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Conflict, CASEVAC, and the Golden Hour in the Age of Persistent Surveillance

War on the Rocks · May 11, 2026, 7:15 AM

Why this matters: an international story with cross-border implications worth tracking.

Editor’s Note: This article contains frank descriptions of battlefield conditions, including accounts of soldiers dying by suicide following injury. Western battlefield casualty evacuation doctrine is built on assumptions forged during the “Global War on Terror.” Central among these is the belief that the wounded can be rapidly moved from the point of injury to progressively higher levels of medical care within a defined timeframe, commonly referred to as the “golden hour.” The concept itself originated in civilian trauma medicine decades prior, generally attributed to Dr. R. Adams Cowley of Baltimore’s Shock Trauma Institute in 1975. In 2009, Secretary of Defense Robert The post Conflict, CASEVAC, and the Golden Hour in the Age of Persistent Surveillance appeared first on War on the Rocks.

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