Augmenting Clinical Performance in Combat Casualty Care: Telemedicine to Automation

  • Jeremy C. PamplinEmail author
  • Ronald Yeaw
  • Gary R. Gilbert
  • Konrad L. Davis
  • Elizabeth Mann-Salinas
  • Jose Salinas
  • Daniel Kral
  • Loretta Schlachta-Fairchild
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10916)


Emerging efforts in information science offer the possibility for clinicians to better utilize computer technology to decrease cognitive load, enhance decision making, and, improve patient outcomes. Recent natural disasters and mass casualty events across the United States and abroad spotlight the challenges of delivering healthcare in austere contexts. Austerity is a situation defined by limited resources of some or all of the following: equipment, medicines, diagnostics, personnel, knowledge, training, skills, and expertise. It is in this context that the military is focusing efforts to develop new telemedical, autonomous, and robotic systems to support local caregivers. Military human-computer models that support telemedicine and autonomous care in austere environments may help shape similar civilian healthcare solutions in similarly austere contexts of remoteness, natural disaster, and mass casualty. This paper will discuss the clinical challenges and capability gaps of providing comprehensive medical support in this context and some of the tools the military is developing to address them.


Military medicine Telemedicine Automation Clinical decision support 


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Copyright information

© This is a U.S. government work and its text is not subject to copyright protection in the United States; however, its text may be subject to foreign copyright protection 2018

Authors and Affiliations

  • Jeremy C. Pamplin
    • 1
    • 2
    Email author
  • Ronald Yeaw
    • 3
  • Gary R. Gilbert
    • 3
  • Konrad L. Davis
    • 4
  • Elizabeth Mann-Salinas
    • 5
  • Jose Salinas
    • 5
  • Daniel Kral
    • 3
  • Loretta Schlachta-Fairchild
    • 6
  1. 1.Madigan Army Medical CenterTacomaUSA
  2. 2.Uniformed Services University of the Health SciencesBethesdaUSA
  3. 3.Telemedicine and Advanced Technology Research CenterFort DetrickUSA
  4. 4.Naval Medical Center San DiegoSan DiegoUSA
  5. 5.U.S. Army Institute of Surgical ResearchSan AntonioUSA
  6. 6.U.S. Army Medical Research and Material CommandFort DetrickUSA

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