The geographical distribution of procedural and surgical expertise is highly heterogeneous. Insufficient capabilities in some areas of the United States result in long-distance patient transportation, care delays, or the absence of care. This medical expertise/care variability is well documented in peer-reviewed literature and the news. Less well-known is the same limited medical staff issues affect the care received by active-duty service members deployed in remote locations, often in harm's way. Consequently, the US military health system (MHS) is interested in tools and processes which extend and expand medical expertise of forward-deployed personnel. The speakers and the military tele-critical care network team created the Artemis research project. Artemis stands for Augmented Reality Technology to Enable Remote Integrated Surgery. This work aimed to demonstrate how a specialist, potentially thousands of miles away from a patient, could instruct field medical personnel on the performance of time-sensitive, life-saving interventions. Novices received real-time holographic mentoring from experts via augmented reality using the Microsoft Hololens. The experts maintained real-time awareness of the novice's operative environment through virtual reality using the HTC-Vive. Additional cameras in both settings and novel software created the immersive, shared, 3-dimensional mixed-reality environment in which the novice and expert collaborated.
Speakers
Konrad Davis MD
Pulmonary & Critical Care Physician, Scripps Clinic Medical Group, US Navy Captain, Retired
Pulmonary & Critical Care Physician, Scripps Clinic Medical Group, US Navy Captain, Retired
A native of San Diego, California, Dr. Konrad Davis earned a Bachelor of Arts (B.A.) in Philosophy and Biology at Williams College in 1996, and a Doctorate of Medicine (M.D.) from the Keck School of Medicine at the University of Southern California in 2000. He was awarded a health professions scholarship by US Navy during medical school and started active duty following graduation in 2000. He performed his medical training at Naval Medical Center San Diego. While on active duty, Dr. Davis deployed both with the Marines and as the Director of Medical Services to the Role 3 NATO hospital in southern Afghanistan. He also held numerous leadership positions, to include serving as the Director of the Defense Health Agency (DHA) Joint Tele-Critical Care Network, Director of Virtual Health for US Navy Medicine, Director of the DHA Virtual Medical Center hub site for the INDOPACIFIC region and is the recipient of numerous grants funding research in telemedicine and tele-critical care. Dr. Davis served 21 years on active duty in the US Navy before retiring with the rank of Captain in 2021.
Dr. Davis is the recipient of the San Diego Business Journal Healthcare Innovation award (2018), the TATRC Dr. Gary Gilbert Innovation and Impact Award (2021) and serves as a National Consultant for the Society of Critical Care Medicine’s Fundamentals of Critical Care Support curriculum. Dr. Davis holds the titles of Fellow in the American College of Chest Physicians (FCCP) and Fellow in the Society of Critical Care Medicine (FCCM).
Dr. Konrad Davis is currently a Clinical Professor of Medicine within the division of Pulmonary & Critical Care Medicine at the Scripps Clinic Medical Group in San Diego, California. He serves as the Section Chief for Pulmonary & Critical Care at Scripps Memorial Hospital in La Jolla, CA. He maintains interest in research and development related to telemedicine, tele-critical care, and medical adaptation of mixed reality to improve and/or extend medical capabilities.
Matthew D. Tadlock, MD
Navy Trauma/Critical Care Surgeon, Captain US Navy, Chair Joint Trauma System Committee on Surgical Combat Casualty Care
Navy Trauma/Critical Care Surgeon, Captain US Navy, Chair Joint Trauma System Committee on Surgical Combat Casualty Care
CAPT Matthew D. Tadlock is an active-duty Navy Trauma/Critical Care Surgeon with experiences providing deployed Naval Health Service Support to USN, US Marine Corps, and NATO units on land and sea. He is currently stationed in San Diego. CAPT Tadlock is an Associate Professor of Surgery at the Uniformed Services University. His academic accomplishments include the completion of the Surgical Education Research Fellowship through the Association for Surgical Education, the development and implementation of a novel Humanitarian Ethics Curriculum for residents participating in Pacific Partnership 2016 & 2018, and authorship of over 40 peer-reviewed publications and book chapters. He is also an ATLS, ASSET+, and Emergency War Surgery course director. He is currently the Chair of the Joint Trauma System Committee on Surgical Combat Casualty Care.
Moderators
Roger Daglius Dias, MD, PhD, MBA
Director of Research and Innovation, STRATUS Center for Medical Simulation, Massachusetts General Brigham Hospital
