Achieving zero preventable deaths: A model of a military-civilian medical training partnership

摘要

In 2016, the National Academies of Science, Engineering, and Medicine (NASEM) published A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths after Injury.1 The report called attention to the high number of potentially preventable deaths from trauma in both military and civilian settings. NASEM estimated that nearly 1,000 U.S. service member deaths in Afghanistan and Iraq and approximately 30,000 U.S. civilian trauma deaths in 2014 could have been prevented with optimal trauma care. With the experience of the military, which has a long history of developing new interventions and systems to dramatically improve trauma survival rates, combined with the long-term stability and infrastructure of civilian trauma centers, legislation has been proposed to encourage military-civilian partnerships with the ultimate goal of obtaining zero preventable deaths after injury.