Operational Casualty Risk Tolerance Framework (OCRT) - V1.4

The Operational Casualty Risk Tolerance (OCRT) framework was created to address the gap between clinical standards of care and the real-world decisions faced by special operations medics in high-risk environments. Unlike civilian protocols that presume access to evacuation, infrastructure, and definitive care, OCRT defines a structured system for casualty decision-making where those assumptions no longer apply.

In scenarios where evacuation may be delayed, denied, or tactically unfeasible, OCRT introduces a mission-adaptive model for triage, intervention, and survivability alignment. It allows for calibrated deviation from conventional treatment pathways based on the parameters of operational risk, casualty condition, and mission success.

OCRT is not a clinical guideline. It is a decision tool.
It provides a framework for determining when, why, and how to modify casualty care standards under extreme constraints—without abandoning accountability or ethical structure. It introduces threshold bands for risk tolerance, resource allocation, and clinical intervention, contextualized by time, threat, and team disposition.

Whereas other frameworks on this site address symbolic systems and emergent technologies, OCRT anchors decision-making in embodied consequence. It is designed for field leaders, medical planners, and operational clinicians who must navigate the convergence of medicine, mission, and mortality.