POPULATION OF INTEREST

All patients with wounds requiring debridement and irrigation within 1 day of injury.

INTENT (EXPECTED OUTCOMES)

- Combat wounds are treated with sharp surgical debridement, augmented by irrigation, at the first surgical role of care, or reason for delay documented.
- Combat wounds remain open after initial operation (excluding face and scalp wounds).

PERFORMANCE/ADHERENCE MEASURES

- Number and percentage of patients in population of interest who received sharp debridement of combat wounds at the first surgical role of care.
- Number and percentage of patients in the population of interest who have wounds left open at the initial operation (excluding face and scalp wounds).

DATA SOURCES

- Patient Record
- Department of Defense Trauma Registry

SYSTEM REPORTING & FREQUENCY

The above constitutes the minimum criteria for PI monitoring of this CPG. System reporting will be performed annually; additional PI monitoring and system reporting may be performed as needed.

The system review and data analysis will be performed by the JTS Chief and the JTS PI Branch.

RESPONSIBILITIES

It is the trauma team leader’s responsibility to ensure familiarity, appropriate compliance and PI monitoring at the local level with this CPG.