Smarter faster just-in-time hemorrhage control: A pilot evaluation of remotely piloted aircraft system delivered STOP-THE-BLEED equipment with just-in-time remote telementored deployment.

Remotely Piloted Aircraft Systems (RPAS) can access patients inaccessible to traditional rescue. Just-in-time remote telementoring (RTM) of naïve users to self-care could potentially address challenges in salvaging exsanguination in remote environments. An exsanguination self-application task was established in a wilderness location. Three volunteers-initiated distress calls to prompt RPAS precision delivered STOP-THE-BLEED kits, after which a remote mentor directed the volunteers how to self-care. Limited connectivity prevented video, however each volunteer delivered images and initiated conversation with the mentor pre-RPAS arrival. Thereafter, all subjects were able to unpack and deploy hemorrhage control adjuncts under verbal direction, and to simulate self-application. All subjects were able to successfully apply wound-clamps, tourniquets, and pack wounds although one had insufficient pressure. RPASs can deliver supplies long before human rescuers, and communication connectivity might allow remote mentoring in device application. Further development of technology and self-care paradigms for exsanguination are encouraged.

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© 2023 The Authors.

Déclaration de conflit d'intérêts

This work was partially supported by the Andrew W Kirkpatrick Professional Corporation. JL McKee has consulted for Innovative Trauma Care, SAM Medical, Aceso, Acelity (3 M/KCI), ZOLL Medical and the Andrew W. Kirkpatrick Professional Corp. She has previously disclosed a personal relationship with AW Kirkpatrick. AW Kirkpatrick has consulted for the Zoll, Acelity (3 M/KCI), CSL Behring, Innovative Trauma Care and SAM Medical Corporations, and the Statesman Group of Companies, and is the PI of a randomized trial partially supported by the Acelity Corporation and has previously disclosed a personal relationship with JL McKee. No other author reported any Disclosures.