A possible summary is:
A trauma surgeon who served in the military for 24 years reviews battle-wound scenes in movies and rates them based on realism, accuracy and medical care. He comments on the types of injuries, treatments, equipment and protocols shown in the movies, and compares them with his own experiences in war zones. He praises some movies for their authenticity and criticizes others for their mistakes or exaggerations. He also shares some stories and insights from his career as a trauma surgeon. He gives the highest ratings to "Saving Private Ryan", "Hacksaw Ridge" and "M*A*S*H".
Here are the key facts extracted from the text:
1. The speaker, Peter Rhee, served in the military for 24 years and is a trauma surgeon.
2. Peter Rhee was one of the first surgeons into Afghanistan.
3. In the military, triage is done differently than in civilian trauma.
4. There are four categories of triage: dead, expectant, priority, and routine.
5. Medics are not trauma surgeons and their job is to get patients to a trauma surgeon, not to perform surgery in the field.
6. Blood loss is the number one preventable cause of death in trauma patients.
7. Tourniquets are used to stop bleeding, but they can be problematic if not applied correctly.
8. Morphine can be deadly in certain situations, such as when a patient has low blood pressure.
9. Ketamine is a new drug used in the field to provide pain relief without lowering blood pressure.
10. IV bags with crystalloid solution are no longer used in trauma care because they can cause more harm than good.
11. Saltwater solution does not resemble blood and is not effective in treating trauma patients.
12. Suction is an essential tool in trauma care, especially when working with sponges to soak up blood.
13. In the military, medical care is provided to enemy combatants, civilians, and soldiers.
14. Burn wounds from explosions are common in civilians, but not as common in military personnel.
15. A walking blood bank is a system used in the military to provide fresh blood to patients in need.
16. Plasma is a good resuscitative tool that helps stop bleeding and is better than using bags of IV fluid.
17. Plasma is a liquid part of the blood that contains proteins called factors that help stop bleeding.
18. Packed red blood cells are heavy and settle at the bottom of a container when spun in a machine.
19. In a field hospital, patients are often brought in on stretchers and triaged quickly.
20. Total body surface area burned is a measure of the severity of a burn wound.
21. Tourniquet time should be recorded to track how long the tourniquet has been on the patient.
22. If a tourniquet is left on for too long, it can cause permanent damage to the limb.
23. The Vietnam War, Huey helicopter, and other military equipment are mentioned as part of the speaker's experience.
24. The speaker mentions that the medical part of the movie "Saving Private Ryan" was decent, but the strategic part didn't make sense.