Fever of Unknown Origin in US Soldier Telemedical Consultation Limitations in a Deployment to West Africa

Paul J. Auchincloss, Jason J. Nam*, Dana Blyth, Gabrielle Childs, Kyle Kraft, Paul M. Robben, Jeremy Pamplin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Review the application of telemedicine support for managing a patient with possible sepsis, suspected malaria, and unusual musculoskeletal symptoms. Clinical Context: Regionally Aligned Forces (RAF) support-ing US Army Africa/Southern European Task Force (USARAF/ SETAF) in the Africa Command area of responsibility. Care provided by a small Role I facility on the compound. Organic Medical Expertise: Five 68W combat medics (one is the patient); one SOCM trained 68W combat medic. No US provider present in country. Closest Medical Support: Organic battalion physician assis-tant (PA) located in the USA; USARAF PA located in Italy; French Role II located in bordering West African country; medical consultation sought via telephone, WhatsApp® (com-munication with French physician) or over unclassified, en-crypted e-mail. Earliest Evacuation: Estimated at 12 to 24 hours with appro-priate country clearances and approval to fly from three coun-tries including French forces support approval.

Original languageEnglish
Pages (from-to)123-126
Number of pages4
JournalJournal of Special Operations Medicine
Volume19
Issue number2
DOIs
StatePublished - 1 Jun 2019

Keywords

  • combat casualty care
  • critical care
  • emergency treatment
  • military medicine
  • patient transfer
  • prolonged field care
  • telemedicine

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