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Algorithm Directed Troop Medical Care Manual Application for Desktop and Smartphone
James Chrosniak1, Christian Olsen2, Andrew Galdi3
1Department of Soldier Readiness, Madigan Soldier Readiness, Bldg. Waller Hall, Joint Base Lewis McChord, WA 98433, USA.
Military Medicine
|January 27, 2021
Summary
A new Algorithm Directed Troop Medical Care (ADTMC) application significantly improves military medic efficiency. This digital tool enhances clinical learning and critical thinking, speeding up patient evaluations and documentation for better soldier care.
Area of Science:
- Military Medicine
- Medical Informatics
- Clinical Decision Support
Background:
- U.S. Army medics provide frontline care using the Algorithm Directed Troop Medical Care (ADTMC) manual.
- The traditional paper-based ADTMC manual is cumbersome for field use.
- A digital application was developed to streamline ADTMC content.
Purpose of the Study:
- To evaluate the impact of a new ADTMC application on medic performance.
- To enhance medics' clinical learning and critical thinking skills.
- To improve patient evaluation, disposition, and documentation processes.
Main Methods:
- Field testing of the ADTMC application with the 173rd IBCT (A) during a field exercise.
- Comparison of medic workflows using the paper manual versus the digital application.
- Direct observation of medics caring for ill and injured soldiers.
Main Results:
- Medics using the ADTMC application demonstrated 50% faster patient exam times.
- A 50% reduction in document processing time was observed due to digitization.
- The application allowed for seamless screening, assessment, and disposition on multiple devices.
Conclusions:
- The ADTMC application enhances medic efficiency and critical thinking.
- Digital tools improve the objective evaluation and disposition of soldiers.
- The application ensures timely and appropriate routing of soldiers to the correct level of care.