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Army Combat Trauma Care in 2035 Proceedings of a Workshop–in Brief (2020) / Chapter Skim
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Army Combat Trauma Care in 2035: Proceedings of a Workshop - in Brief
Pages 1-12

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From page 1...
... DAY 1. KEY ELEMENTS OF COMBAT TRAUMA CARE, RELATED SYSTEMS, AND FUTURE OPERATIONAL ENVIRONMENTS Overview of Tactical Combat Casualty Care, Including Point of Wounding.
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From page 2...
... After referring to findings and recommendations of the 2016 National Academies report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury,3 he declared that a fundamental gap, the "missing dead" is a trauma system blind spot. Eastridge highlighted the value of mortality analysis and its relationship to the pillars of a modern trauma system.
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From page 3...
... DAY 2, PART I MILITARY LEADERSHIP, PLANNING, AND TRAINING Role of Military Line Leadership and Ensuring Excellence in Combat Casualty Care.
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From page 4...
... Integration with Line Tactical Training, Synthetic Training Environment, and Medical Simulation. Dan Irizarry, Global Special Operations Forces Foundation, presented on a path to improved combat trauma care through medical training and simulation.
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From page 5...
... Michael Davis, Army Medical Research and Development Command, focused his presentation on the combat casualty care research program (CCCRP) and its portfolios of battlefield resuscitation, prolonged field care, neurotrauma, and en-route care.
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From page 6...
... Medical Modeling and Simulation Of- Combat Casualty Care Research Program, presentation to the workshop. fice, described in his presentation three medically relevant types of simulations: live (real people, real systems)
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From page 7...
... Practical Application of Military Human Performance Program. Karen Daigle, Army Special Operations Command, stated in her presentation on the military HP program that because the human weapon system is so critical, HP will remain highly relevant in future battles and proper optimization can decrease chances of combat trauma.
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From page 8...
... Using examples of volumetric muscle loss and composite-tissue injuries, he presented opportunities for bioengineering, including a light but rugged battlefield exo-skeleton. He stated that future conflicts will likely result in prolonged field care of injured soldiers and tissue bioengineering technologies can play an active role within such care.
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From page 9...
... Areas for improvement, such as protecting grafts from fibrotic infiltration and scaling up enough cells to match human volumes, were also discussed. She listed the following time-phased opportunities for improvement: near-immediate, which could realize tissue foundry lines for mass production of cells and tissue; 5 years, which could realize continued product development and validation of tissue-engineering products for use in battleremoved combat-zone settings; and 15 years, which could realize "off-the-shelf" transportable tissues that aid in healing traumatic tissue damage.
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From page 10...
... Kotwal believed that line organizations do not consistently consider combat trauma care and combat medical care (CTC-CMC) employment as part of their direct responsibilities and ownership.
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From page 11...
... Kotwal also stated the need for some type of equivalent blood replacement that is preferably shelf-stable, that can be used in a pre-hospital setting, such as by a non-medical first responder. Margaret Moore, Louisiana State University, discussed resources required for training, standardization, and validation of teams providing CTC-CMC using military and civilian partnerships, both to generate the volume of relevant clinical experience, as well as the synthetic training environments needed to prepare for future operational scenarios.
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From page 12...
... PLANNING COMMITTEE: James Bagian (NAE) , University of Michigan; Joan Bienvenue, University of Virginia; Howard Champion, SimQuest; George Christ, University of Virginia; Carolina Cruz-Neira, University of Arkansas, Little Rock; Russ Kotwal, Joint Trauma System, Defense Health Agency; Margaret Moore, Louisiana State University Health Science Center RAPPORTEUR: Norman Haller STAFF: William Millonig, Acting Director; Sarah Juckett, Program Officer; Steven Darbes, Program Officer; Aanika Senn; Program Coordinator, Cameron Malcom; Senior Program Assistant SPONSORS: This workshop was supported by the Department of the Army.
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Key Terms

  • casualty care
  • combat trauma
  • combat casualty
  • golden hour
  • special operations

  • human performance
  • field care
  • national trauma
  • combat casualties
  • synthetic training

  • future conflicts
  • training environment
  • prolonged field
  • clinical studies
  • uniformed services

  • preventable deaths
  • services university
  • army medical
  • military medical
  • army combat

  • medical readiness
  • tactical combat
  • combat injuries
  • future operational
  • defense health

  • integrating military
  • training environments
  • big data
  • line leadership
  • health agency


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