JTS Clinical Practice Guidelines
How this page works
Joint Trauma System (JTS) Clinical Practice Guidelines (CPGs) are the operational standard of care for combat casualty care. This page is a linked index — each entry points to the canonical JTS source. Content is not reproduced.
Organized by clinical domain. The same CPG may apply at multiple nodes; the right-hand column indicates which node pages reference it most heavily.
Companion educational resources
| Resource | Focus |
|---|---|
| Deployed Medicine | DoD-sponsored point-of-care clinical education; TCCC, PFC, and CPG-aligned modules |
| Valkyrie Training | Whole blood / walking blood bank curriculum — 8 modules; directly aligned with DCR and blood management CPGs |
| JTS CPGs: Navigation & Application | Unit presentation on how to find and use JTS CPGs in the field |
Downloads
- Complete CPG Library (JTS) — browsable index of all current CPGs
- CPG Index (PDF) — printable index
- All CPGs A–H (zip)
- All CPGs I–Z (zip)
- Top 10 Operational Readiness CPGs (zip)
- All JTS Forms (zip)
Hemorrhage control and resuscitation
| CPG | Primary nodes |
|---|---|
| Damage Control Resuscitation (12 Jul 2019) | STP/DCR, FRSS/DCS, Holding |
| Pre-Hospital Blood Transfusion (30 Oct 2020) | STP/DCR |
| Whole Blood Transfusion (15 May 2018) — Walking Blood Bank | STP/DCR, FRSS/DCS, Prepare to Receive |
| Prehospital Blood Transfusion (30 Oct 2020) — Massive Transfusion | STP/DCR, FRSS/DCS |
| TXA in Combat Casualty Care — see DCR CPG for current guidance | STP/DCR |
| Hypothermia Prevention and Management (07 Jun 2023) | STP/DCR, FRSS/DCS, Holding |
| REBOA for Hemorrhagic Shock (03 Dec 2025) | STP/DCR, FRSS/DCS (where within scope) |
Surgical
| CPG | Primary nodes |
|---|---|
| Emergency General Surgery in Deployed Locations (01 Aug 2018) — Damage Control Surgery | FRSS/DCS |
| Wound Management in PFC (24 Jul 2017) | FRSS/DCS, Holding, Prolonged Holding |
| Extremity Compartment Syndrome and Fasciotomy (25 Jul 2016) | FRSS/DCS, Holding |
| Vascular Injury (09 Apr 2025) | FRSS/DCS |
| Open Abdomen Management — | FRSS/DCS, Holding |
Critical care and Holding
| CPG | Primary nodes |
|---|---|
| Mechanical Ventilation Basics (09 Apr 2025) | Holding, Prolonged Holding, EVAC |
| Pain, Anxiety, and Delirium (26 Apr 2021) | Holding, Prolonged Holding |
| Acute Kidney Injury — | Holding, Prolonged Holding |
Prolonged Casualty Care
| CPG | Primary nodes |
|---|---|
| Prolonged Casualty Care Guidelines (21 Dec 2021) | Prolonged Holding |
| Nutrition in Prolonged Field Care (04 Aug 2016) | Prolonged Holding |
| Acute Mental Health Conditions (26 Mar 2026) | Prolonged Holding |
Triage and Disposition
| CPG | Primary nodes |
|---|---|
| TCCC Guidelines (CoTCCC, 25 Jan 2024) — Triage of Casualties | Triage |
| En Route Care Patient Packaging (21 Aug 2024) | EVAC |
System
| CPG | Primary nodes |
|---|---|
| Performance Improvement | Trauma System Integration (cross-cutting) |
Verifying currency
JTS CPGs are revised periodically. Before citing in clinical practice or in this site’s content, verify the version number against the current JTS CPG library.