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Acknowledgments                                     5.  Johnson EN, et al. Infectious complications of open type III tib-
          We thank the Joint Trauma System Data Analysis Branch,   ial fractures among combat casualties. Clin Infect Dis. 2007;45
          Joint Trauma System, US Army Institute for Surgical Research   (4):409–415.
          for their efforts with data acquisition.            6.  Brown KV, et al. Earlier debridement and antibiotic administra-
                                                                tion decrease infection. J Surg Orthop Adv. 2010;19(1):18–22.
                                                              7.  Murray CK, et al. Prevention and management of infections asso-
          Disclaimer                                            ciated with combat-related extremity injuries. J Trauma. 2008;64
          Opinions or assertions contained herein are the private views   (3 Suppl):S239–251.
          of the authors and are not to be construed as official or as   8.  Gerhardt RT, Matthews JM, Sullivan SG. The effect of systemic
          reflecting the views of the Department of the Air Force, the   antibiotic prophylaxis and wound irrigation on penetrating com-
          Department of the Army, or the Department of Defense.  bat wounds in a return-to-duty population. Prehosp Emerg Care.
                                                                2009;13(4):500–504.
                                                              9.  Murray CK, et al. Infections in combat casualties during Opera-
          Disclosures                                           tions Iraqi and Enduring Freedom. J Trauma. 2009;66(4 Suppl):
          The authors have indicated they have no financial relation-  S138–144.
          ships relevant to this article to disclose.        10.  Butler FK Jr, Hagmann J, Butler EG. Tactical Combat Casualty
                                                                Care in special operations. Mil Med. 1996;161(Suppl): 3–16.
          Author Contributions                               11.  Committee on Tactical Combat Casualty Care. Tactical Combat
                                                                Casualty Care Guidelines. 2015.
          SGS is the principal investigator and is responsible for the   12.  Schauer SG, et al. Battlefield analgesia: TCCC guidelines are not
          overall project through publication. ADF, KAS, CWC, RC,   being followed. J Spec Oper Med. 2015;15(1):63–67.
          JDF, and JAP assisted with data interpretation, manuscript de-  13.  Cunningham CW.  A Study of Healthcare Career Progression:
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                                                             14.  Borden Institute, Office of the Surgeon General. Infections, in:
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