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A novel forward-deployed damage control orthopedics: Battlefield Monitoring and Stabilization (BMS)
Shu Liu1, Junhao Sui1, Wei Lou1
1Department of Orthopedics, First Affiliated Hospital, Navy Medical University Shanghai, China.
International Journal of Burns and Trauma
|July 23, 2026
Summary
Battlefield Monitoring and Stabilization (BMS) offers a new approach to trauma care, providing early interventions before evacuation. This strategy aims to improve outcomes for injured soldiers by stabilizing patients closer to the point of injury.
Area of Science:
- Military medicine
- Trauma surgery
- Emergency medical services
Background:
- Delayed evacuation in battlefield trauma creates a care gap.
- Damage Control Orthopedics (DCO) is typically used post-evacuation, requiring advanced support.
- Current strategies lack forward-deployed solutions for immediate pre-evacuation care.
Purpose of the Study:
- To introduce Battlefield Monitoring and Stabilization (BMS) as a conceptual framework.
- To enable earlier, forward-deployed care for battlefield trauma.
- To bridge the gap between point-of-injury and definitive surgical management.
Main Methods:
- Proposing a framework emphasizing temporary stabilization and hemorrhage control.
- Integrating basic physiological support and portable monitoring.
- Developing enabling components like a rapid pelvic stabilization device.
Main Results:
- BMS focuses on pre-evacuation interventions: stabilization, hemorrhage control, physiological support, and monitoring.
- Proposed applications include point-of-injury, prolonged field care, and en-route management.
- Key evaluation domains include speed, hemostasis, accuracy, portability, and adaptability.
Conclusions:
- Battlefield Monitoring and Stabilization (BMS) offers a novel approach to forward-deployed trauma care.
- Further validation is required to assess the efficacy of BMS components and applications.
- BMS has the potential to significantly improve outcomes in battlefield trauma management.
