Expeditionary Endovascular Trauma Care as a Core Capability for Future Large-Scale Conflicts

The next conflict will demand self-sufficient medical teams capable of definitive intervention without guaranteed evacuation. Deploying interventional radiologists with forward surgical teams transforms hemorrhage control from a delayed capability to an immediate, on-site function. These specialists bring procedural precision, imaging expertise, and team leadership that extend the reach of surgical and critical care capabilities. Formal doctrinal inclusion of interventional radiologists as part of expeditionary surgical elements is essential to reduce preventable deaths, preserve fighting strength, and ensure survival in modern warfare.