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Junctional and Non-Compressible Hemorrhage Control Training System


OBJECTIVE: To develop a simulation-based training system to assist in teaching and training junctional and non-compressible hemorrhage control. The primary target is existing US Army / DOD military medical special operations training programs, but a secondary target could be other government agencies upon coordination with the government topic manager. The system could also have application to medical training programs in the academic and private sectors. The training audience is"soon-to-be-deployed"medics. The field of point of injury care is dynamic, but the simulation technologies applied to improve trauma training are nascent. So, we seek the development of an innovative, adaptable, and expandable trauma training system. DESCRIPTION: Deployed military medics and non-medic soldiers, especially those with non- medical functions, are driven on the battlefield to manage significant junctional and non-compressible hemorrhage that, until recently, have not been treatable. New adjuncts have been developed, e.g., Combat Ready Clamp (CROC) and Abdominal Aortic Tourniquet, but suitable training systems have not. As a result, both medics and non-medic soldiers may be unprepared to use them proficiently. Also, medical skills are prone to deteriorate during deployment. Thus, both the US Army and other DOD medical training programs have a need to rapidly refresh skills of soldiers and soldier medics who are going to, and returning from, forward based assignments. Junctional and non-compressible hemorrhage control is a prime example of traumatic injuries that (1) are rarely seen in non-combat situations and, therefore, (2) difficult to train for. This opportunity focuses on developing and assessing this junctional and non-compressible hemorrhage control training system to determine its effectiveness for training and use in demanding military medical training environment(s). The training system must support and respond to non-specific mechanical pressure. This training has a direct impact on the care of our military personnel, and the criteria for success are weighted toward systems demonstrating the ability to assist the staff to accomplish their mission. We seek a system that: - is based on established educational objectives - includes metrics upon which to judge proficiency performance - supports practice of both cognitive and psycho-motor skills required of medics - presents multiple trauma cases / scenarios - tests the cognitive and psychomotor skills of trainees at the beginning of training - identifies deficiencies in cognitive and psychomotor capability - tests the cognitive and psychomotor skills of trainees at the conclusion of training - develops a training program to correct them prior to deployment - assesses the training effectiveness of the system - results in minimal negative impact, e.g., time, disruption, resources, of the training staff - improves the quality of cognitive and psychomotor training, to teachers and/or students - improves the efficiency of cognitive and psychomotor training, to teachers and/or students - equals or reduces the cost of cognitive and psychomotor training, to teachers and/or students - addresses virtual mentoring capability with potential to reduce time required by instructors and students - is SCORM-compliant - employs open architecture principles Required: Final product must address junctional and non-compressible hemorrhage control at inguinal injury sites, pelvic injuries, e.g., groin injuries, and axillary injury sites. Optional: 1. Hemorrhage control including target abdominal target application points, e.g., umbilicus. 2. Team training system that includes training for all members of a maneuver element, soldiers and medics. PHASE I: Perform a feasibility study and analysis and develop a concept including discussion of how the system could be implemented. Identify the innovative technologies and approach proposed, technical risks of the approach, as well as the costs, benefits and schedule associated with development and demonstration of the prototype. Identify minimum system requirements and development tools. Demonstrate the foundational technology for simulation based junctional and non-compressible hemorrhage control training. PHASE II: Demonstrate the prototype system"s capability to train for multiple junctional and non-compressible hemorrhage control scenarios. Validation of the proposed Junctional and non-compressible and Non-Compressible Hemorrhage Control Training System is mandatory. Data from these studies will need to be provided, analyzed, and presented in the final report. Report data obtained as a result of the training assessment. In the marketing plan section of the Phase II proposal, include recommendations for effective implementation and estimates of resources required to operate, maintain and sustain the system into the future. PHASE III: This capability is expected to result in a system with military and civilian wide application to train to proficiency both the cognitive and psychomotor skills necessary to treat junctional and non-compressible hemorrhage.
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