When the Golden Hour Goes Away: Prolonged Casualty Care in LSCO--Considerations for Commanders and Decision-Makers.

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Bibliographic Details
Title:	When the Golden Hour Goes Away: Prolonged Casualty Care in LSCO--Considerations for Commanders and Decision-Makers.
Authors:	Gurney, Jennifer M., Tadlock, Matthew D., Ferguson, D. Max, Carlson, Ashli N., Donaldson, Christopher, Wilson, Justin A.
Source:	Military Review. Jul/Aug2025, Vol. 105 Issue 4, p126-137. 12p.
Subjects:	Physicians, Emergency physicians, Medical laws, Military hospitals, Health facilities, Mass casualties
Abstract:	The article discusses the challenges and strategies associated with Prolonged Casualty Care (PCC) in Large-Scale Combat Operations (LSCO), emphasizing the shift away from the traditional "Golden Hour" evacuation paradigm. It highlights that in future combat environments, the expectation for timely evacuation will be unrealistic, necessitating that combat medics and non-medical personnel provide extended care for severely injured soldiers for up to 72 hours. The authors advocate for structured training and clear time standards for medical care at various tactical echelons, stressing the importance of whole blood transfusions and damage control resuscitation to stabilize casualties until they can be evacuated to higher levels of care. The article calls for a transformation in military medical practices to effectively manage the anticipated high volume of casualties in future conflicts. [Extracted from the article]
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Database:	Psychology and Behavioral Sciences Collection

Description
Abstract:	The article discusses the challenges and strategies associated with Prolonged Casualty Care (PCC) in Large-Scale Combat Operations (LSCO), emphasizing the shift away from the traditional "Golden Hour" evacuation paradigm. It highlights that in future combat environments, the expectation for timely evacuation will be unrealistic, necessitating that combat medics and non-medical personnel provide extended care for severely injured soldiers for up to 72 hours. The authors advocate for structured training and clear time standards for medical care at various tactical echelons, stressing the importance of whole blood transfusions and damage control resuscitation to stabilize casualties until they can be evacuated to higher levels of care. The article calls for a transformation in military medical practices to effectively manage the anticipated high volume of casualties in future conflicts. [Extracted from the article]
ISSN:	00264148