Mobile Trauma Resuscitation Documentation Using T6 Health Systems and BATDOK Closure

The purpose of this project is to facilitate medical treatment by ensuring medical documentation at the point of injury (POI) is appropriately documented, accurate, complete, and present in hostile conditions on the battlefield. Methods: The pilot study involved ten medics and ten nurses recruited from BAMC and the U.S. Army Burn Center and were randomly assigned to use the proposed integrated mobile applications (BATDOK/T6) or standard documentation (TCCC card/patient movement record/resuscitation record). The project was conducted in two phases, splitting the participants into two groups (five medics and five nurses each), which were evaluated for documentation accuracy, completeness, speed, and appropriate care given as evidenced by CPG compliance rates during simulated casualty scenarios. Using each platform, we also assessed the efficiency and accuracy of resource utilization determination. Results: Phase 1 testing in the simulation lab demonstrated that the proposed mobile applications had a significant increase in both total percent complete (84.2 + or - 8.1% versus 77.2 + or - 6.9%; p=0.02) and total percent accuracy (77.6 + or - 8.1% versus 68.9 + or - 7.5%; p<0.01) when compared to standard paper documentation. There was an observed significant increase in time to completion between the mobile applications and paper groups (31.4 + or - 3.0 minutes versus 24.8 + or - 3.1 minutes, respectively, p<0.01) in the second scenario without any difference in overall time to completion of all three scenarios between mobile applications and paper groups (89.6 + or - 17.5 minutes versus 76.0 + or - 12.2 minutes, respectively; p=0.19). Phase 2 field testing demonstrated that the proposed mobile applications had a significant increase in both total percent complete (91.6 + or - 5.8% versus 70.0 + or - 14.1%; p<0.01) and total percent accuracy (87.7 + or - 7.6% versus 64.1 + or - 14.4%; p<0.01) when compared to standard paper documentation.