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TABLE 3  Take-Home Messages                        The user’s familiarity with the tourniquet model was associ-
           •  Measures of interoperability can be plain in terms of time, blood,   ated with improved interoperability including a timesaving
            and ease.                                        benefit. If multiple models are fielded, then organizations may
           •  An individual is more ready in emergencies if they have at hand   plan on extra spending, supplying, training, and managing.
            their most familiar tool.
           •  Benefits and costs relate to interoperability attainment, mainte-  Funding
            nance, and nonattainment.                        This project was funded by the US Army Medical Research
           •  Assessors are to know a performance metric well to scale challenges   and Materiel Command.
            by degrees of difficulty.
           •  If many tourniquet models are fielded, then organizations may have   Disclaimer
            to expend more resources.                        The opinions or assertions contained herein are the private
           •  It takes no time, talent, or treasure to suck, but high levels of team-  views of the authors and are not to be construed as official or
            work take all three.
                                                             reflecting the views of the Department of Defense or US Gov-
                                                             ernment. The authors are employees of the US Government.
           TABLE 4  Other Future Directions for Scholarly Activities  This work was prepared as part of their official duties and, as
           •  To develop utility of performance metrics for assessors of caregivers   such, there is no copyright to be transferred.
            as individuals and teams.
           •  What is the awareness level of a need for a common operating cul-  Disclosure
            ture in first aid?                               The authors have indicated that they have no financial rela-
           •  A common lexicon of tourniquet words may make first aid com-  tionships relevant to this article to disclose.
            munications easier and better.
           •  A common operating picture aids planning and combined execu-
            tion of work among groups.                       Author Contributions
           •  Records of caregiving data by graphical means such as on care   All authors participated in study conception and design. JFK
            cards may inform training.                       resourced, managed, and oversaw the study. While JFK col-
           •  Caregivers knowing the norms of care card use may record care   lected data, both JFK and JKA analyzed data. All authors
            well and preserve its data.                      participated in writing the manuscript and approved the final
           •  Depicting sequential steps in tourniquet use can ease learning of   version.
            step names and their order.
           •  Does spiral training identify key weaknesses efficiently for develop-  References
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           •  If interoperability is so important, why do we discuss it so rarely?   6.  VanVactor JD. Healthcare logistics in disaster planning and emer-
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          costs of attainment include dollars, days, and sweat, but costs   8.  McCarty JC, Hashmi ZG, Herrera-Escobar JP, et al. Effective-
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          Conclusions                                        12.  Ogburn C Jr. Merrill’s Marauders: the truth about an incredible
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