Tripler Army Medical Center residents prepare for deployed environment during Trauma Capstone

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Capt. Tyler Wistisen, left, 1st Lt. Michael Flury and Capt. Tana Gurule were honored by the Veterans of Foreign Wars with the Life Saving Award at the Clark County Armory in Las Vegas May 14, 2021. While in the nation's capital in January supporting the presidential inauguration, the Soldiers assisted a Virginia woman injured in a car crash.

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Military awards worn by a District of Columbia Army National Guard Soldier in Washington, D.C., March 10, 2021, include the D.C. National Guard Presidential Inauguration Support Ribbon on the bottom right. The ribbon is authorized for award to National Guard members from any state, territory or the District of Columbia who supported the 59th presidential inauguration on Title 32 orders.

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U.S. Army Sgt. 1st Class Carl Mattonen stands with his daughter, Spc. Carlie Mattonen, both with Forward Support Company, 107th Engineer Battalion, Michigan National Guard, near the U.S. Capitol in Washington Feb. 26, 2021.

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Soldiers from the Michigan National Guard’s Forward Support Company, 107th Engineer Battalion, based in Marquette, and the 177th Military Police Brigade, based in Taylor, join other Soldiers in food distribution at the U.S. Capitol Feb. 7, 2021. The National Guard is supporting law enforcement in the nation's capital through mid-March.

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1st Lt. Darren Tanis, executive officer of the Michigan Army National Guard’s 1433rd Engineer Company, based in Fort Custer, Michigan, stands near the U.S. Capitol in Washington Feb. 3, 2021. The National Guard is supporting federal law enforcement in the nation's capital through mid-March.

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Australian Army Capt. Dustin Gold, a reserve officer from the Royal Australian Artillery 9th Regiment, participates in a Reserve Forces Foreign Exchange Program with D.C. National Guard in Washington D.C., Jan. 23, 2021.

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Video by Hugh Fleming

Tripler Army Medical Center residents prepare for deployed environment during Trauma Capstone

Tripler Army Medical Center

May 28, 2025 | 2:51

Tripler Army Medical Center Graduate Medical Education residents participated in a four-day capstone exercise event designed to expose them to providing medical care in a deployed environment. Thirty-five graduating resident physicians participated this month this year’s Trauma Capstone held at the Medical Simulation Training Center, Schofield Barracks.

The four-day exercise, undergone by graduating resident physicians, tests various tactical and medical skills in a simulated combat environment, ultimately providing graduates with valuable hands-on experience in a field setting to prepare them for operations in austere environments.

“The GME Trauma Capstone was developed to emphasize Tactical Combat Casualty Care, TC3 principles to graduating residents before their first duty stations,” said Maj. Zachary McRae, Family Medicine Physician. “The capstone helps residents understand Military physicians have dual roles; providing medical care in non-combat environments and caring for soldiers in combat or austere environments with limited resources.”

The capstone event includes realistic immersive training scenarios, such as realistic simulated combat injuries allowing participants to practice their skills in a high-stress environment. The participants learn by doing, working through various trauma scenarios that mirror real-world situations. This type of training emphasizes clear and effective communication between different medical professionals, including medics, surgeons, and other healthcare providers.

“The goal of the GME Capstone is to prepare medical providers for deployment and combat readiness as they transition to their units, including force comm,” said Staff Sgt. Robert Fulcher, trauma capstone NCOIC.

U.S. Army Capt. Ceyda Sablak, a pediatrics resident, said that the exercise is beneficial for understanding the work of medics and paramedics as well as improving collaboration between physicians and field teams.

“This type of training fosters camaraderie, enhances teamwork and provides hands-on skills for real-life scenarios. The training is a valuable opportunity for building skills, teamwork, and understanding the needs of medics, which will aid her in her role as a pediatric physician and field surgeon” Sablak said.

Tripler supports 264,000 active duty and retired military personnel, their families, and veteran beneficiaries. In addition, the referral population includes 171,000 military – personnel, family members, veteran beneficiaries, residents of nine U.S. affiliated jurisdictions and forward-deployed forces in more than 40 countries throughout the Pacific.