"Ruck-Truck-House-Plane" Plan Application for the Management of Combat-Related Wound Infections and Prevention of Multidrug-Resistant Organism Spread in Prolonged Field Care Scenarios

Wound infections represent an increasing risk in combat trauma, especially in prolonged casualty care conditions char-acterized by evacuation delays and resource scarcity. This risk is compounded by multidrug-resistant organisms, which are difficult to detect and treat in austere settings. This article introduces a "Ruck-Truck-House-Plane" model for infection control and wound management in prolonged casualty care (Role 1) and prolonged care (beyond Role 1) environments. This original approach includes practical procedures and de-cision-making from point of injury to tertiary care transfer. It emphasizes early decontamination, phased surgical care, re-mote microbial diagnostics, and antimicrobial stewardship to reduce morbidity and mortality in modern warfare.