title: [Specificities of war surgery, and capacities of the military health service].
abstract: In view of the recent evolution of military conflicts, particularly in the Afghan theater, and the conditions in which wounded warriors are managed in the field prior to hospitalization, the authors examine the technical specificities of medical teams, based on studies of avoidable mortality. War surgery has become a separate specialty, following the disappearance in France of the general surgical specialty, of which it was the military coun-terpart. The authors stress the role of hemorrhaging and its treatment, based on three strategies: damage control resuscitation, blood transfusion, and early evacuation within the "golden hour ". The French Armed Forces Health Service, in a new strategic plan, is refocusing its activity on war traumatology, through better education and training of medical-surgical teams and by opening up its scholarship structures to the French civilian public health service sector.
authors.affiliation: I'Académie nationale de medicine.
authors.forename: Jacques
authors.initials: J
authors.lastname: de Saint-Julien
authors.forename: Yves
authors.initials: Y
authors.lastname: Auroy
authors.forename: François
authors.initials: F
authors.lastname: Pons
mesh_terms: D061906:Advanced Trauma Life Support Care; D055826:Afghan Campaign 2001-; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy; D001803:Blood Transfusion; D060731:Emergency Responders / Q000193:education; D005107:Explosions; D005602:France; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery / Q000628:therapy; D006489:Hemostatic Techniques; D006801:Humans; D007035:Hypothermia / Q000209:etiology / Q000628:therapy; D008887:Military Medicine / Q000193:education / Q000379:methods* / Q000639:trends; D008888:Military Nursing / Q000193:education; D008889:Military Personnel / Q000193:education; D008952:Mobile Health Units; D023481:Terrorism; D014194:Traumatology / Q000193:education / Q000379:methods* / Q000639:trends; D014481:United States; D014857:Warfare; D014947:Wounds and Injuries / Q000401:mortality / Q000601:surgery*; D014950:Wounds, Penetrating / Q000209:etiology / Q000601:surgery