# 161 S03 Ep 12 – The Large Scale Combat Operations Casualty Care Problem w/JRTC Senior NCO Experts

Page: https://stenobird.com/podcast/the-crucible-the-jrtc-experience-podcast-6038857/161-s03-ep-12-the-large-scale-combat-operations-casualty-care-problem-w-jrtc-senior-nco-experts
Text version: https://stenobird.com/podcast/the-crucible-the-jrtc-experience-podcast-6038857/161-s03-ep-12-the-large-scale-combat-operations-casualty-care-problem-w-jrtc-senior-nco-experts.md
Podcast: [The Crucible - The JRTC Experience Podcast](https://stenobird.com/podcast/the-crucible-the-jrtc-experience-podcast-6038857)
Published: 2026-06-10T22:57:28+00:00
Episode link: https://thecrucible-thejrtcexperience.podbean.com/e/161-s03-ep-12-%e2%80%93-the-large-scale-combat-operations-casualty-care-problem-wjrtc-senior-nco-experts/
Audio file: https://mcdn.podbean.com/mf/web/4hurx5x2f4u7yu3x/Ep_161_The_Crucible_Casualty_Care_Integration_within_Maneuveraphvx.mp3
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JSON: https://stenobird.com/v1/public/podcasts/the-crucible-the-jrtc-experience-podcast-6038857/episodes/161-s03-ep-12-the-large-scale-combat-operations-casualty-care-problem-w-jrtc-senior-nco-experts
Duration seconds: 2311

## Resource

The Joint Readiness Training Center is pleased to present the one-hundredth-and-sixty-first episode to air on ‘The Crucible - The JRTC Experience.’ Hosted by the Senior Enlisted Medical Advisor and Role II Observer-Coach-Trainer for the Task Force Sustainment (BSB / CSSB), MSG Timothy Sargent on behalf of the Commander of Ops Group (COG). Today’s guests are four seasoned senior NCOs within one of our infantry task forces. CSM Edwards Cumming is the TF CSM, 1SG Jeremiah Guerra is a CO Team 1SG, 1SG Mark Varley is a CO Team 1SG, and SFC William Deutsch is the Senior Medical Observer – Coach – Trainer within Task Force 3 (IN BN). This episode explores the critical relationship between casualty care and maneuver operations, emphasizing that medical support cannot exist separately from the fight. Leaders discuss how the realities of Large Scale Combat Operations are forcing units to rethink long-held assumptions developed during the counterinsurgency era, particularly the expectation of rapid evacuation and uncontested medical support. Topics include self-aid, buddy-aid, casualty collection points (CCPs), ambulance exchange points (AXPs), casualty evacuation (CASEVAC), mass casualty planning, and the difficult balance between continuing the mission and treating the wounded. A recurring theme throughout the discussion is that survivability begins at the point of injury, and units that fail to train Soldiers on individual and buddy care often experience significantly higher rates of preventable losses. The episode reinforces that casualty care is not solely a medical responsibility—it is a leader responsibility that must be integrated into every operation from planning through execution. The conversation also focuses on the importance of integrating medical personnel into the…

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## Transcript

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