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Unveiling the 2023 Joint Prehospital Emergency Care Protocols: A Guide for 68W Credentials

Army personnel performing casualty response

It is with great pleasure that we announce the release of the 2023 revision of the Joint Prehospital Emergency Care Protocols (JPECP), a collaborative effort between HQDA-OTSG and HAF-AFMRA. This marks the second consecutive year of synergy in establishing EMS Protocols, setting the Standard of Care for installation EMS worldwide. Dr. Simon and her team at AFMRA have played a pivotal role in shaping these protocols, reinforcing the Army's commitment to excellence in emergency medical services.

1. Setting the Standard of Care:

The release of the 2023 JPECP signifies a milestone in the collaboration between HQDA-OTSG and HAF-AFMRA. Together, they have meticulously crafted protocols that set the Standard of Care for installation EMS on a global scale. This initiative underscores the commitment of the Army to deliver top-tier emergency medical services.

2. Aggressive Trauma Resuscitation Guidelines:

One of the standout features of the JPECP is the incorporation of aggressive trauma resuscitation guidelines. These guidelines, inspired by USAISR/JTS guidance for combat casualty care, bring a heightened level of preparedness to emergency medical scenarios. For 68Ws, this translates into a comprehensive approach to trauma care, aligning with the dynamic demands of their roles.

3. Ownership and Delegation:

It's crucial to note that the use of the JPECP is not mandatory for 68Ws or 18Ds not directly involved in the EMS mission. This mission is owned by MEDCOM and sometimes delegated to AMC F&ES elements. However, the JPECP advocates for an adaptive approach, encouraging the 'Green Side' of the Army to leverage effective strategies that support the Health Service Support mission.

4. Air Force Implementation:

Beyond the Army, the JPECP extends its influence to the Air Force, where it is utilized in deployed and aeromedical settings by servicemembers. Exceptions are considered through HAF/AFMRA-approved waivers. This cross-service integration emphasizes the universal applicability and relevance of the JPECP.

5. Credentialing for Excellence:

Recognizing the importance of standardized credentials, the JPECP includes a comprehensive credentialing package for EMS Medical Directors. This aligns with the National EMS Scope of Practice Model, emphasizing the need for EMS personnel, including 68Ws, to be certified, licensed, and credentialed for practice. The attached credentialing package serves as a valuable resource for those seeking to elevate their credentials in the field.

6. Welcoming Feedback for Continuous Improvement:

The Army EMSPO extends an invitation for feedback on the 2023 JPECP. Changes, additions, and clarifications suggested by installation EMS Coordinators and Medical Directors have been thoughtfully incorporated into this revision. A detailed breakdown of these changes is available in the attached briefing slides, fostering a culture of continuous improvement.


The release of the 2023 JPECP heralds a new era in emergency medical services, especially for 68Ws. As we delve into the protocols and credentialing standards, it's evident that this initiative is not just a manual; it's a commitment to excellence. Through collaboration, adaptation, and a shared dedication to continuous improvement, the JPECP stands as a beacon for those at the forefront of emergency medical care. Let's embrace these standards, provide feedback, and collectively strive for excellence in the evolving landscape of prehospital emergency care.

You can find the credentials packet and joint pre-hospital guidelines here.

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