Prolonged Field Care Podcast 23: JTS Clinical Practice Guidelines For The SOF Medic

What is the process that the CPGs go through before publication?

Medics identify what guidelines are needed.

A team consisting of a medic, unit surgeon and specialist in the field begin a draft.

Additional authors, specialists and SMEs are added as identified

Progress is monitored by the Prolonged Field Care Working Group Steering Committee and advisors from the Joint Trauma System. Final draft sent out to interested parties, other specialists and PFC working group members for review

Published in the Journal of Special Operations Medicine(JSOM) with proprietary format

Formatted for public release via the JTS website

Presented as a Thursday morning JTS CME Conference Talk.

Posted on prolongedfieldcare.org

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Why not just update the Tactical Medical Emergency Protocols? We wanted peer reviewed guidelines that could be updated individually as needed. Independent medical providers can now see what studies were referenced per recommendation. We have partnered with USSOCOM and advised several changes and additions to the TMEPs. The CPGs will help guide the CEB as they update future additions of the TMEPS as a reference. What are the origins of the CPGs? Sharing lessons learned and best practices accross the theaters of war Why are there CPGs specific to Prolonged Field Care and Critical Care Evacuation Teams(CCAT) in addition to the main JTS CPGs? There are large enough differences in levels of training, equipment and medications available and general logistics involved that make providing an identical care in all environments impossible. The CPGs take into consideration the unique challenges of the operational environment so the the provider is presented with several best options for the unique issues presented with each etiology and environment. What CPGs are in the works and when can we expect to see them published?