May 2016 Feature Article
Tactical Combat Casualty Care: Transitioning Battlefield Lessons Learned to other Austere Environments
Introduction: Introduction: After thirteen years of continuous combat operations the U.S. Military has made a number of major advances in casualty care. The U.S. and other coalition nations, e.g., United Kingdom, Canada, Australia, and many others, have developed a superb combat trauma system and achieved unprecedented casualty survival rates starting with effective medical care at the point of injury. (Butler F et. al. J Trauma Acute Care Surg 2015) Many of these casualty resuscitation advances have transitioned into some U.S. trauma centers with similar decreased mortality outcomes. However, there is a call to accelerate military-to-civilian translation of these advances in prehospital trauma care information, training and equipment to medical providers in other austere environments. (Butler F et. al. J Trauma Acute Care Surg 2015; Jacobs L et. al. Bull Am Coll Surg 2015; King D et. al. J Trauma Acute Care Surg 2015) These environments include, for example, wilderness and mountain medicine, ski patrol, search & rescue, tactical law enforcement and EMS response to terrorist-related mass-casualty incidents. Read More...
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North American Rescue
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President, Humanitarian Resource Institute
(UN:NGO:DESA) and H-II OPSEC: Defense Support:
Humanitarian and Security Operations
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Frank K. Butler, MD
Chairman, Committee on Tactical
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"The past 30 years has brought an amazing professionalization of the specialty of Tactical Emergency Medical Support (TEMS). As new standards are set and the world faces increasingly complex security challenges, it is critical that the front line medical providers supporting military, intelligence, and law enforcement operations have a mechanism to expand their knowledge and share best practices. The Journal of Special Operations Medicine offers civilian readers access to the most cutting edge developments in the field including updates on Tactical Emergency Casualty Care (TECC), the National TEMS Imitative and Council (NTIC), and combat lessons learned. JSOM is the one-stop shop for best practice and future advancements in civilian TEMS. One of the unifying principles across humanitarian, expedition and disaster response medical operations is the ability to make complex decisions in uncertain environments. The Journal of Special Operations Medicine is one of the most unique platforms for experts to convey lessons learned and relevant scientific advances across specialties that historically have little interaction. Whether you work for Doctors Without Borders, a DMAT, or provide medical support for expeditions in austere environments, Journal of Special Operations Medicine is your journal."
David W. Callaway, MD
Director, Division of Operational and Disaster Medicine
Operational Medical Director, Carolinas MED-1
Co-Chairman, The Committee for Tactical Emergency Casualty Care (C-TECC)
Civilian Vice President, Special Operations Medical Association (SOMA)
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