This volume highlights the people and scientific developments in military medicine through the ages, concentrating on medical advances that changed both warfare and societies at home. Thanks to advances in field medicine and improved mobility and efficiency of medical units, the death rate of soldiers injured during battle has dramatically declined in the last 100 years. Nowadays, with forward medical stations operating close to battle lines and medical transports (ground and air) at hand, injured soldiers survive their battle wounds. Military Medicine: From Ancient Times to the 21st Century provides expert coverage of the key role medical advances and practices have played in the evolution of warfare, and how many of those advances and practices have been put to work saving and improving civilian lives as well. Military Medicine surveys the development of military medicine from its prehistoric origins through modern threats and practice. That coverage is followed by over 200 of alphabetically organized entries with special emphasis placed on those areas with the most dramatic applications to civilian medicine, including triage and trauma management, treatment for infections, emergency surgical procedures, and more.

Over the last five centuries, the development of modern weapons and warfare has created an entirely new set of challenges for practitioners in the field of military medicine. Between Flesh and Steel traces the historical development of military medicine from the Middle Ages to modern times. Military historian Richard A. Gabriel focuses on three key elements: the modifications in warfare and weapons whose increased killing power radically changed the medical challenges that battle surgeons faced in dealing with casualties, advancements in medical techniques that increased the effectiveness of military medical care, and changes that finally brought about the establishment of military medical care system in modern times. Others topics include the rise of the military surgeon, the invention of anesthesia, and the emergence of such critical disciplines as military psychiatry and bacteriology. The approach is chronological--century by century and war by war, including Iraq and Afghanistan--and cross-cultural in that it examines developments in all of the major armies of the West: British, French, Russian, German, and American. Between Flesh and Steel is the most comprehensive book on the market about the evolution of modern military medicine.

Textbooks of Military Medicine. Patrick Kelley, specialty editor. Explores the various natural and manmade challenges faced by today's soldier upon mobilization and deployment. Offers comprehensive research on a range of topics related to preventive medicine, including a historic perspective on the principles of military preventive medicine, national mobilization and training, preparation for deployment, and occupational and environmental issues during sustainment.

Fought on almost every continent, World War II confronted American GIs with the unprecedented threats to life and health posed by combat on Arctic ice floes and African deserts, in steamy jungles and remote mountain villages, in the stratosphere and the depths of the sea.

This work focuses primarily on military medicine during this conflict. Historian Vincent J. Cirillo argues that there is a universal element of military culture that stifles medical progress. This war gave army medical officers an opportunity to introduce to the battlefield new medical technology, including the X-ray, aseptic surgery and sanitary systems derived from the germ theory. With few exceptions, however, their recommendations were ignored almost completely.

Out of the Crucible: How the U.S. Military Transformed Combat Casualty Care in Iraq and Afghanistan edited by Arthur L. Kellermann, MD and MPH, and Eric Elster, MD is now available by the US Army, Borden Institute. This comprehensive resource, part of the renowned Textbooks of Military Medicine series, documents one of the most extraordinary achievements in the history of American medicine - the dramatic advances in combat casualty care developed during Operations Enduring Freedom and Operation Iraqi Freedom. Each chapter is written by one or more military health professionals who played an important role in bringing the advancement to America's military health system. Written in plain English and amply illustrated with informative figures and photographs, Out of the Crucible engages and informs the American public and policy makers about how America's military health system, devised, tested and widely adopted numerous inventions, innovations, technologies that collectively produced the highest survival rate from battlefield trauma in the history of warfare.

Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

"The goal of military medicine is to conserve the fighting force necessary to prosecute just wars. Just wars are defensive or humanitarian. A defensive war protects one's people or nation. A humanitarian war rescues a foreign, persecuted people or nation from grave human rights abuse. To provide medical care during armed conflict, military medical ethics supplements civilian medical ethics with two principles: military-medical necessity and broad beneficence. Military-medical necessity designates the medical means required to pursue national self-defense or humanitarian intervention. While clinical-medical necessity directs care to satisfy urgent medical needs, military-medical necessity utilizes medical care to satisfy the just aims of war. Military medicine may therefore attend the lightly wounded before the critically wounded or use medical care to win hearts and minds. The underlying principle is broad, not narrow, beneficence. The latter addresses private interests, while broad beneficence responds to the collective welfare of the political community"--