Military service members participates in a realistic combat care scenario on June 9, 2025, during Day 2 of the Joint Emergency Medicine Exercise (JEMX-25) at Fort Cavazos. Participants in JEMX-25 engage in realistic combat casualty care scenarios to improve skills and teamwork, contributing to enhanced medical support in operational environments.(U.S. Army photo by Spc. Marissa Krahulec)

U.S. Navy Lieutenant Dominique Ferguson implements Tactical Combat Casualty Care (TCCC) during a medical evacuation training on Day 3 of the Joint Emergency Medicine Exercise (JEMX-25) at Fort Cavazos, Texas, on June 10, 2025. JEMX-25 brings together medical professionals from the Army, Navy, Air Force and potentially NATO partners to foster collaboration and refine critical care skills in a simulated operational setting.(U.S. Army photo by Spc. Marissa Krahulec)

Military service members train in a surgical scenario during the Joint Emergency Medicine Exercise (JEMX-25) at Fort Cavazos, Texas, on June 10, 2025. JEMX-25 brings together medical professionals from the Army, Navy, Air Force and potentially NATO partners to foster collaboration and refine critical care skills in a simulated operational setting.(U.S. Army photo by Spc. Marissa Krahulec)

U.S. service members transport a dummy during training at the Joint Emergency Medicine Exercise. During JEMX-25 at Fort Cavazos, June 8, 2025, participants engage in realistic combat casualty care scenarios to improve their skills and teamwork. (U.S. Army photo by Pfc. Kayla Mc Guire)

U.S. Navy Lt. Amanda Lu, an Emergency Medicine Physician from Navy Medical Center San Diego (NMCSD) Emergency Department (ED), participates in a low-light tactical training scenario alongside a U.S. Army medical professional on June 10, 2025, during the Joint Emergency Medicine Exercise (JEMX-25) at Fort Cavazos, Texas. This rigorous, multi-service training prepares military medical personnel to operate and provide critical care in challenging and complex operational environments. (U.S. Army photo by Staff Sgt. Julio Hernandez)

A medical military professional from the Royal Netherlands Army triages a simulated casualty at Operational Medical Support (OMS) Role 1 on June 11, 2025, during the Joint Emergency Medicine Exercise (JEMX-25) at Fort Cavazos, Texas. JEMX-25 brings together medical professionals from the Army, Navy, Air Force and potentially NATO partners to foster collaboration and refine critical care skills in a simulated operational setting. (U.S. Army photo by Pfc. Kayla Mc Guire)

FORT CAVAZOS, Texas – The Carl R. Darnall Army Medical Center concluded its annual Joint Emergency Medicine Exercise June 13 at Fort Cavazos, following a grueling week of high-intensity field training that brought together U.S. military and allied medical forces from the Netherlands Royal Army and the United Arab Emirates Army.

The multinational medical training event pushed participants into challenging, resource-limited environments meant to mirror the real-life chaos of combat zones, disaster response efforts, and mass casualty events.

“JEMX serves as a transformative experience for each participant, fostering a deep sense of collaboration and adaptability they will carry forward throughout their careers,” said Lt. Col. Chantra Frazier, certified nurse midwife and officer in charge for JEMX 2025. “By working alongside peers from different military branches and allied nations, they gain exposure to diverse medical practices and innovative techniques.”

Throughout the exercise, participants honed their ability to deliver life-saving care under austere conditions, enhancing skills that go beyond textbook learning.

“JEMX helped me with my confidence, and I feel like I’ve learned a lot, within just this one week,” said Pfc. Josh Patterson, a combat medic with the 36th Engineer Brigade, Fort Cavazos. “The emergency evacuation lane helped me the most. We learned about it in school, but doing it—with real Blackhawks, and medical evacuation vehicles—was super nice.”

Lt. Col. Daniel Brillhart, a physician at CRDAMC and medical director for JEMX, emphasized the importance of connecting with the newest generation of military medics during such training events.

“Training ensures these medics will perpetuate vital lessons, directly translating into superior casualty care and mission success on future battlefields,” Brillhart said.

The exercise pushed both physical and mental boundaries, according to Demetria Miller, an emergency room physician at CRDAMC.

“We do a lot of training opportunities, but this particular exercise takes things further,” Miller said. “It’s more physically exhausting, includes greater resource constraints, and adds real-world complications like security issues. It really just pushes you to boundaries I haven’t felt in other trainings.”

A defining element of JEMX was shifting care from modern, well-equipped facilities to rugged field conditions—something participants and planners alike say is vital to the future of military medicine.

“Truth in lending, practicing medicine in austere environments is where the future of military medicine will be,” Frazier noted. “We must practice our craft in the manner we will be fighting it.”

With its combination of tactical complexity and multinational collaboration, JEMX continues to serve as a cornerstone of operational medical readiness for CRDAMC and its partners—ensuring military medical professionals are prepared for whatever challenges lie ahead, she added.

High-quality b-roll footage and imagery from the exercise are now available for download. To access the content, and for ongoing updates, photos, and video highlights, visit the Defense Visual Information Distribution Service at JEMX2025 or https://www.dvidshub.net/feature/JEMX2025.