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Developing a Robotic and Autonomic Medical Evacuation (RAS MEDEVAC) capability for remote and rural populations.
Martin McGrath1, Stuart Maitland-Knibb2, Tim Sanders3
1The University of Central Lancashire, Preston, Lancashire, United Kingdom; and Royal College of Surgeons of Edinburgh, Edinburgh, Scotland martin.mcgrath1@nhs.net.
Rural and Remote Health
|February 21, 2023
Summary
Developing Remotely Piloted Aircraft System (RPAS) Medical Evacuation (MEDEVAC) capabilities can improve patient care in remote areas. A structured, multi-phase approach is proposed to enhance RPAS MEDEVAC development and clinical outcomes.
Area of Science:
- Aerospace Medicine
- Medical Evacuation Systems
- Remote Healthcare Delivery
Background:
- Remote and rural environments present unique clinical risks, often addressed by air ambulance transfers with associated costs and limitations.
- Remotely Piloted Aircraft System (RPAS) Medical Evacuation (MEDEVAC) offers a potential solution to enhance clinical transfers and patient outcomes in diverse settings.
Purpose of the Study:
- To propose a structured, multi-phase approach for developing RPAS MEDEVAC capabilities.
- To identify key factors for enhancing the effectiveness and safety of RPAS in medical transfers.
Main Methods:
- A multi-phase development strategy is outlined.
- The approach emphasizes understanding clinical, aviation medicine, vehicle, and interface principles.
- It also involves assessing technological advancements and developing a standardized taxonomy for medical transfer phases.
Main Results:
- A step-wise development approach can enhance RPAS MEDEVAC capabilities.
- Key considerations include clinical and aviation medicine, technology, and a new glossary for echelons of care.
- Potential RPAS MEDEVAC characteristics include speed, flexibility, safety, and availability.
Conclusions:
- RPAS MEDEVAC presents opportunities to improve patient transport in remote, rural, civilian, and military contexts.
- A staged development approach allows for comprehensive review of clinical, technical, and human factors.
- Balancing new risk concepts, ethical, and legal factors is crucial for successful implementation.

