Lt Col John Dorsch, D.O. 724 Group Surgeon BATMAN ......•SOCOM Jeff Luciano [email protected] DISTRIBUTION STATEMENT A. Approved for public release: distribution is

Lt Col John Dorsch, D.O.

724th Group Surgeon

Greg Burnett, Ph.D.

BATMAN Program Manager

DISTRIBUTION STATEMENT A. Approved for public release: distribution is unlimited. 88ABW Cleared 05/02/18; 88ABW-2018-2292

Defining the Problem• Strategic

• Schauer et al. A Descriptive Analysis of Data from the Department of Defense Joint Trauma System Prehospital Trauma Registry. US Army Med Dep J. 2017 Oct-Dec;(3-17):92-97.

• Missing vital signs and documentation of procedural details• Tourniquet application time – 27.3% (113/414)

• Time stamped vitals – 42.4% (647/1527)

• Lost opportunity to better understand and advance prehospital care

• Tactical/Operational• Information management – task saturation

• Communication and synchronization across phases/transitions of care

• Limitations in weight/cube

• Aversion to “good ideas” from the med establishment


Defining the Problem

• BATDOK/724 STG Collaboration

• Operational

• Strategic

“Begin with the end in mind” – Steve Covey


Bottom-Up Solutions

• AFRL/724 STG Collaboration

• Goal = Operator-Centered Tactically

Integrated Solution (one-stop shop)• Patient Monitoring

• Digital med documentation

• Reference tools

• Telemedicine

• Point-of-care ultrasound

• Global logistics management

Why We Exist


What is BATDOK

150

98

123/80

30.0

6:45

110

97

133/92

22.3

5:35

89

100

115/79

18.5

5:32

175

90

133/92

32.0

5:26


BATDOK Release 2.6.4

BATDOK-Lite (ATAK Plugin)


Features of BATDOK 2.6.4.1

• Assessment

• Documentation

• Collaboration

• Reference

• Coordination

• Handoff



150

98

123/80

30.0

6:45

110

97

133/92

22.3

5:35

89

100

115/79

18.5

5:32

175

90

133/92

32.0

5:26

• Wireless Vitals Monitoring

• Vitals Alerts

• Vitals Graphs

• Patient Organization

• Voice Notes

• Patient Photos

• Grid and Column Layouts

• Ultrasound Integration


• Outputs

• TCCC (DD1380)

• Controlled Substances (AF 579)

• SF 600

• MOI - Human and K9

• Scan Patient Demographics

• Autonomous Vitals Logging

• Scan Meds and Treatments

• Chronological EventsDISTRIBUTION STATEMENT A. Approved for public release: distribution is unlimited. 88ABW Cleared 05/02/18; 88ABW-2018-2292








• View Previous Documentation

• Record Voice Patient Notes

• View Vitals

• Print and Share Documents

• Create Reports

• Track Meds & Treatments Given


• Without Wireless Comms

• NFC

• QR Code

• Bump Transfer

• With Wireless Comms

• Wi-Fi

• Celluar

• GoTenna Mesh Network

• Tactical Radio Network

• ATAK integration

• Electronic Health Record


Way Forward

• Voice to Text

• Increased Telemedicine Capabilities

• Additional Vitals Monitoring Sensors Integration

• New Tactical Networks – Link 16


Conclusion

• AFSOC SGRTSgt Tom Culpepper

[email protected]

• SOCOMJeff Luciano

[email protected]


• BATMANGreg Burnett, [email protected]

Lt Isaiah Bragg, [email protected]

(937) 713-0826

• Madigan Army Med CenterLTC Jeremy Pamplin

[email protected]

• TATRCTom Bigott, [email protected]

Carl Manemeit, [email protected]

• ACC SGRMSgt Shawn Anderson

[email protected]

Questions