Health Affairs March 14, 2023
Arthur L. Kellermann

Six years ago, on a deep penetration mission in a remote corner of Afghanistan, a young US Army Ranger was shot twice in his upper-left chest. As the firefight raged, fellow Rangers applied first aid and extracted him to a nearby helicopter.

Once aloft, medics aboard recognized that his chest was rapidly filling with blood. Determined to save his life, the crew landed in enemy territory and quickly shuttled their patient to a second helicopter with a small surgical team. As this chopper raced toward safety, the on-board surgeon opened the Ranger’s left chest, found the source of bleeding, and surgically corrected it. After four minutes of traumatic arrest, the Ranger started breathing again. Briefly stabilized at Craig Joint Theater...

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