“Zero Preventable Deaths and Minimizing Disability”—The Challenge Set Forth by the National Academies of Sciences, Engineering, and Medicine

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Since September 11, 2001, the United States has been engaged in the longest continuous period of active warfare in our Nation's history. Within the Military Health System, trauma care has progressed to a level characterized by the highest rates of survival in history.1 Many important innovations, such as the widespread use of tourniquets for extremity hemorrhage, have resulted in better outcomes and improved survival.2 However, there are serious limitations in the diffusion of this knowledge and clinical practice gains over time, to the civilian sector.3 In addition, the ability of our military medical providers to retain prior lessons learned, while simultaneously maintaining their readiness to provide the same level of care during periods of active conflict is of great concern.

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