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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. Airway Management 17 Jul 2017
  2. Amputation Evaluation Treatment 01 Jul 2016
  3. Anesthesia for Trauma Patients 23 Jun 2016
  4. Aural Blast Injury Acoustic Trauma 27 Jul 2018
  5. Bites Stings Envenomation 30 Mar 2018
  6. Blunt Abdominal Splenectomy Post-Splenectomy Vaccination 12 Aug 2016
  7. Burn Care 11 May 2016
  8. CPG Development Process 01 Dec 2017
  9. Catastrophic Non-Survivable Brain Injury 27 Jan 2017
  10. Chemical Biological, Radiological Nuclear Injury Part1 Initial Response 01 May 2018
  11. Chemical Biological, Radiological Nuclear Injury Response Part 2 Medical Management 23 Jan 2019
  12. Cranial Procedures by Non-Neurosurgeons Deployed Setting 23 Apr 2018
  13. Damage Control Resuscitation 03 Feb 2017
  14. Dismounted Complex Blast Injury 01 Aug 2016
  15. Documentation CENTCOM AOR 5 Jun 2012
  16. Drowning Management 27 Oct 2017
  17. Emergency General Surgery 01 Aug 2018
  18. Emergent Resuscitative Thoracotomy ERT 18 Jul 2018
  19. Extremity Compartment Syndrome-Fasciotomy Extremity War Wounds 25 Jul 2016
  20. Frostbite Immersion Foot Care 26 Jan 2017 ID 59
  21. Frozen Deglycerolized Red-Blood Cells 11 Jul 2016
  22. Genitourinary (GU) Injury Trauma Management 06 Mar 2019
  23. Hyperkalemia Dialysis 24 Jan 2017
  24. Hypothermia Prevention Monitoring Management 20 Sep 2012
  25. Imaging Trauma Patients Deployed Setting 13 Mar 2017
  26. Infection Prevention 08 Aug 2016
  27. Inhalation Toxic Chem Exposure 25 Jul 2016
  28. Invasive Fungal Infection 04 Aug 2016
  29. MWD CPG 12 Dec 2018
  30. Nutrition Using Enteral Parenteral Methods 04 Aug 2016
  31. Ocular Injuries Initial Care by Non Ophthalmologists 04 Nov 2014
  32. Orthopaedic Trauma Extremity Fractures 15 Jul 2016
  33. Pain Anxiety Delirium 13 Mar 2017
  34. Pelvic Fracture Care 15 Mar 2017
  35. Prevent Deep Venous Thrombosis IVC Filter 02 Aug 2016
  36. REBOA Hemorrhagic Shock 06 Jul 2017
  37. Respiratory Failure 23 Jan 2017
  38. Spinal Injury 05 Aug 2016
  39. Thoracic Injury 26 Dec 2018
  40. Transport of Patients in Theater 24 Apr 2018
  41. Traumatic Brain Injury Severe Head Injury 02 Mar 2017
  42. Unexploded Ordnance (UXO) Management 14 Mar 2017
  43. Vascular Injury 12 Aug 2016
  44. Ventilator Associated Pneumonia 17 Jul 12
  45. Whole Blood Transfusion 15 May 2018
  46. Wounds Debridement Irrigation 25 Apr 12

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Last Modified Date: 03/15/2019