Combat Stress or Hemorrhage? Evidence for a Decision-Assist Algorithm for Remote Triage

Abstract

In the setting of remote military triage, when physical access to the patient is not possible, traditional physiological measurements available to a combat medic may not differentiate between a wounded soldier and an active soldier. We tested the hypothesis that changes in high-frequency R-R interval spectral power (RRI HF) and pulse pressure (PP) would differ between progressive central hypovolemia (simulated hemorrhage) and exercise to evaluate their potential for remotely distinguishing active from bleeding soldiers. The RRI HF and PP were used because of their ability to track central hypovolemia.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Jul 01, 2008
Accession Number
ADA630429

Entities

People

  • Caroline A Rickards
  • Kathy L. Ryan
  • Steven A Romero
  • Victor A Convertino
  • William H. Cooke

Organizations

  • United States Army Institute of Surgical Research

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Algorithms
  • Blood Volume
  • Cardiovascular Physiological Phenomena
  • Cardiovascular System
  • Casualties
  • Data Analysis
  • Electrocardiography
  • Frequency
  • Frequency Domain
  • Health Services
  • Heart
  • Heart Rate
  • Hemorrhage
  • Measurement
  • Medical Personnel
  • Physiological Monitoring
  • Vital Signs

Readers

  • Cardiovascular Physiology
  • Radio communications and signal processing.
  • Trauma or Military Medicine