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| jtts clinical practice guidelines: Joint Trauma System (JTS) Clinical Practice Guidelines , Over 700 total pages ... The JTS Clinical Practice Guidelines (CPGs) are to the greatest extent possible evidence-based. The guidelines are developed using a rigorous process that involves subject matter experts in each field evaluating the best available data. If you are interested in learning more about the process of developing CPGs, please click this link: CPG Development Process. This guide for CPG development will help lead you through the methods used to develop and monitor CPGs. The JTS remains committed to using the highest levels of analytical and statistical analysis in its CPG development process. COMPLETE LIST OF CURRENT JTS CPGs JTS CPG Documentation Process - 01 December 2017 Acute Extremity Compartment Syndrome - Fasciotomy - 25 July 2016 Acute Respiratory Failure - 23 January 2017 Airway Management of Traumatic Injuries - 17 July 2017 Amputation - 1 July 2016 Anesthesia - 23 Jun 2016.pdf Aural Blast Injury/Acoustic Trauma and Hearing Loss - 12 Aug 2016 Battle/Non-Battle Injury Documentation Resuscitation Record - 5 Dec 13 Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination - 12 August 2016 Burn Care - 11 May 2016 Catastrophic Non-Survivable Brain Injury 27 Jan 2017 Cervical & Thoracolumbar Spine Injury Evaluation, Transport, and Surgery in Deployed Setting - 05 August 2016 Clinical Mgmt of Military Working Dogs Combined - 19 Mar 2012 Clinical Mgmt of Military Working Dogs Zip - 19 Mar 2012.zip Damage Control Resuscitation - 03 Feb 2017 DCoE Concussion Management Algorithm Cards.pdf DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting Drowning Management - 27 October 2017 Emergent Resuscitative Thoracotomy - 11 June 2012 Fresh Whole Blood Transfusion - 24 Oct 12 Frostbite and Immersion Foot Care - 26 Jan 2017 Frozen Blood - 11 July 2016 High Bilateral Amputations and Dismounted Complex Blast Injury - 01 August 2016 Hyperkalemia and Dialysis in the Deployed Setting - 24 January 2017 Hypothermia Prevention - 20 Sept 2012 Infection Prevention in Combat-Related Injuries - 08 August 2016 Inhalation Injury and Toxic Industrial Chemical Exposure - 25 July 2016 Initial Care of Ocular and Adnexal Injuries - 24 Nov 2014 Intratheater Transfer and Transport - 19 Nov 2008 Invasive Fungal Infection in War Wounds - 04 August 2016 Management of Pain Anxiety and Delirium 13 March 2017 Management of War Wounds - 25 April 2012 Neurosurgery and Severe Head Injury - 02 March 2017 Nutritional Support Using Enteral and Parenteral Methods - 04 August 2016 Orthopaedic Trauma: Extremity Fractures - 15 July 2016 Pelvic Fracture Care - 15 March 2017 Prehospital Care - 24 Nov 2014 Prevention of Deep Venous Thrombosis - Inferior Vena Cava Filter - 02 August 2016 Radiology - 13 March 2017 REBOA for Hemorrhagic Shock - 06 July 2017 Unexploded Ordnance Management - 14 Mar 2017 Urologic Trauma Management - 1 Nov 2017 Use of Electronic Documentation - 5 Jun 2012 Use of MRI in Mgmt of mTBI in the Deployed Setting - 11 June 2012 Vascular Injury - 12 August 2016 Ventilator Associated Pneumonia - 17 Jul 2012 |
| jtts clinical practice guidelines: 2018 Joint Trauma System (JTS) Clinical Practice Guidelines (CPGs) & DOD TRAUMA REGISTRY DATA DICTIONARY For Military and Civilian Health Care Practitioners , 2018-10-09 Almost 1,000 total pages; see index at beginning of publications for a complete list of included CPGs. Each CPG includes a section on the following: 1. GOAL 2. BACKGROUND 3. EVALUATION 4. TREATMENT 5. PERFORMANCE IMPROVEMENT (PI) MONITORING 6. SYSTEM REPORTING & FREQUENCY 7. RESPONSIBILITIES & 8. REFERENCES. OVERVIEW Clinical Practice Guidelines (CPGs) are the backbone of the system-wide JTS Performance Improvement program. Health data abstracted from patient records and after action reports is analyzed and distilled into globally relevant CPGs to remove medical practice variations and prevent needless deaths. The CPGs compiled from DoDTR data and used by healthcare providers worldwide are largely responsible for the decreased Case Fatality Rate for the wars in Iraq and Afghanistan. Examples are better transfusion practices; reduced burn morbidity and mortality; near elimination of extremity compartment syndrome; better patient care documentation; and improved communication across the spectrum of care between geographically dispersed facilities. CPGs are evidence-based and developed with experts in the military and civilian communities, deployed clinicians, Service trauma/surgical consultants, JTS leadership and formerly deployed Trauma Directors and Coordinators. JTS has a formalized process for developing, reviewing, updating, and approving CPGs. The guidelines are developed and implemented by clinical subject matter experts in response to needs identified in the military area of responsibility. CPGs were developed originally for U.S. Central Command. However, collaborative efforts are ongoing with the other Combatant Commands to customize CPGs to their COCOMs. INTRODUCTION TO THE JOINT TRAUMA SYSTEM (JTS) The Joint Trauma System (JTS) is the Department of Defense (DoD) authority for the military’s trauma care system. The vision of the Joint Trauma System is that every Soldier, Sailor, Marine and Airman injured on the battlefield will have the optimum chance for survival and maximum potential for functional recovery. To achieve this vision, in 2006, the JTS implemented programs for data -driven trauma system development and improvement in addition to the collection of trauma data. As part of its data collection efforts, the JTS maintains a registry of trauma patients who received care at medical treatment facilities (MTFs). Since 2007, this registry – known as the DoD Trauma Registry (DoDTR) – has documented demographic, injury, treatment, and outcomes data for all trauma patients admitted to any DoD MTF, regardless of whether the injury occurred during on-going military operations, and is the largest military trauma data source in the world. Development of the DoDTR began during the early years of the Global War on Terror (GWoT) when the need to systematically improve trauma care for combat wounded resulted in the impromptu creation of a demonstration registry, known then as the Combat Trauma Registry (CTR). The CTR was constructed by the Center for AMEDD Strategic Studies (CASS); trauma-related information was initially abstracted into it from paper medical records received from trauma nurse coordinators (TNCs) at Landstuhl Regional Medical Center (LRMC) in Germany. Shortly after the demonstration program started, the Army Surgeon General approved its transition to an operational mode, leading to the formation of the Joint Theater Trauma System (JTTS) and, eventually, the Joint Trauma System (JTS). |
| jtts clinical practice guidelines: Battlefield and Disaster Nursing Pocket Guide , 2009 Written by military nurses, the Battlefield and Disaster Nursing Pocket Guide is the premier quick reference guide for battlefield nurses on the front lines. This pocket guide contains critical assessment and treatment information, as well as translation guides to ensure accurate communication in the field. The care of patients with injuries received on the battlefield or in a disaster is specialized. Traumatic injuries may be more complex or unlike injuries seen in the hospital setting. In addition, the battlefield or disaster scene adds an additional level of complexity to medical care. Designed to fit in the pocket of a uniform, this unique pocket guide provides state-of-the-art, evidence-based recommendations for providing nursing care under exceptional conditions. The field guide was designed to fit in the pocket of a field uniform and to stand up to rigorous field conditions. |
| jtts clinical practice guidelines: A Legacy of Lessons Learned: Landstuhi Regional Medical Center During Wartime, 2001-2014 Karen Hennessy, 2017-06-07 Excerpt from A Legacy of Lessons Learned: Landstuhl Regional Medical Center During Wartime, 2001-2014: For over 25 years, Landstuhl Regional Medical Center (LRMC) has served as a model of “selfless service,” stepping up to the demands of a suddenly increased rate of traumatically injured service members arriving from the battlefield. From Operations Desert Storm/Desert Shield; through the attacks in Somalia, the Khobar Towers, and USS Cole; to the recent conflicts in Afghanistan and Iraq, LRMC has stood at the forefront of military healthcare, receiving our Nation’s and our partners’ wounded and ill from battlefields and contingencies across multiple theaters. From a community hospital providing routine healthcare delivery to personnel stationed in Europe and their families before 9/11, LRMC transitioned into a Level 1, triservice, integrated trauma center, providing lifesaving care to tens of thousands of evacuated service members, in addition to handling all the associated needs of these patients, from payroll assistance to chaplain services, service and unit liaison support, and veteran service organization support, as well as delivering ongoing healthcare to beneficiaries across Europe, Africa, and Asia. The goal of this text is to share the lessons learned by LRMC staff in converting from a peacetime to wartime footing, serving as a guide for US military hospitals in similar situations in the future. The innovations and solutions planned and implemented so successfully by LRMC staff will assist future military medical and line leaders in maintaining the highest quality of healthcare services for future generations of our service men and women in combat, improving upon the historically high survival rates seen in these conflicts. Related items: Physician References & Medical Handbooks can be found here: https://bookstore.gpo.gov/catalog/health-benefits/physician-references-medical-handbooks Army Medical Department (AMEDD) publications can be found here: https://bookstore.gpo.gov/agency/1141 Army Medical Department Center and School publications can be found here: https://bookstore.gpo.gov/agency/1065 Army Medical Research Institute for Infectious Diseases (USAMRIID) publications can be found here: https://bookstore.gpo.gov/agency/1306 Army Surgeon General Office publications can be found here: https://bookstore.gpo.gov/agency/1142 The Borden Institute publications can be found here: https://bookstore.gpo.gov/agency/1140 |
| jtts clinical practice guidelines: Annual Review of Nursing Research, Volume 32, 2014 , 2014-09-23 Presenting a state-of-the-art annual review of the most significant military innovations in health care research, this new volume focuses primarily on health care innovations that have been developed in response to injuries sustained during the conflict in Iraq and the nearby region. It addresses physical injuries such as burns, pain management, and transplants as well as Post Traumatic Stress Syndrome and moral injury. Topics include clinical knowledge development, moral injury, battlefield resuscitation, battlefield transport, Ethical decision-making, PTSD and sequelae of war, military families, quality of life and reintegration, transplantation, burns, heavy metal toxicity, battlefield toxicology, infectious disease, monitoring of pandemics, epigenetics of agent orange, CAM, malignant hyperthermia and caffeine abuse, and pain management. Key Features: Distills research about the most important health care innovations resulting from the Iraqi conflict Presents the research findings of foremost experts in military health care Explores the effectiveness of emerging interventions Diseminnates important but under-reported research |
| jtts clinical practice guidelines: Combat Casualty Care Eric Savitsky, Borden Institute (U.S.), 2012 This book is designed to deliver combat casualty care information that will facilitate transition from a continental US or civilian practice to the combat care environment. Establishment of the Joint Theater Trauma System and the Joint Theater Trauma Registry, coupled with the efforts of the authors, has resulted in the creation of the most comprehensive, evidence-based depiction of the latest advances in combat casualty care. Lessons learned in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) have been fortified with evidence-based recommendations to improve casualty care. The educational curriculum was designed overall to address the leading causes of preventable death and disability in OEF and OIF. Specifically, the generalist combat casualty care provider is presented requisite information for optimal cae of US combat casualties in the first 72 to 96 hours after injury. The specialist provider is afforded similiar information, supplemented by lessons learned for definitive care of host nation patients.-- |
| jtts clinical practice guidelines: Surgery During Natural Disasters, Combat, Terrorist Attacks, and Crisis Situations COL Robert B. Lim, 2015-12-11 The lessons from this book help surgeons prepare for emergency events that require disaster preparedness usually handled by the United States military, including chemical attacks and massive casualty events. Written by experts in the field perspectives that come from various combat zones and disaster sites, this book highlights the pitfalls to avoid, the organization that is essential for success, and the tips to help perform surgery in the most austere conditions . The book will address situations where surgeons may have to operate on wanted criminals, operate wearing chemical protective equipment, operate in a collapsed building, or even remove an unexploded device. The book includes cases from the battlefield that are designed to guide surgeons facing these scenarios in the civilian world. There are also chapters detailing the lessons learned from the Boston Marathon Bombing, airline disasters, and the Oklahoma City bombing. Unlike any other current text, Surgery During Natural Disasters, Combat, Terrorist Attacks, and Crisis Situations is an excellent resource for all surgeons who might be faced with these events. |
| jtts clinical practice guidelines: Combat Doctor Marc Dauphin, 2013-10-28 An emergency room doctor recounts harrowing stories about his time at a combat hospital in Kandahar. Combat Doctor presents the stories of the victims of the War in Afghanistan, as told by the last Canadian Officer Commanding at the Kandahar Role 3 Multinational Hospital. In 2009, Marc Dauphin, an experienced emergency-room physician, served a full tour at the combat hospital in Kandahar. During his time there, he dealt with injuries more horrific than he had ever seen during his civilian experience. He and the Role 3 Hospital’s international staff saw an unparalleled number of severe casualties and yet maintained a survival rate of 97 percent – a record for all times and all wars. It is impossible to remain unmoved by Marc Dauphin’s descriptions of those he treated: the terrified children, the stoic soldiers, those mutilated almost beyond help. Each story is powerful, vividly told, and unique. |
| jtts clinical practice guidelines: Journal of Special Operations Medicine , 2008 |
| jtts clinical practice guidelines: Current Therapy of Trauma and Surgical Critical Care - E-Book Juan A. Asensio, Wayne J. Meredith, 2023-03-18 Drawing on the experience and knowledge of master world-renowned trauma surgeons, Current Therapy of Trauma and Surgical Critical Care, 3rd Edition, offers a comprehensive summary of optimal treatment and post-operative management of traumatic injuries. Ideally suited for everyday use, this practical, concise reference highlights the most important aspects of urgent surgical care, from damage control to noninvasive techniques to chemical and biological injuries. A focus on the surgical techniques required to manage even the most complex injuries makes it both an excellent resource for quick review before entering the operating room and a valuable review tool for board certification or recertification. - Covers the entire spectrum of Trauma Surgery and Surgical Critical Care—from initial evaluation, military and civilian field and trauma center evaluation and resuscitation, to diagnosis, operative, and postoperative critical care and outcomes—in nearly 100 print and 39 online-exclusive chapters, all newly streamlined to emphasize frontline procedural treatment. - Features extensive new data and updates to Cardiac, Thoracic, Vascular, and Military Surgery chapters, plus numerous new intraoperative photographs and high-quality line drawings that highlight the most important aspects of urgent surgical care. - Contains 14 new chapters, including Innovations in Trauma Surgery Simulation; Air Evacuation and Critical Care in Military Casualties; REBOA: Indications and Controversies; Penetrating Extracranial Vertebral Artery; Penetrating Arterio-Venous Fistulas; The Genomics of Profound Shock and Trauma; ECMO; and newer strategies, such as nerve blocks for pain management to combat the opioid epidemic. - Incorporates a wealth of military knowledge from both recent and past military conflicts, as well as from asymmetric warfare; many of the authors and co-authors have extensive past and present military experience. - Uses a consistent, easy-to-follow chapter format throughout, for quick and easy reference and review. - Reviews the essential principles of diagnosis and treatment, as well as the specifics of surgical therapy, making it useful for surgeons across all specialties. - Integrates evidence-based practice guidelines into the text whenever possible, as well as comprehensive utilization of the American Association for the Surgery of Trauma – Organ Injury Scales (AAST-OIS). - Contains such a wealth of operative photographs and line drawings, both in the printed version and many more in the electronic version, that it could be considered an Atlas of Trauma Surgery. - An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. |
| jtts clinical practice guidelines: A Legacy of Lessons Learned Karen Hennessy, 2016 Excerpt from A Legacy of Lessons Learned: Landstuhl Regional Medical Center During Wartime, 2001-2014: For over 25 years, Landstuhl Regional Medical Center (LRMC) has served as a model of selfless service, stepping up to the demands of a suddenly increased rate of traumatically injured service members arriving from the battlefield. From Operations Desert Storm/Desert Shield; through the attacks in Somalia, the Khobar Towers, and USS Co≤ to the recent conflicts in Afghanistan and Iraq, LRMC has stood at the forefront of military healthcare, receiving our Nation's and our partners' wounded and ill from battlefields and contingencies across multiple theaters. From a community hospital providing routine healthcare delivery to personnel stationed in Europe and their families before 9/11, LRMC transitioned into a Level 1, triservice, integrated trauma center, providing lifesaving care to tens of thousands of evacuated service members, in addition to handling all the associated needs of these patients, from payroll assistance to chaplain services, service and unit liaison support, and veteran service organization support, as well as delivering ongoing healthcare to beneficiaries across Europe, Africa, and Asia. The goal of this text is to share the lessons learned by LRMC staff in converting from a peacetime to wartime footing, serving as a guide for US military hospitals in similar situations in the future. The innovations and solutions planned and implemented so successfully by LRMC staff will assist future military medical and line leaders in maintaining the highest quality of healthcare services for future generations of our service men and women in combat, improving upon the historically high survival rates seen in these conflicts. Related items: Physician References & Medical Handbooks can be found here: https://bookstore.gpo.gov/catalog/health-benefits/physician-references-medical-handbooks Army Medical Department (AMEDD) publications can be found here: https://bookstore.gpo.gov/agency/1141 Army Medical Department Center and School publications can be found here: https://bookstore.gpo.gov/agency/1065 Army Medical Research Institute for Infectious Diseases (USAMRIID) publications can be found here: https://bookstore.gpo.gov/agency/1306 Army Surgeon General Office publications can be found here: https://bookstore.gpo.gov/agency/1142 The Borden Institute publications can be found here: https://bookstore.gpo.gov/agency/1140 |
| jtts clinical practice guidelines: The Status of the Implementation of the Army's Medical Action Plan and Other Services' Support for Wounded Service Members United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel, 2008 |
| jtts clinical practice guidelines: Front Line Surgery Matthew J. Martin, MD, FACS, Alec C. Beekley, MD, FACS, 2010-12-13 Both editors are active duty officers and surgeons in the U.S. Army. Dr. Martin is a fellowship trained trauma surgeon who is currently the Trauma Medical Director at Madigan Army Medical Center. He has served as the Chief of Surgery with the 47th Combat Support Hospital (CSH) in Tikrit, Iraq in 2005 to 2006, and most recently as the Chief of Trauma and General Surgery with the 28th CSH in Baghdad, Iraq in 2007 to 2008. He has published multiple peer-reviewed journal articles and surgical chapters. He presented his latest work analyzing trauma-related deaths in the current war and strategies to reduce them at the 2008 annual meeting of the American College of Surgeons. Dr. Beekley is the former Trauma Medical Director at Madigan Army Medical Center. He has multiple combat deployments to both Iraq and Afghanistan, and has served in a variety of leadership roles with both Forward Surgical Teams (FST) and Combat Support Hospitals (CSH). |
| jtts clinical practice guidelines: Emergency War Surgery, 5th US Revision Miguel A. Cubano, 2018-10-01 Updated from the 2013 edition, this volume reflects lessons learned from recent US involvement in Iraq and Afghanistan, and represents state-of-the-art principles and practices of forward trauma surgery. Expertly addresses the appropriate medical management of blast wounds, burns, and multiple penetrating injuries, as well as other battle and non-battle injuries. Topics include triage, hemorrhage control, airway/breathing, shock and resuscitation, anesthesia, infections, critical care, damage control surgery, face and neck injuries, soft-tissue injuries, ocular injuries, head injuries, extremity fractures, thoracic injuries, amputations, abdominal injuries, pediatric care, and more. A new chapter provides Tactical Combat Casualty Care guidelines. Significant updates were also made to the blood collection and transfusion chapters. Other products produced by the U.S. Army, Borden Institute can be found here: https://bookstore.gpo.gov/agency/borden-institute |
| jtts clinical practice guidelines: Emergency War Surgery Borden Institute (U.S.), 2013 This 4th revision of this popular Borden Institute reference on emergency surgery includes everything from war wounds to anesthesia, even covering gynecologic and pediatric emergencies, making this a must-have medical reference for civilian emergency medical personnel as well as military doctors and nurses. Contents Front Matter Chapter 1: Weapons Effects and War Wounds Chapter 2: Roles of Medical Care (United States) Chapter 3: Mass Casualty and Triage Chapter 4: Aeromedical Evacuation Chapter 5: Airway/Breathing Chapter 6: Hemorrhage Control Chapter 7: Shock, Resuscitation, and Vascular Access Chapter 8: Anesthesia Chapter 9: Soft Tissue and Open Joint Injuries Chapter 10: Infections Chapter 11: Critical Care Chapter 12: Damage Control Surgery Chapter 13: Face and Neck Injuries Chapter 14: Ocular Injuries Chapter 15: Head Injuries Chapter 16: Thoracic Injuries Chapter 17: Abdominal Injuries Chapter 18: Genitourinary Tract Injuries Chapter 19: Gynecologic Trauma and Emergencies Chapter 20: Wounds and Injuries of the Spinal Column and Cord Chapter 21: Pelvic Injuries Chapter 22: Extremity Fractures Chapter 23: Amputations Chapter 24: Injuries to Hands and Feet Chapter 25: Vascular Injuries Chapter 26: Burns Chapter 27: Environmental Injuries Chapter 28: Radiological Injuries Chapter 29: Biological Warfare Agents Chapter 30: Chemical Injuries Chapter 31: Pediatric Care Chapter 32: Care of Enemy Prisoners of War/Internees Chapter 33: Battlefield Transfusions Chapter 34: Compartment Syndrome Chapter 35: Battlefield Trauma Sytems Chapter 36: Emergency Whole Blood Collection Envoi Appendix 1: Principles of Medical Ethics Appendix 2: Glasgow Coma Scale Appendix 3: Department of Defense Trauma Registry Abbreviations and Acronyms Significant Military Medical Terms Product Manufacturers Index |
| jtts clinical practice guidelines: Brain Injury: Applications from War and Terrorism Alisa D. Gean, 2014-04-09 Brain Injury: Applications from War and Terrorism is a single-authored book written by a world-class neuroradiologist with extensive experience in traumatic brain injury (TBI). It features six graphic-intense chapters depicting and expounding upon the complexity of TBI. Culled from nearly three decades of studying civilian TBI and five years of intensive study of TBI sustained from combat, terrorism, and natural disasters, this work is an exhaustive and innovative authority on the current approaches and applications of civilian and combat TBI. The text is sectored into six chapters based on pathophysiology, each augmented with numerous images and illustrations. The book gives special attention to neuroimaging, but is reinforced with relevant clinical correlation. This monograph is unique because it is first in class as an omnibus for the radiologist, neurologist, neurosurgeon, maxillofacial surgeon, emergency physician, pediatrician, ophthalmologist, and the rehabilitation team. Accompanied by detailed high resolution illustrations with meticulous annotation, Brain Injury: Applications from War and Terrorism contains over 500 curated radiological and clinical images that enhance the concepts detailed in each chapter. Complete with up-to-date references, it is a state of the art resource guide for any member of the team of professionals caring for those who have sustained a traumatic brain injury In the foreword, Bob Woodruff writes - “After the September 11 attacks, [Dr. Gean] realized the significant void in our understanding of brain Injury caused by war and terrorism (and) she was motivated to devote the last four years of her academic pursuits to understanding the similarities and differences between civilian TBI and TBI suffered in war, terrorism, and natural disasters... This extraordinary, magnificently illustrated and unique single-authored textbook, Brain Injury: Applications from War and Terrorism,is the culmination of Dr. Gean’s dedication and experience. It’s really not just a book – it is a telegraphed documentary of a lifelong conviction to recognizing and responding to TBI by an acknowledged global expert.” |
| jtts clinical practice guidelines: Issues in Critical and Emergency Medicine: 2011 Edition , 2012-01-09 Issues in Critical and Emergency Medicine / 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Critical and Emergency Medicine. The editors have built Issues in Critical and Emergency Medicine: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Critical and Emergency Medicine in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Critical and Emergency Medicine: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/. |
| jtts clinical practice guidelines: Management of Patients with Traumatic Injuries An Issue of Critical Nursing Clinics Karen Bergman, 2015-06-14 Special considerations arise as critical care nurses care for victims of trauma and violence. This issue highlights the recent advances in the care of these patients, including victims of street crime and domestic violence. As a result of the wars in Afganistan and Iraq, changes in the echelons of care have been brought to U.S. trauma centers in order to better triage, manage, and provide post-surgical care to trauma patients. Articles in this issue address the advances in this field. |
| jtts clinical practice guidelines: Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System Institute of Medicine, National Academy of Engineering, 2009-04-03 This book makes a strong case for taking advantage of the best of two disciplines-health care and operational systems engineering (a combination of science and mathematics to describe, analyze, plan, design, and integrate systems with complex interactions among people, processes, materials, equipment, and facilities)-to improve the efficiency and quality of health care delivery, as well as health care outcomes. Those most interested in pursuing this approach include leaders in the U.S. Department of Defense (DOD) and Department of Veterans Affairs, who are committed to finding ways of improving the quality of care for military personnel, veterans, and their families. Intrigued by the possibilities, DOD decided to sponsor a series of workshops to explore the potential of operational systems engineering principals and tools for military health care, beginning with the diagnosis and care of traumatic brain injury (TBI), one of the most prevalent, difficult and challenging injuries suffered by warriors in Iraq and Afghanistan. |
| jtts clinical practice guidelines: Findings of the President's Commission on Care for America¿s Returning Wounded Warriors Bob Filner, 2009-03 Witnesses: Donna Shalala (former Sec. of Health and Human Services), and Bob Dole (former U.S. Senator from Kansas), Co-Chairs, President¿s Commission on Care for America¿s Returning Wounded Warriors; and Joseph Violante, National Legislative Director, Disabled American Veterans. Statements by: Rep. Bob Filner of CA, Steve Buyer of IN, Harry Mitchell of AZ, Jerry Moran of KS, Ginny Brown-Waite of FL and Jeff Miller of FL. Material Submitted for the Record: (1) Post-Hearing Questions and Responses for the Record; (2) Reports (July 2007): ¿Serve, Support, Simplify: Report of the President¿s Commission on Care for America¿s Returning Wounded Warriors,¿; and Subcommittee Report and Survey Findings. Illustrations. |
| jtts clinical practice guidelines: Orthopaedic Trauma in the Austere Environment Juan de Dios Robinson, 2016-05-19 Orthopaedic trauma represents 75% of the casualties in a disaster. Many of these patients will be cared for by international volunteers, but good intentions are not always matched by good preparation. This book explains how best to prepare for missions, how to deal with injuries in austere conditions, how to ensure a positive legacy, and the need for cultural, political, and legal awareness. All of the most common orthopaedic presentations encountered in the austere environment are covered. In addition to evidence-based research, cases and actual experiences from the authors’ missions are included to illustrate and bring to life key points. This book, written by a team of international experts with extensive experience of challenging field missions, will be an ideal practical guide for volunteers and health care workers, helping them to deal with confusing, chaotic, and distressing situations with greater confidence and efficacy. |
| jtts clinical practice guidelines: U.S. Army Medical Department Journal , 2010 |
| jtts clinical practice guidelines: Out of the Crucible: How the US Military Transformed Combat Casualty Care in Iraq and Afghanistan Arthur L. Kellermann, Eric Elster, The Borden Institute, U.S. Army Medical Department, 2017-12-01 Out of the Crucible: How the U.S. Military Transformed Combat Casualty Care in Iraq and Afghanistan edited by Arthur L. Kellermann, MD and MPH, and Eric Elster, MD is now available by the US Army, Borden Institute. This comprehensive resource, part of the renowned Textbooks of Military Medicine series, documents one of the most extraordinary achievements in the history of American medicine – the dramatic advances in combat casualty care developed during Operations Enduring Freedom and Operation Iraqi Freedom. Each chapter is written by one or more military health professionals who played an important role in bringing the advancement to America’s military health system. Written in plain English and amply illustrated with informative figures and photographs, Out of the Crucible engages and informs the American public and policy makers about how America’s military health system, devised, tested and widely adopted numerous inventions, innovations, technologies that collectively produced the highest survival rate from battlefield trauma in the history of warfare. |
| jtts clinical practice guidelines: Findings of the President's Commission on Care for America's Returning Wounded Warriors United States. Congress. House. Committee on Veterans' Affairs, 2008 |
| jtts clinical practice guidelines: Front Line Surgery Matthew J. Martin,, Alec C. Beekley,, Matthew J. Eckert, 2017-07-21 The second edition of Front Line Surgery expands upon the success of the first edition, providing updated discussion of practical management of commonly encountered combat injuries.This edition reflects the cutting edge of combat casualty care, refined principles of surgical management of specific injury patterns, and incorporation of the spectrum of recent research advancements in trauma care. Each chapter continues to follow the same organization as the first edition. The “BLUF”, or bottom line up front, headlines each topic, providing the critical pearls for the reader, followed by a focused and straight forward discussion of management, pitfalls, and recommendations. In addition, select chapters conclude with a section discussing the application of this topic in civilian practice, as potentially encountered by the rural or humanitarian relief surgeon. Additional new topics include: REBOA and endovascular techniques for hemorrhage control, updates in transfusion and resuscitation practice, active shooter situations, rural trauma management in developed nations, advancements in prehospital care and the Tactical Combat Casualty Care (TC3) course, and discussion of the newest generations of topical hemostatic agents and tourniquets. These additions serve to both enhance the breadth and depth of the material relevant to military surgeons, but should also further expand the applicability and interest in this work to all civilian trauma surgeons. |
| jtts clinical practice guidelines: Paramedic Publications Combined: 2019 U.S. ARMY MEDEVAC CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES & TCCC, Tactical Evacuation And Joint Trauma System Forms And Reports , CONTENTS: 1. U.S. ARMY MEDEVAC CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES 2. Tactical Evacuation After Action Report & Patient Care Record 3. INSTRUCTIONS: DA Form 4700 OP4, Tactical Evacuation (TACEVAC) After Action Report (AAR) and Patient Care Record (PCR) [MEDICAL RECORD-SUPPLEMENTAL MEDICAL DATA] 4. DD Form 1380 TACTICAL COMBAT CASUALTY CARE (TCCC) CARD 5. JOINT TRAUMA SYSTEM DEVELOPMENT, CONCEPTUAL FRAMEWORK, AND OPTIMAL ELEMENTS 6. The United States Military Joint Trauma System Assessment: A Report Commissioned by the US Central Command Surgeon Sponsored by Air Force Central Command A Strategic Document to Provide a Platform for Tactical Development (2018) INTRODUCTION This current set of medical guidelines has gone through some significant improvements since the original release in 2014 and were developed through a collaboration of Emergency Medicine professionals, experienced Flight Medics, Aeromedical Physician Assistants, Critical Care Nurses, and Flight Surgeons. There has been close coordination in the development of these guidelines by the Joint Trauma System, Committee of En Route Combat Casualty Care and the Committee of Tactical Combat Casualty Care. Our shared goal is to ensure excellent en route care that is standard across all evacuation and emergency medical pre-hospital units. It is our vision that all of these enhancements and improvements will advance en route care across the services and the Department of Defense. The CCFP Program Office facilitates appropriate training and medical education to the CCFP providers. The CCFP program of instruction ensures the appropriate skills and knowledge required for CCFPs to apply these medical guidelines during aeromedical evacuation. Unit medical trainers and medical directors should evaluate CCFPs ability to follow and execute the medical instructions herein. These medical guidelines are intended to guide Critical Care Flight Paramedics (CCFP) and prehospital professionals in the response and management of emergencies and the care and treatment of patients in both garrison and theater of war environments. Unit medical providers are not expected to employ these guidelines blindly. Unit medical providers are expected to manipulate and adjust these guidelines to their unit’s mission and medical air crew training / experience. Medical directors or designated supervising physicians should endorse these guidelines as a baseline, appropriately adjust components as needed, and responsibly manage individual unit medical missions within the scope of practice of their Critical Care Flight Paramedics, Enroute Critical Care Nurses, and advanced practice aeromedical providers. |
| jtts clinical practice guidelines: Auerbach's Wilderness Medicine E-Book Paul S. Auerbach, Tracy A Cushing, N. Stuart Harris, 2016-09-21 Now in its 7th edition, Auerbach's Wilderness Medicine continues to help you quickly and decisively manage medical emergencies encountered in any wilderness or other austere setting! World-renowned authority Dr. Paul Auerbach and 2 new associate editors have assembled a team of experts to offer proven, practical, visual guidance for effectively diagnosing and treating the full range of issues that can occur in situations where time and resources are scarce. This indispensable resource equips physicians, nurses, advanced practice providers, first responders, and rescuers with the essential knowledge and skills to effectively address and prevent injuries and illnesses – no matter where they happen! - Brand-new 2-volume format ensures all content is available in print and online to provide you easy access. - Face any medical challenge in the wilderness with expert guidance from hundreds of outstanding world experts edited by Dr. Auerbach and 2 new associate editors, Drs.Tracy Cushing and N. Stuart Harris - New and expanded chapters with hundreds of new photos and illustrative drawings help increase your visual understanding of the material - Acquire the knowledge and skills you need with revised chapters providing expanded discussions of high-altitude medicine, improvisation, technical rescue, telemedicine, ultrasound, and wilderness medicine education - Ten new chapters cover Acute High-Altitude Medicine and Pathophysiology; High Altitude and Pre-Existing Medical Conditions; Cycles, Snowmobiles, and other Wilderness Conveyances; Medical Wilderness Adventure Races (MedWAR); Canyoneering and Canyon Medicine; Evidence-Based Wilderness Medicine; National Park Service Medicine; Genomics and Personalized Wilderness Medicine; Forestry; and Earth Sciences - 30+ Expert Consult online videos cover survival tips, procedural demonstrations, and detailed explanations of diseases and incidents - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices |
| jtts clinical practice guidelines: Otolaryngology/head and Neck Surgery Combat Casualty Care in Operation Iraqi Freedom and Operation Enduring Freedom Joseph A. Brennan, G. Richard Holt, Richard W. Thomas (Physician), 2015 |
| jtts clinical practice guidelines: The SAGES Manual for Navigating a Successful Military Surgical Career Andrew T. Schlussel, Danielle B. Holt, Robert B. Lim, Tamara J. Worlton, E. Matthew Ritter, 2025-07-02 The aim of this manual is to offer a comprehensive framework for both present and future military surgeons, enabling them to effectively navigate and build a successful career within the military, while also providing them with transferable skills upon completion of their military service. The military healthcare system operates within a unique framework with distinct challenges and opportunities. By acquiring knowledge and insights into the intricacies of military career paths, surgeons can make informed decisions about assignments, promotions and professional development. Navigating an Army, Air Force, Navy or Reserve career requires an understanding of the organizational structures, consultant roles and specific requirements of each service branch. Additionally, being aware of opportunities for advanced education, leadership development and operational assignments enables surgeons to develop a career trajectory aligned with their goals and aspirations. Presently there is not a sole source document, either in the military or civilian sectors, that allows easy access and references to the multiple opportunities afforded to military surgeons or an understanding of life as a surgeon on active duty. Furthermore, this text provides context to civilian organizations, administrative personnel, recruiting departments and family members that interact with or assist in making important decisions for military surgeons. This manual features insight and guidance from senior leaders of our Armed Forces, both past and present, who have excelled in academic, operational and clinical surgical careers. By providing a reference for successfully navigating a military career, this will not only enhance the professional growth of a surgeon, but also ensure the delivery of high-quality healthcare to our service members and beneficiaries both domestic and abroad. |
| jtts clinical practice guidelines: FIELD MEDICAL SERVICE TECHNICIAN (FMST) - 2021 United States Marine Corps, 2020-12-31 COURSE DESCRIPTION: During this 8-week course, you will have a mix of classroom and field training. Emphasis is placed on learning field medicine by using the principles of Tactical Combat Casualty Care (TCCC). This includes familiarization with USMC organization and procedures, logistics, and administrative support in a field environment. Additionally, training will include general military subjects, individual and small unit tactics, military drills, physical training/conditioning, and weapons familiarization with the opportunity to fire the M16/M4 service rifle. Completion of FMST results in the student receiving Navy Enlisted Classification HM-L03A. See “Student Material” to download a copy of the Student Manual that you will use during your training. CONTENTS: 1. TCCC Guidelines for Medical Personnel, 15 December 2021, 19 pages 2. JTS Clinical Practice Guidelines, 2,222 total pages - current as of 16 December 2022 3. FIELD MEDICAL SERVICE TECHNICIAN FMST, 2021, 3,252 pages |
| jtts clinical practice guidelines: A National Trauma Care System National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on the Health of Select Populations, Board on Health Sciences Policy, Committee on Military Trauma Care's Learning Health System and Its Translation to the Civilian Sector, 2016-10-12 Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system. |
| jtts clinical practice guidelines: Department of Defense Authorization for Appropriations for Fiscal Year 2011 United States. Congress. Senate. Committee on Armed Services, 2010 |
| jtts clinical practice guidelines: Trauma, Seventh Edition Kenneth L. Mattox, Ernest E. Moore, David V. Feliciano, 2012-08-22 The definitive guide to trauma surgery—now in full color! The seventh edition, Trauma reaffirms its status as the leading comprehensive textbook in the field. With a new full-color design and a rich atlas of anatomic drawings and surgical approaches, Trauma, 7e takes you through the full range of injuries the trauma surgeon is likely to encounter. The book also features timely coverage that explains how to care for war victims who may require acute interventions such as amputation. Supported by numerous x-rays, CT scans, plus informative tables throughout, this trusted reference begins with an informative look at kinematics and the mechanisms of trauma injury. Subsequent chapters provide useful background information on the epidemiology of trauma; injury prevention; the basics of trauma systems, triage, and transport; and much more. The next section meticulously reviews generalized approaches to the trauma patient, from pre-hospital care and managing shock, to emergency department thoracotomy and the management of infections. Trauma then delivers a clear organ-by-organ survey of treatment protocols designed to help you respond to any critical care situation with confidence, no matter what body system is involved. The remaining sections of the book will help you successfully handle specific challenges in trauma—including alcohol and drug abuse, and combat-related wounds—in addition to post-traumatic complications such as multiple organ failure. FEATURES NEW! Trauma Atlas contains precise, concept-clarifying anatomical illustrations and proven surgical techniques that make common procedures more accessible than ever before High-yield section on specific approaches to the trauma patient prepares you for the wide spectrum of cases in trauma/critical surgery care, including: Disaster and mass casualty; Rural trauma;Management of shock;Post-injury hemotherapy and hemostasis;Emergency department thoracotomy; Diagnostic and interventional radiology; Surgeon-performed ultrasound;Anesthesia and pain management;Infection; A-to-Z overview of the management of specific traumatic injuries; Detailed discussion of the management of complications |
| jtts clinical practice guidelines: Textbook of Polytrauma Management Hans-Christoph Pape, Joseph Borrelli Jr., Ernest E. Moore, Roman Pfeifer, Philip F. Stahel, 2022-05-31 This textbook is a fully updated and revised third edition of a highly successful practical guide to the care of the polytrauma patient. Broadening its readership to students, this new edition comprehensively describes the clinical course of multiple and severe injuries, from the accident scene to rehabilitation. It provides essential practical information on the care of patients both with blunt and penetrating trauma to multiple body regions, and discusses the management of truncal injuries (head, chest, abdomen) as well as fractures of the extremities, pelvis and spine. Further, the book highlights associated injuries that may alter decisions concerning patients with polytrauma. This new, revised edition takes full account of recent developments, including the increasing economic pressure on health care systems, prehospital treatment, changes in trauma systems and related education, and the improved survival of polytrauma patients. Also covering improved monitoring options along with issues in late patient outcomes and rehabilitation this work will greatly assist students, emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists. |
| jtts clinical practice guidelines: Front Line Extremity and Orthopaedic Surgery Lawrence B. Bone, Christiaan N. Mamczak, 2014-04-23 This is an easy to read reference and practical guide to the management of combat extremity injuries, which account for a high percentage of the injuries sustained in recent and current conflicts. The surgical techniques appropriate to the full range of extremity injuries and some other frequent injuries, such as trauma to the spine and pelvis, are clearly described with the aid of helpful illustrations. In each chapter a “bottom line up front” approach is adopted, providing key messages first; a further important feature is the emphasis placed on case-based information and lessons learned from practice. Care has been taken to ensure that the advice provided is straightforward and in line with military clinical practice guidelines. This book, written by surgeons with experience in combat casualty care, will be relevant to all physicians working in forward surgical teams, combat surgical hospitals, or the “Charlie Med”. |
| jtts clinical practice guidelines: Recent Advances and Future Directions in Trauma Care, An Issue of Surgical Clinics Jeremy W. Cannon, 2012-08-28 An important review on trauma for the general surgeon! Topics include spectrum of TBI from mild to severe, management of complex extremity injuries, long-range ICU transport, advanced technologies in trauma/CC management, non-compressible torso hemorrhage, trauma system configurations in other countries, graduate medical education in trauma/CC and acute care surgery, improving care in the trauma ICU, damage control surgery, massive transfusion and damage control resuscitation, burn/electrical/environmental injury resuscitation, pre-hospital management and tactical combat casualty care, research and analytics in trauma care, verification and regionalization of trauma systems, and more! |
| jtts clinical practice guidelines: Department of Defense Appropriations United States. Congress. Senate. Committee on Appropriations. Subcommittee on Department of Defense, 2008 |
| jtts clinical practice guidelines: Department of Defense Appropriations for Fiscal Year ... United States. Congress. Senate. Committee on Appropriations. Subcommittee on Department of Defense, 2012 |
| jtts clinical practice guidelines: Department of Defense Appropriations for Fiscal Year 2009 United States. Congress. Senate. Committee on Appropriations. Subcommittee on Defense, 2008 |
| jtts clinical practice guidelines: A National Trauma Care System National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on the Health of Select Populations, Board on Health Sciences Policy, Committee on Military Trauma Care's Learning Health System and Its Translation to the Civilian Sector, 2016-09-12 Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system. |
Clinical Practice Guidelines (CPGs) - Joint Trauma System
Mar 17, 2025 · Clinical Practice Guidelines (CPGs) are the backbone of the JTS Performance Improvement program for combatant command trauma systems. The …
Joint Trauma Service Clinical Practice Guidelines: The Standar…
Feb 7, 2015 · The Joint Trauma System (JTTS)Clinical Practice Guidelines(CPGs) are the standard of care for all US Military Medcal Providers. They are backed by evidence …
7-14-10-Joint Theater Trauma System - Health.mil
Jul 14, 2010 · JTTS Mission •Improve organization and delivery of trauma care •Facilitate Morbidity and Mortality conferences to promote real-time, data …
Clinical Practice Guideline - Allogy
Develops intratheater medical protocols standing orders. Reports clinical concerns to the Director of Clinical Care Services (DCCS) and the USCENTCOM Joint Theater Trauma …
CPG Training Presentations - Joint Trauma System - Military Health S…
May 6, 2025 · JTS will announce when an updated CPG training presentation is available. The Joint Trauma System is dedicated to the reduction of morbidity …
Clinical Practice Guidelines (CPGs) - Joint Trauma System
Mar 17, 2025 · Clinical Practice Guidelines (CPGs) are the backbone of the JTS Performance Improvement program for combatant command trauma systems. The JTS remains committed …
Joint Trauma Service Clinical Practice Guidelines: The Standard …
Feb 7, 2015 · The Joint Trauma System (JTTS)Clinical Practice Guidelines(CPGs) are the standard of care for all US Military Medcal Providers. They are backed by evidence and …
7-14-10-Joint Theater Trauma System - Health.mil
Jul 14, 2010 · JTTS Mission •Improve organization and delivery of trauma care •Facilitate Morbidity and Mortality conferences to promote real-time, data-driven clinical process …
Clinical Practice Guideline - Allogy
Develops intratheater medical protocols standing orders. Reports clinical concerns to the Director of Clinical Care Services (DCCS) and the USCENTCOM Joint Theater Trauma System (JTTS) …
CPG Training Presentations - Joint Trauma System - Military …
May 6, 2025 · JTS will announce when an updated CPG training presentation is available. The Joint Trauma System is dedicated to the reduction of morbidity and mortality, and improved …
Jtts Clinical Practice Guidelines - admissions.piedmont.edu
CLINICAL PRACTICE GUIDELINE (JTS CPG) Damage Control Resuscitation (CPG ID: 18) This CPG provides evidence–based guidance to minimize variation in resuscitation practices and …
Evaluation of Military Trauma System Practices Related to …
measure the impacts on clinical practice and change in patient outcomes from information and interventions implemented and disseminated through the JTTS, specifically, clinical practice …
JTTS Clinical Practice Guideline for Burn Care 1
Chapter 28 of the 2004 edition of the Emergency War Surgery Handbook is an excellent general reference for burn care. In every case, use of the Burn Patient Admission Orders (Appendix A) …
Joint Trauma System
JTS Publishes Updated K9 Clinical Guidelines for Heat Injury, Euthanasia, Arachnid and Snake Envenomation
Publications - Joint Trauma System - Military Health System
Apr 1, 2025 · The Joint Trauma System developed a clinical practice guideline on IFI prevention, identification and management. Aggressive and frequent surgical debridement remains the …
