However, new technologies being developed by the AFIRM and USAISR provide the ability to close burn wounds using a patient's own skin with less pain in two to three months, as opposed to the six months to one year timeframe of traditional methods.
The more than 50 doctors supporting the AFIRM and USAISR have made one thing clear: They are excited about treating both military and civilian patients with new and improved methods that are not only feasible, but also within months or years of being readily accessible.
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Toward this end, USAISR initiated investigations into threshold solutions for bridging this Role-I PCCR capability gap.
15,17,18) Thus, the identification and development of a relevant and sustainable test bed for RDCR and related out-of-hospital trauma research was identified as a priority by USAISR.
It is affiliated with the Brooke Army Medical Center, USAISR, and the University of Texas Health Science Center-San Antonio.
Once a deploying unit has indicated that it wishes to receive the TCCC Transition initiative training, USAISR representatives coordinate a date for a 3-day training session with the deploying units who wish to participate.
Upon the unit's return from deployment into theater, USAISR coordinates an after action review with the unit to document the effectiveness or shortfalls of the new techniques and equipment used in the tactical environments.
The training is conducted by the USAISR instructor team and includes data on how people die in ground combat, specific management guidelines for the 3 phases of care (Care Under Fire, Tactical Field Care, and CASEVAC Care), guidelines for optimal management of wounded hostile combatants, guidelines for determining the urgency for evacuation for specific types of injuries, specific casualty scenarios, and "Lessons from the Front.
Testing conducted in 2000-2001 at USAISR identified a device now known as the one-handed tourniquet (OHT) as an improved device over the available options, and recommendations were made to field this item Feedback from Soldiers using the OHT led to an initiative from USAISR, in 2003, to identify an improved device.
This overview and the articles that follow present an overview of the iterative development of the USAISRs recent efforts to improve battlefield tourniquets and their use.