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Afghanistan. Dr Cunningham also served as a flight surgeon
Keywords: analgesia; prehospital; casualties; Tactical Combat and medical director for a 15-ship Army MEDEVAC unit and
Casualty Care (TCCC) Triple Option Analgesia guideline; fen- aviation brigade as well as the medical director for the Army’s
tanyl; ketamine Critical Care Flight Paramedic Program. After serving over 20
years on active duty, Dr Cunningham is currently a colonel
in the US Army Reserves with USASOC and performs duties
MAJ Andrew D. Fisher, MD, MPAS, ARNG, is a physician as the chairman of the Joint Trauma System Committee on
assistant in the Texas Army National Guard and currently En-Route Combat Casualty Care and faculty for the Carl R
a general surgery resident at the University of New Mexico Darnall Army Medical Center Emergency Medicine Residency
School of Medicine. He previously served on active duty as a Program at Fort Hood, TX, and the Fort Hood EMS Medical
physician assistant with the 75th Ranger Regiment. Director. Dr Cunningham is also still a full-time practicing EM
physician.
LCDR Taylor T. DesRosiers, MD, USN, is an emergency med-
icine physician currently completing her critical care fellow- Jennifer M. Gurney, MD, is a trauma surgeon and chief of the
ship at Walter Reed National Military Medical Center. She is Joint Trauma System, Defense Health Agency.
the current Director of the Combat Trauma Research Group, John B. Holcomb, MD, is a trauma and critical care surgeon
Bethesda. and a professor of surgery at the University of Alabama at
HMC Wayne Papalski is a search and rescue critical care flight Birmingham. Dr. Holcomb completed his general surgery
paramedic, a member of the Committee on Enroute Combat training in 1991 and then deployed with the Joint Special Op-
Casualty Care, and the Joint Trauma System liaison to the erations Command for the next decade. From 2002 to 2008,
Navy. He is currently serving as the Trauma & Medical Educa- COL Holcomb was the commander of the US Army Institute
tion program manager at Naval Special Warfare Group Two. of Surgical Research and trauma consultant for the Army sur-
geon general, with multiple deployments to Iraq. He has been
MSG Michael A. Remley is a Special Operations combat a member of the DoD’s Committee on Tactical Combat Casu-
medic and a member of the Committee of Tactical Combat alty Care since 2001.
Casualty Care. He currently serves as the senior enlisted leader
for the Joint Trauma System. Harold R. Montgomery, SOCM, ATP, is a retired Special Op-
erations medic whose assignments were the senior enlisted
MAJ Steven G. Schauer, DO, MS, is an emergency medicine medical advisor of USSOCOM and the senior medic for the
physician at the US Army Institute of Surgical Research and 75th Ranger Regiment with multiple combat deployments. He
the Brooke Army Medical Center. is program coordinator for the Committee on Tactical Com-
MAJ Michael D. April, MD, PhD, MSc, is an US Army emer- bat Casualty Care of the Joint Trauma System division of the
gency physician currently serving on active duty with previous Defense Health Agency.
deployment experience to Afghanistan. He currently serves Margaret M. Morgan, MD, FACS, is a trauma and acute care
as commander of the 40th Forward Resuscitative Surgical surgeon and flight surgeon in the USNR assigned to the USNR
Detachment. Wing, 4th MAW.
Virginia Blackman, PhD, RN, CNS, is the executive offi- Sergey M. Motov, MD, is an emergency medicine attending
cer, Naval Medical Research Center-Asia/NAMRU-TWO, physician and professor of emergency medicine practicing
Singapore. in the Department of Emergency Medicine at Maimonides
MSG Jacob Brown is a Special Operations medic assigned to Medical Center, Brooklyn, NY. He graduated from Medical
the United States Army Special Operations Command (US- Academy of Latvia and completed his EM residency at Mai-
ASOC) at Fort Bragg, NC. monides Medical Center. Dr Motov is a research director who
is passionate about safe and effective pain management in the
CAPT (Ret) Frank K Butler, USN, was a Navy SEAL platoon ED. He has numerous publications on the subject of opioid
commander before becoming a physician. He is an ophthal- alternatives in pain management and is actively involved in
mologist and a Navy underseas medical officer with more growing this body of work both nationally and globally.
than 20 years of experience providing medical support to
Special Operations Forces. Dr Butler has served as the com- Stacy A. Shackelford, MD, is in the US Air Force, is a trauma
mand surgeon at the US Special Operations Command and surgeon, and was chief of the Joint Trauma System, Defense
was the chairman of the Department of Defense’s Committee Health Agency from 2018 to 2022.
on TCCC for 11 years. He currently serves as a consultant to CSM Timothy J. Springer is the SEA for US Army Regional
both the JTS and the CoTCCC. Health Command Central, he enlisted in the United States
Cord W. Cunningham, MD, MHA, MPH, is a board- certified Army as a 91A, medical specialist (now 68W) and attended
emergency medicine physician with subspecialty board cer- Basic Combat Training at Fort Knox, KY, and Advanced Indi-
tification in EMS. He served as the battalion surgeon for vidual Training at Fort Sam Houston, TX.
2nd Ranger BN and surgical resuscitation team member Brendon G. Drew is the current chair of the Committee on
for USSOCOM deploying in direct and prehospital medi- Tactical Combat Casualty Care and is affiliated with the I Ma-
cal support of Special Operations Forces in both Iraq and rine Expeditionary Force, Camp Pendleton, CA.
TCCC Analgesia and Sedation | 165

