Research Paper Title

Physiological monitoring for healthy military personnel.

Abstract

Military employment commonly exposes personnel to strenuous physical exertion. The resulting interaction between occupational stress and individual susceptibility to illness demands careful management. This could extend to prospective identification of high physiological strain in healthy personnel, in addition to recognition and protection of vulnerable individuals.

The emergence and ubiquitous uptake of ‘wearable’ physiological and medical monitoring devices might help to address this challenge, but requires that the right questions are asked in sourcing, developing, validating and applying such technologies.

Issues that must be addressed include:

• System requirements, such as the likelihood of end users deploying and using technology as intended;
• Interpretation of data in relation to pretest probability, including the potential for false-positive results;
• Differentiation of pathological states from normal physiology;
• Responsibility for and consequences of acting on abnormal or unexpected results; and
• Cost-effectiveness.

Ultimately, the performance of a single monitoring system, in isolation or alongside other measures, should be judged by whether any improvement is offered versus existing capabilities and at what cost to mission effectiveness.

Reference

Stacey, M.J., Hill, N. & Woods, D. (2017) Physiological monitoring for healthy military personnel. Journal of the Royal Army Medical Corps. pii: jramc-2017-000851. doi: 10.1136/jramc-2017-000851. [Epub ahead of print].