injury(1.4%) , 1 other(0.5%). 6-Conclusion: 1- There should be well trained medical staff to deal with these types of injury 2- Designated aircraft for aeromedical evacuation is the gold standard 3- Transportation of medical supplies (medical and surgical kits) to the battle field is very essential to enduring the soliderâ€™s performance and to provide psychological support for them 4- En-route care is very important Delivering a Military-Civilian Healthcare Partnership: A Role Model Dr. Yassar Mustafa (United Kingdom)

squad can be drafted in, independent of existing rotas. Capacity: There is a military/civilian ward with up to 32 beds and this can flex up and down between military and civilian as required. Co-ordination: Thrice daily â€˜bunkerâ€™ meetings occur on weekdays and exist to coordinate services, for incoming and existing patients. This is enhanced with a weekly feedback video-conference by military registrars mobilised to Afghanistan. Rehabilitation: A weekly multidisciplinary military ward round occurs at QEHB and includes a rehabilitation consultant. This provides an early rehabilitation prescription which directs the point of care prior to transfer to Headley Court for social and psychological support. Foot Infection Among Military Personnel Dr. Saleh Bin Sheikhan (UAE)

Abstract: The Queen Elizabeth Hospital Birmingham (QEHB), working with the on-site Royal Centre of Defence Medicine (RCDM), has gained world-class status for providing advanced trauma care both to civilians and injured military personnel returning from the conflicts in Iraq and Afghanistan. This robust military-civilian healthcare partnership has become a pioneering role model for cooperation and achievement. Four primary foci of development have ensured the same standards of care are delivered to military patients as to civilians: manpower, capacity, co-ordination and rehabilitation. Manpower: There has been an increase in military deployment into QEHB across the multidisciplinary spectrum including laboratory services, imaging, nurses, allied health professionals and doctors. The latter includes a sizeable squad of anaesthetists, orthopaedic, general, burns and plastic surgeons which ensures that there is always one person available for deployment and that at times of enhanced military activity the whole

Abstract: Military personnel with various skin conditions can have disabling effects on troops. Skin infections like fungal infections caused by dermatophytes and gram-negative bacilli can be found more commonly within the military personnel community than others, especially in tropical and subtropical countries where the climate is hot and humid. During the time of war and missions as hygiene gets disturbed, it may lead to outbreak of such infections which can affect the performance of military personnel. (Taplin1973). Objectives: The aim of this study was to evaluate the main epidemiologic and clinical features of foot infection with special stress on T.pedis, the function of promoting factors, and the measures taken to treat and prevent this disorder. Methods: United Arab Emirates being a subtropical country, we performed our study on UAE Army, emphasizing foot infection which is more common among military personnel

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Poster Presentations because of occlusive boots and hot, humid climate. Randomly 450 military personnel were taken for our studies for duration of 4 years. Clinical findings, medical questionnaires, lab investigations and molecular studies were analyzed and recommendations were made.

to put an effective protection measures that suites the increased number of the pilots and crew members that suffer from this situation. And the goals of it is to Find the causal of the high frequency hearing loss and treat it and Put plans for developing programs and standards to protect hearing in pilots and crew members .I put in my introduction and my overview the definition of hearing loss and its types (classification), causes, diagnosis of H.L.

Results: Gram-negative bacteria Pseudomonas aeruginosa was found to be the prevailing pathogen followed by dermatophytes of which T.rubrum was the commonest then yeast infection. Clinical manifestations were similar in the majority of patients, erythema, vesicopustules, erosions, and In my study I took sample of the pilots and marked maceration affecting the interdigital crew members in the Iraqi air force during their usual annual examination and I find out spaces and plantar aspects of feet. that all the cases of HL are in age group Conclusion: Epidemiological study dem- from 35-55 years. onstrated no spread of infection and represented individual carriage. Regular screen- I found out the following facts regarding ing for and early treatment of foot infection their audiology examination : is important to avoid the risk of severe local or systemic complications. Patient educa- All of them serving in transporter and traintion in terms of good personal hygiene is ing air planes and it will shown later, served essential to prevent relapses and develop- in air force at least for 10-20 years, All of them where wearing hearing protection and ing effective preventive measures. have normal otoscopy examination and High Frequncy Hearing Loss in Pilots speech discrimination and where normal clinically during examination, and Crew Members Dr. Salam Adil Talfan (Iraq)

Their P.T.A. are shown that:

Abstract: In my study which is Analytic study about the high frequency hearing loss in the pilots and air crew members in the IqAF during annual examination .

80% of my sample have normal hearing .And 17% of our sample have unilateral hearing loss in high frequency. And 3% of our sample has bilateral hearing loss in high frequency .

I do it because of the need of my air force

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