Related Experiment Video
Updated: Feb 16, 2026
Traditional Trail Making Test Modified into Brand-new Assessment Tools: Digital and Walking Trail Making Test
Published on: November 23, 2019
Measuring US Army medical evacuation: Metrics for performance improvement.
Samuel M Galvagno1, Robert L Mabry, Joseph Maddry
1From the Department of Anesthesiology, Program in Trauma, Shock Trauma Center (S.M.G.J.), R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland; Robert Wood Johnson Foundation Health Policy Fellows Program (R.L.M.), Princeton, New Jersey; USAF En route Care Research Center (J.M.); Clinical Resuscitation, Emergency Sciences, and Toxicology Research Program (J.M.), 59th MDW/ST Chief Scientists Office; U.S. Army Institute of Surgical Research (J.M.), San Antonio, Texas; F. Edward Hebert School of Medicine (J.M.), USUHS, Bethesda, Maryland; Military EMS and Disaster Medicine Fellowship (C.U.K.), Joint Base San Antonio-Fort Sam Houston, Houston, Texas; Navy Medicine West (B.D.W.), NMCSD Emergency Medicine Staff Physician, San Diego, California; Department of Emergency Medicine (E.P.), University of Cincinnati, University of Cincinnati Air Care and Mobile Care, Cincinnati, Ohio; and Education and Performance Improvement (S.S.), Joint Trauma System, Joint Base San Antonio, San Antonio, Texas.
US Army medical evacuation (MEDEVAC) demonstrated high quality care, with 97.5% survival. Some patients required interventions for hypoxemia, highlighting a need for enhanced airway management training.
Area of Science:
- Military Medicine
- Emergency Medical Services
- Trauma Care
Background:
- The US Army medical evacuation (MEDEVAC) system has a strong record in casualty transport.
- This project aimed to improve quality assurance and medical direction for prehospital MEDEVAC providers within the Joint Trauma System.
Purpose of the Study:
- To demonstrate an advanced model for quality assurance surveillance.
- To enhance medical direction for prehospital MEDEVAC providers.
Main Methods:
- Retrospective interrupted time series analysis of prospectively collected data.
- MEDEVAC records were matched with the Department of Defense Trauma Registry outcomes data.
- Nine quality assurance metrics were assessed, including airway management, hypoxemia, and hypotension interventions.
Main Results:
- Overall survival was 97.5% in patients with available outcomes data.
- High compliance with tactical combat casualty care guidelines was observed.
- Nearly 7% of patients had hypoxemia, with 13% lacking documented interventions, indicating a need for airway management training.
Conclusions:
- The study indicates high compliance with established combat casualty care guidelines.
- A need for focused training on airway management for hypoxemia was identified.
- Ongoing medical oversight and quality improvement are crucial for prehospital advanced life support.
More Related Videos
08:27A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine
Published on: December 6, 2024
06:20Author Spotlight: Development of an Automated Camera-Based System for Real-Time Blast Overpressure Monitoring and TBI Risk Assessment in Military Training
Published on: December 6, 2024