Abstract: Performed years after the end of combat operations in Iraq and the withdrawal of troops from Afghanistan, the authors of the commented report avoided the more expedient option to disregard those deaths and move on. Instead, the conduct of the study alone shows a lasting commitment to those injured and killed, and the findings from the analysis identify ways for the military’s casualty care system to save lives in the future. The study comes from the Department of Defense (DoD) Joint Trauma System (JTS) and employs the expertise of physicians, emergency medical technicians, and statisticians to perform a quantitative assessment of clinical data from a registry of more than 70,000 war-injured patients. The analysis shows how rapid handoff of casualties to a surgical team (within an hour of injury) can reduce preventable death by allowing faster diagnosis of injuries, conduct of resuscitative interventions, and triage to surgery when indicated. The authors acknowledge that work is needed to improve life-saving interventions and resuscitation, be that new training, treatments, or technologies, to reduce mortality when evacuation times are longer than 1 hour. Confirming the importance of rapid casualty evacuation is relevant as the military considers future scenarios, such as those referred to as multidomain operations against peer or near-peer adversaries, in which transfer between typical echelons of care may not be possible.