This lecture provides a reproducible model for innovation at pace and in crisis that is equally applicable to academia, the public sector and industry. The model stems from a deconstruction of the contemporary revolution in combat casualty care, which has yielded unprecedented survival outcomes from critical injury, and identifies the conditions for successful 'innovation adoption'; 'innovation translation'; and creation of new product from original ideas. The corresponding acronyms in the model are ADOPTER, TRANSL8 and CREATE. Also discussed are the predictable obstructions to innovation, or 'innovation constipation', remembered as B-OWELS. Major General Hodgetts led the UK's contemporary revolution in combat casualty care and is responsible in large part for the related concepts, guidelines, curriculum design, re-organisation and rigorous clinical governance. His analysis has created this model from experience of serial, disruptive innovation.