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Even the military is coming around to this needing to be changed.
Golden Hour
- Thread starter ffemt8978
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Kavsuvb
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The end of the 'Golden Hour' and the transformation of U.S. military combat medicine
How the medics of the U.S. military will need to move the injured faster in future wars, or care for them on the battlefield for much longer.
taskandpurpose.com
No 'golden hour'? How Army medicine is changing for the next war
On battlefields of the future, medics may need to treat the wounded for 72 to 96 hours, say Army leaders with an eye on Ukraine.
taskandpurpose.com
Death Ignores theGolden HourThe Argument for Mobile,Farther-Forward Surgery
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Really interesting video; I'm very out of the loop on the TCCC stuff.
Synthetic blood substitutes have been looked at for many years and would clearly be a game changer for some battlefield patients, but many casualties would still require early damage control surgery which realistically will never be available on a consistent basis without evac. There just aren't nearly enough trauma surgeons to embed at the platoon or even company level. I have serious doubts about the utility or practicality of automated nerve block devices on the battlefield - it seems to me that updated pharmacologic approaches to pain management are far more practical and versatile in the field.
Synthetic blood substitutes have been looked at for many years and would clearly be a game changer for some battlefield patients, but many casualties would still require early damage control surgery which realistically will never be available on a consistent basis without evac. There just aren't nearly enough trauma surgeons to embed at the platoon or even company level. I have serious doubts about the utility or practicality of automated nerve block devices on the battlefield - it seems to me that updated pharmacologic approaches to pain management are far more practical and versatile in the field.
Kavsuvb
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Here's why the next coming battle, we may have to start thinking long duration care.
www.usni.org
Expeditionary Advanced Medical Care for the Indo-Pacific
The “golden hour” is not realistic for the western Pacific.
Kavsuvb
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The TCCC stuff is what the Military uses and it's being filtered down to the civilian EMS. Think of 9 line medevac request and they use an assessment tool call MARCH
Here's sources
Committee on Tactical Combat Casualty Care (CoTCCC)
Committee on Tactical Combat Casualty Care (CoTCCC) - Joint Trauma System
The Joint Trauma System is dedicated to the reduction of morbidity and mortality, and improved survivability for all trauma patients in wartime and peacetime.
Tactical Trauma Assesment
Module 05: Tactical Trauma Assessment
This module introduces the concept of a tactical trauma assessment, or TTA. It involves assessing injuries, prioritizing treatments, and coordinating the care of a combat casualty. The practical application of this information in the form of skill stations and trauma lanes will take place...