Page 147 - Journal of Special Operations Medicine - Winter 2016

In his subsequent role as USSOCOM Command Sur- in TCCC in response to observed real-world casualty
geon, COL Farr instituted a permanent TCCC equip- scenarios. She is currently the lead individual for the
ment funding line to ensure that TCCC equipment proposed change to the TCCC Guidelines that would
deficiencies in service-supplied medical equipment sets incorporate the use of pelvic binders into TCCC. Col
were remedied with a USSOCOM program to supply Shackelford has also been part of the Membership and
the needed equipment. Bylaws Subcommittee team that selects new members
from the US Armed Services to serve as members of the
COL Farr has been an 18-D SF Combat medic and a CoTCCC.
medical officer. He was director of training at the 18-D
training program as an E-8, giving him a unique combi- 2016 TCCC Curriculum
nation of perspectives into the needs and the challenges The 2016 annual update to the TCCC for Medical
of Combat medics. Personnel curriculum has been approved for release
by the JTS and the US Army Institute of Surgical Re-
Col Stacy Shackelford search. The single guideline change for this year is the
Col Stacy Shackelford is a fellowship-trained trauma addition of a recommendation for XStat (RevMedx;
®
surgeon with multiple combat deployments in support http://www.revmedx.com/) as a hemostatic adjunct for
of deployed US forces. She was an attending physician bleeding originating from an injury with a deep, narrow
at the Air Force Center for the Sustainment of Trauma wound tract. Other changes to the curriculum include
and Readiness Skills (C-STARS) program at the Uni- the following:
versity of Maryland’s R. Adams Cowley Shock Trauma
Center. While there, she served as Medical Director for • The instruction slides and video for the Combat Appli-
the TCCC course at C-STARS and trained hundreds cation Tourniquet (Composite Resources Inc.; http://
®
of medics in TCCC. Col Shackelford has been the De- combattourniquet.com/) have been up dated from
ployed Director of the Joint Theater Trauma System in the previous Generation 6 to the new Gen eration 7
Afghanistan, where she worked extensively with med ics, model.
corpsmen, and PJs to improve documentation of prehos- • The test generator was updated with questions per-
pital care. She has also been the Director of Performance taining to the XStat change.
Improvement at the Joint Trauma System and is pres- • Skill sheets for intravenous (IV) administration of ket-
ently the Deputy Commander for Clinical Services at the amine and tranexamic acid were added.
Craig Joint Theater Hospital in Bagram, Afghanistan. • The five videos covering the ruggedized field IV set
have been combined into one video.
Col Shackelford oversaw the “Vampire” prehospital • The eye-shielding video has been replaced with a new
transfusion initiative for US Army medical evacuation version [thanks to Col (Ret) Robb Mazzoli and the
in 2012. She recently conducted a detailed analysis of team at the Vision Center of Excellence for this item].
pre hospital transfusion data in Afghanistan and dem-
onstrated a reduction in 24-hour mortality from 18% The 2016 curriculum file set can be viewed on or down-
to 4% with prehospital transfusion. loaded from the following URLs:
http://www.naemt.org/education/TCCC/tccc.aspx
Col Shackelford has been a tireless worker and strong http://www.specialoperationsmedicine.org/Pages/tccc.aspx
leader in improving prehospital trauma care. She was https://www.jsomonline.org/TCCC.html
the primary driving force behind the 2012 US Central
Command/Joint Trauma System survey of prehospital
trauma care in Afghanistan that was the basis for the
“Saving Lives on the Battlefield 1” report and that iden- Thanks to the CoTCCC Developmental Editor, CAPT (Ret)
tified many opportunities to improve the care that the Steve Giebner, for his ongoing efforts to maintain and up-
US Military provides to its wounded Soldiers, Sailors, date the TCCC curriculum on our hosting websites. Suggested
Airmen, and Marines. She authored the change paper changes to the curriculum should be directed to Dr Giebner at
to revise and update tourniquet use recommendations sdgiebner@msn.com.

CoTCCC Meeting Summary 131