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was similar to the types of events you might see in a combat theater. shepard: i keep reading, doctor, that the work that is done at the astounding level 1 trauma centers across the nation, so much of the training for those doctors came from the battlefield. that s correct, shepard. if you look at some of the changes, some of the evolutions over the last decade in mass resuscitation that we see in level 1 trauma centers, as well as how we deal with a lot of these tremendous musculoskeletal injuries, the civilian world certainly taking those lessons we learned from the military over the last 18 years of conflict. shepard: we always hear, especially an old-school police beat reporter, no matter what s happened to you, if you can get to a level one center alive, your chances are damn good. what happens in the early going in that level 1 trauma center that saved so many lives?