Survival is the Measurement

The national defense strategy renews focus on great power competition and conventional warfare. Casualty evacuation and treatment needs to focus on great power confrontation, too.

Can casualty evacuation honed to a high degree of success through American counter-insurgency campaigns (although Afghanistan lagged Iraq) succeed in getting casualties to medical care in a conventional war environment without a permissive evacuation environment and with a volume of patients we haven't seen in a long time?

That may require extending the "Golden hour" to medical care to a period our system can handle rather than trying to make the system meet that time standard.

Seriously, if patients are moved to medical care to meet the time standard when they should be stabilized first even if they make it to medical care in longer than an hour, that's the right thing to do.

So I hope we use good data on what the Golden hour actually means.