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Telemedical Support for Military Medicine.
Neal Nettesheim1, Doug Powell2, William Vasios3
1Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis-McChord, WA.
Military Medicine
|November 30, 2018
Summary
Future military telemedicine can support remote experts in austere settings, but network limitations pose challenges. Developing diverse telemedical solutions is crucial for complex combat casualty care.
Area of Science:
- Military Medicine
- Telehealth Technology
- Operational Health Sciences
Background:
- Historical U.S. military operations in Iraq and Afghanistan allowed timely evacuation to surgical care.
- Future combat casualty care on the Multi-Domain Battlefield presents complex challenges, including restricted movement and communications.
- Near-peer adversaries may impede air superiority and disrupt communications, necessitating innovative medical solutions.
Observation:
- Telemedicine can augment caregiver capabilities in austere operational settings.
- Synchronous and asynchronous technologies can optimize care for casualties with delayed evacuation.
- Military telemedicine has been implemented and tested over the past 30 years.
Findings:
- This review examines the history and current capabilities of military telemedicine.
- Telemedicine can reduce the medical footprint by bringing remote expertise to the point of need.
- Advanced telemedicine, like procedural telementoring, requires reliable, high-bandwidth, secure communications.
Implications:
- Broad telemedicine implementation faces network and cybersecurity challenges.
- The military must develop and train a full spectrum of telemedical support options, including low-to-high bandwidth solutions.
- Telemedicine serves as a crucial "Plan B" for casualty care when "Plan A" (training, evacuation) is not feasible, especially in resource-limited, austere environments.
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