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

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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]
Copyright of Military Review is the property of US Army, Combined Arms Center and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: <searchLink fieldCode="DE" term="%22Physicians%22">Physicians</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+physicians%22">Emergency physicians</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+laws%22">Medical laws</searchLink><br /><searchLink fieldCode="DE" term="%22Military+hospitals%22">Military hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Health+facilities%22">Health facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Mass+casualties%22">Mass casualties</searchLink>
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  Data: 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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  Data: <i>Copyright of Military Review is the property of US Army, Combined Arms Center and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Jul/Aug2025
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