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Clinical Practice Guidelines (CPGs)

2021 CPGs in Review
CPGs Year in Review 2021 cover

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:

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

CPG Index file   |  Complete Zip of Current JTS CPGs
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
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 Global Spider and Scorpion Envenomation, 09 Feb 2021
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
Brain Injury, Catastrophic, Non-Survivable Catastrophic Non-Survivable Brain Injury, 27 Feb 2017
Brain Injury-Mild VA/DoD Clinical Practice Guideline for the Management and Rehabilitation of Post-Acute Mild Traumatic Brain Injury, Version 3.0, June 2021
Brain Injury-Trauma, Severe Neurosurgery and Severe Head Injury, 02 Mar 2017
Burns Burn Care, 11 May 2016
CBRN: Chemical, Biological, Radiological, Nuclear Injury
Compartment Syndrome-Extremity Fasciotomy Acute Extremity Compartment Syndrome (CS) and the Role of Fasciotomy in Extremity War Wounds, 25 Jul 2016
Coronary, Acute Syndrome Acute Coronary Syndrome (ACS) clinical practice guideline (CPG), 14 May 2021
COVID-19 Management of COVID-19 in Austere Operational Environments, 23 Apr 2021
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
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, 01 Jun 2021
Pain, Anxiety, Delirium Pain, Anxiety and Delirium, 26 Apr 2021
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

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Last Modified Date: 07/21/2021