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Conclusion 10. Oakeshott JE, Griggs JE, Wareham GM, et al. Feasibility of prehos-
pital freeze-dried plasma administration in a UK helicopter emer-
As technology improves, the capabilities of prehospital provid- gency medical service. Eur J Emerg Med. 2019;26(5):373–378.
ers increase. Innovations and realizations from military coun- 11. Morrison JJ, Rasmussen TE. Noncompressible torso hemor-
terparts from their protocols to their advanced interventions rhage: a review with contemporary definitions and management
have shown to increase survival. These innovations are being strategies. Surg Clin North Am. 2012;92(4):843–858.
transitioned to civilian emergency care with the same hopes 12. Almuwallad A, Cole E, Ross J, et al. The impact of prehospital
of increasing survivability of patients. Looking to the future, TXA on mortality among bleeding trauma patients: a system-
atic review and meta-analysis. J Trauma Acute Care Surg. 2021;
the incorporation of drone aircraft in the critical care field for 90(5):901–907.
both the military and civilian systems will likely impact the 13. Sims CA, Holena D, Kim P, et al. Effect of low-dose supple-
way medicine is practiced. Medical devices and equipment mentation of arginine vasopressin on need for blood product
must continue to improve in order to decrease mortality. Most transfusions in patients with trauma and hemorrhagic shock: a
importantly, education and taking care of those who take care randomized clinical trial. JAMA Surg. 2019;154(11):994–1003.
of the injured and ill is the key to improving outcomes in the 14. Ditzel RM Jr, Anderson JL, Eisenhart WJ, et al. A review of trans-
fusion- and trauma-induced hypocalcemia: is it time to change
prehospital setting. the lethal triad to the lethal diamond? J Trauma Acute Care Surg.
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Disclosures 15. Lendrum R, Perkins Z, Chana M, et al. Pre-hospital resuscitative
The authors have nothing to disclose. endovascular balloon occlusion of the aorta (REBOA) for exsan-
guinating pelvic haemorrhage. Resuscitation. 2019;135:6–13.
16. Tiba MH, McCracken BM, Colmenero CI, et al. Gastroesopha-
Disclaimer geal resuscitative occlusion of the aorta: physiologic tolerance in
The opinions or assertions contained herein are the private a swine model of hemorrhagic shock. J Trauma Acute Care Surg.
views of the author and are not to be construed as official or 2020;89(6):1114–1123.
as reflecting the views of the employers, University of New 17. Rago AP, Larentzakis A, Marini J, et al. Efficacy of a prehospi-
Mexico School of Medicine, University of New Hampshire, tal self-expanding polyurethane foam for noncompressible hem-
Texas Army National Guard, Department of the Army, or the orrhage under extreme operational conditions. J Trauma Acute
Department of Defense. Care Surg. 2015;78(2):324–329.
18. Densen P. Challenges and opportunities facing medical education.
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