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The review summarizes findings from systematic review and observational study content, including diagnostic performance of prehospital triage tools for suspected traumatic brain injury and Norwegian Air Ambulance crews’ emergency cricothyroidotomy performance in difficult airway simulation. It emphasizes access limitations and reiterates that posting does not change TCCC/ERCCC guidance.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/tactical-combat-casualty-care-2022-journal-watch/501632/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/tactical-combat-casualty-care-2022-journal-watch/501632.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-20","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What time period does the 2022 Journal Watch review cover for TCCC and ERCCC evidence?","Question",{"text":112,"@type":113},"It covers topics from Dec 2019 through Mar 2020 within the Apr 2022–Jun 2022 quarterly journal watch.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What does the systematic review report about prehospital triage tools for suspected traumatic brain injury?",{"text":117,"@type":113},"Sensitivity ranges from 19.8% to 87.9% and specificity from 41.4% to 94.4%, with some tools validated multiple times and an observed tendency toward under-triage of older patients.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the findings regarding emergency cricothyroidotomy performance in the difficult airway simulation study?",{"text":121,"@type":113},"Norwegian Air Ambulance crews managed a “cannot intubate, cannot oxygenate” scenario using emergency cricothyroidotomy with effective communication and resource utilization within a reasonable timeframe, though discrepancies with standard operating procedures were observed.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},501632,1791078234,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Tactical Combat Casualty Care  \n&  \nEn Route Combat Casualty Care  \n2022 Journal Watch  \nJournal Article Abstracts  \nApr 2022 – Jun 2022  \nA quarterly literature review of topics related to Tactical Combat Casualty Care (TCCC) and En Route Combat Casualty Care (ERCCC) from the months of Dec 2019 through Mar 2020.  \nPosting of articles does not imply agreement or disagreement with the contents nor constitute a change in TCCC or ERCCC guidelines, practices, or training. Links are provided to respective publications for further reading and research. Additional log-in requirements may be required at various websites. The Joint Trauma System and Deployed Medicine do not provide downloadable articles or free access to journal sites. Access may be acquired through service medical departments/commands or medical agencies/organizations.  \nThe diagnostic accuracy of prehospital triage tools in identifying patients with traumatic brain injury: A systematic review  \nNaif Alqurashi, Ahmed Alotaibi, Steve Bell, Fiona Lecky, Richard Body  \nInjury 2022 Jun;53(6):2060-2068.  \nIntroduction: Prehospital care providers are usually the first responders for patients with traumatic brain injury (TBI) . Early identification of patients with TBI enables them to receive trauma centre care, which improves outcomes. Two recent systematic reviews concluded that prehospital triage tools for undifferentiated major trauma have low accuracy. However, neither review focused specifically on patients with suspected TBI. Therefore, we aimed to systematically review the existing evidence on the diagnostic performance of prehospital triage tools for patients with suspected TBI.  \nMethods: A comprehensive search of the current literature was conducted using Medline, EMBASE, CINAHL Plus and the Cochrane library (inception to 1st June 2021) . We also searched Google Scholar, OpenGrey, pre-prints (MedRxiv) and dissertation databases. We included all studies published in English language evaluating the accuracy of prehospital triage tools for TBI. We assessed methodological quality and risk of bias using a modified Quality Assessment of Diagnostic Studies (QUADAS-2) tool. Two reviewers independently performed searches, screened titles and abstracts and undertook methodological quality assessments. Due to the heterogeneity in the population of interest and prehospital triage tools used, a narrative synthesis was undertaken.  \nResults: The initial search identified 1787 articles, of which 8 unique eligible studies met the inclusion criteria (5 retrospective, 2 prospective, 1 mixed) . Overall, sensitivity of triage tools studied ranged from 19.8% to 87.9% for TBI identification. Specificity ranged from 41.4% to 94.4% . Two decision tools have been validated more than once: HITS-NS (2 studies, sensitivity 28.3-32 .6%, specificity 89.1-94 .4%) and the Field Triage Decision Scheme (4 studies, sensitivity 19.8-64 .5%, specificity 77 .4%-93.1%) . Existing tools appear to systematically under-triage older patients.  \nConclusion: Further efforts are needed to improve and optimise prehospital triage tools. Consideration of additional predictors (e.g., biomarkers, clinical decision aids and paramedic judgement) may be required to improve diagnostic accuracy.  \nEmergency cricothyroidotomy in difficult airway simulation-a national observational study of Air  \nAmbulance crew performance  \nÅke Erling L Andresen, Jo Kramer-Johansen, Thomas Kristiansen  \nBMC Emerg Med. 2022 Apr 9;22(1):64  \nBackground: Advanced prehospital airway management includes complex procedures carried out in challenging environments, necessitating a high level of technical and non-technical skills. We aimed to describe Norwegian Air Ambulance-crews' performance in a difficult airway scenario simulation, ending with a \"cannot intubate, cannot oxygenate\"-situation.  \nMethods: The study describes Air Ambulance crews' management of a simulated difficult airway scenario. We used video-observation to assess time expend","cbCaiiHCoDu9dPT5","https://ap.wps.com/l/cbCaiiHCoDu9dPT5","pdf",701322,58,"English","# 2022 Journal Watch\n## Tactical Combat Casualty Care & En Route Combat Casualty Care\n## The diagnostic accuracy of prehospital triage tools for traumatic brain injury: A systematic review\n## Emergency cricothyroidotomy in difficult airway simulation: A national observational study","[{\"question\":\"What time period does the 2022 Journal Watch review cover for TCCC and ERCCC evidence?\",\"answer\":\"It covers topics from Dec 2019 through Mar 2020 within the Apr 2022–Jun 2022 quarterly journal watch.\"},{\"question\":\"What does the systematic review report about prehospital triage tools for suspected traumatic brain injury?\",\"answer\":\"Sensitivity ranges from 19.8% to 87.9% and specificity from 41.4% to 94.4%, with some tools validated multiple times and an observed tendency toward under-triage of older patients.\"},{\"question\":\"What were the findings regarding emergency cricothyroidotomy performance in the difficult airway simulation study?\",\"answer\":\"Norwegian Air Ambulance crews managed a “cannot intubate, cannot oxygenate” scenario using emergency cricothyroidotomy with effective communication and resource utilization within a reasonable timeframe, though discrepancies with standard operating procedures were observed.\"}]","Tactical Combat Casualty Care - 2022 Journal Watch | PDF",1791021755,146]