Alright Ladies & Gentlemen, we are going to have a round of "Mud, Blood & Truck Medical Supply Chains" as we look at the casualty implications of the break down of Russian Truck Logistics in Ukraine. 🧵
1/
First, I'm going to pull some modern warfare casualty ratios from the book UNDERSTANDING WAR.
20 out of 100 troops hit in combat are killed IMMEDIATELY
65/100 survive wounds w/o much care.
15/100 need medical care to survive
2/
amazon.com/Understanding-…
Modern late 20th-early 21st century war w/tanks artillery and planes has a death to casualty ratio of 1-to-4.
This requires modern trauma care, which is "non-trivial." It requires a supply chain with fresh whole blood & hemostatic dressings.
sciencedirect.com/topics/nursing…
3/
The following link and text are a deep dive into Trauma care from the CDC's "Morbidity and Mortality Weekly Report" (MMWR)
Injury Prevention, Violence Prevention, and Trauma Care: Building the Scientific Base
Supplements
October 7, 2011 / 60(04);78-85
cdc.gov/mmwr/preview/m…
4/
For the 15 of 100 who are seriously injured, getting to a medical facility in 1 hour is critical to increase survival from a less than 5 of 15 to 12 of 15.
The contested air situation in Ukraine means there are little to no helicopter medical evacuation available.
5/
The corruption of the Russian is such that there are going to be few/no Hemostatic Dressings in the Russian combat medical system, no safe areas & few trucks to evacuate Russian frontline casualties to Belarus or Russia.
6/
This means that Russian casualties in Ukraine are much closer to a 1-to-3 ratio than 1-to-4 most military analysts are using.
That is, less than 5 of the 15 seriously wounded Russians are surviving because they are not getting to modern medical trauma care in time.
7/End
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