Golden hour may not be there....

If we get into a major fight, a lot of things aren't going to be available. MEDEVAC, airlift, CAS, air-to-air refueling, FARPs, etc.
 
My takeaway was the part about in the next war we might have to fight to get to the fight.

Yep. This is the direction all the major exercises are taking now. It's "hybrid warfare" where we're fighting proxy forces to get to the point where we're fighting a near peer adversary. Fight to establish ground, jump TOC, fight to establish ground, jump TOC, repeat.
 
This is a pretty interesting topic and something that Pararescue and the larger AFSOC Medical Community have been focusing on for a while. The advent of SOST's (far forward medical teams capable of invasive crash resuscitation in austere environments) and a shift in our training to focus on extended care are some pretty good examples on how our tactics are evolving for the upcoming fight.
 
No different than other solutions when the normal hospital is hundreds of miles away, if not further... fit the sucker in a conex and move it closer to the action.

That's the crux of the issue in the article: that may not be happening, and we'll have to sit on the wounded on the line for a more extended period of time.
 
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