Page 91 - JSOM Spring 2024

6,7
U.S. Navy warships and submarines are led by IDCs. There- Funding
fore, IDCs and the junior corpsmen they supervise are the tip No funding was received for this work.
of the spear and lynchpin of U.S. NEHSS at sea.
Copyright Statement
Under Title 17, U.S.C., §105, no copyright protection is avail-
Maritime Applications of Prolonged Casualty Care
able for any work of the US Government. Title 17, U.S.C.,
To prepare IDCs and the corpsmen and sailors they supervise §101 defines any such work prepared by a military Service-
for the provision of Role 1 medical care at sea during current member or employee of the United States Government as part
and future DMOs, we developed a series of training scenarios. of that person’s official duties. This work was prepared as a
They are designed for the application of PCC in the deployed military Servicemember of the United States Government. Ac-
maritime environment based on the following clinical condi- cordingly, this work is not protected by copyright.
tions: sepsis/septic shock, burn injury, drowning, acute and
delayed presentations of traumatic brain injury, blunt abdom- References
inal trauma with hypotension, lower-extremity crush injury, 1. Remley M, Loos P, Riesberg J, et al. Prolonged Casualty Care
and acute pulmonary embolism. Each scenario is based on Guidelines (PCC) – CPG ID 91. Joint Trauma System Clinical
real-world injuries or illnesses sustained during routine naval Practice Guideline. Published 21 December 2021. Accessed 11 July
operations and begins with an introduction to the epidemiol- 2023. https://jts.health.mil/assets/docs/cpgs/Prolonged_Casualty_
Care_Guidelines_21_Dec_2021_ID91.pdf.
ogy of the specific condition in the deployed maritime envi- 2. Remley MA, Riesberg JC, Drew B, et al. Committee on Tactical Com-
ronment. Recommended interventions are informed by TCCC, bat Casualty Care and Prolonged Casualty Care Working Group
PCC, and relevant guidelines based on the typically available Consensus Statement. J Spec Oper Med. 2023;23(2):124–125.
medical supplies and equipment. If a specific decision or inter- 3. Statement of Admiral Michael M. Gilday, Chief Of Naval Opera-
vention is not addressed by these guidelines, appropriate in- tions On The Posture Of The United States Navy Before The House
terventions are recommended based on expert consensus and Armed Services Committee, June 15, 2021. https://docs.house.gov/
meetings/AS/AS00/20210615/112796/HHRG-117-AS00-Wstate-
literature review. A summary of key skills and management GildayM-20210615.pdf. Accessed 13 July 2023.
principles emphasized by the scenario is provided. Accord- 4. U.S. Department of Defense. Advantage at sea: prevailing with in-
ingly, the potential training or medical supply gaps are also tegrated all-domain naval power. December 2020. https://media
addressed. While these scenarios were specifically tailored to .defense.gov/2020/Dec/16/2002553074/-1/-1/0/TRISERVICE
Role 1 caregivers in the deployed maritime environment, they STRATEGY.PDF. Accessed 12 July 2023.
can be modified for any austere or operational environment 5. Joint Chiefs of Staff. Joint Publication 4-02, Joint Health Services.
Published 11 December 2017, Incorporating Change 1, 28 Septem-
and may therefore be used as service branch–agnostic educa- ber 2018. https://irp.fas.org/doddir/dod/jp4_02.pdf. Accessed 16
tional tools to train diverse audiences. December 2023.
6. NAVSEA Shipbuilding Support Office. Active in Commission.
Author Contributions Naval Vessel Register. https://www.nvr.navy.mil/NVRSHIPS/
MDT and MST conceived the study. MDT drafted the original ACTIVEINCOMMISSION.HTML. Accessed 18 November 2023.
manuscript. MDT, LKK, JJB, and MST participated in critical 7. Tadlock MD, Edson TD, Cancio JM, et al. War at sea: burn care
revisions. challenges—past, present and future. European Burn Journal. 2023;
4(4):605–630.
8. Tadlock MD, Gurney J, Tripp MS, et al. Between the devil and the
Disclaimer deep blue sea: A review of 25 modern naval mass casualty inci-
The views expressed in this article are those of the authors dents with implications for future distributed maritime operations.
and do not necessarily reflect the official policy or position of J Trauma Acute Care Surg. 2021;91(2S Suppl 2):S46–S55.
the Department of Navy, the Department of Defense, or the
United States Government. PMID: 38319637; DOI: 10.55460/GOPF-AS1O
Disclosures
The authors have no conflicts of interest or financial relation-
ships relevant to this article to disclose.

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