Summary of Changes

1. Incorporates Tactical Combat Casualty Care (TCCC) Guidelines for Hypothermia from 2021.
2. Expands prevention of trauma-induced hypothermia to include not only trauma patients in hemorrhagic shock, but also burns and cerebrospinal injuries.
3. Outlines characteristics of hypothermia prevention and treatment systems that can be utilized in addition to the more widely used system, the Hypothermia Prevention and Management Kit (HPMK) and the Heat Reflective Shell (HRS).
4. Provides option if unable to remove wet clothing to include the enclosure of the casualty with a vapor barrier over the wet clothing.
5. Recommends upgrading the HPMK to an insulated system as soon as possible as it is non-insulated and therefore only suitable for short term hypothermia prevention.
6. Provides specific target for warm resuscitation fluids/blood products to 38-42 degrees Celsius.
7. Adds Prolonged Casualty Care (PCC) guidelines to the CPG.
8. Expands Field Expedient ‘Tricks of the Trade’ in the CPG.