伪装在海洋之中:人工岛对印度洋-太平洋地区伤员护理的影响》。

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2024-11-05 DOI:10.1093/milmed/usae002
Ryan M Leone, Mason H Remondelli, Jason B Brill, Jay B Baker
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引用次数: 0

摘要

正如 2022 年拜登-哈里斯国家安全战略报告所述,中国被视为美国的主要竞争对手,其意图和手段都是成为世界上最大的超级大国。中国的努力与美国保持其全球影响力的野心相悖,而表面上无害的 "灰色地带战术 "则是对中国的补充。"灰色地带战术 "的定义是在动武之下的地缘政治、经济、军事和网络胁迫活动。使用此类战术的意图看似无害,但实际上,一旦发生印太冲突,它们会使美国的战斗伤亡护理工作复杂化。其中一个影响特别大的战术是中国在整个南中国海开发人工岛屿。通过建造这些岛屿,中国正在将其势力范围扩展到大陆边界之外。这些岛屿以及中国发达的海军和导弹能力将对美国的伤员救护中转、医疗补给和航空医疗后送造成干扰。为减轻这些威胁,美国应实施强大的地区作战司令部创伤系统,改善与当地伙伴国的全球卫生安全合作,并实施非正规或游击创伤系统,以满足临时、秘密环境下的医疗需求。在这些努力的基础上提出的行动建议可包括预先部署战术战斗伤员救护和损害控制复苏物资,并与附近的东道国后送平台(如小船运营商)合作开发。除其他外,这些解决方案需要多年的培训、关系建立和能力发展才能成功实施。因此,美国军事领导人应立即采取行动,将这些战略纳入其非正规战争、低强度冲突和大规模作战行动工具包。
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Disguised Among the Sea: The Implications of Artificial Islands on Casualty Care in the Indo-Pacific.

As reported in the 2022 Biden-Harris National Security Strategy, China is perceived as the primary U.S. competitor with the intent and means to become the world's greatest superpower. China's efforts, which are at odds with America's ambition to maintain its global influence, are complemented by ostensibly harmless "gray zone tactics," defined as coercive geopolitical, economic, military, and cyber activities below the use of kinetic military force. Such tactics may be utilized with seemingly innocuous intentions, but in reality, they can complicate U.S. combat casualty care in the event of an Indo-Pacific conflict. One tactic of particular impact is China's development of artificial islands throughout the South China Sea. By creating these islands, China is expanding its reach beyond its continental borders. These islands, alongside China's well-developed naval and missile capabilities, will cause disruptions to U.S. casualty care staging, medical resupply, and aeromedical evacuations. To mitigate those threats, the USA should implement a robust regional Combatant Command Trauma System, improve global health security cooperation with local partner nations, and implement irregular or guerilla trauma systems that meet medical needs in impromptu, clandestine settings. Operational recommendations based on these efforts could include pre-positioning tactical combat casualty care and damage control resuscitation supplies and developing with nearby host-nation evacuation platforms such as small boat operators. These solutions, among others, require years of training, relationship-building, and capability development to institute successfully. As a result, U.S. Military leaders should act now to incorporate these strategies into their irregular warfare, low-intensity conflict, and large-scale combat operation toolkits.

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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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