Feasibility of Electronic Stethoscope for En Route and Combat Casualty Care

Abstract

In the En Route and Combat Casualty Care environments, occupational stressors can complicate the ability to perform medical interventions which are often used in civilian ground healthcare facilities. Conventional stethoscopes are the primary diagnostic tool for patient assessment and triage, but during aeromedical transport high noise limits the ability to auscultate patients to assess cardiovascular, respiratory, and gastrointestinal systems for clinically relevant abnormalities. To address this gap, this research effort aimed to investigate the feasibility of an electronic stethoscope designed for high noise environments during flights on En Route and Combat Casualty Care transport vehicles. Six Pararescue providers and three Aeromedical Evacuation providers performed cardiopulmonary auscultation on two mock patients using an electronic stethoscope on the HH-60G, and C-130H airframes, respectively. The nine providers assessed the stethoscope using a questionnaire and provided feedback about the usability and applicability of the stethoscope within the En Route and Combat Casualty Care environments. Results from the study highlighted the feasibility of an electronic stethoscope for use in high noise military environments such as En Route and Combat Casualty Care and provided recommendations for future research efforts. The ability to accurately identify clinical irregularities using an essential diagnostic tool and medically intervene when necessary may reduce the number of preventable deaths from the battlefield and, ultimately, improve patient outcomes.

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 2019
Accession Number
AD1071867

Entities

People

  • Brittany Fouts
  • Charles Harding
  • Melissa Wilson

Tags

Communities of Interest

  • Biomedical
  • Ground and Sea Platforms

DTIC Thesaurus Topics

  • Aeromedical Evacuation
  • Air Force
  • Air Force Research Laboratories
  • Air National Guard
  • Aircrafts
  • Airframes
  • Combat Casualty Care
  • Environment
  • Feedback
  • Health Services
  • National Guard
  • Pararescue
  • Patient Care
  • Questionnaires
  • Vehicles
  • Warfare
  • Word Processors

Fields of Study

  • Medicine

Readers

  • Acoustics.
  • Systems Analysis and Design
  • Trauma or Military Medicine

Technology Areas

  • Microelectronics
  • Microelectronics - Microelectromechanical Systems