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Clinical Practice Guidelines (CPGs)
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:
DHA.JBSA.j-3.List.JTS-PIPS@mail.mil.
Методичні вказівки щодо тактичної допомоги пораненим в бою
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To assist your preparation for deployment, click your role from the list on the right to
view the CPGs deemed the most relevant. Please note these are broad recommendations for CENTCOM and needs
may vary by combatant command area of responsibility.
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Corresponding training presentations to JTS CPGs can be found on the CPG Training Presentations page.
Note: Click on the header titles below to expand or collapse an accordion panel.
Guidelines
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Prolonged Casualty Care Guidelines, 21 Dec 2021
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Airway Management
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Airway Management in Prolonged Field Care, 01 May 2020
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Brain Injury Traumatic
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Traumatic Brain Injury Management in Prolonged Field Care, 06 Dec 2017
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Burns
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Burn Wound Management in Prolonged Field Care, 13 Jan 2017
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Crush Syndrome
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Crush Syndrome - Prolonged Field Care, 28 Dec 2016
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Damage Control Resuscitation
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Damage Control Resuscitation (DCR) in Prolonged Field Care, 01 Oct 2018
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Documentation
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Documentation in Prolonged Field Care, 13 Nov 2018
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Infection Control
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Sepsis Management in Prolonged Field Care, 28 Oct 2020
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Mechanical Ventilation
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Mechanical Ventilation Basics CPG, 27 Dec 2021
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Nursing Care
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Nursing Intervention in Prolonged Field Care, 22 Jul 2018
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Ocular Injuries
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Ocular Injuries and Vision-Threatening Conditions in Prolonged Field Care, 01 Dec 2017
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Pain: Analgesia, Sedation
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Analgesia and Sedation Management During Prolonged Field Care, 11 May 2017
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Wound Management
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Acute Traumatic Wound Management in the Prolonged Field Care Setting, 24 Jul 2017
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Blood, Whole Blood Transfusion
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Prehospital Blood Transfusion, 30 Oct 2020
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Flight Paramedic
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i-STAT Blood Analyzer
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The I-Stat Portable Blood Analyzer In Austere Locations, 29 Jan 2020
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Mechanical Ventilation
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Mechanical Ventilation during Critical Care Air Transport, 14 Dec 2021
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Pacing, Transvenous
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Transcutaneous & Temporary Transvenous Pacing, 30 Jan 2020
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Transport, Patients
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Interfacility Transport of Patients Between Theater Medical Treatment Facilities, 24 Apr 2018
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Wounds, Negative Pressure Therapy
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Negative Pressure Wound Therapy, 11 Feb 2020
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Airway Management, Traumatic Injuries
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Airway Management of Traumatic Injuries, 17 Jul 2017
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Amputation
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Amputation: Evaluation and Treatment, 01 Jul 2016
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Anesthesia
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Blast Injury, Dismounted Complex Blast
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High Bilateral Amputations and Dismounted Complex Blast Injury, 01 Aug 2016
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Blood, Whole Blood Transfusion
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Whole Blood Transfusion, 15 May 2018
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Brain Injury-Mild
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Brain Injury – Severe, Acute
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Neurosurgery and Severe Head Injury, 02 Mar 2017
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Brain Injury, Catastrophic, Non-Survivable
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Catastrophic Non-Survivable Brain Injury, 27 Feb 2017
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Burns
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Burn Care, 11 May 2016
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Compartment Syndrome-Extremity Fasciotomy
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Acute Extremity Compartment Syndrome (CS) and the Role of Fasciotomy in Extremity War Wounds, 25 Jul 2016
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Cranial Procedures by Non-Neurosurgeons
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Emergency Life-Saving Cranial Procedures by Non-Neurosurgeons in Deployed Setting, 23 Apr 2018
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DCR: Damage Control Resuscitation
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Damage Control Resuscitation, 12 Jul 2019
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Documentation
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Documentation Requirements for Combat Casualty Care, 18 Sep 2020
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Fracture, Pelvic
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Pelvic Fracture Care, 15 Mar 2017
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Fractures, Extremity
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Orthopaedic Trauma: Extremity Fractures, 26 Feb 2020
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GU: Genitourinary Injury
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Genitourinary (GU) Injury Trauma Management, 06 Mar 2019
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Imaging Trauma Patients
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Radiology: Imaging Trauma Patients in a Deployed Setting, 13 May 2017
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Infection Prevention, Control
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Infection Prevention in Combat-Related Injuries, 27 Jan 2021
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Ocular Trauma
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Eye Trauma: Initial Care, 01 Jun 2021
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REBOA: Resuscitative Endovascular Balloon Occlusion in the Aorta
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Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Hemorrhagic Shock, 31 Mar 2020
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Respiratory Failure
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Acute Respiratory Failure, 23 Jan 2017
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Spine Injury
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Cervical and Thoracolumbar Spine Injury Evaluation, Transport and Surgery in the Deployed Setting, 19 Jun 2020
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Splenectomy, Vaccination
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Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination, 13 May 2020
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Surgery, General Emergency
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Emergency General Surgery in Deployed Locations, 01 Aug 2018
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Surgical Care, Austere
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Austere Resuscitative Surgical Care, 30 Oct 2019
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Thoracic Injury
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Wartime Thoracic Injury, 26 Dec 2018
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Thoracotomy, Emergent Resuscitative
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Emergent Resuscitative Thoracotomy (ERT), 18 Jul 2018
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UXO: Unexploded Ordnance
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Unexploded Ordnance (UXO) Management, 14 Mar 2017
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Vascular Injury
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Vascular Injury, 12 Aug 2016
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Wound, Fungal Infection, Invasive
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Invasive Fungal Infection in War Wounds, 04 Aug 2016
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Wounds: War Wounds, Debridement, Irrigation
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War Wounds: Debridement and Irrigation, 27 Sep 2021
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Acoustic Injury Blast
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Aural Blast Injury/Acoustic Trauma and Hearing Loss, 27 Jul 2018
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Behavioral Health Resources
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Behavioral Health CPG under development
Behavioral Health Resources (CAC access only)
Search for "Joint Trauma System" to find the Behavior Health folder.
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Blood, Frozen Deglycerolized
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Frozen and Deglycerolized Red Blood Cells, 11 Jul 2016
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Coronary, Acute Syndrome
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Acute Coronary Syndrome (ACS) clinical practice guideline (CPG), 14 May 2021
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COVID-19
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Management of COVID-19 in Austere Operational Environments, 23 Apr 2021
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Dialysis, Hyperkalemia
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Hyperkalemia and Dialysis in the Deployed Setting, 25 Apr 2022
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Documentation
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Documentation Requirements for Combat Casualty Care, 18 Sep 2020
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DVT: Deep Venous Thrombosis, Inferior Vena Cava Filter
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The Prevention of Deep Venous Thrombosis - Inferior Vena Cava Filter, 02 Aug 2016
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Mechanical Ventilation
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Mechanical Ventilation Basics CPG, 27 Dec 2021
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Nutrition
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Nutritional Support Using Enteral and Parenteral Methods, 04 Aug 2016
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Ocular Evaluation after Laser Exposure
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Ocular Evaluation and Disposition after Suspected Laser Exposure, 14 Feb 2020
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Pain, Anxiety, Delirium
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Pain, Anxiety and Delirium, 26 Apr 2021
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VAP: Ventilator Associated Pneumonia
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Ventilator Associated Pneumonia (VAP), 07 May 2020
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Bites, Stings, Envenomation
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Global Spider and Scorpion Envenomation, 09 Feb 2021
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CBRN: Chemical, Biological, Radiological, Nuclear Injury
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Cold Injury
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Drowning Management
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Drowning Management, 27 Oct 2017
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Hypothermia
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Hypothermia Prevention, Monitoring, and Management, 18 Sep 2012
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Inhalation Injury, Toxic Industrial Chemical Exposure
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Inhalation Injury and Toxic Industrial Chemical Exposure, 25 Jul 2016
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Snake Envenomation
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Global Snake Envenomation Management, 30 Jun 2020
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Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing.
Last Modified Date: 07/14/2022