Recreating the Vigorous Warrior and Clean Care exercises in-silico: A Proof-of-Concept Study for the Digital Transformation of Military Medical Support.

Beschrijving

Introduction: Computer simulations are increasingly prominent for overcoming inherent limitations in medical planning for Large Scale Combat Operations (LSCO). This technology provides a distinctive capability to simulate intricate tactical scenarios that have not been encountered in previous operations. The objective of this study is to investigate the application of computer simulation in military medical support for LSCO. Materials and Methods: we utilized data from the NATO Live exercise (LIVEX) Vigorous Warrior/Clean Care (VW/CC’24) incorporating quantitative and qualitative observations from Point of injury/point of wounding to the levels of care (Role 1, Role 2, and Role 2E). Our analysis covered Damage Control Resuscitation (DCR), Damage Control Surgical principles (DCS), critical care, transport, and access to blood and blood products. Results: the re-creation of VW/CC’24 was performed in the SIMEDIS computer simulator. The simulation was constructed based on hourly and daily observations by the research team, supplemented by input from additional training participants and historical analytical data. Mapping of Military Medical Treatment Facilities (MTFs) within the exercise, along with their capacities, were incorporated. Each simulated casualty underwent detailed and timed replay, transport, triage, and treatment were modeled according to observations made during VW/CC’24. Validation included field measurements and verification. Our report focuses on the similarities observed between the LIVEX and the computer simulation, as well as identifying gaps pertinent to LSCO scenarios. Discussion: the application of Modeling and Simulation to a LIVEX intends on setting a precedent for subsequent use at other events not directly tied to tabletop exercises and provides a novel methodology with real field measurements. Conclusions: We recreated the VW/CC’24 MTF layout in the SIMEDIS simulator based on real locations and patient flow. All injuries and evolution have been simulated and the timeline was based on real field measurements. The simulator provides an ideal replay of the scenario, we present the differences between predictions of the simulator versus what happened during the live exercise. Summary: this study presents a proof-of-concept for digitally transforming military medical support through computer simulation. By recreating the VW/CC’24 exercise in-silico, we aim to enhance medical planning capabilities and address critical issues in LSCO

Periode	29 aug. 2024
Evenementstitel	Military Health System Research Symposium
Evenementstype	Congres
Locatie	Kissimmee, Verenigde Staten van Amerika, FloridaToon op kaart
Mate van erkenning	Internationaal