121st Combat Support Hospital Soldiers simulate patients
1 / 8 Show Caption + Hide Caption – Pfc. Terrence Sinapati, a medical logistics specialist from Alpha Company, 121st Combat Suport Hospital (CSH), portrays a casualty victim with a mock eye injury during a mass casualty exercise Aug. 14 - 29 at U.S. Army Garrison Camp Humphreys, South ... (Photo Credit: U.S. Army) VIEW ORIGINAL
Medical staff from the 121st Combat Support Hospital perform triage on simulated patients
2 / 8 Show Caption + Hide Caption – Pfc. Kim, Jung Hyun from Alpha Company, 121st CSH, receives an initial triage evaluation before admittance into the field hospital during a mass casualty exercise Aug. 14 - 29 at U.S. Army Garrison Camp Humphreys, South Korea as part of an effort to ... (Photo Credit: U.S. Army) VIEW ORIGINAL
Republic of Korea Army Soldiers participated as simulated casualties.
3 / 8 Show Caption + Hide Caption – Capt. Jung, Jae Hyun, a veterinarian with the Republic of Korea Army, portrays a heart attack casualty during the 121st Combat Support Hospital mass casualty exercise Aug. 14 - 29 at U.S. Army Garrison Camp Humphreys, South Korea as part of an effort... (Photo Credit: U.S. Army) VIEW ORIGINAL
Stretcher bearers are overwhelmed with the amount of patients.
4 / 8 Show Caption + Hide Caption – Amidst the chaos and confusion of casualty care and triage, members of the 121st Combat Support Hospital skills and abilities were validated during a mass casualty exercise Aug. 14 - 29 at U.S. Army Garrison Camp Humphreys, South Korea as part of an ... (Photo Credit: U.S. Army) VIEW ORIGINAL
Triage was a vital step in the validation process of 121st Combat Support Hospital mass casualty exercise
5 / 8 Show Caption + Hide Caption – Sgt. Maritas Staley, a triage nurse with the 121st Combat Support Hospital, checks the vitals of Pfc. Kim, Jung Hyun from Alpha Company, 121st CSH, during a mass casualty exercise Aug. 14 - 29 at U.S. Army Garrison Camp Humphreys, South Korea as part... (Photo Credit: U.S. Army) VIEW ORIGINAL
Medical Staff of 121st Combat Support Hospital established a field operating room during the mass casualty exercise.
6 / 8 Show Caption + Hide Caption – Spc. Linsay Nunley portrays a casualty suffering from a ruptured spleen as she is wheeled into the operating room of the 121st Combat Support Hospital during a mass casualty exercise Aug. 14 - 29 at U.S. Army Garrison Camp Humphreys, South Korea as p... (Photo Credit: U.S. Army) VIEW ORIGINAL
Portable x-rays are taken in the field operating room during 121st Combat Support Hospital mass casualty exercise.
7 / 8 Show Caption + Hide Caption – Spc. Fredrick Smith uses a portable x-ray machine on a mock patients's leg in the 121st Combat Support Hospital operating room during a mass casualty exercise Aug. 14 - 29 at U.S. Army Garrison Camp Humphreys, South Korea as part of an effort to enha... (Photo Credit: U.S. Army) VIEW ORIGINAL
Simulated casualties were examined in a CT Scanner during the 121st Combat Support Hospital mass casualty exercise.
8 / 8 Show Caption + Hide Caption – Spc. Brett Anderson (center) and other 121st CSH radiology technicians prepare a casualty for a computed tomography scan during a mass casualty exercise Aug. 14 - 29 at U.S. Army Garrison Camp Humphreys, South Korea as part of an effort to enhance So... (Photo Credit: U.S. Army) VIEW ORIGINAL

It was a typical day of training at U.S. Army Garrison Camp Humphreys, South Korea.

The sun was beaming down and the wind was calm.

Soldiers, Airmen and Republic of Korea Army personnel were conducting routine maneuver and hovering of their helicopters when disaster struck.

Rotors hit rotors.

Metal grinded upon metal and in a matter of seconds, both were on the ground in a fiery mass of mangled metal and smoke.

With the thick smoke billowing in the distance, the sounds of pain and agony filled the air.

Twelve casualties were evacuated from the crash site towards the nearby tents of the 121st Combat Support Hospital (CSH) for treatment.

Amid the "chaos of war," the medical personnel immediately began the triage process placing patients in the intensive care unit or operating room depending on their wounds, according to Maj. Alicia Madore, Chief of Clinical Education Division, of Brian Allgood Community Hospital, Yongsan, South Korea. "This training scenario was designed to be as realistic as possible in order to test the processes of the medical personnel and how well they come together as a cohesive team."

This mass casualty exercise put the medical staff through various scenarios on how to respond to patients with multiple types of injuries.

Madore stated the scenario was designed from "real-life" situations experienced by both herself and her staff. "The 121st CSH can conduct their everyday mission of armistice health care, but knowing what to do in time of war and how to step out of the comfort zone and deal with the unexpected, builds trust and ultimately saves lives on the battlefield."

Though the casualties began streaming into the 121st CSH with little warning, the medical personnel were quick to evaluate the injured and get the most critical cases into surgery.

According to Col. Mark M. Reeves, Commander of the 121st CSH, "Our 'Fight Tonight' mission was validated in that everyone came together amidst both real-world challenges and exercise scenarios to enhance our ability to apply training and increase performance as an integrated team. The purpose of setting up the CSH was to build on the 121st capability of saving lives during hostilities."

Throughout the field training exercise, the 121st CSH conducted four MASCAL exercises caring for a total of 48 patients while conducting various other military requirements such as weapons qualification, Chemical Biological Radiological and Nuclear (CBRN) defense, HMMWV Egress Assistance Trainer (HEAT) roll over training and Warrior Tasks and Drills. "This was a really good integrated team effort," said Reeves, "one of which that refined our level of readiness and ability to handle tasks under pressure."

The 121st CSH is a criticial component of the military response to hostile acts against the Republic of Korea.

Madore stated that these exercises really gave the command a chance to test its personnel under a very stressful situation. "Through our training, we will be ready for anything that might happen in the future. It is important to conduct these training events and to see the enormous amount of commitment and teamwork from everyone involved."