Injuries to the lower leg are very common in combat casualties and one of the frequent consequences of such injuries is increased pressure within the envelope surrounding those muscle groups called Compartment Syndrome (CS).
On 13 November, TATRC’s Advanced Medical Technology Initiative (AMTI) hosted a virtual town hall for the staff at Brooke Army Medical Center (BAMC). This virtual event was led by AMTI Program Manager, Ms. Holly Pavliscsak, who has managed the AMTI since 2016 and has 24 years’ experience in military medical research with an emphasis on medical technology projects and telemedicine.
Around 20% of combat casualties from Iraq and Afghanistan have sustained a traumatic brain injury (TBI). Furthermore, Service Members with blast-related injuries often sustain multiple co-occurring disorders, including Post-Traumatic Stress Disorder (PTSD) and other mood disorders, chronic pain, and cognitive dysfunctions.
As with most things in the DoD, change is a common occurrence. In the last year the AMEDD Advanced Medical Technology Initiative (AAMTI) has undergone some big changes of its own.
Soldiers encounter a wide range of potentially toxic chemicals throughout their military lifecycle; however, fast and inexpensive toxicity screening of chemicals found in and around military sites is not currently available.
This project is the second in a line of AMTI-funded work using real-time bio-feedback to improve performance and rehabilitation outcomes for Service Members with severe lower extremity injuries. Ankle-foot orthoses are a type of bracing system often prescribed to support and stabilize the ankle and foot of individuals with lower extremity injuries.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) for hemorrhage control after severe traumatic injury is rapidly gaining use in both civilian trauma centers and in the deployed environment.
Nearly 16% of active component U.S. military members are women, and the majority are reproductive age. As the number of military servicewomen and their operational scope increase, it is important to understand and mitigate the prevalent health issues that uniquely impact their readiness.
Physical therapists regularly evaluate and treat patients with musculoskeletal (MSK) injuries, which is the number one cause of medical non-deployability in military personnel. To effectively treat and manage injuries, physical therapists perform many tests and measures to assess a patient’s function, movement, and other factors that contribute to injury and recovery.
The emergence of antibiotic resistant organisms pose a significant public health concern. The prevalence of antibiotic resistance especially in Gram-negative bacteria continues to increase globally. Since the beginning of Operation Iraqi Freedom and Operation Enduring Freedom, the U.S. military healthcare system has experienced a notable increase in the number of antibiotic-resistant organisms being isolated from wounded Service Members.
Two years ago, Madigan Army Medical Center’s (MAMC) Emergency Medicine Research Department initiated a project to create a realistic trauma simulator in immersive virtual reality (IVR). Similar to a pilot’s flight simulator, the Trauma Simulator is a free-play virtual reality training platform capable of training military medical personnel through dynamic physiologic responsive simulations that allow decision-training without an instructor. The primary focus was on decision training (i.e., cueing) when to initiate a blood transfusion, place a chest tube, or complete a cricothyrotomy.
Health care costs for running related musculoskeletal injury in the AMEDD exceed $560 million annually. The majority of these injuries are overuse in nature. TATRC’s AMTI program funded a project to further research these injuries called the “Feasibility of Wearable Devices to Measure and Monitor Changes in Gait Characteristics during Running”. Ms. Holly Pavliscsak, AMTI’s Program Manager stated, “This project highlights the AMTI programs’ continued support of projects that reinforce TATRC’s overall mission to fuse data, humans, and machines into solutions that optimize warfighter performance and casualty care.”
The Agile Network Connectivity for Mobile Medics was an AMEDD Advanced Medical Technology Initiative (AAMTI) Rapid Innovation Fund (RIF) project that tested the use of a commercial off-the-shelf mobile broadband kit (MBK) by 4K Solutions to leverage both T-Mobile and AT&T cellular networks in the continental United States (CONUS) and four commercial “pay as you go” SIM cards in Europe and outside the continental U.S. to support synchronous virtual health and the mobile medic mission.
According to military statistics, approximately 1,000 active duty service members are diagnosed with cancer on an annual basis with nearly $250 million per year spent on their treatment. After completion of initial cancer care, patients then transition to survivorship.
Team TATRC made their way to the sunshine state in Kissimmee, Florida from 19 – 23 August for the MHS Research Symposium (MHSRS). The Annual MHSRS, held at the Gaylord Palms Resort & Convention Center, is the Department of Defense’s premier scientific meeting that focuses on Combat Casualty Care (CCC).
In FY99 (and each year thereafter), the Army Surgeon General, through the U.S. Army Medical Research and Development Command’s (USAMRDC) TATRC, provided a $5M special appropriation of DHP O&M funds to enable technology demonstrations throughout the AMEDD.
Sleep dysregulation is a common symptom of numerous behavioral health conditions. Research suggests that treating sleep dysregulation can help improve not only the sleep of the patient, but improve the primary behavioral health condition of which the sleep dysregulation is a symptom.
The project previously known as the ADvance VIrtual Support for Special OpeRations (ADVISSOR) is an AMEDD Advanced Medical Technology Initiative (AAMTI) funded effort that has just completed.
Insufficient and disturbed sleep are signature injuries of the Global War on Terror. The unrelenting operational tempo of military life, combined with non-traditional work schedules and high stress, all contribute to a culture of chronic sleep loss.
FORT BRAGG, N.C. — The Army is one step closer to increasing the ability of non-surgical medical personnel in remote locations to potentially save the lives of severely injured Soldiers thanks to continuing efforts by the U.S. Army Special Operations Command (USASOC), Womack Army Medical Center and the U.S. Army Medical Research and Materiel Command – Telemedicine and Advanced Technology Research Center (TATRC).
During the last five years at TATRC, the AMEDD Advanced Medical Technology Initiative (AAMTI) program has transformed into an ‘innovation incubator’ for enthusiastic clinicians across the AMEDD.
As a result of recent combat operations in Iraq and Afghanistan, the Military has been entrusted to care for over 1,700 Service Members and Veterans who have experienced traumatic limb loss, 82.7% of which have been of the lower limb.
Congratulations to an outstanding AAMTI Innovator, CPT Rowan Sheldon MD, Madigan Army Medical Center General Surgery resident, who was the winner of the 2019 American College of Surgeons (ACS) Committee on Trauma (COT) Resident Paper Competition for the all-DoD/VA/Canadian Military for Region 13.
Osteoarthritis (OA) of the knee is a common and debilitating condition for many active duty and retired Service Members and beneficiaries. Traditional medical approaches include medications and injections providing modest symptom benefit with associated risks.
Despite the proliferation of state of the art traumatic brain injury (TBI) centers throughout the Department of Defense (DoD), the diagnosis and management of most mTBI cases occurs at the small unit level. Combat medics relying on the Military Acute Concussion Assessment (MACE) are often the first medical providers to assess injured Soldiers.
This summer the lab team at TATRC’s Mobile Health Innovation Center (mHIC) launched phase one of the “Development of a Mobile Web-Based Application for Pre and Post-Operative Patient Education of the Military Surgery Patient” pilot project.
Ms. Holly Pavliscsak, TATRC’s Program Manager who oversees the AMEDD Advanced Medical Technology Initiative (AAMTI) was on the road again in May. This trip took her to Madigan Army Medical Center (MAMC) in Tacoma, Washington where she attended the Colonel Pat C. Kelly Madigan Research Day on 4 May. COL Richard Burney, Chief of the Department of Clinical Investigations hosted this impressive event.
Currently, U.S. Army medics in the field carry the 269 page, 2-4 lb paper Algorithm Directed Troop Medical Care Manual (ADTMC) with them to Battalion Aid Stations (BAS).
In early 2018, the U.S. Army Medical Department (AMEDD) defined its strategic vision on the role of medical robotics and man-machine interfaces for the future of Army medicine. In line with the Army’s Robotic and Autonomous Systems Strategy, AMEDD outlines mid and long-term goals for research and development of strategies to enable semi-autonomous tele-robotic surgery for combat casualty care in austere and combat environments.
The XVIII Airborne Corps is aggressively working to reduce the impact and frequency of musculoskeletal injuries and have identified a gap in the traditional methods used to physically train our Soldiers prior to injury and following injury rehabilitation.
In 2017, the AAMTI program introduced the Rapid Innovation Funding (RIF) program as an optional alternative program to the traditional AAMTI Extended Innovation Funding (EIF). Unlike the traditional AAMTI projects which are an average duration of eighteen months, AAMTI RIFs projects should be accomplished in 6 months or less.
Lifetime history of traumatic brain injury (TBI) is present in over 60% of military personnel. While most of these events are mild and leave no complications, nearly 20% of individuals sustaining TBI experience persistent symptoms. The presence of somatic, cognitive and/or behavioral impairment may affect the service member’s capacity to return to duty.
The disruptive nature of war coupled with the degradation of barriers to infection resulting from combat and non-combat injuries predispose military personnel to bacterial infection. Bacterial infection is a significant cause of morbidity and mortality in the military healthcare setting.
Ms. Holly Pavliscsak, Program Manager for the AMEDD Advanced Medical Technology Initiative (AAMTI), was honored to be invited by Department of Clinical Investigation and the Graduate Medical Education department at the Brooke Army Medical Center (BAMC) in Fort Sam Houston, Texas to be the featured speaker at their Research Open House event on 31 January.