WEBVTT

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Hello Commander Sarah

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how are you ? Yeah

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tell me . How how did you first hear

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about , learn about infra scanner ? I

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did uh see peace and BBC in London .

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I was possible at the end of the piece

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they announced that they used as

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military . Was interested in this

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island in the U . S . Military and I

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wasn't aware of this back in december .

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Then I contacted uh increase counter

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and I was able to get one of the

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devices and before I deploy I was

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introduced to the device and I have

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been used uh using it for about six

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months now . How does it fit into what

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you do in terms of uh your medicine

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there ? Uh I am a medical

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officer assigned to the shock trauma

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platoon . So we do assess the head

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injuries in which at the chuck trauma

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platoon and this is a triage device is

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used uh to assist to identify those

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individuals that have an intracranial

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hematoma so they can put in the next

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excellent care and go for a cat scanner

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is not intended to replace , replace

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the cast canneries , assist in the

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triaging of injuries so people can move

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faster along the excellent care . What

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what did you like about or what

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appealed to you about the device when

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you heard about it ? Uh one for

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the portability of the device . This is

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the device is a little personal

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computer and this is the the proof . So

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very easy to carry , very easy to

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support . Uh can maintain . I

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understand that this is uh the next to

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last generations . The last generation

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will be a single piece and uh is easy

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to train on using . It only took me a

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couple hours to learn how to use it

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here in country . My Korman have used

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it . People that have no medical

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training have used it and uh it's

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fairly reliable . We haven't have false

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positives with this device . The cases

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that have been positive when they went

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to the next level of care for cats can

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uh , the the hematoma was there . So

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that is very appealing . You sort of

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answered my next question , which was

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going to be hasn't made a difference in

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how you deliver care either with

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accurate there with uh sure

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has uh , we have used this device in

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over 100 patients and uh two important

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ones require brain surgery because of

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the findings of this device . Um , I

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envisioned that this is Scottish

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technology that will be readily

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available as the regulator is available

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in an airplane or in a shopping mall .

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Uh , the coach in the field taking care

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of the players or uh , the firefighter

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driving down the road dealing with

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someone who just have it in , you will

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be able to three action quickly . So

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rather than sending them home taken to

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the emergency room uh in the emergency

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room , you have many patients that need

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to be prioritized for the cat scanner .

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This device will help to do that . Even

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in the hospital , in the ICU sit in or

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in the critical care setting , you

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cannot go for a cat scan every minute .

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You have to figure out who needs to go

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to the cat scanner . This device uh

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it's easy to use . You can get a test

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in a patient a few minutes and you have

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a cat scan is something changed ? Uh

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You don't go for the cat scan again ,

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you go for the clinical assessment and

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this complements that the clinical

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assessment improves your accuracy . Uh

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I remember when early on when they were

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developing this , when I did the first

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story on the infra scanners that they

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were talking about how in sometimes a

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patient situation changes . You want to

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go for a second cat scan . But exposure

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to the X rays of kind of a risk , you

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know , kind of a risk everybody tries

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to minimize . Uh there is a recent

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radiation for cat scan . Again ,

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critical care medicine called for the

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cat scan will remain the gold standard .

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This device is not going to replace ,

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the cat scan is going to complement the

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cat scan . And because cause thousands

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of dollars less than the cat scan uh

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carry everywhere . We have a portable

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cat scanner . Uh one of our facilities

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somewhere in theater and cause

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thousands of dollars on the accuracy of

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that device is not very good . So

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basically from Camp Fallujah , we had

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to fly people out to the higher level

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of care facilities uh imply the need

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for a medevac mission implies some risk .

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So sending everyone that just have had

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injury for for a cat scan is not

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something that we actually do by having

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the reassurance that there is nothing

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that normal that using this device uh

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there is some level of confidence that

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we can wait , something changed , we

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can do another scan and it the scan is

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positive . We move ahead and arranged

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for a referral to a higher level care

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we've been hearing , we've been hearing

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so much about head injuries ,

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concussions from the I . E . Ds et

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cetera , being such , such a serious or

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is such a frequent medical problem in

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Iraq . I can imagine that this is

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really a help for you in dealing with

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those patients . That is correct .

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The signature injury of this world is

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probably the mild traumatic brain

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injury . Now the infra scanner , as

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I was informed and as I have learned ,

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is only a device used acutely for the

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1st 72 hours after the injury . Uh It

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is a brain hematoma detector . Uh Only

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the blood clots . Unfortunately , after

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72 hours the blood clot consistency ,

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the chemistry of that issue changes and

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the interest standard is no longer as

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accurate . So it's correct . You

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management uh isn't going to replace

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the M . R . E . That it remains the

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gold standard to see diffuse axonal

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injury , all those injuries that result

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from damage to uh the connection of

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brain cells . So this is to detect

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uh life threatening situations .

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Unfortunately uh diffuse axonal injury

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or mild traumatic brain injury .

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Although very sailing is not going to

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kill someone . Having a blood clot is

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going to be like threaten uh When

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do you when you return to the States ?

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Uh I can give you

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uh after the but I will be

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back in the summer . I have been

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fortunate enough to to put it in all

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patients with this clinical device into

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an abstract that I'm going to present

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to the advances in critical care uh

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technology . Uh Hopefully at some

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point at the end of the summer or at

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the end of this year with this device

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gets FDA approval , it would be very

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available . The Marine Corps is

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interested for future niece one . This

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device once this device approved by the

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FDA , I understand that the Marine

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Corps is wanted to be at the forefront

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of trying to get it available to the

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shot from my platoon's uh to the 1st

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and 2nd level . Uh additional uh

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facilities in country . Uh

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Wonderful . Where do you practice

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medicine in the States ? Uh I

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am an active duty of medical officers .

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So I have been an active duty for

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almost 20 years . Uh I am a neurologist

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with training in ophthalmology is and I

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am a uh alumni from Will Side Hospital .

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I didn't never ophthalmology in

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philadelphia . And I have been

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operational with the Marine Corps for

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the last 2.5 years . I am going back to

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uh clinical medicine about uh the

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neighborhood , the Naval Medical Center

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in SAn Diego . That will be my next

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duty station . Oh , well we wish you

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success there . We really appreciate

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your time today and helping us . Thank

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you for having me here that here , The

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latest on . Thank you . Okay , thank

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you . Have a good big by uh