095 S05 Ep 03 – Blood, Sweat, and Battlefield Medicine: Medical Operations in Large-Scale Combat Operations w/two JRTC Medical Professionals

The Joint Readiness Training Center is pleased to present the ninety-fifth episode to air on ‘The Crucible - The JRTC Experience.’ Hosted by the Task Force Senior for the TF Sustainment (BSB / CSSB), LTC Bruce Roett on behalf of the Commander of Ops Group (COG). Today’s guests are two seasoned medical professionals with TF Sustainment (BSB / CSSB), CPT Victor Velez and SFC Jason Kohne. CPT Velez is the Senior Medical Operations Officer OCT and SFC Kohne is the Medical Operations NCO OCT.

 

In this episode, we examine the critical role of medical operations during large-scale combat operations (LSCO), emphasizing the complex realities faced by medics in high-intensity environments. The conversation underscores the physical, emotional, and tactical demands placed on Army medical personnel who must operate with minimal rest, high casualty volumes, and limited evacuation windows. The discussion highlights the need for rigorous, realistic pre-deployment training—such as TCCC, paramedic certification, and stress-inducing field exercises like “Gator Top Dog”—to prepare medics for the brutal realities of sustained combat. A key theme is the importance of leader involvement, particularly from NCOs, in building emotional resilience, monitoring burnout, and creating a culture of trust where medics can ask for help and remain mission-effective throughout the fight.

 

The episode also delves into key best practices for organizing and supporting medical operations across echelons. Notable lessons include the effective use of FLA (field litter ambulance) staging forward with infantry battalions, use of Class VIII speedballs during casualty evacuation, and the importance of a synchronized and well-communicated medical concept of support. The team discussed common points of friction such as overuse or underuse of medical transport assets, breakdowns in communications between various medical nodes, and lack of rehearsals between sustainers and combat leaders. Additionally, the discussion covers medical evacuation planning and the importance of maintaining a well-structured casualty evacuation (CASEVAC) process to support prolonged combat engagements. The episode closed with emphasis on integrating joint and partner forces, refining base cluster security measures, and the need for a return to basic soldier skills and medical readiness.

 

Part of S05 “Beans, Bullets, Band-Aids, Batteries, Water, & Fuel” series.

 

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