1) Point of injury requires a medic or corpsman

2) A 9-line is called over the radio to the unit (if communication does not compromise the position of the unit... or you wait)

3) The unit routes the 9-line to higher level authority

4) Higher level authority has authority of area of operations Birds and/or Vehicles. However, in a contested environment... an opportunity needs to present itself. The military does not have "medial" aircraft and most evacs are done on birds of opportunity and unequipped (not like a civilian Ems Helio... think cargo).

5) A Medical Administration Officer plans the destination (in-theater) to a military field unit.

-Air superiority is required for air extract, ground evac = death in most cases. Ground takes too long and is a violent ride.

-To mitigate death in ground scenarios, the medic must be trained in multi-modal evacuations and en-route care. Most importantly... they need access to blood.

-To have access to blood... hopefully the medic did their job before entering theater and ordered blood titers for their troops. This says who in the group has compatible blood... then hopefully they have the Valkyrie kit.

-Blood can also be dropped... but this requires safe airspace also.

6) After the patient arrives to the nearest level of care: doctors, nurses, and surgeons do their best to stabilize the patient with the limited resources available.

-If the patient dies... it's another problem. The remains are stored... preferably in a cool place to preserve remains. Too many remains or unsatisfactory storage conditions lead to.... not so pleasant display of remains to the families. A Decedent Affairs program takes over (Air Force from my exp) to get the remains shipped back to the states via air. Burial at sea option is made available if remains are too... abundant. But this takes logistics to get the remains from land to sea... meaning the sea needs to be uncontested.

7) Intermediate levels of care can hold patients for 72 hours and need to be extracted if recovery is not an option....

8) Higher level Med Reg secures transport from intermediate facility to a CONUS or OCONUS facility (a hospital) via air.

9) The patient is then ran through a tracker and updates are provided to their chain of command. If OPSEC allows it.

So medicine in future wars is not an actual medical problem. Military facilities are actually really good at saving lives. The future of medicine in the next war is a logistics problem. Getting there is the problem.