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A unique selection and training regimen is required for the   References
              development of this capability. Our data demonstrate the wide     1.  Eastridge BJ1, Mabry RL, Seguin P, et al. Death on the battlefield
              range of skills implemented effectively by a SRT. Team mem-  (2001–2011): implications for the future of combat casualty care.
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              the benefit of which has been demonstrated in several large     2.  Sauer SW, Robinson JB, Smith MP, et al. Saving lives on the bat-
                                                                    tlefield (Part II)–one year later. A Joint Theater Trauma System
              reports. 3,16–18  In addition, the multidisciplinary SRT maintains   and Joint Trauma System review of prehospital trauma care in
              currency in the effective use of a wide variety of resuscitative   Combined Joint Operations Area-Afghanistan (CJOA-A) final
              adjuncts, including the ability to secure an advanced airway,   report, 30 May 2014. J Spec Oper Med. 2015;15(2):25–41.
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              if necessary), transfusion, and resuscitative endovascular oc-  performed in a combat zone: a prospective multicenter study of
              clusion of the aorta.  Finally, the SRT can transition rapidly   1,003 combat wounded. J Trauma Acute Care Surg. 2012;73(2
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              to providing surgical intervention in the pre-Role 2 setting for     4.  Freel D, Warr BJ. Surgical and resuscitation capabilities for the
              emergent indications, including cranial decompression, con-  “next war” based on lessons learned from “this war.” US Army
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              restore distal perfusion.                            5.  Nessen SC, Eastridge BJ, Cronk D, et al. Fresh whole blood use
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              Our experience demonstrates that an SRT can be effective in a   proved survival compared to component therapy without plate-
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              variety of roles—from augmentation of a Role 2 facility dur-    6.  Cap AP, Pidcoke HF, DePasquale M, et al. Blood far forward:
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              execution. In this context, the SRT can rapidly and effectively     8.  Russo RM, Williams TK, Grayson JK, et al. Extending the golden
                                                                    hour: partial resuscitative endovascular balloon occlusion of the
              support both resuscitation and DCS within 1 hour of POI in   aorta in a highly lethal swine injury model. J Trauma Acute Care
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              Our report does have important limitations that must be ac-  /golden-hour-policy-decreased-combat-deaths-among-u-s-troops/.
                                                                    Accessed 15 October 2017.
              knowledged, including those inherent to retrospective review.   10.  Kotwal RS, Howard JT, Orman JA, et al. The effect of a golden
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              Conclusion                                            Shock. 2013;40(1):5–10.
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              The viewpoints expressed in this manuscript are those of the   17.  Tien HC, Jung V, Rizoli SB, et al. An evaluation of tactical com-
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                                                                    of tranexamic acid in trauma emergency resuscitation ( MATTERS)
              Disclosure                                            Study. Arch Surg. 2012;147(2):113–119.
              The authors have nothing to disclose.

              Author Contributions
              All authors participated in the composition of this manuscript
              through data collection (J.D., D.M.), analysis (J.D., D.M.,
              C.F., I.H., S.T.), manuscript creation (J.D., D.M., C.F., I.H.,
              S.T., P.B.), and editorial revision (J.D., B.M., P.B.). All authors
              approved the final revision of the manuscript.





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