Forward Operating Base Ocular Trauma Telemedicine Triage and Stabilization (FOBOT3S)
Abstract
The Forward Operating Base Expert Telemedicine Resource Utilizing Mobile Application for Trauma (FOXTROT) was successfully beta tested in Afghanistan during 6 weeks from September to November 2019. To our knowledge, this is the first use of an approved mobile phone application for teleophthalmology in the US military in a combat zone. To beta test a secure teleophthalmology mobile application (mApp) called Forward Operating Base Expert Telemedicine Resource Utilizing Mobile Application for Trauma (FOXTROT) in Afghanistan. Thirty users at 16 locations in OCONUS and one location outside of this site. Methods: Point of care (POC) medical providers placed teleophthalmology consults on their mobile phone using the FOXTROT mApp and an expeditionary ophthalmologist stationed at a military hospital in Afghanistan responded using a secure computer portal directly linked to the POC user mApp. Users graded their satisfaction with FOXTROT in 4 categories using a 1 to 5 rating scale, with 1 being very dissatisfied and 5 being very satisfied. Mean initial response time, agreement between the teleophthalmology diagnosis and final diagnosis, treatment and management following recommendations outlined in the Joint Trauma System (JTS) Clinical Practice Guidelines (CPG), prevention of the need for aeromedical evacuation, user satisfaction, and security and HIPAA compliance of consult. There were 29 consults placed over 6 weeks by 18 different users. One consult did not synchronize due to connectivity so there were 28 consults that were received by the expeditionary ophthalmologist. All consults received were responded to with a mean initial response time of 3 minutes 58 seconds 3 minutes 48 seconds. There was agreement between the teleophthalmology diagnosis and final diagnosis in 24 (86 perecnt ) consults.
Document Details
- Document Type
- Technical Report
- Publication Date
- Nov 21, 2021
- Accession Number
- AD1223888
Entities
People
- William G. Gensheimer
Organizations
- 59th Medical Wing