In this episode, we'll cover R Adams Cowley, a surgeon who's single-minded determination reinvented how trauma patients are cared for, and essentially created the field of traumatology. Through his tireless efforts, the state of Maryland created a world-renowned centre for understanding and treating shock in trauma patients. He was an interesting character, to say the least. We will also explore the origins of the concepts of shock as a 'temporary pause in the act of death', and the 'golden hour', the critical window of time to treat shock patients. We'll also review the history of aeromedical evacuation, and of course, some other interesting side stories!