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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: DHA.JBSA.j-3.List.JTS-PIPS@mail.mil.

Corresponding training presentations to JTS CPGs can be on the CPG Training Presentations page.

Role 2, Role 3, En Route
Acoustic Injury Blast	Aural Blast Injury/Acoustic Trauma and Hearing Loss, 27 Jul 2018
Airway Management, Traumatic Injuries	Airway Management of Traumatic Injuries, 17 Jul 2017
Amputation	Amputation: Evaluation and Treatment, 01 Jul 2016
Anesthesia	Anesthesia for Trauma Patients, 23 Jun 2016
Behavioral Health Resources	Behavioral Health CPG under development Behavioral Health Resources (CAC access only) Search for "Joint Trauma System" to find the Behavior Health folder.
Bites, Stings, Envenomation	Bites, Stings and Envenomation, 30 Mar 2018
Blast Injury, Dismounted Complex Blast	High Bilateral Amputations and Dismounted Complex Blast Injury, 01 Aug 2016
Blood, Frozen Deglycerolized	Frozen and Deglycerolized Red Blood Cells, 11 Jul 2016
Blood, Whole Blood Transfusion	Prehospital Blood Transfusion, 30 Oct 2020 Whole Blood Transfusion, 15 May 2018
Brain Injury, Catastrophic, Non-Survivable	Catastrophic Non-Survivable Brain Injury, 27 Feb 2017
Brain Injury-Trauma, Severe	Neurosurgery and Severe Head Injury, 02 Mar 2017
Burns	Burn Care, 11 May 2016
CBRN: Chemical, Biological, Radiological, Nuclear Injury	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 Jan 2019
Compartment Syndrome-Extremity Fasciotomy	Acute Extremity Compartment Syndrome (CS) and the Role of Fasciotomy in Extremity War Wounds, 25 Jul 2016
CPG Development Process	CPG Development Process, 01 Dec 2017
Cranial Procedures by Non-Neurosurgeons	Emergency Life-Saving Cranial Procedures by Non-Neurosurgeons in Deployed Setting, 23 Apr 2018
DCR: Damage Control Resuscitation	Damage Control Resuscitation, 12 Jul 2019
Dialysis, Hyperkalemia	Hyperkalemia and Dialysis in the Deployed Setting, 24 Jan 2017
Documentation	Documentation Requirements for Combat Casualty Care, 18 Sep 2020
Drowning Management	Drowning Management, 27 Oct 2017
DVT: Deep Venous Thrombosis, Inferior Vena Cava Filter	The Prevention of Deep Venous Thrombosis - Inferior Vena Cava Filter, 02 Aug 2016
Flight Paramedic	Standard Medical Operating Guidelines (SMOG) for Critical Care Flight Paramedics, 2020 Edition Naval Aviation Medical Treatment Protocols, Apr 2019
Fracture, Pelvic	Pelvic Fracture Care, 15 Mar 2017
Fractures, Extremity	Orthopaedic Trauma: Extremity Fractures, 26 Feb 2020
Frostbite Immersion Foot Care	Frostbite and Immersion Foot Care, 26 Jan 2017
GU: Genitourinary Injury	Genitourinary (GU) Injury Trauma Management, 06 Mar 2019
Hyperkalemia Dialysis	Hyperkalemia and Dialysis in the Deployed Setting, 24 Jan 2017
Hypothermia	Hypothermia Prevention, Monitoring, and Management, 18 Sep 2012
Imaging Trauma Patients	Radiology: Imaging Trauma Patients in a Deployed Setting, 13 May 2017
Infection Prevention, Control	Infection Prevention in Combat-Related Injuries, 27 Jan 2021
Inhalation Injury, Toxic Industrial Chemical Exposure	Inhalation Injury and Toxic Industrial Chemical Exposure, 25 Jul 2016
Nutrition	Nutritional Support Using Enteral and Parenteral Methods, 04 Aug 2016
Ocular Evaluation after Laser Exposure	Ocular Evaluation and Disposition after Suspected Laser Exposure, 14 Feb 2020
Ocular Trauma	Eye Trauma: Initial Care, 10 Aug 2020
Pain, Anxiety, Delirium	Pain, Anxiety and Delirium, 13 Mar 2017
REBOA: Resuscitative Endovascular Balloon Occlusion in the Aorta	Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Hemorrhagic Shock, 31 Mar 2020
Respiratory Failure	Acute Respiratory Failure, 23 Jan 2017
Snake Envenomation	Global Snake Envenomation Management, 30 Jun 2020
Spine Injury	Cervical and Thoracolumbar Spine Injury Evaluation, Transport and Surgery in the Deployed Setting, 19 Jun 2020
Splenectomy, Vaccination	Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination, 13 May 2020
Surgery, General Emergency	Emergency General Surgery in Deployed Locations, 01 Aug 2018
Surgical Care, Austere	Austere Resuscitative Surgical Care, 30 Oct 2019
TCCC: Tactical Combat Casualty Care Guidelines	Tactical Combat Casualty Care guidelines, 05 Nov 2020
Thoracic Injury	Wartime Thoracic Injury, 26 Dec 2018
Thoracotomy, Emergent Resuscitative	Emergent Resuscitative Thoracotomy (ERT), 18 Jul 2018
Transport, Patients	Interfacility Transport of Patients Between Theater Medical Treatment Facilities, 24 Apr 2018
UXO: Unexploded Ordnance	Unexploded Ordnance (UXO) Management, 14 Mar 2017
VAP: Ventilator Associated Pneumonia	Ventilator Associated Pneumonia (VAP), 07 May 2020
Vascular Injury	Vascular Injury, 12 Aug 2016
Wound, Fungal Infection, Invasive	Invasive Fungal Infection in War Wounds, 04 Aug 2016
Wounds: War Wounds, Debridement, Irrigation	Initial Management of War Wounds: Wound Debridement and Irrigation, 24 Apr 2012
Prolonged Field Care (PFC)
Airway Management, PFC	Airway Management in Prolonged Field Care, 01 May 2020
Brain Injury Traumatic, PFC	Traumatic Brain Injury Management in Prolonged Field Care, 06 Dec 2017
Burns, PFC	Burn Wound Management in Prolonged Field Care, 13 Jan 2017
Crush Syndrome, PFC	Crush Syndrome - Prolonged Field Care, 28 Dec 2016
Damage Control Resuscitation, PFC	Damage Control Resuscitation (DCR) in Prolonged Field Care, 01 Oct 2018
Documentation, PFC	Documentation in Prolonged Field Care, 13 Nov 2018
Infection Control, PFC	Sepsis Management in Prolonged Field Care, 28 Oct 2020
Nursing Care, PFC	Nursing Intervention in Prolonged Field Care, 22 Jul 2018
Ocular Injuries, PFC	Ocular Injuries and Vision-Threatening Conditions in Prolonged Field Care, 01 Dec 2017
Pain: Analgesia, Sedation, PFC	Analgesia and Sedation Management During Prolonged Field Care, 11 May 2017
Wound Management, PFC	Acute Traumatic Wound Management in the Prolonged Field Care Setting, 24 Jul 2017
Critical Care Air Transport, CCATT
i-STAT_Blood_Analyzer, CCATT	The I-Stat Portable Blood Analyzer In Austere Locations, 29 Jan 2020
Mechanical Ventilation, CCATT	Mechanical Ventilation, 22 Oct 2013
Wounds, Negative Pressure Therapy, CCATT	Negative Pressure Wound Therapy, 11 Feb 2020
Pacing, Transvenous, CCATT	Transcutaneous & Temporary Transvenous Pacing, 30 Jan 2020
Military Working Dog (MWD)
Military Working Dog, Clinical Management	Clinical Practice Guidelines for Military Working Dogs, 12 Dec 2018
Military Working Dog, Transfusion	Transfusion for the Military Working Dog, 10 Dec 2019