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86-612: A trauma center is a type of hospital that cares for patients with major traumatic injuries. Trauma Center may also refer to: Trauma center In the United States, a hospital can receive trauma center status by meeting specific criteria established by the American College of Surgeons (ACS) and passing a site review by the Verification Review Committee. Official designation as

172-551: A status quo antebellum. Two weeks after a treaty was signed (but not ratified), Andrew Jackson defeated the British in the Battle of New Orleans and siege of Fort St. Philip with an army dominated by militia and volunteers, and became a national hero. U.S. troops and sailors captured HMS Cyane , Levant and Penguin in the final engagements of the war. Per the treaty, both sides (the United States and Great Britain) returned to

258-555: A Level III trauma center. It provides initial evaluation, stabilization, diagnostic capabilities, and transfer to a higher level of care. It may also provide surgery and critical-care services, as defined in the scope of services for trauma care. A trauma-trained nurse is immediately available, and physicians are available upon the patient's arrival in the Emergency Department. Transfer agreements exist with other trauma centers of higher levels, for use when conditions warrant

344-400: A closer hospital that does not have a designated trauma center. Trauma centres grew into existence out of the realisation that traumatic injury is a disease process unto itself requiring specialised and experienced multidisciplinary treatment and specialised resources. The world's first trauma centre, the first hospital to be established specifically to treat injured rather than ill patients,

430-465: A day at the hospital: Key elements include 24‑hour in‑house coverage by general surgeons and prompt availability of care in varying specialties—such as orthopedic surgery , cardiothoracic surgery , neurosurgery , plastic surgery , anesthesiology , emergency medicine , radiology , internal medicine , otolaryngology , oral and maxillofacial surgery , and critical care , which are needed to adequately respond and care for various forms of trauma that

516-651: A few months. The war remains the deadliest conflict in U.S. history, resulting in the deaths of 620,000 men on both sides. Based on 1860 census figures, 8% of all white males aged 13 to 43 died in the war, including 6.4% in the North and 18% in the South . Following the Civil War, the U.S. Army had the mission of containing western tribes of Native Americans on the Indian reservations . They set up many forts, and engaged in

602-534: A functional area. However, officers continue to wear the branch insignia of their former branch in most cases, as functional areas do not generally have discrete insignia. Some branches, such as Special Forces , operate similarly to functional areas in that individuals may not join their ranks until having served in another Army branch. Careers in the Army can extend into cross-functional areas for officers, warrant officers, enlisted, and civilian personnel. Before 1933,

688-726: A month – known as battle assemblies or unit training assemblies (UTAs) – and conduct two to three weeks of annual training each year. Both the Regular Army and the Army Reserve are organized under Title 10 of the United States Code , while the National Guard is organized under Title 32 . While the Army National Guard is organized, trained, and equipped as a component of the U.S. Army, when it

774-487: A new Army Command (ACOM) in 2018. The Army Futures Command (AFC), is a peer of FORSCOM, TRADOC, and AMC, the other ACOMs. AFC's mission is modernization reform: to design hardware, as well as to work within the acquisition process which defines materiel for AMC. TRADOC's mission is to define the architecture and organization of the Army, and to train and supply soldiers to FORSCOM. AFC's cross-functional teams (CFTs) are Futures Command's vehicle for sustainable reform of

860-432: A patient may suffer, as well as provide rehabilitation services. Most Level I trauma centers are teaching hospitals/campuses. Additionally, a Level I center has a program of research, is a leader in trauma education and injury prevention, and is a referral resource for communities in nearby regions. A Level II trauma center works in collaboration with a Level I center. It provides comprehensive trauma care and supplements

946-480: A predominantly combat support role. The army converted to an all-volunteer force with greater emphasis on training to specific performance standards driven by the reforms of General William E. DePuy , the first commander of United States Army Training and Doctrine Command . Following the Camp David Accords that was signed by Egypt, Israel that was brokered by president Jimmy Carter in 1978, as part of

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1032-618: A role in the invasions of Grenada in 1983 ( Operation Urgent Fury ) and Panama in 1989 ( Operation Just Cause ). By 1989 Germany was nearing reunification and the Cold War was coming to a close. Army leadership reacted by starting to plan for a reduction in strength. By November 1989 Pentagon briefers were laying out plans to reduce army end strength by 23%, from 750,000 to 580,000. A number of incentives such as early retirement were used. In 1990, Iraq invaded its smaller neighbor, Kuwait , and U.S. land forces quickly deployed to assure

1118-738: A strategy of seizing the coastline, blockading the ports, and taking control of the river systems. By 1863, the Confederacy was being strangled. Its eastern armies fought well, but the western armies were defeated one after another until the Union forces captured New Orleans in 1862 along with the Tennessee River. In the Vicksburg Campaign of 1862–1863, General Ulysses Grant seized the Mississippi River and cut off

1204-417: A transfer. A Level V trauma center provides initial evaluation, stabilization, diagnostic capabilities, and transfer to a higher level of care. They may provide surgical and critical-care services, as defined in the service's scope of trauma care services. A trauma-trained nurse is immediately available, and physicians are available upon patient arrival in the emergency department. If not open 24 hours daily,

1290-531: A trauma center is determined by individual state law provisions. Trauma centers vary in their specific capabilities and are identified by "Level" designation, Level I (Level-1) being the highest and Level III (Level-3) being the lowest (some states have four or five designated levels). The highest levels of trauma centers have access to specialist medical and nursing care, including emergency medicine , trauma surgery , critical care , neurosurgery , orthopedic surgery , anesthesiology , and radiology , as well as

1376-419: A wide variety of highly specialized and sophisticated surgical and diagnostic equipment. Lower levels of trauma centers may be able to provide only initial care and stabilization of a traumatic injury and arrange for transfer of the patient to a higher level of trauma care. The operation of a trauma center is often expensive and some areas may be underserved by trauma centers because of that expense. As there

1462-400: Is a specialty unto itself. Adult trauma surgeons are not generally specialized in providing surgical trauma care to children and vice versa, and the difference in practice is significant. In contrast to adult trauma centers, pediatric trauma centers only have two ratings, either level I or level II. United States Army The United States Army ( USA ) is the land service branch of

1548-777: Is limited to confirming and reporting on any given hospital's ability to comply with the ACS standard of care known as Resources for Optimal Care of the Injured Patient. The Trauma Information Exchange Program (TIEP) is a program of the American Trauma Society in collaboration with the Johns Hopkins Center for Injury Research and Policy and is funded by the Centers for Disease Control and Prevention . TIEP maintains an inventory of trauma centers in

1634-420: Is no way to schedule the need for emergency services, patient traffic at trauma centers can vary widely. A trauma center may have a helipad for receiving patients that have been airlifted to the hospital. In some cases, persons injured in remote areas and transported to a distant trauma center by helicopter can receive faster and better medical care than if they had been transported by ground ambulance to

1720-533: Is not in federal service it is under the command of individual state and territorial governors. However, the District of Columbia National Guard reports to the U.S. president, not the district's mayor , even when not federalized. Any or all of the National Guard can be federalized by presidential order and against the governor's wishes. The U.S. Army is led by a civilian secretary of the Army , who has

1806-670: Is that each brigade will be modular, i.e., all brigades of the same type will be exactly the same and thus any brigade can be commanded by any division. As specified before the 2013 end-strength re-definitions, the three major types of brigade combat teams are: In addition, there are combat support and service support modular brigades. Combat support brigades include aviation (CAB) brigades, which will come in heavy and light varieties, fires (artillery) brigades (now transforms to division artillery) and expeditionary military intelligence brigades . Combat service support brigades include sustainment brigades and come in several varieties and serve

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1892-949: The Army Strategy 2018 articulated an eight-point addendum to the Army Vision for 2028. While the Army Mission remains constant, the Army Strategy builds upon the Army's Brigade Modernization by adding focus to corps and division -level echelons. The Army Futures Command oversees reforms geared toward conventional warfare . The Army's current reorganization plan is due to be completed by 2028. The Army's five core competencies are prompt and sustained land combat, combined arms operations (to include combined arms maneuver and wide–area security, armored and mechanized operations and airborne and air assault operations ), special operations forces , to set and sustain

1978-641: The Army of the United States of America . Upon his release from the Army, Boyd became the first shock-trauma fellow at the R Adams Cowley Shock Trauma Center, and then went on to develop the National System for Emergency Medical Services , under President Ford . In 1968 the American Trauma Society was created by various co-founders, including R Adams Cowley and Rene Joyeuse as they saw the importance of increased education and training of emergency providers and for nationwide quality trauma care. According to

2064-537: The Battle of 73 Easting were tank battles of historical significance. After Operation Desert Storm, the army did not see major combat operations for the remainder of the 1990s but did participate in a number of peacekeeping activities. In 1990 the Department of Defense issued guidance for "rebalancing" after a review of the Total Force Policy, but in 2004, USAF Air War College scholars concluded

2150-518: The CDC , injuries are the leading cause of death for American children and young adults ages 1–19. The leading causes of trauma are motor vehicle collisions, falls, and assaults with a deadly weapon. In the United States, Robert J. Baker and Robert J. Freeark established the first civilian Shock Trauma Unit at Cook County Hospital in Chicago, Illinois on March 16, 1966. The concept of a shock trauma center

2236-528: The Department of the Army , which is one of the three military departments of the Department of Defense . The U.S. Army is headed by a civilian senior appointed civil servant, the secretary of the Army (SECARMY), and by a chief military officer , the chief of staff of the Army (CSA) who is also a member of the Joint Chiefs of Staff . It is the largest military branch, and in the fiscal year 2022,

2322-707: The Netherlands and the United Kingdom , until the 1990s in anticipation of a possible Soviet attack. During the Cold War, U.S. troops and their allies fought communist forces in Korea and Vietnam . The Korean War began in June 1950, when the Soviets walked out of a UN Security Council meeting, removing their possible veto. Under a United Nations umbrella, hundreds of thousands of U.S. troops fought to prevent

2408-730: The United States Armed Forces . It is one of the eight U.S. uniformed services , and is designated as the Army of the United States in the U.S. Constitution . The Army is the oldest branch of the U.S. military and the most senior in order of precedence. It has its roots in the Continental Army , which was formed on 14 June 1775 to fight against the British for independence during the American Revolutionary War (1775–1783). After

2494-632: The guerrilla hit and run tactics of the communist Viet Cong and the People's Army Of Vietnam (NVA) . During the 1960s, the Department of Defense continued to scrutinize the reserve forces and to question the number of divisions and brigades as well as the redundancy of maintaining two reserve components, the Army National Guard and the Army Reserve . In 1967, Secretary of Defense Robert McNamara decided that 15 combat divisions in

2580-559: The ACS. These levels may range from Level I to Level IV. Some hospitals are less-formally designated Level V. The ACS does not officially designate hospitals as trauma centers. Numerous U.S. hospitals that are not verified by ACS claim trauma center designation. Most states have legislation that determines the process for designation of trauma centers within that state. The ACS describes this responsibility as "a geopolitical process by which empowered entities, government or otherwise, are authorized to designate." The ACS's self-appointed mission

2666-529: The Army (HQDA): See Structure of the United States Army for a detailed treatment of the history , components , administrative and operational structure and the branches and functional areas of the Army. The U.S. Army is made up of three components: the active component, the Regular Army; and two reserve components, the Army National Guard and the Army Reserve. Both reserve components are primarily composed of part-time soldiers who train once

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2752-472: The Army National Guard members were considered state militia until they were mobilized into the U.S. Army, typically at the onset of war. Since the 1933 amendment to the National Defense Act of 1916 , all Army National Guard soldiers have held dual status. They serve as National Guardsmen under the authority of the governor of their state or territory and as reserve members of the U.S. Army under

2838-411: The Army National Guard were unnecessary and cut the number to eight divisions (one mechanized infantry, two armored, and five infantry), but increased the number of brigades from seven to 18 (one airborne, one armored, two mechanized infantry and 14 infantry). The loss of the divisions did not sit well with the states. Their objections included the inadequate maneuver element mix for those that remained and

2924-733: The BC area, "Each year, Fraser Health treats almost 130,000 trauma patients as part of the integrated B.C. trauma system". In the United States, trauma centers are ranked by the American College of Surgeons (ACS) or local state governments, from Level I (comprehensive service) to Level III (limited-care). The different levels refer to the types of resources available in a trauma center and the number of patients admitted yearly. These are categories that define national standards for trauma care in hospitals . Level I and Level II designations are also given adult or pediatric designations. Additionally, some states have their own trauma-center rankings separate from

3010-637: The British were weakest to wear down their forces. Washington led victories against the British at Trenton and Princeton , but lost a series of battles in the New York and New Jersey campaign in 1776 and the Philadelphia campaign in 1777. With a decisive victory at Yorktown and the help of the French, the Continental Army prevailed against the British. After the war, the Continental Army

3096-461: The Canadian province of Upper Canada, British troops who had dubbed the U.S. Army "Regulars, by God!", were able to capture and burn Washington , which was defended by militia, in 1814. The regular army, however, proved they were professional and capable of defeating the British army during the invasions of Plattsburgh and Baltimore , prompting British agreement on the previously rejected terms of

3182-545: The National Guard, while all states maintain regulations for state militias . State militias are both "organized", meaning that they are armed forces usually part of the state defense forces, or "unorganized" simply meaning that all able-bodied males may be eligible to be called into military service. The U.S. Army is also divided into several branches and functional areas . Branches include officers, warrant officers, and enlisted Soldiers while functional areas consist of officers who are reclassified from their former branch into

3268-645: The ORC and ERC were combined into the United States Army Reserve . The Army of the United States was re-established for the Korean War and Vietnam War and was demobilized upon the suspension of the draft . Currently, the Army is divided into the Regular Army , the Army Reserve, and the Army National Guard . Some states further maintain state defense forces , as a type of reserve to

3354-526: The Revolutionary War progressed, French aid, resources, and military thinking helped shape the new army. A number of European soldiers came on their own to help, such as Friedrich Wilhelm von Steuben , who taught Prussian Army tactics and organizational skills. The Army fought numerous pitched battles, and sometimes used Fabian strategy and hit-and-run tactics in the South in 1780 and 1781; under Major General Nathanael Greene , it hit where

3440-518: The Revolutionary War, the Congress of the Confederation created the United States Army on 3 June 1784 to replace the disbanded Continental Army. The United States Army considers itself a continuation of the Continental Army, and thus considers its institutional inception to be the origin of that armed force in 1775. The U.S. Army is a uniformed service of the United States and is part of

3526-663: The Southwest. Grant took command of Union forces in 1864 and after a series of battles with very heavy casualties, he had General Robert E. Lee under siege in Richmond as General William T. Sherman captured Atlanta and marched through Georgia and the Carolinas . The Confederate capital was abandoned in April 1865 and Lee subsequently surrendered his army at Appomattox Court House. All other Confederate armies surrendered within

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3612-537: The US, collects data and develops information related to the causes, treatment and outcomes of injury, and facilitates the exchange of information among trauma care institutions, care providers, researchers, payers and policymakers. [REDACTED] A trauma center is a hospital that is designated by a state or local authority or is verified by the American College of Surgeons. A Level I trauma center provides

3698-540: The United States (the "Union" or "the North") formed the Union Army , consisting of a small body of regular army units and a large body of volunteer units raised from every state, north and south, except South Carolina . For the first two years, Confederate forces did well in set battles but lost control of the border states. The Confederates had the advantage of defending a large territory in an area where disease caused twice as many deaths as combat. The Union pursued

3784-405: The United States Army was maintained as a small peacetime force to man permanent forts and perform other non-wartime duties such as engineering and construction works. During times of war, the U.S. Army was augmented by the much larger United States Volunteers which were raised independently by various state governments. States also maintained full-time militias which could also be called into

3870-423: The acquisition process for the future. In order to support the Army's modernization priorities, its FY2020 budget allocated $ 30 billion for the top six modernization priorities over the next five years. The $ 30 billion came from $ 8 billion in cost avoidance and $ 22 billion in terminations. The task of organizing the U.S. Army commenced in 1775. In the first one hundred years of its existence,

3956-491: The agreement, both the United States and Egypt agreed that there would be a joint military training led by both countries that would usually take place every 2 years, that exercise is known as Exercise Bright Star . The 1980s was mostly a decade of reorganization. The Goldwater-Nichols Act of 1986 created unified combatant commands bringing the army together with the other four military services under unified, geographically organized command structures. The army also played

4042-650: The army began acquiring fixed-wing aircraft . In 1910, during the Mexican Revolution , the army was deployed to U.S. towns near the border to ensure the safety of lives and property. In 1916, Pancho Villa , a major rebel leader, attacked Columbus, New Mexico , prompting a U.S. intervention in Mexico until 7 February 1917. They fought the rebels and the Mexican federal troops until 1918. The United States joined World War I as an "Associated Power" in 1917 on

4128-619: The authority of the president, in the Army National Guard of the United States. Since the adoption of the total force policy, in the aftermath of the Vietnam War, reserve component soldiers have taken a more active role in U.S. military operations. For example, Reserve and Guard units took part in the Gulf War , peacekeeping in Kosovo , Afghanistan, and the 2003 invasion of Iraq . [REDACTED] Headquarters, United States Department of

4214-662: The building, as part of the September 11 attacks . In response to the 11 September attacks and as part of the Global War on Terror , U.S. and NATO forces invaded Afghanistan in October 2001, displacing the Taliban government. The U.S. Army also led the combined U.S. and allied invasion of Iraq in 2003; it served as the primary source for ground forces with its ability to sustain short and long-term deployment operations. In

4300-467: The clinical expertise of a Level I institution. It provides 24-hour availability of all essential specialties, personnel, and equipment. Oftentimes, level II centers possess critical care services capable of caring for almost all injury types indefinitely. Minimum volume requirements may depend on local conditions. Such institutions are not required to have an ongoing program of research or a surgical residency program. A Level III trauma center does not have

4386-466: The combatant commanders for use as directed by the secretary of defense. By 2013, the army shifted to six geographical commands that align with the six geographical unified combatant commands (CCMD): The army also transformed its base unit from divisions to brigades . Division lineage will be retained, but the divisional headquarters will be able to command any brigade, not just brigades that carry their divisional lineage. The central part of this plan

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4472-631: The end of FY2017. From 2016 to 2017, the Army retired hundreds of OH-58 Kiowa Warrior observation helicopters, while retaining its Apache gunships. The 2015 expenditure for Army research, development and acquisition changed from $ 32 billion projected in 2012 for FY15 to $ 21 billion for FY15 expected in 2014. By 2017, a task force was formed to address Army modernization, which triggered shifts of units: CCDC , and ARCIC , from within Army Materiel Command (AMC), and Army Training and Doctrine Command (TRADOC), respectively, to

4558-439: The end to the practice of rotating divisional commands among the states that supported them. Under the proposal, the remaining division commanders were to reside in the state of the division base. However, no reduction in total Army National Guard strength was to take place, which convinced the governors to accept the plan. The states reorganized their forces accordingly between 1 December 1967 and 1 May 1968. The Total Force Policy

4644-441: The facility must have an after-hours trauma response protocol. A facility can be designated an adult trauma center, a pediatric trauma center, or an adult and pediatric trauma center. If a hospital provides trauma care to both adult and pediatric patients, the level designation may not be the same for each group. For example, a Level I adult trauma center may also be a Level II pediatric trauma center because pediatric trauma surgery

4730-580: The following years, the mission changed from conflict between regular militaries to counterinsurgency , resulting in the deaths of more than 4,000 U.S. service members (as of March 2008) and injuries to thousands more. 23,813 insurgents were killed in Iraq between 2003 and 2011. Until 2009, the army's chief modernization plan, its most ambitious since World War II, was the Future Combat Systems program. In 2009, many systems were canceled, and

4816-587: The forces that landed in French North Africa and took Tunisia and then moved on to Sicily and later fought in Italy . In the June 1944 landings in northern France and in the subsequent liberation of Europe and defeat of Nazi Germany , millions of U.S. Army troops played a central role. In 1947, the number of soldiers in the US Army had decreased from eight million in 1945 to 684,000 soldiers and

4902-757: The founder of the Trauma Unit at Sunnybrook Health Sciences Centre in Toronto , Ontario, Marvin Tile , "the nature of injuries at Sunnybrook has changed over the years. When the trauma centre first opened in 1976, about 98 per cent of patients suffered from blunt-force trauma caused by accidents and falls. Now, as many as 20 per cent of patients arrive with gunshot and knife wounds". Fraser Health Authority in British Columbia , located at Royal Columbian Hospital and Abbotsford Regional Hospital, services

4988-426: The full availability of specialists but has resources for emergency resuscitation, surgery, and intensive care of most trauma patients. A Level III center has transfer agreements with Level I or Level II trauma centers that provide back-up resources for the care of patients with exceptionally severe injuries, such as multiple trauma. A Level IV trauma center exists in some states in which the resources do not exist for

5074-420: The full range of military operations and the spectrum of conflict, in support of combatant commanders ". The branch participates in conflicts worldwide and is the major ground-based offensive and defensive force of the United States of America.‌ The United States Army serves as the land-based branch of the U.S. Armed Forces . Section 7062 of Title 10, U.S. Code defines the purpose of the army as: In 2018,

5160-685: The geographical status quo. Both navies kept the warships they had seized during the conflict. The army's major campaign against the Indians was fought in Florida against Seminoles . It took long wars (1818–1858) to finally defeat the Seminoles and move them to Oklahoma. The usual strategy in Indian wars was to seize control of the Indians' winter food supply, but that was no use in Florida where there

5246-415: The guidance would reverse the Total Force Policy which is an "essential ingredient to the successful application of military force". On 11 September 2001, 53 Army civilians (47 employees and six contractors) and 22 soldiers were among the 125 victims killed in the Pentagon in a terrorist attack when American Airlines Flight 77 commandeered by five Al-Qaeda hijackers slammed into the western side of

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5332-412: The highest level of surgical care to trauma patients. Being treated at a Level I trauma center can reduce mortality by 25% compared to a non-trauma center. It has a full range of specialists and equipment available 24 hours a day and admits a minimum required annual volume of severely injured patients. A Level I trauma center is required to have a certain number of the following people on duty 24 hours

5418-404: The last of the American Indian Wars . U.S. Army troops also occupied several Southern states during the Reconstruction Era to protect freedmen . The key battles of the Spanish–American War of 1898 were fought by the Navy. Using mostly new volunteers , the U.S. forces defeated Spain in land campaigns in Cuba and played the central role in the Philippine–American War . Starting in 1910,

5504-418: The projected end strength for the Regular Army (USA) was 480,893 soldiers; the Army National Guard (ARNG) had 336,129 soldiers and the U.S. Army Reserve (USAR) had 188,703 soldiers; the combined-component strength of the U.S. Army was 1,005,725 soldiers. As a branch of the armed forces, the mission of the U.S. Army is "to fight and win our Nation's wars, by providing prompt, sustained land dominance, across

5590-436: The protection of Saudi Arabia . In January 1991 Operation Desert Storm commenced, a U.S.-led coalition which deployed over 500,000 troops, the bulk of them from U.S. Army formations, to drive out Iraqi forces . The campaign ended in total victory, as Western coalition forces routed the Iraqi Army . Some of the largest tank battles in history were fought during the Gulf war. The Battle of Medina Ridge , Battle of Norfolk and

5676-412: The remaining were swept into the BCT modernization program . By 2017, the Brigade Modernization project was completed and its headquarters, the Brigade Modernization Command, was renamed the Joint Modernization Command, or JMC. In response to Budget sequestration in 2013 , Army plans were to shrink to 1940 levels, although actual Active-Army end-strengths were projected to fall to some 450,000 troops by

5762-403: The service chiefs from each of the four military services belonging to the Department of Defense who advise the president of the United States , the secretary of defense and the National Security Council on operational military matters, under the guidance of the chairman and vice chairman of the Joint Chiefs of Staff . In 1986, the Goldwater–Nichols Act mandated that operational control of

5848-413: The service of the army. By the twentieth century, the U.S. Army had mobilized the U.S. Volunteers on four occasions during each of the major wars of the nineteenth century. During World War I, the " National Army " was organized to fight the conflict, replacing the concept of U.S. Volunteers. It was demobilized at the end of World War I and was replaced by the Regular Army, the Organized Reserve Corps, and

5934-456: The services follows a chain of command from the president to the secretary of defense directly to the unified combatant commanders , who have control of all armed forces units in their geographic or function area of responsibility, thus the secretaries of the military departments (and their respective service chiefs underneath them) only have the responsibility to organize, train and equip their service components. The army provides trained forces to

6020-415: The side of Britain , France , Russia , Italy and the other Allies . U.S. troops were sent to the Western Front and were involved in the last offensives that ended the war. With the armistice in November 1918, the army once again decreased its forces. In 1939, estimates of the Army's strength ranged between 174,000 and 200,000 soldiers, smaller than that of Portugal 's, which ranked it 17th or 19th in

6106-443: The state militias. In the 1920s and 1930s, the "career" soldiers were known as the " Regular Army " with the "Enlisted Reserve Corps" and "Officer Reserve Corps" augmented to fill vacancies when needed. In 1941, the " Army of the United States " was founded to fight World War II. The Regular Army, Army of the United States, the National Guard, and Officer/Enlisted Reserve Corps (ORC and ERC) existed simultaneously. After World War II,

6192-545: The states of California , Nevada , Utah , Colorado , Arizona , Wyoming and New Mexico . The American Civil War was the costliest war for the U.S. in terms of casualties. After most slave states , located in the southern U.S., formed the Confederate States , the Confederate States Army , led by former U.S. Army officers, mobilized a large fraction of Southern white manpower. Forces of

6278-412: The statutory authority to conduct all the affairs of the army under the authority, direction, and control of the secretary of defense . The chief of staff of the Army , who is the highest-ranked military officer in the army, serves as the principal military adviser and executive agent for the secretary of the Army, i.e., its service chief; and as a member of the Joint Chiefs of Staff , a body composed of

6364-594: The takeover of South Korea by North Korea and later to invade the northern nation. After repeated advances and retreats by both sides and the Chinese People's Volunteer Army 's entry into the war, the Korean Armistice Agreement returned the peninsula to the status quo in July 1953. The Vietnam War is often regarded as a low point for the U.S. Army due to the use of drafted personnel ,

6450-603: The theater for the joint force, and to integrate national, multinational, and joint power on land. The Continental Army was created on 14 June 1775 by the Second Continental Congress as a unified army for the colonies to fight Great Britain , with George Washington appointed as its commander. The army was initially led by men who had served in the British Army or colonial militias and who brought much of British military heritage with them. As

6536-718: The total number of active divisions had dropped from 89 to 12. The leaders of the Army saw this demobilization as a success. In the Pacific War , U.S. Army soldiers participated alongside the United States Marine Corps in capturing the Pacific Islands from Japanese control. Following the Axis surrenders in May (Germany) and August (Japan) of 1945, army troops were deployed to Japan and Germany to occupy

6622-1147: The two defeated nations. Two years after World War II, the Army Air Forces separated from the army to become the United States Air Force in September 1947. In 1948, the army was desegregated by order 9981 of President Harry S. Truman . The end of World War II set the stage for the East–West confrontation known as the Cold War . With the outbreak of the Korean War , concerns over the defense of Western Europe rose. Two corps, V and VII , were reactivated under Seventh United States Army in 1950 and U.S. strength in Europe rose from one division to four. Hundreds of thousands of U.S. troops remained stationed in West Germany, with others in Belgium ,

6708-620: The unpopularity of the war with the U.S. public and frustrating restrictions placed on the military by U.S. political leaders. While U.S. forces had been stationed in South Vietnam since 1959, in intelligence and advising/training roles, they were not deployed in large numbers until 1965, after the Gulf of Tonkin Incident . U.S. forces effectively established and maintained control of the "traditional" battlefield, but they struggled to counter

6794-583: The world in size. General George C. Marshall became Army chief of staff in September 1939 and set about expanding and modernizing the Army in preparation for war. The United States joined World War II in December 1941 after the Japanese attack on Pearl Harbor . Some 11 million Americans were to serve in various Army operations. On the European front , U.S. Army troops formed a significant portion of

6880-523: Was adopted by Chief of Staff of the Army General Creighton Abrams in the aftermath of the Vietnam War and involved treating the three components of the army – the Regular Army , the Army National Guard and the Army Reserve as a single force. General Abrams' intertwining of the three components of the army effectively made extended operations impossible without the involvement of both the Army National Guard and Army Reserve in

6966-680: Was also developed at the University of Maryland, Baltimore , in the 1950s and 1960s by thoracic surgeon and shock researcher R Adams Cowley , who founded what became the Shock Trauma Center in Baltimore , Maryland , on July 1, 1966. The R Adams Cowley Shock Trauma Center is one of the first shock trauma centers in the world. Cook County Hospital in Chicago trauma center (opened in 1966). David R. Boyd interned at Cook County Hospital from 1963 to 1964 before being drafted into

7052-876: Was at first very small and after General St. Clair's defeat at the Battle of the Wabash, where more than 800 soldiers were killed, the Regular Army was reorganized as the Legion of the United States , established in 1791 and renamed the United States Army in 1796. In 1798, during the Quasi-War with France, the U.S. Congress established a three-year " Provisional Army " of 10,000 men, consisting of twelve regiments of infantry and six troops of light dragoons . In March 1799, Congress created an "Eventual Army" of 30,000 men, including three regiments of cavalry . Both "armies" existed only on paper, but equipment for 3,000 men and horses

7138-498: Was no winter. The second strategy was to form alliances with other Indian tribes, but that too was useless because the Seminoles had destroyed all the other Indians when they entered Florida in the late eighteenth century. The U.S. Army fought and won the Mexican–American War (1846–1848), which was a defining event for both countries. The U.S. victory resulted in acquisition of territory that eventually became all or parts of

7224-590: Was procured and stored. The War of 1812 , the second and last war between the United States and Great Britain, had mixed results. The U.S. Army did not conquer Canada but it did destroy Native American resistance to expansion in the Old Northwest and stopped two major British invasions in 1814 and 1815. After taking control of Lake Erie in 1813, the U.S. Army seized parts of western Upper Canada, burned York and defeated Tecumseh , which caused his Western Confederacy to collapse. Following U.S. victories in

7310-505: Was quickly given land certificates and disbanded in a reflection of the republican distrust of standing armies. State militias became the new nation's sole ground army, except a regiment to guard the Western Frontier and one battery of artillery guarding West Point 's arsenal. However, because of continuing conflict with Native Americans , it was soon considered necessary to field a trained standing army. The Regular Army

7396-941: Was the Birmingham Accident Hospital , which opened in Birmingham , England in 1941 after a series of studies found that the treatment of injured persons within England was inadequate. By 1947, the hospital had three trauma teams , each including two surgeons and an anaesthetist, and a burns team with three surgeons. The hospital became part of the National Health Service in its formation in July 1948 and closed in 1993. The NHS now has 27 major trauma centres established across England , four in Scotland , and one planned in Wales . According to

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