Abstract

PALOP ASUNCION, JG; HERNANDEZ ABADIA DE BARBARA, A; VAZQUEZ PRAT, Á  and  NEVADO DEL MAZO, L. Telemedicine applications in Mountain and hostile environments. Sanid. Mil. [online]. 2018, vol.74, n.3, pp.175-178. ISSN 1887-8571.  https://dx.doi.org/10.4321/s1887-85712018000300007.

The Telemedicine Unit of the Armed Forces, has allowed to equip our sanitary steps in zone of operations (Z/O) to improve diagnostic and therapeutic capacity, due to the support and distance advising from the ROLE 4 HCD “Gómez Ulla”, through different Telemedicine equipment. These equipment have always been placed in ROLE 1 or ROLE 2E structures, as well as in navy ships. In the year 2006 during the expedition of the High Mountain Military Group to the Gasherbrum II (8.035 mts) in the Karakorum (Himalaya) from the Military of Mountain and Special Operations School, taking advantage of the extreme conditions of a base camp, in collaboration with the Telemedicine Unit of the Armed Forces, an experimental project with telemedicine equipment was developed. The objective of the project was to check whether in so extreme conditions the use of these equipment was feasible, in order to extrapolate results to a medical team type “stabilization cell”, deployed in Z/O, without the support of a Base or a ROLE. The project was carried out with equipment of: vital constants monitoring, electrocardiograph, high resolution image and video conferencing, be presented a real-time communication with medical specialists located in the Central Defense Hospital “Gómez Ulla” from Madrid. Later in the year 2009, this project was completed carrying out a test of transmission in real time of a echocardiography from the Altai Mountains to 4000 (mts) in Mongolia in similar conditions. And finally, in 2016 close to the detachment of Candanchú and in winter conditions and in snowy terrain was carried out a test with “glasses of augmented reality”, during which an infantryman, without previous preparation, could link with the Telemedicine unit and following the instructions received from the staff of the Unit, perform a life saving manoeuvre in a simulated casualty. All this with other devices and software applications currently in development, open a lot of possibilities that will allow telemedicine to the place where the casualty is, with the improvement of care that this implies.

Keywords : Telemedicine; Mountain; High Mountain Military Group.

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