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Tactical Combat Critical Care

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https://www.readbyqxmd.com/read/26360353/the-ranger-first-responder-program-and-tactical-emergency-casualty-care-implementation-a-whole-community-approach-to-reducing-mortality-from-active-violent-incidents
#1
Andrew D Fisher, David W Callaway, Josh N Robertson, Shane A Hardwick, Joshua P Bobko, Russ S Kotwal
Active violent incidents are dynamic and challenging situations that can produce a significant amount of preventable deaths. Lessons learned from the military?s experience in Afghanistan and Iraq through the Committee on Tactical Combat Casualty Care and the 75th Ranger Regiment?s Ranger First Responder Program have helped create the Committee for Tactical Emergency Casualty Care (C-TECC) to address the uniqueness of similar wounding patterns and to end preventable deaths. We propose a whole-community approach to active violent incidents, using the C-TECC Trauma Chain of Survival and a tiered approach for training and responsibilities: the first care provider, nonmedical professional first responders, medical first responders, and physicians and trauma surgeons...
2015: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/24604432/articulating-tactical-traction-splint-use-on-pulseless-forearm-fracture
#2
Daniel S Schwartz
An articulating tactical traction splint (REEL™ Tactical Traction Splint), commonly issued to U.S. military personnel, was used to maintain traction in a pulseless forearm fracture during a confined space rescue, with good peripheral perfusion maintained through transport. This enabled a single rescuer to focus attention and provide care for other critical aspects of a multisystem trauma patient.
2014: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/24048984/rigid-eye-shields-a-critical-gap-in-the-individual-first-aid-kit
#3
Tyson Brunstetter, Christine Wasner, Summer Hart, Steve Burrows
From 5% to 22% of all U.S. Department of Defense combat casualties between 2001 and 2010 suffered some form of ocular trauma. Ocular injuries have an inordinately dramatic impact on return to duty, retention, and reintegration; only 25% of warfighters with severe ocular trauma return to duty. After a traumatic ocular event, the likelihood of saving an eye and preserving vision depends on several factors, especially the treatment quality at the point of injury. Every major organization associated with combat casualty care (e...
2013: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/23993329/law-enforcement-and-the-long-gun-do-we-need-a-new-face-in-the-fight
#4
Mark Cannon
BACKGROUND: The threat of rifles in the hands of criminals is now well recognized within law enforcement. Current emergency response systems are not equipped to operate in this combat-like environment. Growing statistics indicate that of the peace officers that were killed in the line of duty in the United States nearly half died by gunfire evidence. OBJECTIVE: As Emergency Medical Services ("EMS") training and standards evolve, the lessons learned from the Tactical Combat Casualty Care doctrine should be incorporated to improve the safety and outcomes of injured law enforcement officers...
November 2013: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/23536462/redefining-technical-rescue-and-casualty-care-for-sof-part-1
#5
S D McKay, J Johnston, D W Callaway
Trauma care in the tactical environment is complex; it requires a unique blend of situational awareness, foresight, medical skill, multitasking, and physical strength. Rescue is a critical, but often over-looked, component of nearly all tactical trauma casualty management. Successful full spectrum casualty management requires proficiency in four areas: casualty access, assessment, stabilization, and extraction. When complex rescue situations arise (casualty removal from roof tops, mountain terrain, collapsed structures, wells, or a karez), casualty care often becomes further complicated...
2012: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/23192066/death-on-the-battlefield-2001-2011-implications-for-the-future-of-combat-casualty-care
#6
COMPARATIVE STUDY
Brian J Eastridge, Robert L Mabry, Peter Seguin, Joyce Cantrell, Terrill Tops, Paul Uribe, Olga Mallett, Tamara Zubko, Lynne Oetjen-Gerdes, Todd E Rasmussen, Frank K Butler, Russ S Kotwal, Russell S Kotwal, John B Holcomb, Charles Wade, Howard Champion, Mimi Lawnick, Leon Moores, Lorne H Blackbourne
BACKGROUND: Critical evaluation of all aspects of combat casualty care, including mortality, with a special focus on the incidence and causes of potentially preventable deaths among US combat fatalities, is central to identifying gaps in knowledge, training, equipment, and execution of battlefield trauma care. The impetus to produce this analysis was to develop a comprehensive perspective of battlefield death, concentrating on deaths that occurred in the pre-medical treatment facility (pre-MTF) environment...
December 2012: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/22071996/needle-decompression-for-tension-pneumothorax-in-tactical-combat-casualty-care-do-catheters-placed-in-the-midaxillary-line-kink-more-often-than-those-in-the-midclavicular-line
#7
COMPARATIVE STUDY
Andrew Beckett, Erin Savage, Dylan Pannell, Sanjay Acharya, Andy Kirkpatrick, Homer C Tien
BACKGROUND: Tactical Combat Casualty Care (TCCC) is a system of prehospital trauma care designed for the combat environment. Needle decompression (ND) is a critical TCCC intervention, because previous data suggest that up to 33% of all preventable deaths on the battlefield result from tension pneumothoraces. There has recently been increased interest in performing ND at the fifth intercostal space in the midaxillary line to prevent complications associated with landmarking second intercostal space in the midclavicular line site...
November 2011: Journal of Trauma
https://www.readbyqxmd.com/read/21607910/prehospital-and-emergency-care-research-at-the-us-army-institute-of-surgical-research-enabling-the-next-great-leap-in-combat-casualty-survival
#8
Robert T Gerhardt
Minimizing preventable death continues to be a primary focus of the combat casualty care research community, and of the Army Medical Department as a whole. Toward that end, tremendous successes have been realized in resuscitative surgery, critical care, rehabilitation, preventive medicine, and in our collective ability to project effective medical care into the most austere locations throughout the globe. Innovation in the care rendered outside of theater hospitals or strategic air evacuation conveyances, however, has not kept the same pace...
April 2011: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/21123233/critical-care-transport-in-a-combat-environment-building-tactical-trauma-transport-teams-before-and-during-deployment
#9
Timothy L Hudson, Richard Morton
No abstract text is available yet for this article.
December 2010: Critical Care Nurse
https://www.readbyqxmd.com/read/19813522/prehospital-advances-in-the-management-of-severe-penetrating-trauma
#10
Robert Mabry, John G McManus
BACKGROUND: Historic advances in combat prehospital care have been made in the last decade. Unlike other areas of critical care, most of these innovations are not the result of significant improvements in technology, but by conceptual changes in how care is delivered in a tactical setting. The new concept of Tactical Combat Casualty Care has revolutionized the management of combat casualties in the prehospital tactical setting. DISCUSSION: The Tactical Combat Casualty Care concept recognizes the unique epidemiologic and tactical considerations of combat care and that simply extrapolating civilian care concepts to the battlefield are insufficient...
2009: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/19813350/an-evaluation-of-tactical-combat-casualty-care-interventions-in-a-combat-environment
#11
Homer C Tien, Vincent Jung, Sandro B Rizoli, Sanjay V Acharya, John C MacDonald
BACKGROUND: Tactical combat casualty care (TCCC) is a system of prehospital trauma care designed for the combat environment. Although widely adopted, very few studies have reported on how TCCC interventions are actually delivered on the battlefield, from a quality of care perspective. STUDY DESIGN: This was a prospective study of all trauma patients treated at the Role 3 multinational medical unit (MMU) at Kandahar Airfield Base from February 7, 2006 to May 30, 2006...
2009: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/18656043/an-evaluation-of-tactical-combat-casualty-care-interventions-in-a-combat-environment
#12
Homer C Tien, Vincent Jung, Sandro B Rizoli, Sanjay V Acharya, John C MacDonald
BACKGROUND: Tactical combat casualty care (TCCC) is a system of prehospital trauma care designed for the combat environment. Although widely adopted, very few studies have reported on how TCCC interventions are actually delivered on the battlefield, from a quality of care perspective. STUDY DESIGN: This was a prospective study of all trauma patients treated at the Role 3 multinational medical unit (MMU) at Kandahar Airfield Base from February 7, 2006 to May 30, 2006...
August 2008: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/18594256/critical-care-nursing-in-an-austere-environment
#13
Kimberly K Smith
OBJECTIVE: The purpose of this article is to present an overview of critical care nursing in current battlefield healthcare environments. The various levels of tactical combat casualty care are described with emphasis on those levels in which military critical care nurses are practicing. RESULTS: Results of a critical care medical record review is presented to describe mechanism of injury, critical care diagnoses, length of stay, ventilator days, procedures, and complications...
July 2008: Critical Care Medicine
https://www.readbyqxmd.com/read/18594251/prehospital-advances-in-the-management-of-severe-penetrating-trauma
#14
REVIEW
Robert Mabry, John G McManus
BACKGROUND: Historic advances in combat prehospital care have been made in the last decade. Unlike other areas of critical care, most of these innovations are not the result of significant improvements in technology, but by conceptual changes in how care is delivered in a tactical setting. The new concept of Tactical Combat Casualty Care has revolutionized the management of combat casualties in the prehospital tactical setting. DISCUSSION: The Tactical Combat Casualty Care concept recognizes the unique epidemiologic and tactical considerations of combat care and that simply extrapolating civilian care concepts to the battlefield are insufficient...
July 2008: Critical Care Medicine
https://www.readbyqxmd.com/read/17436765/creating-order-from-chaos-part-ii-tactical-planning-for-mass-casualty-and-disaster-response-at-definitive-care-facilities
#15
Michael S Baker
Current events highlight the need for disaster preparedness. We have seen tsunamis, hurricanes, terrorism, and combat in the news every night. There are many variables in a disaster, such as damage to facilities, loss of critical staff members, and overwhelming numbers of casualties. Each medical treatment facility should have a plan for everything from caring for staff members to getting the laundry done and providing enhanced security or mortuary services. Communication and agreements with local, regional, and federal agencies are vital...
March 2007: Military Medicine
https://www.readbyqxmd.com/read/15754764/-principles-of-surgical-care-organization-and-structural-characteristics-of-sanitary-casualties-in-counter-terrorist-operations-in-the-northern-caucasus-report-i
#16
E K Gumanenko, I M Samokhvalov, A A Trusov, V V Severin
Two operational-and-tactical factors had the main influence on organization of the surgical care rendered to the casualties on the Northern Caucasus: the fulminant and maneuverable nature of combat operations at the beginning of both armed conflicts and rather small territory of war theatre. The main special features of organization of surgical care to the casualties were the use of Medical Squads of Special Purpose in the combat conditions and maximal approximation of the specialized surgical care to the wounded by echelonment of medical units and wide use of helicopter evacuation...
January 2005: Voenno-medit︠s︡inskiĭ Zhurnal
https://www.readbyqxmd.com/read/8161048/refining-prehospital-physical-assessment-skills-a-new-teaching-technique
#17
J S Vayer, J H Hagmann, C H Llewellyn
Physical assessment is a critically important skill in the prehospital setting, the performance of which is complicated by adverse environmental conditions. Emergency medical technicians (EMTs), paramedics, and others providing out-of-hospital emergency health care frequently receive training that does not adequately prepare them to perform an appropriate physical assessment. This is particularly true for such providers who support special operations as combat medics, wilderness EMTs, winter emergency care technicians, or EMT-tacticals...
April 1994: Annals of Emergency Medicine
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