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standard. These are skills that could save the lives and limbs 6. Yatsun V. Application of hemostatic tourniquet on wounded
of numerous casualties in the next conflict, without adding extremities in modern “Trench” warfare: the view of a vascular
extra equipment to the individual first aid kit, and without surgeon. Mil Med. 2022;189(1-2):332–336. doi:10.1093/milmed/
usac208
eliminating the proven benefits of rapidly applied tourniquets 7. Klenerman L. The Tourniquet Manual — Principles and Practice.
during Care Under Fire. Springer Science & Business Media; 2003:13v36.
8. Sabate-Ferris A, Pfister G, Boddaert G, et al. Prolonged tactical
Author Contributions tourniquet application for extremity combat injuries during war
MB and JW contributed to drafting and editing. JH contrib- against terrorism in the Sahelian strip. Eur J Trauma Emerg Surg.
uted to content oversight and provided authorship guidance. 2022;48(5):3847–3854. doi:10.1007/s00068-021-01828-4
9. Samarskiy IM, Khoroshun EM, Vorokhta Y. The use of tourniquets
in the Russo-Ukrainian war. J Spec Oper Med. 2024;24(1):67–70.
Disclosures doi:10.55460/CB0O-GYYX
The authors have nothing to disclose. 10. Hampton K. Briefing by Dr. Kasia Hampton on Experiences in
Ukraine. Published online 2022. Accessed 2025. https://www.
Disclaimer milsuite.mil/video/watch/video/62404?fbclid=IwAR3JqD0Fv
The views expressed in this article are those of the author(s) Umn3AUcbp54CCgQH-qz77T1-F_Ir0h--Edf_AAjOaTe0rk2gX0
and do not reflect the official policy or position of the U.S. 11. Ostashenko T. The Current Situation, Challenges Related to
Government, the Department of Defense, the Uniformed Ser- Medical Support, and Lessons Learned. Briefed to Uniformed
Services University; 2023.
vices University of the Health Sciences, the Defense Health 12. Croft A. More than 46,000 Ukrainian troops killed in defence
Agency, or Duke University. against Russian invasion, says Zelensky. The Independent. Pub-
lished February 18, 2025. Accessed May 6, 2025. https://www.
Funding the-independent.com/news/world/europe/ukrainian-soldiers-
This publication is self-funded by the authors. killed-russia-putin-zelensky-b2699903.html
13. Melkozerova V. Kyiv reveals total Ukraine casualties in Putin’s war
for first time. POLITICO. Published December 8, 2024. Accessed
References September 30, 2025. https://www.politico.eu/article/ukraine-
1. Eastridge BJ, Mabry RL, Seguin P, et al. Death on the battlefield volodymyr-zelenskyy-announces-its-total-military-casualties-
(2001–2011): implications for the future of Combat Casualty first-time/
Care. J Trauma Acute Care Surg. 2012;73(6 Suppl 5):S431–S437. 14 Committee on Tactical Combat Casualty Care (CoTCCC). Tac-
doi:10.1097/TA.0b013e3182755dcc tical Combat Casualty Care course: TCCC ASM (All Service
2. Howard JT, Kotwal RS, Stern CA, et al. Use of Combat Casualty Members). Allogy; 2019. Accessed September 30, 2025. https://
Care data to assess the US Military trauma system during the Af- learning-media.allogy.com/api/v1/pdf/976b1d2a-75a8-4477-
ghanistan and Iraq conflicts, 2001–2017. JAMA Surg. 2019;154 bab9-0017fcf10e03/contents
(7):600–608. doi:10.1001/jamasurg.2019.0151 15. Remley M, Loos P, Reisberg J, et al. Clinical Practice Guidelines
3. Christensen R, Bennett B. M-A-R-C-H (Massive Bleeding): tourni- for Prolonged Casualty Care Guidelines (CPG ID:91). Allogy;
quet optimization and conversion. Wilderness Medicine Magazine. 2021. Accessed July 30, 2025. https://learning-media.allogy.com/
Published July 24, 2020. Accessed July 30, 2025. https://wms.org/ api/v1/pdf/ea81f163-4ffb-483f-a4a0-20bb09802131/contents
magazine/magazine/1266/1267/M-A-R-C-H-Tourniquet-Optimi- 16. Joint Trauma System (JTS), Committee on Tactical Combat Ca-
zation-and-Conversion/default.aspx sualty Care (CoTCCC). Tactical Combat Casualty Care skill sets
4. King, van der Wilden GM, Kragh JF, Blackbourne LH. Forward by responder level. Allogy; 2024. Accessed September 30, 2025.
assessment of 79 prehospital battlefield tourniquets used in the https://books.allogy.com/web/tenant/8/books/453c5f06-cc06-
current war. J Spec Oper Med. 2012;12(4):33–38. doi:10.55460/ 476e-ae3d-5a65f6e5e57e/
bv5c-t9ig
5. Committee on Tactical Combat Casualty Care (CoTCCC). Tacti-
cal Combat Casualty Care guidelines – 8 August 2011. Imminent PMID: 41380298; DOI: 10.55460/FK4U-14RP
Threat Solutions. Published August 8, 2011. Accessed July 30, 2025.
https://www.itstactical.com/wp-content/uploads/2010/10/August
_2011_TCCC_Tactical_Combat_Casualty_Care_Guidelines.pdf
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