Quelles sont les leçons récentes et quel est l'avenir de la médecine opérationnelle ?

The last decades have been marked by major progress and by the irruption in western societies of mass armed violence. The simultaneity of these two events calls for a transfer of skills from the military to the civilian setting. For that purpose, it is necessary to review the recent military breakthroughs in traumatology, identify those that can be applied to civilian practice, assess the path for improvement of medical practices in an ever moving and unpredictable context and finally to consider the future challenges in the arena of medical response to violence. Some successful collaborations have started in the aftermath of the 2015 terrorist attacks and both the civilian and the military medical network have a lot to gain through this spirit of sharing, not only in event of a terrorist attack, but also for the improvement of trauma patients' outcome in times of peace.