David M Lam M.D., M.P.H.

Academic Title: Associate Professor
Primary Appointment: Surgery
David.Lam@tatrc.org
Location: 701 W. Pratt St., 560

Personal History

Dr. David M. Lam was born 25 May 1946 in Pittsburgh, Pennsylvania. He attended Carleton College, Northfield, Minnesota, where he received a BA in Government and International Relations. He received his MD degree from the University of Minnesota in 1972, and earned a Masters Degree in Public Health from the University of Texas in 1979. He is Board-certified by the American Board of Preventive Medicine as a specialist in Aerospace Medicine, and is a Fellow of the Aerospace Medical Association, the American Academy of Family Physicians, and the American College of Physician Executives. In the United Kingdom, he is also listed on the Specialist Register as a specialist in Aerospace Medicine. He has also been elected an Academician of the International Academy of Aviation and Space Medicine.

He is licensed/registered as a physician both in the United States (Alaska # 1523) and in the United Kingdom (GMC Registration # 6121812).

Colonel Lam was commissioned in the Medical Service Corps of the United States Army in 1971 and transferred to the Medical Corps in 1972. He served in a wide variety of assignments, including one tour in Korea, two in Alaska and two in Germany, in addition to his last military assignment at NATO Headquarters in Brussels, Belgium.

His military schooling included the Basic and Advanced Army Medical Department Officer courses, Army Flight Surgeon's Course, Air Force Residency training in Aerospace Medicine, Health Care Administration Course, Command and General Staff College, and the U.S. Army War College. He was trained in the management of Nuclear, Biological, and Chemical casualties, Civil-Military Cooperation, Humanitarian Relief Operations, and Civil Emergency Planning, among other topics.

After completing an Army Internship at Madigan Army Medical Center, he served from 1973-75 as Battalion Flight Surgeon, Garrison Surgeon and Commander 548th General Dispensary at Yongsan Garrison Korea. His next tour was as Senior Flight Surgeon, 222nd Aviation Battalion and 172nd Infantry Brigade, Fort Wainwright Alaska. Following Residency training in Aerospace Medicine, he was assigned as Aviation Medicine Staff Officer and Chief, Ambulatory Patient Care at the U.S. Army Health Services Command, Fort Sam Houston Texas. He served as Commander U.S. Army Medical Department Activity and Director of Health Services at the National Training Center, Fort Irwin California from 1981 to 1983, followed by an assignment as Commander U.S. Army Medical Department Activity Alaska and Director Health Services/Army Forces Alaska Surgeon, 172nd Infantry Brigade (Alaska) from 1983-86. He was then assigned as Director, Army Systems Hazards Research Program, U.S. Army Medical Research and Development Command, Fort Detrick Maryland, followed by an assignment as Deputy Command Surgeon, United States European Command in Stuttgart Germany from 1988-91. During Operation Desert Storm, he served as Surgeon for JTF Proven Force, a joint air and ground task force which carried out combat operations over northern Iraq. He led the medical aspects of humanitarian and disaster relief operations in Armenia and Tunisia. From 1991-93 he served as Commander of the U.S. Army Medical Department Activity and Cutler Army Hospital at Fort Devens, Massachusetts, followed by a rapid return to Europe. He served as Surgeon, 5th Corps in Heidelberg and Frankfurt Germany from 1993-96. During this assignment, he was responsible for developing the medical support plan for U.S. Army forces participating in IFOR operations in the Former Yugoslavia, and additionally served as Task Force Surgeon for U.S. humanitarian operations in Rwanda and Zaire.

His final military assignment was as Medical Staff Officer on the International Military Staff at Headquarters NATO. In this position, where he served for an unprecedented five years at the request of the NATO medical community, he was the impetus for some of the greatest changes in Alliance medical doctrine since its creation. Due to his actions, there are currently several truly multinational medical units deployed in support of NATO missions, and the improvements in multinational medical standardisation have been truly functional. He has actively participated in and advised many NATO bodies, including the Senior Group on Proliferation, the Defence Group on Proliferation, the Weapons of Mass Destruction Center, the Senior Civil Emergency Planning Committee, and the Joint Medical Committee.

Doctor Lam retired from the active Army on 1 July 2001, and now serves as Adjunct Associate Professor at the Charles McC. Mathias Jr. National Study Center for Trauma and Emergency Medical Systems of the University of Maryland School of Medicine, from which position he has been seconded to the U.S. Army's Telemedicine and Advanced Technology Research Center (TATRC) in Ft. Detrick, Maryland, where he works primarily in the areas of telemedicine standardisation, project development, and deployment of systems, mostly in the NATO and Partnership For Peace nations. He serves as the Secretary for the NATO Telemedicine Expert Team, which is charged with developing policies and procedures which will enhance the multinational interoperability of Telemedicine systems in a multinational operational environment. Additionally, he serves on or chairs several other Research Task Groups for the NATO Research and Technology Organisation. He served for three years as a High Level Medical Expert (Consultant) to the NATO Joint Medical Committee, providing expertise primarily on disaster and aviation medicine, as well as medical response to WMD attacks. He currently serves as the TATRC Liaison Officer to the NATO Medical Community, the European Space Agency, and the European Commission. A well-known lecturer on multiple subjects, including Aeromedical Evacuation and the history of Military Medicine, he has recently received the Marie Marving award for excellence in Aviation Medicine Education from the Aerospace Medical Association.

Research Interests

Telemedicine, especially as regards disaster and third world utilisation; Aerospace medicine; Standardisation of Telemedicine and Advanced Medical Technology; Patient Evacuation. Disaster Relief and Chemical/Biological Warfare Defense. History of military and aviation medicine, particularly that of aeromedical evacuation.

Clinical Speciality

Aerospace Medicine; Preventive Medicine

Publications

Aeromedical Evacuation, A Handbook For Physicians, Army Aeromedical Center, Fort Rucker, Alabama; August 1980.

"From Balloon to Black Hawk, Part I: The Origins"; Army Aviation Digest, 27(6): 41-48, June 1981.

"From Balloon to Black Hawk, Part II: World War II"; Army Aviation Digest, 27(7): 44-48, July 1981.

"From Balloon to Black Hawk, Part III: Korea"; Army Aviation Digest, 27(8): 44-48, August 1981.

"From Balloon to Black Hawk, Part IV: Vietnam"; Army Aviation Digest, 27(9): 45-48, September 1981.

"Air Evacuation" In Emergency Medicine Annual, 1982, pp. 163-176.

Alaska MEDEVAC Escort Training Project - on Writing and Editorial Boards for four manuals - 1984.

"Heat Stress"; Military Medicine, Vol. 149, p. 4; January 1984.

"Air Ambulance Guidelines," National Highway Traffic Safety Administration, Member of Review Panel for Revision 1986.

"The Health Hazard Assessment Program" (with Frank Grubbs); Army Research, Development, & Acquisition, pp. 5-8, September-October 1987.

"To Pop A Balloon -- Air Evacuation During The Siege of Paris, 1870"; Aviation, Space, & Environmental Medicine, 59(10): 988-991, October 1988.

"High Altitude Evacuation of Patients with Chest Trauma" (Letter to Editor); Military Medicine, 155(7): A7, July 1990.

"Wings of Life and Hope--a History of Aeromedical Evacuation"; Problems in Critical Care, 4(4): 477-494, December 1990.

"The Zed Expedition" (Letter to Editor); Journal of the Royal Society of Medicine, 83 (12): 811, Dec 1990.

"International Military Medical Standardisation -- Status and Prospects" in The Impact of NATO/Multinational Military Missions on Health Care Management (RTO-MP-068, AC/323(HFM-051)TP/35): 16-1 -- 16-9, NATO, Brussels Belgium, May 2001.

"Medical Evacuation, History and Development -- The Future in the Multinational Environment" in The Impact of NATO/Multinational Military Missions on Health Care Management (RTO-MP-068, AC/323(HFM-051)TP/35): 19-1 --19-7, NATO, Brussels Belgium, May 2001.

"General Armstrong's Monuments" (With Warner D. Farr); Aviation, Space, & Environmental Medicine, 62(11): 1103-1106, Nov 1991.

"Kelly's Hospital Ship"; Aviation, Space, & Environmental Medicine, 63(12): 1115-1117, December 1992.

"Malaria Prophylaxis Revisited" (Letter to Editor); Journal of Occupational Medicine, 36(5): 501-502, May 1994.

NATO Medical Handbook; Headquarters North Atlantic Treaty Organisation; Brussels; 2001.

"The Future of NATO Medical Support- An Inquiry"; Nederlands Militair Geneeskundig Tijdschrift, 54(2):60-63, March 2001.

Telemedicine in War and Peace; Charles McC Mathias National Study Center for Trauma and Emergency Medical Systems, University of Maryland School of Medicine, Baltimore, MD. 16 July 2002.

"Marie Marvingt and the Development of Aeromedical Evacuation", Aviation, Space, and Environmental Medicine, 74:863-868, August 2003.

"Aviation Medicine". Chapter in "Military Preventive Medicine: Mobilization and Deployment, Volume I", part of the U.S. Army "Textbook Of Military Medicine (TMM)" series. Bethesda, Maryland 2003.

"Challenges of Electronic Medical Surveillance Systems" (with Jaques Reifman, Gary Gilbert, and Mary Parker), in NATO Medical Surveillance and Response, (NATO RTO/HFM-108), 12-1 -- 12-17, 2004.

"TATRC -- The U.S. Army Telemedicine and Advanced Technology Research Center", Military Medical/NBC Technology, 8(4):16-21, 2004.

"Marie Marvingt et le Developpement des Evacuations Ariennes Sanitaires", Madecine Aronautique et Spatiale, 45(6):5-11, 2nd Trimestre 2004.

"Telemedicine Standardization in the NATO Environment" (with Ronald Poropatich, M.D. and Gary Gilbert, PHD), Telemedicine Journal And E-Health, 10(4): 459-465, 2004.

"Human and Organizational Factors Affecting Telemedicine Utilization within U.S. Military Forces in Europe" (with Colin Mackenzie, M.D.); Telemedicine Journal And E-Health, 11(1): 51-59, 2005.

"A review of telemedicine in Uzbekistan" (With Charles R. Doarn and Fatima Adilova), Journal of Telemedicine and Telecare, 11:135-139, 2005.

"Telemedicine in Emergencies" (With Colin Mackenzie, Yan Xiao, Peter Hu, and Claudia Oglivie), chapter in Doktor and Valdez, "Human and Organizational Dynamics in e-Health", Radcliffe Publishing, Oxon, United Kingdom, 2005.

"Telemedicine Standardization In The NATO Environment" (With Ronald Poropatich and Gary Gilbert), chapter in Klapan and Cikes, "Telemedicine", Telemedicine Association of Zagreb Croatia, 2005.

"The Aerochir: The First Flying Hospital", Aviation Space and Environmental Medicine, 76:1174-1179, 2005.

"Challenges to Remote Emergency Decision-Making for Disaster or Homeland Security", (with Mackenzie CF, Hu FP, Fausball C, Nerlich M, Benner T, Gagliano D, Whitlock W, Xiao Y), Proceedings of the Human Factors & Ergonomics Society 49th Annual Meeting. 544-547, 2005.

"The Future Isn't What It Used to Be (Applying New Technologies in Healthcare)" (With Ronald Poropatich), in "Remote Cardiology Consultations Using Advanced Medical Technology", Klapan and Poropotich (Eds), IOS Press, Amsterdam, 2006.

"Telemedicine Standardization in the NATO Environment" (With Ronald Poropatich and Gary Gilbert), in "Remote Cardiology Consultations Using Advanced Medical Technology", Klapan and Poropotich (Eds), IOS Press, Amsterdam, 2006.

"Technological Challenges in the Use of Virtual Reality Exposure Therapy" (With Charles Van der Maast, Sinisa Popovic, Gianluca Castenuovo, et al), Chapter in "Novel Approaches to the Diagnosis and Treatment of Postraumatic Stress Disorders", Michael J. Roy Editor, IOS Press, Amsterdam, 2006.

The Future of Military Medicine Has Not Arrived Yet, But We Can See It From Here" (With James Romano, Gerald Moses, Gary Gilbert, and Ronald Marchessault), Telemedicine and e-Health, 12(4):417-425, 2006.

"Research For The Soldier: Bringing Science Fiction Medicine To Life" (With Kenneth Curley), Telemedicine and e-Health, 12(4):432-438, 2006.

"Telemicrobiology: A Novel Telemedical Module For Mission Support In The Field of Infectious Medicine" (with Patrick Scheid, Alois Thoemmes, L. Zoeller), Journal of the Egyptian Society Of Parasitology, 36 (3): 749-762, 2006.

"NATO Multinational Medical Operations and the Requirement for Interoperability and Data Exchange", Accepted for publication by NATO Research and Technology Organisation 2007. In press.

"Telemedicine In The Context of Force Protection", Accepted for publication by NATO Research and Technology Organisation 2007. In press.

"Challenges To Remote Emergency Decision-Making For Disasters Or Homeland Security" (with Colin Mackenzie , et al), Cognition, Technology, and Work 9:15-24, 2007.

"The Trauma Continuum of Care Quality Forum Integration Committee System-Wide VTC", (With Stephen Fecura). Military Medicine, 172 (6):611-615, 2007.

"Telemicrobiology: A Novel Telemedicine Capability For Mission Support In The Field Of Infectious Medicine" (With Scheid, Thoemmes, Zoeller), Telemedicine and e-Health, 13(2):108-117, 2007.

"A Deployable Telemedicine Capability in Support of Humanitarian Operations" (With Kenneth Meade). Telemedicine and E-Health, 13 (3): 331-340, 2007.

"Biotechnologies For Assessment Of Toxic Hazards In Operational Environments" (Assistant Editor for report). NATO Research and Technology Organisation. Paris, France (Accepted for publication August 2007- in press).

"Health Risks During The Life Cycle Of The Deployed Soldier" (with Carton C, Friedl K, Liljedahl B). in Friedl K, Lam D (Eds). "Biotechnologies For Assessment Of Toxic Hazards In Operational Environments". NATO Research and Technology Organisation. Paris, France (Accepted for publication August 2007- in press).

A Proposed NATO Trauma Registry (With multiple other authors). Technical Report RTO-TR-HFM-131. NATO Research and Technology Organisation. Paris, France. March 2008.

Biotechnologies For Assessment Of Toxic Hazards In Operational Environments (Assistant Editor for report). NATO Research and Technology Organisation. Paris, France. June 2008.

Health Risks During The Life Cycle Of The Deployed Soldier (with Carton C, Friedl K, Liljedahl B) in Friedl K, Lam D (Eds). Biotechnologies For Assessment Of Toxic Hazards In Operational Environments. NATO Research and Technology Organisation. Paris, France. June 2008.

How To Collect And Transmit Medical Data From The Site To Hospitals During Disaster Response. International Journal of Disaster Medicine.
4(4):144­150, 2008 (note: some indexing systems give an incorrect date of 2006 for this document).

U.S. Army Teleradiology - Using Modern X-Ray Technology To Treat Our Soldiers (With Poropatich R, Meade K, Ashley R, and Callahan E.), chapter in Kumar S and Krupinski E (Eds.) Teleradiology. Springer. 2008.

Telemedicine Deployments Within NATO Military Forces: A Data Analysis of Current and Projected Capabilities (With Poropatich R), Telemedicine and E-Health, 14(9): 946-951, 2008.

The Requirement for Standardization and Organized Medical Data Exchange in NATO Multinational Medical Operations. NATO Research and Technology Organisation. Paris, France. Accepted for Publication November 2008. In press.

Force Protection and its Potential Utilization of Telemedicine and Medical Information System Modalities. NATO Research and Technology Organisation.
Paris, France. Accepted for Publication November 2008. In press.




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