Prolonged Field Care Podcast

#2 of 2025 Top Ten: Former Ranger Medic's Lessons Learned

Jan 3, 2026
A former Ranger medic recounts a harrowing mass casualty event during a humanitarian mission in Burma. He discusses the historical context of the conflict and the critical challenges in delivering medical support. Innovative strategies emerged in a denied environment, including successful field blood transfusions. The importance of training, adaptability, and building local medical capacity to empower future care is emphasized. Personal motivation and a commitment to purpose guided his actions throughout the intense operation.
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ANECDOTE

Mass Casualty Mission In Burma

  • Victor recounts a humanitarian mission in Burma where a raid produced 52 wounded and 18 killed, forcing rapid adaptation to limited resources.
  • He describes establishing CCPs, carrying casualties hours on foot, and managing an eight-hour evacuation under air and mortar threat.
ADVICE

Prioritize Hemorrhage Control Skills

  • Train medics on hemorrhage control and casualty extraction tailored to resource-poor, denied environments.
  • Practice buddy-team proximal pressure and improvised tourniquets because commercial devices may fail or be scarce.
ANECDOTE

Field Medical Organization And Roles

  • Victor outlines the tactical medical layout: two CCPs (Eagle and Falcon), rescue teams, aid-and-litter teams, and an FSU with surgical capability about 3.2 km away.
  • He explains vehicle cache roles and plans for resupply bundles and casualty handover to the jungle hospital.
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