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36. Latif R, Chhabra N, Ziegler C, et al. Teaching the surgical CAPT (Ret) Butler, MC, USN, was a Navy SEAL platoon
airway using fresh cadavers and confirming placement non- commander before becoming a physician. He is an ophthal-
surgically. J Clin Anesth. 2010;22:598–602. mologist and a Navy Undersea Medical Officer with over 20
37. Paladino L, DuCanto J, Manoach S. Development of a years’ experience providing medical support to Special Opera-
rapid, safe, fiber-optic guided, single-incision cricothyroid- tions Forces. Dr Butler served as the command surgeon for the
otomy using a large ovine model: a pilot study. Resuscitation. US Special Operations Command. He is currently the chair-
2009;80:1066–1069.
38. Mabry RL, Nichols MC, Shiner DC, et al. A comparison of man of the Department of Defense’s Committee on TCCC and
two open surgical cricothyroidotomy techniques by military the director of Prehospital Trauma Care at the Joint Trauma
medics using a cadaver model. Ann Emerg Med. 2014;63:1–5. System.
39. 39. Bennett B, Cailteux-Zevallos B, Kotora J. Cricothyroid-
otomy bottom-up training review: battlefield lessons learned.
Mil Med. 2011:176;1311–1320.
40. Tricoci P, Allen JM, Kramer JM, et al. Scientific evidence un-
derlying the ACC/AHA Clinical Practice Guidelines. JAMA.
2009;301:831–841.
Keywords: surgical cricothyroidotomy; airway; Tactical Com-
bat Casualty Care
LTC Mabry is Director, Trauma Care Delivery, Joint Trauma
System, US Army Institute of Surgical Research. LTC Mabry is
an emergency physician and emergency medical services (EMS)
specialist whose work over the past decade has been dedicated
to improving the care of battlefield casualties. He enlisted in
the US Army in 1984. Before attending medical school, he
served for 11 years as a US Army Ranger and Special Forces
medical sergeant. He also serves as the program director of the
Military Emergency Medical Services and Disaster Medicine
Fellowship, the largest EMS fellowship in the nation.
Dr Frankfurt is a board-certified anesthesiologist at Texas
Health Dallas, Presbyterian Hospital, Dallas, Texas, who has
an interest in airway management and hemorrhagic shock
resuscitation. Dr Frankfurt completed his medical degree at
UTSW-Dallas, completed an emergency room residency at
Henry Ford Hospital, and an anesthesia residency/neuro-an-
esthesia fellowship at Parkland Hospital, Dallas, Texas. Dr
Frankfurt served in the USNR from 1985 to 1999; was opera-
tional in Operation Desert Storm, supporting I-MEF; and was
recently selected to rejoin the USNR as an anesthesiologist. He
is married to Debbie Frankfurt, DDS, and has four children.
Col Kharod is an EMS and Disaster Medicine Fellow, San
Antonio Military Medical Center, Department of Emergency
Medicine, San Antonio, Texas. Col Kharod an emergency
physician, and EMS and international health specialist whose
work over the past 2 decades has been dedicated to provid-
ing exceptional care to those in need, while training superior
providers to support those in harm’s way. He graduated from
America’s military medical school, Uniformed Services Univer-
sity. Col Kharod has served in Critical Care Air Transport,
SOFME, and disaster response/humanitarian assistance and
has commanded a Special Operations medical squadron. He
is the incoming program director of the Military Emergency
Medical Services and Disaster Medicine Fellowship, the larg-
est EMS fellowship in the nation.
Emergency Cricothyroidotomy in TCCC 19

