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Based on selective conversations with Israeli physicians, nurses, and administrators, the Note describes facets of Israeli military medical organization, functioning, and thinking that might be applicable to the U.S. Air Force. Some of the major strategies the Israelis have used to manage wartime casualties include (1) triage carried out in several stages, preferably by senior physicians; (2) a carefully designed casualty dispersal plan with ramifications for the types of services various facilities should be able to provide; (3) pre-delegating tasks and pre-assigning the type of setting where they will be performed; (4) pre-conflict rehearsal of functioning by the individual and by teams; (5) re-thinking which physician specialists can perform various procedures; and (6) changes in organization, procedure, equipment, etc., right now, not in time of war.

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