A Western trainer says talk of 'golden hour' would be laughable to Ukrainian forces. It's already gone there, and the West may not see it again.

"You tell that to a Ukrainian and they can just laugh at you,"

"In Ukraine, there's "no chance" of a golden hour."

"If you're a wounded soldier in Ukraine, "you might get out in the night, but if we drive an ambulance up, the Russians are going to shoot at it," Maguire said."

Western militaries historically relied on air superiority and rapid medevac to deliver life-saving trauma care within the golden hour. Future conflicts may not allow such air control or safe evacuation corridors, removing that advantage. In Ukraine, medevac operations are routinely imperiled by deliberate targeting of medics and ambulances, making timely evacuation unlikely. Ukrainian forces expect no guaranteed golden-hour rescue and often rely on nighttime or improvised evacuations. The erosion of medevac protections in Ukraine forces re-evaluation of casualty survivability, medical planning, and force-protection assumptions used by NATO and Western armies.

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