Frank K. Butler

TL;DR: To significantly impact the outcome of combat casualties with PS injury, strategies must be developed to mitigate hemorrhage and optimize airway management or reduce the time interval between the battlefield point of injury and surgical intervention.

TL;DR: A command-directed casualty response system that trains all personnel in Tactical Combat Casualty Care and receives continuous feedback from prehospital trauma registry data facilitated performance improvements that resulted in unprecedented reduction of killed-in-action deaths, casualties who died of wounds, and preventable combat death.

TL;DR: Among medically evacuated US military combat causalities in Afghanistan, blood product transfusion prehospital or within minutes of injury was associated with greater 24-hour and 30-day survival than delayed transfusion or no transfusion.

TL;DR: The development of an evidence-based guideline for external hemorrhage control in the prehospital setting is described and a clinical care guideline is proposed for adoption by EMS systems.

TL;DR: The Tactical Combat Casualty Care project begun by the Naval Special Warfare Command and continued by the U.S. Special Operations Command developed a set of tactically appropriate battlefield trauma care guidelines that were initially published in 1996 and transition of these guidelines into use throughout the Department of Defense has been ongoing since that time.