The need to prevent hypothermia in trauma patients has been known in civilian trauma care but not nearly as diligently and routinely practiced as in military trauma care.
Throughout the history of medicine, modern trauma care has advanced greatly based on lessons learned in the military experience starting with the Korean War. Unfortunately, there is often a lag time between military lessons learned that have improved trauma care and translation and adoption of these practices into the civilian trauma system.
The historically high survival rates of combat casualties seen in the most recent long conflicts in Iraq and Afghanistan have garnered a great deal of attention in civilian practice. Concepts such as damage control resuscitation, hypothermia prevention, permissive hypotension, emphasis on blood products over crystalloids, the intraosseous vascular access, and the routine use of tourniquets are now practiced in civilian trauma care based on the recent military experience.