Golden Hour Loss

I agree with concepts of moving things closer to the patient began happening at least in the being proposed and discussed level within the Air Force medical service before 2015.

Due to my duty position in the ACC Surgeons office as Chief of Pararescue Medical Operation 1993-1994) (no combat rescue officers until 2001) I was aware of many concepts being proposed and discussed pertinent to aeromedical evacuation (no dedicated aeromedical fleet replacement for the C-9 nightingale fleet), Flying Squadron Medical Elements, and crisis response field hospitals (became proposal primarily due to Operation Support Democracy. It was Desert Shield/Storm that exposed the aeromedical aircraft fleet and aeromedical medical protocols and capabilities were in need of improvements.
 
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