Journal of special operations medicine : a peer reviewed journal for SOF medical professionals
"Ruck-Truck-House-Plane" Plan Application for the Management of Combat-Related Wound Infections and Prevention of Multidrug-Resistant Organism Spread in Prolonged Field Care Scenarios
Abstract
Wound infections represent an increasing risk in combat trauma, especially in prolonged casualty care conditions char-acterized by evacuation delays and resource scarcity. This risk is compounded by multidrug-resistant organisms, which are difficult to detect and treat in austere settings. This article introduces a "Ruck-Truck-House-Plane" model for infection control and wound management in prolonged casualty care (Role 1) and prolonged care (beyond Role 1) environments. This original approach includes practical procedures and de-cision-making from point of injury to tertiary care transfer. It emphasizes early decontamination, phased surgical care, re-mote microbial diagnostics, and antimicrobial stewardship to reduce morbidity and mortality in modern warfare.
Source and rights
Published by Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2025. The guideline itself is at the source linked here.
Prognia summarises this guideline for reference and education. It is not medical advice. Always check the official guideline and current local protocols before acting on it.
At a glance
- Published
- 2025
- Applies to
- 🌐 International
- Country of origin
- 🇫🇷 France
- Scope
- International
- Journal
- Journal of special operations medicine : a peer reviewed journal for SOF medical professionals