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14. Tactical Combat Casualty Care Guidelines 140323. Accessed Services University of the Health Sciences; a Fellow of the
online at www.naemt.org. Tactical Combat Casualty Care Academy of Wilderness Medicine; the director of the Military
Guidelines 140602 distributed electronically. https://www. Unique Curriculum and the Austere and Wilderness Medicine
naemt.org/education/TCCC/guidelines_curriculum. Curriculum; and has six deployments to Asia, Afghanistan,
15. Lee C, Porter KM, Hodgetts TJ. Tourniquet use in the civilian Iraq, and Africa. E-mail: brendon.g.drew.mil@mail.mil.
prehospital setting. Emerg Med J. 2007;24:584–587.
16. Doyle GS, Taillac PP. Tourniquets: a review of current use LCDR Bird is a certified physician assistant, and a former
with proposals for expanded prehospital use. Prehosp Emerg
Care. 2008;12:241–256. SEAL and Special Operations Independent Duty Corpsman
17. Childers R, Tolentino JC, Leasiolagi J. Tourniquets exposed with Naval Special Warfare. He has nine deployments to Iraq,
to the Afghanistan combat environment have decreased ef- Afghanistan, and Africa.
ficacy and increased breakage compared to unexposed tour-
niquets. Mil Med. 2011;176:1400–1403. CAPT Matteucci is a staff emergency physician at Naval
18. Weppner J, Lang M, Sunday R. Efficacy of tourniquets ex- Medical Center San Diego, the Emergency Medicine Resi-
posed to the Afghanistan combat environment stored in indi- dency program director, assistant professor of Military and
vidual first aid kits versus on the exterior of plate carriers. Mil Emergency Medicine at the Uniformed Services University of
Med. 2013;178:334–337. the Health Sciences, a Fellow of the Academy of Wilderness
19. Kragh JF Jr, O’Neill ML, Walters TJ, et al. The military emer- Medicine, and has four deployments to Iraq, Afghanistan, and
gency tourniquet program’s lessons learned with devices and
designs. Mil Med. 2011;176:1144–1152. Africa.
20. Holbrook TL, Galarneau MR, Dye JL, et al. Morphine use
after combat injury in Iraq and post-traumatic stress disorder. COL Keenan is a board-certified emergency physician and is
N Engl J Med. 2010;362:110–117. currently serving as the 10th Special Forces Group (Airborne)
surgeon. He has previously served as a battalion surgeon in
both the 1st and 3rd SFG(A). He is a Fellow of the American
Academy of Emergency Medicine, volunteers as one of the
CDR Drew is a staff emergency physician at Naval Medical coordinators for the SOCOM Prolonged Field Care Working
Center San Diego, a Core Residency Faculty, assistant profes- Group, and has five deployments to Afghanistan, Iraq, and
sor of Military and Emergency Medicine at the Uniformed the Philippines.
Tourniquet Conversion in Prolonged Field Care 85

