Neurocritical Care

, Volume 30, Issue 2, pp 253–260 | Cite as

Tactical Neurocritical Care

  • Julio A. ChalelaEmail author
  • Patrick E. Britell
Review Article


Neurocritical care is usually practiced in the comfort of an intensive care unit within a tertiary care medical center. Physicians deployed to the frontline with the US military or allied military are required to use their critical care skills and their neurocritical skills in austere environments with limited resources. Due to these factors, tactical critical care and tactical neurocritical care differ significantly from traditional critical care. Operational constraints, the tactical environment, and resource availability dictate that tactical neurocritical care be practiced within a well-defined, mission-constrained framework. Although limited interventions can be performed in austere conditions, they can significantly impact patient outcome. This review focuses on the US Army approach to the patient requiring tactical neurocritical care specifically point of injury care and care during transportation to a higher level of care.


Tactical critical care Prolonged field care Military trauma Austere care 


Compliance with Ethical Standards


No funding was utilized for this article.

Conflict of interest

Dr. Julio A. Chalela and Dr. Patrick E. Britell have no conflicts of interest to disclose.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society 2018

Authors and Affiliations

  1. 1.Neurology and NeurosurgeryMedical University of South CarolinaCharlestonUSA
  2. 2.Anesthesiology and NeurosurgeryMedical University of South CarolinaCharlestonUSA

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