opportunities for military trauma training and how
these partnerships will increase military readiness,
skills, and competency.
As a result of the hearing, the Mission Zero Act
(S. 3407 and H.R. 6229) was introduced in the Senate
by Sens. Mark Kirk, Johnny Isakson (R-GA), and John
Cornyn (R-TX), and in the House by Reps. Michael
Burgess, Kathy Castor (D-FL), Gene Green, and Richard Hudson (R-NC). The Mission Zero Act, which
did not pass, would have assisted military health care
providers in maintaining a state of readiness by providing grants for military trauma teams and providers
to embed in civilian trauma centers.
The Mission Zero Act would have specifically
provided $40 million in grant funding from the
Department of Health and Human Services to facilitate partnerships between military trauma care
teams/providers and high-volume civilian Level I
trauma centers. These partnerships would allow military trauma care teams/providers to gain exposure
by treating critically injured patients and increase
readiness for when these units are deployed.
Not only would these efforts improve sustained
readiness among military providers, but they would
allow for a smooth transition of trauma lessons
learned from the military to the civilian setting, and
may assist in alleviating staffing demands at civilian
centers. In February 2017, the Mission Zero Act was
reintroduced in the House of Representatives (H.R.
880) by the same sponsors from the 114th version.
At press time, Senate reintroduction is forthcoming.
In addition to the Mission Zero Act, the ACS is
inclined to support legislation that improves the U.S.
trauma system and supports a sufficient number of
trauma centers and trauma personnel to meet both
civilian and military needs. The message of several
NASEM recommendations clearly indicates that
without a nationwide system, the goal of zero preventable trauma deaths is not obtainable. The COT,
the MHSSPACS, and the DAHP will continue to
advocate for a trauma system that will cover injured
patients, regardless of their location.
In 2016, the American Medical Association House of
Delegates (AMA-HOD) endorsed the ACS-led resolution to support the Stop the Bleed program, which
encourages educating first responders and immediate first responders (bystanders) in bleeding control
techniques, including the use of holding pressure,
tourniquets and gauze dressings, and creative use
of nontraditional materials such as clothing or belts.
This initiative represents a revolutionary step in
saving lives and turning bystanders of traumatic
events into lifesaving heroes.
Building on this momentum, the ACS is working
with congressional trauma champions to introduce
legislation that would assist in bringing BCon training to the general public. The overarching goal is
to ensure that the ability to control bleeding is as
commonplace as the ability to perform the Heim-lich maneuver or administer cardiopulmonary
As a leader in BCon training and trauma care, the
College will have unique opportunities to advocate
for the advancement of BCon and trauma priorities
during the ACS Leadership & Advocacy Summit in
Washington, DC, May 6–9.
Congressional Pediatric Trauma Caucus
The ACS is supportive of the congressional Pediatric
Trauma Caucus, created in 2016 by Reps. Richard
Hudson (R-NC) and G.K. Butterfield (D-NC), to
ensure that all children have access to a properly
resourced trauma facility within the golden hour.
The goal of the caucus is to reduce the number of
pediatric trauma fatalities in the U.S. Both Representatives Hudson and Butterfield serve on the House
Committee on Energy and Commerce, one of the
main committees with jurisdiction over health care
The caucus has hosted two congressional
briefings—one on overall pediatric trauma, and the
other on youth sports injuries in May and September
Not only would these efforts improve sustained readiness among
military providers, but they would allow for a smooth transition
of trauma lessons learned from the military to the civilian setting,
and may assist in alleviating staffing demands at civilian centers.