Page 107 - JSOM Fall 2023
P. 107

CoTCCC Chairmanship Change
                                         and Upcoming Guideline Revision




                                                 Harold R. Montgomery, ATP*





              CoTCCC Meeting Update, SEP 2023                    Chairman of the Emergency Medicine Department of Naval
                                                                 Medical Center San Diego. While dual-service as chair of the
              The Committee on Tactical Combat Casualty Care (CoTCCC)   CoTCCC, CAPT Drew was the Division Surgeon for the 1st
              met in San Antonio on 06-07 September 2023. This meeting   Marine Division and subsequently the Force Surgeon for I Ma-
              was a final review of upcoming change proposals for airway   rine Expeditionary Force at Camp Pendleton, CA. CAPT Drew
              management and traumatic brain injury portions of the TCCC   is retiring  after nearly 32 years  of service. CAPT  Drew has
              Guidelines. The revised TCCC Guidelines are projected to be   multiple combat deployments with the Marines and Special
              voted on and published no later than December 2023. Also   Operations Forces in various theaters. Brendon – on behalf of
              discussed  at  the  CoTCCC  meeting  was  the  ongoing  review   the committee, medics, and corpsmen abroad, thank you for
              of  chest  trauma  management,  tourniquet  conversion,  hemo-  your dedication to TCCC and for taking it to the next level.
              statics, hemorrhage control methods, tranexamic acid appli-  Your vision and focus have always been from the perspective
              cations, and a comprehensive review of  TCCC/prehospital   of the combat medic/corpsman, providing them with the best
              antibiotics. The Committee also continued work on extreme   guidelines, training, and tools to save lives on the battlefield.
              cold weather and pediatric applications within the scope of the
              TCCC Guidelines. The CoTCCC is also undertaking a com-  CAPT Travis Deaton, MD, FACEP, FAWM, assumed responsi-
              prehensive review and later publication of the TCCC’s Top 10   bility as the Chair of the CoTCCC in September 2023. CAPT
              priorities for Research, Development, Testing & Evaluation.   Deaton graduated from the United States Naval Academy in
              The CoTCCC meeting minutes are posted on the JTS website   1999 and completed medical school at the Uniformed Services
              at https://jts.health.mil/.                        University of Health Sciences in 2003. He served as a flight
                                                                 surgeon for the Marine Aircraft Logistics Squadron 36 and
              Chairmanship Changeover                            then as the Group Surgeon for Marine Aircraft Group 6 in
                                                                 Okinawa. Before completing the emergency medicine resi-
              The September CoTCCC meeting also served as the official   dency at Naval Medical Center San Diego, he was the Dive
              chairman handover from CAPT Brendon Drew to CAPT   Medical Officer for the 1st Reconnaissance Battalion at Camp
                Travis Deaton. Since 2019, the committee has been chaired by   Pendleton. CAPT Deaton then served as the 31st Marine Ex-
              an active-duty physician, and we are continuing as such for the   peditionary Unit Surgeon in Okinawa, Japan, and then as an
              foreseeable future.                                Emergency Medicine Physician at Naval Medical Center San
                                                                 Diego. He served as an emergency medicine augmentee with
              CAPT Brendon  Drew, DO, FACEP, FAWM, U.S. Navy, has   the Joint Special Operations Command. CAPT Deaton was the
              been the chair of the CoTCCC since September 2019. During   Division Surgeon for the 1st Marine Division and recently as-
              his 4-year tour, he and the committee have overseen 8 revision   sumed duties as the Force Surgeon for I Marine Expeditionary
              points of the TCCC Guidelines, the massive TCCC curricu-  Force at Camp Pendleton, CA. CAPT Deaton has 13 combat
              lum development and delivery of tiers 1-4 (ASM, CLS, CMC,   deployments with the Marines and Special Operations Forces
              CPP), and has guided 6 ongoing review efforts of TCCC com-  to multiple combat zones. Like his CoTCCC chair predeces-
              ponents. CAPT Drew graduated from the United States Naval   sors, CAPT Deaton brings a wealth of combat casualty ex-
              Academy in 1995 with service in the Navy prior to completing   perience to the table as the incoming leader of the CoTCCC.
              medical school in 2001 with a subsequent Emergency Med-  He assumes the chairmanship in times of change throughout
              icine residency at Naval Medical Center San Diego. CAPT   the U.S. military, impacting how we train and conduct TCCC
              Drew served throughout the Navy and Marine Corps in sev-  and prolonged casualty care in different combat environments.
              eral pivotal positions, including Battalion and Regimental Sur-  Travis – welcome to this awesome responsibility, and we look
              geon with the 1st Battalion, 6th Marines, and the 6th Marine   forward to going to the next level under your leadership.
              Regiment, with deployments to Afghanistan and Iraq. He was
              the officer in charge of a Shock Trauma Platoon in Afghani-  *Harold Montgomery is the Joint Program Manager for
              stan. He served as a Staff Emergency Medicine physician with   TCCC and Vice Chair of the Committee on TCCC with the
              the 1st Marine Logistics Group, Naval Hospital Camp Pend-  Joint Trauma System.
              leton, and Naval Medical Center San Diego. He served as an
              emergency medicine augmentee with the Joint Special Oper-  PMID: 37702603; DOI: 10.55460/UY8Z-KB0M
              ations Command, including Africa deployments. He was the



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