Female Combat Casualty Care Trauma Model

REQUEST FOR INFORMATION: Female Combat Casualty Care Trauma Model UPDATE : Email responses due date has been updated to 18 August 2022 and updated link for Genitourinary Injuries Among Female U.S. Service Members During Operation Iraqi Freedom and Operation Enduring Freedom: Findings from the Trauma Outcomes and Urogenital Health (TOUGH) Project, MILITARY MEDICINE,183, 7/8:e304, 2018. https://pubmed.ncbi.nlm.nih.gov/29420771/ Introduction As the gender barriers and gender biases are continually being broken in the Army, there are female soldiers serving in direct combat roles in conventional and special operations units. This will potentially lead to an increased number of female service members injured in future conflicts. The Army has recognized a need to specifically address female care on the battlefield. Thus, the unique anatomical and functional aspects of female Gastrointestinal- Urinary injuries must be considered in future research, prevention, and long-term multidisciplinary care efforts. (Reed et al, 2018) There are distinct differences between female and male anatomy and physiology to include differences in vital signs, different structures contained in the Gastrointestinal- Urinary region, and structures for sexual reproduction that are more vascular than males potentially leading to greater blood loss in cavity regions. The Army is seeking information about female trauma modeling in order to move military medical training away from legacy commercial systems to develop high fidelity, military specific, modules to improve Soldier medical training. These modules will need to address and support the evolving medical doctrines like prolonged casualty care challenges that can occur in a Multi-Domain environment. The current research suggests that all combat trauma mannequins and training Modules, are focused on the male anatomy. The development of specific female trauma mannequins to train soldiers to identify the proper care for extended periods will assist in reducing combat deaths of female soldiers. Over the last 20 years of combat operations female veterans comprised 1.9% of all casualties and 2.4% of all deaths. In OIF, the percentage of incidents leading to death for women was 14.5% (103 deaths) versus 12.0% (4226 deaths) for men. In OEF, the percentage of incidents resulting in death for women was 35.9% (19 deaths) versus 17.0% (793 deaths) for men. (Cross, et al., 2011) The Army is looking to Invest in technology that will meet the needs of female service members and directly supports the Army's Modernization strategy for Soldier Lethality. Improved training will lead to better care of soldiers on the battlefield and save lives at point of injury. Response Instructions: Your response should have a cover page with your company information to include the Company Name, Address, Primary Point of Contact with a phone and email information. Please limit your response to each question to under 500 words per question Please provide the response to these questions in a single PDF format file You may answer all of these questions or only a portion of the questions offered for consideration Please email responses to FC3TMresearch@aal.army no later than11:59PM EST, Aug 18, 2022 Questions for consideration Would you propose a solution that is a physical mannequin, virtual model, a mixture of domains or a separate solution not addressed? What do you believe would be reasonable milestones (time and deliverable) to develop a demonstrable prototype that incorporates multiple interfaces? How would you propose to design/ obtain data for anatomically correct female modules in the physical or virtual environment to address mechanisms of injury, wound patterns and physiological effects? Discuss your approach to simulating physiological reactions to injuries, treatments, weather/environment If offering a human patient simulator solution, are you familiar with the MOHSES standard and how would you propose to incorporate this standard into the design of future medical simulation projects? If not MOHSES, what standard would you suggest? What academic institutions, if any, are you currently working with to develop realistic medical training models in the virtual reality/ augmented reality/ mixed reality environments? What has gone to market, or advanced to a validation phase? Please cite specific efforts and points of contact at the academic institution. Given your experience, what would be your general cost estimate to develop a solution for combat trauma training? Works Cited Cross, Johnson, Wenke, Bosse, Ficke, Mortality in Female War Veterans of Operations Enduring Freedom and Iraqi Freedom, Clinical Orthopaedics and Related Research, 2011, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3111768/ Reed, Janak, Orman, Hudak, Genitourinary Injuries Among Female U.S. Service Members During Operation Iraqi Freedom and Operation Enduring Freedom: Findings from the Trauma Outcomes and Urogenital Health (TOUGH) Project, MILITARY MEDICINE,183, 7/8:e304, 2018. https://pubmed.ncbi.nlm.nih.gov/29420771/