Existing CPGs will be revised at least every five years (routine updates), or sooner in response to clinical or operational needs.A rapid update may occur at any time if new research or technology emerges - or if operational considerations dictate a necessity to alter combat casualty care.

The JTS CPG Branch/DCoT will review each CPG to determine the need for significant revision.

- If an update is needed, the JTS CPG Branch/DCoT will initiate the update by inviting the current CPG’s lead author(s) to lead the revision process.
- If the lead author has separated from the military or declines, a new lead author will be identified, and the revision process will follow that of a new CPG.
- If no update is required as determined by the JTS CPG Branch/DCoT, the CPG is submitted to the JTS Chief for re-approval.

The JTS CPG Branch/DCoT will approve all proposals for rapid/routine updates, clinical enhancements, specific population, and operational considerations to an individual CPG. This approval will create an abbreviated review process for rapid update and will not affect the publication date of the CPG. The lead author, and the editorial working group at its discretion, will review these updates for inclusion into the CPG. These updated CPGs will be forwarded to the DCoT Chair(s) for approval before sending to the JTS Chief for final approval.

Upon approval, the CPGs will undergo PAO/OPSEC review prior to posting on the JTS CPG webpage and Deployed Medicine.