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    The US Army Special Operations Forces need a new training model for Forward Resuscitative Surgical Teams (FRSTs). Embedding FRSTs in civilian trauma centers will build battlefield expertise, aligning with military directives and SOF Truths.

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    Area of Science:

    • Military Medicine
    • Trauma Surgery Training
    • Special Operations Forces Medical Support

    Background:

    • The US Army Special Operations Command and Army Medical Command face a critical juncture in medical training.
    • Army Special Operations Forces (ARSOF) are set to receive Forward Resuscitative Surgical Teams (FRSTs).
    • Congressional directives mandate embedding trauma combat casualty care teams in civilian trauma centers per the 2017 National Defense Authorization Act.

    Purpose of the Study:

    • To establish a training model for ARSOF Forward Resuscitative Surgical Teams (FRSTs).
    • To ensure successful medical support for ARSOF operations through enhanced trauma care expertise.
    • To leverage civilian trauma center expertise for military medical readiness.

    Main Methods:

    • Propose embedding ARSOF FRSTs in leading civilian trauma centers.
    • Develop a training paradigm informed by Special Operations Forces (SOF) Truths.
    • Integrate combat casualty care training within high-volume civilian trauma environments.

    Main Results:

    • Embedding FRSTs in civilian trauma centers is proposed as a method to build and sustain expertise.
    • The SOF Truths offer insights into the conditions necessary for the success of this training model.
    • A robust training model is essential for effective battlefield trauma care.

    Conclusions:

    • A novel training paradigm embedding ARSOF FRSTs in civilian trauma centers is recommended.
    • This approach aims to enhance the medical readiness and capabilities of special operations forces.
    • Successful implementation requires alignment with military directives and foundational SOF principles.