The Symbiotic Relationship Between Operational Military Medicine, Tactical Medicine, and Wilderness Medicine: A View Through a Personal Lens

Abstract

There are direct and indirect linkages and a form of symbiosis between operational military medicine from World War II and present wilderness medicine, from the beginnings to contemporary practice, and the more recently evolved field of tactical emergency medical support. Each of these relationships will be explored from the historical perspective of the Department of Military & Emergency Medicine, Uniformed Services University of the Health Sciences from 1982 to the present.

Fresh Low Titer O Whole Blood Transfusion in the Austere Medical Environment

“…These proceedings were subsequently published. 2 Information presented here highlights and expands the understanding of one previously published principle, the practice of low titer group O whole blood (LTOWB) transfusion. 3 Background Hemorrhage is the leading cause of potentially preventable death in combat injuries.…”

Translating Tactical Combat Casualty Care Lessons Learned to the High-Threat Civilian Setting: Tactical Emergency Casualty Care and the Hartford Consensus

“…Details surrounding the origin, development, and maturation of the TCCC guidelines are provided elsewhere. [1][2][3] Between 2001 and 2015, the Committee on Tactical Combat Casualty Care (CoTCCC) helped to drive innovation in combat trauma care and was partially responsible for some of the lowest case fatality rates in recorded military history. [4][5][6] Many frontline observations related to resuscitation and surgical intervention were validated at civilian academic centers and quickly applied back on the battlefield in Iraq and Afghanistan.…”