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60. Irving GA, Noakes TD. The protective role of local hypother­ LTC Seery, MC, USA, is an attending surgeon and director
mia in tourniquet­induced ischaemia of muscle. J Bone Joint at the US Army Trauma Training Center at the Ryder Trauma
Surg Br. 1985:67:297–301. Center in Miami, Florida. He was previously the commander
61. Swanson AB, Livengood LC, Sattel AB. Local hypothermia to of the 541st (Airborne) Forward Surgical Team at Ft. Bragg,
prolong safe tourniquet time. Clin Orthop Relat Res. 1991;264: North Carolina.
200–208.
62. Stahl D, Souder N, Probe R, et al. The effects of hypothermia
and L­arginine on skeletal muscle function in ischemia­reperfu­ LTC (Ret) Parsons, SP, USA, is the Army master instructor
sion injury. J Orthop Trauma. 2012;26:579–584. for prehospital medical care with an extensive physician as­
63. Dayan L, Sinmann C, Stahl S, Norman D. Complications as­ sistant and medic experience in Special Operations Forces. He
sociated with prolonged tourniquet application on the battle­ is currently employed at the Medical Education and Training
field. Mil Med. 2008;173:63–66. Campus, Department of Combat Medic Training, at Fort Sam
64. Kotwal R, Butler F, Edgar E, et al. Saving lives on the battle­ Houston, Texas.
field: A Joint Trauma System review of pre­hospital trauma
care in Combined Joint Operating Area—Afghanistan (CJOA­ MSG Harold “Monty” Montgomery, USA, is a Ranger
A). J Spec Oper Med. 2013;13:77–85. Medic/SOCM. He was previously the Senior Medic for the
65. Kragh JF Jr, Burrows S, Wasner C, et al. Analysis of recovered 75th Ranger Regiment and is now the Senior Enlisted Medi­
tourniquets from casualties of Operation Enduring Freedom
and Operation New Dawn. Mil Med. 2013;178;7:806–810. cal Advisor for the US Special Operations Command, MacDill
66. Tien HC, Jung V, Rizoli SB, et al. An evaluation of Tactical Air Force Base, Florida. He has eight combat deployments:
Combat Casualty Care interventions in a combat environ­ one for Operation Desert Storm, one for Operation Uphold
ment. J Am Coll Surg. 2008;207:174–178. Democracy, three for Operation Enduring Freedom, and three
67. Skjeldal S, Grogaard B, Nordsletten L, et al. Protective effect for Operation Iraqi Freedom. He is a previous winner of the
of low­grade hypothermia in experimental skeletal muscle isch­ CoTCCC Award for Outstanding Contributions to TCCC.
emia. Eur Surg Res. 1992;24:197–203.
COL (Ret) Kotwal, MC, USA, is a family medicine and
aerospace medicine physician. He is a former Command Sur­
geon for the 75th Ranger Regiment and Deputy Command
Col Shackelford, MC, USAF, is an attending trauma surgeon Surgeon for the US Army Special Operations Command. He
and director of education at the Air Force Center for Sustain­ recently retired as the director of Trauma Care Delivery at the
ment of Trauma and Readiness Skills at the R. Adams Cowley Department of Defense Trauma Center of Excellence, Fort
Shock Trauma Center in Baltimore, Maryland. She is a previ­ Sam Houston,Texas.
ous deployed director of the Joint Theater Trauma System.
LTC Mabry, MC, USA, enlisted in the US Army in 1984.
CAPT (Ret) Butler, MC, USN, was a Navy SEAL platoon Before attending medical school, he served for 11 years as
commander before becoming a physician. He is an ophthal­ a US Army Ranger and Special Forces medical sergeant. He
mologist and a Navy Undersea Medical Officer with more is also a paramedic, a diving medical technician, high­angle
than 20 years’ experience providing medical support to Special rescue instructor, and flight surgeon. He served as the senior
Operations Forces. Dr. Butler has served as the Command Sur­ search and rescue medic for Task Force Ranger in Mogadishu,
geon for the US Special Operations Command. He is currently Somalia, and as a Special Forces battalion surgeon during
the chair of the Department of Defense’s Committee on TCCC Operation Enduring Freedom in Afghanistan. His military
and director of Prehospital Trauma Care at the Department of awards include the Silver Star, the Bronze Star, and the Purple
Defense Trauma Center of Excellence in Fort Sam Houston, Heart. He is a graduate of the US Army Emergency Medicine
Texas. residency and EMS fellowship in San Antonio, Texas, as well
as the Army Command and Staff College. He is currently the
COL (Ret.) Kragh, MC, USA, has researched hemorrhage director of the Military Emergency Medical Services Fellow­
control at the USAISR in San Antonio, Texas, since 2004. He ship, the largest EMS fellowship in the nation, and the direc­
is an orthopedic surgeon who previously served as 3rd Ranger tor of Trauma Care Delivery at the Department of Defense
Battalion Surgeon from 1990 to 1993. Dr. Kragh now studies Trauma Center of Excellence at Fort Sam Houston, Texas. He
tourniquets and golf. is the author of numerous articles and book chapters related
to battlefield medical care.
CAPT Stevens, MC, USN, is board certified in anesthesiol­
ogy, pain medicine, and critical care medicine. He is a staff Col Bailey, MC, USAF, is a trauma surgeon. He is currently
anesthesiologist and intensivist at the CAPT James A. Lowell the emeritus director of the Department of Defense Trauma
Federal Health Care Center and Professor of Medicine at the Center of Excellence at Fort Sam Houston, Texas. Dr. Bailey
Rosalind Franklin University of Medicine and Sciences, North was previously the director of the Air Force Center for Sustain­
Chicago, Illinois. He served as the Force Surgeon, Combined ment of Trauma and Readiness Skills in St. Louis, Missouri.
Joint Task Force—Horn of Africa from 2013 to 2014, and
previously served in Iraq and Afghanistan.

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