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Disclaimer 17. MV-22. https://www.aviation.marines.mil/About/Aircraft/Tilt-Rotor/.
The opinions or assertions contained herein are the private Accessed 22 February 2022.
views of the authors and are not to be construed as official 18. MV-22. https://www.military.com/equipment/mv-22-osprey. Ac-
cessed 22 February 2022.
or as reflecting the views of the Departments of the Army, Air 19. Navy.mil website on the MH-60 helicopter. https://www.navy.mil
Force, or Navy or the Department of Defense. /Resources/Fact-Files/Display-FactFiles/Article/2166650/mh-60
-sea-hawk-helicopter/. Accessed 29 October 2022.
Financial Disclosures 20. Shackelford S, Hammesfahr R, Morissette D, et al. The use of pel-
Dr Holcomb is a consultant with Cellphire, Hemostatics and vic binders in Tactical Combat Casualty Care: TCCC guidelines
change 1602. J Spec Oper Med. 2017;17:135–147.
Arsenal, is Co-founder, Co-CEO and on the Board of Direc- 21. Drew B, Auten JD, Cap AP, et al. The use of tranexamic acid
tors of Decisio Health, on the Board of Directors of QinFlow, in Tactical Combat Casualty Care: TCCC change 20-02. J Spec
Zibrio, and Oxyband and a Co-inventor of the Junctional Oper Med. 2020;20:36–43.
Emergency Tourniquet Tool. 22. Onifer DJ, McKee JL, Faudree LK, et al. Management of hem-
orrhage from craniomaxillofacial injuries and penetrating neck
injury in Tactical Combat Casualty Care: iTClamp mechanical
OPSEC/PAO wound closure device TCCC guidelines change 19-04 06 June
The paper was reviewed for OPSEC/PAO issues by the both 2019. J Spec Oper Med. 2019;19:31–44.
I Marine Expeditionary Force and the Navy Bureau of Medi- 23. Parenteau M, Stockinger Z, Hughes S, et al. Joint Trauma System
cine and Surgery prior to submission. clinical practice guideline on drowning. 17 October 2017.
24. Butler FK, Kotwal RS, Buckenmaier CC III, et al. A triple-option
analgesia plan for Tactical Combat Casualty Care. J Spec Oper
Appreciation Med. 2014;14:13–25.
The authors thank CDR Nicholas (Patches) Koetter, USN, of 25. Deaton T, Auten J, Betzold R, et al. Fluid resuscitation in Tactical
HSC-3 and Captain Chris (RIF) Miller, USMC, for their assis- Combat Casualty Care: TCCC guidelines change 21-01. J Spec
tance in evaluating flight procedures discussed in the casualty Oper Med. 2021;21:126–137.
scenario. 26. Shackelford SA, Butler FK, Kragh JF, et al. Optimizing the use of
limb tourniquets in Tactical Combat Casualty Care: TCCC guide-
lines change 14-02. J Spec Oper Med 2015;15:17–31.
References 27. Driscoll IR, Mann-Salinas EA, Boyer NL, et al. Burn care. Joint
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