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Abstract
Pages 1-4

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From page 1...
... Battlefield fatality rates have declined substantially since the Vietnam War, particularly in the prehospital setting, and in one special operations unit -- the 75th Ranger Regiment -- preventable trauma deaths among wounded soldiers were all but eliminated. Wartime innovations in trauma care have included, among others, new paradigms for management of hemorrhage (e.g., early tourniquet use, damage control resuscitation)
From page 2...
... The threat of system degradation and institutional memory loss looms as many of the leaders who enabled this military medical transformation and who serve as advocates for its perpetuation retire or transition to the civilian sector. Recognizing the magnitude and the immediacy of the need, a group of sponsors, representing both the military and civilian sectors, asked the National Academies of Sciences, Engineering, and Medicine to convene a committee charged with defining the components of a learning health system necessary to enable continued improvement in military and civilian trauma care, and with providing recommendations to ensure that lessons learned from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the civilian system (the full statement of task is included in Box 1-6 in Chapter 1)
From page 3...
... It offers 11 recommendations that, if implemented, would help the nation realize this vision through stronger and more consolidated leadership; comprehensive and more accessible trauma data and information management systems; robust research programs and supportive regulatory systems that promote innovation; incentives that drive quality improvement processes; and a network of civilian and military trauma centers to serve as an integrated trauma training platform. This will require an unprecedented partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels, but the benefits are clear: the first casualties of the next war would experience better outcomes than the casualties of the last war, and all Americans would benefit from the hard-won lessons learned on the battlefield.


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