Bridging the Gap in Prolonged Field Care: Integrated Visualization and Predictive Modeling for Extended Combat Casualty Training

As the domain of conflict has shifted the need to prioritize not only the “golden hour” of Tactical Combat Casualty Care (TCCC), but also the extended timeline associated with Prolonged Casualty Care (PCC) has become clearer. Injury and wound management over hours to days presents unique challenges not covered in the TCCC training. Current training modalities, including VR, AR, XR, and moulage, have limitations for representing the time progression of wounds. The combined skills of the Kitware and Exonicus team are well positioned to address these challenges with experience developing predictive medical models, medical training content, and medical visualization. Our solution proposes combining state-of-the-art technology and algorithms, including flexible screen technology, the Pulse Physiology Engine for dynamic patient feedback over time, tablet control of the medical scenario and wound visualization, and computer vision algorithms to scale and visualize the wound and underlying anatomy on live training participants and manikins. In Phase I, we will develop a prototype of the primary technological components and features for feasibility testing. A feasibility assessment will be provided to identify gaps, propose future directions and the refinement of the various components and features, and obtain stakeholder feedback.