Page 147 - 2022 Spring JSOM

require rapid casualty evacuation and the SST requires clinical experiences in trauma care are not adequate to en-
prompt resupply in order to maintain surgical capability. sure clinical readiness.
7. In large-scale ground or maritime combat operations, SSTs 7. SST members should be required to attend appropriate
are most vulnerable to cognitive overload and task satu- team-based tactical training. Just-in-time pre-deployment
ration because of their small size and lack of redundancy. training is inadequate for safe team functioning in a tactical
SSTs are not a stand-alone solution and will be insufficient environment.
to manage large casualty volumes, especially if surgical re- 8. Ad hoc SST creation in theater or just prior to deployment
sources become more dispersed. should not occur due to the increased risk to mission, risk
to force, and risk to SST members on the team.
The CoSCCC, DCoT, and JTS recommend:
1. Operational planning should assume SSTs do not have References
holding capacity. 1. Baker JB, Marc Northern MD, Frament C, Aaron Baker D,
2. SSTs should have early evacuation and rapid resupply Remick K, Seery J, Stephens L, Shackelford S, Gurney J. Aus-
capabilities. tere resuscitative and surgical care in support of forward military
3. SSTs should be trained and equipped to provide warm operations-Joint Trauma System position paper. Mil Med. 2021
Jan-Feb;(186)1–2:12–17.
whole blood-based resuscitation for its clinical and logisti- 2. Howard J, Kotwal R, Santos-Lozada A, Martin M, Stockinger
cal benefits. Z. Re-examination of a battlefield trauma golden hour policy. J
4. SST training and equipment should be standardized across Trauma Acute Care Surg. 2017;84. 1.
the Services to facilitate interoperability. 3. Harvin JA, Maxim T, Inaba K, et al. Mortality after emergent
5. SSTs should require cross-discipline training for skill redun- trauma laparotomy: a multicenter, retrospective study. J Trauma
Acute Care Surg. 2017;83(3):464–468.
dancy in essential functions. 4. Lee JJ, Hall AB, Carr MJ, et al. Integrated military and civilian
6. In order to maximize survivability, SST members must ac- partnerships are necessary for effective trauma-related training
tively participate in team-based clinical exercises and com- and skills sustainment during the inter-war period. J Trauma Acute
bat casualty relevant clinical skill sustainment. Just-in-time Care Surg. Nov 2021.

CoSCCC VOTING MEMBERS AND POSITION STATEMENT CONTRIBUTORS

DCoT Chair: COL Jennifer Gurney JTS Chief: Col Stacy Shackelford
CoSCCC Chair: CDR Shane Jensen JTS Senior Enlisted Advisor: MSG Michael Remley
COL Jennifer Gurney Col Stacy Shackelford
CDR Shane Jensen LCDR Jonathan Hamrick
Lt Col Brian Gavitt LTC Keith Jackson
CAPT Matthew Tadlock MSgt Fabrizio Lamarca
CAPT Ted Edson COL Jay Baker
COL Matthew Eckert LTC Chris Graybill
COL (Ret) John Holcomb COL Tyson Becker
LTC Shaun Brown COL Mark Buzzelli
COL (Res) Martin Schreiber MSG Michael Remley
SFC Andrew Proctor COL (Ret) Brian Eastridge
CDR Brian Knipp Col (Res) Jeremy Cannon
Col Jay Sampson COL Brian Sonka
CAPT Brendon Drew COL (Res) Scott Armen
COL (Res) Cord Cunningham CAPT Randy Bell
LTC Richard Lesperance LTC Linda Benavides
COL (Ret) Bob Mabry Maj Steven (Craig) Berg
COL (Ret) Russ Kotwal SFC Paul Loos
CAPT Travis Polk MAJ Alexander Merkle
COL Kirby Gross CAPT (Res) Margaret Moore
Col Peter Learn LCDR Chris Renninger
COL John Detro Col (Res) Anne Rizzo
CAPT Obie Powell Lt Col Valerie Sams
COL Jason Seery HMCS Tyler Scarborough
CAPT Jeffrey Timby LTC Eric Verwiebe
CAPT Virginia Blackman COL (Res) Sandra Wanek
COL Jason Corley MSgt Luis Reyes
Lt Col Andrew Hall LTC Ronald David Hardin

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