Patient population: All patients treated by ARSC team

INTENT (EXPECTED OUTCOMES)

- ARSC teams will receive ARSC-specific, team-centric pre-deployment readiness training to include medical aspects and operational aspects of ARSC.
- Documentation is completed for all patients treated by ARSC teams (e.g., using the JTS Austere Trauma Resuscitation Record and an operative note) and submitted to the JTS or uploaded into the TMDS.
- Ultrasound of the chest and abdomen is performed and documented for patients with penetrating trauma to chest, abdomen, or pelvis or severe blunt trauma in order to rule out life threats.

PERFORMANCE ADHERENCE MEASURES

- All ARSC teams receive ARSC-specific training through a designated course or unit-specific training.
- Documentation is received by the next role of care and JTS for all patients treated by ARSC teams to include:
- Trauma Resuscitation Record
- Operative note if applicable
- Anesthesia Record if applicable
- An ultrasound of chest and abdomen is documented for all patients with penetrating trauma to chest, abdomen, or pelvis (gunshot wound or blast) or severe blunt trauma.
- Tourniquet times are documented (placement and removal times).
- All tourniquets are removed and bleeding controlled prior to transfer from a surgical capability.

DATA SOURCES

- Patient Record
- DoDTR

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, JTS Program Manager, 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.