• Bradley Dengler, Randall McCafferty, Christopher Neal, Randy Bell, Brian J Sonka, Shane Jensen, Matthew D Tadlock, Jan-Michael Van Gent, Remealle A How, and Jennifer Gurney.
• Military Traumatic Brain Injury Initiative (MTBI2), Bethesda, MD 20814, USA.
• Mil Med. 2024 Jun 15.

AbstractManagement of the patient with moderate to severe brain injury in any environment can be time consuming and resource intensive. These challenges are magnified while forward deployed in austere or hostile environments. This Joint Trauma System Clinical Practice Guideline provides recommendations for the treatment and medical management of casualties with moderate to severe head injuries in an environment where personnel, resources, and follow-on care are limited. These guidelines have been developed by acknowledging commonly recognized recommendations for neurosurgical and neuro-critical care patients and augmenting those evaluations and interventions based on the experience of neurosurgeons, trauma surgeons, and intensivists who have delivered care during recent coalition conflicts.Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2024. This work is written by (a) US Government employee(s) and is in the public domain in the US.

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