,,ii #aacth ,,congress #ast ,session ,s4 #aeej ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #be 7legislative day1 ,september #bd71 #bjac,mr4 ,wyden introduced the following bill2 which was read twice and referred to the ,committee on ,armed ,services ,a ,,bill ,to amend title #aj1 ,united ,states ,code1 to require the ,secretary of ,defense to use only human-based methods for training members of the ,armed ,forces in the treatment of severe combat injuries4 #a4 ,short title ,this ,act may be cited as the ,battlefield ,excellence through ,superior ,training ,practices ,act or ,,best ,practices ,act4 #b4 ,findings ,congress makes the following findings3 7#a7 ,the ,department of ,defense has made impressive strides in the development and use of methods of medical training and troop protection1 such as the use of tourniquets and improvements in body armor1 that have led to decreased battlefield fatalities4 7#b7 ,the ,department of ,defense uses more than #f1jjj live animals each year to train physicians1 medics1 corpsmen1 and other personnel methods of responding to severe battlefield injuries4 7#c7 ,the civilian sector has almost exclusively phased in the use of superior human-based training methods for numerous medical procedures currently taught in military courses using animals4 7#d7 ,human-based medical training methods such as simulators replicate human anatomy and can allow for repetitive practice and data collection4 7#e7 ,according to scientific1 peer-reviewed literature1 medical simulation increases patient safety and decreases errors by healthcare providers4 7#f7 ,the ,army ,research1 ,development and ,engineering ,command and other entities of the ,department of ,defense have made impressive strides in the development of methods for the replacement of live animal-based training4 7#g7 ,according to the report by the ,department of ,defense titled ,final ,report on the use of ,live ,animals in ,medical ,education and ,training ,joint ,analysis ,team published on ,july #ab1 #bjji-- 7,a7 validated1 high-fidelity simulators will be available for nearly every high-volume or high-value battlefield medical procedure by the end of #bjaa1 and many were available as of #bjji2 and 7,b7 validated1 high-fidelity simulators will be available to teach all other procedures to respond to common battlefield injuries by #bjad4 #c4 ,requirement to use human-based methods for certain medical training 7a7 ,in general ,chapter #aja of title #aj1 ,united ,states ,code1 is amended by adding at the end the following new section3 #bjag4 ,requirement to use human-based methods for certain medical training 7a7 ,combat trauma injuries 7#a7 ,not later than ,october #a1 #bjaf1 the ,secretary of ,defense shall develop1 test1 and validate human-based training methods for the purpose of training members of the armed forces in the treatment of combat trauma injuries with the goal of replacing live animal-based training methods4 7#b7 ,not later than ,october #a1 #bjah1 the ,secretary-- 7,a7 shall only use human-based training methods for the purpose of training members of the armed forces in the treatment of combat trauma injuries2 and 7,b7 may not use animals for such purpose4 7b7 ,exception for particular commands and training methods 7#a7 ,the ,secretary may exempt a particular command1 particular training method1 or both1 from the requirement for human-based training methods under subsection 7a77#b7 if the ,secretary determines that human-based training methods will not provide an educationally equivalent or superior substitute for live animal-based training methods for such command or training method1 as the case may be4 7#b7 ,any exemption under this subsection shall be for such period1 not more than one year1 as the ,secretary shall specify in granting the exemption4 ,any exemption may be renewed 7subject to the preceding sentence74 7c7 ,annual reports 7#a7 ,not later than ,october #a1 #bjad1 and each year thereafter1 the ,secretary shall submit to the congressional defense committees a report on the development and implementation of human-based training methods and replacement of live-animal based training methods for the purpose of training members of the armed forces in the treatment of combat trauma injuries under this section4 7#b7 ,each report under this subsection on or after ,october #a1 #bjah1 shall include a description of any exemption under subsection 7b7 that is in force as the time of such report1 and a current justification for such exemption4 7d7 ,definitions ,in this section3 7#a7 ,the term combat trauma injuries means severe injuries likely to occur during combat1 including-- 7,a7 hemorrhage2 7,b7 tension pneumothorax2 7,c7 amputation resulting from blast injury2 7,d7 compromises to the airway2 and 7,e7 other injuries4 7#b7 ,the term human-based training methods means1 with respect to training individuals in medical treatment1 the use of systems and devices that do not use animals1 including-- 7,a7 simulators2 7,b7 partial task trainers2 7,c7 moulage2 7,d7 simulated combat environments2 7,e7 human cadavers2 and 7,f7 rotations in civilian and military trauma centers4 7#c7 ,the term partial task trainers means training aids that allow individuals to learn or practice specific medical procedures4 4 7b7 ,clerical amendment ,the table of sections at the beginning of chapter #aja of such title is amended by adding at the end the following new item3 #bjag4 ,requirement to use human-based methods for certain medical training4 4