21 wounded in 000 days: war medicine must be transformed, say the simulations

Perhaps among the most critical lessons of the war in Ukraine is the role of war medicine. Thus, combat units are facing levels of losses that they have not experienced since the Korean War.

Furthermore, the omnipresence of artillery, anti-aircraft defense, drones and long-range strike capabilities tends to limit the possibilities of medical evacuation, unlike, for example, in previous lower intensity conflicts. .

The growing role of war medicine in modern high-intensity conflicts

In this context, the role of war medicine, but also the weight of its organization, became strategic elements in the pursuit of the war effort, with significant and notable differences between the two belligerents.

Previously, we mentioned, in an article from May, that Russian specialists estimated that 50% of the Russian Army's combat deaths were the consequence of poor first aid training of the soldiers themselves.

Russian casualty evacuation in Ukraine
The survival rate of Russian soldiers injured in Ukraine is more than twice as low as that of Ukrainian soldiers, due to poor first aid training.

Conversely, the Ukrainian forces, which effectively train their personnel in this area, display a considerably higher survival rate of their wounded personnel compared to their Russian counterparts.

It is in this context that General Michael Talley, who heads the US Army's Center of Excellence, called for a rapid and profound overhaul of the organization and especially the training of American military and medical personnel, to face the reality of what a major, high-intensity engagement could be today.

Appalling loss levels anticipated by American wargames

To do this, the general officer relies on the published results of recent wargames, simulating a major engagement at corps level, facing an adversary like China or Russia. And the figures are indeed cause for concern.

Thus, in such a hypothesis, the losses of the American army corps engaged would reach up to 21 dead and especially wounded, or half of the initial numbers, and this, over only seven days of engagement.

Furthermore, as previously said, the simulations show that the evacuation of the wounded, particularly during the Golden Hour, these 60 minutes decisive for the survival of the wounded, proved much more difficult than during previous conflicts, forcing doctors to and unit nurses, to deploy much broader skills than before.

War medicine
Today, military paramedics' mission is to stabilize the injured with a view to rapid medical evacuation. Simulations show, however, that this doctrine is no longer adequate in the event of high intensity conflict.

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