From the Department of Emergency Medicine (P.T.P.), Denver Health Medical Center, Denver, Colorado; Department of Surgery (J.S.G.), Vanderbilt University School of Medicine, Nashville, Tennessee; American College of Surgeons (W.P.C.), Chicago, Illinois; Committee on Tactical Combat Casualty Care (F.K.B.), Defense Health Board, Washington, D.C.; and Department of Surgery (N.E.M.), Tulane University School of Medicine, New Orleans, Louisiana.

Submitted for publication February 1, 2011.

Accepted for publication May 19, 2011.

Address for reprints: Lance E. Stuke, MD, MPH, Department of Surgery, Louisiana State University Health Sciences Center at New Orleans, 1542 Tulane Avenue 734, New Orleans, LA 70112; email: lstuke@lsuhsc.edu.