![]() All these experiences are near impossible to reproduce to full-significance even in the best simulation and training scenarios. I watched patients die and dealt with the emotional reactions of their families. I learned the emotional terror of treating an unresponsive infant. In these experiences, I learned how to react to the smell of bodily fluids. I graduated from the Creighton University Paramedic Program and spent countless hours on ambulances, in Omaha and the surrounding area, gaining valuable experience in treating “real-world” patients. ![]() The concern for the lack of operational experience of my combat medics came from my own personal experience within emergency medicine. Being the only medical provider within the convoy, these medics would be truly tested “under fire” in the event of a serious injury. I faced the hard reality of assigning significant numbers of “untested” medics to combat logistics patrol missions. These experiences were limited to training and education during their Advanced Individual Training (AIT) with no more than a 3-day experience being closely monitored while working within the Brooke Army Medical Center. The majority of them only had experiences provided in Military Occupational Specialty (MOS) and MOS Sustainment Training. To my horror, I discovered the vast majority of my medics had never treated a “real” patient. In the fall of 2009, I found myself as a Platoon Leader of 26 Combat Medics (68W) deployed to Iraq. ![]() Trained But Undeveloped: Rethinking Combat Medic Sustainment
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