This scenario prepares flight medics to manage the critical window between point of injury and Role 2 care—the en route phase where patient stability often hangs in the balance.

The simulation begins with a radioed MIST report from the POI medic. This concise briefing includes the casualty’s mechanism of injury, injuries sustained, vital signs, and treatments rendered prior to transfer. Based on this information, the flight medic must rapidly formulate a care plan and prepare to intervene during transport.

As the simulation progresses, the learner begins treating the simulated patient in flight. This includes airway and breathing support, hemorrhage control, analgesia, and ongoing assessment—all within the constraints of altitude, motion, limited visibility, and noise. It’s a focused test of procedural skill, spatial awareness, and the medic’s ability to stay mission-aligned under stress.

Throughout the scenario, the learner must update the DD Form 1380 (TCCC Card) to reflect any care provided in flight. This reinforces real-world documentation standards and ensures continuity across the chain of evacuation.

As the aircraft nears the destination, the flight medic prepares and delivers a second MIST report—this time to the Role 2 receiving team. Upon landing, the learner assists in offloading the patient and delivers a clear, structured handoff briefing, completing the chain from POI to Role 2.

For simulation trainers, this scenario targets a core operational reality: medics rarely control the conditions, but always control the response. It builds fluency in managing dynamic patients mid-transport and sharpens the transitions that make or break continuity of care.