Clearing the Battlefield of Wounded in Large-Scale Combat Operations

Abstract

As the Army shifts focus from limited-contingency operations to large-scale combat operations against a peer or near-peer competitor, one continuing theme is the increased lethality of future conflicts. This increase in potential casualties is in stark contrast to recent military experiences beginning with Operation Desert Shield/Storm in 1991. During Operation Iraqi Freedom and Operation Enduring Freedom, casualties were almost exclusively moved via air medical evacuation and commonly received hospital care within one hour. This monograph explores the question of what happens when that "golden-hour" standard is no longer feasible in future battlefields? In the worst month of Operation Iraqi Freedom, the US military suffered 1,432 casualties; future conflicts have the realistic potential of more than 3,600 casualties per day. The purpose of this monograph is to determine current evacuation capacity and shortfalls and identify options for operational level planners on the division and corps staff in the event of a significant mass casualty situation associated with large scale combat operations. Using the lens of theory, history, practice, and doctrine, this monograph looks at the historical foundations of modern evacuation principles from the Napoleonic Wars to present day. Additionally, there are two case studies: Evacuation operations during the Normandy Campaign and an assessment of current US Army evacuation capabilities. Divisions and corps must be ready to use all tools available from the Combat Aviation Brigade, Sustainment Brigade, and Medical Brigade to allow the Brigade Combat Teams to keep focus on winning the close fight.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Jun 14, 2020
Accession Number
AD1159094

Entities

People

  • Cale T. Hamilton

Organizations

  • United States Army Command and General Staff College

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Amphibious Operations
  • Civil War
  • Combat Casualty Care
  • Combat Injuries
  • Health Services
  • Landing Craft
  • Medical Evacuation
  • Medical Personnel
  • Military History
  • Military Hospitals
  • Military Medicine
  • Second World War
  • Therapy
  • Warfare
  • Wounds And Injuries

Readers

  • Maritime Combat Support and Expeditionary Logistics.
  • Military History / Militaries and War Studies
  • Trauma or Military Medicine