107 S05 Ep 05 – Care under Fire: Combat Medicine in the Chaos of Large Scale Combat Operations w/Three JRTC Medical Professionals

The Joint Readiness Training Center is pleased to present the one-hundredth-and-seventh episode to air on ‘The Crucible - The JRTC Experience.’ Hosted by the Senior Medical Operations Officer Observer-Coach-Trainer for the Task Force Sustainment (BSB / CSSB), CPT Victor Velez on behalf of the Commander of Ops Group (COG). Today’s guests are two senior medical professionals, SFC Daniel Booker and MSG Bradley Robinson. SFC Booker is the Medical Operations NCO OCT for Aviation TF (CAB) and MSG Robinson is the Senior Enlisted Medical Advisor OCT for TF Sustainment (BSB / CSSB).

 

This episode explores the evolving landscape of medical operations in large-scale combat operations (LSCO), emphasizing both clinical care and medical logistics under austere, high-tempo conditions. The discussion begins by highlighting training shortfalls in areas such as prolonged field care, expectant casualty care, and the degradation of trauma skills due to lack of high-acuity exposure. The panel underscores the importance of standardizing Tactical Combat Casualty Care (TCCC) and incorporating behavioral health (BH) into austere environments. Updated triage doctrine—including a two-pass system and the mass casualty management model—is discussed as a key development, reinforcing that triage is not just a medical responsibility but a leader’s responsibility across the formation.

 

Observed trends during recent rotations were highlighted, such as the motivation and preparedness of young medics, the resurgence of fieldcraft (digging in, concealment, basic weapons handling), and the movement toward analog systems to reduce complexity. Leader certification and talent management emerge as recurring themes, emphasizing the need for medics to integrate operational planning and communicate effectively with maneuver leaders. Best practices include early development of the medical common operating picture (MEDCOP), effective use of LTP, cross-functional training opportunities, SOP development, and creative training under constraints like limited drill periods. The episode closes with guidance on improving air and ground casualty evacuation operations, promoting distributed medicine concepts, and empowering medics as force multipliers—not just clinicians, but warfighters.

 

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

 

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“The Crucible – The JRTC Experience” is a product of the Joint Readiness Training Center.