DIALING UP CRITICAL CARE


Phase 1


Area 1: Virtual clinic


Patient might be sick – engages VH.


Area 2: Virtual hospital ward


Area 0: Digital health at home


Personal health monitoring identifies possible infection.


Role 1: Virtual clinic in a “foxhole”


Role 0: Digital health on mission


Soldier status monitoring identifies optimal, ready, degraded, casualty.


Soldier is not optimal – system nudges with decision support or recommendations, if degraded or a casualty, systemengages VH.


Role 2: Virtual hospital ward at tent


Soldier needs monitoring and is admitted to virtual ward, monitored using mobile device, wearables, medical monitoring devices if available.


Patient needs monitoring and is admitted to a virtual ward, monitored using mobile device, wearables and medical monitoring devices if available.


Role 3: Virtual intensive care unit


Soldier needs resuscitation and gets evacuated or, if not possible, is managed in PFC – both are supported by TCC using remote monitoring, remote control and autonomous systems.


Area 3: Virtual intensive care unit


Patient needs resuscitation – supported by TCC using remote monitoring, remote control and autonomous systems.


Area 4: Virtual operating rooms


Patient needs a procedure – supported by TCC using AR, robotics, etc.


PROCEDURALI ST’S VIEW


LOCAL SIDE


REMOTE SIDE


Role 4: Virtual operating rooms


Soldier needs a procedure – supported by TCC using AR, robotics, etc.


KEY


AR: Augmented reality LOE: Line of effort PFC: Prolonged field care


TCC: Telecritical care VH: Virtual health


OH, THE POSSIBILITIES


There are many potential uses and applications for NETCCN in the military operational and civilian worlds, but the system will require more work before implementation. (Graphic courtesy of TATRC)


Tat’s when TATRC knew they were onto something.


ALWAYS ON CALL “You can get extra beds and you can maybe get extra ventilators,” said Quinn, “but what you just can’t surge quickly enough is the expertise required to manage these complex patients.” In other words,


you can’t just order new nurses or cardiolo- gists from a catalog. But what if you could access them online when needed?


According to Quinn, many of those afore- mentioned health systems told TATRC they were already in the process of refining their own digital models to be deployed quickly and to work as much as possible


in both bandwidth-constrained areas and with current mobile devices. He’s quick to point out that rural America has been dealing with these kinds of supply-and- demand issues for years; problems solved in large part thanks to these same kinds of digital telehealth solutions. What sets NETCCN apart from standard tele- health care, then, is that it will operate


84


Army AL&T Magazine


Fall 2020


OPERATIONAL MEDICINE


COVID-19


LOE


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