The capability to transport combat injured patients from the point of injury to initial medical care and subsequent definitive treatment and rehabilitation is a critical element of combat operations. Technology needs for en route care must support interoperability of medical information, equipment, and supplies across the global military health system in addition to adjusting to a dynamic transport environment with the smallest possible weight, space, and power requirements. The research priorities reflect three common themes, which include efforts to enhance or increase care provider capability and capacity understand the impact of transportation on patient physiology and increase the ability to coordinate, communicate, and facilitate patient movement.
Specific research questions and technological development needs were further developed by committee members in an effort to guide future research and development initiatives that can directly support operational en route care needs.
Based on the input from the entire committee, 10 en route care research topics were rank-ordered in the following manner: (1) medical documentation, (2) clinical decision support, (3) patient monitoring, (4) transport physiology, (5) transfer of care, (6) maintaining normothermia, (7) transport timing following damage control resuscitation or surgery, (8) intelligent tasking, (9) commander’s risk assessment, and (10) unmanned transport.