Medical readiness for operations other than war: Boyd's OODA loop and training using advanced distributed simulation technology

Abstract

Synthetic Distributed Readiness Training Environment (SDRTE) combines Advanced Distributed Interactive Simulation (A-DIS) and Medical Application Service Provider (Med-ASP) concepts into a seamlessly integrated training platform for the development and maintenance of First Responder (1RP) operational medical readiness. A synthetic substitute for the traditional, restrictive methods of training, SDRTE is based on the already developed and tested fusion of Virtual Reality (VR), Auto Stereoscopy (AS), High Fidelity Human Patient Simulation (HFPS), videoconferencing (VCON) and visualisation of complex data with the existing high speed internet connectivity (ISDN, DSL, I2), that operates as a real time, distributed simulation network. Full scale implementation of SDRTE allows real time 'free play' training of multi-agency personnel in a near-real-life environment that permits incorporation of fluidity, stressors and unpredictable elements. Neither of these elements can be successfully implemented in the currently practised, predetermined and strictly scripted physical drills. While the proposed synthetic readiness-training environment will not substitute for physical drills, it will assist in the development of critical command- and decision-making skills required for the successful conduct of operations in dynamically changing disaster environments. Moreover, the synthetic nature of SDRTE permits collection of quantitative data necessary for the development of performance metrics, development of operational standards and doctrines and – ultimately – for the unbiased data-based assessment of the existing readiness levels.