An Overview of the Key Elements Required for Haemostasis Following Military Trauma from the Point of Injury to Definitive care

Haemorrhage control for traumatised soldiers takes place at many levels, from the point of injury through resuscitation and reception into surgical facilities, and postoperatively to intensive care units where normalisation of physiology and ultimate recovery following definitive surgery may be achieved. Differences in priorities and availability of interventions at each level of care provide unique opportunities for improvement and all contribute towards the ultimate goal of the saving of life with restoration of function and the return of a fit fighting force. Priorities and challenges at each level are described in this review and are pertinent to the soldier and combat medic on the battlefield, the medical evacuation team providing transport, and the receiving surgical, anaesthetic and intensive care treatment teams stationed at medical facilities in theatres of operation.