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RML, MHR, SSS, BJM, SLW, and MDA contributed to the ence with management of combat casualties using NATO’s four-
manuscript’s ideation, research, drafting, and revisions. All au- tier “Changing as Needed” healthcare system. World J Surg.
thors read and approved the final draft. 2022;46(12):2858–2862. doi:10.1007/s00268-022-06718-3
14. Mabry RL, De Lorenzo RA. Sharpening the edge: paramedic
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The views expressed in this article are those of the authors and 2015-07: Aeromedical Evacuation Enroute Critical Care Vali-
do not reflect the official policy or position of the U.S. Army dation Study. U.S. Army Aeromedical Research Laboratory. Up-
Medical Department, Department of the Army, Department of dated February 2015. Accessed 2024. https://apps.dtic.mil/sti/tr/
pdf/ADA616947.pdf
Defense, or the U.S. Government. The Uniformed Services Uni- 16. Barel O, Shapira S, Levinson L, Levite R, Barenboim E. Airmed-
versity approved this publication for universal distribution. ical evacuation during a mass-casualty incident in a remote lo-
cation. Prehospital and Disaster Medicine. 2010;25(S1):S8–S9.
Disclosures doi:10.1017/S1049023X00021890
The authors have no conflicts to disclose. 17. Department of the Army. TM 1-1520-271-10: Operator’s Manual
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