U.S. ARMY INSTITUTE OF SURGICAL RESEARCH
"Optimizing Combat Casualty Care"

Tactical Combat Casualty Care (T3C)


RESEARCH FOCUS

Our research effort focuses on optimizing combat casualty care in the pre-hospital environment. We achieve this by research designed to improve emergency care and to fill existing medical gaps as defined by the military. The military defines pre-hospital as any environment from the point-of-injury for a wounded service member until they arrive at a fixed surgical facility capable of damage control medical repair. This can also include transportation of the injured to a surgical facility.


RESEARCH GOALS

To provide state of the art pre hospital casualty care to a force that is:

  • Required to be ready, rapidly deployable, and expeditionary such that it can project power worldwide on arrival (DoD Strategic Guidance, Jan 2013).
  • Required to operate in austere regions around the world where definitive medical care is limited, which may require lengthy evacuation distances.

CORE COMPETENCIES

  • Human Model of Hemorrhage
  • Human Research Studies

CURRENT RESEARCH EFFORTS

  • Development of user-friendly monitors with advanced technologies that support decisions about triage priorities and guiding life-saving interventions.
  • Evidence-based support for the Tactical Combat Casualty Care paradigm (tactical field care and evacuation)
  • Development of Remote Damage Control Resuscitation (RDCR) to prevent the damaging effects of severe hemorrhage

  • Contact the T3C Research Director, click here.


RECENT PUBLICATIONS

Carter III R, Hinojosa-Laborde C and Convertino VA (2014). Heart rate variability in patients being treated for Dengue viral infection: New insights from mathematical correction of heart rate. Front. Physiol. 5:46. doi: 10.3389/fphys.2014.00046.

Hinojosa-Laborde C, Shade RE, Muniz GW, Bauer C, Goei KA, Pidcoke HF, Chung KK, Cap AP, Convertino VA. Validation of lower body negative pressure as an experimental model of hemorrhage. J Appl Physiol. 2013 Dec 19.

Convertino VA, Ryan KL, Rickards CA, Glorsky SL, Idris AH, Yannopoulos D, Metzger A, Lurie KG. Optimizing the respiratory pump: Harnessing inspiratory resistance to treat systemic hypotension. Respir Care 2011; 56:846-857.

Convertino VA, Moulton SL, Grudic GZ, Rickards CA, Hinojosa-Laborde C, Gerhardt RT, Blackbourne LH, Ryan KL. Use of advanced machine-learning techniques for non-invasive monitoring of hemorrhage. J Trauma 2011; 71:S25-S32.

Convertino VA. Blood pressure measurement for accurate assessment of patient status in emergency medical settings. Aviat Space Environ Med 2012; 83:614-619.

Gerhardt RT, Berry JA, Blackbourne LH. Analysis of life-saving interventions performed by out-of-hospital combat medical personnel. J Trauma 2011; 71:S109-S113.

Gerhardt RT, Butler FK, Cestero RF, Dubick MA, Heiner J, Koller AR, Lairet JR, Manifold C, McCarthy J, Stewart R, Blackbourne LH, Convertino VA. The Remote Trauma Outcomes Research Network (RemTORN): Rationale and methodology for study of the impact of prolonged out-of-hospital intervals on trauma patient outcome. J Trauma 2013 (in press).