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Clinical Practice Guidelines (CPGs)

Clinical Practice Guidelines (CPGs) are the backbone of the JTS Performance Improvement program for combatant command trauma systems. The JTS remains committed to using the highest levels of analytical and statistical analysis in its CPG development process. The CPGs are compiled from DoD Trauma Registry data, health data abstracted from patient records and after action reports. The data are analyzed and distilled into guidelines to remove medical practice variations and save lives. The CPGs are used by military and civilian healthcare providers worldwide and are largely responsible for decreasing case fatality rates.

CPGs are evidence-based and developed with subject matter experts in the military and civilian communities, deployed clinicians, trauma care physicians, surgical consultants, and JTS leaders. The JTS CPG standards and recommendations have found their way into the civilian medical communities. CPGs are freely available for download.

Send suggestions for CPGs and differing viewpoint(s) to:

CPG Index file   |  Complete Zip of Current JTS CPGs

Note: Click on the header titles below to expand or collapse an accordion panel.

Airway Management in Prolonged Field Care, 01 May 2020
Airway Management of Traumatic Injuries, 17 Jul 2017
Amputation: Evaluation and Treatment, 01 Jul 2016
(High Bilateral) Amputations and Dismounted Complex Blast Injury, 01 Aug 2016
Analgesia and Sedation Management During Prolonged Field Care, 11 May 2017
Anesthesia for Trauma Patients, 05 Apr 2021
Aural Blast Injury/Acoustic Trauma and Hearing Loss, 27 Jul 2018
(Prehospital) Blood Transfusion, 30 Oct 2020
Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination, 13 May 2020
Burn Care, 11 May 2016
Burn Wound Management in Prolonged Field Care, 13 Jan 2017
CPG Development Process, 27 Sep 2022
Catastrophic Non-Survivable Brain Injury, 27 Feb 2017
Cervical and Thoracolumbar Spine Injury Evaluation, Transport and Surgery in the Deployed Setting, 19 Jun 2020
Chemical, Biological, Radiological and Nuclear (CBRN) Injury Part I: Initial Response to CBRN Agents, 01 May 2018
Chemical, Biological, Radiological and Nuclear (CBRN) Injury Response Part 2: Medical Management of Chemical Agent Exposure, 23 Mar 2022
(Acute Extremity) Compartment Syndrome (CS) and the Role of Fasciotomy in Extremity War Wounds, 25 Jul 2016
(Acute) Coronary Syndrome, 14 May 2021
(Management of) COVID-19 in Austere Operational Environments, 23 Apr 2021
Crush Syndrome - Prolonged Field Care, 28 Dec 2016
Damage Control Resuscitation, 12 Jul 2019
Damage Control Resuscitation (DCR) in Prolonged Field Care, 01 Oct 2018
(Prevention of) Deep Venous Thrombosis - Inferior Vena Cava Filter, 02 Aug 2016
Documentation in Prolonged Field Care, 13 Nov 2018
Documentation Requirements for Combat Casualty Care, 18 Sep 2020
Drowning Management, 27 Oct 2017
Emergency General Surgery in Deployed Locations, 01 Aug 2018
Emergency Life-Saving Cranial Procedures by Non-Neurosurgeons in Deployed Setting, 23 Apr 2018
Emergent Resuscitative Thoracotomy (ERT), 18 Jul 2018
Eye Trauma: Initial Care, 01 Jun 2021
Frostbite and Immersion Foot Care, 26 Jan 2017
Frozen and Deglycerolized Red Blood Cells, 11 Jul 2016
Genitourinary (GU) Injury Trauma Management, 06 Mar 2019
Hyperkalemia and Dialysis in the Deployed Setting, 25 Apr 2022
Hypothermia Prevention, Monitoring, and Management, 18 Sep 2012
Infection Prevention in Combat-Related Injuries, 27 Jan 2021
Inhalation Injury and Toxic Industrial Chemical Exposure, 25 Jul 2016
Interfacility Transport of Patients Between Theater Medical Treatment Facilities, 24 Apr 2018
Invasive Fungal Infection in War Wounds, 04 Aug 2016
Mechanical Ventilation Basics CPG, 27 Dec 2021
Neurosurgery and Severe Head Injury, 02 Mar 2017
Nursing Intervention in Prolonged Field Care, 22 Jul 2018
Nutritional Support Using Enteral and Parenteral Methods, 04 Aug 2016
Ocular Evaluation and Disposition after Suspected Laser Exposure, 14 Feb 2020
Ocular Injuries and Vision-Threatening Conditions in Prolonged Field Care, 01 Dec 2017
Orthopaedic Trauma: Extremity Fractures, 26 Feb 2020
Pain, Anxiety and Delirium, 26 Apr 2021
Pelvic Fracture Care, 15 Mar 2017
Prolonged Casualty Care Guidelines, 21 Dec 2021
Radiology: Imaging Trauma Patients in a Deployed Setting, 13 May 2017
(Acute) Respiratory Failure, 23 Jan 2017
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Hemorrhagic Shock, 31 Mar 2020
(Austere) Resuscitative Surgical Care, 30 Oct 2019
Sepsis Management in Prolonged Field Care, 28 Oct 2020
(Global) Snake Envenomation Management, 30 Jun 2020
(Global) Spider and Scorpion Envenomation, 09 Feb 2021
Tactical Combat Casualty Care Guidelines, 15 Dec 2021
(Wartime) Thoracic Injury, 26 Dec 2018
(Acute) Traumatic Brain Injury Management in Prolonged Field Care, 06 Dec 2017
(Use of) Traumatic Brain Injury Plasma Biomarkers after a Potentially Concussive Event, 16 Aug 2021
Unexploded Ordnance (UXO) Management, 14 Mar 2017
Vascular Injury, 12 Aug 2016
Ventilator Associated Pneumonia (VAP), 07 May 2020
Whole Blood Transfusion, 15 May 2018
(War) Wounds: Wound Debridement and Irrigation, 27 Sep 2021
(Acute Traumatic) Wound Management in the Prolonged Field Care Setting, 24 Jul 2017

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Last Modified Date: 03/29/2023