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French military deaths in Afghanistan: a retrospective analysis of 450 combat casualties between 2010 and 2012
  1. Clément Hoffmann1,
  2. C Poyat1,2,
  3. L Alhanati3,
  4. R Haus-Cheymol4,
  5. S de Rudnicki5,
  6. J Bouix-Picasso2 and
  7. N Donat1
  1. 1 Burn Centre, Percy Military Teaching Hospital, Clamart, France
  2. 2 French Military Health Service, Val-de-Grâce Military Academy, Paris, France
  3. 3 3rd Specialized Medical Unit, 1st Chieftaincy of the Health Service–Special Forces, Pau, France
  4. 4 Defence Health Expertise and Strategy Division, French Military Health Service, Arcueil, France
  5. 5 Anaesthesia and Intensive Care Department, Percy Military Teaching Hospital, Clamart, France
  1. Correspondence to Dr Clément Hoffmann, Burn Centre, Percy Military Teaching Hospital, 92140 Clamart, France; clement.hoffmann{at}

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To the Editor:

We read with interest the research by Webster et al 1 analysing mortality timelines of military personnel killed in action (KIA) in a cohort of 2413 UK servicemen injured in Afghanistan over a 10-year period. They reported that more than two-thirds of KIA occurred within 10 min of injury, without any obvious opportunity to improve survival. They suggested that the opportunity to further improve combat survival was likely to lie in the prehospital phase of care and may involve developments in haemorrhage control.

We totally agree that the ‘Golden hour’ should be considered as a critical phase of care following injury in which life-saving interventions make a difference to survival, rather than a specific time period. The French Military Health …

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  • Contributors CH initiated the idea, collected the data, analysed the results, wrote and reviewed the paper. CP and LA collected the data and reviewed the paper. RHC and SdR initiated the idea, analysed the results and reviewed the paper. JBP initiated the idea and reviewed the paper. ND wrote and reviewed the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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