Sanid. mil. 2020; 76 (3) 137
Sanidad Militar
Revista de Sanidad de las Fuerzas Armadas de España
Sanid. mil. Volumen 76, número 3. ISSN: 1887-8571 Julio-septiembre 2020
CONTENTS
EDITORIAL
140 Cyberdefense in the Military Healthcare Information Systems
García-Córdoba J., Herrero-Pérez L.
ORIGINAL ARTICLE
143 Assistance of a Military Health Unit deployed in «Institucion Ferial de Madrid» field hospital during SARS-CoV-2 crisis
Munayco-Sánchez A., Guiote-Linares PP., Navarro-Suay R., Manzanares-Domínguez JL., López-Soberón E., Puyol-Varela I.,
López-Alcañiz A., Hernández-Goñi MJ., Hormeño-Holgado AJ.
SUMMARY: Introduction: During the coronavirus SARS-CoV-2 pandemic that affected Spain in Spring of 2020, many of
hospitals were collapsed by these patients. For this reason, a field hospital was deployed at the «Institución Ferial de Madrid»
(IFEMA). The only critical unit of this field hospital was military. The unit responsible for its deployment, maintenance and
withdrawal was UMAAD (Madrid Deployment Support Air Medical Unit belonging to the Air Force). Objective: To describe
medical assistance provided in the IFEMA critical unit. Material and methods: Prospective descriptive study carried out from
March 19 to April 30, 2020. The pertinent military authorization (Air Force Health Service Director) was obtained to carry
out the study. Results: During the study time, 25 critically ill patients were admitted. Most of them were male and Hispanic
race. SARS-CoV-2 pneumonia was the reason for hospital admission. Airway was performed in 88% of patients. Principal
complications were thrombosis, hemorrhage and hypertension. Three patients died during this research paper. Conclusion:
The experience acquired in this deployment demonstrates, once again, the importance of the support that Military Health can
provide to Civil Health in the component of crisis management in national territory.
KEY WORDS: Coronavirus, IFEMA, Critical Care, UMAAD Madid, Medical Corps Spanish Air Force.
151 Analysis of clinical cases in the Oftalmology area attended by the Telemedicine Service of the Hospital Central de la Defensa
«Gómez Ulla» during the years 2017, 2018 and 2019
Gallardo-Chamizo FA., Gil-López PJ
SUMMARY: Background and Objectives: Evaluation of Ophthalmology clinical cases attended to by the Telemedicine Service
of the Central Defense Hospital Gómez Ulla in 2017, 2018 and 2019, studying age, sex, employment, ophthalmological histo-ry,
response time, tests, diagnosis, treatments, evacuations, media and place. Material and Methods: Retrospective observation-al
study of the 37 clinical cases from the database of the Telemedicine Service. Results: Ophthalmology is among the 10 most
highly demanded specialities and requests are increasing every year. The pathology with the highest prevalence is conjunctival
injury or corneal abrasion due to accidents. In 65% of the cases, thanks to the ophthalmologist’s instructions, treatment
within the mission was possible. The deployed health staff lacked the necessary medication in at least 6 cases. A history of
ophthalmological diseases was found in some patients, which could be the cause of the disease that was observed. Conclusions:
Greater eye protection would be advisable, since the majority of cases consist of traumatic accidents and splashes. Extensive
pre-mission reviews should be conducted by reviewing possible issues that may trigger mission problems. It would be advisable
to equip all deployed healthcare staff with the necessary medications that were identified in this work, which have been recom-mended
by ophthalmologists. The Telemedicine Service has made it possible for specialists in the area of Ophthalmology to
provide valuable support to deployed healthcare staff in a wide range of remote locations. In addition to avoiding unnecessary
medical evacuations, this service facilitates appropriate evacuations that might otherwise may have been delayed.
KEYWORDS: Telemedicine, Telehealth, Military Medicine, Teleophthalmology, Ophthalmology.
SYSTEMATIC REVIEW
161 Review of effectiveness criteria in the application of Telemedicine
Monfort-Vinuesa C., Gil-López P., Ramírez-Olivencia G., Chivato-Pérez T., Coca-Benito D., Fernández-Bermejo L.
SUMMARY: Telemedicine is a very useful tool and resource for medical diagnosis and treatment. Since its inception in the
70s it has developed progressively, demonstrating the clinical benefit it brings to patients and being increasingly present in the
daily activities of clinicians. Different studies have tried to define and limit its effectiveness at the time of application versus
face-to-face assistance, this being an important variable to clarify. This article reviews the different variables that have been
coined to define the effectiveness when trying to demonstrate the cost-effectiveness of including telemedicine in daily health-care
activity.
KEY WORDS: Telemedicine, e-health, mHealth, effectiveness, cost-effectiveness, economics, military