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Clinical Practice Guidelines (CPGs)

Clinical Practice Guidelines (CPGs) are the backbone of the system-wide JTS Performance Improvement program. Health data abstracted from patient records and after action reports is analyzed and distilled into globally relevant CPGs to remove medical practice variations and prevent needless deaths. The CPGs compiled from DoDTR data and used by healthcare providers worldwide are largely responsible for the decreased Case Fatality Rate for the wars in Iraq and Afghanistan. Examples are better transfusion practices; reduced burn morbidity and mortality; near elimination of extremity compartment syndrome; better patient care documentation; and improved communication across the spectrum of care between geographically dispersed facilities.

CPGs are evidence-based and developed with experts in the military and civilian communities, deployed clinicians, Service trauma/surgical consultants, JTS leadership and formerly deployed Trauma Directors and Coordinators. JTS has a formalized process for developing, reviewing, updating, and approving CPGs. The guidelines are developed and implemented by clinical subject matter experts in response to needs identified in the military area of responsibility. CPGs were developed originally for US Central Command. However, collaborative efforts are ongoing with the other Combatant Commands to customize CPGs to their COCOMs. CPGs have found their way into the civilian medical communities and are freely available for download.

If you are interested in learning more about the process of developing CPGs, please review "CENTCOM JTTS CPG Process." This guide for CPG development will help lead you through the methods used to develop and monitor CPGs. The JTS remains committed to using the highest levels of analytical and statistical analysis in its CPG development process.

Send differing viewpoint(s) to: USArmy.Detrick.MEDCOM-USAMRMC.List.USAMRMC-Web-Support@mail.mil.

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

  1. Acute Extremity Compartment Syndrome-Fasciotomy Extremity War Wounds 25 Jul 2016
  2. Acute Respiratory Failure 23 Jan 2017
  3. Airway Management Traumatic Injuries 17 Jul 2017
  4. Amputation Evaluation Treatment 01 Jul 2016
  5. Anesthesia for Trauma Patients 23 Jun 2016
  6. Aural Blast Injury Acoustic Trauma 27 Jul 2018
  7. Battle Non-Battle Injury Documentation Resuscitation Record 05 Dec 13
  8. Bites Stings Envenomation 30 Mar 2018
  9. Blunt Abdominal Trauma Splenectomy PostSplenectomy Vaccination 12 Aug 2016
  10. Burn Care 11 May 2016
  11. CPG Development Process 01 Dec 2017
  12. Catastrophic Non-Survivable Brain Injury 27 Jan 2017
  13. Cervical Thoracolumbar Spine Injury Evaluation Transport Surgery Deployed Setting 05 Aug 2016
  14. Chemical Biological Radiological Nuclear (CBRN) Injury Part I Initial Response 01 May 2018
  15. DCoE Concussion Management Algorithm Cards
  16. Damage Control Resuscitation 03 Feb 2017
  17. Deep Venous Thrombosis Inferior Vena Filter 02 Aug 2016
  18. Drowning Management 27 Oct 2017
  19. Emergency Cranial Procedures by Non-Neurosurgeons Deployed Setting 23 Apr 2018
  20. Emergency General Surgery 01 Aug 2018
  21. Emergent Resuscitative Thoracotomy ERT 18 Jul 2018
  22. Frostbite Immersion Foot Care 26 Jan 2017
  23. Frozen Deglycerolized Red Blood Cells 11 Jul 2016
  24. High Bilateral Amputations Dismnted Cmplex Blast Injury 01 Aug 2016
  25. Hyperkalemia Dialysis Deployed Setting 24 Jan 2017
  26. Hypothermia Prevention Monitoring Management 20 Sep 2012
  27. Infection Prevention in Combat-Related Injuries 08 Aug 2016
  28. Inhalation Injury Toxic Industrial Chemical Exposure 25 Jul 2016
  29. Interfacility Transport of Patients Theater MTF 24 Apr 2018
  30. Invasive Fungal Infection in War Wounds 04 Aug 2016
  31. MRI Management mTBI Concussion Deployed Setting 05 Apr 2018
  32. Military Working Dog Clinical Practice Guidelines 13 Sept 2018
  33. Neurosurgery Severe Head Injury 02 Mar 2017
  34. Nutritional Support Using Enteral Parenteral Support 04 Aug 2016
  35. Ocular and Adnexal Injuries Initial Care by NonOphthalmologists Role 1 2 3 04 Nov 2014
  36. Orthopedic Trauma Extremity Fractures 15 Jul 2016
  37. Pain Anxiety Delirium 13 Mar 2017
  38. Pelvic Fracture Care 15 Mar 2017
  39. Prehospital Trauma Care Tactical Setting 24 Nov 2014
  40. REBOA for Hemorrhagic Shock 06 Jul 2017
  41. Radiology Imaging Trauma Patients Deployed Setting 13 Mar 2017
  42. Unexploded Ordnance UXO Management 14 Mar 2017
  43. Urologic Trauma Management 01 Nov 2017
  44. Use of Electronic Documentation CENTCOM AOR 5 Jun 12
  45. Vascular Injury 12 Aug 2016
  46. Ventilator Associated Pneumonia 17 Jul 12
  47. War Wounds Debridement Irrigation 25 Apr 12
  48. Whole Blood Transfusion 15 May 2018

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Last Modified Date: 05/03/2018