Evidence map›Paper›PMID 38141250›Full record

Trial reportMilitary medicine2024

Telemedicine Improves Performance of a Two-Incision Lower Leg Fasciotomy by Combat Medics: A Randomized Controlled Trial.

Pieter W Stark, Boudewijn L S Borger van der Burg, Thijs T C F van Dongen, Marnalg Casper, Wouter, Rigo Hoencamp

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Military medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pieter W StarkTrauma Research Unit, Department of Surgery, Erasmus MC University Hospital, Rotterdam, South Holland 3015 GD, The Netherlands.ORCID 0000-0002-2860-1276
Boudewijn L S Borger van der BurgDepartment of Surgery, Alrijne Hospital, Leiderdorp, South Holland 2353 GA, The Netherlands.ORCID 0000-0002-1199-4042
Thijs T C F van DongenDepartment of Surgery, Alrijne Hospital, Leiderdorp, South Holland 2353 GA, The Netherlands.ORCID 0000-0001-8172-5545
Marnalg CasperMinistry of Defense, Defense Healthcare Organization, Den Haag, South Holland 2511 CB, The Netherlands.
WouterMinistry of Defense, Defense Healthcare Organization, Den Haag, South Holland 2511 CB, The Netherlands.
Rigo HoencampTrauma Research Unit, Department of Surgery, Erasmus MC University Hospital, Rotterdam, South Holland 3015 GD, The Netherlands.ORCID 0000-0002-1253-673X

Funding

Karel Doorman Fonds 19-0068Ministerie van Defensie 19-0068Stichting ZiektekostenVerzekering Krijgsmacht 19-0068
6 · The paper itself

Abstract

introductionThe primary aim of this randomized controlled trial was to assess if a head-mounted display (HMD) providing telemedicine support improves performance of a two-incision lower leg fasciotomy by a NATO special operations combat medic (combat medic). MATERIALS AND

methodsThirty-six combat medics were randomized into two groups: One group performed a two-incision lower leg fasciotomy with the assistance of an HMD, while the control group completed the procedure without guidance. A Mann-Whitney U test was used to determine the possible differences in release of compartments and performance scores, as assessed by a supervising medical specialist. A Fisher's exact test was used to compare the proportions of collateral damage between groups. An independent-samples t-test was used to interpret total procedure times. The usability and technical factors involving HMD utilization were also assessed.

resultsCombat medics in the HMD group released the anterior compartment (P ≤ .001) and deep posterior compartment (P = .008) significantly better. There was significantly more iatrogenic muscle (P ≤ .001) and venous damage (P ≤ .001) in the control group. The overall performance of combat medics in the HMD group was significantly better than that of the control group (P < .001). Combat medics in the control group were significantly faster (P = .012). The combat medics were very satisfied with the HMD. The HMD showed no major technical errors.

conclusionsThis randomized controlled trial shows that a HMD providing telemedicine support leads to significantly better performance of a two-incision lower leg fasciotomy by a combat medic with less iatrogenic muscle and venous damage.

Indexed as

FasciotomyTelemedicineAdultCombat MedicsFemaleHumansLegMaleMilitary Personnel

Identifiers

PMID38141250
PMCPMC11221554

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.