{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:45:21Z","timestamp":1791798321306,"version":"4.3.4"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"unspecified","delay-in-days":284,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The crash of a military helicopter during a 2023 United States Army deployment produced a mass-casualty incident (MASCAL) in an austere setting. One of the casualties was an Emergency Medicine (EM) physician who oversaw point-of-injury (POI) triage and early casualty evacuation with a Special Operations Forces (SOF) medic to the nearest Role II Military Treatment Facility (MTF), followed by movement of the six most severely injured patients to Role III, and subsequent transfer to Landstuhl Regional Medical Center (LRMC) via Critical Care Air Transport Team (CCATT). This disaster report explores the EM physician\u2019s actions as the initial provider, another EM physician as a receiving provider for a multi-leg fixed-wing transport, and a practicing trauma surgeon\u2019s unique perspective as one of the significantly injured patients. The viewpoints in this report highlight operational decisions including dispersion of medical assets, dynamic triage, destination\/platform selection, and significant stressors of flight. Disaster care pathways should anticipate aeromedical stressors, emphasize patient positioning and communication, and align evacuation decisions with changing resources and injury patterns. These lessons are directly relevant to prehospital\/disaster systems operating in contested, austere, or resource-limited environments.<\/jats:p>","DOI":"10.1017\/s1049023x26109145","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T08:52:00Z","timestamp":1791795120000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Disaster Report: Military Helicopter Crash in a Deployed Environment \u2013 Providers\u2019 and Patient\u2019s Perspectives"],"prefix":"10.1017","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9305-4822","authenticated-orcid":false,"given":"Jason Wilfred","family":"David","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04r3kq386","id-type":"ROR","asserted-by":"publisher"}],"name":"Uniformed Services University of the Health Sciences, F Edward Hebert School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Bridwell","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04r3kq386","id-type":"ROR","asserted-by":"publisher"}],"name":"Uniformed Services University of the Health Sciences, F Edward Hebert School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Zesati","sequence":"additional","affiliation":[{"name":"US Army Medical Center of Excellence, Joint Base San Antonio, Fort Sam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn","family":"Cecil","sequence":"additional","affiliation":[{"name":"United States Army Special Operations Command"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Lowe","sequence":"additional","affiliation":[{"name":"San Antonio Uniformed Services Health Education Consortium, Joint Base San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Auchincloss","sequence":"additional","affiliation":[{"name":"US Defense Health Agency"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Sirkin","sequence":"additional","affiliation":[{"name":"Womack Army Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Schaffrinna","sequence":"additional","affiliation":[{"name":"San Antonio Uniformed Services Health Education Consortium, Joint Base San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"S1049023X26109145_ref4","doi-asserted-by":"publisher","DOI":"10.55460\/73Y0-FSLB"},{"key":"S1049023X26109145_ref6","doi-asserted-by":"publisher","DOI":"10.2196\/44042"},{"key":"S1049023X26109145_ref3","doi-asserted-by":"publisher","DOI":"10.55460\/0GO5-QW03"},{"key":"S1049023X26109145_ref8","first-page":"131","article-title":"Clinical Aspects of Aeromedical Transport","volume":"14","author":"Martin","year":"2003","journal-title":"Current Anesthesia and Critical Care."},{"key":"S1049023X26109145_ref10","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2016.4634"},{"key":"S1049023X26109145_ref1","unstructured":"1. United States Central Command. \u201cUS Service Members Injured in Helicopter Mishap.\u201d Release Number 20230612-01, 12 June 2023. https:\/\/www.centcom.mil\/MEDIA\/PUBLIC-RELEASES\/Article\/3425868\/us-service-members-injured-in-helicopter-mishap\/. Accessed April 2026."},{"key":"S1049023X26109145_ref7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.19842"},{"key":"S1049023X26109145_ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0134019"},{"key":"S1049023X26109145_ref2","unstructured":"2. Joint Chiefs of Staff, Joint Health Services. JP 4-02; Incorporating Change 1. Washington, DC: US Department of Defense. September 28, 2018. Chap. II: \u201cHealth Service Support.\u201d \u00a72: \u201cCasualty Management.\u201d https:\/\/irp.fas.org\/doddir\/dod\/jp4_02.pdf. Accessed April 2026."},{"key":"S1049023X26109145_ref9","first-page":"85","article-title":"Cerebrovascular pathophysiology following mild traumatic brain injury","volume":"31","author":"Len","year":"2011","journal-title":"Clin Physiol Funct Imaging."},{"key":"S1049023X26109145_ref5","unstructured":"5. Joint Trauma System (JTS) and Committee on Tactical Combat Casualty Care (CoTCCC). Tactical Combat Casualty Care (TCCC) Guidelines (January 22, 2024). https:\/\/learning-media.allogy.com\/api\/v1\/pdf\/f4cf1d4e-3191-443a-befc-415838fb04f2\/contents. Accessed April 2026."}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X26109145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T08:52:02Z","timestamp":1791795122000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X26109145\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S1049023X26109145"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x26109145","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e29"}}