The distance from the port of New York to Bordeaux, France, was over 3,600 miles, and troopships traveling at fifteen knots needed roughly ten days to complete the trip. Big Wars, Big Medical Systemsĭuring World War I, the United States deployed over two million “doughboys” to France. Army logisticians are examining the challenges for “just in time” logistics in large-scale combat operations, and the Army should also consider the implications if just-in-time evacuation fails. forces may not be able to promptly evacuate patients from a theater of operations to hospitals in the United States, and the size of the deployed medical footprint may be too small. Army Medical Center of Excellence is exploring mitigation for the challenges of prolonged care before the hospital. Recently, the Army recognized that battlefield challenges could make rapid evacuation of casualties impossible at certain times and places, and the U.S. This solution worked well as long as U.S. By the 1990s, the desire to have a smaller deployed medical “footprint” led to the Department of Defense (DOD) reducing the number of deployed hospitals while improving the en route care capabilities of strategic air evacuation to DOD hospitals at Landstuhl, Germany, and in the United States. ![]() The size of this hospital system deployment was based on clinical and logistical factors, and it helped sustain fighting power in the theater of operations by returning injured soldiers to duty near the fighting. Army’s large-scale wars, a large hospital system was deployed.
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