Abstract:
OBJECTIVES:Military personnel risk injury due to accidents, disasters, and military threats during Phase Zero "shaping" operations. Medical facilities must be poised to respond. METHODS:The U.S. Pacific Command (PACOM) Area of Responsibility (AOR) covers more than 50% of the earth's surface; relevant Clinical Practice Guidelines must include the maritime setting and extended evacuation periods. Military hospitals in the region are not connected by a defined Trauma System. There is variable adherence to trauma training requirements before assignment in this AOR. Demand for trauma care at any 1 location is low and trauma teams have little opportunity to maintain competency for high-risk/low-volume interventions. There is no documentation of total demand for trauma care in the AOR. Trauma care in PACOM is often deferred to civilian facilities. RESULTS:Core elements of a Joint Theater Trauma System (JTTS) as established during combat operations in U.S. Central Command are applicable during Phase Zero. A PACOM JTTS was established to address the region's readiness to respond to Phase Zero trauma as well as escalation of regional threats. Information technology coordination was a critical hurdle to overcome. CONCLUSION:PACOM lessons learned are applicable to other Geographic Combatant Commands developing a JTTS during Phase Zero operations.
journal_name
Mil Medjournal_title
Military medicineauthors
Walker JJ,Stockinger ZT,Chinn CGdoi
10.7205/MILMED-D-16-00167subject
Has Abstractpub_date
2017-03-01 00:00:00pages
41-46issue
S1eissn
0026-4075issn
1930-613Xjournal_volume
182pub_type
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journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
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pub_type: 杂志文章
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journal_title:Military medicine
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doi:
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pub_type: 杂志文章
doi:
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doi:
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journal_title:Military medicine
pub_type: 历史文章,杂志文章
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doi:
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