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and procedures which increased surgical patient throughput.   enhanced medical evacuation to higher levels of care in the
          SOF medics were integral in bridging the gap between mission   AFRICOM area of operations.
          requirements and ERST proximity to POI. The SOF medics
          further improved tactical utilization of the ERST while acting   Disclosures
          as liaisons between the ground force commanders and ERST   The authors have nothing to disclose.
          team lead during mission planning. Medics were also crucially
          important in assisting the CRNA in fresh whole blood typing   Author Contributions
          and blood component logistical planning. Furthermore, dis-  SS conceived the study concept, analyzed data, and was pri-
          cussions between SOF medics and the ERST enabled the con-  mary  author. OM  assisted  in methods  development.  TF
          struction of a utilization algorithm (Figure 2), which assisted   assisted in editing and algorithm development. SR and EV as-
          mission support planning. Both SOF and ERST members   sisted in data acquisition. WB and JM assisted in retrospective
          quickly realized that ERST involvement in SOF unit prede-  data collection. CC and NP assisted in data acquisition and
          ployment training would be invaluable in the future.  algorithm development. ME assisted in final edits and discus-
                                                             sion. All authors read and approved the final manuscript.
          The ERST has positively impacted the operational medical
          support within AFRICOM. Implementation of the ERST has   References
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