Augmented Reality Forward Damage Control Procedures for Nonsurgeons: A Feasibility Demonstration.

Abstract:

INTRODUCTION:This article presents an emerging capability to project damage control procedures far forward for situations where evacuation to a formal surgical team is delayed. Specifically, we demonstrate the plausibility of using a wearable augmented reality (AR) telestration device to guide a nonsurgeon through a damage control procedure. METHODS:A stand-alone, low-profile, commercial-off-the-shelf wearable AR display was utilized by a remotely located surgeon to synchronously guide a nonsurgeon through proximal control of the distal external iliac artery on a surgical manikin. The manikin wound pattern was selected to simulate a rapidly exsanguinating junctional hemorrhage not controllable by nonsurgical means. RESULTS:This capability demonstration displayed successful use of AR technology, telecommunication, and procedural training and guidance in a single test pilot. The assisted physician assistant was able to rapidly control the simulated external iliac artery injury on this model. The telestration system used was commercially available for use with available civilian cell phone, wireless and satellite networks, without the need for dedicated high-speed networks. CONCLUSIONS:A nonsurgeon, using a wearable commercial on-visual-axis telestration system, successfully performed a damage control procedure, demonstrating the plausibility of this approach.

journal_name

Mil Med

journal_title

Military medicine

authors

Harris TE,DeLellis SF,Heneghan JS,Buckman RF,Miller GT,Magee JH,Vasios WN,Nelson KJ,Kane SF,Choi YS

doi

10.1093/milmed/usz298

subject

Has Abstract

pub_date

2020-01-07 00:00:00

pages

521-525

issue

Suppl 1

eissn

0026-4075

issn

1930-613X

pii

5740711

journal_volume

185

pub_type

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