Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care
ABSTRACTIn Arctic or extreme cold environments of Alaska, trauma care is complicated by large expanses of geography and lack of forward-positioned resources. This paper presents four hypothetical vignettes highlighting austere cold medical priorities: (1) traumatic hypothermia management as part of...
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2023
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ftdoajarticles:oai:doaj.org/article:2369fd41915b4cf1b11a8d2a01bb20f2 2024-01-21T10:03:03+01:00 Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care Titus J. Rund 2023-12-01T00:00:00Z https://doi.org/10.1080/22423982.2023.2196047 https://doaj.org/article/2369fd41915b4cf1b11a8d2a01bb20f2 EN eng Taylor & Francis Group https://www.tandfonline.com/doi/10.1080/22423982.2023.2196047 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2023.2196047 2242-3982 https://doaj.org/article/2369fd41915b4cf1b11a8d2a01bb20f2 International Journal of Circumpolar Health, Vol 82, Iss 1 (2023) CASEVAC Ecosystem Tactical Combat Casualty Care (TCCC) Triad of death MARCH change to MhARCH Casualty Protection Unit (CPU) & Casualty Collection Point (CCP) Traumatic hypothermia Arctic medicine. Tropical medicine RC955-962 article 2023 ftdoajarticles https://doi.org/10.1080/22423982.2023.2196047 2023-12-24T01:42:47Z ABSTRACTIn Arctic or extreme cold environments of Alaska, trauma care is complicated by large expanses of geography and lack of forward-positioned resources. This paper presents four hypothetical vignettes highlighting austere cold medical priorities: (1) traumatic hypothermia management as part of Tactical Combat Casualty Care (TCCC) is clinically and tactically important and hypothermia needs to be reprioritized in the MARCH algorithm to MhARCH; (2) at present it is unknown which TCCC recommended medical equipment/supplies will function as designed in the extreme cold; (3) ensuring advanced resuscitative care measures are available serves as a temporal bridge until casualties can receive damage control resuscitation (DCR); and (4) current systems for managing traumatic hypothermia in TCCC and casualty evacuation (CASEVAC) are insufficient. In conclusion, numerous assessments recognise the DoD’s current solutions for employing medical forces in Arctic operations are not optimally postured to save lives. There should be a joint standard for fielding an arctic supplement to current medical equipment sets. A new way of thinking in terms of an “ecosystem” approach of immediate casualty protection and movement in CASEVAC doctrine is needed to optimise these “Golden Minutes.” Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Alaska Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 82 1 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
CASEVAC Ecosystem Tactical Combat Casualty Care (TCCC) Triad of death MARCH change to MhARCH Casualty Protection Unit (CPU) & Casualty Collection Point (CCP) Traumatic hypothermia Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
CASEVAC Ecosystem Tactical Combat Casualty Care (TCCC) Triad of death MARCH change to MhARCH Casualty Protection Unit (CPU) & Casualty Collection Point (CCP) Traumatic hypothermia Arctic medicine. Tropical medicine RC955-962 Titus J. Rund Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care |
topic_facet |
CASEVAC Ecosystem Tactical Combat Casualty Care (TCCC) Triad of death MARCH change to MhARCH Casualty Protection Unit (CPU) & Casualty Collection Point (CCP) Traumatic hypothermia Arctic medicine. Tropical medicine RC955-962 |
description |
ABSTRACTIn Arctic or extreme cold environments of Alaska, trauma care is complicated by large expanses of geography and lack of forward-positioned resources. This paper presents four hypothetical vignettes highlighting austere cold medical priorities: (1) traumatic hypothermia management as part of Tactical Combat Casualty Care (TCCC) is clinically and tactically important and hypothermia needs to be reprioritized in the MARCH algorithm to MhARCH; (2) at present it is unknown which TCCC recommended medical equipment/supplies will function as designed in the extreme cold; (3) ensuring advanced resuscitative care measures are available serves as a temporal bridge until casualties can receive damage control resuscitation (DCR); and (4) current systems for managing traumatic hypothermia in TCCC and casualty evacuation (CASEVAC) are insufficient. In conclusion, numerous assessments recognise the DoD’s current solutions for employing medical forces in Arctic operations are not optimally postured to save lives. There should be a joint standard for fielding an arctic supplement to current medical equipment sets. A new way of thinking in terms of an “ecosystem” approach of immediate casualty protection and movement in CASEVAC doctrine is needed to optimise these “Golden Minutes.” |
format |
Article in Journal/Newspaper |
author |
Titus J. Rund |
author_facet |
Titus J. Rund |
author_sort |
Titus J. Rund |
title |
Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care |
title_short |
Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care |
title_full |
Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care |
title_fullStr |
Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care |
title_full_unstemmed |
Casualty evacuation in arctic and extreme cold environments: A paradigm shift for traumatic hypothermia management in tactical combat casualty care |
title_sort |
casualty evacuation in arctic and extreme cold environments: a paradigm shift for traumatic hypothermia management in tactical combat casualty care |
publisher |
Taylor & Francis Group |
publishDate |
2023 |
url |
https://doi.org/10.1080/22423982.2023.2196047 https://doaj.org/article/2369fd41915b4cf1b11a8d2a01bb20f2 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
op_source |
International Journal of Circumpolar Health, Vol 82, Iss 1 (2023) |
op_relation |
https://www.tandfonline.com/doi/10.1080/22423982.2023.2196047 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2023.2196047 2242-3982 https://doaj.org/article/2369fd41915b4cf1b11a8d2a01bb20f2 |
op_doi |
https://doi.org/10.1080/22423982.2023.2196047 |
container_title |
International Journal of Circumpolar Health |
container_volume |
82 |
container_issue |
1 |
_version_ |
1788693313703903232 |