2018 Joint Trauma System Jts Clinical Practice Guidelines Cpgs Dod Trauma Registry Data Dictionary For Military And Civilian Health Care Practitioners
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2018 Joint Trauma System Jts Clinical Practice Guidelines Cpgs Dod Trauma Registry Data Dictionary For Military And Civilian Health Care Practitioners
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Author :
language : en
Publisher: Jeffrey Frank Jones
Release Date : 2018-10-09
2018 Joint Trauma System Jts Clinical Practice Guidelines Cpgs Dod Trauma Registry Data Dictionary For Military And Civilian Health Care Practitioners written by and has been published by Jeffrey Frank Jones this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-10-09 with Medical categories.
Almost 1,000 total pages; see index at beginning of publications for a complete list of included CPGs. Each CPG includes a section on the following: 1. GOAL 2. BACKGROUND 3. EVALUATION 4. TREATMENT 5. PERFORMANCE IMPROVEMENT (PI) MONITORING 6. SYSTEM REPORTING & FREQUENCY 7. RESPONSIBILITIES & 8. REFERENCES. OVERVIEW 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 U.S. Central Command. However, collaborative efforts are ongoing with the other Combatant Commands to customize CPGs to their COCOMs. INTRODUCTION TO THE JOINT TRAUMA SYSTEM (JTS) The Joint Trauma System (JTS) is the Department of Defense (DoD) authority for the military’s trauma care system. The vision of the Joint Trauma System is that every Soldier, Sailor, Marine and Airman injured on the battlefield will have the optimum chance for survival and maximum potential for functional recovery. To achieve this vision, in 2006, the JTS implemented programs for data -driven trauma system development and improvement in addition to the collection of trauma data. As part of its data collection efforts, the JTS maintains a registry of trauma patients who received care at medical treatment facilities (MTFs). Since 2007, this registry – known as the DoD Trauma Registry (DoDTR) – has documented demographic, injury, treatment, and outcomes data for all trauma patients admitted to any DoD MTF, regardless of whether the injury occurred during on-going military operations, and is the largest military trauma data source in the world. Development of the DoDTR began during the early years of the Global War on Terror (GWoT) when the need to systematically improve trauma care for combat wounded resulted in the impromptu creation of a demonstration registry, known then as the Combat Trauma Registry (CTR). The CTR was constructed by the Center for AMEDD Strategic Studies (CASS); trauma-related information was initially abstracted into it from paper medical records received from trauma nurse coordinators (TNCs) at Landstuhl Regional Medical Center (LRMC) in Germany. Shortly after the demonstration program started, the Army Surgeon General approved its transition to an operational mode, leading to the formation of the Joint Theater Trauma System (JTTS) and, eventually, the Joint Trauma System (JTS).
Joint Trauma System Jts Clinical Practice Guidelines
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Author :
language : en
Publisher: Jeffrey Frank Jones
Release Date :
Joint Trauma System Jts Clinical Practice Guidelines written by and has been published by Jeffrey Frank Jones this book supported file pdf, txt, epub, kindle and other format this book has been release on with categories.
Over 700 total pages ... The JTS Clinical Practice Guidelines (CPGs) are to the greatest extent possible evidence-based. The guidelines are developed using a rigorous process that involves subject matter experts in each field evaluating the best available data. If you are interested in learning more about the process of developing CPGs, please click this link: CPG Development 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. COMPLETE LIST OF CURRENT JTS CPGs JTS CPG Documentation Process - 01 December 2017 Acute Extremity Compartment Syndrome - Fasciotomy - 25 July 2016 Acute Respiratory Failure - 23 January 2017 Airway Management of Traumatic Injuries - 17 July 2017 Amputation - 1 July 2016 Anesthesia - 23 Jun 2016.pdf Aural Blast Injury/Acoustic Trauma and Hearing Loss - 12 Aug 2016 Battle/Non-Battle Injury Documentation Resuscitation Record - 5 Dec 13 Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination - 12 August 2016 Burn Care - 11 May 2016 Catastrophic Non-Survivable Brain Injury 27 Jan 2017 Cervical & Thoracolumbar Spine Injury Evaluation, Transport, and Surgery in Deployed Setting - 05 August 2016 Clinical Mgmt of Military Working Dogs Combined - 19 Mar 2012 Clinical Mgmt of Military Working Dogs Zip - 19 Mar 2012.zip Damage Control Resuscitation - 03 Feb 2017 DCoE Concussion Management Algorithm Cards.pdf DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting Drowning Management - 27 October 2017 Emergent Resuscitative Thoracotomy - 11 June 2012 Fresh Whole Blood Transfusion - 24 Oct 12 Frostbite and Immersion Foot Care - 26 Jan 2017 Frozen Blood - 11 July 2016 High Bilateral Amputations and Dismounted Complex Blast Injury - 01 August 2016 Hyperkalemia and Dialysis in the Deployed Setting - 24 January 2017 Hypothermia Prevention - 20 Sept 2012 Infection Prevention in Combat-Related Injuries - 08 August 2016 Inhalation Injury and Toxic Industrial Chemical Exposure - 25 July 2016 Initial Care of Ocular and Adnexal Injuries - 24 Nov 2014 Intratheater Transfer and Transport - 19 Nov 2008 Invasive Fungal Infection in War Wounds - 04 August 2016 Management of Pain Anxiety and Delirium 13 March 2017 Management of War Wounds - 25 April 2012 Neurosurgery and Severe Head Injury - 02 March 2017 Nutritional Support Using Enteral and Parenteral Methods - 04 August 2016 Orthopaedic Trauma: Extremity Fractures - 15 July 2016 Pelvic Fracture Care - 15 March 2017 Prehospital Care - 24 Nov 2014 Prevention of Deep Venous Thrombosis - Inferior Vena Cava Filter - 02 August 2016 Radiology - 13 March 2017 REBOA for Hemorrhagic Shock - 06 July 2017 Unexploded Ordnance Management - 14 Mar 2017 Urologic Trauma Management - 1 Nov 2017 Use of Electronic Documentation - 5 Jun 2012 Use of MRI in Mgmt of mTBI in the Deployed Setting - 11 June 2012 Vascular Injury - 12 August 2016 Ventilator Associated Pneumonia - 17 Jul 2012
A National Trauma Care System
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2016-09-12
A National Trauma Care System written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-09-12 with Medical categories.
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
Impact Of Joint Theater Trauma System Initiatives On Battlefield Injury Outcomes
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Author :
language : en
Publisher:
Release Date : 2009
Impact Of Joint Theater Trauma System Initiatives On Battlefield Injury Outcomes written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with categories.
The US military forces developed and implemented the Joint Theater Trauma System (JTTS) and Joint Theater Trauma Registry (JTTR) using US civilian trauma system models with the intent of improving outcomes after battlefield injury. The purpose of this analysis was to elaborate the impact of the JTTS. To quantify these achievements, the JTTR captured mechanism, acute physiology, diagnostic, therapeutic, and outcome data on 23,250 injured patients admitted to deployed US military treatment facilities from July 2003 through July 2008 for analysis. Comparative analysis to civilian trauma systems was done using the National Trauma Data Bank (NTDB). In contrast to civilian trauma systems with an 11.1% rate of penetrating injury, 68.3% of battlefield wounds were by penetrating mechanism. In the analyzed cohort, 23.3% of all patients had an Injury Severe Score (ISS) 16, which is similar to the civilian rate of 22.4%. In the military injury population, 66% of injuries were combat-related. In addition, in the military injury group, 21.8% had metabolic evidence of shock with a base deficit 5, 29.8% of patients required blood transfusion, and 6.4% of the total population of combat casualties required massive transfusion (10 U red blood cells/24 hours). With this complex and severely injured population of battlefield injuries, the JTTS elements were used to recognize and remedy more than 60 trauma system issues requiring leadership and advocacy, education, research, and alterations in clinical care. Of particular importance to the trauma system was the implementation and tracking of performance improvement indicators and the dissemination of 27 evidence-based clinical practice guidelines (CPGs). In particular, the damage control resuscitation guideline was associated with a decrease in mortality in the massively transfused from 32% pre-CPG to 21% post-CPG. As evidence of the effectiveness of the JTTS, a mortality rate 5.2% after battlefield hospital admission is comparable.
The Joint Trauma System
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Author : Zsolt T. Stockinger
language : en
Publisher:
Release Date : 2018
The Joint Trauma System written by Zsolt T. Stockinger and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
Joint Theater Trauma System Clinical Practice Guidelines Practical Emergency Information For Critical Trauma Care Including Burns Compartment Syndrome And Wounds
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Author : Medical Research and Materiel Command
language : en
Publisher:
Release Date : 2018-01-14
Joint Theater Trauma System Clinical Practice Guidelines Practical Emergency Information For Critical Trauma Care Including Burns Compartment Syndrome And Wounds written by Medical Research and Materiel Command and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-01-14 with categories.
An essential compilation of official Army military medical guidelines on over three dozen vital trauma care topics, this book serves as a valuable companion to the famed Emergency War Surgery textbook. Contents include: Acoustic Trauma and Hearing Loss * Amputation * Blunt Abdominal Trauma * Burn Care * Canine Resuscitation * Management of Patients with Catastrophic, Non-Survivable Head Injury * Cervical and Thoracolumbar Spine Injury * Cervical Spine Evaluation * Clinical Management of Military Working Dogs * Compartment Syndrome and Fasciotomy * Damage Control Resuscitation * Emergent Resuscitative Thoracotomy * Fresh Whole Blood Transfusion * Frozen Blood * High Bilateral Amputation * Hypothermia Prevention * Infection Control * Inhalation Injury and Toxic Industrial Chemicals * Initial Care of Ocular and Adnexal Injuries * Intratheater Transfer and Transport * Management of Pain Anxiety and Delirium * Management of War Wounds * Management of Patients with Severe Head Injury * Neurosurgical Management * Nutrition * Pelvic Fracture Care * Post Splenectomy Vaccination * Prevention of Deep Venous Thrombosis * Trauma Airway Management * Unexploded Ordnance Management * Urologic Trauma Management * Use of Electronic Documentation * Use of MRI in Management of mTBI in the Deployed Setting * Use of Trauma Flow Sheets * Vascular Injury * Ventilator Associated PneumoniaThis is a privately authored news service and educational publication of Progressive Management. Our publications synthesize official government information with original material - they are not produced by the federal government. They are designed to provide a convenient user-friendly reference work to uniformly present authoritative knowledge that can be rapidly read, reviewed or searched. Vast archives of important data that might otherwise remain inaccessible are available for instant review no matter where you are. This ebook format makes a great reference work and educational tool. There is no other reference book that is as convenient, comprehensive, thoroughly researched, and portable - everything you need to know, from renowned experts you trust. For over a quarter of a century, our news, educational, technical, scientific, and medical publications have made unique and valuable references accessible to all people. Our ebooks put knowledge at your fingertips, and an expert in your pocket!
Va Dod Clinical Practice Guideline Management Of Posttraumatic Stress Disorder And Acute Stress Disorder Guideline Summary
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Author : Veterans Health Administration Chief Bus
language : en
Publisher: Government Printing Office
Release Date : 2017-05
Va Dod Clinical Practice Guideline Management Of Posttraumatic Stress Disorder And Acute Stress Disorder Guideline Summary written by Veterans Health Administration Chief Bus and has been published by Government Printing Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-05 with Family & Relationships categories.
This updated guidance covers treatment for both PTSD (Post-Traumatic Stress Disorder) and Acute Stress Disorder (ASD) from the clinical perspective. This clinical practice guideline is objective, evidence-based information on the management of PTSD and related conditions. It is intended to provide healthcare providers with assistance in all aspects of patient care, including but not limited to diagnosis, treatment, and follow-up. Within this guideline, it defines traumatic events and stress disorders as defined in the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition, that will appeal to military combat situations found in war zones or events of serious injury or threatened death and acute stress disorder often involves symptoms that last at least three days but less than one month after exposure to traumatic event for an individual to be eligible for the diagnosis. Related products: Other products produced by the United States Department of Veterans Affairs can be found here: https://bookstore.gpo.gov/agency/department-veterans-affairs-va Code of Federal Regulations, Title 38, Pensions, Bonuses, and Veterans' Relief, Pt. 0-17, Revised as of July 1, 2017 is available here: https://bookstore.gpo.gov/products/cfr-t38-pt0-17-code-federal-regulationspaper-2017 Code of Federal Regulations, Title 38, Pensions, Bonuses, and Veterans' Relief, Pt. 18-End, Revised as of July 1, 2017 is available here: https://bookstore.gpo.gov/products/cfr-t38-pt18-end-code-federal-regulationspaper-2017 US Army Psychiatry in the Vietnam War: New Challenges in Extended Counterinsurgency Warfare can be found here: https://bookstore.gpo.gov/products/us-army-psychiatry-vietnam-war-new-challenges-extended-counterinsurgency-warfare --Reduced List Price while supplies last Journal of Research & Development (JRRD), V. 53, No. 01, 2016 single issue is available here: https://bookstore.gpo.gov/products/journal-rehabilitation-research-development-v-53-no-01-2016journal-rehabilitation-research Journal of Research & Development (JRRD), V. 52, No. 06, 2015 single issue is available here: https://bookstore.gpo.gov/products/journal-rehabilitation-research-development-v-52-no-06-2015 PTSD Research Quarterly, V 22, No.4, 2011 -single issue is available here: https://bookstore.gpo.gov/products/v22-42011-post-traumatic-stress-disorder-research-quarterly Forensic and Ethical Issues in Military Behavioral Health--Reduced List Price while supplies last can be found here-- https://bookstore.gpo.gov/products/forensic-and-ethical-issues-military-behavioral-health
Joint Threater Trauma System Saving Lives On The Battlefield
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Author :
language : en
Publisher:
Release Date : 2008
Joint Threater Trauma System Saving Lives On The Battlefield written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with categories.
The Joint Theater Trauma System (JTTS) in Iraq and Afghanistan was developed and implemented as ajoint effort amongst the Army, Navy, and Air Force to improve, advance, and coordinate how medical care is provided on the battlefield. This system has revolutionized battlefield medical care reducing fatalities and raising the quality of care to all-time high levels. It has achieved this by not only establishing a coordinated, organized approach to patient care but also by developing the Joint Theater Trauma Registry (JTTR). The JTTR is a tool used to collect data that is used to assess how well each part of the system is doing. The system analyzes combat data to determine new strategies for treatment, equipment, and training and focuses research to meet the goals and needs of today's battlefield. The JTTS is saving lives. This paper will show the JTTS has been successful in advancing combat casualty care, theater trauma management, and medical logistics and operational planning. Finally, this paper draws conclusions based on what is known about the JTTS and JTTR and recommends areas for further research, development, and analysis. The JTTS is helping to ensure that when decision makers or policymakers go forward, they are making decisions based on the best data available.