The Combat Medic Aid Bag: 2025. CoTCCC Top 10 Recommended Battlefield Trauma Care Research, Development, and Evaluation Priorities for 2015

J Spec Oper Med. 2015 Winter;15(4):7-19. doi: 10.55460/5G8Q-R379.

Abstract

While the list presented here is by no means a comprehensive list of all of the research areas of interest in battlefield trauma care, much less a list of research needs across the entire continuum of combat casualty care, it does provide the collective judgment of the CoTCCC about the highest priorities for RDT&E that relate to battlefield trauma care. Two additional observations should be made regarding that point: (1) As the landmark Eastridge et al. 2012 study convincingly documented, most combat fatalities occur in the prehospital phase of care, so research efforts that enable Combat medics, corpsmen, and PJs to care for their casualties more effectively will convey the highest probability of further reducing the case fatality rate and preventable deaths among US Combat casualties; and (2) inasmuch as the mission of the CoTCCC is to update the TCCC Guidelines as needed, this group has excellent visibility of the most important current research questions in battlefield trauma care.

MeSH terms

  • Analgesics / administration & dosage
  • Antifibrinolytic Agents / administration & dosage
  • Attitude of Health Personnel
  • Biomedical Research*
  • Blood Transfusion
  • Cooperative Behavior
  • Drug Approval / organization & administration
  • Electronic Health Records
  • Emergency Medical Technicians / education
  • Evidence-Based Medicine
  • First Aid / instrumentation
  • First Aid / methods*
  • First Aid / standards
  • Fluid Therapy
  • Freeze Drying
  • Hemorrhage / therapy*
  • Hemostatic Techniques*
  • Humans
  • Injections, Intramuscular / instrumentation
  • Ketamine / administration & dosage
  • Military Personnel*
  • Plasma
  • Practice Guidelines as Topic
  • Resuscitation
  • Tranexamic Acid / administration & dosage
  • Treatment Outcome
  • United States
  • United States Department of Defense
  • United States Food and Drug Administration
  • War-Related Injuries / therapy*

Substances

  • Analgesics
  • Antifibrinolytic Agents
  • Ketamine
  • Tranexamic Acid