IN THE ‘GOLDEN HOUR’


FIGURE 1 In this construct, the CCCRP guides


and advises the investment of core Army appropriations and Defense Health Pro- gram (DHP) research, development, test and evaluation (RDT&E) dollars.


Research takes place at two of USAMRMC’s subordinate labora- tories—the U.S. Army Institute of Surgical Research at Joint Base San Antonio, TX, and the Walter Reed Army Institute of Research in Silver Spring, MD—and at civilian academic insti- tutions and medical centers across the country, which conduct most of the work funded by the DHP.


EVOLUTION OF THE GOLDEN HOUR


The traditional (pre-2015) concept of the golden hour is based on movement of the injured person to a fixed location or echelon of care within 60 minutes. The evolved concept for 2015 and beyond involves delivering advanced resuscitative capability to the injured person within one hour, regardless of location or echelon of care. (SOURCE: Col Todd E. Rasmussen, USAMRMC CCCRP)


FIGURE 2


Te CCCRP’s blended Army RAD-2 and DHA staff is positioned to maximize coordination of effort among the Army, Navy and Air Force and to create synergy among the different contributors to the medical RDT&E investment. Trough active program management, the CCCRP also aims to leverage trauma- related research dollars stemming from congressional special interest programs to maximize the Army and DHA invest- ment. Tis multifaceted funding supports the advancement of groundbreaking trauma research through a requirements- driven, coordinated program structure.


‘BOOKENDS’ TO RESEARCH


The JTS provides “bookends” for the CCCRP. On the left side, the JTS and clinical community provide observations and questions that the research program endeavors to answer with knowledge and materiel solutions. On the right side, the JTS and clinical community take, hone and integrate the results of that research to develop best practices and clinical guidance for combat casualty care. (SOURCE: Col Todd E. Rasmussen, USAMRMC CCCRP)


A THREE-PART DYNAMO Te effectiveness of the nation’s invest- ment in combat casualty care research is evident in the 50 percent decline in case fatality rates among U.S. service personnel in Afghanistan between 2005 and 2013. Evidence also exists that the research funded by the CCCRP has been effective in narrowing gaps established by DOD’s 2008 Guidance for the Develop- ment of the Force, meeting the high-level strategic goals of the military. Addition- ally, the impact is expanding beyond the military, as lifesaving advances in trauma care increasingly are being translated to


82 Army AL&T Magazine January–March 2015


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92  |  Page 93  |  Page 94  |  Page 95  |  Page 96  |  Page 97  |  Page 98  |  Page 99  |  Page 100  |  Page 101  |  Page 102  |  Page 103  |  Page 104  |  Page 105  |  Page 106  |  Page 107  |  Page 108  |  Page 109  |  Page 110  |  Page 111  |  Page 112  |  Page 113  |  Page 114  |  Page 115  |  Page 116  |  Page 117  |  Page 118  |  Page 119  |  Page 120  |  Page 121  |  Page 122  |  Page 123  |  Page 124  |  Page 125  |  Page 126  |  Page 127  |  Page 128  |  Page 129  |  Page 130  |  Page 131  |  Page 132  |  Page 133  |  Page 134  |  Page 135  |  Page 136  |  Page 137  |  Page 138  |  Page 139  |  Page 140  |  Page 141  |  Page 142  |  Page 143  |  Page 144  |  Page 145  |  Page 146  |  Page 147  |  Page 148  |  Page 149  |  Page 150  |  Page 151  |  Page 152  |  Page 153  |  Page 154  |  Page 155  |  Page 156  |  Page 157  |  Page 158  |  Page 159  |  Page 160  |  Page 161  |  Page 162  |  Page 163  |  Page 164  |  Page 165  |  Page 166  |  Page 167  |  Page 168  |  Page 169  |  Page 170  |  Page 171  |  Page 172  |  Page 173  |  Page 174  |  Page 175  |  Page 176  |  Page 177  |  Page 178  |  Page 179  |  Page 180  |  Page 181  |  Page 182  |  Page 183  |  Page 184