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8.  Savage E, Forestier C, Withers N, Tien H, Pannel D. Tactical   Acknowledgments
                 Combat Casualty Care in the Canadian Forces: lessons learned
                 from the Afghan War. Can J Surg. 2011;59:S118–S123.  The author gratefully acknowledges the research as-
                9.  Butler FK, Blackbourne LH. Battlefield trauma care then and   sistance provided by Mrs Danielle Davis of the Joint
                 now: a decade of tactical combat casualty care.  J Trauma   Trauma System.
                 Acute Care Surg. 2012;73:S395–S402.
              10.  Haider A, Piper L, Zogg C, et al. Military-to-civilian transla-
                 tion of battlefield innovations in operative trauma care. Sur-  Disclaimers
                 gery. 2015. Epub ahead of print.
              11.  Cancio LC, Rasmussen TR, Canon JW, Dubick MA. The vital   The opinions or assertions contained herein are the pri-
                 civilian-military link in combat casualty care research: impact   vate views of the authors and are not to be construed as
                 of attendance at scientific conferences. J Trauma Acute Care   official or as reflecting the views of the Department of
                 Surg. 2015;79:S221–S226.
              12.  Jacobs L. The Hartford Consensus Compendium.  Bull Am   the Army or the Department of Defense. This recom-
                 Coll Surg. 2015; Special Communication.         mendation is intended to be a guideline only and is not
              13.  Kragh JF Jr, Littrel ML, Jones JA, et al. Battle casualty sur-  a substitute for clinical judgment.
                 vival with emergency tourniquet use to stop limb bleeding. J
                 Emerg Med. 2011;41:590–597.
              14.  Kragh JF Jr, Walters TJ, Baer DG, et al. Survival with emer-  Release
                 gency tourniquet use to stop bleeding in major limb trauma.
                 Ann Surg. 2009;249:1–7.                         This document was reviewed by the Director of the Joint
              15.  Shackelford SA, Butler FK, Kragh JF Jr, et al. Optimizing the   Trauma System and by the Public Affairs Office and the
                 use of limb tourniquets in Tactical Combat Casualty Care:   Operational Security Office at the US Army Institute of
                 TCCC guidelines change 14-02; J Spec Oper Med. 2015;15:   Surgical Research. It is approved for unlimited public
                 17–31.
              16.  Butler FK, Giebner SD, McSwain N, Pons P, editors. Prehos-  release.
                 pital Trauma Life Support Manual; Eighth Edition—Military
                 Version. November 2014.
              17.  Pons PT, Jerome J, McMullen J, Manson J, Robinson J,
                 Chapleau W.  The Hartford Consensus on active shooters:   CAPT (Ret) Butler, MC, USN, was a Navy SEAL platoon
                 implementing the continuum of prehospital trauma response.   commander before becoming a physician. He is an ophthal-
                 J Emerg Med. 2015. Epub before print; October 2015.
              18.  Fisher  AD, Callaway  DW, Robertson JN,  Hardwick  SA,   mologist and a Navy Undersea Medical Officer with over 20
                 Bobko JP, Kotwal RS. The Ranger First Responder Program   years’ experience providing medical support to Special Opera-
                 and Tactical Emergency Casualty Care implementation.  J   tions Forces. Dr Butler served as the command surgeon for the
                 Spec Oper Med. 2015;15:51–58.                   US Special Operations Command. He is currently the chair-
              19.  Elster EA, Butler FK, Rasmussen TE. Implications of com-  man of the Department of Defense’s Committee on TCCC and
                 bat casualty care for mass casualty events. JAMA. 2013;310:   the director of Prehospital Trauma Care at the Joint Trauma
                 475–476.                                        System.
              20.  Davis J, Satahoo S, Butler F, et al. An analysis of prehospital
                 deaths: who can we save? J Trauma Acute Care Surg. 2014;
                 77:213–218.
              21.  Butler FK, Carmona R. Tactical Combat Casualty Care: from
                 the battlefields of Afghanistan and Iraq to the streets of Amer-
                 ica. The Tactical Edge. Winter 2012.






























              The Hartford Consensus                                                                         135
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