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movement in mountainous terrain to be generally twice as   Disclosures
          large as that of an MRAP evacuation. The study also validated   The authors have indicated they have no financial relation­
          movement techniques and demonstrated that an ad hoc team   ships relevant to this article.
          of students could maintain average acceleration well below
          those maximums for the vast majority of the time. These gen­  Author Contributions
          eralizations help frame decision making for small­unit leaders   JF conceived the study concept. JF and CF devised the study
          faced with casualties in austere conditions. If air evacuation   design. JF collected the data. JF and CF analyzed the data and
          requires delay or if the next level of care is only accessible   wrote the manuscript. All authors approved the final version
          by dismounted movement, teams in similar terrain can feel   of the manuscript.
          confident that such a movement could result in similar maxi­
          mum acceleration as alternative options. In such cases, route   References
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                                                               4-25.13. Washington, DC: US Department of Defense, Department
          between modes of transportation. Furthermore, altering the   of the Army; 2013.
          litter, the training and cohesion levels of the teams, and the   5.  Eiband AM. “Human tolerance to rapidly applied accelerations.”
          terrain would all provide additional information when con­  National Aeronautics and Space Administration. Memo 5­19­59E.
          sidering movement options. Last, the described protocol is in­  Cleveland, OH: National Aeronautics and Space Administration;
          expensive and simple, producing no distractions to training or   1959.
          operations. Due to these factors, triaxial accelerometers could   6.  Steijer F, Lee JHT, Manoucheri N, et al. Responses of the acutely
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          signal has the potential to be a training multiplier.

          Acknowledgments
          We  thank VTARNG  and  SFC  Jeremy  Neskey  of the  Army
          Mountain Warfare School for insight and cooperation during
          the study.










































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