{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:07:59Z","timestamp":1770754079860,"version":"3.50.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"9-10","license":[{"start":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T00:00:00Z","timestamp":1699574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Military trauma provides a unique pattern of injuries due to the high velocity, high kinetic energy ammunition utilized, and the high prevalence of blast injury. To further complicate this, military trauma often occurs in austere environments with limited logistical support. Therefore, military medical providers are forced to learn nonstandard techniques and when necessary, practice a level of improvisation not commonly seen in other medical fields. The case presented in this manuscript is a prime example of these challenges. At the onset of fighting both the medic\u2019s rucksack, carrying with it the primary source of medical gear and the precious supply of cold-stored blood products are lost. The scenario was further complicated by rough mountainous terrain and a prolonged evacuation time. The medical provider was forced to utilize nonstandard devices such as an improvised junctional tourniquet which used a rock to focus the devices pressure. They also adapted their basic understanding of surgical procedures to conduct a vascular cutdown procedure for wound exposure and effectively pack an otherwise non-compressible wound to a major artery. Despite a significant loss of equipment, the medic and their team were able to successfully care for a number of patients in this mass casualty scenario.<\/jats:p>","DOI":"10.1093\/milmed\/usad444","type":"journal-article","created":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T13:31:40Z","timestamp":1700227900000},"page":"e2268-e2273","source":"Crossref","is-referenced-by-count":1,"title":["The Perfect Med Bag is One that Doesn\u2019t Fall Off a Cliff: A Combat Mass Casualty Case"],"prefix":"10.1093","volume":"189","author":[{"given":"David","family":"Lenn","sequence":"first","affiliation":[{"name":"SCPO (USN), 2d Marine Raider Battalion, Marine Forces Special Operations Command (MARSOC) , Camp Lejeune, NC 28547, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel T","family":"Le","sequence":"additional","affiliation":[{"name":"ENS (USNR), University of North Carolina School of Medicine, Bondurant Hall, CB #9500 , Chapel Hill, NC 27599, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7261-3947","authenticated-orcid":false,"given":"Christopher J","family":"Scheiber","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, N2198, CB7010, The University of North Carolina at Chapel Hill, UNC Hospitals , Chapel Hill, NC 27599-7010, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan M","family":"Smeltz","sequence":"additional","affiliation":[{"name":"Cardiothoracic Division, Department of Anesthesiology, N2198, CB7010, The University of North Carolina at Chapel Hill, UNC Hospitals , Chapel Hill, NC 27599-7010, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"issue":"3","key":"2024083012210615600_R1","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1007\/s12178-015-9289-4","article-title":"High velocity gunshot injuries to the 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