The Tactical Combat Casualty Care Casualty Card TCCC Guidelines - Proposed Change 13-01

Butler, Frank K.; Montgomery, Harold R; Brunstetter, Tyson; Diaz, George Y; Kirkpatrick, James W; Summers, Nancy L; Shackelford, Stacy; Holcomb, John B.; Bailey, Jeffrey A.

doi:10.21236/ada616640

Cited by 16 publications

(37 citation statements)

References 4 publications

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“…40 Eastridge et al 45 evaluated "potentially survivable" deaths, using data from the 2 recent confl icts (Iraq, Afghanistan), and reported that 19% of deaths evaluated were caused by this type of wound. In another study published in 2013, Kragh et al 46 reported the rate to be 17%.…”

Section: Novel Hemorrhage Control Devicesmentioning

confidence: 99%

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Control of Traumatic Extremity Hemorrhage

Day

2016

Critical Care Nurse

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Although most extremity hemorrhage from trauma can be controlled with direct pressure and/or pressure dressings, the occasional uncontrolled hemorrhage can be life threatening. Tools that may be able to control such life-threatening extremity hemorrhage include hemostatic dressings, tourniquets, and several new devices that have recently become available. Hemostatic dressings, a relatively new concept, incorporate materials that increase coagulation into a dressing that is applied directly to the wound. Although the use of tourniquets has a long history, recent military conflicts have provided numerous studies that supported and refined their use. The novel extremity hemorrhage control devices effectively control bleeding in one of several ways: direct compression, arterial compression above the level of injury, and sealing the wounds’ edges, creating a hematoma.

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Section: Novel Hemorrhage Control Devicesmentioning

confidence: 99%

“…1, FEBRUARY 2016 47 recommended over another. 40 However, ongoing research may eventually winnow the fi eld down to 1 or 2 devices.…”

Section: Wwwccnonlineorgmentioning

confidence: 99%

Control of Traumatic Extremity Hemorrhage

Day

2016

Critical Care Nurse

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“…October 19, 2014]) while medications are often attached to casualties (i.e., fentanyl lozenge taped to the finger, morphine auto-injector clipped to a uniform) 102 or documented in permanent marker on the patient's forehead (e.g., "M 1115" indicates morphine given at 11:15), 102 enabling data capture without traditional documentation. Interventions to overcome barriers to PH pain assessment and treatment documentation may be an important step to improving PH pain care, as evidenced by the military's updated tactical combat casualty care (TCCC) card in 2014 103,104 and continued effort to improve documentation. 105, 106 Albrecht and colleagues 3 evaluated 1997-2006 data from a physician-staffed helicopter emergency medical service and reported 70.5% of patient records included pain assessment documentation, while 80.4% received analgesics.…”

Section: Analgesic Administrationmentioning

confidence: 99%

Prevalence and Predictors of Prehospital Pain Assessment and Analgesic Use in Military Trauma Patients, 2010–2013

Blackman¹,

Cooper²,

Puntillo³

et al. 2016

Prehospital Emergency Care

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“…Capture of the TCCC based casualty cards, after action reports, and unit-based pre-hospital trauma registries, linked with novel sensor biomarkers need to be implemented globally and linked to the DoD Trauma Registry in a seamless manner that will optimize prehospital trauma care delivery. 13 It is the use of smartphones/EUDs at the POI/POC on the battlefield that will enable this capability.…”

Section: Battlefield Mobile Health Applicationsmentioning

confidence: 99%

Telemedicine and mHealth odyssey: a journey from the battlefield to academia

2016

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Since 1992, military medicine has considered the relevance, sustainability, and promise of telemedicine in the context of its mission and obligations for service members at home and in war zones. The US Army telemedicine program covers 22 time zones and generates over 5000 tele-consults per month for over 20 medical specialties. More recently the advances in mobile computing and increased adoption of the Smartphone with evolving capabilities for imaging and body-worn sensor integration has emerged in the field called mobile health, or mHealth. This presentation highlights the first 10 years of the U.S. Army mHealth program and includes how similar technologies have translated to wide-scale civilian health care implementation, including a relevant project for Veterans at the University of Pittsburgh. Examples include the successful US Army "mCare" program developed to augment soldier rehabilitation management with USbased geographically dispersed providers that utilizes secure mobile messaging and the soldier's own cell phone. Additional research interests will describe the use of smartphones on the battlefield enabling capture of operational medical data to improve casualty evacuation and outcome. A DoD-funded traumatic brain injury research project developed for Veterans at the University of Pittsburgh includes a mobile health application that demonstrates the effectiveness of communicating with patients through their personal mobile devices with care managers. Preliminary data for all the projects presented are encouraging for adoption and utilization of a mobile telemedicine platform to meet the complex needs of casualties injured or recovering from a broad range of injuries in unique geographic settings.

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The Tactical Combat Casualty Care Casualty Card TCCC Guidelines - Proposed Change 13-01

Cited by 16 publications

References 4 publications

Control of Traumatic Extremity Hemorrhage

Control of Traumatic Extremity Hemorrhage

Prevalence and Predictors of Prehospital Pain Assessment and Analgesic Use in Military Trauma Patients, 2010–2013

Telemedicine and mHealth odyssey: a journey from the battlefield to academia

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