Telemedicine technologies in combat settings: efficiency and prospects (literature review)

Abstract

Relevance. Large-scale military conflicts involving a technically well-equipped peer enemy are associated with a higher risk of delayed evacuation of the wounded which therefore requires extended medical care at advanced medical evacuation stages, especially amid absence or shortage of skillful medical professionals. Telehealth can offer solutions to overcome the difficulties in medical care provision amid combat settings. The objective is to study the prospects and efficiency of telemedicine technologies in enhancing availability of medical care during modern military operations.Methods. The PubMed database and the Scientific Electronic Library (eLIBRARY.ru) were used to collect research papers published from 2014 to 2024 studying the development and implementation of telemedicine technologies to backup combat operations.Results and discussion. Consultations by phone together with transfer of photos and text messaging remain the most common technology to provide telehealth assistance in combat settings. Teleconference connection allowing for two-way audio and video communication involving real-time data transfer is a most promising telecommunication format. Telehealth capacities can be expanded by augmented and mixed reality technologies, AI, drones, or robotic surgery. In combat environments, however, using telemedicine is limited by cybersecurity concerns and the signal bandwidth of modern communications systems. An efficient military telemedicine requires an integral centralized system involving multidisciplinary teams of experienced medical consultants providing round-the-clock emergency and routine telemedicine care to military units, including those engaged in combat operations.Conclusion. In combat settings telemedicine technologies have great untapped potential and can contribute largely in terms of evidence-based decision-making in process of medical triage and evacuation, thus optimizing the distribution of medical capacities and resources and improving the results of injury treatment. Although unfit to replace advanced combat medicine training, telemedicine can reinforce existing capacities by providing specialized medical advice to combat medics.