This Role 2 scenario is built around one of the most demanding challenges in damage control resuscitation: managing a patient with multiple life-threatening injuries after point-of-injury stabilization.
The setup begins after Tactical Combat Casualty Care (TCCC) has been performed by the point-of-injury corpsman. The casualty has been moved into an adjacent engineering space, a simulated Role 2 environment, where advanced interventions can begin. Initial life-saving measures are ongoing—controlling hemorrhage, managing airway and breathing, and preventing further physiological deterioration.
The core task in this scenario is to demonstrate a simulated REBOA insertion using a part-task trainer. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a complex, high-risk procedure used in trauma patients with non-compressible torso hemorrhage. It involves placing a catheter through the femoral artery and inflating a balloon within the aorta to temporarily control bleeding and maintain perfusion to vital organs. REBOA requires precise anatomical knowledge, catheter handling, and coordination between surgical, nursing, and anesthesia teams.
Participants must perform a full trauma assessment, initiate appropriate interventions, and prepare the casualty for evacuation to a Role 3 facility if indicated. Evacuation decision-making under resource constraints is also a critical component. Trainers evaluate clinical judgment, procedural accuracy, communication, and adherence to combat casualty care doctrine.
This simulation ensures learners are equipped to operate within Role 2 capabilities, bridging the gap between field stabilization and surgical-level care. It emphasizes not only technical execution but also operational decision-making—both of which directly impact survivability in real-world combat medical scenarios.
By integrating REBOA simulation into Role 2 training, educators can drive proficiency in advanced trauma care while reinforcing the importance of timing, teamwork, and tactical context.
