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.

A highly original comprehensive history of US military medicine. Decisions to go to war are often framed in cost-benefit terms, and typically such assessments do not factor in longer term costs. However, recent dramatic improvements in American military medicine have had an unanticipated effect: saving more soldiers' lives has vastly increased long-term, downstream costs of war with profound consequences for global politics in an era of heightened great power competition. In Military Medicine and the Hidden Costs of War, Tanisha M. Fazal traces the modern history of medical treatment and casualty rates in American conflicts from the Civil War to the more recent counterinsurgency wars. As she shows, wars became increasingly survivable for wounded troops, to the point now where a large majority of wounded soldiers survive. Yet the human and financial implications of this steep increase in the wounded-to-killed ratio are dramatic, and her powerful analysis of this shift provides a necessary corrective to how we understand the costs of war. For each major conflict, Fazal analyzes the weapons used, injuries sustained, and policies put in place for veterans' care and pensions. As she argues, these improvements have significant financial and deeply personal implications for the returned wounded and their families, as well as the US government and its citizenry. Fazal's analysis highlights the significance of policymakers underestimating the costs of war, which in turn makes it easier both to initiate and continue military action abroad, contributing to Americas' penchant for engaging in so-called "endless wars." A sweeping political history, Military Medicine and the Hidden Costs of War will fundamentally change our understanding of the lasting consequences of America's wars.

International politics have become ever more volatile over the last decade, increasing the risk of large-scale military violence. Yet the precise character of future war will depend on a range of factors that relate to adversaries, allies, technology, geographical scope and multiple domains of warfighting. Few would question that land forces will be important also in the foreseeable future. However, given that the battlefield is in a state of transformation, so is the mission, purpose and utilization of land forces. Indeed, the future conduct of land warfare is subjected to serious and important questions in the face of large and complex challenges and security threats. Advanced Land Warfare explores the evolving role of land forces, paying particular attention to the changes that have taken place in the art of commanding and executing combat, as well as the role of rapid technological innovation and information dissemination in shaping warfare. The book provides insights into key contemporary developments in land warfare and presents case studies on land tactics and operations in different national contexts, drawing on the best of theory, practice, and professional experience and featuring chapters written by leading international scholars and practitioners. Relating to the realities of the modern battlefield, the book addresses a number of critical questions about land tactics and operations, combining a conceptual basis with empirical examples of tactical thinking and practice and emphasising the importance of understanding the perspectives of various national armies, in order to provide a current understanding of the central issues of land warfare. An open access title available under the terms of a CC BY-NC-ND 4.0 International licence.

Currently, no comprehensive practical surgical textbook or other reference exists for the management of injured and other surgical patients at sea. This text focuses on the increasingly important field of medical and surgical management of patients in the modern expeditionary maritime environment. The editors and contributors to this new handbook are a group of physicians, nurses, and corpsmen with extensive experience in caring for patients in the expeditionary maritime environment, designing and implementing current doctrine and policy, and publishing peer-reviewed articles focused on these topics. This handbook takes the approach of a "how to" manual for the management of combat or disaster victims, beginning at the point of injury and proceeding through each stage of care until they leave the maritime environment. This includes sections on prehospital care, triage, en-route care, and maritime mass casualty management, as well as additional chapters covering unique aspects of maritime platforms, capabilities, and missions. The bulk of the book focuses on the initial patient evaluation and resuscitation as well as the operative and perioperative phases of care including prolonged casualty care. The primary focus throughout the book is on simple, practical, and proven practices that can be easily understood and implemented by physicians and independent providers of any experience level who may find themselves in similar situations. For the clinical chapters, each begins with a clinical vignette relevant to the chapter based on actual patients or maritime scenarios experienced by the authors demonstrating the various challenges that can occur caring for injured and surgical patients at sea while deployed on maritime and amphibious platforms. When appropriate, each clinical chapter will conclude by describing the recommended management and outcome of the patient(s) presented in the vignette that opened the chapter. The style is plain and direct language, avoiding scientific jargon and unnecessary complexity whenever possible. Each chapter begins with 5 to 10 bullet points that summarize the key information or “BLUF” (bottom line up front) from that chapter and conclude with common tips and pitfalls, as well as recommended high-yield resources for the entire maritime surgical team.

"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"--

The revised third edition of the landmark Guns in American Society provides an authoritative and objective survey of the history and current state of all gun-related issues and areas of debate in the United States. Guns in American Society: An Encyclopedia of History, Politics, Culture, and the Law is a comprehensive and evenhanded three-volume reference resource for understanding all of the political, legal, and cultural factors that have swirled around gun rights and gun control in America, past and present. The encyclopedia draws on a vast array of research in criminology, history, law, medicine, politics, and social science. It covers all aspects of the issue: gun violence, including mass shootings in schools and other public spaces; gun control arguments and organizations; gun rights arguments and organizations; the firearms industry; firearms regulation, legislation, and court decisions; gun subcultures (for example, hunters and collectors); leading opinion-shapers on both sides of the gun debate; technological innovations in firearm manufacturing; various types of firearms, from handguns to assault weapons; and evolving public attitudes toward guns. Many of these entries place the topics in both historical and cross-cultural perspective.

First published in 1972, Edward D. Churchill’s Surgeon to Soldiers: Diary and Records of The Surgical Consultant, Allied Force Headquarters, World War II offers a unique perspective as wartime memoir. As the chief surgical consultant in the Mediterranean Theater of Operations, Colonel Churchill preferred to spend his time in the field observing and analyzing conditions on the ground. His notes contain timeless precepts on combat casualty management, reveal his approach to navigating Army regulations and red tape, and illustrate his highly effective style of leadership and mentorship, all under austere conditions. Some eighty years later, the wisdom in these pages remains highly relevant. In this new edition, Jeremy W. Cannon and Eric A. Elster—both veterans of the Global War on Terror—pair Churchill’s original content with new commentary by the next generation of military surgical leaders and their military and civilian mentors.

The U.S. military has been continuously engaged in foreign conflicts for over two decades. The strains that these deployments, the associated increases in operational tempo, and the general challenges of military life affect not only service members but also the people who depend on them and who support them as they support the nation â€" their families. Family members provide support to service members while they serve or when they have difficulties; family problems can interfere with the ability of service members to deploy or remain in theater; and family members are central influences on whether members continue to serve. In addition, rising family diversity and complexity will likely increase the difficulty of creating military policies, programs and practices that adequately support families in the performance of military duties. Strengthening the Military Family Readiness System for a Changing American Society examines the challenges and opportunities facing military families and what is known about effective strategies for supporting and protecting military children and families, as well as lessons to be learned from these experiences. This report offers recommendations regarding what is needed to strengthen the support system for military families.

This manuscript describes how US military advisors prepare for and conduct operations in war. Through two separate year-long combat tours as a military advisor in Iraq, the author brings true vignettes into modern military strategy and operational art. Further, the author provides multiple perspectives in command relationships. Through years of personal experience, direct interviews, and Warfighting knowledge, the author challenges conventionally accepted truths and establishes a new standard for understanding the impact of American advisors on the modern battleground.

The Last 100 Yards: The Crucible of Close Combat in Large-Scale Combat Operations presents thirteen historical case studies of close combat operations from World War I through Operation Iraqi Freedom. This volume is a collection from the unique and deliberate perspective of the last 100 yards of ground combat. In today's Army, there are few leaders who have experienced multi-domain large-scale ground combat against a near-peer or peer enemy first hand. This volume serves to augment military professionals' understanding of the realities of large-scale ground combat operations through the experiences of those who lived it.