Welcome and housekeeping

The Royal College of Surgeons of England & Support to Military Surgery

Large Scale Combat Operations: The challenge for Defence Medical Services, the Armed Forces and the United Kingdom

• Proteomic analysis of trauma plasma identifies discrete signatures of damage-associated molecular patterns and host-protective molecules in the hyperacute post-injury window — W Atkins
• The Transcriptomic Basis of Systemic Dysregulation: Identifying “Protective” and “Destructive” Gene Signatures in Multi-Complicated Trauma Recovery — S Schobel
• From Detonation to Triage: A Fast-Running Framework for Injury-Predictive Blast Risk Evaluation — F Puffel
• Project ARIES — Modernising the Medical Reception Station for Contemporary Operations — D Bruce
• Digital Twins — A promising approach to connect surgical decision making and rehabilitation in the care of complex combat extremity injuries — a proof of concept study — T Tjardes
• Integration of numerical injury models to provide a unified approach towards simulating ballistic and blast threats — R Fryer

• Total Hip Arthroplasty following gunshot and blast injuries in Ukraine: a prospective observational study — M Ankin(virtual)
• Laparoscopy in Combat-Related Abdominal Trauma: A Single-Center Experience from war in Ukraine — A Dinets
• Out-of-Hospital Control of Non-Compressible Haemorrhage Using the Abdominal Aortic and Junctional Tourniquet — Stabilised (OCCLUDER): A Prospective Feasibility Study — M Marsden
• Wartime Carotid Injuries: an experience from Role 2 and Role 3 deployed field hospitals in Ukraine — A Dinets
• Selective non-operative management for abdominal trauma in the deployed military setting; a review of evidence and considerations for Large Scale Combat Operations (LSCO) — G McKnight
• Clinical management and outcome of gunshot injuries in four low- and middle-income countries — L Ghalichi

Preparation for Large Scale Combat Operations — what this means for me and surgical colleagues

• Construction of Fragment Simulating Projectiles to better simulate wounding mechanisms in contemporary Large Scale Combat Operations (ELECTORATE) — S Bloodworth
• Race Towards optimising body armour plate coverage using Open 0.5T MRI: interim results showing posture-induced changes in torso organ boundaries — R Sobhan
• Determining the size and position of torso organs using Magnetic Resonance Imaging to inform body armour coverage — R Fryer
• Designing hard armour plates specifically for women using ballistic coverage and anthropometric data — S White
• MIND YOUR HEAD: potential of Open MRI brain imaging at combat-relevant postures to compare coverage and suspension of combat helmets — R Sobhan
• Medical Intelligence in Large Scale Conflict Operations: Implications for UK Personal Protective Equipment design — J Breeze

Panel 1 — Research In Contact: the LSCO Challenge

Conclusion of Day 1; arrangements for evening reception and dinner

Gala Dinner at the Army & Navy Club

How to get published in military and conflict trauma science

Opening Comments

Conflict Wound Science — the questions to answer before Large Scale Combat Operations

• A Two-Stage Deep Learning Framework Achieves Generalizable Military Wound Segmentation Using Civilian Training Data — D Thompson
• Title TBC — S Pallett
• Towards a Digital Twin Framework for Combat Wound Management: A Systematic Scoping Review — S Snelling
• Project CIRCUIT — Conflict Injury Response and Characterisation Using Isolated, perfused Tissue — K Bhanot
• A Novel intact brown seaweed scaffold (BSS) for Early Management of Complex Contaminated Combat Wounds — S Jeffery
• Title TBC — S Snelling

• A Surgical Night Vision Device Suitable for Military Operations — J Kuckelman
• A Blended, Scalable Approach to Surgical Training for Military and Austere Environments: Virtual Reality and Low-Cost Physical Models with Smartphone-Based Augmentation — A Mahmood
• Code Red Trauma Simulation: from MOSTT to civilian readiness at the South Wales Major Trauma Centre — P Ace
• The Creation and Evaluation of an AI-Based Educational Tool for Military Surgical Readiness in a Deployed Setting — L Pasquariello
• Global surgical preparedness through Defence Engagement: a multi-national Training Needs Analysis (TNA) to guide surgical system strengthening — G McKnight
• AI-Enabled Distributed Training Infrastructure to Support Rapid Scaling of Procedural Competence in Conflict and Mass-Casualty Settings — G Ryan

Panel 2 — Rapidly turning Knowledge into Capability: what are the blockers (and how can these be overcome?)

Lessons from Ukraine and contemporary Conflicts — which questions will matter in the next war?

Prize Awards

Conclusion and post-symposium networking