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Advances Have Cut Combat Deaths in Iraq and Afghanistan

measures to protect against hypothermia, aggressive surgery to prevent damaging compartment syndromes, and improvements in ventilator design and technology. Weekly video teleconferences allow close and ongoing communication between doctors on the battlefield, at Landstuhl, and in U.S. treatment facilities. In addition, a trauma registry system has been set up to record and analyze the types of injuries that occur, thus allowing improvements in management.

War has been a constant in human history, and doctors and surgeons have stood by to provide care for injured soldiers. Over the years, the need to provide urgent care for devastating combat injuries has led to many new advances in medical care for the population at large. Today, accumulated advances in technology, military organization, and medical and surgical care have lead to unprecedented improvements in the chances of surviving combat injuries. "We stand on the next great leap forward of medicine for generations to come," Col. Gamble concludes.

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