Military Contributions to Damage Control Training in Civilian Setting

We read with great interest the study by Bousigues et al. describing the implementation of a damage control (DC) training campaign and its perception according to the respondents' profession, DC teaching levels, and the history of terrorist attacks in the last decade of the hospital center's activities. 1 The authors identified significant gaps and challenges in DC training for emergency medical personnel in France.They also highlighted the urgent need for more comprehensive and standardized training programs for healthcare providers, particularly in light of the unpredictable nature of mass casualty incidents.In accordance with these conclusions, we would like to mention the potential interest of two training programs designed by the French military medical service that could meet the critical need for solid DC training in such contexts: the Damage Control for Terrorist Attack Victims (DC-TAV) program and the French Pre-Deployment Advanced Course in Anesthesia and Resuscitation (DACAR) program. 2,3These two programs offer valuable lessons that could enrich and enhance the current approach to DC training within French civilian emergency medical structures.First, the DC-TAV program was initially conceived by a dedicated Task Force of civilian and military physicians in response to the enduring threat of terrorism in France and other regions worldwide.Its objective is to provide training to a diverse cohort of health care professionals, extending beyond those with expertise in trauma care, to equip them with the skills to respond effectively to mass casualty incidents resulting from terrorist attacks.