MILITARY MEDICINE, 180, 3:4, 2015

2013 Military Health System Research Symposium Supplement: Issue Overview Col Patricia A. Reilly, USAF BSC*; Lt Col Jennifer J. Hatzfeld, USAF N C f Military Medicine is an enormously broad topic, and advancing the associated science presents many unique chal­ lenges and opportunities. This special issue is representative of the wide-ranging mix of trauma- and nontrauma-related topics presented at the 2013 Military Health System Research Symposium. The articles reflect the broad range of research sponsored by the Defense Health Program, and the myriad challenges faced by medics in dealing with Warfighter inju­ ries, both on and off the battlefield, both before and after deployment. No less daunting is the drive to continuously improve the quality of our battlefield and in-garrison medical care. Both Defense Health Program and Service-sponsored medical research and development provide a means to that end. The articles in this supplement demonstrate how military researchers, along with academia and industry partners, con­ tinue to evolve the landscape of military medicine in order to meet Warfighter medical challenges. An opening perspective is provided by Dukes et al who remind us that performing and completing research, particu­ larly in a deployed setting, takes persistence and dedication. The individual supplement articles provide reports on advances

in interventions in combat casualty care, aeromedical evacua­ tion, military versus civilian trauma care, the development of clinical processes, innovations in care, selection and training, and human performance (Table I). A closing perspective is provided by Liu et al and Fain et al who, in complementary reports, discuss their experiences in developing a U.S. Army Rapid Equipping Force-supported “system of systems.” These two articles serve as an inherent reminder that upon completion of applied/advanced medical research, it is the successful maneuvering of that research product through advanced devel­ opment (acquisition, regulatory compliance, and/or knowledge translation) to fielding that closes a developmental loop that started out as an innovative approach submitted to a research program announcement. The results of Defense Health Program and Service-spon­ sored research, development, and acquisition are driving the transformation of Warfighter care. Each of the articles pre­ sented here contribute to the library of data that will in form and guide future military clinicians, scientists, and policy­ makers as they advance current health, and set the foundation for the appropriate medical responses to future conflicts.

*Office of the Principal Assistant for Acquisitions, U.S. Army Medical Research and Materiel Command, 810 Schreider Street, Fort Detrick, MD 21702-5000. t Joint Program Committee-6/Combat Casualty Care Research Program, 722 Doughten Street, Fort Detrick, MD 21702-5012. The views expressed in this article are those of the authors and do not necessarily represent the official position or policy of the U.S. Government, the Department of Defense, or the U.S. Army. doi: 10.7205/MILMED-D-14-00672

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MILITARY MEDICINE, Vol. 180, March Supplement 2015

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deployed setting versus in an Emergency Department, Level 1 trauma setting Investigation of the incidence of lower genitourinary (GU) injuries and complaints associated with pelvic fractures sustained in combat among nonsurvivors and survivors

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A higher incidence of GU injuries in patients with combat-related pelvic fractures was found versus civilian counterparts,

Issue Overview

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Issue Overview

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MILITARY MEDICINE, Vol. 180, March Supplement 2015

TABLE 1.

Continued

Issue Overview

MILITARY MEDICINE, Vol. 180, March Supplement 2015

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