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by directive in 1997. The “Big Four” were: marksmanship, physi- Survivability From Intentional Mass Casualty Shooting Events.
cal training, small unit tactics, and . . . medical readiness (Kotwal The Hartford Consensus IV: a call for increased national resilience.
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either in the U.S. military or in the civilian sector. General John able death on the battlefield. Arch Surg. 2011;146(12):1350–1358.
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requiring the use of tourniquets and hemostatic dressings in Iraq Kragh JF Jr, Walters TJ, Westmoreland T, et al. Tragedy into drama: an
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