Combat medicine has been developed in the conflicts in Afghanistan and Iraq. 

Due to the nature of these conflicts, troops are located in remote areas and face explosive ordinance that can cause massive injuries to dismounted personnel.

Military medical personnel has had to adapt to this. Tourniquets have been used to prevent exsanguination of extremity wounds. There is also renewed interest in transfusions of whole blood from walkers. These techniques were developed on the battlefields long ago and have proven to be extremely useful in ensuring that wounded soldiers are able to survive. 

These results have been made possible by new developments in applied hemostatic agents and damage control surgical techniques. Combat medicine has taken many concepts that were originally developed in civilian settings (e.g., temporary abdominal packing or vascular shunting) and applied them in military settings to provide the best in trauma management for our troops fighting in the war. 

The civilian sector has seen advances in trauma patient resuscitation, which uses more blood, plasma products, and less crystalloid. The future of care for injured patients in civilian and military settings will be shaped by the advances made in Iraq and Afghanistan as well as the ones still being developed.

Dr. Jay Johannigman has also co-authored close to 100 papers in numerous publications, such as “Use of a single ventilator to support 4 patients: Laboratory evaluation of a limited concept,” published by Respiratory Care in 2012. Dr. Johannigman has earned numerous certifications and awards in his 4 decades of career, especially in trauma and critical care.

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