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...Joint trauma system clinical practice guideline jts cpg nutritional support using enteral and parenteral methods id how to achieve optimal for the critically injured or ill patient nutrition contributors cdr matthew tadlock mc usn ltc jeremy pamplin usa hannon col stacy shackelford usaf konrad davis martin micah lancman rdn capt zsolt stockinger first publication date mar aug supersedes dated jun table of contents purpose definitions guidelines indications absolute contraindications relative access energy protein requirements special considerations role hypocaloric feeding formula selection initiation advancement volume based top down protocols glutamine supplementation those patients tolerating a diet general gastric feeds jejunal feed njft maintenance medication inotropic agents e g dobutamine milrinone paralytics vasoactive laboratory evaluation intolerance management vomiting abdominal distension mild moderate severe diarrhea high og ng tube output increased residual volumes grv bo...