Table 1.

Comparison of the Global War on Terror vs Near-Peer Adversary Warfare

Variable	Global War on Terror	Near-peer adversary
Threat scope	Limited in duration, scale of attack, and weaponry used	Sustained offensive action with much broader array of weapons, in larger volume, for longer duration and further distance
Ability to quickly achieve battlespace dominance	Very fast, usually within minutes to hours	Unlikely able to achieve battlespace dominance
Effect of distance on safety of evacuation and rendering care	The further from point of injury, the safer the patient and ability to render care	No significant increase in safety until patient is entirely evacuated from the theater of operations
Use of appropriate blood transfusion for damage-control resuscitation	Well established	Unable to be achieved due to operational security considerations and disruption by opposition forces
Command and control of medical infrastructure	Well established	Unable to be achieved due to operational security considerations and disruption by opposition forces
Data collection capability for process improvement and other use	Joint Trauma Registry is well established	No central data collection currently exists for the war in Russia; a Joint Trauma Registry could easily be implemented