Final Report: Study of the Problems Associated with Reliance on Civilian Medical Manpower and Non-DoD Facilities during Periods of National Emergency, Mobilization, and War - Volume I   [open pdf - 10MB]

"Within the past seventy-five years, the United States has engaged in four armed conflicts abroad. These conflicts generated various levels of need for medical services in support of U.S. military forces. In all four conflicts, however, there was time for a build up so that the relatively small number of peacetime military medical support units could be expanded for war. A relatively lengthy mobilization enabled medical units to expand and hospitals to be created in conjunction with emerging need. Future conflicts may not permit such a mobilization process. In a fast-moving wartime scenario, the conflict may be resolved before full mobilization can occur. Existing medical units will have to bear the brunt of large patient loads produced by intense combat and sophisticated weapons technology. At present the capability of military hospitals is limited; this shortage of facilities will be compounded by the requirement for medical personnel both in theater and in CONUS [Continental United States]. The result may be a shortfall in capability, which would leave many wounded with less than adequate care."

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