“…In fact, many of the recent advances in the management of civilian gunshot injury have been learned from military experiences in the battlefields of Iraq and Afghanistan, where improvements in field hemostasis, 5 endovascular repair of vascular injury, and neuro-critical care have occurred. 6,7 For example, aggressive intracranial pressure monitoring and frequent neurosurgical intervention among victims of battlefield blast and penetrating injury has been demonstrated to improve mortality, a practice which has translated to civilian care. 8 Similarly, early and even preemptive correction of coagulopathy (e.g., through use of recombinant factor VIIa) in battlefield victims has been demonstrated to result in fewer transfusions with no increase in thrombosis, providing valuable information for civilians suffering gunshot injury.…”