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diamond” has been forwarded by one of the authors, and 4. Scott RJ, Crosby MH. Following wounding and resuscitation
there are prospective observational trials being conducted in with stored blood: a study of battle casualties in Korea. Blood.
cities using whole blood in the field to determine the timing 1954;9:609–621.
and dosage of calcium supplementation that provide the great- 5. Kellerman AL, Elster E. Out of the Crucible. San Antonio, TX:
Borden Institute; 2017.
est benefit. 6. Shackelford SA, Del Junco DJ, Powell-Dunford N, et al. Asso-
ciation of prehospital blood product transfusion during medical
Our military and military medical corps are entering into a pe- evacuation of combat casualties in Afghanistan with actue and
riod of retrograde, refitting, and reflection. Now is the time to 30-day survival. JAMA. 2017:1581–1591.
pause and consider that which we have accomplished and that 7. Ditzel RM Jr, Anderson JL, Eisenhart WJ, et al. A review of trans-
which remains to be done. Now is the opportunity to honor fusion and trauma induced hypocalcemia:Is it time to change the
the sacrifice and service of the thousands who have served and lethal triad to the lethal diamond? J Trauma Acute Care Surg.
2020;88:434–439.
offered their all over the past two decades. Now it is imper- 8. Barr J. Of Life and Limb: Surgical Repair of the Arteries in War
ative that those of us privileged to care for the wounded re- and Peace. Boydell and Brewer; 2019.
double our efforts to preserve our lessons learned—Lest We 9. Emergency War Surgery, 2nd ed. US Government Printing Office,
Forget. 1988.
10. American College of Surgeons Committee on Trauma. Advanced
Trauma Life Support, 6th ed. Chicago, IL: American College of
References Surgeons; 1997.
1. Landsteiner K. Zur Kenntnis der antifermentativen, lytischen und
agglutinierenden Wirkungen des blusterums und der lymphe. Zen-
trable Bakteriol. 1900;357–362.
2. Lewisohn R.The importance of the proper dosage of sodium ci-
trated in blood transfusion. Ann Surg. 1916:618–623. Keywords: Lest We Forget; combat casualty care; blood; trans-
3. Robertson LB. The transfusion of whole blood: a suggestion for fusion; fluid resuscitation
its more frequent employment in war surgery. BMJ. 1916:38–40.

Please see the 1916 article “The Transfusion of Whole Blood: A Suggestion for Its
More Frequent Employment in War Surgery,” by L. Bruce Robertson, starting on page 115.

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