Refocusing the Military Health System to Support Role 4 Definitive Care in future large-scale combat operations

Author:

Remondelli Mason H.1ORCID,McDonough Matthew M.1,Remick Kyle N.2,Elster Eric A.2,Potter Benjamin K.2,Holt Danielle B.2

Affiliation:

1. School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD

2. Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD

Abstract

Abstract The last twenty years of sustained combat operations during the Global War on Terror generated significant advancements in combat casualty care. Improvements in point-of-injury, en route, and forward surgical care appropriately aligned with the survival, evacuation, and return to duty needs of the small-scale unconventional conflict. However, casualty numbers in large-scale combat operations have brought into focus the critical need for modernized casualty receiving and convalescence: Role 4 definitive care (R4DC). Historically, World War II was the most recent conflict in which the United States fought in multiple operational theaters, with hundreds of thousands of combat casualties returned to the continental United States. These numbers necessitated the establishment of a “Zone of the Interior” which integrated military and civilian healthcare networks for definitive treatment and rehabilitation of casualties. Current security threats demand refocusing and bolstering the Military Health System’s definitive care capabilities to maximize its force regeneration capacity in a similar fashion. Medical force generation, medical force sustainment and readiness, and integrated casualty care capabilities are three pillars that must be developed for MHS readiness of Role 4 definitive care in future large-scale contingencies against near-peer/peer adversaries.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference46 articles.

1. The cost of doing business in the modern world: our readiness imperative;J Trauma Acute Care Surg,2023

2. Casualty care implications of large-scale combat operations;J Trauma Acute Care Surg,2023

3. “Medical Changes Needed for Large-Scale Combat Operations: Observations from Mission Command Training Program Warfighter Exercises,”;Military Review, May-June 2020

4. Examining the impact of the COVID-19 pandemic on burnout and stress among U.S. nurses;J Nurs Regul,2023

5. Hospital capacity and operations in the coronavirus disease 2019 (COVID-19) pandemic—planning for the nth patient;JAMA Health Forum,2020

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3