Quickly Evaluating an Emerging Medical Technology Using Feedback From the Field: A Case Study of the BrainScope One and Infrascanner 2000 User Evaluation.

Abstract:

INTRODUCTION:Gathering end-user feedback about candidate technologies in the operational environment prior to fielding helps to ensure that far-forward medical teams receive the most suitable technology. It is therefore a crucial step in the defense medical acquisition process. The current article reviews the methodology and provides an illustrative example of how end-user feedback was collected to evaluate the current suitability and future promise of two FDA-approved devices, the BrainScope One and Infrascanner 2000, that could potentially aid in the field evaluation of head injuries by far-forward medical teams. MATERIALS AND METHOD:The BrainScope One and Infrascanner 2000 end-user evaluation is used as an example to illustrate how to collect end-user feedback from the field in order to rapidly assess the candidate technology. In this evaluation of whether and how to implement FDA-approved technology candidates for head injury assessment by far-forward medical teams, end-user feedback was collected from 158 medical personnel at 8 bases in Afghanistan, Iraq, and Kuwait using focus groups and interviews. RESULTS:The end users reported consistent concerns about the operational efficacy and suitability of the current versions of the devices as well as the areas where the devices showed promise for the Department of Defense (DoD). End-user feedback is shown in detail to demonstrate the depth and richness of feedback that can be gathered using this methodology. CONCLUSION:Overall, the BrainScope One and Infrascanner 2000 end-user evaluation shows the necessity and value of gathering end-user field efficacy and suitability feedback during the medical acquisition process. Limitations and best practices for this approach are discussed.

journal_name

Mil Med

journal_title

Military medicine

authors

Krauss S,Sanjakdar S,Wilson A,Dacanay B,Jasper L,Adler A,Funari T

doi

10.1093/milmed/usaa069

subject

Has Abstract

pub_date

2020-09-18 00:00:00

pages

e1787-e1793

issue

9-10

eissn

0026-4075

issn

1930-613X

pii

5827036

journal_volume

185

pub_type

杂志文章
  • Analyzing the future of army aeromedical evacuation units and equipment: a mixed methods, requirements-based approach.

    abstract::We utilize a mixed methods approach to provide three new, separate analyses as part of the development of the next aeromedical evacuation (MEDEVAC) platform of the Future of Vertical Lift (FVL) program. The research questions follow: RQ1) What are the optimal capabilities of a FVL MEDEVAC platform given an Afghanistan...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/MILMED-D-12-00370

    authors: Bastian ND,Brown D,Fulton LV,Mitchell R,Pollard W,Robinson M,Wilson R

    更新日期:2013-03-01 00:00:00

  • Impact of race in using PSA velocity to predict for prostate cancer.

    abstract:OBJECTIVE:To assess whether race is a significant factor in the ability of prostate-specific antigen velocity (PSAV) for predicting high-grade prostate cancer (HGPC). METHODS:Records of men who underwent prostate biopsy between January 2003 and December 2007 were retrospectively reviewed to collect demographic data, s...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00332

    authors: Kallingal GJ,Walker MR,Musser JE,Ward DE,McMann LP

    更新日期:2014-03-01 00:00:00

  • Mortality and postcombat disorders: U.K. veterans of the Boer War and World War I.

    abstract::This study seeks to investigate the mortality rates of U.K. servicemen with postcombat syndromes following the Boer War and World War I. Random samples of veterans awarded war pensions for either disordered action of the heart (DAH) or neurasthenia/shellshock were compared with gunshot wounded ex-servicemen as control...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Jones E,Vermaas RH,Beech C,Palmer I,Hyams K,Wessely S

    更新日期:2003-05-01 00:00:00

  • Perioperative Gabapentin Improves Patient-Centered Outcomes After Inguinal Hernia Repair.

    abstract:INTRODUCTION:Over 5,300 inguinal hernia repairs (IHR) were performed in the Military Health System in 2015. Chronic pain can be a debilitating complication, occurring in up to 34% of patients after IHR and impacts mission readiness. Gabapentin has been shown to be effective for postoperative analgesia in a variety of o...

    journal_title:Military medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.7205/MILMED-D-17-00107

    authors: Quail J,Spence D,Hannon M

    更新日期:2017-11-01 00:00:00

  • Armor-piercing bullet: 3-T MRI findings and identification by a ferromagnetic detection system.

    abstract::The objective of this project was to evaluate magnetic resonance imaging (MRI) issues at 3 T for an armor-piercing bullet and to determine if this item could be identified using a ferromagnetic detection system. An armor-piercing bullet (.30 caliber, 7.62 × 39, copper-jacketed round, steel core; Norinco) underwent eva...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-12-00374

    authors: Karacozoff AM,Pekmezci M,Shellock FG

    更新日期:2013-03-01 00:00:00

  • Intralobar bronchopulmonary sequestration presenting as hemoptysis: evidence for an acquired cause.

    abstract::A 26-year-old pregnant female was treated for an intralobar sequestration presenting as exsanguinating hemoptysis. The case brings forth strong evidence supporting an acquired rather than a congenital cause of some intralobar sequestrations. We discuss the anatomy, epidemiology, and pathogenesis of bronchopulmonary se...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Freeman RK,Maxwell JM

    更新日期:1998-07-01 00:00:00

  • Walter Reed Army Medical Center and unit healthcare administration--the historical rationale for developing this organizational structure.

    abstract::This article looks at the historical rationale behind the development of the healthcare administration structure currently used at Walter Reed Army Medical Center (WRAMC). This type of healthcare administration structure is unique to WRAMC and is not found in any other United States Army Medical Department healthcare ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Pattillo DA

    更新日期:1990-11-01 00:00:00

  • Efficacy of Hemostatic Gauzes in a Swine Model of Prolonged Field Care with Limb Movement.

    abstract:INTRODUCTION:Prolonged field care for junctional wounds is challenging and involves limb movement to facilitate transport. No studies to date have explored the efficacy of gauze products to limit rebleeding in these scenarios. MATERIALS AND METHODS:We randomly assigned 48 swine to QuikClot Combat Gauze, ChitoGauze, Nu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa403

    authors: Landers GD,Townsend C,Gaspary M,Kachur R,Thorne B,Stuart S,Henao J,Zarow GJ,Natarajan R,Boboc M

    更新日期:2021-01-25 00:00:00

  • Unusual Case of Acute Decompensated Maple Syrup Urine Disease in the Emergency Department.

    abstract::A case report of an army soldier presenting to the emergency department with acute metabolic derangement resulting in encephalopathy, cerebral edema, and death is presented. The patient had no medical diagnoses before entering military service and was triaged in the emergency department with the common complaint of pr...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa402

    authors: Tobin MR,Grisham J,Brigg A,Kinder B

    更新日期:2020-11-19 00:00:00

  • Erythema Multiforme Versus Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: Subtle Difference in Presentation, Major Difference in Management.

    abstract::Erythema multiforme and Stevens-Johnson syndrome/toxic epidermal necrolysis are immune-mediated epidermal conditions with variable clinical presentations. Although their clinical presentations often overlap, they have distinct etiologies and potential outcomes, which necessitate specific management strategies. This ca...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa029

    authors: Newkirk RE,Fomin DA,Braden MM

    更新日期:2020-09-18 00:00:00

  • A study protocol for tracking quality of life among U.S. service members wounded in Iraq and Afghanistan: the Wounded Warrior Recovery Project.

    abstract::There is a need for more work to understand the quality of life (QOL) outcomes of survivors of Operations Enduring Freedom and Iraqi Freedom combat injury to improve care and treatment, and prevent poor physical, psychological, and social outcomes. We describe the study design and methods of the Wounded Warrior Recove...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00444

    authors: Woodruff SI,Galarneau MR,Luu BN,Sack D,Han P

    更新日期:2014-03-01 00:00:00

  • Does the MCAT predict medical school and PGY-1 performance?

    abstract:BACKGROUND:The Medical College Admissions Test (MCAT) is a high-stakes test required for entry to most U. S. medical schools; admissions committees use this test to predict future accomplishment. Although there is evidence that the MCAT predicts success on multiple choice-based assessments, there is little information ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00550

    authors: Saguil A,Dong T,Gingerich RJ,Swygert K,LaRochelle JS,Artino AR Jr,Cruess DF,Durning SJ

    更新日期:2015-04-01 00:00:00

  • Treating war detainees and terror suspects: legal and ethical responsibilities of military physicians.

    abstract::Several international legal instruments and ethical guidelines bestow rights and impose duties on detainees and military physicians, respectively. Ideological totalism, moral disengagement, and victim blame can facilitate the abuse of detainees, and this mindset must be avoided by military physicians. Physicians shoul...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.173.supplement_2.15

    authors: Singh JA

    更新日期:2007-12-01 00:00:00

  • Are effort measures sensitive to cognitive impairment?

    abstract::The basic premise of symptom validity tests (SVTs) is that appropriate effort can be assessed because the designs of SVT measures are thought to be insensitive to all but the most extreme forms of impairment of memory. In patients with mild traumatic brain injury in particular, it is thought that failure on effort mea...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-11-00168

    authors: Willis PF,Farrer TJ,Bigler ED

    更新日期:2011-12-01 00:00:00

  • Diagnostic accuracy of a point-of-care blood typing kit conducted by potential end users.

    abstract::The usability of a rapid point-of-care ABO-Rh blood typing kit was determined by comparing the performance of individuals with extensive medical training/experience to those with a lesser extent. Subjects were asked to use the blood typing kit with their own blood. These outcomes were compared to that listed in the su...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-12-00500

    authors: Bienek DR,Perez NM

    更新日期:2013-05-01 00:00:00

  • Understanding Barriers to HPV Vaccination: Perspectives From Air Force Family Medicine Physicians and Active Duty Air Force Males.

    abstract:INTRODUCTION:Genital human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. The Center for Disease Control Advisory Committee on Immunization Practices (ACIP) has recognized the potential benefits of immunizing young men beginning at age 11 or 12 years and continuing through ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz403

    authors: Halista CE,Kline RJ,Bepko J

    更新日期:2020-06-08 00:00:00

  • Exploring Disparities in Awarding VA Service-Connected Disability for Post-Traumatic Stress Disorder for Active Duty Military Service Members from Recent Conflicts in Iraq and Afghanistan.

    abstract:INTRODUCTION:We explore disparities in awarding post-traumatic stress disorder (PTSD) service-connected disability benefits (SCDB) to veterans based on gender, race/ethnicity, and misconduct separation. METHODS:Department of Defense data on service members who separated from October 1, 2001 to May 2017 were linked to ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz208

    authors: Redd AM,Gundlapalli AV,Suo Y,Pettey WBP,Brignone E,Chin DL,Walker LE,Poltavskiy EA,Janak JC,Howard JT,Sosnov JA,Stewart IJ

    更新日期:2020-01-07 00:00:00

  • Completion of a Veteran-Focused Civic Service Program Improves Health and Psychosocial Outcomes in Iraq and Afghanistan Veterans With a History of Traumatic Brain Injury.

    abstract:INTRODUCTION:Volunteering as a health promotion intervention is positively related to improved health and well-being in civilians and older adults. Yet, the impacts of participating in a community-based volunteering program on returning military veterans have not been studied, nor have the outcomes for veterans who hav...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00150

    authors: Lawrence KA,Matthieu MM,Robertson-Blackmore E

    更新日期:2017-07-01 00:00:00

  • Dimensionality, reliability, and validity of the combat experiences scale.

    abstract::Few studies have measured combat exposure during deployment to a war zone. Valid, reliable, and specific measurement is needed to broaden existing knowledge of combat experiences to accurately answer clinically important questions regarding postcombat treatment and recovery, particularly with the recognition of new ki...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-12-00223

    authors: Guyker WM,Donnelly K,Donnelly JP,Dunnam M,Warner GC,Kittleson J,Bradshaw CB,Alt M,Meier ST

    更新日期:2013-04-01 00:00:00

  • Essential Medications for Patients With Suspected or Confirmed Ebola Virus Disease in Resource-Limited Environments.

    abstract:BACKGROUND:In 2014, the U.S. Public Health Service (USPHS) Commissioned Corps deployed to Monrovia, Liberia, to operate a 25-bed Ebola treatment unit (ETU) constructed by the U.S. Military. The ETU was named the Monrovia Medical Unit (MMU) and was constructed from an U.S. Air Force Expeditionary Medical Support (EMEDS)...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-17-00010

    authors: Pierce WF,Ready SD,Chapman JT,Kulick C,Shields A,Wang J,Andrews K,Childs RW,Bell C,Kosyak A,Pham J

    更新日期:2017-09-01 00:00:00

  • A comparison of the health risk, health status, self-motivation, psychological symptomatic distress, and physical fitness of overweight and normal-weight soldiers.

    abstract::The purpose of this study was to analyze the assumptions underlying the Army's Weight Control Program (AWCP) and to determine whether overweight and normal-weight soldiers differed with respect to health risk, health status, self-motivation, psychological symptomatic distress, and physical fitness. The sample consiste...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Troumbley PF,Burman KD,Rinke WJ,Lenz ER

    更新日期:1990-09-01 00:00:00

  • Soldier acceptability of a camouflage face paint combined with DEET insect repellent.

    abstract::Under operational conditions, current doctrine requires separate application of the standard military insect repellent and camouflage face paint. Working with an industrial partner, Amon Re, Inc., we developed a combined camouflage face paint and insect repellent that offers excellent protection from arthropod disease...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Debboun M,Coleman RE,Sithiprasasna R,Gupta RK,Strickman D

    更新日期:2001-09-01 00:00:00

  • The peacetime trauma experience of U.S. Army surgeons: another call for collaborative training in civilian trauma centers.

    abstract:OBJECTIVE:To document the ongoing trauma experience of U.S. Army surgeons during peacetime clinical practice. METHODS:Surveys were mailed to the trauma directors of military surgical services worldwide. Questions focused on numbers of operative cases and availability of trauma resources. Laparotomy, thoracotomy, and v...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Knuth TE

    更新日期:1996-03-01 00:00:00

  • Development of hydrolysis probe-based real-time PCR for identification of virulent gene targets of Burkholderia pseudomallei and B. mallei--a retrospective study on archival cases of service members with melioidosis and glanders.

    abstract::Burkholderia pseudomallei and B. mallei are two highly pathogenic bacteria responsible for melioidosis and glanders, respectively. Our laboratory developed hydrolysis probe-based real-time polymerase chain reaction assays targeting type three secretion system (TTS) and transposase family protein (TFP) of B. pseudomall...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-11-00232

    authors: Zhang B,Wear DJ,Kim HS,Weina P,Stojadinovic A,Izadjoo M

    更新日期:2012-02-01 00:00:00

  • Joint Space Narrowing in Patients with Femoroacetabular Impingement: A Matched Cohort Study of Military versus Civilian Patients.

    abstract:INTRODUCTION:Decreased hip joint space has been associated with poorer outcomes after hip arthroscopy. The purpose of this study was to determine if a difference exists in hip joint degenerative findings in military versus civilian patients with FAI. METHODS:A single surgeon's case series was reviewed to identify all ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz058

    authors: Dumont GD,Antosh IJ,Carmon P

    更新日期:2019-12-01 00:00:00

  • A Patient-Controlled Analgesia Adaptor to Mitigate Postsurgical Pain for Combat Casualties With Multiple Limb Amputation: A Case Series.

    abstract::The use of explosive armaments during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn has resulted in a significant number of injured U.S. service members. These weapons often generate substantial extremity trauma requiring multiple surgical procedures to preserve life, limb, and restore fu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00315

    authors: Pasquina PF,Isaacson BM,Johnson E,Rhoades DS,Lindholm MP,Grindle GG,Cooper RA

    更新日期:2016-08-01 00:00:00

  • Cardiorespiratory responses induced by various military field tasks.

    abstract::Typical military tasks include load carriage, digging, and lifting loads. To avoid accumulation of fatigue, it is important to know the energy expenditure of soldiers during such tasks. The purpose of this study was to measure cardiorespiratory responses during military tasks in field conditions. Unloaded (M1) and loa...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00299

    authors: Pihlainen K,Santtila M,Häkkinen K,Lindholm H,Kyröläinen H

    更新日期:2014-02-01 00:00:00

  • Command of military medical units: grounding the paradigm.

    abstract::Proper command of medical units is central to their effectiveness. For many years the majority of commands have been available only to physicians. This paper suggests a concept for structuring the way in which individuals are considered suitable for command assignments. In this regard, there is an ongoing process with...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Jeffer EK

    更新日期:1996-06-01 00:00:00

  • The Overtraining Syndrome in Soldiers: Insights from the Sports Domain.

    abstract:INTRODUCTION:Soldiers are exposed to extreme training regimens in order to optimally prepare for real battle. High attrition rates are a known issue during training courses, especially for elite troops. An underlying factor might be the disbalance between stress/strain and recovery. The aim of this review is to give in...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy274

    authors: Vrijkotte S,Roelands B,Pattyn N,Meeusen R

    更新日期:2019-05-01 00:00:00

  • Utility of the trauma symptom inventory for the assessment of post-traumatic stress symptoms in veterans with a history of psychological trauma and/or brain injury.

    abstract::Correspondence of three core Trauma Symptom Inventory (TSI) posttraumatic stress disorder (PTSD) scales (Intrusive Experiences, Defensive Avoidance, and Anxious Arousal) and the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-IV) PTSD module were examined among 72 veterans with traumatic brain injury (...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-00-9509

    authors: Bahraini NH,Brenner LA,Harwood JE,Homaifar BY,Ladley-O'Brien SE,Filley CM,Kelly JP,Adler LE

    更新日期:2009-10-01 00:00:00