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The next generation of combat casualty care.

Abstract : With many new faces and multiple changes in the military research leadership, right now is a perfect time to reassess combat casualty care research and our goals for the next generation. Since September 11, 2001, we have made huge strides in combat casualty care, with advances in the design and deployment of tourniquets and hemostatic dressings, implementation of damage control resuscitation (DCR) and the joint theater trauma system (JTTS), and improvements in burn and tactical combat casualty care. By addressing some of the most pressing research issues confronting us at the start of Operation Enduring Freedom, we have reinforced the foundation of combat casualty care, and as we have witnessed improved outcomes for our wounded warriors, we have built momentum. So, now we must ask ourselves, where do we go from here?