This Role 1 training scenario focuses on a critical but often overlooked capability: structured patient triage and disposition at the point of injury or in a forward-deployed aid station setting.

Learners are placed in a field-simulated environment and tasked with conducting sick call screening for ambulatory patients. These may range from routine medical complaints to early-stage injuries that could escalate without intervention. The training emphasizes quick, disciplined clinical decision-making in austere conditions, where resources are limited and evacuation chains are constrained.

Participants must perform primary assessments, identify whether cases are self-limiting or require escalation, and develop treatment plans that balance care delivery with operational tempo. If the clinical judgment indicates that a higher level of care is necessary, trainees must initiate transport coordination to the nearest Role 2 facility.

This simulation also integrates two critical operational competencies: documentation and communication. For each patient, learners complete a DD Form 1380 (TCCC Card)—the battlefield standard for documenting assessment and care. They must also relay a clear and concise MIST (Mechanism, Injuries, Signs/Symptoms, and Treatment) report to Role 2 personnel to ensure seamless handoff and preparation for continued care.

The goal of this scenario is not to simulate advanced interventions, but to ensure trainees master frontline triage protocols, casualty documentation, and medical communication under pressure. It reinforces doctrinal accuracy and establishes the foundation for more complex decision-making at higher echelons.

When executed well, Role 1 screening prevents unnecessary evacuations, catches emerging complications early, and ensures medical assets are used where they are needed most. This type of training strengthens the tactical edge of combat medics, independent duty corpsmen, and PAs—where every decision matters.