Prolonged Field Care Podcast

SOMSA '25 - Prolonged Combat Lifesaver

Sep 24, 2025
Benjamin Ingram, a military medicine practitioner with a focus on prolonged field care and innovative training, dives into the transformation of medical practices in combat. He critiques the outdated 'golden hour' concept and emphasizes the need for adaptive strategies in modern warfare. Ingram introduces the PICKLES training curriculum, aimed at shifting medical tasks to non-traditional providers. He discusses unique injury patterns observed in conflicts like Ukraine and highlights the essential collaboration among nations to bolster medical response capabilities.
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INSIGHT

Golden Hour Is Losing Relevance

  • The 'golden hour' concept is breaking down in modern large-scale combat and may extend to much longer timelines.
  • Benjamin Ingram argues timelines change but the imperative to save lives remains unchanged.
INSIGHT

Medical Capacity Is A Strategic Bottleneck

  • Military medical capacity can be rapidly overwhelmed in prolonged conflict and cannot be scaled quickly by traditional training pipelines.
  • Ingram highlights attrition and slow training as core limits to sustaining medical force structure.
ADVICE

Adopt Three Offsets To Reduce Preventable Deaths

  • Use three offset strategies: push interventions forward, invest in technology and innovation, and partner with allies to expand capacity.
  • Ingram recommends these offsets to reduce preventable deaths when timelines lengthen.
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